ZSU Nursing Non Personal Healthcare Services.docx

DOCX document 141 KB Posted Nov 5, 2021

Attached to: NURSING SERVICES - ZSU Federal contract opportunity
Solicitation number: Not on record
Issued by: Department of Health and Human Services Indian Health Service

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Written by GovTribe AI · Dec 27, 2023

This document outlines requirements for nursing services at two Indian Health Service facilities. The Mescalero Service Unit requires six registered nurses to work at its facility in Mescalero, New Mexico. The Zuni Comprehensive Health Center requires two medical surgical RNs, one labor and delivery RN, and five urgent care/ER RNs to work at its facility in Zuni, New Mexico. The duration of the procurement is six months with an option to extend an additional six months. The document provides statements of work for each location and requests that capable contractors submit capabilities statements to the identified contracting officer for review and potential award.

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ZSU Nursing Non Personal Healthcare Services

SECTION 1 - SUPPLIES OR SERVICES AND PRICES/COSTS

1.1	SERVICES
	1.1.1	The Indian Health Service (IHS)/Albuquerque Area Office, Zuni Comprehensive Community Health Center has a requirement for nursing non personal healthcare services in the Urgent Care, Emergency Room, In-Patient and Obstetrics (OB) departments located in Zuni, New Mexico.

1.2

PRICE

This is a Firm-Fixed-Price (FFP) IDIQ with a base year with four (4) option years. Contracted services must be provided within urgent care/emergency department, hospital inpatient department, and obstetrics department (OB). “The quantities shown in the Schedule of Charges are "expected" quantities, but are not representative of actual ordering quantities, and serve as a means of arriving at price reasonableness for award purposes. Utilization of the "Requirements" contract has been determined to be appropriate for an RN FFP Health Services as the government anticipates recurring requirements but cannot pre-determine the precise quantities that will be ordered during the contract period.

1.3	GENERAL CONTRACT INFORMATION
	1.3.1	This is a FFP non personal healthcare services contract, as defined in Federal Acquisition Regulation (FAR) 37.401, under which the contractor is an independent contractor. The Government may evaluate the quality of professional and administrative services provided, but retains no control over the medical, professional aspects of services rendered (e.g., professional judgments, diagnosis for specific medical treatment). The contractor indemnifies the Government for any liability producing act or omission by the contractor, its employees and agents occurring during contract performance.
	1.3.2	As an independent Contractor; billing and collecting for the federal, state and other local city/county taxes is the burden of the Contractor, this includes the New Mexico Gross Receipt Taxes (NMGRT) for services provided in any county of the State of New Mexico.
	1.3.3	The Contractor's price/cost/rates for services under this all-inclusive contract includes applicable taxes for Internal Revenue Service (IRS), State of New Mexico Taxation and Revenue agency and/or other revenue agencies. The Indian Health Service will not withhold taxes nor will it issue a W-2 to the contractor.
	1.3.4	FINGERPRINTING REQUIREMENTS FOR SECURITY AND SUITABILITY:
		"Prior to start of services specified by the contract scope of work, the Contractor must contact Warren Cheromiah, at Telephone No. (505) 256-6749, AAO, Division of Contracts and Grants, to schedule an appointment to complete the fingerprinting process required by the IHS regulations pertinent to security and character background investigations."

1.4	CONTRACT PRICE
	1.4.1	This order will result in an FFP contract. The price for this contract is $ (TBD).
	1.4.2	Upon delivery and acceptance of the item(s) specified in the DELIVERY Article in SECTION F of this contract, the Government must pay to the Contractor resulting from the awarded contract price.
	1.4.3	Upon delivery and acceptance the services described in the Performance Work Statement (PWS) and identified in the schedule of charges below, the Government must pay to the Contractor the total prices set forth below and will be paid from the following Contract Line Item Numbers (CLINs) accordingly:
			SCHEDULE OF CHARGES FOR THE BASE PERIOD
	Contract Period
	Department
	Hour Type
	Profession
	# of Nurses
	Est Hours Each (Annual)
	Hourly Rate:

Min

Max

Min

Max

All Inclusive

Base Period
Outpatient (Urgent Care/ER)
Regular
RN
3
12
2086
2100
$________

Overtime

312

Holiday

Regular

LPN/LVN

2085

$________

Overtime

312

Holiday

OB
Regular
RN
1
4
2085
2085
$________

Overtime

312

Holiday

Inpatient
Regular
RN
2
8
2086
2100
$________

Overtime

312

Holiday

1.4.4

The Contractor must be paid upon submission of an invoice with the time sheets attached and completion and acceptance (if deliverable) or verification (if service) by the Contracting Officer's Representative (COR), of the deliverables and/or services indicated below. Submit invoices in accordance with the instructions contained in FAR clause 52.232-25, Prompt Payment, and Section G.2 of this contract.

1.4.5

Service Contract Act Wage Determination# 2015-5451, Revision #14 dated 07/21/2021 is hereby incorporated.

