1. The Purpose and Explanation of an ACAN
An Advance Contract Award Notice (ACAN) allows Indigenous Services Canada (ISC) to post a notice for no less than fifteen (15) calendar days, indicating to the supplier community that a goods, services or construction contract will be awarded to a pre-identified contractor. If no other supplier submits, on or before the closing date, a Statement of Capabilities that meets the minimum requirements identified in the ACAN, the Contracting Authority may then proceed to award a contract to the pre-identified contractor.
2. Rights of Suppliers
Suppliers who consider themselves fully qualified and available to provide the services or goods described in this ACAN may submit a Statement of Capabilities demonstrating how they meet the advertised requirement. This Statement of Capabilities must be provided via e-mail only to the contact person identified in Section 12 of the Notice on or before the closing date and time of the Notice. If the Bidder can clearly demonstrate they possess the required capabilities, the requirement will be opened to electronic or traditional bidding processes.
3. Proposed Contractor
Dr. L Derzko, Beausejour, Manitoba
Dr M Ashton, Sevres, France
Dr G Warrian, Dauphin, Manitoba
4. Definition of Requirements or Expected Results
The objective of the contract is to ensure the availability of, or access to, health services for First Nations and Inuit communities and to attain health levels comparable to other Canadians living in similar locations. The result would be improved health and well-being of the public.
First Nation and Inuit Health Branch (FNIHB) provides health care to eligible First Nation and Inuit people living in remote areas of Manitoba. Health as defined by the Canadian Medical Association (CMA) as a state of physical, mental, emotional and spiritual well-being. It is characterized in part by the absence of illness and disease.
The purpose of the Non-Insured Health Benefits (NIHB) Program is to provide non-insured health benefits to registered First Nations and Inuit in a manner that is appropriate to their unique health needs, contributes to the achievement of an overall health status for First Nations and Inuit people that is comparable to that of the Canadian population as a whole, which is sustainable from a fiscal and benefit management perspective, and facilitated by First Nations and Inuit Branch control at a time and place of their choosing.
This contract covers the physician travel costs and physician services not covered by the provincial health program. The purpose of this contract is to support nurses in health service delivery in isolated communities.
5. Minimum Requirements
Any interested supplier must demonstrate by way of a Statement of Capabilities that it meets the following minimum requirements:
a) Be prepared to travel to remote isolated communities within Manitoba
b) Registered and licensed to practice Medicine in the Province of Manitoba
c) Provide medical services on an ‘as and when requested’ basis
d) Agree with the negotiated payment Manitoba Health Services Commission in either ‘sessional’ or ‘fee-for-service’ basis
e) To carry out the objectives of the contract, the following services includes but are not limited to;
Medical Treatment Clinics
In the context of a clinical environment organized and directed by the Nurse in Charge as the onsite manager of First Nations and Inuit Health Branch, the physician will perform such examinations and laboratory tests/investigations as are clinically indicated as well as prescribe treatment and undertake minor procedures as follows:
Physical examination, analysis, and interpretation of case histories, and analysis and interpretation of x-ray and laboratory tests.
Treating patients and performing necessary procedures, such as minor surgery.
Prescribing courses of treatment and follow-up action for patients.
Referring patients to outside specialists and hospitals for assessment, investigation, and any recommended further action or care not available in the community when warranted by client condition.
Consulting with colleagues and/or visiting specialists.
Recording all pertinent data in First Nations and Inuit Health Branch records for future reference.
Acting as medical consultant on request of Nurse-In-Charge or Community Health Nurses routinely performing primary health care function.
Community Outreach Services
These are services that occur in the community or are directed at improving the overall health of the community. These services may occur at the nursing station or at other locations in the community and are at the request of the Nurse in Charge. They may include the following:
Conducting home visits with the Nurse in Charge or designate.
Attending Health Committee meetings
Attending Band Council meetings
Attending other health related meetings including nursing station management meetings.
