Radiologist - PENDING AWARD

Service: Radiologists

Location: Carl R. Darnall Army Medical Center, Fort Cavazos, Texas 76544

1.5.6. Recognized Holidays: Contract HCWs ?will be required to work on federally recognized holidays. The contractor shall provide personnel for all labor categories to support a 7-day-a-week, 24-hour-a-day operation to include holidays. The following is a list of recognized federal holidays. Contract employees may be required to work on legal holidays as determined by the Department Chief.
New Year’s Day January 1st
Martin Luther King’s Birthday 3rd Monday in January President’s Day 3rd Monday in February
Memorial Day Last Monday in May
Juneteenth June 19th
Independence Day July 4th
Labor Day 1st Monday in September
Columbus Day 2nd Monday in October
Veteran’s Day November 11th
Thanksgiving Day 4th Thursday in November
Christmas Day December 25th

NOTE: Any of the above holidays falling on a Saturday will be observed on the preceding Friday; holidays falling on a Sunday will be observed on the following Monday. Any holidays that are declared by Presidential Executive Order shall be observed in the same manner as the holidays listed above. If the area in which a contract HCW is scheduled to work is closed due to the holiday and the employee is not required to report in, payment will not be made for those hours. Closures of the installation due to inclement weather or other such acts of God shall be handled in the same manner.
1.5.7.1. Hours of Performance: The performance hours of the MTF are as follows:
The Radiology Department provides services, 24 hours per day, seven days a week. Clinical services are provided Monday through Friday, from 7:30 a.m. through 4:30 p.m. Normal duty hours will consist of forty ( 40) hours per week. The contract Radiologist will provide services for a predetermined rotating schedule to cover weekday and weekend shifts 24-hours per day, exclusive of a 60-minute unpaid lunch/dinner period which is not paid by the Government.
Possible shifts in the following:
· 0730-1630 w/ 1-hr lunch
· 0800-1700 w/ 1-hr lunch
· 1000-1900 w/ 1-hr lunch (Short Call Shift)
· 1900-0730 w/ 1-hr lunch (cell phone back-up call)
· Weekend coverage would be 24-hour cell phone back-up call with up to eight (8) hours of in-house scheduled work and call-back per day. Weekend cell phone back-up call is from 7:30 a.m. Saturday morning until 7:30 a.m. Monday morning.
· Holiday coverage would be 24-hour cell phone back-up call with up to eight (8) hours of in-house scheduled work and call-back per day. Holiday cell phone back-up is from 7:30 a.m. on the holiday
morning until 7:30 a.m. on the following weekday or weekend morning.
· At the discretion of the Chief, Department of Radiology, a flexible schedule will be utilized for the
Diagnostic Radiologists not to exceed 80 hours per 2-week period. (excluding a 60-minute meal break).
· Actual duty hours will be determined by CRDAMC Chief of Radiology or his/her designated representative. Hours scheduled do not include travel time involved in reaching CRDAMC. The
government will pay only for the actual hours worked. Signing in prior to scheduled time will not be considered as hours worked. The above timeframes are subject to change by mutual agreement of the government and the contractor. The Contractor shall only be paid for actual hours worked. Hours scheduled for shifts do not include travel time involved in reaching the medical treatment facility. The Contract HCW shall be rested and fully physically and mentally capable for performing the duties required under this contract. Compensatory time ( comp time) is not authorized.

1.5.7.2. Scheduling: The schedule or scheduling process is as follows:
Contractor HCWs shall perform services on a duty schedule established by the Chief and/or his designee. The duty schedule shall be made out in advance of performance, will annotate/identify the contract employees scheduled to work the required shift-hours established by the Government, and shall be submitted to the COR for official record. Starting and ending times, as well as specific days of the week, will vary and may include rotating shifts consisting of days, evenings, nights, weekends and holidays. The Government maintains the right to change schedules to meet operational needs. The contractor will provide the COR or his designated government representative with 30-days’ notice prior to any planned absence. No backup personnel will be required during absence. The contractor shall not invoice for periods when not performing services. In the event the contractor is unable to perform on an assigned duty day, he/she shall notify the Department Chief or the COR not later than 0730 (7:30 A.M.) hours on the duty day to be missed. If the contractor becomes sick on a normal duty day, he/she shall notify the COR or the Department Chief.
· Signing in prior to scheduled times will not be considered “as actual hours worked” and is not billable.
· No provisions are made for meal breaks and are not billable, unless directed by the Government, in the case
of emergency or ongoing patient care. During these instances, the contractor is not exempt from taking the mandatory unpaid meal break but will take the meal break once patient care has been stabilized. Mealtimes may fluctuate from day-to-day and may extend more than half-way past a scheduled shift.
· Meal breaks may vary daily but are mandatory and must be taken before the end of shift. Working through
lunch is not authorized and not billable.
· Working through lunch to leave early or come in late is not authorized and not billable.
· No provisions are made for “rest” breaks and are not billable (this does not include restroom breaks).
· HCWs must be fully rested and physically and mentally capable of performing the duties required under
this contract.
· Compensatory time (comp-time) is not authorized.
· 1.5.7.5. Closures: During a planned closure of the facility due to training, holiday or unplanned closure due to unusual and compelling circumstances (e.g., natural disasters, military emergencies, severe weather), the Contractor will only be compensated for the actual hours the HCW provided services. HCWs shall report to work as scheduled during emergencies, disasters or during adverse weather conditions. Contract services are still required during these situations.

