SOLICITATION NOTICE
Q -- DENTAL HYGIENIST
- Notice Date
- 12/9/2005
- Notice Type
- Solicitation Notice
- NAICS
- 621399
— Offices of All Other Miscellaneous Health Practitioners
- Contracting Office
- Department of Health and Human Services, Indian Health Service, Billings Area Office, 2900 4th Avenue North PO Box 36600, Billings, MT, 59107
- ZIP Code
- 59107
- Solicitation Number
- RFQ-10-06-015-REL
- Response Due
- 12/23/2005
- Archive Date
- 1/7/2006
- Small Business Set-Aside
- Total Small Business
- Description
- This is a combined synopsis/solicitation for commercial items prepared in accordance with the format in Federal Acquisition Regulation (FAR) Subpart 12.6, as supplemented with additional information included in this notice. This procurement is being conducted under Simplified Acquisition procedures pursuant to the authority of FAR Subpart 13.5, Test Program for Certain Commercial Items (10 U.S.C. 2304(g) and 2305 and 41 U.S.C. 253(g) and 253a and 253b) and FAR 37.104, Personal Services Contracts (Public Law 103-332, Department of the Interior and Related Agencies Appropriation Act, Title II, September 30, 1994, 108 Stat. 2530 as implemented by 25 U.S.C. 1638c). This announcement constitutes the only solicitation; therefore, a written solicitation will not be issued. The Billings Area Indian Health Service (IHS) intends to award a fixed-price, personal services, performance-based, commercial item contract in response to Request for Quotation (RFQ) 10-06-015-REL. This solicitation is restricted to 100% Small Business concerns. The solicitation documents and incorporated provisions and clauses are those in effect through Federal Acquisition Circular 2005-06. The associated North American Industry Classification System code is 621399 and the small business size standard is $6.0 million. PRICE SCHEDULE-CONTRACT DENTAL HYGENIEST: BASE YEAR: 60 DAYS @ $__________ per day = $__________; OPTION YEAR ONE: 60 DAYS @ $__________ per day = $__________; GRAND TOTAL: $__________. INTRODUCTION: This contract position is located at the Northern Cheyenne Service Unit, Lame Deer, Montana. This program provides preventive, rehabilitative and community services to American Indians. The contractor will be required to coordinate and implement preventive programs in the community this includes, but is not limited to, the school sealant program, fluoride varnish program, oral health education, Head Start xylitol project and the school shish program. This contract will be for 60 days during the contract period with the option to extend for one additional year. The days will be dependent upon school programs and the needs of the dental clinic. WORK SCHEDULE: Monday through Friday 8:00 a.m. to 4:30 p.m. MAJOR DUTES: Serves as a dental hygienist responsible for performing advanced prophylactic and preventive dental procedures in the treatment of patients with related medical. A. Completes preliminary dental examinations on new dental service patients. The hygienist reviews patients medical and dental history for evidence of past and present conditions such as medical illness and use of drugs which may complicate or alter dental hygiene treatment; examines the teeth and surrounding tissue for evidence of plaque and periodontal disease and chart findings; inspects the mouth and throat for evidence of disease such as oral cancer; interprets routine x-rays to identify tooth structures, calculus, and abnormalities such as cavities and deep periodontal pockets. Refers abnormalities such as cavities; traumatic occlusion, and suspicious lesions to the dentist. Prepares dental hygiene treatment plans for patient including assessment of the problem, type of oral hygiene care required, and the sequence of appointments needed to complete treatment. B. Performs a complete oral prophylaxis on ambulatory and non-ambulatory patients. Performs deep subgingival scaling, root planning, and curettage under local anesthesia. Polishes the teeth and applies stannous fluoride for hypersensitivity and caries prevention. Gives home care instructions to patients after curettage. Provides beside prophylactic treatment using specialized procedures for comatose patients, neurosurgical patients, and other types of non-ambulatory patients. In postoperative care of oral surgery and periodontal surgery patients, performs suture removal, changes dressings, applies topical anesthetics, and provides home care instructions. In oral cancer patients, takes impressions for construction of mouth guards, applies fluoride using tray technique, and maintains recall system for careful follow-up of each patient. Educates patients on need for daily oral health and fluoride treatment. C. Assists the dentist by making repairs and adjustments to the teeth by smoothing rough edges of restorations, removing overhanging margins of fillings, reducing sharp edges of fractured teeth, polishing and finishing amalgam restorations, and inserting temporary fillings in teeth. D. Instructs patients at chair side in oral hygiene, brushing and flossing techniques, and