YRTC SOW FINAL 9-2-20.pdf

Solicitation No. 75H71320Q00030 Attachment 1

STATEMENT OF WORK

AMERICAN INDIAN/ALASKA NATIVE (AI/AN) YOUTH RESIDENTIAL TREATMENT

SERVICES

I – PURPOSE OF CONTRACT

The Portland Area Indian Health Service (PAIHS) has a requirement to provide a contract for a Portland, Oregon based youth residential treatment facility serving eligible youth from Federally recognized tribes in Oregon and other states. The facility will provide residential care 24 hours a day, 7 days a week, and 365 days a year to assist youth to recover from complex substance use disorders and related consequences of problematic use. The facility will provide culturally respectful and responsive care to youth, their families and communities as funding and staffing capacity permit. Other services may be provided, including educational programming, medical and emergency referrals as needed, and referrals for mental health services. Youth generally present with complex trauma, significantly impairing mental health disorders, psychosocial difficulties, behavioral problems, and other conditions.

A. To ensure the availability of the services and procedures stated herein in the Portland, Oregon metropolitan area, the Contractor shall provide the services either:

1. On-site, pursuant to written policies and procedures that conform to the standards of care and practice applicable to each service and, where appropriate; or

2. Through a subcontractor(s) with whom the Contractor has a written agreement. The agreements shall identify, for example, services, fees, response time, performance standards, and other requirements.

B. The Contractor shall provide residential drug and alcohol treatment and other treatments deemed appropriate treatment for youth from federally recognized tribes in Oregon and other states, with care and services offered 24 hours a day, 7 days week and 365 days a year. The Contractor will establish age ranges of youth served based on state and other guidelines. The Contractor will offer at least the minimum number of group and individual treatment, educational and process group care, case management and other services according to state and best practice clinical guidelines.

The clinical programming is offered as per certifying and accreditation requirements. Community based offerings will also be offered as appropriate and as staffing and funding capacity allows.

C. Contractor provided services shall include, but not be limited to, providing comprehensive, therapeutic substance use treatment to residential youth clients. Care delivery may include but is not limited to: group care, psychiatric referrals, medication management (on site or referred as needed), individual substance use disorder treatment, relapse prevention, suicide prevention activities, patient counseling and education, and other care.

D. Contractor clinical staff shall maintain all applicable certifications and licensure.

E. The Contractor shall utilize standards of care and practice regarding electronic data collection and documentation of beneficiary use, including current Oregon State law, and shall use a health information technology (HIT) system, e.g., the Resource and Patient Management System (RPMS) or Commercial Off the Shelf systems (COTS).

F. The Contractor shall utilize a HIT software for collection and data entry of Indian Health Service

(HIS)_requirements for the following information, if applicable: patient demographics, clinical data, behavioral health data, diabetes data, public health nursing data, immunization data, referrals, dental data, laboratory and radiology data and shall submit data to the IHS data center on a monthly basis.

G. The Contractor shall provide proper and adequate clinical services in accordance with the

Standards of Care established by recognized health care organizations including those of the Indian Health Service. All services shall be provided within accepted professional standards and be consistent with Commission on Accreditation of Rehabilitation Facilities (CARF) requirements.

II – DESCRIPTION OF SERVICES

A. HEALTH CARE DELIVERY SYSTEM

The purpose of this contract is to elevate the health status of the American Indian/Alaska Native (AI/AN) youth population residing in the Portland Area (OR, WA, ID). This is to be accomplished through the following specific efforts:

B. RESIDENTIAL SUBSTANCE TREATMENT SERVICES

The Contractor will serve youth ages 12-17 primarily from Oregon Tribes but will accept AI/AN from all over the nation, as well as referrals through Oregon Health Plan and DOJ for underserved youth. The contractor will operate with a fully integrated treatment model reflecting traditional Native American healing approach of the Medicine Wheel -towards restoring a state of balance to the physical, emotional, mental and spiritual dimensions of the client’s life. The residential facility will serve both male and female youth with typical courses of treatment ranging from 90-180 days.

American Indian and Alaska Native cultural practices will be incorporated into all aspects of program activities. The client’s tribal cultural traditions should be seen as an individual strength that can provide an important source of support for their recovery from alcohol and drug dependency. The client may choose to include a variety of traditional Native American cultural activities in their treatment plan such as sweat lodge ceremony, fire ceremony, traditional drum, singing, flute playing, painting, beading and leather craft.

