COVID-19 Critical Care Response Team(s)

On March 13, 2020, the President declared the ongoing Coronavirus Disease 2019 (COVID-19) pandemic of sufficient severity and magnitude to warrant an emergency declaration for all states, tribes, territories, and the District of Columbia pursuant to section 501 (b) of the Robert T.Stafford Disaster Relief and Emergency Assistance Act, 42 U.S.C. 5121-5207 (the “StaffordAct”). Patients known or suspected of having COVID-19 who are admitted to the hospital arelikely to be in extreme respiratory distress and may require 24 hour/7 days a week intensivemedical care. IHS federally managed and tribally managed hospitals and other facilities lack anadequate supply of trained and available physicians, nurses, and other health professionals withfoundational emergency medicine/critical care knowledge and skills. Specifically, IHSanticipates a need to augment the doctors, nurses, and other health professionals at manyfederally managed or tribally managed hospitals, with a mobile response team comprised ofcritical care medical, nursing, respiratory therapy, and other experts that can provide directpatient care and teach critical care skills to enhance the knowledge and skills of existing staff.IHS must do everything possible to stabilize and treat COVID-19 patients, and other criticallyill patients, save lives, and stop the continued spread of COVID-19 across Indian Country.

The primary purpose of this contract is to deploy Critical Care Response Team(s) on an as needed basis who will provide urgent lifesaving medical care to stabilize and treat patients with suspected or confirmed COVID-19 admitted to an IHS or tribal hospital. Additionally, the Critical Care Response Team(s) shall prepare and train frontline health care staff at IHS and tribal facilities using evidence- based/best practices. Critical Care Response Team(s) shall deliver clinical education using a combination of approaches, including primarily onsite hands- on “at the bedside” to teach clinical competencies, support physician, and nurse clinical decision making; and synchronous or asynchronous virtual learning (when time permits). The Contractor shall ensure that offsite critical care clinical experts are available by telephone and/or virtual for provider-to-provider consultation for onsite staff and IHS or tribal medical/clinical leadership to seek advice to manage critically ill patients on a 24-hours/7 days a week basis.

The scope of this contract includes identification, staffing and managing multi-disciplinary, expert and mobile Critical Care Response Team(s). Critical Care Response Team members shall also conduct hands-on clinical education while treating patients, in order to train the frontline health care professionals at each hospital the necessary skills and clinical competencies to perform procedures to care for the management of COVID-19 patients, and other critically ill patients. The Contractor shall provide pre and post-engagement support to each location in the scope, which includes 24-hours/7 days a week provider-to-provider and nurse-to-nurse consultation, and virtual training, as needed.

Awarded contract 75H70421P00002 to Tribal EM, PLLC for 500000.00 on 2020-11-12.