434 Range Medics PWS v5.docx

434 FIELD ARTILLERY BRIGADE

FIRES CENTER OF EXCELLENCE AND FORT SILL

FORT SILL, OKLAHOMA

1. GENERAL.

1.1. Description of Work. The Contractor shall provide the experienced professional services of three (3) Emergency Medical Technicians (EMT), four (4) Advanced Emergency Medical Technicians (AEMT) or Paramedics, and one (1) AEMT or Paramedic will be designated as Team Lead to work in support of the Fort Sill Emergency Medical Services Program with a surge capability of an additional 4 (2x EMT & 2x AEMT). The EMS personnel will work primarily to support range operations for the training brigades on Fort Sill, Oklahoma. The location of service is hereafter known as Installation EMS Program (IEMS). The Contractor Personnel performing this service are hereafter referred to as the Range Medic (RM).

1.1.1. The Ambulance Services include, but are not limited to advanced life support ambulance service, transportation of remains, transports to and from aero-medical or ground evacuation sites, patient transports, and field ambulance services as defined in Army Regulations for Emergency Medical Services.

1.1.2. This contract is a personal services contract for the EMT, AEMT or Paramedic is intended to create an employer- employee relationship between the Government and the contracting company only to the extent necessary for providing the healthcare services required under this contract. The performance of healthcare services by the individual contract healthcare providers under a personal services contract are subject to day-to-day supervision and control by Army personnel comparable to that exercised over military and civil service healthcare providers engaged in comparable healthcare services. Any personal injury claims alleging negligence by the individual contract healthcare providers within the scope of the healthcare provider’s performance of the personal services contract shall be processed by Department of Defense (DoD) in the same manner as claims alleging negligence by DoD military or civil service prehospital providers. The contract does not create an employer-employee relationship between the Government and any corporation, partnership, business association, or other party or legal entity with which the contract health care provider may be associated. The authority for this contract is 10 United States Code 1091.

1.1.3. Performance Measurements Requirement Summary. The following performance objectives and measures will be used to evaluate Contractor performance and compliance under the contract. This information will be used to prepare annual past performance evaluations. See Exhibit 1, Quality Assurance Surveillance Plan (QASP), for additional details.

and FAR Subpart 22.1703

1.1.4 The inspection and acceptance point for all services rendered under this contract will be by the Brigade Surgeon or the COR. The performance by the RM, the quality of services rendered, and any documentation or written material in support of same, shall be subject to continuous inspection, surveillance and review for acceptance by the Contracting Officer Representative (COR) or designated representative. Any services rendered by the RM(s) to patients or interaction with military/civilian personnel deemed unprofessional/threatening/dangerous by the Team Lead, Brigade Surgeon, or COR will be considered as grounds for immediate removal of the RM and termination under the clause 52.212-4 (m) Termination for Cause. Quality Assurance procedures established by the Army Emergency Medical Services Program shall be used for continuous monitoring. Other performance evaluation factors will be monitored that are not quantified by numerical measurements, which include: Contractor providing personnel not meeting the minimum qualification standards; administering inappropriate medications; patient customer service comments; RM and Contractor relationship with Brigade staff/government contracting personnel; compliance with 434th FA BDE Range Medic standard operating procedures (SOP) or violations of TR 350-6. Services provided by the RM shall be reviewed and rated in accordance with the 434th FA BDE Range Medic (SOP). A poor rating shall be grounds for immediate removal of the RM(s).

1.1.5 RMs will meet and maintain a high level of patient and customer satisfaction and all times. No more than two substantiated complaints per year will be permitted.

1.2 Requirements and Qualifications.

1.2.1 The Contractor shall ensure that all Contract personnel providing services meet the following requirements:

1.2.1.1 The Contractor shall not employ any individual to provide direct healthcare services who is listed on the Health and Human Services (HHS) list of providers excluded from federally funded healthcare programs. The list may be found at http://oig.hhs.gov/fraud/exclusions.asp.

1.2.1.2 The RM shall have sufficient skills, knowledge, and experience to perform the specific tasks (see Paragraph 5. of this Performance Work Statement).

1.2.1.3 The Contractor and the Contractor personnel shall abide by all 434th FA BDE SOPs including licensure, credentialing, and quality assurance programs.

1.2.1.4 The Contractor shall ensure its Contract personnel perform and maintain required training indicative towards working in and around an ARMY EMS setting.

1.2.1.5 Contract personnel shall provide proof of U.S. Citizenship or otherwise meet the requirements of AR 25-2, Army Cybersecurity.

1.2.1.6 Contractor personnel shall not have been convicted of a felony.

1.2.1.7 Contractor personnel shall successfully complete a criminal history background check in accordance with paragraph 7.4. of the PWS.

