Att 01 Performance Work Statement_JRM FES.pdf

PERFORMANCE WORK STATEMENT (PWS)

Paramedic Education and Training Program Joint Region Marianas Fire & Emergency Services (JRM F&ES)

PART 1

GENERAL INFORMATION

1.0 Scope: This is a non-personal services contract to provide an accredited Paramedic Education and Training Program for Joint Region Marianas (JRM) Fire & Emergency Services (F&ES) in Guam. The Contractor shall provide all personnel, supervision, curriculum, equipment, materials, facilities, management and other resources necessary to deliver the required training.

1.1 Background: JRM F&ES requires an accelerated hybrid paramedic education program to enhance emergency medical response capabilities. Personnel must be trained to meet the latest version of the National EMS Education Standards and obtain National Registry of EMTs certification to perform pre-hospital advanced life support care and services. Nationally Registered Paramedics are critical to mission readiness and lifesaving operations across installations.

1.2 Objectives: There are two (2) primary objectives for this requirement. They are as follows:

Objective #1: Provide training for twenty (20) firefighters to complete an accredited paramedic education program that meets or exceeds the National EMS Education Standards, and results in eligibility for and completion of the National Registry of Emergency Medical Technicians Paramedic certification.

NREMT certification shall serve as the primary validation that the contractor’s training program meets nationally recognized paramedic competency requirements.

Objective #2: Provide training for four (4) certified JRM F&ES paramedics to become trained and certified in the National Association of EMS Educators (NAEMSE) Level 1, Level 2, and Skills Instructor Course. Upon completion, these individuals shall be able to perform as practical skills instructors and ambulance field preceptors. This requires hands-on training at the Contractor or its affiliates US locations to become authorized Paramedic practical skills instructors and ambulance field preceptors.

Period of Performance: The anticipated period of performance is twelve (12) months from date of award.

1.3.1 Federal Holidays: The contractor shall be required to provide services on federal holidays.

Federal Holiday Occurrence New Year’s Day 1 January*

Martin Luther King Jr.’s Birthday 3rd Monday of January President’s Day 3rd Monday of February Memorial Day last Monday of May

Juneteenth 19 June* Independence Day 4 July*

Labor Day 1st Monday of September Columbus Day 2nd Monday of October Veterans Day 11 November*

Thanksgiving Day 4th Thursday of November Christmas Day 25 December*

* When a federal holiday falls on Sunday, the following Monday will be observed as a holiday by the U.S. government. When a federal holiday falls on a Saturday, the preceding Friday will be observed as a holiday.

In addition to these federal holidays, if the President of the United States issues an executive order closing the federal government, that date shall also be considered a recognized federal holiday (Reference Executive Order 11582 of February 11, 1971, and 5 U.S.C. 5546 and 6103(b) and other similar statues insofar as they relate to the pay and leave of employees of the United States).

1.3.2. Typhoon Conditions: Guam-based military installations close when Tropical Cyclone Condition of Readiness 1C (TCCOR 1C or TC-1C) is declared by Military Weather Station authorities. The contractor will be required to depart military bases, remain indoors, and monitor radio/television to determine when the TCCOR changes to TCCOR SW (Storm Watch) or TCCOR 4 AC (All Clear). When TCOR SW/ TCCOR 4 is declared by Military Weather Station authorities, the contractor shall restart the service within 2 hours. If that occurs after normal business hours, services shall begin the next normal workday at 7:30am.

1.4 Place of Performance: The primary place of performance for this requirement is Guam to include:

Naval Base Guam Marine Corps Base Camp Blaz US Naval Hospital Guam

Also included in place of performance are approved CONUS training locations.

PART 2

APPLICABLE STANDARDS

The Contractor shall comply with the most current versions of:

National Emergency Medical Services (EMS) Education Standards Commission on Accreditation of Allied Health Education Programs (CAAHEP) Standards Committee on Accreditation of Education Programs for the EMS Professions (CoAEMSP) requirements National Registry of Emergency Medical Technicians (NREMT) certification requirements.

PART 3 – REQUIREMENTS

3.0 General Performance Requirements: The contractor shall perform all requirements in a manner that ensures the delivery of a comprehensive, accredited and outcomes-based Paramedic Education and Training Program that fully supports the operational mission of JRM F&ES.

