Amendment 000001_Attachment 3 Performance Work Statement.docx

ATTACHMENT I – 70Z02322R11120001

PERFORMANCE WORK STATEMENT (PWS) FOR MULTIDISCIPLINE

PERSONAL AND NON PERSONAL HEALTHCARE SERVICES

AT UNITED STATES COAST GUARD (USCG) CLINICS

1.0. INTRODUCTION

1.1. The United States Coast Guard (USCG), Headquarters Multidiscipline Personal and Non-Personal Healthcare Services as required by the USCG Health, Safety and Work-Life Services Center (HSWL SC) to support USCG Clinics in Alabama, Alaska, California, Connecticut, District of Columbia, Florida, Hawaii, Louisiana, Maryland, Massachusetts, Michigan, New Jersey, New York, North Carolina, Ohio, Oregon, Puerto Rico, Texas, Virginia, and Washington.

1.2. The Multidiscipline Personal and Non-Personal Healthcare Service requirements include, but may not be limited to, the following healthcare related positions: Dental Assistants, Dental Hygienists, General Dentists, Dentist with Exodontias, Flight Surgeon, General Physicians, Medical Assistants, Medical Laboratory Technician, Mid-Level Providers (Physician Assistants/Family Nurse Practitioners), Optometrists, Oral Surgeons, Paramedics, Pharmacists, Pharmacy Technicians, Physical Therapists, Physical Therapist Assistant, Psychiatric Social Workers, Psychiatrists, Registered Nurses, Quality Improvement Registered Nurse, Senior Clinical Laboratory Scientist Lab Manager, Medical Coder, Emergency Medical Technician, Optical Technician, and Clinical Psychologists. The standards for each discipline are provided as attachments.

2.0. BACKGROUND

2.1. Mission.

The mission of the USCG Health Services Program is to provide health care to active duty and reserve members in support of USCG missions, to ensure the medical and dental readiness of all USCG members to maintain ability for world-wide deployment and to ensure the availability of quality, cost- effective health care for all eligible beneficiaries. The USCG Clinics provide a full range of healthcare services to active duty, retired military personnel and their dependents or to others that are eligible for direct medical care as set forth in the USCG Medical Manual.

2.2. Places of Performance and Hours of Operation

North Region (14): Baltimore, MD; Boston, MA; Cape Cod, MA; Cape May, NJ; Atlantic City, NJ; Elizabeth City, NC; New London, CT; Norfolk, VA; Portsmouth, VA; Selfridge, MI; Staten Island, NY; Washington, DC; and Yorktown, VA; Traverse City; MI, Philadelphia, PA

South Region (14): Borinquen, PR; Clearwater, FL; Galveston, TX; Miami Beach, FL; Mobile, AL; New Orleans, LA; Opa Locka, FL; San Juan, PR; and St. Petersburg, FL; Corpus Christi, TX; Miami, FL; Savannah, GA; Key West, FL; Jacksonville, FL; Charleston, SC

West Region (15): Alameda, CA; Juneau, AK; Ketchikan, AK; Kodiak, AK; North Bend, OR; Port Angeles, WA; Petaluma, CA; San Pedro, CA; Seattle, WA; and Warrenton (Astoria), OR; Humboldt Bay, CA; Honolulu, HI; Barbers Point, HI; Sacramento, CA, Sitka, AK

a. Normal Hours: Contractor employees shall normally provide services between the hours of 6:00 A.M. and 4:30 P.M, Monday through Friday (excluding Federal Holidays), consisting of an eight (8) hour workday based on clinic need with an uncompensated lunch. However, there may be occasions when Contractor employees will be required to work other than normal business hours, including weekends and holidays, to fulfill requirements under this contract. The Contracting Officer Representative (COR) and Contracting Officer (KO) determine the appropriate use of non-routine hours worked. Clinic Administrators shall send a request to the COR for contract employees to work non-routine hours.

b. Teleworking: In general, Contract Healthcare Provider personnel are expected to physically report to the clinic at which they are assigned; however if directed by the CG, contract staff may tele-work from home or an alternate work-site. Any cost associated with a telework phone or phone expenses are the responsibility of the contract employee or the contractor. The government will provide a government computer or IPad as appropriate.

c. Travel: At the government’s request, contract employees are authorized to travel on a temporary basis to execute services to the government as outlined in this PWS as per the stipulations within the Federal Travel Regulations (FTR). The government will provide the contractor reimbursement for applicable travel costs IAW the allowances authorized within the FTR. The clinic must receive written approval from the Contracting Officer’s Representative prior to scheduling travel. Travel requests must include all information required on the form CG-2070 and may be submitted via the form.