C. PROPOSED SERVICES FOR THE PERIOD:

September 28, 2020 through September 27, 2021 plus four (4) option years

Work Plan

Objective 1: To provide a clinically appropriate course of therapeutic treatment strategies to of approximately 20+ American Indian/Alaska Native youth during the next twelve months using a holistic treatment model that recognizes the unique needs and honors and support the culture of

American Indian/Alaska Native communities, including therapeutic strategies aimed at breaking the cycle of addiction and family dysfunction, and improving the mental and emotional well-being of clients.

Method 1.1: Utilize a 12 Step Medical Treatment Model that incorporates traditional American Indian/Alaska Native ceremonies and supports the emotional, physical, spiritual and mental health of Indian People.

Method 1.2: Provide age and developmentally appropriate substance abuse education to residential clients.

Method 1.3: Provide referrals for clients identified as needing psychiatric services to the Mental Health Specialist and the Psychiatrist, at the Health Clinic, as well as other appropriate community resources.

Method 1.4: Provide advocacy and referrals for education, vocational training and other community services for residential substance abuse treatment clients.

Method 1.5: Promote chemically free lifestyles by engaging parents and children in recreational activities as a part of the treatment schedule.

Objective 2: Promote healthy lifestyles, increase early detection of HIV, sexually transmitted diseases and other infectious diseases and decrease the incidence of HIV, sexually transmitted diseases and other infectious diseases for clients of the Residential Treatment Center.

Method 2.1: Promote early detection of HIV, sexually transmitted diseases and other infectious diseases through coordination of testing and counseling programs at the Health Clinic.

Method 2.2: Reduce the incidence of HIV, sexually transmitted diseases, tuberculosis and other infectious diseases through health education lectures.

Method 2.3: Provide nutrition counseling to all clients and families and prenatal diet planning to pregnant women in treatment.

Method 2.4: Provide weekly health education lectures on topics such as commercial smoking cessation, nutrition, diabetes, hypertension and prenatal care.

Objective 3: To increase the number positive treatment outcomes through more intensive transition case management for clients returning to tribal reservation communities post discharge from residential treatment.

Method 3.1: The client’s Case Manager will assist clients in implementing their continuing care plan and linking with on-going support for relapse prevention activities in their tribal community.

Method 3.2 The client’s Case Manager will engage treatment center staff in a coordinated team approach to establishing working relationships with tribal behavioral healthcare staff. At the time of the client’s admission to treatment, the team will assess the medical, social and cultural resources available to the client during the continuing care phase of treatment. The team will coordinate treatment planning and continuing care recommendations with tribal behavioral healthcare staff.

Method 3.3: Continue refining procedures for follow up - with clients and key support persons at three months and six months post discharge.

D. PROJECT EVALUATION

The contractor’s evaluation plan should dovetails with the organization’s quality assurance program and be designed to reflect the services provided by the contractor. The goal of the evaluation plan is to ensure quality services, and evaluation plans should be designed to complement program operations and enhance services.

1. Conduct Measures

The Contractors evaluation plan should include information gathered from admission data (client demographic information), chart reviews, client questionnaires and referring agency evaluations. The evaluation plan should measure the results of programs and services;

included all patients who receive services and included all service components of the Residential Treatment Center; assesses the progress of services being delivered in relation to the program goals; evaluate post discharge information, document the number of treatment completions; and measure the number of individuals receiving services in relation to stated goals.

2. Outcome Measures

Measurement Criteria for Quality Assurance:

a. Percentage of clients completing treatment program.

b. Abstinence rate during treatment and at time of discharge.

c. State reasons for early treatment termination of graduation.

d. Vocational/Employment status at graduation and follow-ups as compared to entry.

Contractor should operate in compliance with the Oregon State Department of Human Resources Mental Health Division Administration Rule 410-12-000, Alcohol and Residential Treatment Facility, Oregon Administrative Rule 309-51-000 through 309-51-070 and Outpatient Alcohol Treatment Program, Oregon Administrative Rule 309—53-050 through 309-53-120. As well as obtain any necessary certificates of compliances from The State of Oregon, Department of Human Resources, Office of Alcohol and Drug Abuse Programs.

The Residential Treatment Center will participate in the Client Process Monitoring Systems (CPMS) data base information management system which provides quarterly outcome data reports on treatment completions, occurrence of legal problems, vocational training and employability at the time of discharge, drug free pregnancies and drug free births. These data are compared with state minimum performance requirements as well as statewide averages with other residential treatment centers in the state.

