481_Draft SOW FTTG for SBR (693J924RQ000251).pdf

Title: Field Trauma Triage Guidelines Demonstration

Section C – DESCRIPTION, SPECIFICATIONS, WORK STATEMENT

C.1 BACKGROUND

The National Highway Traffic Safety Administration (NHTSA) is an agency of the U.S.

Department of Transportation (DOT). NHTSA’s mission is to save lives, prevent injuries, and reduce traffic-related health care and other economic costs. The agency develops, promotes, and implements effective educational and enforcement programs with the goal of ending preventable tragedies and reducing economic costs associated with vehicle use and highway travel.

otc After a motor vehicle crash occurs, Emergency Medical Services (EMS) represent the best chance to improve health outcomes of injured crash victims. By accurately identifying those victims who are seriously injured, providing the best treatment, and transporting victims to appropriate higher levels of care, EMS plays a key role in preventing vehicle-related crash injuries from becoming fatal.

For three decades, the National Guidelines for the Field Triage of Injured Patients,1 known also as the ‘Field Triage Guidelines’ (FTG) or ‘Field Trauma Triage Guidelines’ (FTTG) have been widely adopted by U.S. trauma systems to support decision making by EMS clinicians in both treatment decisions and transport destination determinations for injured patients in the field. Use of FTTG ensure that the most seriously injured patients—including motor vehicle crash victims—are transported to appropriate trauma centers while directing less severely injured patients to lower levels of care. FTTG help ensure that the limited resources of the trauma centers are not inundated with patients whose injuries can be adequately cared for in the field or at local non-trauma center hospitals.

NHTSA has supported improvements to FTTG for decades. The FTTG were most recently revised in 2021 by the American College of Surgeons (ACS), again with support from NHTSA.

This latest iteration also included the development of a model FTTG treatment protocol and training materials for use by EMS. While ACS hosts these materials on their website, funded training and dissemination program for State, tribal, territorial, or local EMS agencies and providers is not available. EMS agencies may lack resources and staff to effectively disseminate, train clinicians on, and implement the recent 2021 FTTG. Available treatment protocols and training materials may not be widely understood or used. Some States, tribes, or territories have FTTG strategies in place, while others seek information on developing more successful FTTG programs. Research examining state adoption of the 2006 FTTG four years after a major revision showed that only 17% of sampled agencies had fully adopted all criteria.2 Additionally, the provision of rural tribal, or territorial post-crash care (PCC) is limited by diminished local funding, a high proportion of unpaid EMS volunteer providers, and service from EMS agencies

1 American College of Surgeons’ 2021 National Guidelines for the Field Triage of Injured Patients:

https://www.facs.org/quality-programs/trauma/systems/field-triage-guidelines/ or https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9323557/ 2 Sasser SM, Ossmann E, Wald MM, Lerner EB, Hunt RC. Adoption of the 2006 field triage decision scheme for injured patients. West J Emerg Med 2011; 12:275–83.

https://www.facs.org/quality-programs/trauma/systems/field-triage-guidelines/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9323557/ outside of the community for crash response. NHTSA does not have documentation on successful processes and strategies that enable States to best implement a comprehensive FTTG program update to the 2021 FTTG. States and communities need examples of how best to deploy the 2021 FTTG, especially in underserved communities. States and communities may also benefit from additional materials and program resources that have yet to be developed.

In November 2022, the National EMS Advisory Council wrote a letter to NHTSA asking that NHTSA and highway safety partners work to ensure adoption of the 2021 FTTG. The letter recommended the agency to “Utilize federal discretionary funding to encourage state highway safety offices to invest in a campaign to educate stakeholders, including NHTSA Regional Operations, the Governor’s Highway Safety Association (GHSA), and state offices of highway safety about the newly revised National Trauma Field Triage Guidelines and their relevance to improved outcomes during post-crash care and encourage statewide adoption”.3

This project will provide support to State and local EMS systems to effectively deploy the 2021 FTTG, offering funds to help distribute, train clinicians on, and develop practices for its use. To inform future implementation of the 2021 FTTG in other communities, this project will also document and evaluate the processes and outcomes of implementing the guidelines among EMS systems that receive this support. Last, this project will comply with Executive Order ‘Further Advancing Racial Equity and Support for Underserved Communities Through the Federal Government’, Section 6. Creating Economic Opportunity in Rural America and Advancing Urban Equitable Development by aiming to provide support for EMS systems that provide PCC to rural and underserved communities.

