Nonpersonal Hospitalist Services - Phoenix Indian Medical Center

Amendment 0002 Additional Clarification, Section D.6 – Volume III – Price Hourly rates shall be quoted on a per-physician basis for each applicable Contract Line Item Number (CLIN). The quoted fully burdened hourly rate shall apply to each individual physician performing services under the resulting contract and shall include all direct and indirect costs associated with contract performance identified in Section B of the solicitation.

The Government will compensate the Contractor based on the actual number of hours performed by Contractor personnel and accepted by the Government. See Amendment 1 - RFQ-26-PHX-050 and RFQ-26-PHX-050 rev1 The Department of Health and Human Services (HHS), Indian Health Service (IHS), Phoenix Area Indian Health Service (PAIHS), is issuing this Request for Quotations (RFQ) for nonpersonal Hospitalist Services in support of Phoenix Indian Medical Center (PIMC), Phoenix, Arizona.

The Contractor shall provide qualified Hospitalist physicians to furnish inpatient medical services in accordance with the attached Performance Work Statement (PWS). This acquisition is conducted using the commercial services procedures of FAR Part 12, as supplemented by applicable HHSAR provisions, the Buy Indian Act (25 U.S.C. § 47), HHSAR Subpart 326.6, and applicable HHS Revolutionary FAR Overhaul (RFO) class deviations.

The Government intends to award one (1) Firm-Fixed-Price commercial services contract resulting from this solicitation. However, the Government reserves the right to make multiple awards if determined by the Contracting Officer to be in the Government's best interest. Award will be made using a comparative evaluation of quotations. This solicitation is restricted to eligible Indian Small Business Economic Enterprises (ISBEEs).

A.2 Place of Performance Services shall be performed at: Phoenix Indian Medical Center 4212 North 16th Street Phoenix, Arizona 85016 A.3 Period of Performance Base Year - January 1, 2027 – December 31, 2027 Option Year 1 - January 1, 2028 – December 31, 2028 Option Year 2 - January 1, 2029 – December 31, 2029 Option Year 3 - January 1, 2030 – December 31, 2030 Option Year 4 - January 1, 2031 – December 31, 2031 The Government may exercise option periods in accordance with the terms and conditions of the resulting contract.

A.4 Description of Requirement The Contractor shall furnish qualified Hospitalist physicians to provide nonpersonal inpatient physician services in accordance with the attached Performance Work Statement. Services include, but are not limited to:

• Evaluation and admission of patients requiring inpatient care. • Daily inpatient medical management. • Intensive Care Unit (ICU) management within the scope of Hospital Medicine privileges. • Coordination of specialty consultations. • Discharge planning and discharge summaries. • Transfers to higher levels of care when medically indicated. • Participation in multidisciplinary patient care activities. • Day, night, weekend, and holiday Hospitalist coverage.

The Contractor shall provide all management, supervision, scheduling, recruiting, credentialing support, replacement personnel, quality control, and administrative oversight necessary to perform the required services. All services shall be performed in accordance with the attached Performance Work Statement.

The estimated hours identified in the Pricing Schedule are based on the Government's anticipated operational requirements and historical utilization and are provided for quotation evaluation, acquisition planning, and contract administration purposes. The estimated hours are not intended to represent a required number of individual physicians or full-time equivalents (FTEs).

The Contractor shall determine the number of physicians necessary to satisfy the coverage requirements of the Performance Work Statement while maintaining continuity of services and meeting all contract requirements. A.5 Nonpersonal Services The services acquired under this solicitation are nonpersonal healthcare services. Nothing in this solicitation or any resulting contract shall be construed as creating an employer-employee relationship between the Government and Contractor personnel.

The Contractor shall retain responsibility for: • Recruitment • Hiring • Compensation • Benefits • Scheduling • Employee supervision • Performance management • Discipline • Replacement personnel • Contractor quality control • Compliance with applicable labor laws Government personnel shall not supervise Contractor employees.

Government oversight shall be limited to inspection and acceptance of services, contract administration, quality assurance surveillance, and coordination necessary to accomplish the Government's mission. Clinical oversight by the Chief of Hospital Medicine or designee regarding patient care, prioritization of clinical workload, compliance with medical staff bylaws, credentialing requirements, and standards of medical practice shall not constitute supervision or control of Contractor personnel.