1.2.1.8 Contractor personnel shall be able to read, write, and speak English well enough and enunciate with sufficient clarity to effectively communicate with patients and various health care providers.

1.2.1.9 Possess sufficient initiative, interpersonal relationship skills, and social sensitivity such that the RM can relate to a variety of patients from diverse backgrounds.

1.2.1.10 Able to operate a personal computer utilizing Microsoft applications, such as Word, Excel, and efficiently utilize an Electronic Medical Record.

1.2.1.11 Contractor personnel shall be required to meet Continuing Education (CE) requirements as determined by the Emergency Medical Technicians (EMT) State of licensure. he Government will not reimburse for these costs.

1.2.2. Qualifications – Emergency Medical Technicians (EMT) shall meet the following qualifications:

1.2.2.1. Requirements. It is the Contractor’s responsibility to ensure this is accomplished prior to onboarding. The RM shall obtain any certification to perform the contract requirements. EMT personnel shall have certification corresponding to the individual's level of training. Each EMT shall possess a valid driver’s license. EMT personnel shall meet all requirements established by the State and the National Registry of Emergency Medical Technicians (NREMT) depending on duty location. The RM shall obtain at his or her expense any permits or licenses to conduct this contract.

1.2.2.1 Certification. EMT Personnel shall have and maintain current Basic Life Support (BLS) for Healthcare Providers.

1.2.2.2 Experience. EMT personnel shall have a minimum of one year’s EMT experience within the last two years.

1.2.3 Qualifications – Advanced Emergency Medical technicians (AEMT) shall meet the following qualifications:

1.2.3.1 Requirements. It is the Contractor’s responsibility to ensure this is accomplished prior to onboarding. The RM shall obtain any certification to perform the contract requirements. AEMT personnel shall have certification corresponding to the individual's level of training. Each AEMT shall possess a valid driver’s license. AEMT personnel shall meet all requirements established by the State and the National Registry of Emergency Medical Technicians (NREMT) depending on duty location. The RM shall obtain at his or her expense any permits or certification to conduct this contract.

1.2.3.2 Certification. AEMT personnel shall have and maintain Basic Life Support (BLS) for Healthcare Providers.

1.2.3.3 Experience. AEMT personnel shall have a minimum of one year’s EMT experience within the last two years. AEMT personnel shall have a minimum of six months of AEMT experience within the last year.

1.2.4 Qualifications –Paramedics shall meet the following qualifications:

1.2.4.1 Requirements. It is the Contractor’s responsibility to ensure this is accomplished prior to onboarding. The RM shall obtain any certification to perform the contract requirements. Paramedic personnel shall have certification corresponding to the individual's level of training. Each Paramedic shall possess a valid driver’s license. Paramedic personnel shall meet all requirements established by the State and the National Registry of Emergency Medical Technicians (NREMT) depending on duty location The RM shall obtain at his or her expense any permits or certification to conduct this contract.

1.2.4.2 Certification. Paramedic personnel shall have and maintain current Basic Life Support (BLS) for Healthcare Providers and Advanced Cardiac Life Support (ACLS).

1.2.4.3 Experience. Paramedic personnel shall have a minimum of one year’s EMT experience within the last two years. Paramedic personnel shall have a minimum of six months of paramedic experience within the last year.

1.2.4.4 Additional. May be required to act as Team Lead. Duties to include but not limited to scheduling, ordering supplies, inventories of medications, coordinating medical maintenance, tracking subordinate hours worked, and tracking subordinate training and education, etc.

1.3. Administrative.

1.3.1. This is not locum tenens procurement; therefore, the use of short-term rotating RMs seriously detracts from continuity of patient care that is of utmost importance. Periods of not less than six months duration shall be provided by any primary RM working under this contract. Substitutes are permitted during scheduled or unscheduled absences of the primary RM. The Contractor shall have adequate pre-credentialed/pre-privileged replacement RMs available in such instances so a lapse in coverage does not occur. Substitutes shall be as qualified and privileged as the primary RM. Substitutes are not allowed so the RM can accept another assignment or to meet the needs of the Contractor. The credentialing/ privileging process takes between 30-45 days. Any lapse in coverage may be considered grounds for termination for cause.

1.3.2. The use of non-compete conditions in employment agreements or in subcontracts (to prevent loss of personnel by the contractor) effective only during the period of the contract performance is acceptable. However, the use of non-compete conditions in employment agreements and/or in subcontracts that prevent employees and/or subcontractors of the incumbent from being interviewed by, employed, or accepting offers of employment and/or subcontracts by the new contractor on the follow-on contracts is unacceptable. It hinders the government’s ability to accomplish the mission of providing medical care to beneficiaries. Inclusion of such conditions in an employer’s employment agreement and/or subcontracts will result in an offeror’s proposal being unacceptable. Awardee, and their subcontractors, may not include such conditions in employment agreements and/or subcontracts while performing under this contract.