1.5	OPTION PRICES
	1.5.1	Unless the Government exercises its option, pursuant to the option clause referenced in the Contract Clauses section, this contract consists only of the Base Period specified in this contract.
	1.5.2	Pursuant to either the FAR Clause 52.217-8, Option to Extend Services or the FAR Clause 52.217-9, Option to Extend the Term of the Contract, set forth in Section I, Contract Clauses, of this contract, the Government may, a unilateral contract modification, require the Contractor to perform the Option Period(s) as defined in the PWS of this contract. A notice that the Government intends to exercise any of the options will happen prior to the contract’s expiration date. Specific information regarding the timeframe for this notice is set forth in the OPTION PROVISION of this order. When exercising an option period, the fixed price rate of this contract is set forth below.
	1.5.3	Upon the delivery and acceptance of the Option Services described in the Performance Work Statement of the contract and identified in the schedule of charges below, the Government must pay the Contractor the rate(s) set forth below and will be paid from the following Contract Line Item Numbers (CLINs) accordingly;
	1.5.4	If the Government exercises its option pursuant to the OPTION PROVISION of this contract, the Government's total estimated contract amount, represented by the sum of the price of base plus option periods and the period of performance will be as follows:
			SCHEDULE OF CHARGES FOR THE OPTION PERIODS
	Contract Period
	Department
	Hour Type
	Profession
	# of Nurses
	Est Hours Each (Annual)
	Hourly Rate:

Min

Max

Min

Max

All Inclusive

Option Period #1
Outpatient (Urgent Care/ER)
Regular
RN
3
12
2086
2100
$________

Overtime

312

Holiday

Regular

LPN/LVN/LVN

2085

$________

Overtime

312

Holiday

OB
Regular
RN
1
4
2085
2085
$________

Overtime

312

Holiday

Inpatient
Regular
RN
2
8
2086
2100
$________

Overtime

312

Holiday

Option Period #2
Outpatient (Urgent Care/ER)
Regular
RN
3
12
2086
2100
$________

Overtime

312

Holiday

Regular

LPN/LVN/LVN

2085

$________

Overtime

312

Holiday

OB
Regular
RN
1
4
2085
2085
$________

Overtime

312

Holiday

Inpatient
Regular
RN
2
8
2086
2100
$________

Overtime

312

Holiday

Option Period #3
Outpatient (Urgent Care/ER)
Regular
RN
3
12
2086
2100
$________

Overtime

312

Holiday

Regular

LPN/LVN/LVN

2085

$________

Overtime

312

Holiday

OB
Regular
RN
1
4
2085
2085
$________

Overtime

312

Holiday

Inpatient
Regular
RN
2
8
2086
2100
$________

Overtime

312

Holiday

Option Period #4
Outpatient (Urgent Care/ER)
Regular
RN
3
12
2086
2100
$________

Overtime

312

Holiday

Regular

LPN/LVN/LVN

2085

$________

Overtime

312

Holiday

OB
Regular
RN
1
4
2085
2085
$________

Overtime

312

Holiday

Inpatient
Regular
RN
2
8
2086
2100
$________

Overtime

312

Holiday

1.5.5	Note: Unit price must be an all-inclusive rate of all other fees including travel expenses, per diem, lodging all cities, state, federal, local taxes and miscellaneous cost associated with the above services.
1.5.6	A meal breaks of sixty (60) minutes as per description of services is permitted (as non-paid) under the contract; the contractor cannot invoice time as worked if its’ employee chooses not to take a meal break. The Contractor also cannot invoice travel times to/from the facility site as time worked.

SECTION 2 – DEFINITIONS:

2.1	Acceptance: As stated in FAR, subpart 46.5, Constitutes acknowledgement that the supplies or services conform to the applicable contract quality and quantity requirements and subject to other terms and conditions of the contract.
2.2	Approval: Acknowledgment by the designated Government official that submittals, deliverables, or administrative documents (e.g., insurance certificates, installation schedules, planned utility interruptions, etc.) conform to the contractual requirements. Government approval does not relieve the Contractor from responsibility for compliance with contract requirements.
2.3	Area: A defined geographical region for Indian Health Service administrative purposes. Each Area Office may administer several Service Units.
2.4	Blanket Purchase Agreement (BPA): is a simplified method of filling anticipated repetitive needs for supplies or services.
2.5	Business Associate (BA): Any company or person that shown to, handles, or works with the data or medical records of the medical entity.
2.6	Business Associate Agreement (BAA): A BAA is a contract between a HIPAA-covered entity and a HIPAA BA. The contract protects personal health information (PHI) in accordance with HIPAA guidelines.
2.7	Code of Ethics: The Revised American Nurses Association Code of Ethics and Standards of Practice and Care, published in 1996 by the American Nurses Association, which makes explicit primary goals, values and obligations of the nursing profession.
2.8	Contract: This is a legal binding document between the Government and the Contractor.
2.9	Contractor: The individual award a legal binding contract to provide supplies and services.
2.10	Contracting Officer (CO): A Government employee with the authority to enter into, administer, and/or terminate contracts and make related determinations and findings.
2.11	Contracting Officer's Representative (COR): A federal employee who assists the CO in the administration of this contract. The COR is primarily responsible for the technical assistance and day-to-day program management.
2.12	Customer: Patients, staff and visitors of an IHS service unit and health center.
2.13	Customer Evaluation/Input: Written comments made to the COR regarding the Contractors performance. This is one of the criteria used to evaluate the Contractor's performance.
2.14	Federal Acquisition Regulation (FAR): The FAR is the primary regulation for use by all Federal Executive agencies in their acquisition of supplies and services with appropriated funds.
2.15	Indefinite Delivery/Indefinite Quantity: No set delivery time and not set quantity amount (used for recurring purchases with no set delivery time or quantity).
2.16	Non-Personal Services: A contract under which the personnel rendering the services are not subject, either by the contract's terms or by the manner of its administration, to the supervision and control usually prevailing in relationships between the Government and its employees, as defined in FAR 37.401
2.17	Ordering Activity: An authorized user of IHS that may issue a task order to obtain required services under this contract.
2.18	Orientation: An activity designed to provide basic familiarization of the facility and transition into the IHS Service Unit.
2.19	Past Performance Information: Relevant information regarding a contractor's actions under previously awarded contracts.
2.20	Patient Outcome: End result of nursing care.
2.21	Performance Based Matrix: Lists the services and the standards to be applied.
2.22	Personal Protective Equipment (PPE): The equipment used to protect medical personnel from exposure to biological, chemical, and radioactive hazards.
2.23	Point of Contact: Person other than the COR or the Alternate COR
2.24	Quality Assurance Surveillance Plan (QASP): A written document prepared and used by the government for Quality Assurance surveillance of the contractor's performance.
2.25	Service Unit: The local administrative unit of IHS.
2.26	Standards of Practice and Standards of Care: Authoritative statements by which it describes the responsibilities for which its practitioners are accountable.
2.27	Technical Direction: A directive to the Contractor that approves approaches, solutions, designs, or refinements; fills in details or otherwise completes the general description of work or documentation items; shifts emphasis among work areas or tasks; or furnishes similar instruction to the Contractor.
2.28	Task Order: An order issued in accordance with the terms of a contract (GSA or VA, etc.) that details a specific requirement.
2.29	Valid Patient Complaint: Justifiable accusation made by a patient and supported by investigation.
2.30	Verifiable Emergency: An unexpected/unplanned absence by the contractor requiring valid documentation to confirm the occurrence.