III – ANCILLARY SERVICES

A. REFERRAL SERVICES

1. No inpatient services are provided through this contract. For all inpatient services and all outpatient services not available at the clinic referrals will be made to local health care providers. For all inpatient and outpatient services not provided on-site the patient will be responsible for any or all expenses incurred. These referrals will include but not limited to services from the following: physicians, surgeons, hospitals, rehabilitation centers, psychologists, podiatrists and such other support personnel and facilities.

2. Referral services will be provided by physician and other providers and to hospitals for consultation and medical treatment as required and in accordance with established policies.

Provision of high quality of care services will be demonstrated by the following characteristics:

a. Appropriate diagnostic procedures.

b. Treatment that is consistent with the clinical impression or working diagnosis.

c. Appropriate consultation.

d. Patient compliance with treatment.

e. Continuity of care.

f. Appropriate, accurate and complete medical record entries.

g. Adequate transfer of information when patients are transferred to and from other health care providers.

h. Patient satisfaction.

i. Accessibility and availability of health services.

j. Emergency services for patients when the facility is not open.

k. Patient instruction in the use of medications and therapies.

B. MENTAL HEALTH SERVICES

Mental Health services are provided to individuals and groups that are eligible for services under this contract. Specifically:

1. The mental health program will be directed by a competent mental health services professional who is appropriately licensed and certified. This professional will meet appropriate employment criteria as well as state licensure and certification requirements.

2. The Contractor undertakes to make the mental health program an integral part of the health delivery system. In the sensitive area of mental health services, special attention will be paid to confidentiality, the provisions of HIPAA, the Privacy Act, other relevant State and Federal laws to include special requirements for confidentiality mental health, alcohol and drug abuse patient records, and the use of the problem oriented record system.

3. Recognizing the importance to the emotional and social wellbeing for the Indian people of traditional Indian medicine and religion, the contractor will make every effort to integrate and coordinate such traditional strengths and healing activities into and with the human services prevention and treatment efforts.

4. Special care will be taken to provide physical examination to patients and clients. Medical and mental health efforts will be coordinated, including recommendation for psychotropic medication.

5. The Contractor agrees that psycho-diagnostic evaluations are to be conducted only by a psychometrist or trainee under the direct supervision of a licensed psychologist and reports will be signed or countersigned by a licensed psychologist.

6. The Contractor agrees to make every reasonable effort to follow standards provided by the

American Psychological Association, American Psychiatric Association, Joint Commission of Accreditation of Hospitals, and issuances from the Behavioral Health Programs, Indian Health Service. Site will seek Commission on Accreditation of Rehabilitation Facilities (CARF) accreditation.

IV – PRIVACY ACT AND HIPAA

The confidentially, security, and safety of patient records shall be ensured by the medical record supervisor, to comply with requirements of the Privacy Act and the Health Insurance Portability and Accountability Act of 1996 (HIPAA).

V – CLINICAL RECORDS

A. The Contractor maintains the clinical records as required by Federal and State law governing such records, in the normal course of business as a provider of health care and/or referral services. Such records are not developed or maintained for IHS or to accomplish an IHS function.

B. Consistent with the requirements of applicable Federal and State law, the Contractor shall provide a clinical records system for collecting, processing, maintaining, promptly retrieving, releasing, and safeguarding of patient records according to established policies and procedures.

C. The Contractor shall ensure the confidentiality, security, and safety of clinical records entrusted to the designated person responsible for the clinical records department, and shall comply with the requirements of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and implementing regulations at 42 C.F.R. Parts 160-164. To the extent it is Program as defined by 42 C.F.R. § 2.11, the Contractor shall maintain behavioral health and alcohol/substance abuse records in accordance with 42 C.F.R. Part 2 and applicable State laws and regulations.

D. The Contractor shall assign a person qualified by education, training, and/or experience to be in charge of clinical records, whose responsibilities are consistent with the Federal and State law requirements and may include:

1. The confidentiality, security, and physical safety of patient records, which the Contractor shall secure away from public access behind at least two locks;

2. The timely retrieval of individuals’ records upon request;

3. The unique identification of each patient record;

4. The supervision of the collecting, processing, maintaining, storing, retrieving, and releasing clinical records and health information; and

5. The maintenance of the clinical records in a recognized uniform format.

E. Consistent with Federal and State law requirements, the Contractor shall maintain adequate space, facilities, and equipment for the clinical records, including:

1. Properly maintaining work and storage space that is adequate in layout and size.

2. Securing the records in a satisfactory manner, such as in a locking cabinet or a room that can be locked or otherwise secured, and limiting physical access to the records.

