Appendix D_Schedule of Deliverables CCRT IDIQ_ 10-26-2020.xlsx
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Schedule of Deliverables
| SOO or RFP Reference | Description | Frequency | Quantity (minimum) | Format | Due Date | Submitted to IHS Point of Contact (s) | Contractor Point of Contact(s) Offeror shall propose a primary and, if necessary, alternate POC for the submission of each deliverable. | Deliverable Item # Reference | |
| Task 1: CCRT Response Team Management; Appendix L: CCRT Deployment Scenario Staffing Roster | Roster of individual candidates pending or approved retained by the Contractor to fill each Critical Care Response Team labor category. The weekly roster must indicate the onboarding status and specific availability status of no fewer than: ___ Physicians, ____Registered Nurses, and ____RRTs for at least 2 fully resourced CCRTs, and ensure adequate back-up coverage. Offeror to propose staffing levels for each required labor category in Offeror's Schedule of Deliverables aligned with Offeror's proposed Performance Work Statement. | At least weekly, beginning 5 business days after Task Order Period of Performance Start date. Offeror may propose a different frequency in Offeror's proposed Schedule of Deliverables | TBD - Based on Contractor's Schedule of Deliverables | MS Excel (.xlsx) with changes highlighted in red text or other font format such as highlighted cell color, to distinguish changes from week to week clearly identified. Offeror may propose an alternate format for the weekly roster for the government's consideration. | Offeror to propose due date in Offeror's Schedule of Deliverables that aligns with Offeror's Performance Work Statement and Offeror's completed Appendix L. | COR and designated IHS Points of Contacts. | 1 | ||
| SOO Section H.4.5; Task 2.7; and Appendix M: IHS Contract Qualification Pre-Clearance Documents | CCRT candidate initial Pre-Screening "Package." Initial pre-screening documents include all required CCRT contract qualification and verification documents for IHS to determine the candidate contract health care provider has met the minimum contract qualification requirements of Appendix B and has documented professional experience to substantiate they can perform all required services. Pre-Screening Package includes: Candidate's current and complete resume/cv with all employment gaps explained and documented; licenses and certifications; 1. Approved Identity Source Documents (Page 2); 2. IHS Emergency/Disaster Privilege Pre‐Application Checklist; and Statement of Understanding and Release (for LIPs only) (Pages 3-5); 3. IHS National COVID-19 Critical Care Response Teams (CCRTs) IDIQ Statement of Understanding and Release of Information (Page 6); 4. OMB Form 0917-0028: Addendum to Declaration for Federal Employment (OF 306) Indian Health Service Child Care & Indian Child Care Worker Positions (Pages 7-8); 5. Declaration for Federal Employment (OF-306) (IHS will provide to Contractor); 6. HHS 745: HHS Badge Request (09/2018) (IHS will provide to Contractor); 7. IHS Provisional Authorization -Pending Favorable Adjudicated Background Investigation Memorandum (IHS will provide to Contractor). Fingerprints are required for contractors performing 120-days or more of services under the contract in a patient care environment. During the COVID-19 Public Health Emergency, the government will attempt to collect fingerprints, if fingerprints can be collected. Prior to favorably adjudicated fingerprints, IHS will conduct a federal pre-clearance background investigation once the IHS is in receipt of correct and complete federal background investigation forms. | As needed, to ensure all required labor categories are fully resourced for at least 2 CCRT teams, and adequate back-up coverage for physicians, RNs and RRTs. | 1 CCRT candidate initial Pre-Screening "Package" per CCRT candidate. | Appendix M: IHS Contract Qualification Pre-Clearance Documents must be submitted electronically in the same format as provided in Appendix M. JPEG images of the documents are not acceptable. File names shall clearly identify each document type and candidate name. Failure to clearly identify document associate with a specific CCRT members in the file name or email submission, may delay onboarding the CCRT member. Example: SF306_First Name Last Name | Contractor shall submit one complete initial candidate Pre-Screening Package in accordance with due date specified in task order. Due date will vary based on facility or IHS Area credentialing timeline and deployment start date. During the base year, the government prefers the same CCRT members selected for a CCRT deploy to multiple locations in the scope of the SOO. Due to the COVID-19 pandemic, and urgent need for critical care teams to deploy at the onset of IDIQ contract performance, initial CCRT members must have started the onboarding process no later than ____days after first task order issuance. Offeror to specify how soon offeror will have Appendix M packages ready to submit for IHS to begin onboarding contract health care providers. | COR and designated IHS Points of Contacts. All documents with Personally Identifiable Information (PII) or Personal Health Information (PHI) must be submitted via IHS Secure Data Transfer. Credentialing and Privileging application and related documents must be submitted in accordance with Task 2.7 and Appendix D: Schedule of Deliverables, deliverable item 6. | 2 | ||