SECTION 3 – GOVERNMENT-FURNISHED PROPERTY AND SERVICES:

3.1	Information: Government unique information related to this requirement, which is necessary for Contractor performance, made available to the Contractor.
3.2	GOVERNMENT FURNISHED PROPERTY
3.2.1	The Government will provide the following item(s) of Government property to the Contractor for use in the performance of this contract. This property used and maintained by the Contractor in accordance with provisions of FAR Clause 52.245-1, Government Property (found in Section ##).
Item No
Property Description
Property Value
Qty.
Location
Date Available

Computer

Upon Arrival

Telephone

Upon Arrival

Desk/Chair

Upon Arrival

Identification Badge

Upon Arrival

3.3	Government Furnished Information / Property and Services
3.3.1	Information: Government unique information related to this requirement, which is necessary for Contractor performance, made available to the Contractor. The COR will be the point of contact for identification of any required information to be supplied by the Government.
3.3.2	Joint Use by the Government and the Contractor: Except for the property and service listed in 10.7.1, the Government will provide, for joint use by the Government and the Contractor, all necessary equipment, supplies, and clinic space to perform the services under this contract.
3.3.3	Contractor Exclusive Use:
	3.3.3.1	Personal Protective Equipment (PPE): The Government will furnish the Contractor with appropriate PPE other than specified in the contract. The Government will be responsible for any repair, cleaning, and inventory required for the PPE. This does not include any type of uniform or laboratory coat.
	3.3.3.2	The Government will provide facility specific contractor identification badges for each contractor. For lost or destroyed badges, there is a minimum charge of $20.00.
	3.3.3.3	Training: Facility specific orientation/training necessary for the Contractor to perform the required duties, e.g., IHS information technology (IT) systems and operational procedures. Training provided ONLY if the subject matter is necessary to improve or enhance the quality of services or includes mandates made by the IHS Service Units/Health Centers while the providers are working under this contract. Training is not provided for the purpose of continuing education, career development or individual development.
3.4	Contractor Furnished Property
3.4.1	Except for the property specified in paragraph 10.9.3 as government furnished, the Contractor must provide all uniforms and other personal medical instruments subject to the following:
3.4.2	Uniforms and Lab Coats: Uniforms and Lab Coats must conform to the requirements of the Indian Health Service Manual, Part 3, and Chapter 4 and meet the approval of the Chief Nurse Executive at each IHS facility.
3.4.3	Other personal medical instruments: "Other personal medical instruments" defined, as Contractor owned items include but not limited to stethoscope, scissors, as appropriate to the work unit. The Contractor must not use unsafe equipment or supplies at any time during performance of this contract. All Contractor furnished equipment and supplies must be subject to inspection by the Government and must be approved by the COR prior to use by the Contractor. The Government reserves the right to prohibit the use of any materials, supplies, or equipment.

SECTION 4 - CONTRACTOR FURNISHED ITEMS

4.1 Except for the property specified in Section G, Contractor will provide all other items as required to carry out the services.

SECTION 5 - PERFORMANCE WORK STATEMENT/REQUIREMENTS

As appropriate to level of licensure, Zuni Service Unit. The contractor will provide the following RN Services for the Zuni Service Unit Urgent Care/Emergency Room.

5.1	Urgent Care/Emergency Room (ER) RN:
	5.1.1	the full range of nursing care/nursing services to patients in the Urgent Care/Emergency Room. This position requires rotation of shifts (day, evening, and night). Work hours include weekends, holidays and call back.
	5.1.2	Delivers patient care/nursing services to meet the physical, psychosocial, spiritual, and cultural needs of the neonate, pediatric, adult and geriatric patients.
	5.1.3	Utilizes the nursing process to assess, develop, implement and document nursing interventions.
	5.1.4	Interviews patients and/or family members as appropriate; reviews patient medical history.
	5.1.5	Collaborates with health care professionals to provide health care, and to promote disease prevention and physical and mental health.
	5.1.6	Administers medications, treatments or interventions utilizing Standing Orders and/or medical provider orders.
	5.1.7	Operates specialized equipment, such as but not limited to, cardiac telemetry, cardiac defibrillator, respiratory equipment, Point of Care Testing (POCT), suction machine, IV pumps, pulse oximeter, and EKG equipment, etc.
	5.1.8	Assists medical provider with procedures, such as but not limited to, pelvic exams, cast/splint application, biopsy, peritoneal taps, insertion of central lines, Procedural Sedation, etc.
	5.1.9	Collects specimens, i.e., blood, urine, stool, peritoneal fluid, etc., as ordered by physician, or as per standing orders.
	5.1.10	Provides health education to patients and/or family.
	5.1.11	Initiates/delegates arrangements for patient follow-up care.
	5.1.12	Recognizes emergency codes such as Code Blue, Code Yellow, Code Red, Code Pink, etc., Initiates appropriate response to the activation of a Code.
	5.1.13	Participates in staff meetings, in-service education, and quality improvement activities to improve total hospital system in the delivery of patient care/services.
5.2	Inpatient RN:

	5.2.1	the full range of care/nursing services to patients in the Inpatient Unit. This position requires rotation of shifts (day and night). Work hours include weekends, holidays and call back.
	5.2.2	Delivers patient care/nursing services to meet the physical, psychosocial, spiritual, and cultural needs of the neonate, pediatric, adult and geriatric patients.
	5.2.3	Utilizes the nursing process to assess, develop, implement and document nursing interventions.
	5.2.4	Interviews patients and/or family members as appropriate; reviews patient medical history.
	5.2.5	Collaborates with health care professionals to provide health care, and to promote disease prevention and physical and mental health.
	5.2.6	Administers medications, treatments or interventions utilizing Standing Orders and/or medical provider orders.
	5.2.7	Operates a variety of medical equipment that includes, but not limited to, drainage, feeding and suction tubes, respiratory equipment, cardiac telemetry, cardiac defibrillator, EKG, point of care testing (POCT), vital sign monitors, pulse oximeter, IV pumps, sequential compression device (SCD), etc.
	5.2.8	Observes and documents changes in a patient’s condition, and notifies physician promptly/STAT of acute changes in patient condition.
	5.2.9	Collects specimens, i.e., blood, urine, stool, peritoneal fluid, etc., as ordered by physician, or as per standing orders.
5.2.10	Measures and assesses vital signs, height, weight, and neurological status.
	5.2.11	Assists primary care provider with procedures, such as but not limited to, exams, dressing and/or splint application, biopsy, peritoneal taps, etc.
	5.2.12	Assists patients with activities of daily living. Assists other personnel in performance of patient care.
	5.2.13	Provides health education to patients and/or family.
	5.2.14	Initiates/delegates arrangements for follow-up care.
	5.2.15	Participates in staff meetings, in-service education, and quality improvement activities to improve total hospital system in the delivery of patient care/services.
	5.2.16	Recognizes emergency codes such as Code Blue, Code Yellow, Code Red, Code Pink, etc., Initiates appropriate response to the activation of a Code
	5.2.17	May be floated to other nursing units to perform standard RN duties such as but not limited to, starting IV’s, blood draws, initiating telemetry, administering medications, etc.
5.3	Verified Specialty Obstetrics (OB RN): As appropriate to level of licensure, Zuni Service Unit. The contractor will provide care/services the following for the Zuni Service Unit Obstetrics Unit:
	5.3.1	the full range of care/nursing services to patients in the Obstetrics Unit. This position requires rotation of shifts (day and night). Work hours include weekends, holidays and call back.
	5.3.2	Delivers patient care/nursing services to meet the physical, psychosocial, spiritual, and cultural needs of the antepartum, intrapartum, postpartum and newborn patients utilizing established Policies and Procedures.
	5.3.3	Utilizes the nursing process to assess, develop, implement and document nursing interventions.
	5.3.4	Monitors and assesses patients; recognizes urgent and emergency conditions and initiates appropriate interventions.
	5.3.5	Operates specialized equipment, such as but not limited to, Electronic Fetal Monitor, Panda Warmer, Bili light/blanket, cardiac telemetry, cardiac defibrillator, respiratory equipment, Point of Care Testing (POCT), suction machine, IV pumps, pulse oximeter, and EKG equipment, etc.
	5.3.6	Administers medications, treatments or interventions utilizing Standing Orders and/or medical provider orders.
	5.3.7	Collects specimens, i.e., blood, urine, cord blood, etc., as ordered by physician, or as per standing orders.
5.3.8	Measures and assesses vital signs, height, and weight.
	5.3.9	Assists primary care provider with procedures, such as but not limited to, pelvic exams, patient positions for labor and delivery, etc.
	5.3.10	Provides health education to patients and/or family.
	5.3.11	Initiates/delegates arrangements for follow-up care.
	5.3.12	Participates in staff meetings, in-service education, and quality improvement activities to improve total hospital system in the delivery of patient care/services.
	5.3.13	Recognizes emergency codes such as Code Blue, Code Yellow, Code Red, Code Pink, etc., Initiates appropriate response to the activation of a Code
	5.3.14	During periods of low acuity/closure of unit, will float to other nursing units to provide routine patient care e.g., vital signs, POCT, blood draws, initiate IV access, administer medications, etc.
	5.4.2	Nursing assignment, during periods of low acuity, is within the Urgent Care setting.
	5.4.3	Delivers patient care/nursing services to meet the physical, psychosocial, spiritual, and cultural needs of the neonate, pediatric, adolescent, adult and geriatric patients utilizing established Policies and Procedures.
	5.4.4	The Contractor will be responsible for making sure all charting is update as required.
	5.4.5	Provides nursing services in the Urgent Care, including but not limited to, gathering and documenting chief complaint, vital signs, GPRA screening, etc., during the initial triage process; observes and documents acute changes in patient condition and promptly notifies the Charge RN and/or medical provider of these changes; administers medications per Standing Orders or per medical provider written order and documents medication effectiveness; provides and documents patient education; performs treatments including but not limited to, EKG, POCT, etc.
	5.4.6	Utilizes therapeutic communication skills in interactions with patients and/or staff.
	5.4.7	Participates in staff meetings, in-service education, and quality improvement activities to improve total hospital system in the delivery of patient care/services.
5.5	Administrative Duties:
	5.5.1	Contractor must complete all required patient documentation per Quality Assurance Plan. Refer to Section 6.0.
	5.5.2	Familiarizes self with the cultural, social, geographic, demographic, economic and epidemiological characteristics of the assigned communities.
	5.5.3	Complies with facility procedure for sign in/out when reporting for duty, meal break and completion of tour hours. Promptly notifies the on duty supervisory clinical nurse if emergency/urgent care acuity might warrant contractor assigned hours. SCN must authorize additional work hours beyond contractor scheduled tour. Contractor will submit hard copy time sheet according to facility established procedures.
5.6	Work Schedule: The contractor must provide nursing services to meet the needs of the facility in order to provide safe staffing.
	5.6.1	Work Shift:
		5.6.1.1	LPN/LVN: 8 Hour Shift (08:00 am – 17:00 pm) Monday – Friday with a 60-minute meal break as non-paid.
		5.6.1.2	RN’s: 11.5 Hour Shift - (07:00 am – 19:30 pm; or 08:00 am to 10:30 pm; or 11:00 am to 11:30 pm; or 7:00 pm to 07:30 am or 10:00 pm to 08:30 am). A 60-minute meal break is permitted (as non-paid) for the contractor who is scheduled to work an 11.5-hour shift.
		5.6.1.3	The contractor must be assigned hours bi-weekly that will fall in line with current hospital staff schedules that cover 80.5 hours in the facility two week pay period that will not cause the contractor to work overtime as it is an 80.5 hour pay period. Any hours over the 80.5 hours for the pay period will be paid as overtime for that individual; the contractor may be scheduled for weekends and Federal holidays. RN’s will be working a rotating day, evening and night shifts, as scheduled by the COR in writing based on the facilities need. The contractor will send their invoices every four (4) weeks to bill the facility for the hours worked. The facility will generate a RAS as soon as the timecards for those hours are received and submit them to the Area Office for payment. Travel to and from the facility are not included in the tour of duty and cannot be invoiced as part of Travel to and from the facility. Arrival time prior to the start of a scheduled shift cannot be invoiced as time worked.
