NPSC - Emergency Medicine Physician Service

Added: Dec 10, 2017 3:25 pm This is a Firm Fixed Price solicitation for a Non-Personal Services Emergency Medicine Physician Service.  Emergency Medicine Physician Service is for a part time Physician Service in accordance with the format in the Federal Acquistion Regulation (FAR) SubPeriod of Performance: 01/01/18 through 12/31/18 or until filled by a permanent employee.

Please ENSURE references are included who have working phone numbers/email addresses.

We must have the contact phone number and e-mail address for the submitting physician and copies of board certification, licenses, DEA certifications, and ACLS, PALS, and ATLS certificates with dates attached to profiles for this bid. Profiles / CV s will be screened for such. Applicants without the needed information will not be considered. The ER Dept. has requested the fillable application be filled out as much as possible so we can get a better picture of the qualifications of the candidates.
This is for Non Personal Performance Based Service Contract of approximately 520 hours each for Emergency Medical Physician slots to be performed at Indian Health Services, Northern Navajo Medical Center, Shiprock, New Mexico depending on what shifts a contractor can fulfill. The Government is seeking a candidate to help fill the difficult gaps in the ER schedule. The Performance Based statement of work is attached. The required services are to commence January 01, 2018 or upon successful credential/cleared fingerprints through December 31, 2018.

Tour of Duty:
Hours: We have 10 hour shifts. There is single coverage, except for 4-5 PM and 9PM-2AM. Day shift is 7AM-5PM. Evening shift is 4PM-2AM. Night shift is 9PM-7AM. Available shifts can come from a combination of weekday, weeknight and/or weekend shifts, including Holidays (Rates to be all inclusive). There may be schedule changes; however, the Contractor will be notified immediately of such changes. On the average, there will be 4 ten-hour shifts per pay period (two weeks), but that is only an average. This can vary greatly, depending on patient load and staffing. Contractors are sometimes sought for a need of several shifts to be filled within a short period of time. Even though not convenient, they frequently have to cover single shifts when needed. This can result in significant expense for those traveling a long distance, but cannot always be avoided. Contractors may have single shifts far apart from any other shift. Subspecialties we have for backup - we have backup from Family Medicine, Internal Medicine, Behavioral Health, OB/GYN, Pediatrics, General Surgery, Orthopedics and Podiatry.

Type of cases that are referred out: major trauma, orthopedics (when not on call), ophthalmology and psychiatry (when not on call) to nearby Farmington or Albuquerque, New Mexico.

****FINGERPRINTING CARD FBI-FD 258 (PROVIDED BY THE FEDERAL GOVERNMENT AND NO OTHER FINGERPRINT CARDS WILL BE ACCEPTED) FINGERPRINTING MUST BE CLEARED AND APPROVED PRIOR TO THE START DATE.
MINIMAL FORMAL TRAINING/CERTIFICATION:

1) Current and unrestricted medical license in a US State or territory AND;
2) Board certification or eligibility in Emergency Medicine OR,
3) See Statement of work OTHER: -Retain US Citizenship -Contractor shall furnish health status allowing physical and mental ability to carry out required functions. To be verified on an annual basis by the employing agency or a copy of a physical examination.
-The contractor must be credentialed and clinical privileges be granted by the Northern Navajo Medical Center clinical director or designee prior to providing services.
-The contractor must retain certification and licensure status throughout the term of the contract. -Contractor shall furnish a current immunization for MMR (Measles, Mumps, and Rubella) Diphtheria and Tetanus and DT Booster, PPD status, or as required by NA-IHS immunization policy.
-Contractor shall provide documents to complete security procedures to include finger print cards prior to the start date. -Contractor is subject to character investigation as required by Public Law 101-630
- The Indian Health Child Protection and Family Violence Prevention Act prior to performance of a contract. ADDITIONAL INFORMATION: -Indian Health Service or Veterans Administration experience preferred.
-Candidate availability of shifts critical.
-Adequate/satisfactory computer skills required to enter patient data into an electronic records system. ***There will be Electronic Health Records training available for those contractors who have not used the system before.

