PWS - Online Nurse Training - Solicitation 75H70424R00003.pdf

Performance Work Statement Nursing Web-Based Training Contract Requirement

Indian Health Service - Headquarters Office of Clinical and Preventive Support

Division of Nursing Services

Nursing Web-Based Training

1.1 Mission

1.2 Background

1.3 Scope

2.0 General Requirements

2.1 Non-Personal Services

2.2 Business Relations

2.3 Contract Administration and Management

2.4 Contract Management

2.5 Contract Administration

2.6 Personnel Administration

2.7 Subcontract Management

2.8 Contractor Personnel, Disciplines, and Specialties

2.9 Location and Hours of Work

2.10 Travel / Temporary Duty (TDY)

3-5.3 Performance Requirements

6.0 Security and Safety

6.1 Reporting

6.2 Storage and Disposition of Materials

6.3 Environmental Requirements

6.4 Deliverables

6.5 Deliverables Table

1.1 Mission

The mission of the Indian Health Service (IHS) is to raise the physical, mental, social, and spiritual health of American Indians and Alaska Natives to the highest level.

1.2 Background

Workforce development plays an important role in reducing nursing workforce attrition. IHS is seeking to offer access to convenient on-line training for the following: 1) Advanced Practice Registered Nurses (APRNs) including Certified Nurse Midwives (CNM), Nurse Practitioners (NP) and Certified Registered Nurse Anesthetists (CRNA), 2) Registered nurses (RNs), which include Public Health Nursing (PHNs), 3) Licensed Practical Nurses (LPN), 4) Certified Nursing Assistants (CNAs) to maintain certification and complete continuing education training, and, 5) an option for certificates of completion with continuing education credit after the user (APRN, RN, LPN and CNA) completes the courses or identified modules. In addition, standardized continuing education modules including video recordings must be included. Scenario based learning and simulation environments will be part of the online training options. Users must be able to participate in self-directed web-based education, which shall be available at all times.

Staff must be able to decide when to access the training, day or night, from their home or while they are at work.

1.3 Scope

The IHS needs on-line, off-the-shelf training activities for: 1) APRNs to maintain certification and licensure, meet continuing education requirements and enhance baseline clinical knowledge and skillset to improve services offered and reduce the need to refer outside of IHS for services resulting in improvement in access to care; 2) RNs in order to maintain certification and meet continuing education requirements, support professional growth and development and to enhance baseline knowledge to expand services offered to reduce the need for referral outside of IHS and improve access to care; 3) CNA to complete Basic to Advanced courses; and 4) the option to download certificates of completion after the user (RN and CNA) completes the courses and identified modules. All nursing courses/modules must offer continuing nursing education credits by American Nurses Credentialing Center (ANCC) Commission on Accreditation and by accreditation agencies accepted by state licensing boards and certification. An additional option should be available for the agency to develop and post IHS/Tribal/Urban specific educational activities, with full control of content, awarded credit by the IHS Clinical Support Center. Continuing Education (CE) information and data must be monitored and tracked within a packaged Learning Management System (LMS) with full reports accessible by the agency. The ability to print CE certificates that are agency specific may be necessary. The contractor will allow IHS to provide PHN Training modules, videos and competencies, and other pre-existing material in addition to contractor provided training. Users shall be able to participate in self-directed web-based education available at all times so that staff may access at their leisure, from home or work.

2.0 General Requirements

This section describes the general requirements for this effort. The following sub-sections provide details of various considerations on this effort. The following schedule of tasks and deliverables outlines the requirements necessary to organize, develop, facilitate, manage, and evaluate comprehensive, system-wide training for CNAs, LPNs, RNs, and APRNs.

The expectation is that the contractor will engage in a range of activities that will initiate and solidify all of the core training courses that meet national certification and recertification requirements, training education standards of skills and competencies, and accrediting/certifying organizations, as applicable.

2.1 Non-Personal Services

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

2.2 Business Relations

The contractor shall successfully integrate and coordinate all activities needed to execute the requirement. The contractor shall manage the timeliness, completeness, and quality of problem identification. The contractor shall promptly identify issues, establish corrective action plans, and effectively manage any subcontractors. The contractor shall ensure customer satisfaction and ensure all contractor personnel display professional and ethical behavior.