C.2 OBJECTIVE

The objective of this contract is to support and evaluate the deployment of the 2021 FTTG in State and local EMS systems, and especially those systems that provide PCC to rural and underserved communities.

C.3 GENERAL REQUIREMENTS

This project will require the Contractor to:

1. Develop an annotated bibliography in APA format that aggregates literature and resources concerning the development, promotion, implementation, usage, and outcomes of the 2021 FTTG

2. Develop a funding application and award document describing how potential State OEMSs and local EMS agencies will be recruited to apply for support to implement the 2021 FTTG, what criteria will be used to evaluate their applications, and how funded activities will be monitored and documented

3 National EMS Advisory Council Post-Crash Care Letter. https://www.ems.gov/assets/NEMSAC-Letter-to-NHTSA---finalized-11-3-22-(003).pdf https://gcc02.safelinks.protection.outlook.com/?url=https%3A%2F%2Flnks.gd%2Fl%2FeyJhbGciOiJIUzI1NiJ9.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.KSvfjQ_lv4ROagvwhkdwuJKqBSNhr1A4nvG6mGEvtl8%2Fs%2F521408680%2Fbr%2F154640771234-l&data=05%7C01%7Cmax.sevareid%40dot.gov%7Cf6d21a641e5a459c9e1008db104da7c4%7Cc4cd245b44f04395a1aa3848d258f78b%7C0%7C0%7C638121697974558536%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C&sdata=NgJLQQi0XAN7Kgiss0xIIglUNUfK3jCxZumGL%2By8JsA%3D&reserved=0 https://gcc02.safelinks.protection.outlook.com/?url=https%3A%2F%2Flnks.gd%2Fl%2FeyJhbGciOiJIUzI1NiJ9.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.KSvfjQ_lv4ROagvwhkdwuJKqBSNhr1A4nvG6mGEvtl8%2Fs%2F521408680%2Fbr%2F154640771234-l&data=05%7C01%7Cmax.sevareid%40dot.gov%7Cf6d21a641e5a459c9e1008db104da7c4%7Cc4cd245b44f04395a1aa3848d258f78b%7C0%7C0%7C638121697974558536%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C&sdata=NgJLQQi0XAN7Kgiss0xIIglUNUfK3jCxZumGL%2By8JsA%3D&reserved=0 https://gcc02.safelinks.protection.outlook.com/?url=https%3A%2F%2Flnks.gd%2Fl%2FeyJhbGciOiJIUzI1NiJ9.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.KSvfjQ_lv4ROagvwhkdwuJKqBSNhr1A4nvG6mGEvtl8%2Fs%2F521408680%2Fbr%2F154640771234-l&data=05%7C01%7Cmax.sevareid%40dot.gov%7Cf6d21a641e5a459c9e1008db104da7c4%7Cc4cd245b44f04395a1aa3848d258f78b%7C0%7C0%7C638121697974558536%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C&sdata=NgJLQQi0XAN7Kgiss0xIIglUNUfK3jCxZumGL%2By8JsA%3D&reserved=0

3. Conduct the funding application process and work with the COR to select State OEMSs and local EMS agencies to receive awards

4. Distribute financial support to awardees, monitor supported activities and performance, and document activities and correspondence

5. Develop a plan to evaluate the processes and outcomes of awardee activities, including a guide for interviewing no more than nine (9) awardee personnel in total, procedures for collecting and analyzing process materials, and procedures for collecting and analyzing outcome data

6. Conduct the interviews, collection of process materials, and collection of outcomes data, and synthesize the findings into a summary report

7. Produce a final report that synthesizes knowledge from the annotated bibliography, documented awardee activities and performance, and process and outcomes evaluation summary report, and which includes a discussion of lessons learned, best practices, and considerations for future efforts to support and implement the 2021

FTTG

C.4 ACRONYMS

The following is a list of key acronyms used throughout the Statement of Work (SOW). This list may not be exhaustive.

ACOR Alternate Contracting Officer’s Representative for the Contract ACS American College of Surgeons APA American Psychological Association CO Contracting Officer COR Contracting Officer’s Representative CS Contracting Specialist DOT U.S. Department of Transportation EMS Emergency Medical Services FTTG Field Trauma Triage Guidelines IHS Indian Health Service, U.S. Department of Health & Human Services NASEMSO National Association of State Emergency Medical Services Officials NHTSA National Highway Traffic Safety Administration OEMS Office of Emergency Medical Services SHSO State Highway Safety Office SOW Statement of Work

C.5 SPECIFIC REQUIREMENTS

C.5.1 Kickoff Meeting

Within one (1) month of the effective date of award, the Contractor shall meet with the Contracting Officer’s Representative (Task Order) (COR), Contracting Officer (CO), and other interested National Highway Traffic Safety Administration (NHTSA) staff via conference call.