3. Following adequate equipment and supplies procedure.

F. Consistent with Federal and State law, the Contractor shall establish and implement a Policies and Procedures Manual concerning the clinical records department.

1. The Policies and Procedures Manual shall include and address issues such as, but not limited to, the following:

a. Retention of active records;

b. Retirement of inactive records;

c. Content of records;

d. Obtaining records from other providers who have treated a patient;

e. Timely entry of data in the records;

f. Release of information contained in the records;

g. Destruction and/or disposal of records; and

h. Disposition of clinical records when a facility or service closes, consistent with applicable federal and state laws and regulations.

2. The Policy and Procedures Manual shall be reviewed, updated, and signed annually.

G. The Contractor shall have the responsibility for the proper transfer and/or destruction of clinical records, consistent with applicable Federal and State law, should the Contractor cease its healthcare operations.

VI – PATIENT BILL OF RIGHTS

A. The Contractor shall maintain patient relationships, in part by providing information to each patient including any information that may be required by Federal or State law, such as:

1. Patient Rights are communicated to patients and provided in writing when requested;

2. A grievance policy and procedures for recommending changes in policies and services to the UIO staff and governing body, which shall be available to patients upon request;

3. A defined process for managing complaints that include providing timely feedback to patients about their concerns and resolutions;

4. A description of types and scheduling of services available in the UIO, which shall be provided to all patients;

5. A list of staff with their professional titles, which shall be available to the patients upon request;

6. A policy on informed consent that identifies the specific care, treatment, or services that require informed consent;

7. The policies and procedures covering eligibility, referral and consultation services, billing, and other patient care services, which shall be provided to the patient at the time of registration; and

8. Where and how to obtain care during non-service hours and for urgent problems, as well as emergencies.

B. The patient shall be given an opportunity in private to be a partner in his/her evaluation, treatment, and diagnosis.

VII – QUALITY MANAGEMENT

The Contractor shall provide an environment to promote and to strive toward improved quality of care.

A. The Contractor shall ensure all providers, whether employed by the Contractor or by a subcontractor, are appropriately credentialed and privileged. Contractor shall:

1. Provide education and training for all employees to perform their jobs adequately in care, treatment and services, managing medical and other emergencies, and emergency preparedness;

2. Ensure adequate supervision of all employees;

3. Ensure orientation and training on policies, procedures, and practices;

4. Support a peer review program with written by-laws in which all of the health care professionals participate; and

5. Maintain current Basic Life Support (BLS) and Automated External Defibrillator (AED) certifications for all staff. Health care providers must complete courses specifically for health care providers.

B. Operating License: The Contractor shall meet generally applicable State or other requirements for operation as a provider of health care or referral services in the State of Oregon. The Contractor shall meet all the applicable standards for State licensure or recognition, regardless of whether the Contractor obtains a license or other documentation under such State or local law.

C. Accreditation: The Contractor shall see or maintain accreditation and/or certification from an accrediting entity, such as AAAHC, TJC, CARF, HFAP, or certification as a Federally Qualified Health Center (FQHC) or Federally Qualified Health Center Look-Alike.

D. Malpractice Insurance: Services provided by the Contractor pursuant to this contract are not covered by the Federal Tort Claims Act. The Contractor shall obtain professional liability insurance that provides coverage for all employees, subcontractors, and volunteers, consistent with the minimum levels of professional liability insurance mandated by the laws of the State of Oregon that reflects the specific Scope of Work and other circumstances at the UIO.

1. The Contractor must provide documentary proof of the insurance coverage to the Contracting

Officer prior to executing this contract.

2. The Contractor shall notify the Contracting Officer immediately of any material changes in coverage that could negatively impact the Contractor’s ability to carry out the scope of work of this contract.

E. Quality Assurance/Continuous Quality Improvement Plan: Consistent with Federal and State law, as well as any other applicable standards, the Contractor shall develop and implement a written Quality Assessment and Performance Improvement (QAPI) plan to:

1. Describing the objectives, organization, scope, and mechanisms for overseeing the effectiveness of the monitoring, evaluation, and problem-solving activities.

2. Identify QAPI activities based on priorities, and specify assignments, responsibilities, data collection processes, and methods organized in a Plan-Do-Study-Act or other QAPI model.

3. Create a QAPI committee that is responsible for the implementation of the plan and reporting information to the Governing Body.

4. Appoint an appropriate individual as responsible for planning and completing those QAPI activities assigned as assigned.