2.3 Contract Administration and Management

The following subsections specify requirements for contract, management, and personnel administration.

2.4 Contract Management

The contractor shall establish clear organizational lines of authority and responsibility to ensure effective management of the resources assigned to the requirement. The contractor must maintain continuity between the support operations, the contractor's corporate offices (including the assigned Contracting Officer Representative, COR) and the Indian Health Service Division of Nursing Services (DNS).

2.5 Contract Administration

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

The contractor will meet with the COR and IHS officials within 7 days of the contract award to become acquainted with the DNS staff, review the Performance Work Statement (PWS), discuss timelines and deliverables, and to begin initial planning. The contractor and COR will hold a kick off meeting at the beginning of each option year if exercised to revisit and make adjustments (if necessary) to the comprehensive action plan, quality assurance plan, communications plan, evaluation plan, and project plan, to discuss ongoing tasks in the PWS, and new deliverables for the option year (if needed).

The comprehensive action plan (which includes proposed activities for each deliverable, a description of each product and an estimated timeline with milestones) will be provided within 2 weeks of blanket purchase agreement (BPA) initiation. The comprehensive action plan must be approved by the CO prior to the initiation of services and activities under this agreement.

2.6 Personnel Administration

The contractor will provide the following management and support as required. The contractor shall maintain the currency of their employees by providing initial and refresher training as required to meet the PWS requirements. The contractor will make necessary travel arrangements for employees if deemed necessary. The contractor shall provide necessary infrastructure to support contract tasks.

The contractor will provide administrative support to employees in a timely fashion (time keeping, leave processing, pay, emergency needs).

2.7 Subcontract Management

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

2.8 Contractor Personnel, Disciplines, and Specialties

The contractor will accomplish the assigned work by employing and utilizing qualified personnel with appropriate combinations of education, training, and experience. The Contractor will provide the necessary resources and infrastructure to manage, perform, and administer the contract.

2.9 Location and Hours of Work

Normal workdays are Monday through Friday except US Federal Holidays. Workers typically work eight (8) hours per day, 40 hours per week. Flextime workers start no earlier than 0600 and no later than 0900. Core hours of work are from 0900 to 1500 daily. All employees are expected to be available during core hours.

2.10 Travel / Temporary Duty (TDY)

Travel for the selected contractor is not required under this contract. Travel for training participants will not be covered under this contract.

3.1 Performance Requirements

The contractor will be responsible for implementing a culturally appropriate web based interactive distance learning management system and coordinating the logistics of the accredited trainings courses that meet national certification and recertification requirements and training competency-based standards of accrediting/certifying organizations, as applicable, and becomes available.

The period of performance for this BPA shall be 12 months from date of award with four 12-month option periods. All trainings must be completed within the stated performance period. The contractor will not oversell or pre-sell training services.

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

Established Training Website that Offers Nursing (APRN, RN, LPN, CNA) and Public Health Nurse Training Courses.

Contractor will provide the following services to IHS:

A comprehensive training package for IHS APRNs, RNs, LPNs and CNAs with unlimited usage.

See Exhibits A for course topics/content. For each training (APRN, RN, LPN & CNA) package, the contractor shall provide a LMS and training modules capable of the following:

• Allow addition and/or deletion of courses to an individual users account.

• Must have pre-test capability allowing employees to “test out” when reaching minimum passing score.

• Contractor shall provide a detailed process of how they will create new or custom educational modules including use of contractor’s subject matter experts to successfully develop the material.

• Must have post-test or assessment of learning tool.

• Must be able to survey or evaluate course.

• Ability for course participants to print out certificates of completion from the

Internet.

• All user data must be stored on host server with the customer’s own database.

• System must be able to accept LMS user authentication.

• Host server must be secure and a guarantee that sensitive information is protected.

• The ability to create new or custom educational materials is required.

• Ability for local administrator(s) at each IHS medical facility to determine access and administrative privileges for users and managers.

• Ability for IHS Headquarters and Area assigned administrators to review nationwide access and utilization data.