Performance shall be results-oriented and shall ensure that all training, instruction and evaluation activities:

Align with the latest version of the National EMS Education Standards and all applicable accreditation requirements for students who are fully prepared and eligible to obtain NREMT Paramedic certification

Emphasize competency-based training, ensuring students demonstrate required knowledge, skills and abilities in both simulated and real-world environments

Integrate didactic clinical and field training components into a cohesive program that meets or exceeds minimum national standards

Support the Government’s objective of developing both operational paramedics and sustainable internal instructor/preceptor capability

The contractor shall ensure that all instruction, clinical rotations, and field internships are:

Properly supervised by qualified and credentialed personnel Documented and tracked to validate completion of all required competencies and hours Conducted in accordance with patient and student safety, medical oversight and professional standards

The contractor is responsible for program management, quality control, and execution of all training elements necessary to achieve the objectives outlined in Sections 3.1 and 3.2. Failure to meet performance standards may result in corrective action, withholding of payment or other contractual remedies.

3.1 Program Delivery (Objective #1)

The Contractor shall provide a CAAHEP-accredited hybrid paramedic education program that:

Meets or exceeds the National EMS Education Standards Is accredited through CAAHEP for students to obtain NREMT Paramedic certification

All certifications shall directly support and align with the National EMS Educations Standards and serve as progressive validation of student competency.

ACLS/PALS/AMLS Specialty clinical competency validation NREMT Certification National-level competency validation

NREMT certification shall be used as the primary measurable outcome demonstrating program completion and alignment with national EMS standards.

3.1.1 Didactic Instruction: Instruction shall:

Include synchronous and asynchronous learning Provide skills labs (hands on)

Support competency development required under the National EMS Education Standards patient contacts and skills validation to meet CAAHEP/CoAEMSP and NREMT eligibility requirements

3.1.2 Clinical Internship: The clinical internship program shall:

Minimum 168 hours per student Conducted at US Naval Hospital Guam or approved facilities Includes Emergency Room (ER), Intensive Care Unit (ICU), Pediatrics, Obstetrics (OB), Operating Room (OR)

3.1.3 Field Internship & Capstone: The Contractor shall ensure students demonstrate competency as a team leader in ALS scenarios and meet all CoAEMSP and NREMT skill competency requirements.

The field internship and capstone shall:

Include a minimum 576 hours per student Be conducted on ALS ambulances Be supervised by certified paramedic preceptors

3.1.4 Competency Compliance: Training shall meet or exceed: the CoAEMSP Student Minimum Competency Matrix

3.1.5 Certifications: The Contractor shall provide and ensure completion of the following certifications:

Advanced Cardiac Life Support (ACLS) Pediatric Advanced Life Support (PALS) Advanced Medical Life Support (AMLS) NREMT Paramedic Certification (written examination)

3.2 Instructor & Preceptor Development (Objective #2):

3.2.1 Instructor Certification: The Contractor shall train four (4) JRM F&ES paramedics and provide:

NAEMSE Level 1 NAEMSE Level 2 Skills Instructor Course

3.2.2 Hands-On Training: Training is to be conducted in the U.S. or approved affiliate sites and shall include:

Practical Skills instruction methodology Ambulance Field Preceptorship training

3.2.3 Preceptor Qualification: Training shall qualify personnel to:

Evaluate student competency Supervise ALS field training Conduct practical skills assessments and ambulance field precepting

3.3 Program Support Requirements: The contractor must maintain CAAHEP accreditation to perform the work required within the PWS. The contractor shall

Provide full curriculum and materials Arrange Assistant Medical Director that meets CoAEMSP standards Coordinate clinical affiliations Provide training equipment (becomes Government property if specified) Conduct terminal competency testing Conduct preceptor training

3.4 Travel Requirements: The contractor shall provide travel for up to two (2) personnel to Guam to perform Paramedic terminal competency testing to twenty (20) Paramedic students and to proctor four (4) JRM F&ES Paramedics to become practical skills instructors and ambulance field preceptor training to accomplish requirements as stated in the PWS.

PART 4

PERFORMANCE REQUIREMENTS SUMMARY (PRS)

Performance Objective

PWS

Para

Standard AQL Surveillance Method

Deliver an accelerated accredited paramedic program

3.1,

3.1.1 CAAHEP/CoAEMSP compliant 100%

compliance Document review / COR validation

Synchronous and aSynchronous Didactic instruction delivery 3.1.1 Instruction completed per curriculum schedule ≥ 95% on-time Schedule tracking

Clinical internship completion 3.1.2 168 hours per student completed 100% Log review

Field & capstone internship completion 3.1.3 576 hours per student completed 100% Log review

Certification completion (ACLS, PALS, AMLS) 3.1.4 All certifications completed 100% Certificate validation

NREMT exam participation 3.1.4 20 students scheduled/tested 100% Exam records

Student completion rate 3.1 Students complete program ≥ 90%

Instructor/preceptor certification 3.2 4 personnel certified 100% Certification records