5. Hold regular performance improvement meetings with staff.

6. Develop written documentation of QAPI activities and evaluate any interventions implemented.

7. Maintain confidentiality of medical and clinical quality assurance records and testimony, consistent with 25 U.S.C. § 1675 and any implementing regulations.

F. Risk Management Program: The Contractor shall develop and implement a Risk Management plan, including:

1. A description of the objectives, organization, scope, and mechanisms to minimize, monitor and control the probability and impact of loses.

2. Periodic review of clinical records, consistent with Federal and State law requirements.

3. Roles and responsibilities for the Risk Management Team including reporting information to the Governing Body.

VIII – DISASTER PLANNING

The Contractor shall establish an emergency preparedness plan for the organization and participate in emergency preparedness planning for the community, consistent with Federal and State law requirements.

IX – FACILITIES

The Contractor shall provide a safe and sanitary environment for the delivery of health care services, including compliance with Federal and State laws.

The Contractor shall maintain a lease and/or ownership of the facility. Policies and procedures shall address facility needs when a facility or service closes and shall be consistent with Federal and State laws and regulations.

X – CONTRACT ADMINISTRATION DATA

A. AUTHORITIES OF GOVERNMENT PERSONNEL

Notwithstanding the Contractor’s responsibilities for total management during the performance of this contract, the administration of the contract will require maximum coordination between the Government and the Contractor. The following individuals will be the Government points of contact during the performance of this contract.

1. The Contracting Officer (CO) is the only individual authorized to modify this contract.

Elida Monroe, Chief Contracting Officer:

Portland Area Indian Health Service Division of Acquisitions (DOA) 1414 NW Northrup, Suite 800 Portland, OR 97209 Email Address: Elida.monroe@ihs.gov Telephone Number: 503/414-5528

2. All communication pertaining to contractual and/or administrative matters under the contract shall be sent the following Contract Specialist:

Karen A. Sahmaunt, Contract Specialist:

Portland Area Indian Health Service Division of Acquisitions (DOA) 1414 NW Northrup, Suite 800 Portland, OR 97209 Email Address: Karen.sahmaunt@ihs.gov Telephone Number: 503/414-5525 mailto:Elida.monroe@ihs.gov mailto:Karen.sahmaunt@ihs.gov

3. Government Contracting Officer’s Representative (COR)

Rena K. Macy, COR

Office of Tribal/Service Unit Operations (OTSUO) 1414 NW Northrup, Suite 800 Portland, OR 97209 Email Address: Rena.macy@ihs.gov Telephone Number: 503/414-7792

The following is considered to be administrative information and is therefore subject to unilateral administrative modification by the Contracting Officer. This section complies with HHSAR subsection 302.1(b), Definitions – Contracting Officer’s Representative (COR).

Contracting Officer's Representative (COR) is a Federal employee designated in writing by a Contracting Officer to act as the Contracting Officer’s Representative in monitoring and administering specified aspects of contractor performance after award of a contract or order. In accordance with local procedures, operating divisions (OPDIVs) or staff divisions (STAFFDIVs) may designate CORs for firm fixed-price contracts or orders. COR’s responsibilities may include verifying that:

1. The Contractor’s performance meets the standards set forth in the contract or order;

2. The Contractor meets the contract or order’s technical requirements by the specified delivery date(s) or within the period of performance; and

3. The Contractor performs within cost ceiling stated in the contract or order. CORs must meet the training and certification requirements specified in 301.604.

B. INVOICE SUBMISSION

The Portland Area Indian Health Service, Office of Tribal/Service Unit Operations (OTSUO), 1414 NW Northrup, Suite 800, Portland, Oregon, 972019-2790, is designated as the billing office. The Contractor shall email a copy of an itemized invoice to the designated COR.

The following information must be included on each invoice to constitute a proper invoice:

1. Contract Number or Purchase Order Number;

2. Contractor’s name, address, and invoice date;

3. Contractor’s Tax Identification Number and DUNS Number;

4. Description of item(s) or services shall be itemized, cost or price, and quantity of services actually delivered or rendered;

5. Shipping and payment terms;

6. Name and address of Contractor official to whom payment is to be sent;

7. Name, title, telephone number and mailing address of person to be notified in event of a defective invoice;

8. Other substantiating documentation or information as required by the contract.

mailto:Rena.macy@ihs.gov

C. PAYMENT TERMS

1. The Contracting Officer will provide a copy of the schedule to the Contractor. The schedule will reflect the date payment will be processed by the payment office, with actual receipt of funds to be expected within five (5) working days thereafter. The Contracting Officer may adjust the schedule at any time to insure compliance with the terms of this contract.