• Ability to provide Exception Reports in that the administrators can assign course curriculum and then track who has not completed said curriculum.

• Ability to assign curriculum and/or courses to a user or group of users with specified required date for completion.

• Ability to include a remediation function to show users which test questions were answered incorrectly.

• Ability to show which questions were missed and provide another opportunity to answer them.

• Electronic training manual and training video for using LMS and for administrators (assigning training, tracking completion and test scores) shall be included.

• Technical support will be provided at no additional cost.

• Unlimited user access.

• Ability for IHS to review and modify existing contractor modules for contractor to implement in the LMS.

• Registration for all users includes:

Name, email, professional discipline (APRN, RN, LPN, CNA or other (e.g., health tech may be utilizing the training) and, for RNs: license number, type and state required in self-registration and an eligibility requirement identifier by the IHS Area Nurse Consultant and/or facility Chief Nurse Executive or Director, Public Health Nurse.

Learning Management System

Description of Services: Contractor shall furnish all licenses, parts, materials, labor, tools, equipment, supervision, and support necessary to provide installation, maintenance, and software updates for the Online Education Courses System and the delivery of service to the IHS medical facilities during the period covered by the agreement. Contractor shall provide a license and any telephone support must be provided at no additional cost. Licenses and services shall be performed in accordance with the terms and conditions as further defined in the statement of work.

The contract is intended to expand access of online learning to clinical staff by offering courses on a 24 hour a day/7 day a week basis. This would be provided via Internet connection, with the Contractor hosting this LMS. Contractor will provide needed data extracts on a regular basis in a format usable by both parties.

The products and services described shall have the following features, capabilities and course content:

• Web-based learning management system with training content for healthcare Nurses- APRNs, RNs, LPNs and CNAs.

• Courses will be hosted by the Contractor and launched from the Contractor’s Online LMS.

• Ability to distribute courseware via the Internet.

• Courses of various clinical and public health subjects will train, test, and track

CE for clinical staff via the Internet.

• Upon completion of course(s) and post-test(s) on the Internet, the course participant will receive immediate scoring and then may (print out) CE completion certificates.

• Non-exclusive license to employ Internet courses for training in IHS medical facilities.

• Servers are geographically deployed across the United States for greater stability.

• System must provide training, testing, tracking, and printable education records for record keeping for IHS users that complete the online courses.

• Contractor must be an authorized provider of CE and CE credit must be included in license fee. The Accreditations must be through the American Nurses Credentialing Centers Commission on Accreditation, the California Board of Registered Nursing, and the Florida Board of Nursing or accreditation agency continuing education credits accepted by Nursing state board licensure requirements and certification requirements.

• Contractor must provide an option for the agency to develop and post IHS/Tribal/Urban specific educational activities, with full control of content, awarded credit by the IHS Clinical Support Center. CE information and data must be monitored and tracked within the packaged LMS with full reports accessible by the agency. Must include the ability to print CE certificates that are agency specific.

• Contractor will host all course content, testing functions, and CE course completion record keeping on contractor’s server of any required data.

• Data extracts will be provided by host on a regular basis in a format usable by Contractor and IHS medical facilities.

• Courseware must be AICC (Aviation Industry Computer Based Training Committee) compliant.

• Provide an online and print User's Guide and a technical FAQ.

• Ability to provide accessibility to data in usable format.

• Access to system 24 hours day/7 days a week with appropriate available customer/technical support.

• No employee personal data will be stored on the Internet.

• User (employee) data must be directly accepted from the education tracking system.

• Site must be secure.

• Must be accessible from locations other than employee’s worksite.

• Allow addition and/or deletion of courses to an individual users account.

• Must be Jaws 5.10 screen reader compatible.

• Must have pre-test capability allowing employees to “test out” when reaching minimum passing score.

• Must have post-test or assessment of learning tool capability linking completion of course to the export/import functionality.

• Must be able to survey or evaluate course.

• Ability for course participants to print out certificates of completion from the

Internet.

• Ability to view course content (text and graphics, links, PowerPoint, streaming video streaming, etc.) online from any PC with Internet access.

• All user data must be stored on host server with the customer’s own unique database.