| SOO Task 1 | Deployment Spending Tracker that tracks estimated costs for approved or pending deployments and actual expenses, and cumulative total of all completed, in-process, and pending deployments. Final month of services shall have a cumulative total of Contactor's estimated actuals to substantiate final payment. | Monthly, or per deployment, or as requested by IHS | at least 12 | MS Excel .(xlsx) | At least monthly, by the first Monday of the month, or as requested by the COR, or if Contractor makes revisions. Offeror may propose a different due date for this item. | COR and Contracting Officer | 3 | ||
| All SOO Tasks applicable to services required under task order | Deployment Executive Summary which contains an aggregate summary of each deployment activities, results, outcomes, and recommendations. The government may provide written input on the Deployment Executive Summary to ask for clarifications. If any changes or clarification on the Contractor's final written Deployment Executive Summary are needed, the Deployment Executive Summary must be approved and accepted by the Government prior to invoice acceptance. | One Deployment Executive Summary per onsite deployment | One (1) Deployment Executive Summary per deployment | 1 MS PowerPoint (.pptx) presentation. Supporting documentation may also be 508-compliant MS Word (.docx), or Adobe Acrobat (PDF). Individual Deployment Executive Summary for each CCRT member is not acceptable. Report must be a combined summary of the entire engagement. Supporting documentation with the Deployment Executive Summary must also be 508-compliant. | 1 MS PowerPoint (.pptx) presentation. Verbal debrief from CCRT members- due- prior to deployment end date, when possible. Final written Deployment Executive Summary slides and supporting documentation is due no later than 10 calendar days from final deployment date. Revised final Deployment Executive Summary (if changes are needed), is due prior to invoice acceptance. | COR and designated IHS Points of Contacts. | 4 | ||
| SOO Task 1 | Final CCRT daily work schedule showing actual arrival and departure time for each CCRT member, for each day of onsite deployment. Final daily work schedule must clearly indicate any rest period day(s), if a rest period was required. | per onsite deployment | One final CCRT daily work schedule per deployment order that reflects the actual hours worked at each facility, for billing/invoice purposes. | 508-compliant MS Excel (.xlsx), MS Word (.docx), or Adobe Acrobat (.PDF). Actual final schedule shall have a signature from the designated facility Point of Contact verification of Government or tribal facility concurrence of actual hours completed by each CCRT member during each day of the deployment. | Signed actual schedule to be signed by IHS or tribal facility designated point of contact, due two business days after deployment end date. Contractor shall have 5 business days to verify or make corrections if there are any discrepancies between Contractor's records of hours logged by each CCRT member and what the facility verified. Timesheets submitted with invoices must reconcile with the verified final CCRT daily work schedule to substantiate billable hours under the contract/task order. | COR and designated IHS Points of Contacts. | 5 | ||
| SOO Task 2.2.2; 2.7: Credentialing and Privileging; Appendix B: IHS National COVID-19 Critical Care Response Team Qualification Requirements; Appendix M: | All Locations (Federal or Tribal): Credentialing and Privileging related files for each Licensed Independent Practitioner (LIP) who is approved by IHS to continue the onboarding process. The IHS will review the Contractor's submitted pre-screening package (deliverable item # 2) to determine if the LIP meets the minimum contract qualifications. LIP is defined as the following labor categories: Physician (Task 2.3.1); Nurse Practitioner (Task 2.3.4); Physician Assistant (Task 2.3.5) candidates. | All Locations (Federal or Tribal): Required for each CCRT LIP, for each tribal or IHS facility that the LIP will be performing onsite services under the contract or subsequent task orders. | All Locations (Federal or Tribal): 1 complete credentialing /privileging application that includes all required supporting documentation, per facility where the LIP will be performing onsite services. | per the scenario below. | All Locations (Federal or Tribal): Granting of privileges by the Governing Body, prior to scheduled deployment start date. | per the scenario below. | 6 | ||
