10-236-SOL-00031_CRC_PWS_07092010.pdf

PERFORMANCE WORK STATEMENT

INDIAN HEALTH SERVICE: Colorectal Cancer Screening Needs Assessment and Endoscopic Survey Tool

Section 1 GENERAL INFORMATION

1.1. BACKGROUND INFORMATION

1.1.1 History. The Indian Health Service (IHS) Division of Epidemiology and Disease Prevention (DEDP) provides epidemiological services in the form of outbreak investigations, development of surveillance systems, infectious and chronic disease control interventions, and special applied research projects to American Indians and Alaska Natives throughout the United States.

The DEDP is also the national coordinating center and collaborates with the 12 Tribal Epidemiology Centers to collect, analyze, interpret, and disseminate health information critical to identifying diseases to target, suggesting strategies for successful interventions and testing the effectiveness of health interventions that have been implemented.

1.1.2 Mission. Epidemiology provides the foundation for all public health activities.

Tribal governments and health facilities as well as IHS direct-service sites already deliver public health services such as immunization and cancer prevention and control programs to American Indian and Alaska Native communities throughout the country. More efficient service delivery and development of effective interventions to improve health requires in-depth knowledge of the causes of illness and mortality among the population and epidemiology provides that knowledge.

1.1.3 Colorectal Cancer Screening Needs Assessment and Endoscopic Survey Tool.

A Government employee is doing tasks related to overall cancer screening surveillance.

However, DEDP needs the skills and manpower to actually do more detailed work gathering colorectal cancer screening information among VT/Us and the ability to provide endoscopy.

This is a collaborative project with the Centers for Disease Control and Prevention staff assigned to the IHS DEDP.

1.2 CONTRACTOR PERSONNEL

1.2.1 The Contractor must not employ persons for work on this contract if such employee is considered by the contracting officer to be a potential threat to the health, safety, security, general well-being, or operational mission of the office and its population.

1.2.2. The Contractor must make sure employees have the following current and valid professional certifications before starting work under this contract. No substitutes

- 1 - 7/9/2010 of personnel without notification and approval by the Contracting Officer's Technical Representative (COTR). The Contractor shall notify the COTR, in writing, of any addition, deletion, or change within 5 working days of such change. This list shall include each employee's name, work assignment, certification, qualifications, and experience.

1.2.3. The Contractor must not employ any person who is an employee ofthe u.s.

Government if employing that person would create a conflict of interest.

Additionally, the Contractor must not employ any person who is an employee of the Indian Health Service, unless such person seeks and receives approval according to IHS regulations.

1.2.4. The Contractor must maintain satisfactory standards of competence, conduct, appearance, integrity, and ethics.

1.3 Performance Evaluation Meetings. The CO may require the Contractor to meet with the CO, COTR and other IHS personnel as deemed necessary. The Contractor may request a meeting with the COTR when he or she believes such a meeting is necessary. Written minutes of any such meetings must be recorded in the contract and signed by the Contractor and the CO.

If the Contractor does not concur with any portion of the minutes, such non-concurrence must be provided in writing to the CO within 15 calendar days following receipt of the minutes.

1.4 SECURITY. Contractor personnel must easily be recognized as contractor employee, if on-site. Government site badge must be obtained. Appropriate Facility Security Clearance shall be addressed when reporting for the first day of duty. The Contractor must be responsible for safeguarding all government property provided for contractor use. At the end of each work day, all government property, equipment and materials must be secured.

1.4.1. Identification Badges. The Contractor shall ensure that each Contractor employee acquire a Government identification badge in accordance with IHS DEDP procedure.

DEDP, through the Security Office, will furnish badges. Contractor personnel shall wear the badge conspicuously displayed at all times while performing required services at DEDP. Should a badge be lost, damaged, or destroyed, it shall be replaced immediately.

1.4.2. Key ControllPassword. The Contractor must establish and implement methods of making sure all keys or passwords issued to the Contractor by the IHS are not lost or misplaced and are not used by unauthorized persons. The Contractor must not duplicate any keys issued by the government.

1.4.2.1. The Contractor must immediately report to the COTR or CO any occurrences of lost or duplicated keys.

1.4.2.2. In the event keys, other than master keys, are lost or duplicated, the Contractor may be required, upon written direction of the CO, to rekey or replace the affected lock or locks without cost to the IHS. The IHS may, however, at its option, replace the affected lock or locks or perform rekeying and deduct the cost of such from the payment due the Contractor. Ifthe master key is lost or duplicated, all

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1.4.2.3.

locks and keys for that system must be replaced by the IHS and the total cost deducted from the payment due the Contractor.