	5.6.2	Scheduling of Shifts: The COR and/or Alternate COR at the IHS facility will determine specific tour of duty. The contractor's employee must work 100% of the contracted hours.
	5.6.3	Work Flexibility: As directed by the COR, the Contractor's employee must rotate into other duty sections as needed to support patient care.
	5.6.4	Work Absence: The Contractor will perform and obtain approval from their agency who will inform the COR and/or Alternate COR prior to any absence from work. If the length of the absence exceeds working hours the Contractor must request from agency approval at least fifteen (15) days, (the exception is verifiable emergencies) in advance of the desired absence.
	5.6.5	The Contractor must obtain written documentation from a qualified health care provider for absences of three (3) or more consecutive days, due to illness, stating:
		5.6.5.1	Date contractor may return to duty
		5.6.5.2	Indicate any work restrictions for contractor when s/he returns to duty.
	5.7	Performance Evaluation: The Contractor's performance will be evaluated in accordance with the standards set forth in the contract and Performance Work Statement Matrix (Section 6).
	5.7.1	LPN/LVN provides triage including other types of screening during the initial triage encounter in the Urgent Care.
	5.7.2	Urgent Care/Emergency Room RN provides nursing care/services for the Urgent Care/Emergency Room patient.
	5.7.3	Inpatient RN provides nursing care/services for the inpatient patient.
	5.7.4	Obstetrics RN provides nursing care/services for the Obstetrics Unit patient.
	5.7.5	LPN/LVN and RN completes all required documentation in the patient medical record (Electronic Health Record and/or hard copy chart) within established time frames.
	5.7.6	Contractor will maintain Joint Commission Accreditation at all times.
5.8	The contractor will perform work with multicultural patients and interpreters as necessary for non-English speaking patients.
5.9	Conduct: The Contractor must comply with standards as listed in the Federal Code of Conduct.
5.10	Conditions of Contract Services: All contractors providing service under this contract must attend mandatory orientations specified by the IHS.
	5.10.1	The contractor be subject to character investigation as required by Public Law 101-360, the Indian Health Child Protection and Family Violence Prevention Act prior to performance of a contract by utilizing the US Office of Personnel Management (OPM), Electronic Questionnaire for Investigation Processing (eQIP) system and this must include all fingerprinting procedures and clearances. The contractor must provide all requested information necessary to perform Level I and Level II background checks. The contractor will comply with the requirement to obtain security investigations. The contractor must work with the IHS to ensure that the pre-employment screening process includes the appropriate investigation questionnaires and forms to be completed. The contractor will review all completed forms and forward onto the Government personnel. The contractor must be immediately removed from the position (at any time the investigation receives unfavorable adjudication, or, if other unfavorable information that would affect the investigation becomes known.
	5.10.2	Identification of Contractor: The Contractor must wear a government issued contractor identification badge during performance of duty. After 120 day’s PIV cards are issued at the Service Unit.
	5.10.3	Management of Medical Information: The Contractor must manage all patient information in accordance with HIPAA standards, Privacy Act, and IHS Service Unit specific policies and protocols. The Contractor must immediately report to the Contracting Officer or COR any information or circumstances that may violate any statute, policy, or procedure.
	5.10.4	IHS Information Technology Systems: In performance of this contract, the Contractor must adapt to and successfully utilize IHS information technology systems such as Electronic Health Records (EHR) or RPMS, which the IHS has deemed necessary for acceptable contractor performance. The IT policies and procedures are available to the Contractor at the Service Unit and the Contractor will adhere to the IHS Information Technology System Security Policies and procedures. The Contractor must follow all appropriate federal required information Technology security requirements and will be operating under Health Insurance Portability and Accountability (HIPAA) and Privacy Act regulations.
5.11	CONTRACTOR QUALIFICATION REQUIREMENTS:
	5.11.1	Professional Development: Professional Development: The Registered Nurse contractor must have a registered license and be a graduate of an accredited school of nursing with at least an Associate Degree in Nursing (ADN) from an accredited program approved by the legally designated State accrediting agency at the time the program was completed by the applicant. All registered nurses must possess a current, valid, unrestricted nursing license in a state, the District of Columbia, the Commonwealth of Puerto Rico, or a Territory of the United States, throughout the term of this contract. The Licensed Practical Nurse (LPN/LVN) or Licensed Vocational Nurse (LVN) must have a registered license and be a graduate of a vocational or college program.
	5.11.2	Graduate: The RN contractor must have a RN License and be a graduate from an accredited school of nursing. The Licensed Practical Nurse (LPN/LVN) or Licensed Vocational Nurse (LVN) must have a registered license and be a graduate of a vocational or college program.
	5.11.3	License/Registration: All nurses must possess a current, valid, unrestricted nursing license in a state, the District of Columbia, the Commonwealth of Puerto Rico, or a Territory of the United States, throughout the term of this contract. Certifications are current and without lapse. Renewal of licensure and criteria to renew licensure (CEU’s) is the sole responsibility of the contractor.
	5.11.4	Experience: The Contractor must have thirty-six (36) months of nursing experience, with a minimum of twelve months (12) in the specialty required by the contract, unless otherwise approved by the Contracting Officer. The Contractor must have a resume that provides experience that equips the applicant with the particular knowledge, skills and abilities to perform successfully the duties of the position, and that is typically in or related to the work of the position.
	5.11.5	Motor Vehicle Operator's License: Contractors will not operate any Government-Owned vehicles. If required, they are allowed only as passengers in the Government-Owned Vehicle driven by a Federal employee.
	5.11.6	Certifications: LPN/LVN’s must have BCLS. All RN’s must have BCLS, ACLS, PALS. In addition, OB RN’s must also have NRP. BCLS, ACLS, PALS and NRP Certifications must be acquired through the American Heart Association. Certifications must be without lapse. Trauma Nurse Critical Care (TNCC), Emergency Nurse Pediatric Course (ENPC), Advanced Life Support in Obstetrics (ALSO) and Electronic Fetal Monitor Certification is preferred, but not required.
	5.11.7	Health Requirements of Contracted Healthcare Providers: Furnish Physical Examination document from a medical provider indicating that contractor is able to perform duties without restrictions. Furnish documentation that reflects immunity for the indicated vaccine preventable diseases through documented disease, vaccination history, serology results, and/or any documented episodes of adverse events after vaccination. Any contractor’s employee who is allergic to a component of a vaccine and/or have a history of a severe reaction to a vaccine is not required to receive that vaccine with documented proof of contraindication to the vaccination from a medical doctor. The following are additional requirements for specific vaccine preventable diseases.
		•	Measles:

