A02_12_MSP_PWS_Draft_1.docx

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MEDICAL SERVICE PROGRAM CONTRACT
Solicitation number
140R1024Q0047
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This document is a Performance Work Statement (PWS) for a Medical Service Program contract with the Bureau of Reclamation's Columbia-Pacific Northwest Region. The PWS requires the contractor to provide medical surveillance, preventive medical services, and clearance examinations to meet regulatory requirements for the region's approximately 400 employees. Key requirements include:

  • Review of medical exams by a Board-Certified Occupational Health Physician within 7 business days, with results provided to the Contracting Officer's Representative (COR) within 10 business days (95% AQL)
  • Review of audiogram and respirator clearance results within specified timeframes (100% AQL)
  • Provision of a Registered Nurse at the regional office 2 days per week to provide occupational health services and education
  • Monthly provision of wellness blood draws for employees
  • Adherence to HIPAA and DOI privacy breach reporting requirements

The related federal contract opportunity is a pre-solicitation for a Medical Service Program contract, with an estimated solicitation release in fiscal year 2024. The contract will be awarded by the Department of the Interior Bureau of Reclamation.

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Bureau of Reclamation Columbia - Pacific Northwest Region Performance Work Statement

1. Background The Bureau of Reclamation (Reclamation), Columbia - Pacific Northwest (CPN) Region Occupational Medical Surveillance Program (Program), provides medical monitoring to furnish Reclamation with employees who are physically qualified to perform the duties of their position without endangering the health and safety of themselves, or others, and to monitor health changes and work place exposures Services required in this document, here on referred to as the Performance Work Statement (PWS) include medical surveillance, preventive medical services, and clearance examinations to meet regulatory requirements based on employee job descriptions and job tasks. Required services based on regulatory requirements include Occupational Safety & Health Administration (OSHA), Department off Transportation (DOT), Department of Motor Vehicle (DMV), or specialty examinations based on Reclamation and Department of the Interior (DOI) Safety and Health policies. Preventive services are based on potential exposures due to the nature of the work, such as but not limited to, rabies or Hepatitis vaccines. A Board-Certified Occupational Health Physician/Medical Review Officer (BCOH Physician) shall evaluate medical examinations to; determine fitness for duty, to certify mandatory clearances, to provide “excursion” assessments such as for blood borne pathogen or exposure to toxic substances. Only a BCOH Physician may determine fitness for duty and certify mandatory clearances.

A. Medical surveillance is required when duties of a position are identified, and a determination is made, that the position may have dangerous exposures and/or is arduous as defined in 5 CFR 339.104. The selectee for the position, or the employee occupying that position, is required to undergo initial and periodic medical evaluations. The evaluations are used to determine their ability to perform, and continue to perform, the duties of their position. Positions which may be arduous are listed in Reclamation Manual, Directive and Standards, HRM 02-01, Appendix C (https://www.usbr.gov/recman/DandS.html#hrm) and Attachment 2, Physical Examination Categories. The Program includes a hearing conservation program, asbestos monitoring program, respirator medical clearance program, and Fitness for Duty exams and reviews.

B. The Columbia-Pacific Northwest (CPN) Region has approximately 400 employees in the Program; this number is expected to fluctuate based on employee hiring, and employee transfers, or employees leaving Government service. However, the fluctuation should not be significant enough to alter the expectations of the work required.

2. Scope A. The Contractor shall perform services as identified in this PWS.

B. Testing and examinations shall be reviewed and cleared by a BCOH physician. The determinations of employees shall be fact based, sufficiently explained, and referenced. Any determination of deferred or not cleared shall have action items of what the employee is to do to become cleared.

C. All records containing Personally Identifiable Information (PII) shall be encrypted with a password and emailed or hard copy mailed. Contractor shall provide Reclamation with any medical records upon request within 30 days, and a written statement within 15 days if the records cannot be provided in the 30 days (HIPAA).

D. As requested, hard copy records shall be sent to the Bureau of Reclamation Columbia – Pacific Northwest Region, 1150 N Curtis Road, Boise, ID 83706, Attn: C-PN-1902, for retention.

