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 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
2
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
3
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
4
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.
