The document outlines a contract for Outpatient Department RN Services at HHCC, detailing costs for a base period and three option years. The contract includes provisions for regular and overtime hours for Outpatient Department (ambulatory care) RNs. Although specific unit prices and total prices are currently zero, the structure indicates a framework for future financial allocations. Key assumptions include an annual inflation rate of 2.25% and a fringe benefits rate of 0.00%. This file appears to be a template or an early stage of an RFP or grant application, awaiting the insertion of specific financial figures to determine the total estimated value of the contract. It focuses on staffing requirements and potential costs for nursing services.

This Business Associate Agreement (Attachment B) outlines the obligations of a vendor (Business Associate) working with the Indian Health Service (IHS) (Covered Entity) to safeguard Protected Health Information (PHI) under HIPAA Rules. The agreement mandates compliance with HIPAA for all PHI use and disclosure, requiring the Business Associate to implement appropriate safeguards for both physical and electronic PHI. Key responsibilities include reporting unauthorized uses, disclosures, or security incidents within 30 days, and breaches of unsecured PHI within 30 calendar days (or within one hour for suspected/confirmed breaches to HHS policy). The Business Associate must also provide individuals access to their PHI, account for disclosures, and amend PHI as requested. Upon termination, the Business Associate must return or destroy PHI, retaining only what is necessary for proper management or legal responsibilities. The agreement is incorporated into the main contract and ensures compliance with HIPAA regulations.

The Arizona Department of Revenue has issued an Exemption Letter to the Department of Health & Human Services, Phoenix Area Indian Health Service, designating it as a Qualifying Hospital. Effective January 1, 2025, this exempts the organization from Arizona Transaction Privilege Tax, Use Tax, and Cities Privilege Tax for specific business classifications. These include Utilities, Pipeline, Publication, Job Printing, Restaurant, Personal Property Rental, Retail, and Use Tax, among others. The exemption applies to transactions where the Health & Human Services Department is the customer. The letter specifies that certain activities, such as transient lodging/hotel, are not deductible, and other exemptions are statutorily limited. The exemption is valid for locations listed in Appendix A, including the Phoenix Indian Medical Center and various other health centers and offices across Arizona and one in California. To claim exemption, the organization must present this letter along with a completed Arizona Form 5000HC to vendors. The Department of Revenue reserves the right to rescind the exemption if information provided is inaccurate or if the organization ceases to qualify.

The Hopi Health Care Center (HHCC) is seeking non-personal professional Registered Nursing services for its Outpatient Department in Polacca, Arizona. The contract will cover a 12-month base period and four 12-month option periods, aiming to mitigate service disruptions due to staff shortages. Contractors must provide candidate profiles, including licensure, certifications, and education, and selected candidates will undergo an Indian Health Service (IHS) security clearance. Services will be performed at HHCC, with shifts subject to change based on patient needs, primarily Monday through Friday, 8:00 AM to 5:00 PM, with potential for extended hours. Nurses are expected to adhere to facility policies and may be cross-trained for other departments. Qualifications include a minimum of two years of RN experience (one year in ambulatory care, one year in IV infusions/starts/PICC/ports), a graduate or higher nursing degree from an accredited program, and current certifications in BLS, ACLS, and PALS, along with an active, unrestricted RN license. Major duties involve medical order execution, therapeutic device management, vital sign assessment, patient care documentation, collaboration with healthcare providers, immunization administration, quality control, specimen collection, emergency response, and telephone screening. All RNs must comply with CMS and Joint Commission standards, utilize the nursing process, and provide age-specific care. Contractors must possess strong communication and computer skills, a valid driver's license, and cultural sensitivity, adhering to IHS, CMS, and TJC guidelines. Performance is monitored via a Quality Assurance Surveillance Plan, with specific outcomes and acceptable quality levels (AQLs) for documentation, licensure, background checks, immunizations, and shift fulfillment.

The Indian Health Service (IHS) requires offerors to self-certify as an "Indian Economic Enterprise" (IEE) under the Buy Indian Act (25 U.S.C. 47) for solicitations, sources sought, and RFIs. This form, from the Department of Health & Human Services, mandates that the IEE definition (HHSAR 326.601) must be met at the time of offer, contract award, and throughout the contract's performance. Contractors must notify the Contracting Officer immediately if they no longer meet eligibility. Individual Contracting Officers may request documentation, and awards are subject to protest regarding eligibility. Successful offerors must also be registered with the System for Award Management (SAM). False or misleading information can lead to penalties under 18 U.S.C. 1001, and false claims during performance are punishable under 31 U.S.C. 3729-3731 and 18 U.S.C. 287. Offerors must indicate whether they meet the IEE definition, providing details such as the name of the 51% owner, certifying signature, print name, federally recognized tribal entity, business name, and Unique Entity Identifier (UEI) Number.

The Contractor Past Performance Questionnaire is a standardized form used by government entities, such as the Phoenix Area Indian Health Service (PAIHS), to evaluate contractor performance for federal RFPs, grants, and state/local RFPs. Contractors complete initial sections detailing their company, the work performed (prime, subcontractor, or joint venture), contract information, and a project description, including its relevance. Clients then assess the contractor across several key areas: Quality, Schedule/Timeliness, Customer Satisfaction, Management/Personnel/Labor, Cost Control/Financial Management, Safety/Security, and General performance. An adjective rating system (Exceptional, Very Good, Satisfactory, Marginal, Unacceptable, Neutral) is provided with definitions to guide client evaluations. The questionnaire requires client signatures and direct submission to the offeror, who then includes it in their proposal. The government reserves the right to verify all submitted information. This document is crucial for assessing past performance risk in procurement processes.

The SF 1449 Continuation outlines crucial provisions, clauses, terms, and instructions for government contractors, primarily focusing on administrative, contractual, and security requirements. Key areas include contract administration data, such as SAM registration, electronic invoicing via IPP, and specific invoice requirements. Special contract requirements address physical demands, patient cultural sensitivity, licensure verification, and a comprehensive post-award monitoring program with a Quality Control plan and periodic performance evaluations. The document details extensive background check procedures, including the Child Care National Agency Check & Investigation (CNACI), and mandatory Information Technology Security Awareness (ISSA) training. Health and appearance mandates, including immunizations and personal hygiene, are also stipulated. It integrates various Federal Acquisition Regulation (FAR) clauses, emphasizing compliance with ethical conduct, whistleblower protections, and equal opportunity regulations. The contract's period of performance includes a base year and four one-year options, with strict definitions of Contracting Officer (CO) and Contracting Officer Representative (COR) authorities. This document ensures contractors meet rigorous federal standards and maintain operational integrity.