E. A registered nurse shall be provided for a minimum of two days a week, four (4) hours per day at the Regional Office. The nurse may be allowed additional working days with approval from the Safety Office and the RMPC. The nurse will be required to take DOI training, a background check, and provided with credentials to get access into the Regional Office building. A registered nurse may be requested by the area/field offices.

3. General Requirements This section describes the general requirements for this effort. The following sub-sections provide details of various considerations on this effort.

A. Non-Personal Services

1. The Government will neither supervise Contractor employees nor control the method by which the Contractor performs the required tasks. Under no circumstances will the Government assign tasks to, or prepare work schedules for, individual Contractor employees. It shall be the responsibility of the Contractor to manage its employees and to guard against any actions that are of the nature of personal services or give the perception of personal services. If the Contractor believes that any actions constitute, or are perceived to constitute personal services, it shall be the Contractor's responsibility to notify the Contracting Officer immediately.

4. Business Relations A. Contract Administration and Management

1. The Contractor shall successfully integrate and coordinate all activity needed to execute the requirement. The Contractor shall manage the timeliness, completeness, and quality of problem identification. The Contractor shall provide corrective action plans, quote submittals, timely identification of issues, and effective management of subcontractors. The Contractor shall seek to ensure customer satisfaction and professional and ethical behavior of all Contractor personnel.

2. This requirement is subject to the applicable Department of Labor wage rates under the Service Contract Labor Standards. The Contractor shall be responsible for paying employees performing services for this contract the required minimum monetary wages and fringe benefits.

3. The Contractor shall establish processes and assign appropriate resources to effectively administer the requirement. The Contractor shall respond to Government requests for contractual actions in a timely fashion. The Contractor shall have a single point of contact between the Government and Contractor personnel assigned to support contracts or task orders. The Contractor shall assign work effort and maintaining proper and accurate time keeping records of personnel assigned to work on the requirement.

4. Contractor shall retrieve past employee medical records from all organizations that were used in the past for medical purposes. Any baseline exposure history that is discovered or submitted will be accepted and recorded by the agency if the tests were conducted while the employee was working for Reclamation.

B. Personnel Administration

1. The Contractor shall provide the following management and support as required. It is the responsibility of the Contractor to maintain the currency of their employees by providing initial and refresher training as required to meet the PWS requirements. The Contractor shall make necessary travel arrangements for their employees This will be done with the contractor’s own time and budget. The Contractor shall provide necessary infrastructure to support contract tasks.

2. The Contractor shall provide experienced and qualified professional personnel to provide the services to include the tasks identified in this PWS. Throughout the life of the contract, the Contractor is encouraged to continuously seek ways to incorporate innovative and emerging technologies that in the most economic and efficient manner improve mission performance.

C. Subcontract Management

1. The Contractor shall be responsible for any subcontract management necessary to integrate work performed on this requirement and shall be responsible and accountable for subcontractor performance on this requirement. The prime Contractor shall manage work distribution to ensure there are no Organizational Conflict of Interest (OCI) considerations. Contractors may add subcontractors to their team after notification to the Contracting Officer (CO).

D. Contractor Location and Hours of Work

1. Accomplishment of the results contained in this PWS requires work at various Contractor, Subcontractor, and Government facilities. Normal workdays are Monday through Thursday except US Federal Holidays. Employees typically work more than 8 hours per day, 40 hours per week. Regular hours of work are from 0630 to 1700 local time to the facility. Contractor needs to effectively collaborate with the Contracting Officer Representative (CORs) timeframe (MST or PST).

5. Performance Requirements The following section specifies the Performance Objectives and Performance Elements for the contract.

A. Exam Review Services

1. The BCOH Physician shall provide a final medical determination (Cleared, Deferred, or Not Cleared) for each employee medical record received. Medical Determinations of Cleared, Deferred, and Not Cleared shall be fact based, sufficiently explained, and referenced on the medical summary document. The BCOH Physician shall address any physical limitations affecting the examinee’s ability to safely perform, and, if any are identified, the specific job tasks that cannot be performed. This will include the existence of any current concern that is not identified in history, but which may be present during the exam. For additional details, please refer to the most recent version of the Medical Services Program SOP.