The Contractor must prohibit the use of keys issued by the IHS by any person other than the Contractor's employees. Opening of locked areas by Contractor employees to permit entrance of persons other than Contractor employees engaged in performance of contract work requirement in those areas is prohibited.

Lock Combinations - The contractor must control access to all IHS provided lock combination to preclude unauthorized entry.

1.4.2.4.

1.5 HOURS OF OPERATION. If Contractor is onsite: with the exception of work approved off-site, all work shall be performed during normal working hours of 6:00 am to 4:30 pm, Mountain Time, Monday through Friday, excluding Federal holidays. The Contractor is responsible for notifying the COTR of he/she will be late, or is ill and unable to work for other reasons. If offsite: the Contractor shall be available by phone or email within four hours of contact by IHS DEDP office.

1.5.1 Federal Holidays. Holidays are in accordance with the u.s. Government Office of Personnel Management website: http://www.opm.gov

1.6 CONSERVATION OF UTILITIES. The Contractor must make sure

employees practice utilities conservation. The Contractor must be responsible for operating under conditions that prevent the waste of utilities onsite.

1.6.1 Lights must be used only in areas where work is actually being performed.

1.6.2 Employees must not adjust mechanical equipment controls for heating, ventilation, and air conditioning systems.

1.6.3 Water faucets or valves must be turned off when not in use.

1.7 RECORDS. The Contractor must be responsible for creating, maintaining, and disposing of only those government required records that are specifically cited in this PWS or required by the provisions of a mandatory directive listed in section 5, Applicable Publications and Forms. If requested by the government, then the Contractor must provide the original record or a reproducible copy of any such record within five (5) working days of receipt ofthe request.

The Contractor shall not keep any records or make use of any data derived from the performance under this contract and shall be available for inspection by the Government upon request at any time during the performance period.

Prior approval shall be obtained from the COTR for the release or dissemination of information related to this contract. Information includes, but is not limited to: news releases, articles, manuscripts, reports, advertisements, still and motion pictures, speeches, trade association meetings, symposia, brochures, etc. Requests for approval should be forwarded three months in advance of desired release to permit sufficient time for review, evaluation, and

- 3 - 7/9/2010 clearance. The COTR will be responsible for obtaining Departmental clearances and technical assistance from the IHS Office of Communications.

1.7.1 Final Disposition of Records, Reports, Charts, Logs, and Maps. All reports, charts, logs, and maps shall become the property of the Government upon completion or termination of the contract and shall be available for inspection by the Government upon request at any time during the performance period. Any Government publications provided to the Contractor during its performance under this contract shall be returned to the Government.

Section 2 ACRONYMS AND DEFINITIONS

2.1 ACRONYMS

AIlANs - American Indians and Alaska Natives CO - Contracting Officer COTR - Contracting Officer's Technical Representative CRC - Colorectal cancer DEDP - Division of Epidemiology and Disease Prevention EPI - Epidemiology IITIU - IHS, Tribal, and Urban IRS - Indian Health Service IRB - Institutional Review Board PWS - Performance Work Statement

2.2 DEFINITIONS

ACCEPTANCE - An acknowledgement by an authorized U.S. Government representative that the supplies or services conform to applicable contract quantity and quality requirements.

Acceptance of supplies or services is the contracting officer's responsibility, which may be delegated to another' official. Acceptance is usually evidenced by an acceptance certificate on an inspection or receiving report. The preferred method of transmission of acceptance reports is via electronic means. Acceptance reports need two dates, the date of delivery and the date of acceptance. The acceptance date is one of the factors used to establish a payment due date.

CALENDAR DAYS - Consecutive days without regard to weekends or holidays.

CONTRACT - Any enforceable agreement or order to buy supplies or services. A subsequent modification becomes part of the contract. In this regulation, the term is expanded to include delivery and purchase orders and other procurement documents.

CONTRACT MODIFICATION - Any written change in the terms of the contract. Only contracting officers acting within the scope of their authority are empowered to execute contract modifications.

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DEFECTIVE SERVICE - A service output that does not meet the standard of performance requirement specified in the contract for that service.

GOVERNMENT FURNISHED EQUIPMENT (GFE) - Property provided to a contractor by the government. It is used in producing an end product or service. It is not consumed, but is returned in the same form at the end of the contract.

INSPECTION - The process of determining compliance with standards through formal and informal surveys of workplaces, operations, and facilities.

PERFORMANCE REQUIREMENT - The point that divides acceptable and unacceptable performance of a task according to the PRS and the Inspection of Services clause. It is the number of defects or maximum percentage of defects in the lot that is acceptable.