1.3.3. Orientation and Training.

1.3.3.1. Prior to working, RMs will be provided a government paid orientation to familiarize RMs with the policies and procedures of the 434th FA BDE Range Medics, TR 350-6 and FS 385-10. Orientation attendance will be required of all RMs and will be scheduled by the COR and/or the Brigade Surgeon during normal duty hours.

1.3.3.2. The Contractor shall ensure that each RM is knowledgeable of the policies and procedures of his/her specific place of duty. The Contractor shall ensure RMs receive any staff training required by the 434th FA Brigade as a precondition/condition to performance. Such training may include instruction on automation processing, quality assurance policies and local in-service and safety briefings. This training shall be conducted during the scheduled work hours of the RMs.

1.3.3.3. Government Unique Training. The Government may elect to provide unique Government training to RMs who are performing services under this contract. If the Government elects to provide such training, the Government will provide such training at no additional expense to the Contractor or to the RM. When directed by the Contracting Officer (KO), RMs shall attend all such training in a paid status as part of the normal services required and billed under the contract. Such training shall require a performance commitment by the Contractor and the Contractor shall reimburse the Government (by means of a reduction in an invoice) if a RM fails to satisfy the performance commitment after the RM receives the unique Government training. The amount of the reimbursement shall be the prorated cost of training, calculated based on the total cost of the training and the number of months by which the RM fails to complete the performance commitment. The length of the performance commitment shall be 12 months or until the end of all performance under this contract, whichever occurs first. Details of any subsequent training agreement will be agreed upon by all parties, and such training agreements will be designated by modification to the contract.

1.3.3.3.1. If additional training is needed due to mission changes, the Government will conduct required computer training. This training will be at no cost to the Contractor. The COR will schedule this training. The government will not reimburse the Contractor for any expenses incurred while undergoing any computer training.

1.3.4. Reports. The Contractor shall submit reports to the COR as requested for use in monitoring Contractor performance. Such reports may include, but are not limited to, personnel recruitment/credential status, projected losses, RM locations.

1.3.4.1. Weekly Progress Report. Until the RM is performing duties at the Fort Sill and any other period where a replacement RM is required, the Contractor shall provide to the KO and the COR, on a weekly basis, a progress report indicating the candidate’s name, date identified by the Contractor, date the résumé was submitted to the Government for review, date the credentials package was submitted to the Government, date the Army EMS privileged the provider, and the targeted start date.

1.3.5.Safety. The Contractor shall ensure the RMs comply with all installation safety regulations. Such regulations include, but are not limited to, general safety, fire prevention, range operations, and waste disposal. Copies of these regulations are on file in the sharedrive or may be obtained through the COR.

1.3.6. Security.

1.3.6.1. The Contractor shall ensure that all RMs comply with the local installation requirements for vehicle registration and operation on the military facility. Any vehicle operated by the Contractor or its employees in performance of this contract must have the minimum liability coverage required by the state in which the performance is located.

1.3.6.2. The Contractor shall ensure that its RMs comply with installation and Army personnel identification and access requirements. The Contractor is responsible for absences of RMs due to expired identification and access documents.

1.3.6.3. The Contractor shall be responsible for any keys issued by the Government to RMs for use. Keys shall not be duplicated. The Contractor shall be financially responsible for the replacement of any lost or duplicated keys and/or associated locks. Lost or duplicated keys/locks shall be reported to the issuing party, Brigade Surgeon, or COR immediately upon recognition of the loss or duplication. No unauthorized personnel shall be allowed entry into the locked area. The Contractor shall ensure that its RMs lock all areas for which they possess a key when they are not using the area and at the close of the work period.

1.3.6.4. Safeguarding Material. The Contractor shall be responsible for safeguarding all Government property provided for Contractor use. The Contractor shall safeguard information of a confidential or sensitive nature. Neither the Contractor nor any of its RMs shall disclose or cause to be disseminated any information concerning the operation of the Army EMS that could result in or increase the likelihood of the possibility of breach of security or interrupt the continuity of operations or which breach the requirements of the Federal Privacy Act of 1974. However, the Contractor may be required to provide testimony or deposition in lawsuits or other administrative, civil, or criminal proceedings.

1.3.6.5. Antiterrorism/Operations Security (AT/OPSEC) Requirements.

1.3.6.5.1. OPSEC Training. Per AR 530-1, Operations Security, new contractor employees must complete Level I OPSEC training within 30 calendar days of reporting for duty. All contractor employees must complete annual OPSEC awareness training.