-Vaccinations with 2 doses of live measles or MMR vaccines administered at least 28 days apart, or

	-Laboratory evidence of immunity, or
	-Laboratory confirmation of disease, or
	-Birth before 1957.
•	Mumps:

-Vaccinations with 2 doses of live mumps or MMR vaccines administered at least 28 days apart, or

			-Laboratory evidence of immunity, or
			-Laboratory confirmation of disease, or
			-Birth before 1957.
		•	Rubella:
			-Vaccinations with 1 dose of live rubella or MMR vaccines administered at least 28 days apart,	or
			-Laboratory evidence of immunity, or
			-Laboratory confirmation of disease, or
			-Birth before 1957
		•	Hepatitis B:
			-Vaccinations with three doses of Hepatitis B vaccines, or
			-Laboratory evidence of immunity
		•	Varicella:
			-Vaccinations with two doses of varicella at least 4 weeks apart, or
			-laboratory evidence of immunity or confirmation of disease, or
			-diagnosis or verification of history of varicella disease by a health care provider, or
			-diagnosis or verification of a history of herpes zoster by a health care provider.
		•	Influenza:
			-Vaccination with one dose of current annual influenza season vaccine.
			-Documented proof of the contraindication to the influenza vaccination as outlined by Advisory Committee on Immunization Practices recommendations, or
			-Written statement justifying religious exemption from influenza vaccination.
		Note: unvaccinated contract staff with an approved medical or religious exemption must wear an IHS-provided surgical or similar mask when working in direct patient care areas or other areas frequented by patients in an IHS facility during the influenza season or other contagious outbreaks at the direction of the COR/Alternate COR.
		•	Pertussis
			-Vaccination with one dose of Tdap vaccine within the past 10 years.
		•	Any additional immunization in accordance with IHS Immunization Policy that is available upon request.
		The contract staff must have written documentation of TB test (TST or IGRA) within the last 12 months. If documented Positive TB test:
			-Provide chest x-ray report of “No active TB disease” following positive TB test.
			-Annual sign and symptoms screen:
			•	If negative sign and symptom screen, follow up chest x-ray not indicated.
			•	If signs and symptoms screen positive, contract staff must have written documentation of chest x-ray and health care provider evaluation.
	5.11.8	Criminal History Background Check:
		Contractor’s employees whose duties and responsibilities involve regular contact or control over children are subject to a character investigation as required by Public Law 101-630, The Indian Child Protection and Family Violence Act. The minimum standards of character must ensure that none of the individuals described in this order have been found guilty of, or entered a plea of nolo contendere or guilty to, any felonious offense, or any of two or more misdemeanor offenses, under federal, state, or tribal law involving crimes of violence; sexual assault, molestation, exploitation, contact or prostitution; crimes against persons; or offenses committed against children. These crimes do not hold a time statue and will be evaluated the same under any Child Care “CNACI” investigation with IHS. IHS will conduct these investigations following award of a contract. Until the character investigation has been completed and the Contracting Officer notified of the results, the Contractor’s employees must not have unsupervised contact with Indian children. Contractor’s employees are not able to work a scheduled shift until the security check is performed and clearance has been obtained by the appropriate agency. At a minimum, fingerprints are required, and upon clearance of this stage, a contractor’s employee may work a scheduled shift. However, Contractor’s employees are required to complete the detailed background application and the application is to be completed within 30 days once the contractor’s employee has been given physical and logical access. All Contractors’ employees are subject to criminal background check prior to performing services in accordance with Task Order terms and conditions. The contractor must ensure that each of their employees complete the Certification of Criminal History and Background Check Packet. The completed forms are to be returned to the COR. Additional Background Check packets can be obtained through the COR. See HHSAR Clauses 352.237-72 and 352.237-73
	5.11.9	Required Training: Protecting Children from Sexual Abuse as stated in IHM Circular 19-05: Contractor Training Plan for Implementation of Indian Health Manual Part 3, Chapter 20, Protecting Children from Sexual Abuse by Health Care Providers. Each provider must take this training within 30 days from their start date at the service unit. Certificate should be provided to the COR.
	5.11.10	Subpoenas/Testimonies: Contractors are mandated to cooperate with the appropriate IHS managers when the contractors' employees are subpoenaed or requested by Tribal, State or Federal Parties to provide testimony as stated in Section 5-27.3(B)(9) of the Indian Health Manual.
5.12	Challenges to Conflicts: For any inconsistency between COR and Contractor's employee, the employee should contact their agency. If this situation needs further remedies, then the Contractor will contact the COR.