d. Emergencies, Accidents or Sudden Operational Needs: Providing services at any other times or days shall be by prior mutual agreement between the Contractor and COR. The government generally directs staff to stay within the scheduled weekly hours except in unexpected or emergency circumstances. In an emergency situation where contract employee’s medical intervention is critical, contract employees will be compensated for any overtime by the government without prior COR approval.

e. Federal Holidays: The Contract Healthcare Provider shall work weekdays, Monday through Friday, during the established clinic hours, excluding the following eleven (11) holidays for the United States:

If New Year’s Day, Independence Day, Veterans Day or Christmas Day falls on a Saturday, it is observed on Friday; if it falls on Sunday, it is observed on Monday. If a federal holiday is declared via Federal Executive Order, contract employees are excluded from work.

2.3. Absences and Compensatory Time:

a. Short Term Absences: The Contract Healthcare Provider shall notify the Clinic Administrator of unplanned absences (i.e., illness, family emergency, etc.) within two (2) hours before the start of his/her shift on the day of the unplanned absence. Absence from the place of performance during the specific hours of performance determined by the Clinic Administrator, without appropriate authorization from the Clinic Administrator, may be considered as adverse performance or require an alternate provider (when applicable).

b. Planned Absences: Absence from place of performance may be requested in advance from the Clinic Administrator for a valid reason (i.e. reserve drilling statutes, illness, death in family, or vacation). Planned absence from assigned duties shall be requested by the Contract Healthcare Provider within fifteen (15) calendar days advance notice, in writing, to the Clinic Administrator and the Contractor. If requests are not made fifteen calendar days in advance, the Clinic Administrator may deny the request unless it is determined to be extenuating circumstances.

c. Unplanned Absences: If the Contract Healthcare Provider is absent for three (3) or more consecutive days due to illness, he or she shall provide written documentation from a qualified physician or dentist stating the illness and that the Contract Healthcare Provider is free from any communicable diseases and provide a date as to when the Contractor is able to return to work. The Government reserves the right, at any time, to perform a visual and/or cursory examination of any Contract Healthcare Provider, specifically if it is apparent and/or visible that a communicable disease may be present.

d. Longer Absences: In the event of prolonged absence (greater than fourteen (14) calendar days), other than paid time off, will require coverage and a temporary substitute is required, unless the Contracting Officer relieves the Contractor of this requirement. Healthcare workers who are pregnant may not be able to perform all of the necessary tasks and may be restricted from the working environment by regulation. In this incidence, a backup employee is required in order to perform such tasks. When notified of a prolonged absence by the contract employee or COR, the contractor will have 30 days to provide an applicant package for a backup candidate that meets the requirements of the SOW. If notified by the contract employee, the contractor will have three (3) days to notify the COR. The government will receive a discount for any positions identified as temporarily vacant due to a prolonged absence. The Performance Requirements Summary apply.

2.4. Government Terms and Definitions

2.4.1. Acronyms:

2.4.2. Terms and Definitions:

a. Contractor. The term "Contractor" refers to the legal entity that undertakes the legal responsibility to perform this contract, which may be a medical/dental staffing agency. The Prime Contractor shall hire all Contract Healthcare Providers or clinic support personnel to provide the services for this contract. The Prime Contractor can utilize subcontractors as long as the Prime Contractor is in compliance with FAR Clause 52.219-14, Limitations on Subcontracting.

b. Contract Healthcare Provider. As used herein, the term "contract healthcare provider" refers to the individual Contractor employee who works at or for the USCG site and who performs the professional or clinic support healthcare services under this contract. A professional provider is defined in 29 CFR Section 541.3.

c. Personal Services. The Contract Healthcare Providers providing services under this contract shall be rendering personal services to the USCG. He /She is performing an agency function by providing direct health care that would have to be provided by the USCG to its health care beneficiaries. The Contract Healthcare Provider's activities shall be subject to day-to-day supervision and control by USCG personnel in a manner comparable to the supervision and control exercised over USCG uniformed and civil service personnel engaged in comparable work. The term "supervision and control” is defined as that process by which the Contract Healthcare Provider receives technical guidance, direction, and approval with regard to an element of work or a series of tasks within the requirement of this contract. Personal services under this contract do not create an employer/employee relationship with the Coast Guard. These healthcare workers are performing services at the military treatment facilities as employees of staffing agencies under personal services contracts entered into under the authority of Section 1091 of Title 10, U.S.C. Accordingly, personal injury claims alleging negligence by a Contract Healthcare Provider within the scope of his or her performance of this contract shall be processed as claims alleging negligence by USCG military or civil service employees. The Contract Healthcare Providers are not required to maintain medical liability insurance. Nothing in this contract shall be construed as creating an employer-employee relationship between the USCG and any other party or legal entity, including any corporation, partnership or business association identified in Block 17A of Standard Form 1449. The Contract Healthcare Providers shall read, write, speak and understand the English language fluently. The Contract Healthcare Providers ARE NOT prohibited, by reason of employment under this contract, from conducting other employment so long as there is no conflict with the performance of duties under this contract. However, employment shall not be conducted during those hours in which the healthcare worker is required to render services under this contract. The Contract Healthcare Providers shall make no use of Government facilities or property in connection with such other employment.

