Attachment_1_(A-B)_Qualifications.docx

Attachment 1A Family Practice Physician Board Certified

A.1.0. PROFESSIONAL QUALIFICATIONS / RESPONSIBILITIES. All Contractor HCP shall meet the qualifications for that specialty and perform essentially the same functions, within the scope of acceptable for their technical professional discipline and standard, as those required by Army or government service technical professionals of similar experience and in similar duty assignments. Contractor HCP practices/productivity will be compared to that of other Contractor HCP assigned to the same medical facility A.1.1. Education: The HCP shall possess a degree as a Doctor of Medicine or Doctor of Osteopathy from a school in the U.S. or Canada approved by a recognized accrediting body. Graduates of foreign medical schools practicing in the U.S. are required to possess a medical license and certification by the Educational Commission for Foreign Medical Graduates (ECFMGP) or Fifth Pathway. Contractor will be board certified or Board eligible by the American College of Family Medicine.

A.1.1.1. Experience: The HCP shall have no less than 1 year experience.

A.1.1.2. Licensure: The HCP shall possess and maintain a current, active, valid, and unrestricted medical or osteopathic medical license from any U.S. state, District of Columbia, Commonwealth, territory or jurisdiction. The HCP shall possess a current Drug Enforcement Administration (DEA) number. All Licenses and certificates must be renewed and maintained in a current status during the life of the contract. HCPs must take any continuing Medical Education training for recertification/relicensing in their time off and not on Government time. The Government will not pay for the HCPs training.

A.1.1.3. The provider shall possess Basic Cardiac Life Support (BCLS) certification provided by the American Heart Association (AHA) that shall be maintained in a current status at all times while performing services under this contract. Any fees associated with the renewal or maintaining BCLS certification shall be the contractor’s responsibility. The contractor shall provide appropriate documentation relative to certification/recertification dates and biannual anniversaries of certification dates to the COR.

A.2.0. SPECIFIC DUTIES/TASKS THE CONTRACTOR SHALL PERFORM BUT NOT LIMITED TO:

The Family Practice Physician shall perform the following duties/tasks at Kirk U.S. Army Health Clinic, Aberdeen Proving Ground, MD, as required and in strict compliance with standing orders and protocols set forth by the medical treatment facility (MTF) to include, but will not necessarily be limited to the following:

A.2.1. SPECIFIC TAKS: The HCP shall provide services to Patient Centered Medical Home Primary Care Clinic and perform the following tasks:

A.2.2. CLINICAL OPERATONS: The HCP shall comply with all KUSAHC clinical and management policies.

A.2.3. The contractor shall maintain clinic staff on-site to ensure that patients are treated within time frames stipulated herein.

A.2.4. The contractor’s staff shall comply with DoD’s reporting systems.

A.2.5. The contractor’s shall be responsible for the coordination of services for their patients.

A.2.6. The contract physician shall promote high quality of care by acting as the manager of services, assuring the appropriateness of services provided and encouraging continuity of care through the establishment of the primary care giver relationship.

A.2.7. The contract physician shall be routinely scheduled to work in the clinic. Clinic hours shall be scheduled for the physician.

A.2.8. The contract physician performing services under this contract shall have sufficient experience to be able to diagnose and treat diseases and injuries typically seen in Family Medicine across all age groups (birth to geriatrics).

A.3.0. MEDICAL TREATMENT.

A.3.1 Health care services provided shall be of a quality meeting or exceeding current recognized national standards as established by the AMA, the American Osteopathic Association (AOA), the Joint Commission (TJC), the American Academy of Family Medicine IAW MEDDAC bylaws and MEDDAC's plan for provisional medical services. The contractor shall perform all services IAW with the ethical, professional, and technical standards of the various professional disciplines of the health field.

A.3.2. Patients shall be appropriately diagnosed and treated based on symptoms and signs presented.

A.3.3. Emergency resuscitation equipment for adult patients shall be immediately available, working, and maintained IAW appropriate TJC standards.

A.3.4. Prepare and document appropriate history, physical examinations, and diagnosis. Maintain documentation of all treatment provided IAW MTF directives and prepare such records and reports as may be required by the contract. Ensure all documentation and reports are legible.