2. On occasion, fitness for duty and/or functional placement exams may be requested either as a follow-up to a medical exam, or when there are questions as to the ability of an employee to safely perform his/her duties according to the position description or regulatory requirements. If there is additional information required by the BCOH physician, the physician must provide specific detail of what is being requested and how the employee will go about the follow-up. The BCOH physician shall reference the Government standards, policies and job duties based on the medical determination of Deferred or Not Cleared. The BCOH physician shall inform the Contracting Office Representative (COR) of any Deferred or Not Cleared determinations.

3. Radiology services including over-reads by BCOH Physician or third-party physician for any asbestos or silica exposure, individuals certified to perform “B readings.” If the examinee has a previous experience working with these materials, then a baseline test shall be conducted. The employee shall then be retested in accordance with Table 1 of 29 CFR 1910.1001. If the examinee will be occupationally exposed to these materials, they shall be tested annually.

4. Performance Standards:

i. All results shall be reviewed by a BCOH Physician within seven (7) business days of the exam and sent to the COR/RMPC via encrypted email- within ten (10) business days of receiving the records. to the COR/RMPC.

AQL: 95% of the results are reviewed within seven (7) business days and sent to RMPC within ten (10) business days. Deliverable: 2

ii. The contractor shall accept and review all audiology reports, whether they are completed by medical facilities, CPN Regional Safety Specialists, or by an outside source. Employee must receive a retest if they have a Standard Threshold Shift on their annual audio test within 30 days. If the STS is still present, the contractor shall provide a written notice of the STS within 21 calendar days, an audiologist needs to provide a revised baseline. The employee or the supervisor can initiate the SMIS report, unless it has been created by the designated Safety Specialist. Any recordable STS needs to be submitted to the OSHA 300 Log.

AQL: 100% of audiology retest shall be provided within 30 calendar days, and a written notice within 21 days of STS.

iii. The contractor shall accept and review respirator clearances within 10 business days upon receipt whether they are completed by the selected medical facilities, CPN Regional Safety Specialists, or an outside source. The contractor shall provide respirator clearances that are fact based, and relevant to the job duties of the employee based on the Review Form.

iv. The Contractor shall provide a copy of medical examination results as requested, to the employee’s work location within fourteen (14) business days of examination completion. Medical clinic is to provide an overall discussion of employee’s health following examination. Medical examination summaries are to be 100% accurate.

AQL: 100% of the examinees receive the medical examination results within fourteen (14) business days.

Deliverable: 1 Contractor shall accept and receive any third-party medical documentation to assist in providing a medical determination for an employee.

B. Registered Nurse Services at Regional Office

i. A Registered Nurse shall provide an Occupational Health Service Program twice per week at the C-PN Regional Office located in Boise, Idaho, during the following days and times: Tuesday 12:30 p.m. to 4:30 p.m., Thursday 8:00a.m. to 12:00 p.m. (Mountain Time).

ii. Performance Standards

i. Design programs for employees that support positive lifestyle changes and individual efforts to lower risks of disease and injury and the creation of an environment that provides a sense of balance among work, family, personal, health, and psychosocial concerns. Immunization, smoking cessation, exercise/fitness, nutrition and weight control, stress management, monitoring of chronic diseases, blood pressure monitoring, glucose monitoring, controlling cholesterol and effective use of medical services.

ii. Patient medication administered by injection, including flu and shingles vaccinations upon request.

iii. Provide health and counseling to employees upon Reclamations request. Nurse may provide a one- hour health presentation during the lunch hour. Topic to be requested by COR, RMPC, and Facility POC. Samples and materials related to topic supplied by Contractor. Refer to details in Monthly Occupational Health Service Program section below.

iv. Provide emergency care to injured employees who are on-the-clock.

v. Educate employees on how to prevent accidents and injuries.

AQL. Qualified Occupational Health Nurse at the Regional Office is available to employees two (2) days each week, every month.