| Federal locations (Scenario A): If the facility requires full credentialing, and that individual is approved to move forward with the onboarding process, a complete credentialing / privileging application and all supporting documentation, is required for all LIP candidates for this contract and subsequent task orders. | Federal locations (Scenario A & B): Most files uploaded to MD-Staff can be shared between IHS federal locations, but some information may need to be sent to each facility or updated or re-submitted periodically by the LIP to comply with the facilty's policies and national accreditation requirements. | Federal locations (Scenario A): | |||||||
| If the facility requires the LIP to complete the full credentialing process, a complete electronic Credentialing and Privileging application must be submitted through the MD-Staff system, and all supporting documents uploaded electronically within the MD-Staff application. | Federal locations (Scenario A): If the hospital requires full credentialing, the initial MD-Staff application for medical staff privileges is sent via email to the email address of the LIP. The link must be accessed by that recipient, within 24 hours. The facility's credentialing process cannot begin until a completed application and all supporting documents attached to the MD-Staff application have been submitted. | Federal locations (Scenario A): MD-Staff application. Once the MD-Staff application has been imported by the facility, it cannot be modified. Any additional files requested and/or submitted after import. must be submitted electronically to the designated IHS federal credentialing point of contact(s). | |||||||
| Federal locations (Scenario B): If the facility utilizes Disaster /Emergency privileges for purposes of the CCRT contract, then the facility will review Appendix M: IHS Emergency/Disaster Privilege Pre‐Application Checklist; and Statement of Understanding and Release, and other supporting documentation, and notify the Contractor and/or LIP if additional supporting documentation is needed for the facility to complete the credentialing process and grant Disaster/Emergency privileges. | All Locations (Federal or Tribal): Required for each CCRT LIP, for each tribal or IHS facility that the LIP will be performing onsite services under the contract or subsequent task orders. | Federal locations (Scenario B): If the facility utilizes Disaster privileges for purposes of this contract or subsequent task orders, a complete and signed Appendix M: IHS Emergency/Disaster Privilege Pre‐Application Checklist; and Statement of Understanding and Release must be submitted in MS Adobe Acrobat PDF format via Secure Data Transfer with all supporting documents attached to the email. | All Locations (Federal or Tribal): Granting of privileges by the Governing Body, prior to scheduled deployment start date. | Federal locations (Scenario B): Designated federal facility Credentialing point of contact(s). | |||||
| Tribal Locations (Scenario C): Credentialing and privileging requirements and process will vary by facility. | All Locations (Federal or Tribal): Required for each CCRT LIP, for each tribal or IHS facility that the LIP will be performing onsite services under the contract or subsequent task orders. | Tribal Locations (Scenario C): Submission of required credentialing /privileges forms and required documentation must be submitted electronically, and requirements will vary by facility. | All Locations (Federal or Tribal): Granting of privileges by the Governing Body, prior to scheduled deployment start date. | Tribal Locations (Scenario C): Designated tribal facility Credentialing point of contact(s), unless directed to submit via an electronic credentialing system. | |||||
| SOO Section C.5. - Item 5 - Training | Training certificates of completion. CCRT members are required to complete at a minimum the following IHS trainings prior to performing services in a patient care environment. 