periodontal aids, which increase the amount of stimulation to the teeth. Plans and adapts instructions in home care techniques, tailoring them to the oral hygiene needs and oral problems of individual patients. Explains to patients the causes of periodontal disease and tooth decay, and the importance of diet as it relates to oral and systemic health. E. Regularly instructs nurses and nursing assistants in the proper techniques of oral hygiene to be applied to the bedridden, handicapped, disabled and chronically ill patients. Presents lectures and demonstrations in oral health care to various patient groups such as diabetics, hemodialysis patients, and drug or alcohol dependent patients, using slides denture models, toothbrushes, charts, and other education materials. F. Exposes, develops and processes radiographs on patients including bitewing, periodical and panoramic x-rays. Adjusts voltage, amperage, and timing of x-ray equipment. Selects type of radiograph that will be necessary for patients mouth. Positions film and machine in ensure coverage of area to be x-rayed. Mounts and labels x-rays. G. Maintains patients record of treatment. Records oral conditions of teeth and surrounding tissues, progress and therapy notes, appointments, and the number of patients treated and type of treatment administered. KNOWLEDGE REQUIRED BY THE POSITION: (1) Knowledge of the oral anatomy, oral physiology and histology, the principles and techniques of preventive dentistry, and the dental instruments and materials to perform a variety of specialized prophylactic and preventive dental hygiene procedures including root planning and curettage. (2) Knowledge of oral pathology and periodontology sufficient to recognize a variety of abnormal conditions such as acute gingivitis, periodontitis, and deep periodontal pockets, and provide the necessary prophylactic and therapeutic dental hygiene treatment. (3) Knowledge of medical diseases such as cancer, diabetes, and heart disease as they relate to the care and treatment of the teeth in order to perform bedside prophylaxis, and provide therapeutic dental hygiene procedures and home care instructions to patients. (4) Skill in providing individual and group oral health care instructions to patients and the nursing staff in order to motivate patients with special needs toward the practice of effective oral hygiene techniques. (5) Skill in performing specialized prophylactic and preventive dental hygiene procedures. SUPERVISORY CONTROL: The Chief, Dental Service Unit assigns responsible and establishes the objectives and philosophy of the dental perform. The hygienist is responsible for planning and carrying out dental hygiene treatment and oral health education to whatever depth is considered necessary depending on the individual needs and progress of the patient. Keeping within the objectives of the Dental Program, the hygienist independently coordinates with medical and other clinic personnel the treatment of individual patients. Clinical procedures are performed independently without direct observation by the dentist. The dentist will provide added instructions and technical assistance when needed during the performance of surgically related hygiene procedures such as subgingival curettage. The work is reviewed for its conformance to the objectives and policies of the dental service. GUIDELINES: Guidelines are consist with established dental hygiene procedures, instruments, and education techniques. These guides are supplemented by verbal instructions and written manuals governing the work of the dental service. The hygienist uses judgment is selecting instruments and in determining the type and length of hygiene treatment appropriate for individual patients. Situations requiring significant deviations from the guidelines are referred to the dentist. COMPLEXITY: The work requires the performance of a variety of advanced and specialized prophylactic and preventive dental hygiene procedures. The treatment is complicated by patients having additional medical and dental problems. The hygienist decides what kind of dental hygiene treatment and oral health instructions are necessary according to the medical and dental needs of individual patients. For example, cancer patients who receive radiation to the head and neck areas are treated under a special control program administered by the hygienist. The hygienist takes impressions for the construction of casts from which a custom fitted tray for the teeth is made. The tray is packed with fluoride gel and applied to the teeth to prevent the breakdown of teeth structures typically caused by radiation. The hygienist must look for mouth sores, dryness and tenderness that may require treatment. Regular follow-up treatment and home care instructions are also necessary. SCOPE AND EFFECT: The work involves responsibility for treating patients throughout the medical facility using a variety of standard and specialized dental hygiene procedures. The hygienist also assists in planning and independently conducting educational programs