C. Monthly Occupational Health Service Program

1. Provide a Registered Nurse to conduct an Occupational Health Service Program that addresses the following, upon Reclamations request:

i. Design programs for employees that support positive lifestyle changes and individual efforts to lower risks of disease and injury and the creation of an environment that provides a sense of balance among work, family, personal, health, and psychosocial concerns. Immunization, smoking cessation, exercise/fitness, nutrition and weight control, stress management, monitoring of chronic diseases, blood pressure monitoring, glucose monitoring, controlling cholesterol and effective use of medical services.

ii. Patient medication administered by injection.

iii. During the lunch hour of one of the four on site visits provide a one-hour health presentation. Topic to be requested by the COR, RMPC or Facility POC. Samples and materials related to the topic supplied by the Contractor.

iv. Nurse shall be available to the employees 7:30 a.m. to 4:30 p.m. (time zone based on location), upon Reclamations request.

AQL. Qualified Occupational Health Nurse is available to Area/Power office employees upon request.

6. Special Requirements A. Weekly Meetings. The Contractor’s designated representative shall meet with the COR weekly via phone call, teams meeting, or equivalent, to discuss medical records, issues, or processes.

B. Quarterly Meetings. The Contractor’s designated representative may meet with the Government once a quarter, at no additional cost, to discuss the Contractor’s and Governments performance. All parties shall make a mutual good faith effort to resolve any issues. COR is responsible to provide the meeting minutes within seven (7) business days after the meeting.

C. Privacy Breach Reporting Requirements. Contractor/Reclamation shall provide notice to DOI CIRC or the appropriate Bureau or Office Incident Response team of any known or suspected breach of PII and meet breach reporting and mitigation requirements in accordance with the DOI Privacy Breach Response Plan or Bureau or Office applicable response plan. The report of a breach of PII shall not, by itself, be interpreted as evidence that the Contractor has failed to provide adequate information security safeguards for sensitive information or has otherwise failed to meet the requirements of the contract.

D. Contractor/Reclamation shall report all known or suspected breaches in electronic or physical form to the CO, COR, and the DOI CIRC or Bureau/Office point of contact no later than one hour following discovery via email at DOICIRC@ios.doi.gov or (703) 648-5655, regardless of day or time and as specified within the DOI Privacy Breach Response Plan and the applicable Bureau response plan.

E. Contractor/Reclamation will only include non-controlled data in the subject or body of any e-mail and shall not include any Sensitive PII (SPII). Where necessary, SPII shall be transmitted using encryption methods to protect controlled unclassified information in attachments in accordance with FIPS 140-2 cryptographic requirements. Passwords shall be securely communicated separately.

F. Contractor/Reclamation shall not contact individuals impacted by a breach involving PII until directed by the government. All determinations related to response activities, appropriate notifications to individuals and Federal agencies and other organizations, and any remedial actions will be made by DOI officials.

G. Contractor/Reclamation shall take immediate action to contain and mitigate the impact of the breach and cooperate with DOI officials to investigate the breach and determine remedial measures.

H. Contractor shall provide a monthly invoice report to Reclamation. The invoice shall include what services were performed, the employees included in that service, and the dates the services provided. There shall be no PII included in the invoices.

7. Security and Safety Contractor will ensure the security, privacy and confidentiality of the Reclamation’s protected health information (PHI) and personal identifying information (PII), will adhere to Health Insurance Portability and Accountability Act (HIPPA) regulations and abide by the Privacy Act of 1974. Upon request, Contractor will provide the appropriate policy and procedure related to any security incident to the Reclamation for review.

8. Qualifications A. The Contractor shall accomplish the assigned work by employing and utilizing qualified personnel with appropriate combinations of education, training, and experience. The Contractor shall match personnel skills to the work or task with a minimum of under/over employment of resources.

B. All audiogram results will be sent to a certified Audiologists or BCOH physician with this certification, to review and return results to the person trained in the audiometers use or the CAOHC technician.