· 1.5.8. Place of Performance: The work to be performed under this contract will be at Carl R. Darnall Army Medical Center Fort Cavazos, Texas

· 1.5.9. Mission Essential: The following labor categories are designated as mission essential:
HCWs are considered mission essential in order to continue and sustain essential clinical operations during facility unplanned closures or emergencies.

1.6.7. Relocation Costs: The Government ?will pay the Contractor to relocate HCWs. Appropriate documentation shall be provided with the invoice to support payment of the relocation expenses, i.e., receipts for movement of household goods, POC mileage, and per diem (food and lodging) and will be paid in accordance with FAR 31.205-35. Reimbursement for actual travel costs will be paid in accordance with Federal Travel Regulation not exceed $2,500.00 per provider. If the three actual expenses just listed are less than the amount of the actual expenses shall be paid. Renting of an apartment/hotel room, rental car, airline ticket, bus ticket and/or train ticket and expense money for a provider to live in the MTF area during the week then return to a permanent residence during the weekends/holidays/periods of time off work are not considered relocation expenses and shall not be invoiced for or paid. In the event the contract provider does not complete the 12-month tour of duty, the entire relocation expenses will be recouped from the contractor. This is a one-time payment of relocation expenses per individual.

1.6.20.3. Occupational Health: The HCW ?shall ?shall not be required to obtain documentation of required physical testing or a report of a physical examination. This list may change at the direction of Occupational Health.
· MMR vaccine – 2 doses or Rubella, Rubeola and Mumps igG titers showing positive results (if needed,
must be taken no less than two (2) weeks prior to report date)
· PPD (TB skin test) - 2 tests within the past 12 months or a QFT Gold showing negative results within the
past 2 months. A copy of a chest x-ray if you have a history of a positive TB test
· Varivax vaccine (chickenpox) – 2 doses or Varicella igG titer showing positive results
· Influenza vaccine (flu shot) - annually
· Hepatitis B vaccine - 3 doses or HBsAB showing positive results (health care providers only)
· BCLS, PALS, etc. cards (if required)
· COVID-19 Certification (if required)
Hepatitis Immunizations: The additional immunization/screening requirements for the risk of exposure to hepatitis virus (Hep B) are as follows:
In accordance with memorandum “Assistant Secretary of Defense (Health Affairs), 23 October 1996”, DOD civilian personnel hired on or after 01-JAN-1997 whose duties involve direct patient contact are subject to complete a series of three immunizations against Hepatitis.

1.6.20.5. Tuberculosis Screening: The additional immunization/screening requirements for the risk of exposure to tuberculosis (TB) are as follows:
The HCW shall be screened before employment and annually for tuberculosis by a tuberculin skin test using the Mantoux technique. (The TINE test is disallowed as a substitute.) A skin test result of 10 mm of induration or more shall require the HCW to have a chest roentgenogram and an evaluation performed. A tuberculin skin test of 10 mm of induration or more will require documentation providing an assessment of the patient (status of infection-active, inactive; need for preventive treatment or not as 9 determined by age, history of BCG (Bacillus Calmette-Guerin) vaccination; duration of skin test positivity).