Question and Answers:
1. What is the annual volume? 17,000
2. What is the trauma level designation? NNMC not designated as a trauma center
3. Single or double coverage? We have double coverage from 4-5PM and 9PM-2AM
4. How much support staff is there? We have the usual ED nurses, clerks, and House Supervisor.
5. Are back-up specialties available? If so, what are they? We have in house Family Medicine, Internal Medicine, General Surgery, and OB/GYN with L&D, Pediatrics, and anesthesia. We have Orthopedics and Podiatry with some call. On weekdays, we have Mental Health. We have ENT clinic, Neurology clinic, Urology clinic, etc. We have 24-hour radiology services, CT, Respiratory therapy. On weekdays, we have ultrasound.
6. Is there a fast track? If so, who covers it? We have Urgent Care/FastTrack staffed by their designated providers and support staff.
7. ER patients seen per hour? 2-3 pts per hour depending on acuity.
8. Admission percent? 15 percent

CLIENT BACKGROUND: Many of the patients serviced may only speak a native language and reside on the reservation. The contractor should be able to show sensitivity to cross-cultural and languages differences and have the ability to work through interpreters as necessary for non-English speaking patients. In situations, where interpretation is required, the Northern Navajo Medical Centers staff will provide these services.

CLINICAL PRIVILEGES: The contractor must be credentialed and clinical privileges granted by the Northern Navajo Medical Centers Chief Medical officer or designee prior to providing services. The contractor must obtain the appropriate forms for privileging from the Northern Navajo Medical Centers Chief Medical Officer upon award of this contract.

THE CONTRACTOR DOES NOT RECEIVE HEALTH BENEFITS, PAID LEAVE, TSP, EDUCATIONAL FUNDS, MEALS AND TRANSPORTATION TO AND FROM THE JOB SITE. The government does not guarantee that the contractor will work the number of hours ordered. The hours ordered are only estimated. The government will pay only the actual hours the contractor works. On occasion, when the workload is insufficient, the contractor will be sent home.

-FAR 52.237-7 Indemnification and Medical Liability Insurance. As prescribed in 37.403, insert the following clause: INDEMNIFICATION AND MEDICAL LIABILITY INSURANCE (JAN 1997) (a) It is expressly agreed and understood that this is a nonpersonal services contract, as defined in Federal Acquisition Regulation (FAR) 37.101, under which the professional services rendered by the Contractor are rendered in its capacity as an independent contractor. The Government may evaluate the quality of professional and administrative services provided, but retains no control over professional aspects of the services rendered, including by example, the Contractors professional medical judgment, diagnosis, or specific medical treatments. The Contractor shall be solely liable for and expressly agrees to indemnify the Government with respect to any liability producing acts or omissions by it or by its employees or agents. The Contractor shall maintain during the term of this contract liability insurance issued by a responsible insurance carrier of not less than the following amount(s) per specialty per occurrence: *_______________. (b) An apparently successful offeror, upon request by the Contracting Officer, shall furnish prior to contract award evidence of its insurability concerning the medical liability insurance required by paragraph (a) of this clause. (c) Liability insurance may be on either an occurrences basis or on a claims-made basis. If the policy is on a claims-made basis, an extended reporting endorsement (tail) for a period of not less than 3 years after the end of the contract term must also be provided. (d) Evidence of insurance documenting the required coverage for each health care provider who will perform under this contract shall be provided to the Contracting Officer prior to the commencement of services under this contract. If the insurance is on a claims-made basis and evidence of an extended reporting endorsement is not provided prior to the commencement of services, evidence of such endorsement shall be provided to the Contracting Officer prior to the expiration of this contract. Final payment under this contract shall be withheld until evidence of the extended reporting endorsement is provided to the Contracting Officer. (e) The policies evidencing required insurance shall also contain an endorsement to the effect that any cancellation or material change adversely affecting the Governments interest shall not be effective until 30 days after the insurer or the Contractor gives written notice to the Contracting Officer. If, during the performance period of the contract the Contractor changes insurance providers, the Contractor must provide evidence that the Government will be indemnified to the limits specified in paragraph (a) of this clause, for the entire period of the contract, either under the new policy, or a combination of old and new policies. (f) The Contractor shall insert the substance of this clause, including this paragraph (f), in all subcontracts under this contract for health care services and shall require such subcontractors to provide evidence of and maintain insurance in accordance with paragraph (a) of this clause. At least 5 days before the commencement of work by any subcontractor, the Contractor shall furnish to the Contracting Officer evidence of such insurance.

-P.L. 93-608, THE INDIAN HEALTH CHILD WELFARE ACT, REQUIRES ALL CONTRACTORS TO HAVE BACKGROUND CHECKS WHEN EMPLOYED AT I.H.S. Contractor employees shall have the right to obtain a copy of the background check pertaining to them and to challenge the accuracy and completeness of the information contained in the report.