PERFORMANCE REQIDREMENTS SUMMARY -A listing of the services outputs under the contract that are to be evaluated by the COR on a regular basis, the surveillance methods to be used for these outputs, and the performance requirements of the listed outputs.

SURVEILLANCE - Surveillance is the process of monitoring either by direct evaluation, observation, or other information sources, contractor performance.

Section 3 GOVERNMENT FURNISHED PROPERTY AND

SERVICES

Onsite: Desk, chair, office, supplies, access to laptop and other equipment if needed.

Offsite: No government property will be furnished. Contractor is responsible for all equipment.

Section 4 SPECIFIC TASKS

Provide assistance to the Indian Health Service Division of Epidemiology and Disease Prevention staff with programming activities within different data sources to better the surveillance and reporting of infectious and chronic diseases in American Indians and Alaska Natives.

CONTRACTOR RESPONSmILITIES. The Contractor's work and responsibility shall be comprised of, but not be limited to planning, administration, and management necessary to assure all services, functions and operations are conducted in accordance with the terms and conditions of this PWS. Contractor shall not be relieved of any performance requirements because of waiting for approvals. The Contractor shall comply with all Federal, State and local applicable laws, regulations, and any changes or revisions thereto. The Contractor shall adhere

- 5 - 7/9/20lO to such laws and regulations including when they are changed or revised during the performance of this PWS. The Contractor shall ensure that all work meets or exceeds the specifications in this PWS and all applicable regulations. The Contractor shall perform its own administrative services necessary to accomplish the work, i.e., internal payroll documents, internal administrative document handling. The Contractor shall maintain cooperative and businesslike relations with other IIT/U health facilities and personnel with whom it comes in contact. Any difficulties or disagreements shall be brought to the attention of the COTR.

The tasks will apply to the length of the contract.

4.1.

4.2.

4.2.1.

4.2.2.

4.2.3.

4.2.4.

4.2.5.

4.2.6.

4.2.7.

4.3.

4.3.1.

4.3.2.

4.3.3.

4.3.4.

4.3.5.

4.3.6.

4.3.7.

4.4

4.5.

4.5.1 4.5.2

Meet with DEDP staff to discuss PWS and outline tentative minimum requirements of CRC needs assessment and endoscopy survey activities

Conduct CRC needs assessment in at least 5 IITiU health facilities.

Develop draft CRC needs assessment tool and secure approval of tool from illS

DEDP.

Identify at least 5 IITiUs to pilot test CRC assessment tool and secure approval of tribal and/or IHS IRBs.

Conduct pilot test of assessment tool.

Develop template for reporting results of CRC assessment tool. Submit template for illS DEDP approval.

Submit results of CRC assessment.

Revise assessment tool based on pilot testing. Submit for IHS DEDP approval.

Develop plan for implementing CRC screening assessment tool throughout remaining IITIUs.

Conduct gastro-intestinal endoscopic capacity survey in at least 12 IITiU health facilities.

Develop draft endoscopic survey and secure approval of tool from IHS DEDP.

Identify at least 12 I/TiUs to pilot test endoscopic survey and secure approval of tribal and/or IHS IRBs.

Conduct pilot test of endoscopic survey.

Develop template for reporting results of endoscopic survey. Submit template for rns DEDP approval.

Submit results of endoscopic survey.

Revise endoscopic survey based on pilot testing. Submit for illS DEDP approval.

Develop plan for implementing endoscopic survey throughout remaining IITiUs.

Collaborate in analysis, interpretation, presentation, and publication of results of both CRC screening assessment and endoscopic capacity survey.

Monthly Reports and Summary Report Monthly report on activities to-date for review and approval by COTR Summary report for two-year's activities for review and approval by COTR

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4.6. CONTRACTOR PERSONNEL IDENTIFICATION. The Contractor shall furnish in writing to the CO a list of employees who will perform under this PWS.

4.7. TIME SCHEDULE. The Contractor shall propose a time schedule to the COTR for approval that identifies the date for each requirement. The time requirement to update plans, regulations, reports, and other deliverables shall be from the date the item was last completed.

The Contractor shall use the following time frame unless a specific time is stated in the PWS:

Weekly - Once every 7 days Monthly - Once every 30 days Quarterly - Once every 3 months Semi-Annually - Once every 6 months Annually - Once every 12 months

Section 5 APPLICABLE PUBLICATIONS AND FORMS

Technical Exhibit #1- Performance Requirements Summary Technical Exhibit #2 - Workload Estimates Technical Exhibit #3 - Required Reports

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