2. The Portland Area Finance Office shall process payments on a monthly basis. Payment will be made by the:

Division of Financial Management 1414 NW Northrup, Suite 800 Portland, Oregon 97209-2790

3. The Contractor shall maintain an “Active” status with the System for Award Management

(SAM), www.sam.gov as prescribed by the Electronic Funds Transfer (EFT) procedures.

D. FINAL PAYMENT

Final payment shall be made after:

1. Completion and acceptance of all work;

2. Presentation of a properly executed voucher;

3. Presentation of release of all claims against the Government. A request for Final Payment on the contract must be accompanied by a completed Contractor’s Release for All Contracts form, which will be provided by the Contracting Officer.

XI – GENERAL QUOTATION INSTRUCTIONS

A. GENERAL INFORMATION

This is a Request for Quotations (RFQ). An award notice will be posted on the Federal Business Opportunities website located at www.beta.sam.gov upon award. The award notice will included the awardee’s name, address and total award amount.

B. ELECTRONIC RESPONSE:

The quotation must be electronically submitted via email to: Karen.sahmaunt@ihs.gov on 09/23/2020 at 2:00 p.m., PDT.

C. INCORPORATION BY REFERENCE OF THE CONTRACTOR’S QUOTATION

The Contractor shall perform the work and services required by this contract in accordance with the Contractor’s quotation.

http://www.sam.gov/ http://www.beta.sam.gov/ mailto:Karen.sahmaunt@ihs.gov

D. EVALUATION FACTOR 1 – QUALIFICATIONS AND KEY PERSONNEL

1. The Offeror(s) shall submit a short narrative that describes the total years of experience providing youth residential treatment services to American Indian and Alaska Native youth.

2. The Offeror shall demonstrate their understanding of the IHS mission, goals and customers.

3. The Offeror shall provide a copy of their Organizational Chart

4. List of their Board of Directors

5. Provide relative experience and capability of the:

a. Key Personnel Title: Executive Director o Serves as overall Contract Lead (and lead to sub-tasks, as appropriate) o Master’s degree relative to business management or a degree with extensive course work in evaluation management.

o Minimum of 10 years progressive experience working with evaluation management-related tasks.

o Experience working with American Indians & Alaskan Natives in projects related to research, evaluation or performance.

o Experience in coordination of resources and managing staff across multiple tasks/subtasks for federal contracts.

o Significant management, experience and understanding of a complex change management process, governance, federal guidance, policies and other similar mandates.

o Ability to articulate and establish reporting protocols, metrics, forums and documentation to communicate and convey critical, as well as, routine information to staff.

b. Key Personnel Title: Chief Financial Officer o Accounting Degree; or a degree in a related field such as business administration, finance, or public administration that included or was supplemented by accounting courses.

o Professional knowledge of accounting theories, practices, methods or techniques.

o Experience administering health program finances, including: coordination of budgets, accounting functions and financial management.

o Involved in direct development, establishment & maintenance of accounting & budget systems.

c. Key Personnel Title: Clinical Director o Doctor of Medicine, Doctor of Osteopathic Medicine or equivalent degree from an accredited school in the United States or Canada.

o Independently provides professional medical screening, evaluation, diagnosis, and treatment of acute and chronic illnesses or injuries in an outpatient clinic, including coordination of care.

o Provides consultation and /or supervision to mid-level practitioners.

o Attends medical staff meetings, participates in peer review and other quality assurance activates

6. Facilities must be identified with physical description and include a floor plan.

E. EVALUATION FACTOR 2 – PAST PERFORMANCE

The Offeror will be evaluated on performance under existing contracts and performance on prior contracts. The Offeror will be evaluated on the quality of performance on similar work, to include the ability to control the quality and cost of work, timeliness of performance, and effectiveness at accomplishing the goals of previous work. The Offeror shall provide two (2) relevant past performance references that are of similar scope, magnitude, nature and work. The Offeror shall include the contract number, company name, brief description of the project, contact name and telephone number.

F. EVAULATION FACTOR 3 - PRICE

The Offeror shall complete and submit Standard For 1449, and all acknowledgements if any. The Offeror shall enter unit prices and extended totals for each item listed. The prices shall include all necessary costs associated with necessary supervision, management, labor, transportation, equipment, materials, and overhead.

END OF STATEMENT OF WORK