Attending multi-disciplinary meetings with other agencies
Other Services
Other services may be requested by the Project Authority or Departmental Representative to support the primary care delivery in First Nations communities. These services may include the following:
Providing epidemiological review, program development, advice and consultation or special project assignments.
Follow-up Services
Acting as a resource person to the primary care giver (Nurse in Charge or designate), these services entail:
Proving advice during clinic hours on scheduled days of service regarding management of patients as well as tutorial advice and recommendations on follow-up care on clients seen by the nurse in the absence of physician. This is to be provided for all communities for which the physician provides services.
Telephone consultations, outside of clinic hours or on non-service days, regarding patients and/or problems not currently under the care of the contracting physician. The physician must maintain clinical records of the consultation, and ensure an entry is made in the chart regarding the consultation.
For laboratory or radiologic investigations, it is expected that normal results will be reviewed by the nursing staff and filed in the patient chart to be available for reference when being seen by health care providers. Abnormal test results will be provided to the Physician for his/her review/action prior to the results being filed in the patient's chart. Chart reviews during regular hours or after hours, includes updating of patient problem lists, medication list, ensuring that required tests/interventions are documented, follow up of laboratory, diagnostic imaging and consultant reports, and annotating chart as being reviewed with actions to be taken by Nurse in Charge/delegate clearly identified.
Formal In-Service Education
The physician will provide instruction, teaching/group discussions on topics requested by the Nurse in Charge, or by the Nurse Manager and at a time mutually agreed upon by all parties. The physician must submit the topic of the education session and materials, date, time and an attendance sheet signed by the attendees.
Travel
For the purposes of this agreement, physicians will be transported between one of two major terminals (Winnipeg/Thompson) and the community, regardless of where the physician lives. Travel time and travel expenses will be calculated according to National Joint Council Travel Directive, and using the following:
If the physician resides in Manitoba, travel time and travel expenses will be calculated from the physician’s usual place of residence or from practise location within Manitoba, to the community at which the physician is to work.
If the physician’s permanent residence is located outside of Manitoba, then travel time and travel expenses will be calculated from the distance between Winnipeg and the community at which the physician is to work.
Subject to the prior written authorization by Canada, travel and living expenses incurred in the performance of the Work will be reimbursed, with no allowance for overhead or profit, within the limits permitted by the current National Joint Council Travel Directive (see Section III, clause TP4 of the Contract).
Receipts are required for all expenses except meals.
Meals (Groceries) Allowance while in the community, will be reimbursed as follows:
Breakfast $7.00 per day
Lunch $8.00 per day
Dinner $15.00 per day
Incidentals $11.50 per day (when overnighting)
TOTAL: $41.50 per day
Receipts are not required.
6. Reason for Non-Competitive Award
Part1, Section 6(C) The nature of the work is such that it would not be in the public interest to solicit bids
7. Applicable trade Agreements and Justification for Limited Tendering or the Procurement Strategy for Aboriginal Business
This procurement is subject to the following:
* Canada Free Trade Agreement (CFTA) Article 504, Non Application section (h) ii) health services or
social services
* Canada-European Union Comprehensive Economic and Trade Agreement (CETA) Article 19.3
* World Trade Organization (WTO), Article XXIII
* North American Free Trade Agreement (NAFTA), Article 1001.1b-2., Section B-Excluded Coverage, Section G Health and Social Services – all classes
8. Ownership of Intellectual Property
If any, the Intellectual Property will be owned by the Contractor.
9. Period of the Proposed Contract
The contract period shall be from date of contract award until March 31, 2019 with one (1) additional three (3) month option period.
10. Estimated Value of the Proposed Contract
The total estimated value of all three (3) resulting contracts including all option periods should not exceed $1,316,572.00, including travel and living expenses (if applicable), and all applicable taxes."
11. Closing Date and Time
The Closing Date and Time for accepting Statements of Capabilities is: June 27, 2018, 14:00 CST.
12. Contact Person
All enquiries must be addressed by e-mail to:
Name: Robin Allen E-Mail:
robin.allen@canada.ca
