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Department of Health and Human Services Indian Health Service Wewoka Indian Health Center 36640 Hwy 270 Wewoka, OK 74884 1 Statement of Work (SOW) Echocardiogram Interpretation Services 1. PURPOSE OF ... Department of Health and Human Services Indian Health Service Wewoka Indian Health Center 36640 Hwy 270 Wewoka, OK 74884 1 Statement of Work (SOW) Echocardiogram Interpretation Services 1. PURPOSE OF THE PROJECT The Wewoka Indian Health Center, Indian Health Services has a requirement for interpretations of Standard Transthoracic Echocardiograms and Stress Echocardiograms by teleservice means. 2. DETAILED DESCRIPTION OF THE TECHNICAL REQUIREMENTS The contractor shall provide standard transthoracic echocardiogram interpretations that include Left and Right Ventricle, Left and Right Atrium, Aortic, Mitral, Tricuspid and Pulmonic Valves, Aorta and Pericardium findings. 2D and M-Mode Measurements ? Left Ventricle-LVSd(2D), LVPWd(2D), LVIDd(2D), LVIDs(2D) ? Left Atrium-LA Vol A4C, LA Vol A2C, LA Vol BP ? Left Ventricle Diastolic Function- MV Peak E, MV Peak A, E/A Ratio, Decel Time Spectral Doppler Analysis ? Mitral Valve-MV Max Vel, MV Mean Grad, MV P1/2 Time, MV Area, PHT ? Aortic Valve-AOV Vmax, AoV Peak PG, AoV Mean PG, LVOT V max, LVOT VTI, LVOT Diam, AVA VMax, Dimensionless Index ? Aortic Insufficency-AI Half-Time, AI Decel Rate ? Tricuspid Valve and PA/RV Systolic Pressure-TR Max Velocity, RA Pressure, RVSP/PASP ? Pulmonic Valve-PV Max Velocity The contractor shall provide Stress Echocardiogram interpretations to include: ? Stress findings to include ECG, Stress, Hemodynamics and Stress Symptoms ? Echo findings to include Pre and Post Stress segmental wall motion and ejection fraction. ? Stress Measurements to include vitals and exercise data. 3. PERIOD OF PERFORMANCE The base year Period of Performance will be 12 months from date of award with four (4) twelve (12) month option years. 4. LEVEL OF EFFORT 4.1.The contractor shall provide echocardiogram interpretation services Monday through Friday 8:00am to 4:00pm. Contractor shall provide a 48-hour turnaround time on Routine/Outpatient reports and a 24-hour turnaround time on Urgent/Inpatient reports beginning upon completion of exam. 4.2.The contractor shall provide complete reports with the above listed technical requirements in the body of the report with patient’s name, date of birth, and chart number on each page of report. 4.3.Date and time dictated, date and time transcribed, job number, dictator’s initials and transcriber’s initials shall be typed at the end of every report. 4.4.All contractor reports shall be compatible with the HL7 software package used by Indian Health Service (the VA HL7 software package). All technologists must be able to access Department of Health and Human Services Indian Health Service Wewoka Indian Health Center 36640 Hwy 270 Wewoka, OK 74884 2 vendor’s report database 24 hours a day, 7 days a week via Internet or Network access 4.5.All Cardiologists shall possess a current, valid unrestricted 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. 4.6.All cardiologists shall be eligible to participate in the Medicare or Medicaid programs. 4.7.Wewoka Indian Health Center shall periodically evaluate the performance and professional quality of interpretations through documentation review. The contractor shall make provision whereby unsatisfactory performance or untimely completion of interpretations will be addressed in mutually agreed upon manner. 4.8.The contractor shall submit a plan which outlines a course of action, should the vendor be unable to carry out the duties outlined within the contract. 4.9.CREDENTIALS 4.9.1.Physicians shall be credentialed and have privileges as associate members of the medical staff. The physician shall be required to provide completed applications for Medical Staff appointments and privileges via the MD-App software package, as specified in the By-laws, for all providers to the Clinical Director and at least 30 (thirty) days prior to assignment for periods of coverage. 4.9.2.Credentialing activities shall require a minimum of thirty (30) calendar days to insure (1) that written or printed information is received at the Medical Staffing Office from the National Physicians Data Bank, (2) that two letters of reference for each subcontractor are received in the Credentials Office and are recent within the last year, and (3) the credentialing package (application for appointment and request for privileges) is completed and received by the Medical Executive Committee and OCA IHS Governing Board. 4.9.3.Upon physician selection or receipt of credentialing application (whichever is later) the company has ten business days to submit all credentialing and security documents otherwise, the Government reserves the right to move on to a different candidate. 5. SPECIAL REQUIREMENTS 5.1. In accordance with HHSAR 304.1301(a) HHS follows National Institute of Standards and Technology (NIST) Federal Information Processing Standards (FIPS) Publication (PUB) Number 201-2, Personal Identity Verification (PIV) of Federal Employees and Contractors, and OMB implementation guidance for personal identity verification, for all affected contractor and subcontractor personnel when contract performance requires contractors to have routine physical access to a federally-controlled facility and/or routine physical and logical access to a federally-controlled information system. 