5.13 When the Contractor demonstrates impaired judgement, they cannot continue working on the contract. The Government reserves the right to remove from the facility any Contractor employee who in the judgment of a licensed healthcare practitioner is impaired.

SECTION 6 - DOCUMENTS

6.0 APPLICABLE DOCUMENTS: Not Applicable

SECTION 6 0 QUALITY ASSURANCE SURVEILLANCE PLAN

Performance-Based Task

Indicator

Standard

Quality Assurance

Incentives

1. LPN/LVN provides triage including other types of screening during the initial triage encounter in the Urgent Care.

Chart audits indicate documentation of two patient identifiers, chief complaint, vital signs, GPRA Screening, ESI Triage, and/or appropriate documentation such as patient education, medication administration, including reassessment of pain, etc.

Outstanding – 100% of chart audits meet Indicators for each patient Urgent Care visit.

Acceptable – 90-99% chart audits meet Indicators for each patient Urgent Care visit Satisfactory – 80-89% of chart audits meet Indicators for each patient Urgent Care visit.

Monitored mid-assignment (6-7 weeks). Final determination at end of 13-week assignment.

Outstanding. Means there are no issues so payments processed promptly.

Acceptable. Means there are some issues so payment are on hold until issues cleared.

Satisfactory – Means there are too many issues and payment not processed until they are at the level of either Acceptable or Outstanding.

2. Urgent Care/Emergency Room RN provides nursing care/services for the Urgent Care/Emergency Room patient.

Chart audits indicate documentation of two patient identifiers, chief complaint, vital signs, GPRA Screening (GPRA Screening deferred for ER patient), ESI Triage, patient education, start and end times for IV fluids and/or medications; documentation of medication/treatment effectiveness

Outstanding – 100% of chart audits meet Indicators for each patient Urgent Care/Emergency Room visits.

Acceptable – 90 to 99% of chart audits meet Indicators for each patient Urgent Care/Emergency Room visit.

Satisfactory – 80-89% of chart audits meet Indicators for each patient Urgent Care/Emergency Room visit.

Monitored mid-assignment (6-7 weeks). Final determination at end of 13-week assignment.

Outstanding. Means there are no issues so payments processed promptly.

Acceptable. Means there are some issues so payment are on hold until issues cleared.

Satisfactory – Means there are too many issues and payment not processed until they are at the level of either Acceptable or Outstanding.

3. Inpatient RN provides nursing care/services for the inpatient patient.

Chart audits indicate documentation utilizing the correct template/Nurse Note; Bar Code Medication Administration (BCMA), reports indicate No Missed Medications and No missed prn Effectiveness.

Outstanding – 100% of chart audits meet Indicators for Inpatient documentation.

Acceptable – 90 to 99% of chart audits meet Indicators for Inpatient documentation.

Satisfactory – 80-89% of chart audits meet Indicators for Inpatient documentation.

Monitored mid-assignment (6-7 weeks). Final determination at end of 13-week assignment.

Outstanding. Means there are no issues so payments processed promptly.

Acceptable. Means there are some issues so payment are on hold until issues cleared.

Satisfactory – Means there are too many issues and payment not processed until they are at the level of either Acceptable or Outstanding.

4. Obstetrics RN provides nursing care/services for the Obstetrics Unit patient.

Chart audits indicate documentation utilizing the correct template/Nurse Note and/or hard copy forms. Bar Code Medication Administration (BCMA), reports indicate No Missed Medications and No missed prn Effectiveness.

Outstanding – 100% of chart audits meet Indicators for OB Unit documentation.

Acceptable – 90 to 99% of chart audits meet Indicators for Ob Unit documentation.

Satisfactory – 80-89% of chart audits meet Indicators for OB Unit documentation.

Monitored mid-assignment (6-7 weeks). Final determination at end of 13-week assignment.

Outstanding. Means there are no issues so payments processed promptly.

Acceptable. Means there are some issues so payment are on hold until issues cleared.

Satisfactory – Means there are too many issues and payment not processed until they are at the level of either Acceptable or Outstanding.

5. LPN/LVN and RN completes all required documentation in the patient medical record (Electronic Health Record and/or hard copy chart) within established time frames.

Electronic Health Record and Notifications completed according to Nursing guidelines.