The purpose of the kickoff meeting is two-fold: (1) to discuss the administration of this Contract, and (2) to discuss the project’s objectives, planned course of action, milestones and deliverables, and to resolve any differences between the Government’s requirements and the Contractor’s technical approach.

The Contractor shall be prepared to discuss the technical details of the Contractor’s proposed technical plan, including the project’s goals, objectives, and scope. Additionally, the meeting will serve to identify any gaps or potential barriers and solutions to ensure successful completion of the project. Key discussion points will include working with OEMSs, EMS agencies, EMS clinicians, FTTG data collection opportunities and challenges, and analyzing and making sense of the resulting data. This kickoff meeting shall be no more than one (1) hour. For flexibility in scheduling, the meeting may be divided into a brief “business kickoff” between only the Contractor, COR, and CO, and an “official kickoff” between the Contractor, COR, and interested NHTSA staff.

The Contractor shall submit a draft version of meeting materials to the COR one (1) week prior to the kickoff meeting. The COR will provide comments on the materials within three (3) days of receipt.

C.5.2 Final Work Plan

Within two (2) months of the effective date of award, the Contractor shall submit a Final Work Plan. Synthesizing information from the Contractor’s final and revised technical proposal, discussions at the Kickoff Meeting, and prior correspondence with the COR, the Final Work Plan will describe the Contractor’s technical approach to accomplishing the subsequent Specific Requirements of the project. This will include both general and detailed information concerning the separate Tasks of the project, including some specific information necessary to carry out the immediately subsequent Task C.5.3 Conduct Brief Literature Search and Annotated Bibliography.

The COR will provide feedback or approval on the Work Plan within two (2) weeks of receipt.

The Contractor shall the address the COR’s feedback and submit a revised Work Plan within two

(2) weeks of receipt. This process will repeat until the COR approves the Work Plan. Except for planning, the Contractor shall not proceed with any subsequent tasks in the Work Plan until the COR has approved it.

C.5.3. Conduct Brief Literature Search and Develop Annotated Bibliography

Within three (3) months of the effective date of award, the Contractor shall submit an Annotated Bibliography concerning the 2021 FTTG. As NHTSA and ACS have recently compiled information relating to the 2021 FTTG, a full literature review and plan to create this Annotated Bibliography will not be necessary. Instead, the Contractor shall only combine and summarize (1) previously compiled information with (2) findings of a brief search of relevant scholarly, journalistic, governmental, and grey literature sources between 2021 and the date of the Annotated Bibliography. The COR will provide the previously compiled information for the

Contractor within one (1) month of award. The Contractor shall specify the components of this Brief Literature Search beforehand in the Work Plan, such as the sources, search terms, criteria for inclusion/exclusion, and procedures for identifying and reviewing abstracts.

The Annotated Bibliography will compile any materials relevant to the 2021 FTTG, such as those concerned with its development, promotion, implementation, usage, and outcomes. The bibliography need not be published but serve principally as an informative resource for the Contractor in later tasks. The bibliography could be included as an appendix in later deliverables.

The COR will provide feedback on the Annotated Bibliography within three (3) days of receipt.

C.5.4 Develop Funding Application and Award Document

Within five (5) months of the effective date of award, the Contractor shall submit a Funding Application and Award Document describing how potential State OEMSs and local EMS agencies will be recruited to apply for support to implement the 2021 FTTG, the criteria used to evaluate the applications, and how the activities of awardee will be monitored and assessed. The Contractor shall develop this Document with assistance from the Annotated Bibliography and subcontracted entities with relevant expertise.

The Document will describe:

(1) How the funds should be best exercised by awardees, such as to support training, education, resource development, coordination with trauma/non-trauma centers, etc.;

(2) What research may be conducted and approach used to establish the pool of potential awardees;

(3) How potential awardees will be contacted and made aware of the funding program;

(4) What information and assistance potential awardees will be provided in the application process;

(5) What criteria will be used to evaluate awardee applications and eligibility for support;

and

(6) What procedures will be used to monitor and document awardee activities.