Labor Category: Radiologist
HCW Qualifications (Contract PWS 5.2; 5.2.3; 5.2.4; 5.2.6.4.4):
· Degree/Education (5.2.4): Must be a Doctor of Medicine (M.D.) or Osteopathy (D.O.) from an
accredited college approved by the Council of Medical Education and Hospitals of the American Medical
Association or Doctor of Osteopathy from a college accredited by the American Osteopathic Association. Must have successfully completed an internship and residency training in a US accredited U.S.
Diagnostic Radiology Training Program.
· Certifications (5.2.3): Contract workers shall maintain current certification in Basic Life Support (BLS) from the American Heart Association, or the American Red Cross. Certification cards must display the American Heart Association, the American Red Cross or other approved certifying body emblem. Web-based (on-line) classes are not acceptable by the Government.
· Experience: The Radiologist shall have been continuously employed in the practice of diagnostic radiology for 2 years prior to the commencement of services under this contract.
· Board Certification (5.2.6.4.4): The provider must be board certified or board eligible in Diagnostic
Radiology.
· Licensure/Registration: Documentation demonstrating permission by an official agency of a State, the District of Columbia, or a Commonwealth, territory, or possession of the United States to provide health care within the scope of practice of a specified discipline. Licensure, certification, or registration is a
qualification for employment as a healthcare provider in the MHS. Healthcare providers must have one current, valid, active, and unrestricted license. Additional licenses held by a provider must be in good standing whether they are inactive, expired, or limit the provider’s practice to a military setting. Providers in the MHS may not have one active license and another currently suspended or probationary license. Non personal services contractors are not afforded licensure portability per the DHAPM 6025.13, volume 4 and 10 USC 1094. Therefore, they must be licensed in the state they are rendering care.
HCW Duties (5.1 Task 1): The duties for the HCW are as follows:
Core Duties: The physical work demands involve moderate and heavy physical exertion on a regular basis, to include standing for prolonged periods, lifting a variety of heavy equipment, positioning and lifting disabled individuals, making frequent postural changes according to patient responses, and demonstrate tests or tasks which require coordination, dexterity, speed, strength, bilateral coordination, writing and keyboarding. In addition, the contract Radiologist shall perform all procedures and duties that are normal to the scope of that provider's particular specialty and for which privileges are granted by the MTF. These are essentially the same duties as those required of any military or Civil Service provider of similar experience and in similar duty assignments. Specific tasks include, but are not limited to:
Review and interpret special procedures and nuclear medicine studies obtained on DoD beneficiaries from local and/or regional civilian medical centers, and Veterans Administration Hospitals within twenty-four (24) hours after receipt in the Department of Radiology if requested in writing by the Chief, Department of Radiology.
Provide advice and opinions upon request by the Chief of Radiology in support of diagnostic interpretations of radiological examinations and procedures as provided in conjunction with patient care and treatment as provided by the contractor.

Read STAT/"Wet" diagnostic studies within fifteen (15) minutes from the time the diagnostic studies are made available to the contract radiologist for interpretation. The response time on these diagnostic studies may be monitored by the COR at the government's discretion.

The turnaround time for reports should be as follows:
• STAT = 1 hour
• ASAP = 24 hours
• Routine = 72 hours
Interpret all routine studies (including plain films, CT, US, nuclear medicine as available at the MTF) and submit a written report within twenty-four (24) hours after the study is performed.
Accomplish fluoroscopic exams and special procedures on the daily schedule established at the direction of the Chief, Department of Radiology. These fluoroscopic exams and special procedures require same-day interpretation.
Submit legible handwritten or dictated reports of the interpretation on Standard Form (SF 519-B) or other report forms, or electronic media, as required by the local Commander.
Prepare all records and reports as may be required in support of services rendered and as required by the MTF Standing Operating Procedures, Federal law or Army regulation. All written reports/documentation shall be legible and shall be considered property of the government.
Participate in Continuing Medical Education (CME) training sufficient to satisfy requirement of appropriate licensing agencies. These costs for CME will be at no cost to the Government.
Facilitate patient access to medical care by recommending appropriate referrals to other health care providers in accordance with policies and regulation of the MTF.
The contractor shall perform and provide diagnostic interpretation of radiologic examinations, and provide diagnostic consultation related to diagnostic imaging to other member of the medical staff. Examination procedures and studies performed will include the full range of diagnostic and therapeutic work which would be performed by a diagnostic radiologist who shall, at a minimum, be board eligible for certification without additional education or training being required for board certification. Routine studies such as plain film interpretation, the normal range of fluoroscopic examination and common invasive procedures, the interpretation of CT scans, interpretation of MRI scans, and the performance of ultrasound and mammographic exams are required. Procedures which are required include, but are not limited to, the following:
Fluoroscopic and Radiographic Studies:
• Chest and Ribs
• Skull and spine
• Pelvis
• Sinuses
• Facial bones
• Abdomen/KUB
• Extremities
• Arthrogram
• Upper GI/Barium Swallow
• Small Bowel Follow through
• Barium Enema (single and double contrast)
• Hysterosalpingography
• Voiding Cystourethrography
• Mammography
Ultrasound Studies:
• Neonatal head
• Neonatal Spine
• Newborn Hips
• Pelvis
• Inguinal
• Neck
• Thyroid
• Right Upper Quadrant
• Renal
• Spleen
• Deep veins of the upper and lower extremities
• Superficial lesion
MRI Studies:
• Brain
• Spine
• Joints
• MRCP
• Abdomen (including renal, pancreas, or adrenal)
• Pelvis
CT studies:
• Head and brain
• Spine
• Abdomen/pelvis
• Angiography (brain, neck, chest, abdomen/pelvis, extremities, coronary arteries)
• Extremities

