WEWOKA IHS ECHOCARDIOGRAM/ELECTROCARDIOGRAM INTERPRETATIONS

Department of Health and Human Services

Indian Health Service

Wewoka Indian Health Center

36640 Hwy 270

Wewoka, OK 74884

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Statement of Work (SOW)

Echocardiogram and EKG 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 Electrocardiograms 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 Electrocardiogram interpretations

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 will 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.

Department of Health and Human Services

Indian Health Service

Wewoka Indian Health Center

36640 Hwy 270

Wewoka, OK 74884

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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 interpretations shall be dictated/transcribed into the hospital system that interfaces

directly into the Electronic Health Record (EHR)/RPMS. In addition, all technologists

must be able to access vendor’s system to print reports as needed.

4.5. The contractor shall provide licensure on all Cardiologists. Personnel must meet State

Licensure requirements and maintain ongoing training and education to maintain the

appropriate level of competency.

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 sub-contractor 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.

Department of Health and Human Services

Indian Health Service

Wewoka Indian Health Center

36640 Hwy 270

Wewoka, OK 74884

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5. SPECIAL REQUIREMENTS

5.1. In accordance with HHSAR 304.1303, To ensure compliance with Homeland Security

Presidential Directive-12: Policy for a Common Identification Standard for Federal

Employees and Contractors (HSPD-12) It is the IHS policy that all staff and contractors

who require physical access to federally controlled facilities and logical access to the

IHS Information Technology (IT) networks and systems must obtain an HSPD-12-

compliant access card. Individuals will be issued an access card upon meeting the

HSPD-12 requirements and a favorable background investigation.

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 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

Department of Health and Human Services

Indian Health Service

Wewoka Indian Health Center

36640 Hwy 270

Wewoka, OK 74884

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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 and electrocardiogram 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 day-to-day needs meets the terms and conditions of this contract.

Department of Health and Human Services

Indian Health Service

Wewoka Indian Health Center

36640 Hwy 270

Wewoka, OK 74884

5

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 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

7.1. 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

8.1. Required personnel, materials, supplies and equipment: The contractor shall furnish all

personnel, materials, supplies and equipment required to perform work under the

contract.