Q -- DERMATOLOGY SPECIALTY CLINIC

Notice Date

September 26, 2001

Contracting Office

Billings Area Indian Health Service, 2900 4th Avenue North, P.O. Box 36600, Billings, MT 59107

ZIP Code

59107

Solicitation Number

RFQ 10-01-036

Response Due

October 19, 2001

Point of Contact

Jay Windy Boy, Purchasing Agent, (406) 247-7064

E-Mail Address

Use this email link to request a copy of the SF-18 (Jay.windyboy@mail.ihs.gov)

Description

SCOPE OF WORK PURPOSE: The mission of the Fort Peck Service Unit Indian Health Service (I.H.S.) is to provide the best possible support to the I.H.S. Health Centers through the recruitment and placement of physicians and other health professionals. The purpose of this procurement action will be for the provision of Dermatology Services through the award of a Non-Personal Health Care Contract (Commercial Item) DUTIES/DESCRIPTION: 1. Contractor shall provide on-site Dermatology services at the Verne E. Gibbs Health Center. 2. Services will be provided eight (8) days per year. Time of service will be between the hours of 8:00 am to 5:00 pm. The contractor will be responsible for his/her own travel expenses. 3. To provide Dermatology Specialty Clinic services to patients referred by physicians of the Fort Peck Service Unit. These services shall include: examinations, diagnostic recommendations; second opinions; prescribing; recommending treatment and follow-up for diagnosis and treatment of all skin diseases. 4. Contractor shall be responsible for the submission of medical documentation and evaluations. 5. Contractor shall prepare in a timely fashion the medical and other required records (i.e. patient billing forms and referral forms to other specialists or for other specific diagnostic procedures) for patients whom they provide treatment. 6. Nursing assistance will be provided by I.H.S. for the Specialty Clinic. PERIOD OF PERFORMANCE: Performance of this contract shall be for twelve (12) month period from October 1, 2001 through September 30, 2002, with an option to renew for three (3) successive twelve (12) month periods. If the government exercises the options pursuant to Federal Acquisition Regulation (FAR) 52.217-9) Option to Extend the Term of the Contract (MAR 1989), the period of performance shall be extended in accordance with the following schedule: Year Option Period Option Year One (1) To be completed at time of award Option Year Two (2) To be completed at time of award Option year Three (3) To be completed at time of award CREDENTIALS: 1. Provide verification of current, unrestricted state license, certification or registration as applicable to practice independently in their professional field. 2. It is the responsibility of the contractor to maintain the appropriate medical licensures and privileges throughout the duration of the contract. 3. One letter of reference 4. Curriculum vitae/resume 5. The selected vendor must apply for medical staff privileges at the Fort Peck Service Unit. 6. If the perspective contractor has already been credentialed, please state so and the Fort Peck Service Unit will verify. INSURANCE: 1. Indemnification and Medical Liability Insurance, FAR 52.237-7. 2. Contracting Officer, Indian Health Service, must obtain evidence of insurance PRIOR TO AWARD (FAR 37.402). ESTIMATE: Base Year ($ x 2 Visits Per Quarter $__________ Option Year 1 $__________ Option Year 2 $__________ Option Year 3 $__________ TOTAL $__________

Record

Loren Data Corp. 20010928/QSOL002.HTM (W-269 SN50Y8T1)