A.3.5. The contractor's physicians shall use the Department of Defense electronic medical records (EMR) system [currently CHCS and AHLTA] for keeping records, ordering of ancillary procedures, ordering of medications, writing doctor's order, writing referral for specialty care, and performing other required patient record functions.

A.3.6. The HCPs shall provide preventive services in which every patient encounter should be used as an opportunity for preventive care. These preventive services are or include: Either screening procedures to detect a disease or primary or secondary prevention interventions to protect or restore health. These services may be provided during acute and chronic visits or during preventive care visits for asymptomatic individuals to maintain and promote good health.

A.3.7. Periodic health promotion disease prevention surveillance examinations IAW current Department of Defense and Army policy.

A.3.8. Manage requests for information IAW established MTF policies and procedures. The contractor or contractor personnel shall not release medical information without prior coordination with the Patient Administration Branch or authorized military personnel.

A.3.9. The contract HCPs are required to prescribe only those medications that are listed in the MEDDAC formulary IAW AR 40-3. Any medication necessary for patient care not listed in the formulary shall be requested through the Chief of Patient Centered Medical Home to the Chief of the Pharmacy for approval to order.

A.4.0. The HCP shall write a DD 1289 (DoD Prescription) Form for those patients who request their scripts be filled by the National Mail Order Pharmacy or the Network Pharmacy IAW TRICARE and KUSAHC policies.

A.4.1.REFERRALS/CONSULTATIONS. The following referral criteria shall be used:

A.4.1.1. The HCP shall be responsible for requesting all necessary referrals to the MEDDAC for appointing IAW KUSAHC policies using CHCS or other electronic medical records keeping systems.

A.4.1.2. The HCP shall follow the established procedures of the MEDDAC when making referrals. The HCP, shall refer beneficiaries to receive specialty care IAW Milliman & Robertson Ambulatory Care Guidelines.

A.4.1.3. Patients with emergency conditions shall be referred to the NEAREST emergency room or to the nearest medical facility capable of providing the proper treatment.

A.4.1.4. Referrals/consultations shall be entered into electronic medical records system utilizing the consult tracking system in the managed care module IAW KUSAHC policies.

Attachment 1B Physician Assistant (PA)

B.1. QUALIFICATIONS/EXPERIENCE: The Physician Assistant (PA) shall have successfully completed a Physician Assistant training program and is required to possess and maintain a current certification by the National Commission on Certification of Physician Assistants (NCCPA). The contract PA will also be licensed in the state of Maryland. The PA will practice in accordance with the (NCCPA) standards, the Joint Commission, Army Medical Department and his/her individual credentialing privileges as determined by Kirk's mission and scope of care and services. The contract PA's practice is centered on the management of illness and injury, disease prevention, and health promotion..

B.1.1. The HCP shall possess a current Drug Enforcement Administration (DEA) number.

B.1.2. The contract Physician Assistant shall possess a valid state license for the same state in which the individual is registered with the Drug Enforcement Administration (DEA). The contract PA must be licensed and registered with the DEA in Maryland. Additionally, the PA shall possess a continuously maintain a National Commission on Certification of Physician Assistants (NCCPA) certification.

B.1.3. The HCP shall possess Basic Cardiac Life Support (BCLS) certification provided by the American Heart Association (AHA) that shall be maintained in a current status at all times while performing services under this contract. Any fees associated with the renewal or maintaining BCLS certification shall be the contractor’s responsibility. The contractor shall provide appropriate documentation relative to certification/recertification dates and biannual anniversaries of certification dates to the COR.

B.1.4. While providing services under this contract the contractor provider shall maintain a current license to practice in at least one state in the United States. The contractor provider is required to comply with any applicable state licensure laws concerning their profession at no cost to the government.

B.2. SPECIFIC TASKS: The contract provider will practice independently and collaboratively with other health care professionals to provide primary care and to diagnose, treat, and manage the patient’s preventive, acute, and chronic health problems. Services include but are not limited to ordering, conducting, and interpreting diagnostic and laboratory tests; prescribing pharmacologic agents and pharmacologic therapies; and teaching and counseling individuals, Families, and groups. The contract provider shall provide services to the Patient Centered Medical Home, and perform the following tasks:

B.2.1.CLINICAL OPERATIONS. The contract provider shall comply with all KUSAHC clinical and management policies.