INSTRUCTIONS FOR SUBMITTING QUOTES:
Profiles, three reference letters and availability dates shall be submitted on one document. Pricing shall be added as a SECOND document. Please send quotes and required documents to Linda Conn, linda.conn@ihs.gov via email, (505) 368-6089.
The government reserves the right to issue a single award or multiple awards to the contractors (s) whose quotes (s) represents the best value as defined by FAR 2.101. In determining best value, the following evaluation factors will be considered:
1) Experience, 2) qualification, 3) past performance of each proposed candidate.
The Evaluation Factors and significant sub factors when combined are significantly more important than cost or price. As part of the evaluation process, candidates may be interviewed to ensure their understanding of the PWS and to verify their qualifications to perform required services. The socio-economic status of an offer may also be considered, should one or more quotes represent the best value
To be considered for an award all required documents noted above shall be submitted to the Linda Conn.
NOTE: The government is only interested in the candidates that will provide service the entire performance period specified. The rate shall be an all-inclusive rate of regular, over time, holiday worked, travel, per diem, lodging/housing, transportation, meals, taxes, and pay at a flat rate for all hours actually worked. Please submit quotes based on an all-inclusive rate. No government housing available. There are motels, restaurants, mall, etc. in nearby towns of Farmington, NM and in Cortez, CO.
If two or more vendors submit the same candidate, preference will be given to the agency with the lowest cost if the candidate is selected. Please, DO NOT submit candidates that will not be available for the performance indicated.

52.252-2 CLAUSES INCORPORATED BY REFERENCE This contract incorporates one or more clauses by reference, with the same force and effect as if they were given in full text. Upon request the contracting officer will make their full text available. Also, the full text of a clause may be accessed electronically at this address: http:://www.arnet.gov/far/
FEDERAL ACQUISITION REGULATION (48 CFR CHAPTER 1) CLAUSES
52.202-1 Definitions 52.203-3 Gratuities
52.203-5 Covenant against Contingent Fees
52.203-6 Restrictions on Subcontractor Sales to the Government
52.203-7 Anti-Kickback Procedures
52.204-3 Taxpayer Identification
52.204-7 Central Contractor Registration
52.212-4 Contract Terms and Conditions Commercial Items
52.222-3 Convict Labor
52.222-26 Equal Opportunity
52.222-35 Equal Opportunity for Special Disable Veterans, Veterans of the Vietnam Era and Other Eligible Veterans
52.222-36 Affirmative Action for Workers with Disabilities
52.222-42 Statement of Equivalent Rates for Federal Hires
52.223-6 Drug Free Workplace
52.224-1 Privacy Act Notification
52.224-2 Privacy Act
52.229-3 Federal, State, and Local Taxes
52.232-1 Payments 52.232-8 Discount for prompt payment
52.232-17 Interest
52.232-33 Payment by Electronic Funds Transfer Central Contractor Registration
52.232-40 Providing Accelerated payments to Small Business Subcontractor (Dec 2013)
52.233-1 Disputes
52.233-3 Protest after award
52.237-2 Protection of Government Building, Equipment, and Vegetation 52.243-1 Changes Fixed Price
52.246-4 Inspection of Services Fixed Price
52.249-1 Termination for Convenience of the Government (Fixed Price) (Short Form)
52.249-4 Termination for Convenience of the Government (Services) Short Form)
52.249-8 Default (Fixed Price, Supply and Services)
52.204-9 Personal Identity Verification of Contractor Personnel (Jan 2011) (a) The Contractor shall comply with agency personal identity verification procedures identified in the contract that implement Homeland Security Presidential Directive-12 (HSPD-12), Office of Management and Budget (OMB) guidance M-05-24 and Federal Information Processing Standards Publication (FIPS PUB) Number 201. b) The Contractor shall account for all forms of Government-provided identification issued to the Contractor employees in connection with performance under this contract. The Contractor shall return such identification to the issuing agency at the earliest of any of the following, unless otherwise determined by the Government: (1) When no longer needed for contract performance. (2) Upon completion of the Contractor employees employment. (3) Upon contract completion or termination. (c) The Contracting Officer may delay final payment under a contract if the Contractor fails to comply with these requirements. (d) The Contractor shall insert the substance of this clause, including this paragraph (d), in all subcontracts when the subcontractors employees are required to have routine physical access to a Federally-controlled facility and/or routine access to a Federally-controlled information system. It shall be the responsibility of the prime Contractor to return such identification to the issuing agency in accordance with the terms set forth in paragraph (b) of this section, unless otherwise approved in writing by the Contracting Officer.

Additional Health & Human Service Acquisition Regulation (HHSAR) clauses:
352.202-1 Definitions
352.224-70 Privacy Act
352.237-70 Pro-Children Act
352.237-72 Crime Control Act - Requirement for background checks
352.239-73 Electronic information and technology accessibility
352.242-71 Tobacco-free facilities
352.242-73 Withholding of contract payments
part 37.4 and FAR 13 Simplified Acquisition Procedures.  There is an incumbent in this position.