C. All physicians and medical personnel are currently licensed in the state where the service will be provided.

D. The certifying BCOH physician has a current certification by the national Board of Occupational Medicine.

9. Government Furnished Materials The C-PN Region will provide the following:

i. Medical Services Program Standard Operating Procedure – Provides insight to the CPN Regions Medical Program and the processes.

ii. The Review Form (new version of OF-178) - Job descriptions and a hazard assessment of work-related stressor information, provides physical and environmental demands of specific job descriptions.

iii. Authorization of Release Form/ HIPPA Form -

iv. The Intake Form – Used to schedule employees for their examination. Will include employee’s personal information, such as name, date of birth, work address, contact information, as well as supervisors contact information. The RMPC/COR will input exactly what the employee will be needing for their examination on the form to notify the clinics what must be tested.

v. The Reclamation Medical History and Examination Form - Required for examinee’s personal information (name, work address, etc.) and medical history prior to the examination. The examinee will be required to complete all required questionnaires before reporting to the physical exam.

vi. Physical Examination Categories - Examination content based on job category and will specify desired clearances prior to the time of service. Current job categories identified are included in Attachment 2– Physical Examination Categories.

10. Contractor Furnished Materials A. Except for those items specifically stated to be Government Furnished Materials, the Contractor shall furnish all items (equipment, nurse equipment and supplies, medical supplies, materials, software, hardware, etc.) required to perform the tasks identified in this PWS.

i. This includes vaccinations for the Regional Office Nurse and additional nurses if requested by a Task Order.

B. Professional practice liability insurance minimum coverage of $1,000,000 per occurrence and $3,000,000 in aggregate.

11. Applicable Directives The Contractor shall comply with all documents listed below as mandatory and referenced under paragraph 3.0, Performance Requirements.

A. The U.S. Department of Health and Human Services, Section 503 of Public Law 10071, 5 U.S.C. Section 7301. An agency may establish medical standards for positions that predominate in that agency. Such standards must be justified on the basis that duties of the position are arduous, hazardous or require a certain level of health status or fitness because the nature of the positions involves a high degree of responsibility toward the public or sensitive national security concerns.

B. The U.S. Department of Labor, Occupational Safety and Health Act of 1070 (OSHA). OSHA describes required duties of both employer and employee to ensure safe and healthful working conditions for both men and women.

C. OSHA regulation - 29 CFR, 1910 Subpart G, 1910.95 related to occupational noise exposure.

D. OSHA regulation - 29 CFR 1910.1001 App H, related to medical surveillance E. OSHA regulation – 29 CFR 1910.134 related to Respiratory Medical Clearance.

F. Federal Motor Carrier Safety Administration (FMSCA) relating to Commercial Driver’s License (CDL).

G. Department of Interior, DM 485, Occupational Medicine Program Handbook, (2010 or latest edition).

H. Department of the Interior, Bureau of Reclamation Occupational Medical Program Handbook (OMPH) 2010, or latest edition. The next edition is anticipated to be released during the life of this contract.

I. Reclamation Safety and Health Standards (RSHS) J. National Fire Protection Association (NFPA) 1582 relating to Fire Fighters and Fire Inspection K. National Commission for the Certification of Crane Operators (NCCCO) L. Diving Safe Practices Manual – Underwater Inspection Program (DSPM)

12. Definitions A. BUSINESS HOURS. Business hours are between, 0630 to 1700 Monday through Thursday, Mountain and Pacific time; federal holidays excluded. The Contractor is not required to provide services on recognized Federal holidays established by Federal law (5 U.S.C. 6103). A schedule of the recognized holidays can be found at the following website: https://www.opm.gov/policy-data- oversight/snow-dismissal- procedures/federal holidays/#url=Overview.

B. CLEARED. The Contractor has determined that the employee has met job-specific medical requirements and is approved to perform work described in their position description, and particularly those duties that are arduous and/or hazardous.

C. CONTRACT DISCREPANCY REPORT. A formal letter produced by the CO upon notice from the COR that the Contractor is providing defective services and has failed to correct a deficiency as required. The letter will indicate if the Government utilizes the price computation system in accordance with the Performance Requirements Summary Table.