B.2.1.1. The contractor shall maintain clinic staff onsite to ensure that patients are treated within time frames stipulated herein.

B.2.1.2. The contractor’s staff shall comply with DoD’s reporting systems.

B.2.2.1. The contract provider shall be responsible for the coordination of services for their patients.

B.2.2.2. The contract provider shall promote high quality of care by acting as the manager of services, assuring the appropriateness of services provided and encouraging continuity of care through the establishment of the primary care giver relationship.

B.2.2.3. The contract provider shall be routinely scheduled to work in the clinic. Clinic hours shall be scheduled for the provider.

B.2.2.4. The contract provider performing services under this contract shall have sufficient experience to be able to diagnose and treat diseases and injuries typically seen in PCMH across all age groups (birth to geriatrics).

B.2.3. MEDICAL TREATMENT.

B.2.3.1. Health care services provided shall be of a quality meeting or exceeding current recognized national standards as established by the AMA, the American Osteopathic Association (AOA), the Joint Commission (TJC), the American Academy of Family Medicine IAW MEDDAC bylaws and MEDDAC's plan for provisional medical services. The contractor shall perform all services IAW with the ethical, professional, and technical standards of the various professional disciplines of the health field.

B.2.3.2. Patients shall be appropriately diagnosed and treated based on symptoms and signs presented.

B.2.3.3. Emergency resuscitation equipment for adult patients shall be immediately available, working, and maintained IAW appropriate TJC standards.

B.2.3.4. Prepare and document appropriate history, physical examinations, and diagnosis. Maintain documentation of all treatment provided IAW MTF directives and prepare such records and reports as may be required by the contract. Ensure all documentation and reports are legible.

B.2.3.5. The contractor's providers shall use the Department of Defense electronic medical records (EMR) system [currently CHCS and AHLTA] for keeping records, ordering of ancillary procedures, ordering of medications, writing doctor's order, writing referral for specialty care, and performing other required patient record functions.

B.2.3.6. The contract provider shall provide preventive services in which every patient encounter should be used as an opportunity for preventive care. These preventive services are or include:

Either screening procedures to detect a disease or primary or secondary prevention interventions to protect or restore health. These services may be provided during acute and chronic visits or during preventive care visits for asymptomatic individuals to maintain and promote good health.

B.2.3.7. Periodic health promotion disease prevention surveillance examinations IAW current Department of Defense and Army policy.

B.2.4. Manage requests for information IAW established MTF policies and procedures. The contractor or contractor personnel shall not release medical information without prior coordination with the Patient Administration Branch or authorized military personnel.

B.2.5. The contract provider is required to prescribe only those medications that are listed in the MEDDAC formulary IAW AR 40-3. Any medication necessary for patient care not listed in the formulary shall be requested through the Chief of Patient Centered Medical Home to the Chief of the Pharmacy for approval to order.

B.2.5.1. The contract provider shall write a DD 1289 (DoD Prescription) Form for those patients who request their scripts be filled by the National Mail Order Pharmacy or the Network Pharmacy IAW TRICARE and KUSAHC policies.

B.2.6.REFERRALS/CONSULTATIONS. The following referral criteria shall be used:

B.2.6.1. As provider shall be responsible for requesting all necessary referrals to the MEDDAC for appointing IAW KUSAHC policies using CHCS or other electronic medical records keeping systems.

B.2.6.2.The provider shall follow the established procedures of the MEDDAC when making referrals. The contract provider shall refer beneficiaries to receive specialty care IAW Milliman & Robertson Ambulatory Care Guidelines.

B.2.6.3. Patients with emergency conditions shall be referred to the NEAREST emergency room or to the nearest medical facility capable of providing the proper treatment.

B.2.6.4. Referrals/consultations shall be entered into electronic medical records system utilizing the consult tracking system in the managed care module IAW KUSAHC policies.