1.3.6.5.2. Access and General Protection/Security Policy and Procedures. Contractor and all associated subcontractors’ employees shall comply with applicable installation, facility and area commander installation/facility access and local security policies and procedures (provided by government representative). The Contractor shall also provide all information required for background checks to meet installation access requirements to be accomplished by installation Provost Marshal Office, Director of Emergency Services or Security Office. Contractor workforce must comply with all personal identity verification requirements as directed by DOD, Headquarter Department of the Army (HQDA) and/or local policy. In addition to the changes otherwise authorized by clause 52.212-4, should the Force Protection Condition (FPCON) at any individual facility or installation change, the Government may require changes in Contractor security matters or processes.

1.3.6.5.3. iWATCH Training. The Contractor and all associated subcontractors shall brief all employees on the local iWATCH program (training standards provided by the requiring activity Antiterrorism Officer (ATO). This locally developed training will be used to inform employees of the types of behavior to watch for and instruct employees to report suspicious activity to the COR. This training shall be completed within 30 calendar days of contractor personnel starting performance and within 30 calendar days of new employees commencing performance with the results reported to the COR NLT 30 calendar days after contract award.

1.3.6.5.4. Contractor Employees Who Require Access to Government Information Systems (IS). All Contractor employees with access to a government info system must be registered in the ATCTS (Army Training Certification Tracking System) at commencement of services and must successfully complete the DoD Information Assurance Awareness prior to access to the IS and then annually thereafter.

1.3.6.5.5. For Contracts that Require an OPSEC Standing Operating Procedure/Plan. The Contractor shall develop an OPSEC Standing Operating Procedure (SOP)/Plan within 90 calendar days of contract award, to be reviewed and approved by the responsible Government OPSEC officer, per AR 530-1, Operations Security. This SOP/Plan will include the government's critical information, why it needs to be protected, where it is located, who is responsible for it, and how to protect it. In addition, the Contractor shall identify an individual who will be an OPSEC Coordinator. The Contractor will ensure this individual becomes OPSEC Level II certified per AR 530-1.

1.3.6.5.6. For Contracts that Require OPSEC Training. Per AR 530-1, Operations Security, new Contractor employees must complete Level I OPSEC training within 30 calendar days of their reporting for duty. All Contractor employees must complete annual OPSEC awareness training.

1.3.6.5.7. For Information assurance (IA)/information technology (IT) training. All Contractor employees and associated subcontractor employees must complete the DoD IA awareness training before issuance of network access and annually thereafter. All Contractor employees working IA/IT functions must comply with DoD and Army training requirements in DoDD 8570.01, DoD 8570.01-M and AR 25-2 within six months of employment.

1.3.6.5.8. RMs are required to attend the Installation Support Contract Training Course (ISCTC) prior to any engagement with Initial Entry Training (IED) Trainees. Government will provide this training at no cost to the RM during onboarding.

1.3.6.5.9. CONTRACTOR SAFETY; Contractor shall comply with all applicable federal, state and local codes and safety standards, including Army Regulation 385-10 – The Army Safety Program. Contractor shall protect all Government property within the contract work area. Contractor shall report and investigate all mishaps (including near mishaps) and submit a report on every mishap to the COR within five (5) working days of mishap. Contractor shall ensure that subcontractors comply with Safety and Occupational Health (SOH) requirements and are informed of all SOH hazards, precautions and procedures.

1.3.6.5.10. In accordance with (IAW) DoDI 5200.48, 06 March 2020 all contractors providing support to the DoD pursuant to contractual requirements, will comply with the requirements in Paragraph 3.6.f of this issuance for initial and annual refresher CUI training through the Center for Development of Security Excellence (CDSE), https://securityhub.usalearning.gov/index.html. A certificate of completion shall be provided thru the COR to the unit/activity security manager/S2.

1.3.8. Data Breach Response and Notification:

1.3.8.1. The Contractor shall adhere to the reporting and response requirements for PII set forth in Memorandum, Office of the Secretary of Defense, Subject: Safeguarding Against and Responding to the Breach of Personally Identifiable Information (PII), June 5, 2009, ALARACT 050/2009, DoD 5400.11-R, and any amendments.

1.3.8.2. The contractor or its subcontractor shall immediately notify the COR (SSG Miranda Campbell, 903-219-2504, Miranda.m.campbell5.mil@army.mil) upon discovery that a suspected or actual breach of PII has occurred. The notification shall include, to the greatest extent possible, the identification of each individual who’s PII has been or possibly has been breached. In addition, the contractor or its subcontractor shall provide (insert requiring activity and phone number or email address) with any other available information that must be included in required breach reporting and notifications. The contractor shall provide this information at the time of the initial notification to the Government or promptly thereafter as information becomes available.