D. CONTRACTING OFFICER (CO). A duly appointed person with the authority to enter, administer, or terminate contracts, and to make findings and determinations on behalf of the United States Government. This is the only individual authorized to change the contract or any of the requirements stated in the contract.

E. CONTRACTING OFFICER’S REPRESENTATIVE (COR). A Government person designated by the Contracting Officer, with authority to act within the scope of the delegated authority, including but not limited to, the surveillance and inspection of the Contractor’s performance.

F. CONTRACTOR. The individual, partnership, company, or corporation responsible for the duties and responsibilities under this contract. The term also covers requirements for any subcontractor. The Contractor is ultimately responsible for ensuring that all subcontractors comply with the terms and conditions of this contract.

G. DEFECTIVE SERVICE. A unit of service that contains one or more defects, or non- conformance with specified requirements.

H. DEFERRED. Employee is not fully cleared because additional information is needed. The results were inconclusive and require further information or additional testing. Final determinations cannot be made until this has been addressed.

I. DEFICIENCY. A shortcoming in the quality or state of services performed.

J. EXAMINATION (EXAM). Medical examination of an employee’s general health and well- being to determine if they meet the DOI standards from their position description and that they will be able to safely and efficiently do the job duties that they were hired for.

K. FACILITY POINT OF CONTACT (POC). A selected individual by the Facility Manager, at each area/power office to provide assistance to the RMPC in order to effectively manage and track the Program.

L. HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT. In accordance with 45 CFR Part 164 “Security and Privacy.” the Contractor is required to comply with both the Health Insurance Portability and Accountability Act (HIPPA) Security and Privacy regulations. This clause serves as that agreement whereby the Contractor agrees to abide by all applicable HIPPA Security and Privacy requirements regarding health information as defined in 45 CFR Part 164.

M. INSPECTION. The critical examination of a procedure or requirement to discover and remedy discrepancies and inefficiencies.

N. MAJOR DEFICIENCY. Any service feature that would cause the Contractor’s service to be determined unacceptable.

O. MEDICAL DETERMINATION. The BCOH physicians professional and medical determination whether or not the employee meets the minimum physical requirements for the position and is approved to perform work described in their position description.

P. NOT CLEARED. Employee does not meet the agency’s medical standards utilizing the Review Form, in which the OHP’s medical determination for the safe and efficient performance of the duties of the function(s) /clearance(s) required in the Position Description. In order to place an employee on a Not Cleared status, the BCOH physician must provide an explanation that is fact based, sufficiently explained, and within the standards and policies followed by the Government.

Q. PERFORMANCE REQUIREMENTS. Tasks the Contractor performs.

R. PERFORMANCE REQUIREMENTS SUMMARY (PRS). An outline of contract requirements that identifies the key service outputs the government will inspect and the related performance standards and method(s) of performance assessment and surveillance.

S. PERFORMANCE STANDARD. The desired results, expressed by the government, expected from performance of contract services, to satisfy the requirement T. PERFORMANCE WORK STATEMENT (PWS). A description of the work to be completed for this contract.

U. PERSONALLY, IDENTIFIABLE INFORMATION (PII). Data contain Personally Identifiable Information (PII) pursuant to the Privacy Act of 1974, as amended, and must be protected at all times.

V. QUALITY ASSURANCE. Those actions taken by the Government to assure services meet the requirements established in the PWS.

W. QUALITY ASSURANCE SURVEILLANCE PLAN (QASP). An organized, written, “living” document outlining the Government’s methodology for monitoring Contractor performance.

X. QUALITY CONTROL. Those actions taken by a Contractor to ensure that Contractor performance meets the requirements of the contract.

Y. QUALITY CONTROL PLAN (QCP). An organized, written document outlining the Contractor’s methodology for ensuring Contractor performance.

Z. REGIONAL MEDICAL PROGRAM COORDINATOR (RMPC). The Safety Specialist overseeing the Medical Surveillance Program.

13. Quality This section describes the Quality Control components for this effort. The following sub- sections provide details of various considerations on this effort.