d. Medical Officer/Dental Officer. Medical or Dental Officers will normally be either USCG Officers or Public Health Service Officers. Civilian Medical Practitioners who have a contract with the Coast Guard to see patients in their private offices are not considered Medical Officers for the purpose of Coast Guard instructions.

e. Clinical Privileges. Clinical privileges are the tasks a particular professional healthcare provider is authorized to perform at a particular location.

f. Clinic Administrator (also called Health Services Administrator). The Clinic Administrator will normally be a USCG military service member with clinic experience. The Clinic Administrator is the functional manager of the clinic.

g. Acceptable Quality Level (AQL). AQL is the minimum level of quality and quantity of services that the contract requires. The PWS with applicable attachments/exhibits and the Performance Requirements Summary (PRS) provides guidance.

h. Mid-Level Providers. Family Nurse Practitioners and Physician’s Assistants are identified as Mid-Level Providers. The Contractor may place either in a location requiring a Mid-Level Provider.

i. Allied Professional. A healthcare provider whose occupation does not require a license to provide the service rendered.

j. Licensed Professional. A healthcare provider required to have a current, active license issued by a formal licensing state agency (Board) to practice a healthcare profession.

3.0. SCOPE

3.1. Task Requirements. The Contractor shall provide Contract Healthcare Providers described in the Position Descriptions Qualifications, also called Statements of Work (SOW), Attachments 3a through 3aa, to perform professional and support services.

3.2. Business Requirements

a. The Contractor shall provide recruitment, credentialing, retention, replacement, efficient staffing, and resource allocation for contract administration in a manner that ensures the USCG a stable and well trained health services personnel workforce over the life of the contract. These professional services shall be provided in a manner that ensures the prime functions of the contract (recruitment and retention services) are performed consistently and effectively.

b. Over the life of the contract, the Contractor shall employ efficient and up-to-date processes in their everyday business practices. Refreshed business practices shall strive to ensure and continually improve: 1) the shortest possible lead times in recruitment and replacement; 2) proper/accurate credentialing for review and approval by the Government; 3) smooth transitioning and start up for Clinics receiving new Contractor employees and 4) smooth Contract Administration (examples: change orders, invoicing, dispute resolution, program management etc.).

4.0. APPLICABLE LAWS, REGULATIONS, DIRECTIVES, REFERENCES, AND DOCUMENTS

a. The Contractor and all Contract Healthcare Providers shall be guided by and comply with the following laws, regulations, and directives. During clinic orientation, the Contract Healthcare Providers shall become familiar with these requirements, paying particular attention to the areas that affect performance requirements contained in this contract. Contract Healthcare Providers shall maintain knowledge of the following applicable requirements and any revisions there to.

F; and, Applicable Federal Register

*Centers for Disease Control (CDC) Guidelines for HIV Management

Section 503 of the Rehabilitation Act (29 U.S.C. §793)

Public Law 87-693, 42 U.S.C. 2651- Federal Medical Care Recovery Act

190, Section 1094

(HIPAA) of 1996

Homeland Security Presidential Directive 12 (HSPD-12)

*Applicable policy letters and guidance documents

* Copies are available in all Coast Guard clinics

b. CHRISTMAS BONUS. The contractor shall comply with the requirement to provide a Christmas Bonus in accordance with Puerto Rico “Law No. 148” of June 30, 1969, also known as the Puerto Rico Christmas Bonus Act, and as amended in 2007, for Contract Healthcare Providers providing services in Puerto Rico.

c. Puerto Rico requires that employers provide 15 vacation days, 12 sick days, eight weeks of maternity leave, and one hour per day for breastfeeding.

5.0 TECHNICAL REQUIREMENTS

5.1. General Tasks

5.1.1. Kick-Off Meeting. The Contractor shall attend a Kick-Off Meeting with the COR no later than three (3) business days after the date of contract award. The purpose of the Kick-Off Meeting, which will be chaired by the KO is to discuss technical and contracting objectives of this contract and review the Contractor's project plan. The Kick-Off Meeting will be held at the Government’s facility or a teleconference.