1.3.8.3. The Government will determine whether a breach of PII has occurred, and whether breach notification to affected individuals is required. If breach notification to affected individuals is required, the Government will determine if the contractor shall make the required notification. If the contractor is to notify the impacted population, it shall submit the notification letters to COR (SSG Miranda Campbell, 903-219-2504, Miranda.m.campbell5.mil@army.mil) ifor review and approval.

1.3.9. Health. The Contractor shall ensure that all RMs performing services under this contract comply with the health and immunization requirements as stated in the Additional Instructions section "Health and Immunization Requirements" in this contract at the time of onboarding. The Contractor shall provide equally current certification of health for backup/replacement RMs at the time of initial request for onboarding. The expense for all physical examinations to comply with the health requirements shall be borne by the Contractor at no additional cost to the Government.

1.3.10. Contracting Officer’s Representative (COR). The COR will be appointed in writing by the KO after the contract is awarded. The KO will provide a copy of this designation and COR contact information to the Contractor.

1.3.11. Billing. The Government will only pay for hours, days or units actually worked/provided. The Contractor shall only submit payment requests for hours, days or units actually worked/provided. Submitting a payment request for more than the amount due based on the number hours, days or units actually worked/provided may constitute fraud or a false claim and may result in administrative or criminal action or both.

1.4. Hours of Performance.

1.4.1. The duty schedules will be such as to accommodate multiple Program of Instructions (POI) at Fort Sill Oklahoma. Coverage is primarily 8-10 hours a day, 6 days a week, with some days requiring a second shift to support night operations. Duty includes: Monday through Saturday.

1.4.1.1 Contractor personnel shall be able to provide up to 16 hours a day, 6 day week coverage, not exceeding 80 hours in a two week period. Comp time is not authorized. The Contractor shall maintain a 100% fill rate during in a 12- month period of performance.

1.4.1.2 Hours worked do not include travel time to reach the Installation or other designated place of performance.

1.4.2 Closures. Due to Command-declared training holidays or during unplanned cancellations in training due to natural disasters, military emergencies, severe weather, or otherwise, the Contractor shall not invoice the Government for services not performed and the Government will not be liable to the Contractors for any such closures.

1.4.3 Organizational Activities. During organizational activities Contractor services may not be required. The Contract employees are not authorized to participate. The Government will only pay for work performed.

1.5. Conduct.

1.5.1. The Contractor shall ensure that each RM records the time worked according to procedures determined by 434th FA BDE to include documenting hours in the designated system of record.

1.5.2. The Contractor shall ensure that its RMs do not introduce new procedures or services above authorization from company and Range Medic SOP without prior approval by Contracting Officer or representative. In disagreements or deviations from established or new protocols, the Contracting Officer or representative, will be the deciding authority.

1.5.3. The Contractor shall ensure that its RMs comply with Army policy regarding personal appearance and conduct.

1.5.3.1. Contractor personnel shall conform to standards of conduct and code of ethics, which are consistent with those applicable to Government employees as provided in the Joint Ethics Regulation 5500.7.R. and the ARMY civilian corps new employee handbook. Contractor personnel shall maintain a clean and neat personal appearance, appropriate to the climate and nature of work and be easily identified. This shall be accomplished by wearing distinctive clothing bearing the company name or by wearing appropriate badges that contain the company name and employee’s name.

1.5.3.2. The Contractor shall provide personnel who project a positive Army and Fires Center of Excellence image, in appearance, attitude, and conduct. Contractor employees shall at a minimum wear slacks with a belt, collared shirt, and no tennis shoes during simulations or classroom instruction. No hats shall be worn indoors unless there is a verifiable medical reason to do so. Contractor instructors shall read, write, speak, and understand the English language fluently and maintain good communication skills with cadre and students. This will be reviewed periodically through Government oversight visits to training sites and surveys conducted by the Government.

1.5.4. The Contractor shall ensure that its RMs abide by federal and local Army EMS regulations and requirements concerning the nature of limited privileged communication between patients and the RM as may be necessary for security and personnel reliability programs. The Contractor shall also ensure that its RMs abide by federal and local ARMY EMS regulations concerning the confidentiality of patient records, as embodied in federal statutes including the Privacy Act of 1974 and the Health Insurance Portability & Accountability Act of 1996. All regulations referenced are available for review from the COR or Brigade Surgeon. All medical records and reports are and will remain the property of the Government.