• System must be able to accept LMS user authentication.

Exhibit A: Training package shall include the following course topics:

Comprehensive professional training courses for APRN, RN and LPN including but not limited to-

• State specific training requirements for licensure renewal

• Certification in wound care management for APRN and RN

• Continuous blood glucose monitoring

• EKG lead placement and interpretation

• Spirometry testing and interpretation

• Bladder scan didactic training

• Injury identification

• Obstetric emergencies

• End of life care

• Pediatric immunizations

• Asthma

• Blood product administration

• Care coordination

• Patient centered smart goals

• Case management

• Women’s health including birth control

• Pain management

• Social determinants of health

• Elder abuse

• Elder medication management

• Management of the hypoxic patient

• Healthcare documentation to meet national standards

• Screening based on GPRA measures

• APRN skills training to include but not limited to-o X-ray and lab interpretation o ER and acute care skills i.e. suturing, splinting o Billing and coding

Certified Nursing Assistant Skills & Competency (CEUS):

(Module and video format Pre/Post Tests)

• Phlebotomy and IV placement

• EKG lead placement

• BASIC Courses

• CPR a Guide for Health Care Workers

• Treating Patients with Dignity & Respect

• Communicating with Clients & Their Families

• Measuring Vital Signs

• Measuring Height & Weight

• Documentation

• Recognizing Abnormal Signs and Symptoms

• Patient Rights

• Personal Care Skills for the Care Provider

• Every Day Living Activities

• Bed making

• Infection Control Skills

• Serving a Meal

• Nutrition & Hydration

• Techniques in Bathing: The Bed Bath

• Techniques in Bathing: Tub, Shower, Shampoo and Perineal Care

• Techniques in Toileting and Incontinence Care

• Essential Elimination Skills

• Patient Safety Courses

• Moving and Turning Skills

• Positioning Techniques

• Transfer & Ambulation

• Safe Transfer

• Abuse & Neglect

• Fall Prevention

• Infection Control

• Dementia Care

• Alzheimer’s

Special Care

• Ostomy, Urinary Drainage & Catheter Care

• Incontinence Care

• Pain Management

• Pressure Ulcer Prevention

• Range of Motion Exercises

• Skin Breakdown

• Positioning Techniques

• Providing Oral Care

Public Health Nursing competencies for ongoing daily practice specific to communicable disease prevention, immunizations, case management, maternal-child health, elderly care, home safety, population-based health care, general public health, health promotion and disease prevention, community-based health care services and in accordance with service to American Indian/ Alaska Native population. Care of patient with dementia and the caretaker and behavioral health.

3.2 Reporting

The contractor shall follow the reporting plan submitted as part of the proposal and keep the Government fully informed of status throughout the contract period. Throughout the contract periods, it is essential that attention be given to minimize interruptions or delays to work in progress that would impact the mission.

The Contractor shall provide status reports to the COR and PMs to include but not be limited to expense variance to budget, logistical updates, attendee metrics, attendee training evaluations, project plan tracking, evaluation data, and other items as determined by the COR. The Contractor shall deliver status reports by email or postal service no less than every month but may be adjusted as determined necessary by the COR throughout the course of the project. Electronic reports shall be presented in Microsoft Office format and approved by the COR. The monthly status reports shall be discussed at the Start-Up meeting.

The Contractor shall provide to the COR/PMs, annual performance reports that include but are not limited to project plan status and accomplishments, fiscal accountability, evaluation data, sub-Contractor performance reports (if applicable) and a Contractor self-evaluation report. The

Contractor shall provide a written outline of the annual report to the COR for approval according to the deliverable schedule. The annual reports shall be delivered by e-mail. The annual report shall be discussed at the Start-up meeting.

a) Monthly Reports. The written monthly reports will include –

i. Participant database/listing of students, including:

a. Number of participants (successful and unsuccessful).

b. Date and test scores of each participant.

c. Participant employer/site by IHS Area and service unit or eligible tribal location/professional category (identification and count of program or health facility where each participant is associated).

d. Training instructors’ names and credentials.

e. Verification of the participants’ eligibility (verifying the identified

Tribe is eligible for training due to non-acceptance of tribal shares).

ii. Participant evaluations of the course.

iii. Statistics by course: course title, number of participants who completed training number of approved applicants who did not attend training number of participants who partially completed training and percentage of completion.

iv. Training courses that require completing and receiving a passing grade on pre-course training modules, the contractor will include number of participants receiving the pre-course modules, scores of completed pre-course modules, and number of participants who did not complete modules or courses.

v. Accounting of all monthly contract budget updates.

vi. Provide data to IHS queries when requested.

b) Annual Reports. The annual reports must include -

i. Annual summary of the data collated from the monthly report.

