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Healthcare Services Contracting Discussion. CAPT Bernie Poindexter, MSC, USN Deputy, M8 Wednesday, 7 Oct 2009. Personal Services Contract (PSC). Authorized by 10 U.S.C 1091 for healthcare

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healthcare services contracting discussion

Healthcare Services Contracting Discussion

CAPT Bernie Poindexter, MSC, USN

Deputy, M8

Wednesday, 7 Oct 2009

personal services contract psc
Personal Services Contract (PSC)
  • Authorized by 10 U.S.C 1091 for healthcare
  • By its expressed terms or as administered, makes the contractor personnel appear, in effect, to be GS employees
  • Usually:
    • Performance on site
    • Principle tools and equip furnished by the Gov
    • Services are applied directly to the integral effort of Agency
    • Comparable services are performed by civil service personnel
    • Reasonable need for service to last beyond a year
    • Inherent nature of the service requires Gov direction or supervision
personal services contract terms and tools
Personal Services Contract: Terms and Tools
  • Types
    • Indefinite Delivery Indefinite Quantity (IDIQ)
    • Multiple Award Task Order (MATO)
    • Individual Set-Aside (ISA)
    • Blanket Purchase Agreement (BPA)
  • Key People
    • Contracting Officer (KO)
    • Contracting Officer’s Representative (COR)
    • Technical Liaison (TL)
  • Coming soon:
    • Physician Locum Tenens
    • Traveling Nurse and Allied Health Professionals
fy2009 funded personal services
FY2009 Funded Personal Services


$22.8M on 237 FTEs


$12.1M on 100 FTE’s

Blood Bank Program

$4.4M on 95 FTEs


$26.1M on 201 FTEs


$414.6M on 4,053 FTEs

Total FY2009 Obligations: $480M and 4,686 FTEs

$151M Forward Funded (1,626 FTEs) – Performance must start by 30 Sep

FY09 Non-PSC Contracts (15) awarded by FISC valued at $11.5M (e.g., Emergency Department, Mobile MRI, etc.)

Total number of CORs BSO-wide = 66; 2,072 SOWs developed in FY09

Contract Healthcare Workers - Significant Investment

current contract healthcare services
Current Contract Healthcare Services

GRAND TOTAL: 4,686 FTEs (avg $103K per FTE)

Contract Healthcare Workers Support All Service Lines


**PALT – Procurement Administrative Lead Time

*ALT – Acquisition Lead Time

Key Success Factors

Healthcare Service Acquisition


Responsible Lead / Support

  • Shared understanding of roles and responsibilities; commitment (resources and time) to the acquisition process
  • Effective & timely collaboration on market research, technical specifications, procurement strategy, SOW development & approval
  • Timely funds authorization/flow
  • Effective communication for problem solving, process management, leadership awareness
  • Requirement scope, complexity, and value drive acquisition lead time and acquisition planning resources
  • Requirements Definition / SOW Development
    • Define Requirement
    • Build SOW
    • Conduct Market Research
    • Develop Cost/Price Estimate
    • Define Procurement Strategy
    • Final Review / Approve SOW
    • Provide Funding

a) Customer

b) KO/ Customer

c) KO/ Customer

d) KO// Customer

e) KO/ Customer

f) KO

g) Customer

  • Procurement / Contracting
    • Develop Solicitation
    • Conduct Legal Review
    • Issue Solicitation to Industry
    • Develop / Submit Proposal
    • Evaluate Proposal
      • - price & technical
    • KO review / negotiate contract award

a) KO

b) KO

c) KO

d) Vendor

e) KO/ Customer

f) KO

  • Start-Up
    • Conduct Healthcare Provider Recruiting
    • Conduct Credentialing
    • Provide Facility Access

a) Vendor

b) Customer / Vendor

c) Customer / Vendor

take aways
Take Aways
  • Contractors are essential
  • MTFs must be fully engaged in acquisition planning – communication is crucial
  • Streamlining is possible across the acquisition continuum – mostly in phase one
  • Contracting for personnel cannot be done in a vacuum – must be integral part of the business plan