1). IHS Records Management; 2). HIPAA/Privacy Act; 3). Information Systems Security Awareness (ISSA) Training; 4). Protecting Children from Sexual Abuse In Health Care Settings trainings. Facility specific orientation may require additional training on facility specific policies/procedures, and will also be required for each CCRT member deployed to a specific facility. | IHS required trainings items 1-3 must be completed one time by each CCRT member. Facility-specific orientation and required trainings must be completed by each CCRT member for each facility where onsite services will be performed. Protecting Children from Sexual Abuse In Health Care Settings must be completed in accordance with IHS Indian Health Manual Part 3 Chapter 20. IHM Reference: https://www.ihs.gov/ihm/pc/part-3/p3c20/ | At least four (4) IHS required training certificates of completion, per CCRT member. The number of facility-specific trainings will very by facility. The Government will provide the Contractor and CCRT members, when possible, facility-specific orientation materials, prior to the deployment start date. Some training or other orientation materials may need to be completed onsite as part of required facility orientation. The government estimates that pre-arrival training for each CCRT member may take up to four hours combined to complete. | Training certificate of completion verifying training completion date and CCRT member name submitted electronically in Adobe Acrobat (.PDF) or MS Publisher. | Critical Care Response Team members shall complete required IHS trainings, prior to arriving onsite, when possible. All IHS required training must be completed at least 5 business days before the deployment start date, to ensure adequate time for the government to grant IT access and complete other onboarding/credentialing and privileging processes. | COR and designated facility point of contact. | 7 | ||
| Task 3: Clinical Education and Objective 2: Enhance existing IHS and tribal staff’s critical care knowledge and skills | Task 3.1: Documentation of training and/or competency validation for each individual learner. Onsite "at the bedside" evidence-based clinical education for clinical skills completed at each facility: Competency assessment and validation to ensure that the nurse or other appropriate clinical staff demonstrated the skills and knowledge needed to perform the respective skill safely and independently following the training. Evidence-based "at the bedside" training evaluation shall include at a minimum summary of strengths/weaknesses of staff trained on the topic. If competency checklists are not required for a particular training content area, staff member or that facility in general, training certificates of completion provided to each learner, for each training completed, shall be provided to each facility staff and designated facility/facility point of contact(s) to verify training completed. | Initial competency checklist templates will be developed one time and can be re-used at each subsequent location that the training topic is needed. Revisions/refinement of competency checklist templates may be required, depending on the facility's specific training needs. Complete checklists required for each individual learner with whom competency evaluation and validation is performed. | One competency checklist template per training topic. The Contractor provided 16 competency checklist templates as of 8/10/2020. New competency checklist templates or revisions/refinement to competency checklist developed for other locations, may be required, depending on the facility's specific training needs. If staff competency evaluation and validation is performed, one completed and signed competency checklist per individual learner. | 508-compliant competency checklist template shall be form fillable Adobe Acrobat (.PDF). CCRT member who conducted the training must sign and date individual learner competency checklists. Training certificate of completion must identify the individual learner, training topic, duration of training (hours/partial hours); training date and have signature and name of trainer identified. | If additional learning needs and competency evaluation areas are identified during the deployment pre-engagement period beyond the 16 competency checklist templates provided on 8/10/2020, draft competency checklists templates are due prior to the initiation of the training. Completed individual learner competency evaluation documents are due to the designated facility point of contact prior to the deployment end date. Training certificates of completion for all individual learners based on verified sign-in sheets are due with submission of the Deployment Executive Summary, which is due no later than with 10-days after deployment end date. | COR, IHS Program Manager and IHS Chief Clinical Consultant for the CCRT contract. | 8 | ||