1.5.5. RM shall abide by all 434th FA Brigade policies, rules and ARs. When commencing work under this contract, Contractor shall obtain an in-processing checklist from the COR and provide the COR a copy when completed. The RM will wear DOD ID card visible unless it is a safety hazard at which point it will be readily accessible. The COR/ACOR will assist the Contractor in obtaining the identification badge through the Installation Division-Security Officer. Upon termination of work at this installation, RM is required to return the Common Access Card and out-process using the processing checklist obtained from the COR.

1.5.6. The Contractor shall ensure that its RMs abide by current BDE policies and procedures, and DoD regulations with regard to Quality Assurance directives, including, but not limited to, in-service training, maintenance of records, performance evaluation, and release of medical information.

1.5.7. The Contractor shall ensure that its RMs make use of all appropriate equipment, supplies, and services made available by the Government and shall ensure that its RMs make referrals and seek consultations, as deemed necessary, for the optimal care of the patients.

1.5.8. Removal of RMs.

1.5.8.1. Removal of RMs. At any time during the performance of this contract, the Contracting Officer or COR may direct the Contractor to immediately remove any RM whose actions or impaired state raises reasonable suspicion that clear and present danger of physical harm exists to a patient, other RMs, Government personnel or to the impaired individual. This provision will be used in emergency situations only and not for the purpose of bringing performance issues or other non-urgent concerns to the attention of the Contractor.

1.5.8.2. If the need for a removal occurs, the COR will contact the Contractor's point of contact and direct the Contractor to remove that individual from the military facility and to not use that individual to perform any healthcare services required under this contract until the issue has been resolved by the Contracting Officer. The Contractor shall formally meet with the COR to discuss further action in accordance with the ARMY EMS Quality Assurance and Inspection (QA&I) Plan and AR 40-68. A review of the basis for removal will be made by the Contracting Officer within three working days after the COR directed the removal.

1.5.8.3. If, after any investigation deemed necessary by the Contracting Officer and discussions with the Contractor's representative, the Contracting Officer concludes that the RMs impairment requires permanent removal from performance under the contract, the Contracting Officer will notify the Contractor that permanent removal is required. In the event of disagreements between the Government and the Contractor's representative concerning matters of impaired RMs, the decision of the Contracting Officer will be final. During the period between the removal and the final decision of the Contracting Officer, the Contractor shall provide a backup/replacement RM in accordance with the terms and conditions of this contract.

1.5.8.4. TheTeam Lead, Contract Officer, or representative has the prerogative to hold in abeyance, to deny, or to summarily suspend privileges when there is a reasonable cause to doubt the health care provider’s competence to practice or for any cause affecting the safety of patients or others. AR 40-68 outlines the adverse privileging and practice actions for privileged personnel and adverse practice actions and peer review for non-privileged personnel.

1.5.9. Inquiries. Contractor shall ensure that its personnel do not respond to any media inquiries. Any inquiries from the media shall be immediately relayed to the COR, who will relay them to the Brigade Surgeon and Contracting Officer. There shall be no interviews, comments, or any other response without the knowledge and approval of the COR and Contract Officer. Other than routine inquiries from external agencies, all other inquiries and complaints shall be brought to the attention of the RMs Government supervisor.

1.5.10. Smoking. The Contractor shall ensure that its RMs comply with smoking policy outlined in TR 350-6.

1.5.11. Complaints. Complaints will be validated by the Contracting Officer’s Representative and reported in writing to the Contracting Officer and to the Contractor for action, if it constitutes a failure to perform, as determined by the Government. Patients may also be a source of legitimate complaints that constitute a failure to perform. The contract provider shall have no more than two substantiated complaints per 12-month period per RM. Any patient complaints received on services provided by the RM will be taken very seriously as such will be considered a part of the inspection process. Team Lead will submit documentation to the COR regarding all patient and/or clinical complaints. Receipt of two valid complaints on the RM within any twelve-month period may be considered grounds for immediate removal.

1.6. Conflict of Interest.

1.6.1. The Contractor/RM shall not bill the patient for services rendered under this contract. The Contractor/RM shall be prohibited from receiving compensation of any kind for patients treated, procedures performed, or any other actions performed, except under the terms and conditions of this contract, at the rate specified.

1.6.2. The Contractor or RM shall not, while performing services under this contract, advice, recommend, or suggest to persons eligible to receive medical care at Government expense that such persons should receive care from the Contractor or RM at any place other than as designated under this contract and shall ensure that its RMs do not do so.

1.6.3. The Contractor shall not use Government facilities or other Government property in connection with conducting a private practice and shall ensure that its employees do not do so.