5.1.2. Project Plan. The Contractor shall provide a draft Project Plan at the Kick-Off Meeting for Government review and comment. The Contractor shall provide a final Project Plan to the COR not later than five (5) business days after receipt of Government comments. At a minimum, the Project plan should detail:

· Plan for timely recruitment of staff

· Retention and continuity plan

· Plan for communication with the COR

· Supervision plan for staff members

· Quality control plan

· Plan for managing absences

· Plan for managing patterns of unplanned absences

· Plan for correcting deficiencies

· Training/continuing education plan

5.1.3. Reporting Requirements. The Contractor shall provide all written reports in electronic format with read/write capability using Microsoft Word and/or Microsoft Excel that are compatible with USCG Standard Workstation III. All reports that contain personally identifiable information shall be transmitted via encrypted password protection.

5.1.4. Weekly Reports. The Project Manager shall provide a report on Wednesday of each week containing the following information:

a. Status of replacement or proposed replacement candidates:

i. Location

ii. Type of service

iii. Status of provider’s candidate package

iv. Date candidate schedule to start if applicable

v. Date and number of days the position has been vacant.

vi. Anticipated or departing contract healthcare worker’s names

vii. Expiration or renewal of licenses within two months

viii. Contract Healthcare worker absent for 14 or more calendar days and recruiting efforts to find a substitute.

b. Contract deficiency reports received:

i. Location

ii. Type of service

iii. Reason

iv. Action taken

5.1.5. Protection of Information. Contractor access to information protected under the Privacy Act of 1974 and the Health Insurance Portability and Accountability Act (HIPAA) of 1996 is required under this contract. Contractor employees shall safeguard this information against unauthorized disclosure or dissemination in accordance with the law and Government policy and regulation.

5.2. Specific Tasks

5.2.1. Type of Services. The Contractor shall provide personal services, through recruiting, retention and replacement of health care providers in accordance with the terms and conditions of this contract. Contractor shall be able to receive both e-mailed and facsimile contract documents.

5.2.2. Eligible Beneficiaries. Contract Healthcare Providers shall provide healthcare services to eligible beneficiaries as directed by the Medical Officer, Dental Officer, Clinic Administrator, or their respective designees. The Contract Healthcare Providers shall not provide services to anyone at the clinic that is not an Eligible Beneficiary. Providing services as a professional courtesy to other contractors or contractor employees is prohibited.

5.2.3. All providers will be required to utilize the USCG Medical Healthcare Information Systems (HIS) located in the clinic for patient care and administration. The Contract Healthcare Providers will be provided training on the systems.

5.2.4. All providers will be required to use all Microsoft applications, such as Word, Excel, Access, Outlook, PowerPoint, etc. to track, data, generate reports, and prepare presentations.

5.2.5. Providers may be required to use the electronic health record Military Health System (MHS) GENESIS. The government will provide all required training at the government’s expense.

5.2.6. Providers may be required to generate reports for training events, town-hall information sessions, senior level briefings, congressional inquiries, etc., as needed and requested by the USCG.

5.2.7. Quality Performance. The Contractor shall provide healthcare workers to perform the professional and support services in a manner that ensures the USCG is provided a stable and well trained Health Services Personnel workforce over the life of the contract. These professional and support services shall be provided in a manner to ensure the prime functions of the contract are performed timely, consistently and effectively by qualified and competent personnel. The following elements of quality performance are required:

a. Retention/Continuity. Minimum acceptable employee retention is considered 80% for a one- year period.

b. Timely recruitment utilizing sourcing methods to find providers to fill the positions, in accordance with Section 2.3. of this PWS.

c. Planning and executing initial placement by providing reliable healthcare workers.

d. Providing Curriculum Vitae/Resume packages that contain adequate information to confirm past performance of the potential provider.

e. Meet replacement requirements in accordance with the timeframes set forth in the contract in accordance with Section 2.3. of this PWS

f. Provide qualified, competent, effective, trained, and qualified healthcare providers to work in the clinic environment.

Note: See Performance Requirements Summary (PRS) for the complete list.

5.2.8. Removing Employees. Upon notification, contractor shall commence recruitment:

a. Removing Employees for Misconduct or Security Reason – The Government may, at is sole discretion, direct Contractor to remove any Contractor employee from USCG facilities from misconduct or security reasons. Removal does not relieve the Contractor for the responsibility to continue providing the services required under task orders. The KO will provide the Contractor with a written explanation to support any request to remove an employee.

5.2.9. Staffing. The Contractor shall submit current Curriculum Vitae (CV)/Resumes and other documentation required herein within 30 calendar days after receipt of a contract for initial placement or permanent substitution in accordance with contract quality and experience standards.