CONUS hands-on training execution 3.2 Training completed as scheduled ≥ 95%

Program schedule adherence 3.5 Completed within 12 months ≥ 95%

Reporting requirements 5.0 Reports submitted on time 100% COR review

Final program outcomes 5.0 Final report delivered 100% COR acceptance

PART 5

SPECIAL INSTRUCTIONS AND ADMINISTRATIVE INFORMATION

5.1 Identification of Contractor Personnel and Equipment: In accordance with DFARS 211.106, contractor personnel performing non-personal services on DoD installations or other government facilities shall ensure that they are readily identifiable as contractor employees (including subcontractors and consultants). All contractor employees shall comply with the following at all times:

5.1.1 Telephone Identification: Identify themselves as contractor personnel at the onset of every telephone call made from a Government telephone or any other phone if the call is made in support of Government-related requirements and activities.

5.1.2 Recorded Messages: Identify themselves as contractor personnel in all recorded messages including those, which are heard by callers attempting to contact contractor employees via answering machines or voicemail.

5.1.3 Meetings, Conferences and Events: Identify themselves as contractor personnel at the onset of every meeting, conference or any other gathering attended in support of any Government related requirements or activities.

5.1.4 Correspondence: Identify themselves as contractor personnel on any correspondence, documents, or reports accomplished or sent in support of any service provision to the Government, including, but not limited to, correspondence sent via the U.S. Mail, facsimile, or electronic mail (email) inclusive of out-of-office replies.

5.1.5 Personal and Corporate Identification: Wear or display contractor provided nametags, badges or attire which display, at a minimum, the name of the contractor and their respective company.

5.1.6 Subcontract Management: The contractor shall be responsible for any subcontract management necessary to integrate work performed on this requirement and shall 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 Procuring Contracting Officer (PCO) or Contracting Officer Representative (COR). Cross teaming may or may not be permitted.

5.1.7 Mission Essential Personnel / Tasks: Unless specified otherwise in this

Performance Work Statement, contractors supporting this contract/order are/are not considered “Mission Essential” personnel (as defined in DFARS 237.76) who would be required during crisis or emergency operations.

5.2 Installation Access and Personnel Credentialing

5.2.1 Access: The contractor is responsible for ensuring all personnel and vehicles have valid Defense Biometric Identification System (DBIS) credentials for base access.

5.2.1.1 Registration Termination: Vehicle permits will expire upon termination date of this contract/order, expiration of an individual base pass or DBIDS ID, expiration of vehicle inspection sticker, or termination of their employment (whichever occurs first). Permits issued to individuals who overstay any of these authorized dates become void and invalid.

5.2.1.2 Insurance: Vehicle permitting procedures require that all vehicles, personal or corporate, must be properly inspected and insured in accordance with all laws and regulations. Prior to the commencement of work, the Contractor shall furnish to the Contracting Officer or Contracting Officer Representative a certificate or written statement of the above required insurance for any and all corporate vehicles to be used. The policies evidencing required insurance shall contain an endorsement to the effect that cancellation or any material change in the policies adversely affecting the laws of the state in which this contract is to be performed and in no event less than thirty (30) days after written notice thereof to the Contracting Officer.

5.2.1.3 Road Laws: All personnel operating motor vehicles under this contract/order are subject to U.S. military installation regulations. Failure of the contractor, its employees, or its sub-contractors, to comply, may result in revocation of driving privileges or other legal action.

5.2.1.4 Personnel Access / Credentialing: Access to local installations is inherently required to accomplish specified tasks under this contract. The contractor shall therefore ensure all necessary actions are taken to obtain such access by its personnel in time to affect access in accordance with the requirements of the PWS and POP. Failure to complete such actions in a timely manner, some of which may occur prior to the POP or individual mobilization/relocation to the place of performance, shall not constitute excusable delay. Upon request, the Contracting Officer will provide a ‘check-in’ sheet that summarizes required actions.

PART 6

QUALITY ASSURANCE

The Government will evaluate performance using:

Document reviews Training observation Student outcome metrics

PART 7

DELIVERABLES

Deliverable Description Due Date

Program Plan Full training schedule, curriculum Within 15 days of award

Monthly Status Reports Progress, attendance, issues Monthly

Certification Documentation ACLS, PALS, AMLS completion As completed

Clinical/Field Logs Hours tracking Monthly

Instructor Certification Proof 4 trained personnel Prior to completion

NREMT Exam Results Student pass/fail data End of program

Final Program Report Summary of outcomes and performance

Within 15 days after completion