Regarding (5), the criteria used to evaluate the funding applications should consider and include, but is not limited to, awardees’:

• Capacity to implement and measure award-related activities

• Representativeness of other State OEMSs and local EMS agencies in crash response

• Need and demographics of their serviced communities

• Potential to find a matched control agency for the subsequent Task C.5.5 Conduct

Funding Application Process and Award Distribution

• History of collecting relevant process or outcome data (e.g., National Emergency Medical

Services Information System v3), if any

• History of implementing new trauma triage protocols or guidelines, if any

The COR will provide feedback or approval on the Document within six (6) weeks of receipt.

The Contractor shall the address the COR’s feedback and submit a revision within four (4) weeks of receipt. This process will repeat until the COR approves the Document. Except for planning, the Contractor shall not proceed with any subsequent tasks until the COR has approved it.

C.5.5. Conduct Funding Application Process and Select Awardees

Within ten (10) months of the effective date of the award, the Contractor shall recruit and request the application of potential awardees, receive and work with the COR to evaluate funding applications, and assist in the COR in selecting awardees. The Contractor shall coordinate with the COR to notify the selected awardees’ corresponding SHSOs of award decisions to solicit their awareness, interest, and support to awardees.

The final sample of selected awardees to receive support must include at least two (2) States OEMSs with rural EMS agencies, and at least (1) tribal OEMS or similar agency. The final sample of selected awardees must also include at least two (2) awardees each with a matched control group agency; although desirable, not all awardees must have matched control group agencies. The final sample of selected awardees to receive support must include at least four (4) State OEMSs and/or local EMS agencies in total.

Contacting potential awardees, receiving and evaluating funding applications, and selecting awardees will precede and then occur concurrently with C.5.6 Distribute Financial Support to State OEMSs and Local EMS Agencies.

C.5.6 Distribute Financial Support to State OEMSs and Local EMS Agencies

Within twenty-four (24) months of the effective date of award, the Contractor shall work with the COR to distribute financial support to awarded State OEMSs and local EMS agencies, monitor awardee activities and performance, and document awardee activities and correspondence with the Contractor. Documented awardee activities and correspondence—such as progress reports, emails, minutes taken of meetings, and so forth—will be saved for the later Task C.5.8 Conduct Process and Outcome Evaluations.

Distributing financial support to awardees, monitoring awardee activities and performance, and documenting awardee activities and correspondence will follow and then occur concurrently with Task C.5.5 Conduct Funding Application Process and Select Awardees.

C.5.7 Develop Process and Outcome Evaluation Plan

Within twenty-four (24) months of the effective date of award or two (2) weeks before the first awardee is scheduled to conclude award-funded activities per C.5.6 Distribute Financial Support to State OEMSs and Local EMS Agencies, the Contractor shall submit a Process and Outcomes Evaluation Plan. The goal of this Plan is to describe how information from awardees will be collected to better understand the context, mechanisms, and effects of the funding program. The components of the Plan will apply differently to each awardee based on their respective capacities to provide the Contractor with different types and amounts of data.

The Plan will describe the collection and analysis of three types of data: interviews, process materials, and outcomes. Using this Plan, the Contractor shall interview individuals responsible for managing and implementing award activities and collect process materials describing important elements of award implementation. The Contractor shall also collect or measure outcome data related to the award activities, such as EMS providers’ perceptions of training, trauma triage decisions, and patient care outcomes.

Interview Guide. The Contractor shall develop a series of questions that will guide interviews with awardee managers and implementers, including items asked on a contingent basis depending on the characteristics of the awardee. Questions shall address, but are not limited to, the following topics:

• Motivations and expectations concerning the award

• Content and organization of award activities

• Barriers encountered when implementing award activities

• Perceptions of program efficacy and future needs

• Lessons learned in the application and administration of the award

In addition to questions, the Interview Guide shall include details regarding:

• The structure of the interviews

• The place, method, and anticipated date of each interview

• The goals for each interview (assuming interviewee acceptance)

• Steps to analyze and synthesize data across interviews

Prior to the submission of questions and in collaboration with the COR, the Contractor shall select up to nine (9) proposed interviewees among awardee personnel based on their degree of involvement and role in the administration and implementation of award activities.

Process Materials Plan. The Contractor shall develop a plan for obtaining, storing, and using process materials related to award activities. Such data may include, but are not limited to, the following:

• Administrative and financial data

• Summary and progress reports

• Training and educational materials

• Correspondence between management and EMS providers

• Correspondence between management and the Contractor

Like the Interview Guide, the Process Materials Plan will also include steps to analyze and synthesize process materials data.