5.2.9.1 The Curriculum Vitae (CV)/Resumes shall include the following:

a. Name and any other names known as or aliases

b. Date of birth

c. Place of birth

d. Proof of citizenship or green card or work visa Note: The USCG will not assist the Contractor in any matter related to obtaining visas or documentation for Immigration & Naturalization Service.

e. Social Security Number

f. Date of Resume or CV

g. Contain a detailed list of the proposed Contract Healthcare Providers’ professional experience with telephone numbers of supervisors from the last two-year period, and brief explanation of duties performed for all previous employers

h. Curriculum Vitae will be presented for professionals and resumes for non-professional personnel. The Contractor is responsible for providing complete CV/resume packages having screened and pre-checked each candidate thoroughly. The statement “references available upon request” or failing to list a brief explanation of duties performed for previous employers is unacceptable. Providers shall meet the minimum standards for experience and training. The Contractor shall submit only candidates that have a good work history, i.e. attendance and acceptable past performance (patient interaction and ability to work with others). Provide recommendation letters covering the last two years, except that Professionals, if self-employed may provide peer recommendation letters from referring physicians/dentists over the last two years.

i. Provide a list of any malpractice claims filed, or pending or settled and/or any other adverse professional actions, that involve the Contract Healthcare Providers.

j. For licensed professions copies of degrees/training certifications from accredited training institutions and their current active unrestricted licenses. If education is from another country, documentation shall include a copy of the professional or technical degree attained and status conferred. If the documentation is not in English, it is the Contractor’s responsibility to provide a true copy of the documentation and evidence that the translation is true and correct. The Contractor shall also include an address, telephone number and point of contact for the institution. All Contract Healthcare Providers will comply with education requirements established in the United States to practice. Provide a list of all licenses held in any state currently and states in which the provider has held a license over the last 5 years. Submit a copy of the provider’s current unrestricted active license to the KO prior to placement and make it available for display at the clinic for the duration of the provider’s employment under this contract. The license shall be from one of the 50 states, Puerto Rico, the District of Columbia, Guam or the U.S. Virgin Islands. Note: Some states may restrict their licensees from practicing outside their states or renew their license if they no longer reside within the state of issue.

k. For unlicensed professions copies of degrees/training certifications from accredited training institutions (include an address, telephone number and point of contact for the institution). If education is from another country, documentation shall include a copy of the technical certification/degree attained and status conferred. If the documentation is not in English, it is the Contractor’s responsibility to provide a true copy of the documentation and evidence that the translation is true and correct.

l. If Drug Enforcement Agency (DEA) licenses are required, submit current and updated copies.

m. CPR certification.

5.2.9.2. Professional training/education other than Government provided training is the responsibility of the contractor and shall be provided at no additional cost to the Government. Contract employees may take part in required and/or applicable professional training being offered by the government as long as it is provided at no additional cost to the government.

5.2.10. Credentialing and Privileging.

a. The credentials of all Contract Healthcare Providers under this contract shall be in accordance with the credentialing requirements as outlined in the USCG Medical Manual and will adjust in accordance with revisions the USCG may make to ensure standard industry business practices are followed. Proposed providers shall possess the requisite credentials to obtain USCG privileges to perform all tasks identified in the PWS as identified in the USCG Medical Manual and Position’s Statement of Work.

b. The Contractor shall take specific action, including Primary Source verification, to ensure the applications for credentialing have the required prerequisites and do not have disqualifying impediments for privileges. All such verification shall be confirmed in writing directly from the primary source. This is a non-delegable responsibility of the Contractor.

c. Submission of credentials on candidates who are unavailable and/or do not meet the minimum qualifications will be considered unsatisfactory.

d. Only complete credentials will be accepted by the Government for processing.

e. Contract Healthcare Providers shall not provide health services until USCG Headquarters has granted clinical privileges. Contract Healthcare Providers who are not currently privileged, who fail to maintain their privileges, or who have privileges suspended or revoked are not qualified to provide services under this contract. The USCG will make no payment for services provided by such providers. Shifts covered or attempted to be covered by such providers will be considered uncovered.

f. The Contractor shall notify the KO if, during the life of the contract, any disciplinary action is taken against a Contract Healthcare Provider by a federal or state agency, law enforcement agency, or licensing board. Any Contract Healthcare Provider under suspension due to an investigation shall not be permitted to provide service under this contract. The Contractor shall notify the KO and the COR within 24 hours of occurrence of suspension concerning itself or any of its employees. Notification shall be in writing, (for example, email, facsimile, etc.). All supporting documentation of suspension shall be forwarded to the KO. The provider may only provide services if privileges have been subsequently restored by the USCG Headquarters.

g. The denial, suspension, limitation, or revocation of clinical privileges based upon practitioner impairment or misconduct shall be reported to the appropriate licensing authorities of the state in which the license is held. The USCG will report the above situations to the proper authorities if it is related to the care of patients in healthcare facilities covered under this contract.