| Sign-in sheets per unique in-service training session respective to each CCRT provided training, which identifies individual learners by name and respective discipline. For bedside training, sign-in sheets are not required, but the Contractor shall track and report on the Completed Clinical Education Summary (Deliverable Item 10), the total number of individuals and the topics where bedside clinical education was performed. | Per deployment, if applicable to services needed at that facility | Will vary by deployment if applicable to services needed at that facility | MS Excel (.xlsx), MS Word or other format. One training topic per sign-in sheet, when applicable. Participating learners and CCRT instructor(s) who conducted the training must sign and date the sign-in sheets. | If applicable to services needed at that facility, complete sign-in sheets per unique training, are due to the designated facility point of contact prior to the deployment end date. If bedside training was conducted, the Contractor shall provide a list of names of individuals trained, or competency evaluation, if appropriate, as agreed to with the facility. | COR and designated IHS Points of Contacts. | 9 | |||
| Completed Clinical Education Summary for each facility (or other medical location), that includes at a minimum the total number of individuals trained on each topic, the number of unique learners trained at the facility, and the method of delivery (at the bedside vs. in-service training session). The Summary shall also include a running aggregate total delimitated by facility. |
| Frequency based on number of deployments. 1 summary report, per facility when applicable. | 1 Summary Report, per facility when applicable. 1 Final Summary Report at the end of the contract period of performance | MS Excel (.xlsx) based on template agreed to with IHS. | 1 Summary Report, per facility when applicable, due no later than 10 calendar days from deployment end date. 1 Final Summary Report due at the end of the contract performance period. 1 Final Summary of all clinical education completed during the duration of the contract due at the end of the Base Year and if applicable, each awarded Option Year. | COR and designated IHS Points of Contacts. | 10 | ||
| Evidenced-based presentations/training materials developed or utilized under this contract to complete Task 4 or to meet other SOO objectives and are in accordance with national guidelines for the treatment of COVID-19 patients, current CDC guidelines and other national standards for the care and treatment of critically ill patients. All PowerPoint slides developed for group or 1-on-1 in-service training purposes, while a CCRT is onsite, must be reviewed by designated facility or other facility point of contact for acceptability prior to the CCRT conducting the training. This acceptance is not the final acceptance of the presentation/training material, but shall serve as Subject Matter Expert review. The Contractor shall incorporate government or tribal facility input into the training if needed. The Offeror shall ensure the individual designated in the Offeror's Quality Control Plan, shall review that all in-service training content meets CMS, accreditation entity, or other evidence-based national standards. If training will result in a competency checklist for individual learners, all training content must align with an approved competency checklist template. | If needed, to be specified for each deployment. Training content and materials will be developed one time and can be re-used at each subsequent location that the training topic is needed. Revisions/refinement of training content and materials may be required, depending on the facility's specific training needs. | If needed, to be specified for each deployment | 508-complaint MS PowerPoint (.pptx) or other editable electronic format that may be required, such as web-based training videos. | Draft training slides and other materials prior to the training. Final training slides and training materials that incorporate government or tribal facility staff's input must be submitted with the , which is due no later than 10 calendar days from final deployment date. | COR, IHS Program Manager and IHS Chief Clinical Consultant for the CCRT contract. | 11 | |
| Training needs assessment questions and topics to identify the current training needs and gaps. Offeror shall ensure that the training needs assessment process and facility assessment process is described in Offeror's proposed Contractor Performance Work Statement. | Per facility, when training and/or process improvement review and recommendations are the primary focus of the deployment | One standard set of questions /topics that can be used for each facility, and evolve as needed. | Initial set of pre-deployment planning questions/topics shall be emailed in advance of the deployment. Questions/topics may be refined during verbal discussion if training needs or specific process improvement areas are identified in pre-engagement planning meeting(s). | prior to the CCRT arrival at facility. | COR and designated IHS Points of Contacts. | 12 | |