5.2. The USPHS Wewoka Indian Health Center is a tobacco/smoke free environment (buildings and grounds). No tobacco/smoking use will be tolerated during service. 5.3. Patient Data Security Plan: The Contractor shall describe the security plan for patient data. This includes location of physical servers and reading centers in support of contractor services. The plan should include any encrypted wireless systems used by reading providers. All wireless systems shall be FIPS-140 compliant. 5.4. Interconnection Security Agreement (ISA): Contractor shall provide and complete an ISA with the IHS, prior to the performance of any actions related to the contract. 5.5. Security Requirements: The Contractor shall obtain completed IHS ISSO Security Clearance prior to the start of this contract. This clearance will establish that the Contractor Department of Health and Human Services Indian Health Service Wewoka Indian Health Center 36640 Hwy 270 Wewoka, OK 74884 3 has provided sufficient local telecommunication network firewalls and procedures to ensure patient confidentiality and security consistent with HIPPA (Health Insurance Portability and Accountability Act of 1996) regulations, FlPS. 5.6. Communication/Network Infrastructure: The Contractor shall interface with Government furnished Image Archive and PACS (Picture Archiving and Communication System) communications platform(s). 5.7. The contractor shall meet the below requirements set by hospital regulations for accessing and creating VPN tunnels for receiving echocardiogram studies for interpretations. IKEv2 Policy: Integrity: SHA-256 Encryption: AES-256 PRF: SHA-256 DH Group: 14 IKEv2 Proposal: Encryption: AES-256 HASH: SHA-256 PFS Group: 14 (optional if supported by your device) 5.8. Security Requirements: Contractor personnel will be required to contact the government designated point of contact upon arrival when reporting for service calls or delivery supplies. The contractor shall be responsible for the security of all organizational information. Current rules and regulations applicable to the premises, where the work shall be performed shall apply to the contractor and its employees while working on the premises. These regulations include but are not limited to, escort by Wewoka Indian Health Center official, presenting valid identification, smoking restriction and any safety procedures. 5.9. The contractor shall not disclose or cause to disseminate any information concerning operations of Wewoka Indian Health Center. Such action(s) could result in violation of the contract and possible legal actions. 5.9.1.All inquiries, comments, or complaints arising from any matter observed, experienced or learned of as a result of or in connection with the performance of the contract, the resolution of which may require the dissemination of official information, shall be directed to the government’s designated representative. Termination Amortization Schedule: A termination amortization schedule shall be included as an attachment of the awarded contract. If the Government does not exercise any of the options listed in the price / cost schedule, the Government’s not exercising the options will have the same effect as if the Government terminated for convenience. All remedies afforded to contractor in regards to a termination for convenience shall be available to the contractor. 6. DELIVERABLES AND REPORTING REQUIREMENTS 6.1. Delivery: The contractor shall provide echocardiogram reports in the appropriate time frame listed above in the technical requirements section. 6.2.Contractor Point of Contact: The contractor shall furnish one designated point of contact (POC) to the government’s designated representative for coordination services. The POC will be empowered to make daily decisions to ensure that the contract implementation and dayto- day needs meets the terms and conditions of this contract. 6.3.Contractor’s Phone Numbers: The contractor shall provide a toll-free telephone number for service calls, which must be answered during at least eight working hours, between 8:00 am Department of Health and Human Services Indian Health Service Wewoka Indian Health Center 36640 Hwy 270 Wewoka, OK 74884 4 and 4:30 pm, Monday through Friday. 6.4.Personnel Qualifications: Only Licensed Physicians with a specialty in Cardiology will interpret the transthoracic echocardiograms and stress echocardiograms. 7. GOVERNMENT FURNISHED PROPERTY, FACILITIES AND SERVICES All digital medical imaging files provided to the Contractor for interpretation shall remain the property of the government. Contractor shall not publish and /or share outside Contractor’s organization any IHS digital or analog image or imaging study report without the express written consent of the sending IHS facility. Any publication or sharing outside of Contractor's organization of any digital or analog images or imaging study reports undertaken with the express written consent of the sending IHS facility shall be done in a manner allowed by HIPAA and all other IHS rules and regulations. 8. CONTRACTOR FURNISHED PROPERTY, FACILITIES AND SERVICES Required personnel, materials, supplies and equipment: The contractor shall furnish all personnel, materials, supplies and equipment required to perform work under the contract. 9. CHANGES TO THE STATEMENT OF WORK (SOW) Any changes to this SOW shall be authorized and approved only through written correspondence from the Contracting Officer. Costs incurred by the contractor through the actions of parties other than the Contracting Officer shall be borne by the contractor.