5.2.11. Acceptance and Start Work. The Contractor must provide a CV/Resume package IAW the position SOW to the COR within thirty (30) calendar days, unless the KO waives/modifies this requirement in writing. After receipt of the CV/Resume package, the USCG will approve/disapprove each candidate within fourteen (14) calendar days. Any approved permanent provider shall begin working at the site designated within thirty (30) calendar days after Government approval and positive adjudication on the background check. The COR will either grant approval, conditional approval, or disapproval based on checks or pending results of the National Practitioner’s Database (maintained by Department of Health and Human Services (HHS)), Criminal History Checks, National Background Checks, or completion of immunizations. It is the Contractor’s obligation to maintain a qualified workforce.

5.2.12. Submit Documents to the COR. The Contractor shall obtain, review, and provide resume/credentials for the Healthcare providers as required in this contract. If the Contractor is unable to submit a resume or credentials, they must notify the COR in writing as soon as practicable. The Contract Healthcare Provider package shall contain those documents referenced herein. Also, Attachments 3(a) through 3(ab) have specific requirements such as specific education, license, past performance and experience/quality performance requirements for each profession/work discipline. The attachment will contain relevant additional PWS requirements for each discipline. The Contractor shall submit the following additional documents within the stated time limits.

a. Submit all certificates of insurance to the COR and KO within five (5) days after contract award or after renewal of required insurance coverage (e.g. Medical Liability and Workmen’s Compensation for each site).

b. Submit certification of Cardiopulmonary Resuscitation (CPR), initial and re-certification, to the COR and KO within five (5) calendar days after contract award and re-certification due date on all providers required for the contract.

c. Submit complete list of contract employees on the new contract. Include complete list of vacancies the contractor was unable to fill between the contract award and start of the contract. The contractor should note if there are any potential candidates and what phase they are at in the onboarding process.

5.2.13. Replacement Personnel. The Contractor shall recruit initial, temporary, and permanent replacements so that interruptions of services do not adversely affect the clinical operations for an extended period.

a. If a Contract Healthcare Provider becomes seriously ill or is otherwise unable to appear for or complete his/her shift, the Contract Healthcare Providers shall notify the Clinic Administrator and the Contractor immediately.

0. Communication. Healthcare Providers shall maintain open and professional communication with patients and members of the clinic. In the event of complaints the Clinic Administrator and COR will validate and provide a written document to the KO. The KO will provide the contractor with a written document to the Contractor for action. The Contractor has five (5) calendar days to take corrective action once notified of a complaint.

5.2.14. The contractor shall conduct annual performance evaluations for each contract employee, which includes feedback from the government. All evaluations shall be submitted to the government. Contract employees are not eligible to work for the government if they receive two negative performance evaluations.

5.3. Patient Sensitivity. Contract Healthcare Providers shall respect and maintain the basic rights of patients. The content of patient histories, charts, medical records, prognosis, treatments, and conversations are considered sensitive and subject to the Privacy Act and HIPAA of 1996. Providers receiving complaints that are validated shall be subject to written counseling, and depending on the nature and severity of the complaint, may be removed from service under this contract.

5.4. Injuries, Accidents, Litigation, Disciplinary Action. The Contract Healthcare Provider shall report to the Medical/Dental Officer and Clinic Administrator all cases involving care and treatment of USCG personnel resulting from automobile accidents, slip and fall incidents, injuries arising from defective consumer products, malpractice, negligence, and any other circumstances indicating the potential liability of a third party for damages within 48 hours after initial treatment.

5.5. Government Furnished Equipment, Property, Supplies, and Services.

5.5.1. The Clinic will provide the following in support of the Contract Healthcare Provider's service:

a. An examination room to complete patient care services. If the facilities permit, an office will be provided to allow for the Contract Healthcare Provider to complete administrative requirements needed for patient care.

b. Telephone for local calls.

c. Supplies commonly used in a family practice/dental clinic setting.

d. Office supplies such as pens, paper, pencils, and applicable forms to be used in direct patient care services.

e. All equipment and pharmaceuticals necessary for the Contract Healthcare Provider to perform the services required in this contract.

f. If a treatment requires equipment not maintained by the clinic, the Contract Healthcare Provider shall provide sufficient justification (in writing) to the Clinic Administrator to support purchasing the needed equipment or pharmaceuticals from an authorized government source.

g. Uniforms. The government will supply scrubs and lab coats for the contractor.

5.5.2. Except for those specifically identified as Government Furnished Equipment, Property, Supplies, and Services in this PWS, the Contractor shall furnish all personnel and services to comply with the requirements of this contract.