Outcome Data Plan. The Contractor shall develop a plan for obtaining, storing, and using data relevant to the short- or long-term effects of the funding program. Such data may include, but are not limited to, the following:

• EMS providers’ perceptions of training

• On-scene patient condition assessments

• Triage decisions / Under- and over-triage rates

• Scene response times

• Patient care outcomes

Like the Interview Guide and Process Materials Plan, the Outcome Data Plan will also include steps to analyze and synthesize outcome data.

Development and submission of the Process and Outcome Evaluation Plan will occur concurrently with C.5.6 Distribute Financial Support to State and Local Agencies. The COR will provide feedback on the Plan within two (2) weeks of receipt.

C.5.8 Conduct Process and Outcomes Evaluations

The Contractor shall conduct the process and outcome evaluations using the Process and Outcomes Evaluation Plan of C.5.7. The Contractor shall synthesize the collected interview, process materials, and outcome data into a summary report within thirty-two (32) months of the effective date of award. The COR (TO) will provide comments on the summary report within two (2) weeks of receipt.

C.5.9.1 Draft Final Report

Within thirty-six (36) months of the effective date of award, the Contractor shall submit a Draft Final Report. The Draft Final Report will synthesize knowledge gathered over the separate Tasks of the project. This will include selected information and findings from the Annotated Bibliography, the Funding Application and Award Document, the documented awardee activities and performance, the recorded correspondence between the Contractor and awardees, and the Process and Outcomes Evaluation summary report. The Draft Final Report shall also articulate

(1) lessons learned from the separate Tasks of the project, (2) best practices in program deployment, and (3) considerations for both potential awarders and awardees seeking to support and implement, respectively, the 2021 FTTG in State OEMSs and local EMS agencies.

The draft final report shall include a Technical Documentation page, a table of contents, a brief two (2) page Executive Summary of the project’s key findings, and the following sections:

• Introduction

• The Funding Application Process

• Awardees and Implementation

• The Process Evaluations

• The Outcome Evaluations

• Discussion

The Draft Final Report, including all references, will adhere to the standards detailed in the 7th

Edition of the Publication Manual of the American Psychological Association. The Draft Final Report will also adhere to the criteria specified in NHTSA’s Quality Assurance Guidelines and Level 3 Report Template Instructions, and the Contractor shall conduct a quality assurance review (QAR) of this deliverable prior to its submission to the COR. This QAR must be conducted by a senior scientist with strong research experience, writing experience, knowledge of the topic area, and familiarity with any statistical procedures used in the outcome evaluation.

This senior scientist must be also someone not involved in any prior task of the project.

The COR (TO) will provide comments on the draft final report within four (4) weeks of receipt.

C.5.9.2 Draft 2021 FTTG Implementation Supplementary Guide

Within thirty-six (36) months of the effective date of award, the Contractor shall submit a Draft 2021 FTTG Implementation Supplementary Guide. As an addendum to the Draft Final Report, this Guide will provide more concrete information and considerations than the Draft Final Report for potential awarders and awardees seeking to support and implement, respectively, the 2021

FTTG.

Along with the Draft Final Report, the COR (TO) will provide comments on the 2021 FTTG Implementation Supplementary Guide within four (4) weeks of receipt.

C.5.10 Final Briefing

Within thirty-seven (37) months of the effective date of award, the Contractor shall submit materials for a Final Briefing for the COR to review. Within thirty-eight (38) months of task award, the Contractor shall—collaboratively with the COR—develop and conduct a Final Briefing. This Final Briefing will be hosted virtually using video conferencing software, or hosted using a hybrid virtual/in-person approach at NHTSA Headquarters in Washington, D.C.

This briefing shall consist of an approximately 30-minute presentation of the project that includes the project background, a description of the specific tasks conducted, the results of those tasks, a discussion of project findings and their implications, and a question-and-answer period.

C.5.11 Final Report and Final FTTG Implementation Supplementary Guide

Within thirty-nine (39) months of the effective date of award, the Contractor shall submit a revised final report incorporating feedback from the COR and discussion at the Final Briefing.

The COR will provide feedback on the revised final report within two (2) weeks of receipt.

Within forty (40) months of the effective date of award, the Contractor shall submit the final report incorporating feedback from the COR. The Contractor shall also submit other materials written or generated during the project including, but not limited to:

• The Annotated Bibliography and copies of journal articles reviewed in the brief systematic literature review

• Datasets created or obtained interviews, process materials, or outcomes data

• Coding or records pertaining to responses obtained during interviews

C.5.12 Final Report for Agency Review

The Contractor shall submit the Final Report (after making the necessary edits from C.6.5) to begin NHTSA’s Agency Review process within forty-two (42) months of Contract award.