| Task 2 and Objective 1: Increase the survival rate of patients presenting to an IHS or tribal facility for known or suspected COVID-19. | Expert critical care physician, critical care nursing, and/or critical care respiratory therapist subject matter evaluation of and recommendations for improvements to facility processes, protocols, workflows, electronic health record templates, order sets, and processes required to support and improve the capacity of IHS facilities to care for patients with suspected and/or confirmed COVID-19 and/or other critically ill patients. | to be specified for each deployment | to be specified for each deployment | MS Word (.docx), MS Excel (.xlsx), Adobe Acrobat (.PDF) or verbal communication. All materials developed for each facility are contract deliverables, and must be in an editable format, without Contractor logos. | Drafts: Provided in accordance with a facility's request for the deliverable, at least one day prior to scheduled final deployment onsite end date. Final copies must incorporate government or tribal facility staff's input and must be submitted with the Deployment Executive Summary which is due no later than 10 calendar days from final deployment date. | COR and designated IHS Points of Contacts. | 13 |
| Task 3: Critical Care and/or COVID-19 Specific Virtual Training | If applicable, description of optional evidence-based/best practice critical care education or COVID-19 specific education "off-the-shelf" virtual trainings provided by the Contractor shall be determined with issuance of IDIQ Contract or Task Order and include if CEUs are offered, source(s) of off-the-shelf trainings, and learning management system or video platform (if applicable). | If applicable, frequency based on general access requests or request for specific training topics by IHS or tribal staff. | if applicable, to be determined at Contract or Task Order. | If applicable, format (e.g. On-demand synchronous or asynchronous web-based trainings based on Contractor's Performance Work Statement. If Offeror's Performance Work Statement includes "off-the shelf" virtual clinical education, Offeror's technical response shall include example list of courses /webinars available upon request. | If applicable, and upon a request from IHS or tribal staff, Contractor shall notify COR and the individual requesting access, the anticipated timeframe for when access to available content may be granted and how to access the content. Contractor shall notify COR and user of any delays longer than 5 business days from individual(s) initial request for access. | Requesting IHS or tribal staff member, with courtesy email notification to COR that access has been granted to requester (if content is available); or if content is not available under the scope of the IDIQ contract or Task Order. | 14 |
| Customized evidence-based virtual education training and materials, if needed | to be specified on task order, if services are needed | to be specified on task order, if services are needed | to be specified on task order, if services are needed | to be specified on task order, if services are needed | If needed, drafts and final trainings and related material shall be submitted to COR and designated IHS Points of Contacts. | 15 | |
| SOO Section C.4. Performance Evaluation; Government Notional QASP | Quality Control Plan that supports the Offeror's Quality Control Program. The Contractor shall establish and maintain a Quality Control Program (QCP) to ensure the requirements of the contract and subsequent task orders are provided as specified. The Contractor's Quality Control Plan must ensure physicians, nurses, RRTs, and other health care providers (if needed), deliver evidence-based clinical education and all direct patient care is performed in accordance with currently available national guidelines for the treatment of COVID-19 patients, current CDC guidelines and other national standards for the care and treatment of critically ill patients. Offeror's Quality Control Plan must describe the Contractor's approach to evaluate the effectiveness of training when clinical education is the primary focus of the deployment. | 1 initial Quality Control Plan and revisions as needed by the government or Contractor. | At least one Quality Control Plan. Revised QCP plan may be required if the government requires the Contractor to take corrective actions, or Contractor implements changes to Contractor's QCP that result in a need to revise the initial final approved Quality Control Plan. | 508-compliant MS Word (.docx) or Adobe Acrobat (.PDF) | Proposed QCP included with Offeror's technical proposal and Final QCP that incorporates government feedback shall be submitted 3 business days prior to Contract Post-Award "Kick-off" meeting. Revisions to the Contractor's accepted QCP may be required periodically during the Contract Period of Performance. | COR and Contracting Officer | 16 |
&"Times New Roman,Bold"&13Appendix D: Schedule of Deliverables&"-,Regular"&11 &"Times New Roman,Bold"&13 IHS National COVID-19 Critical Care Response Teams (CCRT) IDIQ
DRAFT 10/26/2020 &P/&N
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