5.5.3. The Contract Healthcare Provider shall not introduce any new medical, dental or administrative procedures or services without prior recommendation and approval of the Senior Medical/Dental Officer or the Clinic Administrator.

6.0. DELIVERABLES

The Contractor shall submit the Deliverables specified in the table below, as required by the PWS, to the Contracting Officer and the COR via Microsoft Office Word, when applicable. The format shall be PC compatible and submitted on a CD-ROM or via email.

Includes the Provider Vacancy Spreadsheet

7.0. CONTRACTOR PERSONNEL

7.1. Key Personnel. The Contractor shall provide a Program Manager (PM) and an Alternate Program Manager (APM) to ensure that all the requirements of the PWS are met and to provide Contract Administration. The PM/APM shall be the single point contact for the Government in resolving all matters related to the Contract.

a. The PM/APM shall have at a minimum a Bachelor's Degree in Business Administration, Marketing, Healthcare Management, Health Services Administration, Healthcare Resource Management or other area that demonstrates the ability to fulfill the requirements of the Contract; and,

b. A minimum of five (5) years of experience managing multi-disciplinary, multi-site healthcare staffing services.

7.2. Stable Work Force. The Government is concerned with the quality and stability of the work force provided to perform services under this Contract. It is imperative for the Contractor to maintain an effective work force in order for the Government to adequately meet its health care mission. Therefore, the Contract Healthcare Provider shall be a citizen of the United States, or otherwise authorized to work full time in the United States, and be able to read, write, and speak English well enough to effectively communicate with all persons seeking health care.

7.2.1. Workers Compensation Insurance. Worker’s Compensation and Employer’s Liability Insurance are required. All Contract Healthcare Providers under this contract are considered to be employees of the Contractor. The Contractor shall submit evidence of insurance policies annually to the Contracting Officer.

7.2.2. Taxes. The Contractor is responsible for paying all city, state and federal taxes accrued in performance of this contract.

7.2.3. Other Employment. Contract Healthcare Providers are not prohibited, by reason of employment under this contract, from conducting a private practice or other employment so long as there is no conflict with the performance of duties under this contract. However, such private practice or other such employment shall not be conducted during those hours in which the healthcare worker is required to render services under this contract. The health care worker shall make no use of Government facilities or property in connection with such other employment.

7.2.5. Healthcare Provider Criminal History Checks. All Contract Healthcare Providers under this agreement are subject to Criminal History checks in accordance with the requirements of Section 21 of the Crime Control Act of 1990. 42 U.S.C. §1304.1 as amended by Section 1094 of Public Law 102-190, requires every facility operated by the Federal Government that contracts with individuals involved in the provision of child care services to assure that all existing and newly-contracted providers undergo a criminal background check. The term “Child Care Services” is defined to include health and mental health care. If results of any of the checks indicate applicable criminal history, the Government may immediately terminate this Contract or require a replacement provider (when applicable).

7.2.6. Healthcare Provider Background Investigation. The USCG, not the Contractor, will be responsible for initiating, completing, and paying for the NACLC (except any cost of completing fingerprints on site and mailing prints to HSWL):

a. Contract Healthcare Providers shall have a completed/adjudicated National Agency Check with Local Agency Checks and Credit Check (NACLC) background investigation in accordance with Homeland Security Presidential Directive 12 (HSPD-12) for National Security reasons. HSPD-12 states, all contract workers requiring routine access to federally controlled facilities and/or federally controlled information systems are required to obtain a national security background investigation.

b. The process for completing a NACLC BI for contract personnel is through the Defense Security Service (DSS). Since the contract healthcare personnel have access to sensitive (healthcare) information through several medical information systems, the USCG requires that NACLC background investigations be required of each contracted healthcare provider for the purpose of National Security.

c. Candidates have two weeks to complete and ship fingerprints once they are received at the requested address unless the government is notified of an extenuating circumstance. If a candidate fails to meet this requirement the government may request their removal as a candidate.

d. During the security process candidates must be responsive to the government and any information requested. The Electronic Questioners for Investigations Processing (eQip) must be completed within 30 calendar. If the candidate fails to meet these requirements the government may request their removal as a candidate.

e. Contract Healthcare Providers are not authorized to start at any Coast Guard clinic until they receive a positive adjudication from U.S. Coast Guard Security Center completing the NACLA. At that time, the Coast Guard will request a start date and the provider is authorized to apply for a CAC Card through the Trusted Agent. A provider can lose their authorization during any time of the background investigation if the Security Center finds something disqualifying.