A. Quality Control

i. The Contractor shall develop a Quality Control Plan (QCP) to maintain an effective quality control program to ensure services are performed in accordance with this PWS. The Contractor shall develop and implement procedures to identify, prevent, and ensure non- recurrence of defective services. The Contractor's QCP is the means by which he/she assures himself/herself that his/her work complies with the requirement of the contract.

ii. The finalized QCP shall be submitted within 15 calendar days after award. The Contracting Officer may notify the Contractor of required modifications to the plan during the period of performance. The Contractor then shall coordinate suggested modifications and obtain acceptance of the plan by the Contracting Officer. Any modifications to the program during the period of performance shall be provided to the Contracting Officer for review no later than ten (10) working days prior to effective date of the change. The QCP shall be subject to the Government's review and approval. The Government may find the QCP "unacceptable" whenever the Contractor's procedures do not accomplish quality control objective(s). The Contractor shall revise the QCP within ten (10) working days from receipt of notice that QCP is found "unacceptable." At a minimum, the Contractor’s QCP shall address the following items:

a. Methods - The Contractor's methods for identifying and preventing deficiencies in the quality and timeliness of services performed before the level of performance becomes unacceptable. The Contractor shall describe the method of verifying qualified and experienced medical professionals with adequate judgement on required on-going required medical exams.

b. Performance Inspections - The Contractor's inspection system that covers all the services listed in the Performance Requirements Summary (PRS). The inspection system must specify if the Contractor shall inspect/review the services on a scheduled or unscheduled basis, how frequently the Contractor shall accomplish the inspections, and the title(s) of the individual(s) who will perform the inspections. The Contractor shall address ANY subcontracting opportunities and include inspection systems for subcontractors.

a. Remedies for Unsatisfactory Performance – The Contractor’s methods for correcting any deficiencies in the quality and timeliness of services performed, in accordance with Section 6. Within five (5) calendar days of notification by the Contracting Officer (CO) of any deficiency in the quality of services performed, the Contractor’s designated quality control representative shall meet with the Contracting Officer’s Representative (COR) to discuss the unsatisfactory test and examination findings. The Contractor’s designated quality control representative shall have the authority to cause the necessary remedies to be performed. Such remedies shall be made within four (4) calendar days unless otherwise agreed upon by the COR.

B. Quality Assurance Surveillance Plan (QASP)

i. The Government will monitor the Contractor's performance under this contract in accordance with the Government's QASP.

ii. Reclamation has developed a QASP for the services required under this PWS. The primary intent of this plan is to provide the Government’s COR a basis for evaluating the quality of performance the Contractor provides during the life of the contract. The QASP is not a part of the contract, nor is it intended to duplicate the Contractor’s QCP. The Government has provided an informational copy of the QASP. The Government is providing this copy to support the Contractor’s efforts in developing a QCP and for providing the Contractor an opportunity to comment and propose innovative solutions to the Government. The QASP is a living document the Government will revise or modify as circumstances warrant.

14. Deliverables The Contractor shall provide deliverables as described in subsequent task orders. Deliverables shall be specified by Reclamation.

#
Name
Frequency
Method
Recipient
Required
5.A
Exam Review Services
5.A.4.i
Board Certified Occupational Health Physician results
Once for each employee
Encrypted E-Mail, hard copy upon request
Reclamation
Reviewed in 7 business days, provided to COR after 10 business days
5.A.4.iv
Employee Results
Once for each employee
Encrypted E-mail, had copy upon request
Employee
Reviewed in 7 business days, provided to COR after 10 business days
5.C
Monthly Occupational Health Services
5.C.1.
Nurse at Area/Power Offices
Upon request by Reclamation
In person
Employees
Upon request by Reclamation
5.C
Annual Blood Draw
Once for each employee
Encrypted E-Mail or hard copy
Employee
Reclamation 10 days after draw
6.
Special Requirements
6.A
Weekly Meetings
Once a week, or biweekly
Phone, Teams, Zoom
COR and Contractor
6.B
Quarterly Meetings
Once a quarter
In person, Phone, Teams/Zoom
COR, Contractor, and medical points of contacts
6.C
Privacy Breach Reporting Requirements
As Required
Electronic or In-Person
CO, COR, and DOI