Outstanding – 100% of Notifications completed within 5 days of first notification.

Acceptable – 90-99% of Notifications are completed within 6 to 14 days of notification

Satisfactory – 80-89% of Notifications completed within 15 to 30 days of notification

Monitored on a periodic basis when services occur. Final determination will happen when job is completed.

Outstanding. Means there are no issues so payments processed promptly.

Acceptable. Means there are some issues so payment is on hold until issues cleared.

Satisfactory – Means there are too many issues and payment not processed until they are at the level of either Acceptable or Outstanding.

SECTION 7 - PACKAGING AND MARKING

7.1	PACKAGING
	All deliverables must be preserved, packaged, and packed in accordance with normal commercial practices to meet the packing requirements of the carrier including which is necessary to prevent deterioration and damages due to the hazards of shipping, handling, and storing.
7.2	MARKING
	Each package/container delivered to the address shown in Section G.1.3 entitled "Contracting Officers' Representative Appointment and Authority" and must be clearly marked as follows:
	•	Name of Contractor
	•	Contract Number
	•	Description of Items Contained Therein
	•	Consignee's Name and Address
7.3	DELIVERY
	All deliverables delivered to the following addresses:
	Zuni Service Unit
	Attention: Terry Kanesta-Brislin Nursing Department
	Rt. 301 N. 21 B Avenue
	Zuni, New Mexico 87327
	(505) 782-7402

SECTION 8 - INSPECTION AND ACCEPTANCE

8.1	INSPECTION AND ACCEPTANCE: All work under this contract is subject to inspection and final acceptance by the Contracting Officer or the duly authorized representative of the government. The COR, as a duly authorized representative of the Contracting Officer, must assume the responsibilities for monitoring the Contractor's performance, evaluating the quality of services provided by the Contractor and performing final inspection and acceptance of all deliverables and services called for by the contract.
8.2	FEDERAL ACQUISITION REGULATION {48 CFR CHAPTER 1) CLAUSES
	FAR Clause No.
	Title
	Date

52.246-4

Inspection of Services – Fixed Priced

(Aug 1996)

SECTION 9 - DELIVERIES OR PERFORMANCE

9.1	PERIOD OF PERFORMANCE: The period of performance is a Base Period of 12 months with four (4) - 12-month Option Periods, unless extended by modification to this contract. The Government may exercise options to extend the period of performance in accordance with FAR Clause 52.217-9 - Option to Extend the Term of the Contract (Oct 2014); upon written notification by the Contracting Officer within 30 days of contract expiration.
	9.1.1	Services under this contract must commence NLT 10 days after all clearances occur.
		Base: TBD, 2021 to TBD, 2022
		Option Year 1: TBD, 2022 to TBD, 2023
		Option Year 2: TBD, 2023 to TBD, 2024
		Option Year 3: TBD, 2024 to TBD, 2025
		Option Year 4: TBD, 2025 to TBD, 2026
	9.1.2	Performance must be for the period of TBA, 2021 to TBA, 2022 unless the period changed by written modification to the purchase order in accordance with FAR 52.217-9, Option to Extend the Term of the Contract.
	9.1.3	Total contract award must not exceed five years. Based option year renewals on satisfactory services provided availability of funds for the appropriate fiscal year, and existing requirements.
9.2	PLACE OF PERFORMANCE: The contractor must provide nursing healthcare services to the following Albuquerque Area Indian Health Service Facility:
	9.2.1	Zuni Service Unit
		Nursing Department
		Rt. 301 N. 21 B Avenue,
		Zuni, New Mexico 87327
		(505) 782-7302
9.3	Travel to and from the facility site is not included in the tour of duty. The hours of business operations are Monday through Friday, from 8:00 AM to 5:00 PM. The Urgent Care/ER, In-patient and OB Units are open 24/7.
9.4	GOVERNMENT HOLIDAYS (https://www.federalpay.org/holidays)
	New Year's Day	Martin Luther King's Birthday	Juneteenth
	President's Day	Memorial Day
	Independence Day	Labor Day
	Columbus Day	Veteran's Day
	Thanksgiving Day	Christmas Day
	*Any other day specifically declared by the President of the United States to be a national holiday (see www.opm.gov/fedhol).

SECTION 10 - CONTRACT ADMINISTRATION

10.1	AUTHORITIES OF GOVERNMENT PERSONNEL: Notwithstanding the Contractor's responsibility 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's points of contact during the performance of this Contract.
10.2	CONTRACTING OFFICER
	The IHS Contracting Officer (CO) is the only individual authorized to modify this Contract. The CO responsible for administrative and contractual issues concerning this Contract is:
		Eric Wright, (CO)
		Indian Health Service/Division of Contracts & Grants Management (DCGM)
		4101 Indian School Road NE, Suite 225
		Albuquerque, NM 87110
		Phone: 505-256-6752
		Email: eric.wright@ihs.gov
	Sent all communications pertaining to contractual and/or administrative matters to the address above and to the Contract Specialist administering this Contract.
10.3	CONTRACT ADMINISTRATOR
·	All Contract administration performed by:
		Darrell Chino, Contract Specialist (CS)
		Indian Health Service/Division of Contracts & Grants Management (DCGM)
		4101 Indian School Road NE, Suite 225 Albuquerque, NM 87110
		Phone: 505-256-6757
		Email: darrell.chino@ihs.gov.

10.4	CONTRACTING OFFICER'S REPRESENTATIVE (COR)
	10.4.1	Keith Martinez, is hereby designated as COR for this service. The COR responsibilities will be to coordinate with the contractor the technical aspects of this service and the review of performance hereunder. The COR does not have the authority to change or alter the order amount, terms and conditions.

This is the start of the file's text. The full file is on GovTribe.

File details come from the government source that posted it. Updated Nov 5, 2021.