The COR will process the report through NHTSA’s formal review and approval process. Once the report has gone through the formal NHTSA review process, the COR will return interim comments to the Contractor. The Contractor shall make final revisions to the report based on the comments received and then submit the finalized report for publication to the COR. The final report shall be completed and finalized for publishing by four-four (44) months after Contract award.

(End of Section C)

SECTION F – DELIVERIES OR PERFORMANCE

F.1 PERIOD OF PERFORMANCE

All work required hereunder, including preparation, submission, review of any and all reports, shall be completed within the forty-four (44) months from the effective date of the contract award. This period of performance is expected to cover all Required Tasks under this contract.

F.2 PERFORMANCE MILESTONES (M) AND DELIVERABLES (D)

Deliverables and Milestones for this Contract are reported below.

F.2.1. Deliverable (D)/Milestone (M) Schedule

Item # Task # Milestone (M)/Deliverable (D) Due Date

1 C.5.1 Submit Kickoff meeting materials (M)/(D) 1 week prior to Kickoff meeting

2 C.5.1 COR provide feedback on materials

(M) 3 days of receipt

3 C.5.1 Kickoff meeting (M) 1 month from effective date of award

4 C.5.2 Submit Final Work Plan (D) 2 months from effective date of award

5 C.5.2 COR provide feedback on Final Work Plan (M) 2 weeks of receipt, until approval

6 C.5.3 Conduct brief literature search and submit Annotated Bibliography (D)

3 months from effective date of award

7 C.5.3 COR provide feedback on Annotated Bibliography (M) 3 days of receipt

8 C.5.4 Submit Funding Application and Award Document (D)

5 months from effective date of award

9 C.5.4 COR provide feedback on Funding Application and Award Document (M)

4 weeks of receipt, until approval

10 C.5.5 Conduct Funding Application Process and Select Awardees (M)

10 months from effective date of award

11 C.5.6 Distribute Financial Support to State OEMSs and Local EMS Agencies (M)

24 months from effective date of award

12 C.5.7 Develop Process and Outcome Evaluation Plan (D)

24 months from effective date of award or 2 weeks before first conclusion of award activities

13 C.5.7 COR provide feedback on Process and Outcome Evaluation Plan (M) 2 weeks of receipt

14 C.5.8 Conduct and Synthesize Process and Outcome Evaluations (M/D)

32 months from effective date of award

15 C.5.8 COR provide feedback on Process and Outcome Evaluation summary report (M)

2 weeks of receipt

16 C.5.9.1 Draft Final Report (D) 36 months from effective date of award

17 C.5.9.1 COR provide feedback on Draft Final Report (M) 4 weeks of receipt

18 C.5.9.2 Draft 2021 FTTG Implementation Supplementary Guide (D)

36 months from effective date of award

19 C.5.9.2 COR provide feedback on Draft 2021 FTTG Implementation Supplementary Guide (M)

4 weeks of receipt

20 C.5.10 Submit Final Briefing materials (D) 37 months from effective date of award

21 C.5.10 Final Briefing (M) 38 months from effective date of award

22 C.5.11 Submit revised Final Report and Final 2021 FTTG Implementation Guide (D)

39 months from effective date of award

23 C.5.11 COR provide feedback on revised Final Report and Final 2021 FTTG Implementation Guide (M)

2 weeks of receipt

24 C.5.11 Submit Final Report, Final 2021 FTTG Implementation Guide, and other project materials (D)

40 months from effective date of award

25 C.5.12 Submit Final Report for Agency Review

44 months from effective date of award

26 F.4.1 Submit monthly reports (D) Before the 10th of each month

F.4 REPORTING REQUIREMENTS

F.4.1 Monthly Progress Reports

The Contractor shall send a monthly report electronically to the COR by the 10th of each month following the month being reported. At a minimum, the progress report shall include a narrative description of the following items:

• Accomplishments made during the reporting period.

• Plans for accomplishments in next reporting period.

• Preliminary or interim results, conclusions, or other items of information that the

Contractor believes are of interest to NHTSA

• Problems or delays experienced by the Contractor, and possible solutions for remedying any problems or delays

• Specific action the contractor would like NHTSA to undertake to alleviate a problem.

• Due dates for remaining deliverables.

• Funds status by Specific Requirement, month’s obligations, cumulative obligations, estimated cost to complete, and percent of cost expended versus percent of completion.