CIRC at DOICIRC@ios.doi.gov (703) 648-5655 Within 1 hour following discovery

15. Performance Requirement Summary (PRS)

Section
Statements
Standards/AQLs
Incentive/Remedy

Exam Review Services

5.A.4.i
Board Certified Occupational Health Physician Reviewed Results
Standard: Contractor shall review and notify, through exam results, any health-related concerns to the employee. Medical determinations need to be fact based, sufficiently explained, and referenced. Results reviewed within seven

(7) business days of the exam.

AQL: 95% of the results are reviewed within seven (7) business days and sent to the RMPC within ten (10) business days.

Incentive:

Positive CPARS comments and ratings Remedy: Reperformance at no additional cost. 2% invoice deduction if the AQL is below 95% for the month.

5.A.4.ii
Audiogram Review
Standard: Results of employee’s baseline/periodic audio test will be reviewed. Retest audiograms shall be reviewed, if STS is still present, the Contractor shall provide employee with a written notice within 21 business days.

AQL: 100% of audiology retest results shall be provided within 30 calendar days, and a written notice of STS within 21 calendar days Incentive:

Positive CPARS comments and ratings

Remedy: Reperformance at no additional cost. 2% invoice deduction if the AQL is below 95% for the month.

5.A.4.iii
Respirator Clearance Review
Standard: Contractor shall review employees’ respiratory clearance, upon request from Reclamation, within fourteen (14) business days via encrypted E-Mail or hard copy.

AQL: 100% of examinees receive the medical examination results within fourteen (14) business days.

Incentive:

Positive CPARS comments and ratings

Remedy: Reperformance at no additional cost. 2% invoice deduction if the AQL is below 95% for the month.

5.A.4.iv
Employee Results
Standard: Employee shall receive a copy of their medical examination reviewed results, upon request from Reclamation, within fourteen (14) business days via encrypted E-Mail or hard copy.

AQL: 100% of examinees receive the medical examination results within fourteen (14) business days.

Incentive:

Positive CPARS comments and ratings

Remedy: Reperformance at no additional cost. 2% invoice deduction if the AQL is below 95% for the month.

Registered Nurse Services

5.B.i
Nursing Services
Standard. A Registered Nurse shall provide an Occupational Health Service Program twice each week, per month at the CPN Regional Office located in Boise, Idaho, during the following days and times: Tuesday 12:30 p.m. to 4:30 p.m., Thursday 8:00 a.m. to 12:00 p.m. (Mountain Time). Additional nursing staff for the MSFO office may be requested.

AQL. Qualified Occupational Health Nurse is available to employees two days each week, every month.

Incentive:

Positive CPARS comments and ratings

Remedy: Reperformance at no additional cost. 2% invoice deduction if the AQL is below 95% for the month.

5.B.ii
Vaccinations
Standard: provide Rabies, Tetanus, Hepatitis A, and/or Hepatitis B vaccinations, flu or Shingles vaccinations within ten (10) calendar days of the Contractor’s receipt of the signed task order containing the vaccinations. If an employee is provided the opportunity to receive a vaccination and declines, the Contractor shall ensure a declination waiver is signed by the employee and included with the medical examination record.

AQL: 95% of the employees received the vaccinations within ten (10) calendar days.

Incentive:

Positive CPARS comments and ratings

Remedy: Reperformance at no additional cost. 2% invoice deduction if the AQL is below 95% for the month.

Monthly Occupational Health Services

5. C
Wellness Blood Draw
Standard: The Contractor shall provide the following tests for all employees as required by each intake form.

AQL. 95% of the employees received the results by mail within 28 calendars of blood draw, and a copy sent to the RMPC via encrypted email, mail or fax.

Incentive:

Positive CPARS comments and ratings

Remedy: Reperformance at no additional cost. 2% invoice deduction if the AQL is below 95% for the month.

File details come from the government source that posted it. Updated .