7.3. HEALTH REQUIREMENTS

7.3.1. General. Unless otherwise stated, costs associated with performance of this paragraph will be borne by the Contractor. The contractor shall obtain a pre-employment physical examination at the contractor’s expense for all personnel performing work under this contract. For the purpose of this contract, any physical examination administered more than 30 days prior to the commencement of work will not be considered adequate.

a. The Contractor shall ensure a physical examination is performed on all Contract Health Care Providers providing care under this contract no later than five (5) working days prior to commencement of work.

b. Contractor personnel with short term viral or other acute contagious diseases, such as influenza, measles or mumps will not be permitted to perform under the contract while there is danger of transmission.

c. The Contractor shall notify the KO and COR about any significant change in the health of all personnel providing services under this contract, especially if a significant contagious disease has developed within two (2) days of its development.

d. The Contractor shall verify and provide a copy upon request that a physical examination was performed and contain the following minimum information;

(i) The name and contact information of the physician who performs the examination.

(ii) The date when the physical examination was completed.

(iii) A statement from the examining physician that the Contract Healthcare Provider is free from mental or physical disorders that would impair their ability to work as a Contract Health Care Provider.

(iv) The report will specifically address the presence of contagious disease(s) i.e., tuberculosis, hepatitis, sexually transmitted diseases, AIDS and provide proof of recent testing.

(v) The Contract Healthcare Provider must maintain annual influenza vaccinations, as well as, show proof of immunity to measles, mumps and rubella (MMR) through serological testing, and varicella immune status or a statement of history of chicken pox.

(vi) The Contract Healthcare Providers shall be immunized against Hepatitis A and B Viruses or provide proof of immunity to the COR and the Contracting Officer. If the provider is not immune, proof of completion of the Hepatitis A and B vaccinations shall be submitted to the KO by the seventh (7th) month after commencement of services or, if immunization has been completed, prior to start of work.

(vii) The Contract Healthcare Provider shall be physically capable of standing for extended periods of time and capable of normal ambulation.

e. A Contract Healthcare Provider with a bona fide medical emergency occurring while on duty or with an on the job injury will be provided medical treatment until the condition is stabilized. The contract employee is not eligible for primary care at the clinic (i.e.: physical examinations, immunizations, blood work, etc.) with the exception of COVID-19 Vaccination and Testing services, as discussed in Section 7.4.1(g), below.

f. The Contract Healthcare Providers shall adhere to the current Centers for Disease Control (CDC) guidelines and Section 503 of the Rehabilitation Act (29 U.S.C. §793) for any HIV positive health care worker.

g. COVID-19 Immunization, Testing, and Related Requirements

(i) General: COVID-19 surveillance testing and vaccination remain voluntary for contract employees but may become mandatory in order to remain eligible to perform services. The requirement for Contract Healthcare Provider personnel to either submit to surveillance testing or vaccination for COVD-19 may be established by the various locations/clinics or may be made mandatory for all locations.

(ii) Vaccination: If the USCG mandates COVID-19 vaccination for all healthcare staff, including the Contract Healthcare Provider personnel, such personnel must show proof of immunization or be willing to submit to vaccination in order to remain eligible to perform clinical services at USCG clinics. The contractor is responsible for all contract employee vaccination expenses, including the COVID-19 vaccination as per PWS section 7.4.1.

(iii) COVID-19 Testing: Contract Healthcare Provider personnel are eligible to receive COVID-19 asymptomatic surveillance testing to determine if an individual is infectious. Contract staff may be directed to submit to testing, or to provide proof of testing within a reasonable timeframe, in order to remain eligible to perform clinical services at USCG clinics.

(iv) Pandemic Teleworking: In general, Contract Healthcare Provider personnel are expected to physically report to the clinic at which they are assigned; however, during a pandemic health emergency if directed by the CG, contract staff may tele-work from home or an alternate work-site in order to reduce the spread of an infectious disease.

7.4.1 Needle Sticks or Cuts. All Contractor personnel performing direct health care services under this contract who experience a parenteral (e.g. needle-stick or cut) or mucous membrane exposure (e.g. splash to eye or mouth) to blood or bloody body fluids, shall seek prompt treatment. The USCG Medical Treatment Facility (MTF) will evaluate the source of exposure for risk of Hepatitis B, Hepatitis-C, and Human Immunodeficiency Virus (HIV) and will provide a report of the findings to the Contractor and Contract Healthcare Providers. It shall be the Contract Healthcare Providers’ responsibility to provide appropriate treatment as needed to possibly include Tetanus-Diphtheria booster, Immune Globulin, Hepatitis-B vaccine booster, or Hepatitis-B Immune Globulin. The Contractor shall be responsible for providing initial testing and if the source of exposure was unknown, positive, or considered at high risk for HIV infection, follow-up testing 3, 6, and 12 months after exposure.