5.1.1. Legal Authorization to Work in the United States: ? HCWs performing under this contract shall be a U.S. citizen.

5.2.6. Qualifying/Credentialing Packages: The Contractor shall provide a complete package IAW DHA-PM 6025.13 Clinical Quality Management in the MHS. The packages needed for this TO are as follows:
5.2.6.2. ?Qualifying Package: The Contractor shall provide a complete, current, and accurate qualifying package within 15 days.
5.2.6.3. ?Credentialing Package for Non-Privileged HCWs: The Contractor shall provide a complete, current, and accurate credentialing packages for N/A
5.2.6.4. ?Credentialing Package for Privileged HCWs: The Contractor shall provide a complete, current, and accurate credentialing package within 30 days of receipt and acceptance of qualifying packet.
5.2.6.4.1. Clinical Competency: Each HCW requesting clinical privileges shall ? shall not ? be required to demonstrate clinical competency within the past two years in the required clinical discipline as specified in this PWS.
5.2.6.4.3. Drug Enforcement Agency (DEA) Registration: Requirements for DEA registration numbers are required for NA.
5.4.4.4. On-Call Hours: On-call requirements for each labor category are as follows: On-call requirements for each labor category are as follows: On-Call is defined as hours outside of the regularly scheduled eight (8) hour shift. On- Call Status defined as a period of time during which the provider shall remain available to receive calls from the MTF. The HCW is not required to remain at a place of residence while on call, but shall be available by Government furnished beeper, a pager, or a cell phone during on-call periods. The provider shall respond telephonically within
• 10 minutes of the page/call being sent/call being received and shall be prepared to provide consultation and/or assistance to the MTF within 60 minutes of the page being sent/call being received or as soon as needed. Potential on-call hours are:
• Weekday:
• 4:30 p.m. until 7:30 a.m.
• Weekend:
• 4:30 pm Friday until 7:30 a.m. Monday morning.
• Holiday:
• 7:30 a.m. on the holiday morning until 7:30 a.m. on the following weekday or weekend morning.
• While in an on-call status, the HCW shall bring a Government issued laptop home with VPN capabilities to be able to look at images. The HCW shall sign for the Government issued laptop via a sub-hand receipt and will ensure the laptop is secured at all times. In the event the laptop is broken or stolen, the HCW could be held financially liable for the replacement of the laptop. If the Tele-Radiology service goes down, the Radiologist shall return to the MTF to read the studies within 60 minutes after receipt of the page and/or call

5.4.4.4.1 Call-Back Hours: HCWs ? will be required to report in-person to the MTF during on-call hours if needed. The number if call-back hours and timeframe is as follows: Call back service is defined as when the HCW has to return to the MTF to read studies. In order to invoice for call back hours, the HCW must be in an on-call status and returned to the MTF to read studies. Carrying a beeper and/or cell phone does not qualify as call back services. The HCW is not required to remain at a place of residence while on call but shall be prepared to provide on-site consultation and/or assistance at the MTF within 60 minutes of the page and/or call being sent, if required.

Each time the HCW is called back to the MTF and call back services are performed, the HCW shall sign-in the time of commencement/termination of services on a log maintained in the location where services are performed. The HCW may bill a minimum of one hour for each on-site emergency response. Where an emergency response requires services for periods longer than 1 hour, the provider may round periods of 30 minutes or more to the next whole hour. Periods of less than 30 minutes shall not be billed to the Government. Call-back hours shall be billed against the call back line item.

5.4.4.5. Overage Hours: Overage hours for each labor category are as follows:
Hours will only be used in the event of an emergency and additional hours are required for the hospital to meet their mission and to ensure there is no disruption in patient care. Hours will be limited and only at the approval of the Department chief or his/her designee with final approval given by the COR. The Government should avoid the use of overage hours by allowing the HCW to leave early the next day, if possible. Compensatory Time (Comp Time) is not authorized.