in oral health for different types of patients and instructs nurses and nursing assistants in oral health care techniques for the bedridden patients. The work directly affects a major service offered by the dental program. Its effective operation has a direct impact on the oral health and general care of American Indians in the Service Unit. PERSONAL CONTACT: Personal contacts are the patients, staff members of the dental program, dietetic service, the nursing staff, faculty members from schools of dental hygiene, and members of dental professional societies, as well as other health care providers in the clinic. Other contacts include community members and Tribal officials, school officials and teachers, water operators and utility managers, state health officials, dental health promotion/disease prevention staff from other service units and IHS/Tribal Programs. PURPOSE OF CONTACTS: The purpose of these contacts will be to ensure a successful program that uses the resources available and educates other on the goals of our program. PERFORMANCE-BASED SERVICE DELIVERY SUMMARY: The contract Dental Hygienist performance will be measured based on the following Performance Requirements: (1) Quality of Performance; (2) Documentation of Medical Records; and (3) Customer Service. The Performance Requirements will be measured against the following Government Performance Standards: (1) Provide Dental Hygienist Services as specified in the Performance Work Statement; (2) Complete medical records in accordance with clinics accreditation requirements, and Northern Cheyenne Service Unit medical staff by-laws, rules and regulations; and (3) 5 or more customer complaints. The Method of Government Surveillance to determine compliance with the Performance Requirements are as follows: (1) Peer reviews (i.e., written evaluations) and periodic conferences between the contractor and project officer; (2) Random Sampling by the project officer or his/her designee; and (3) Validated Complaints. Deduction Schedule: A 5% deduction shall be assigned to each Performance Requirement. Deductions shall be assessed against individual invoices when services are not performed or do not meet contract requirements. SPECIAL CONTRACT REQUIREMENTS: The Federal Tort Claims Act coverage for medical related claims is extended to the individual providing services pursuant to this contract. However, the services must be within the scope of the personal services contract. The Contractor shall prepare and complete all medical and other required reporting documents as required by IHS procedural guidelines and policies. The Contractor shall comply with all IHS facility infection control and safety procedures, practices and standards. The Contractor must maintain and demonstrate knowledge of and adhere to hospital and departmental safety regulations. The Contractor shall comply with the following requirements: infection control, hazardous materials, safety, security, emergency preparedness, life safety, medical equipment and utilities in accordance with established management plans. Contractors cannot serve as expert witnesses in any suit against the Federal Government. Many of the IHS patients receiving services may only speak a native language and/or reside on a Native American Reservation, therefore, the Contractor must demonstrate sensitivity to cross-cultural and language differences. PERIOD OF PERFORMANCE: Date of Award (proposed start date is January 1, 2006) through September 30, 2006, with one 12-month option. GOVERNMENT FURNISHED PROPERTY: The Department will provide orientation to the Contractor as to their specific duties and responsibilities. The Department will provide the Contractor with a computer. The Department is responsible for getting the Contractor access and clearances to all pertinent ARMS; intranet; internet and computer services necessary to carry out his/her duties. The Department must provide the Contractor with direction and proper workloads, which are appropriate with the normal day-to-day operations in the Department. CONTRACTING OFFICER AUTHORITY: Authority to negotiate changes in the terms, conditions or amounts cited in this contract is reserved for the Contracting Officer. PROJECT OFFICER: The project officer shall be responsible for: (1) Monitoring the Contractors technical progress, including surveillance and assessment of performance and recommending technical changes; (2) Interpreting the Statement of Work; (3) Technical evaluation as required; (4) Technical inspections and acceptance; and (5) Assisting the Contractor in the resolution of technical problems encountered during performance of this contract. INVOICE SUBMISSION AND PAYMENT: The Contractor shall submit its invoice to the Project Officer at the Northern Cheyenne Service Unit, PHS Indian Health Center, 100 Cheyenne Avenue, P.O. Box 70, Lame Deer, Montana 59043. The Contractor agrees to include the following information on each invoice: (1) Contractors name, address; (2) Contract Number; (3) Invoice number and date; (4) Cost or price; (5) Dates