ED Support Services

This is a pre-solicitation notice for the Oklahoma City Area Office (OCAO), Indian Health Services (IHS) seeking firms interested in providing Emergency Department (ED) support services for the Lawton, Oklahoma Indian hospital.  The Pre-solicitation Number is 246-P-23-0135.

The Government anticipates releasing the solicitation on or about July 11, 2023 and will remain open for approximately 30 days.  The solicitation and all amendments for this Request for Proposals will be posted on https://sam.gov/ under Contract Opportunities. A full scope of work will be included in the solicitation documents. Additional details can be found in the solicitation when it is posted to https://sam.gov.The contract will have a one-year base period and four one-year option periods, if exercised.

This project will be advertised as full and open under North American Industry Classification System (NAICS) Code 621493, Freestanding Ambulatory Surgical and Emergency Centers. The associated size standard for this procurement is $19 million.

This notice is for informational purposes only and is NOT a request for submission of proposals. No other information is available until issuance of the solicitation itself. No offerors list is maintained. Interested offerors should follow this solicitation notice on https://sam.gov to receive email notifications of any updates to the initial notice including any subsequent amendments. No additional information is available other than what is noted herein. Firms are instructed not to call requesting more information.

Scope of Work:

Shall have at minimum 18 Emergency Medicine Board Certified Doctors on staff for the Lawton Hospital

The contractor shall furnish services to include but not limited to the following:

1. Maintain a continuous vigil within the immediate confines of the Emergency Department in order that services are readily and immediately available.
2. Obtain a medical history, performing a physical exam as appropriate to the presenting problem, and formulate a diagnosis of the patient’s problem, and secondary diagnosis, as required, to treat the patient.
3. Render immediate medical services to those patients determined as emergent. 
4. Request and interpret laboratory and radiologic tests, as necessary, for diagnosis.
5. Provide and order medically indicated treatment.
6. Prescribe medication.
7. Interpret x-rays and electrocardiograms.
8. Suture minor lacerations.
9. Treat uncomplicated fractures.
10. Refer patients as appropriate to routinely scheduled clinics of the Outpatient Department.
11. Render initial assessments of which Emergency Department/Urgent Care patients will require transfer to a tertiary care center and consult the appropriate Indian Health Service physician on-call who in turn will render the final decision concerning transfer and arrange transfer, if indicated.
12. Render the initial assessment of which emergency/urgent care patients may require admission to the on-site Hospital and consulting the Indian Health Service physician on-call who in turn will render the final decision concerning admissions.
13. Chart, record and document complete medical care in the Electronic Health Record system provided by the facility or on any paper forms approved by the facility in case of EHR outage. Medical records shall be completed in a timely manner as determined by the service unit.  The physician shall be proficient in electronically documenting services utilizing the appropriate electronic medical record system for patient encounters; complete all required administrative paperwork day of the patient encounter to include electronic consults, referrals, co-signatures, completion of chart or Risk Management Reviews.
14. Consult with appropriate IHS specialist on back up call for all complex cases, which, while not requiring admission to the hospital or transfer to another facility, do require further evaluation by the specialty physician, or more than routine follow up.
15. Provide medical advice to patients by telephone when the nurse requests a physician to do so.
16. Respond to in-hospital emergencies while on duty.
17. Provide basic life support in a first responder status for patients requiring resuscitation outside of the hospital on hospital grounds.
18. The emergency department physician shall evaluate emergency medical service (EMS) calls, i.e. patients enroute to the Emergency Department.  If the physician is able to determine that the patient will need a higher level of care, then he/she may divert the ambulance to another facility.
19. Contractor shall participate in quality assurance activities that ensure quality patient care as well as efficient use of hospital resources. These activities may include, but not limited to, chart review and discussion with the Clinical Director or his designee.

Normal shifts for the Emergency Department consist of 12 hour shifts, including 7am to 7pm and 7pm to 7am, but other shift times may be added to best suite patient care.   Double coverage may be required to allow for increased patient care.  The work schedule will be determined by the Emergency Department Director.  All shifts assigned to the contractor is the responsibility of the contractor to cover.

LOCATION OF WORK: All work shall be performed at the Lawton Indian Hospital, Lawton, OK.

PERIOD OF PERFORMANCE: One Base Year (September 1, 2023 – August 31, 2024) with four option years

ESTIMATED MAGNITUDE: Between $1,000,000 and $5,000,000 annually

SITE VISIT: N/A

CONTRACT TYPE: The OCAO intends to negotiate a single-award, firm fixed price contract with a firm that is determined to be the best value to the Government in accordance with part 15 of the Federal Acquisition Regulation (FAR). Firms will be evaluated on their demonstrated competence and qualifications for the required work provided in the solicitation.

NOTE: ALL DATES ARE SUBJECT TO CHANGE. SEE SOLICITATION FOR OFFICIAL DATES, TIMES, AND LOCATIONS OF SITE VISITS AND DEADLINES.

It is the responsibility of the contractor to check https://www.sam.gov frequently for any amendments or changes to the solicitation. Hard copy documents will NOT be available – all documents for proposal purposes will be posted at the website for download by interested parties.