1.6.4. Confidentiality of Information. Unless otherwise specified, all financial, statistical, personnel, and/or technical data which are furnished, produced or otherwise available to the Contractor during the performance of this contract are considered confidential business information and shall not be used for purposes other than performance of work under this contract. The Contractor shall not release any of the above information without prior written consent of the Contracting Officer and shall ensure that its employees do not do so. The Contractor shall not use patient care rendered pursuant to this contract as part of a study, research project, or publication and shall ensure that its employees do not do so.

1.7. License and Credentials Review or Privileging.

NOTE: Contractor Personnel under any resulting contract are not required to be credentialed at RAHC.

1.8. Professional Liability.

1.8.1. Pursuant to 10 USC 1089(a), DoD shall process any personal injury claim alleging negligence by the RM within the scope of the RMs performance under this contract as claims alleging negligence by DoD military or civil service RM. The Contractor or RM is not required to maintain medical malpractice liability insurance, and the Government will not reimburse or otherwise pay for such insurance should any be purchased

1.8.2. Responsibility and Procedures.

1.8.2.1. If any suit or action is filed or any claim is made against the RM, which occurred as a result of work performed by the RM under this contract, the RM shall immediately notify the Contractor, the Contracting Officer and the Department Chief of the appropriate services and promptly furnish them copies of all pertinent documents received.

1.8.2.2. The Contractor and RM shall cooperate with the Government, without further compensation, in the processing, review, settlement, or defense of the suit, action, or claim; and authorize Government representatives to settle or defend the claim and to represent the RM in, or take charge of, any litigation involved in such an action. The RM may, at the RMs own expense, participate in defense of such claim or litigation.

1.9. Quality Management.

1.9.1. Quality Control Plan (QC): The Contractor is required to follow the current QC program in place at 434th FA BDE to ensure that the medical services are provided at a level of quality that meets BDE standards.

1.9.2. Quality Assessment and Improvement (QA&I). The Government will monitor the RM's performance under this contract using the QA&I procedures established by the 434th FA BDE and pursuant to the Contract Terms and Conditions-Commercial Items clause, paragraph entitled Inspection/Acceptance.

Contractor Representation.

1.10.1. The Team Lead will be designated as the representative for this contract. At least ten working days prior to performance start date, the Contractor shall provide in writing to the COR, Team Lead contact information. Changes in the contract representative, at any time after contract commencement, shall be in writing to the COR at least five working days prior to the change.

1.10.2. The Team Lead shall, meet with the COR when requested by the COR to discuss any problems that the Contractor's personnel may be experiencing during the performance of this contract. Problems experienced by the Government with the Contractor's performance will be discussed and resolved. Unresolved problems will be referred to the Contracting Officer for resolution.

1.10.3. The Contractor shall provide points of contact (POC) information for administration of the contract during normal business hours and after normal business hours. The POC for other than normal business hours will be contacted only in the event of emergencies. Accordingly, the named individual(s) shall possess sufficient corporate authority to effectively deal with emergency situations and the telephone number provided shall be functioning at all times other than normal business hours. If there are different POCs for different conditions, such as weekdays, weekends, holidays, clearly provide such information.

2 DEFINITIONS/ACRONYMS.

2.3. Definitions. Following is a list of basic definitions.

2.3.1. Backup Personnel. Pre-approved RMs designated to move into the position of the primary RM to perform required services for the duration of his/her absence.

2.3.2. Beneficiaries of the Military Healthcare System. Those individuals entitled to care at the ARMY EMS in accordance with AR 40-3.

2.3.3. Contracting Officer (KO). A person with the authority to enter into, administer, and/or terminate contracts/task orders and make related determinations and findings.

2.3.4. Contracting Officer’s Representative (COR). A Government employee selected and designated in writing by the KO to act as his/her designated representative in administering a contract. A COR has no authority to change or modify the terms of a contract.

2.3.5. Brigade Surgeon. Credentialed Army Provider who developed the Brigade Scope of Practice and whose license the Army Medics work under.

2.1.10 Fill Rate. Ratio of hours (or shifts, as specified in the CLIN) ordered divided by hours (or shifts) worked. Scheduled absences authorized per contract terms are excluded from fill rate calculations.

2.1.11. Military Time is on a 24-hour clock, e.g.:

2.1.12. Military Dates are written by placing the day of the month, followed by the first three letters of the month, followed by the last two digits of the year, e.g.:

January 2, 2014 - 2 Jan 14 January 10, 2014 -10 Jan 14

2.1.13. Physician. Medical Health Care Provider possessing a doctorate degree as a Medical Doctor (MD) or Doctor of Osteopathy (DO).

2.1.14. Quality Assessment and Improvement. Those actions taken by the Government to check services to determine if they meet the requirements of the BDE SOPs, quality assurance and risk management program, and ensure that the Contractor and its RMs comply with the terms and conditions of the contract.