3.3 Participation Database

The contractor will maintain a participant database in a secure environment and provide the COR and PM queries as requested. Must provide at a minimum: number of participants; number of successful and unsuccessful participants completing training and certification; identification and count of eligible Tribes associated with participants; identification and count of training courses offered including dates of training (at least month and year); number of participants in training courses offered; and training course evaluation data.

3.4 Course Evaluation– The vendor will provide:

a) All students with an end of course evaluation to assess training course.

b) Course Evaluations will be sent to the COR on a monthly basis.

c) Students must receive or be sent an accredited certificate at least 2 weeks at the conclusion of the course.

4.0 Cultural Competency

The contractor will ensure that instructors who teach and/or interact with students, Tribes and tribal personnel communicate in a culturally appropriate and respectful manner. An available resource is: A Guide to Build Cultural Awareness: American Indian and Alaska Native.

5.0 Training Management System Technical Assistance – The vendor will provide technical assistance to students which include but not limited to:

a) Troubleshooting website technical issues.

b) Questions regarding training content, pre-course training modules if needed, and process of course evaluation and/or certification process.

The contractor will develop and implement a secure web based interactive distance learning management system that meets all identified requirements.

6.0 Securing and Safety/Storage and Disposition of Materials

Disposition of any national training and marketing materials will be determined in the Start-Up meeting and ongoing throughout the life of the contract. Storage should be available as soon as national materials are generated. A disposition schedule will be discussed with the COR during the Start-Up meeting.

6.1 Website Information

At a minimum, the information on the website shall provide: the capability for online training registration, the training flyers, announcements, and communications materials for trainings, information on CE credits, and other information deemed necessary by the COR. All web-based materials, including curriculum content, presentations, webinars, etc. must be 508 compliant.

Website finalization requires approval by the COR.

6.2 Correspondence and Conference Calls

The Contractor shall provide quarterly updates and correspondence as determined necessary by the COR. The quarterly conference call schedule may be adjusted as determined by the COR.

Training updates and correspondence include but are not limited to training summaries, conference call agendas and minutes, and any other items deemed necessary by the COR.

6.3 Deliverables

The contractor shall provide deliverables as described below and in subsequent requests for services via BPA calls. Deliverables shall be specified by the government. Format and delivery schedule for deliverables shall be outlined in the contract data requirements list (CDRL) and/or other means to be determined (TBD).

https://store.samhsa.gov/product/American-Indian-and-Alaska-Native-Culture-Card/sma08-4354

6.4 Deliverables Table

Deliverables

Frequency, Date, or Timeframe

Medium and Format Submit to

Contract Kick Off Meeting Once, within 15 working days after award of contract

Teleconference, IHS will schedule and provide the teleconference information

N/A

Comprehensive Action Plan which includes:

1. Quality Assurance Plan,

2. Communications Plan,

3. Evaluation Plan,

4. Project Plan,

5. Qualified Healthcare

Instructor List

6. Course Description List

Two weeks after Kickoff Meeting

The Comprehensive Action Plan must be submitted electronically by email.

Microsoft Word or Portable Document Format (PDF) files are acceptable

COR

Monthly Report of Activities Monthly Monthly reports must be submitted electronically by email. Microsoft Word or PDF files are acceptable

COR

Completed Student Evaluations Monthly Evaluation forms must be submitted electronically by email. Microsoft Word or PDF files are acceptable

COR

Annual Report Due date will be discussed at the Kickoff meeting

Annual Report must be submitted electronically by email. Microsoft Word or PDF files are acceptable

COR