of Service including the number of hours worked; and (6) Remit to address. The Billings Area Financial Management Branch, P.O. Box 36600, Billings, Montana 59107, shall make payment. REPORTING REQUIREMENTS: The Contractor shall provide the Contracting Officer with evidence that payment of employment taxes has been made 15 days after each quarter. PRO-CHILDREN ACT OF 1994: The Contractor certifies that it will comply with the provisions of Public Law 103-227, Pro-Children Act of 1994, which imposes restrictions on smoking where Federally funded children's services are provided. CHILD CARE NATIONAL AGENCY CHECK AND INVESTIGATION (CNACI). A CNACI must be completed for all Indian Health Service (IHS) contractor personnel within the Billings Area. Public Law (P.L.) 101-630, Indian Child Protection and Family Violence Prevention Act and P.L. 101-647, Crime Control Act of 1990, require the IHS to conduct a character and criminal history background investigation on all contractors performing services in IHS facilities. The Administrative Officer at the Fort Belknap Service Unit will conduct the character and background investigations. PROVISIONS AND CLAUSES: The following provisions and clauses apply to this acquisition. The FAR provision 52.212-1 Instructions to Offerors Commercial Items, and 52.212-3 Offeror Representations and Certifications Commercial Items are incorporated by reference. The provision at 52.212-2 applies to this acquisition and is provided in full text. FAR 52.212-2 EVALUATION?COMMERCIAL ITEMS (JAN 1999): (a) The Government will award a contract resulting from this solicitation to the responsible offeror whose offer conforming to the solicitation will be most advantageous to the Government, price and other factors considered. The following factors shall be used to evaluate offers for award purposes: (1) Professional Education = 15 POINTS; (2) Experience with patients to be served = 20 POINTS; (3) Suitability = 30 POINTS; (4) Required Clinical Practical Experience = 20 POINTS; and (5) Professional Certification/Licensure = 15 POINTS. Technical and past performance, when combined, are approximately equal to cost or price. (b) Options. The Government will evaluate offers for award purposes by adding the total price for all options to the total price for the basic requirement. The Government may determine that an offer is unacceptable if the option prices are significantly unbalanced. Evaluation of options shall not obligate the Government to exercise the option(s). (c) A written notice of award or acceptance of an offer, mailed or otherwise furnished to the successful offeror within the time for acceptance specified in the offer, shall result in a binding contract without further action by either party. Before the offer's specified expiration time, the Government may accept an offer (or part of an offer), whether or not there are negotiations after its receipt, unless a written notice of withdrawal is received before award. The following FAR and Health and Human Services Acquisition Regulation (HHSAR) clauses are applicable: 52.204-4, 52.212-4, 52.212-5, 52.215-5, 52.217-8, 52.217-9, 52.223-5, 52.223-6, 52.224-1, 52.224-2, 52.229-3, 52.232-3, 52.232-18, 52.237-2, 52.237-3, 52.242-15, 52.242-17, 52.245-1, 52.245-2, 52.249-12, 352.202-1, 352.223-70, 352.232-9, 352.270-2, 352.270-4, 352.270-6, and 352.270-7. The following FAR clauses cited in 52.212-5 are applicable to the acquisition: 52.203-6 with Alternate I, 52.219-6, 52.219-8, 52.222-3, 52.222-21, 52.222-26, 52.222-35, 52.222-36, 52.222-37, 52.222-39, 52.225-13 and 52.232-33. Upon request, the Contracting Officer will provide full text copies of the FAR and HHSAR provisions and clauses. The provisions and clauses may also be accessed electronically at http://www.arnet.gov and http://www.hhs.gov/ogam/oam/procurement/hhsar.html. PROPOSAL SUBMISSION INSTRUCTIONS: The Contractor shall provide evidence of, or submit a written response to, the technical evaluation factors in FAR 52.212-2. In addition, the Contractor shall submit a completed copy of FAR 52.212-3 with its offer. Contractors intending to conduct business with the Federal Government must register with the Department of Defense Central Contractor Registration (CCR) database prior to award. The CCR is the primary Government repository, which retains information on Government contractors. You may register via the Internet at http://www.ccr.gov or by calling (888) 227-2423 or (269) 961-5757. All responsible offerors may submit a proposal, which shall be considered by the Agency. Offers shall be submitted to the Billings Area Indian Health Service, 2900 Fourth Avenue North, Room 304, Billings, Montana 59101, no later than 2:00 p.m., on December 23, 2005. The offer must be submitted in a sealed envelope, addressed to this office, showing the time specified for receipt, the solicitation number, and your companys name and address. Offers will also be accepted by e-mail at RLangager@mail.ihs.gov or by fax at (406) 247-7108.
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