2.1.15. Quality Control. Those actions taken by a Contractor to control the performance of services to ensure that they meet the requirements of the contract.

2.1.16. Replacement Personnel. RMs selected to fill a position for the duration of the contract period that was previously occupied by another RM.

2.1.17. TRICARE. A regionalized, tri-service, Contractor-supported, DoD-managed healthcare system.

2.2. Acronyms/Abbreviations. Following is a list of basic acronyms/abbreviations used in this contract.

(RAHC)

ARMY EMS - Department of the Army Emergency Medical Services (Ft. Sill)

3 GOVERNMENT-FURNISHED PROPERTY AND SERVICES (GFP).

3.1. The Government will provide office space to accommodate RM personnel. The Government will not incur any liability for theft, damage to, or loss of any EMT personal items. The government will help facilitate and provide computer access to Team Lead.

3.2. The government will help facilitate and provide central issue facility military grade equipment. The Team Lead is responsible for loss, theft or damage to central issue facility military grade equipment issued to RM personnel.

3.3. The Government will provide use of all available ARMY EMS facilities and support services, materials, publications and forms, and equipment (except as designated in the contract). The Government will provide ambulance vehicles and fuel, maintenance, insurance, storage, and parking space for these vehicles. The Government will provide equipment and supplies to be used in the ambulance vehicles. The Contractor shall ensure that its RMs keep Government-furnished supplies, equipment, and work areas in a safe, orderly, and clean condition. The Contractor shall notify the Government whenever maintenance of equipment is required. The Government will be responsible for coordinating the servicing and replacement of any GFP upon notification by the Contractor.

3.4. The Government will provide all vehicles and medical supplies. Government equipment includes, but is not limited to:

· Field Litter Ambulance (FLA) and items for use in ambulances:

· Talon 2 Litter x 2

· C-Collar x 2

· Head Blocks x 2

· Litter Straps x 6

· Oxygen D cylinder, regulator, and non-rebreathers

· Aid Bag/Trauma Bag

· AED

3.5. Special immunizations and biologies in the event of unusual risk situations.

3.6. Computer and software for Contractor to record information relating, but not restricted, to patient age, sex, level of care (BLS, ALS, etc), type (emergency ambulance call, inter-hospital transfer, PTV) destination, date/time, and patient status (active, dependent, retired, retired dependent, veteran, civilian emergency). This includes:

· Desktop computer system

· Computer Monitor

· Computer Printer

· All required forms

3.7. Accountability and Control. An initial and end of the contract inventory shall be jointly conducted by the Contractor and appropriate logistics personnel of all GFP. The condition or operational status shall be determined, recorded, and the accuracy of the inventory certified by both parties.

4 CONTRACTOR-FURNISHED SUPPLIES/SERVICES.

4.1. Uniforms. The Contractor shall provide or ensure contractor personnel have their own uniforms and rubber stamp containing their full name and EMT Certification Number.

5 SPECIFIC TASKS. The quality of EMT, AEMT, and Paramedic services shall meet or exceed reasonable standards of professional practice for healthcare concerned as determined by the same authority that governs military medical professionals in the same discipline. The EMTs, AEMTs and Paramedics shall:

5.1. RMs properly complete patient care records as required i.e., SF 600. Report must indicate patient’s name, history, assessment and treatment given. The report must be legible, and all treatment provided properly documented. Team Lead will collect all SF 600s prepared for patients daily and hand off to the Battalion Medical Provider or the Brigade Surgeon. .

5.2. RMs will provide medical coverage to three high risk ranges i.e. Hand grenades, and Buddy Team Live Fire. RMs will also help with medical coverage to medium risk (1st 100) and low risk (road marches) training events when available.

5.3. RMs will respond to on-site accidents and other emergencies involving injury and illness, and sometimes encounter situations which may be life threatening. Upon arrival at the scene, make an independent preliminary assessment of the patient's condition and select from a variety of prescribed protocols the one which he/she considers appropriate under the given circumstances. Proceed to provide the treatment as prescribed in the protocol. Make modifications to the protocol, if necessary, within prescribed limits. Conduct a complete examination of the patient to determine the nature, extent, and seriousness of his/her condition and search for medical alert symbols. Determine, with due regard to the patient's condition, if and how he/she can be moved. Determine need for evacuation and notify Range Safety Officer (RSO) who will call up Line-9 Medevac request to range operations. Take all directions from range ops. Prioritize treatments for patients having multiple problems and employ a variety of established emergency medicine techniques, methods and equipment.

5.4. All RMs will receive training on the Field Litter Ambulance (FLA) and a road test will be conducted.