Att 1 PRK Services PWS 27 Dec 2019.pdf

PERFORMANCE WORK STATEMENT

PHOTO REFRACTIVE KERATECTOMY (PRK) SERVICES

JBSA SAN ANTONIO TEXAS

12/27/2019

1.2. Description of Services: The Department of Defense Military Treatment Facilities (MTF) in San Antonio, Texas, has a requirement for PRK personal and non-personal services as described in this PWS. Personal services include optometry services including vision research laboratory operations, clinical management research assistant, surgical technicians, and technician services. Non-personal services include a surgical coordinator. All other positions have been identified as personal services. The Health Care Workers (HCW) shall work within the Government provided facility and use Government provided equipment and will perform services and support compatible with the medical facility’s operating capacity and equipment.

The services required on this Task Order are in the following market segments:

☒ Ophthalmology Services

The services required on this Task Order are under the following special program:

N/A

1.5. General Information:

This Task Order is issued under the following arrangement:

☒Personal Services: The following labor categories are under a personal services arrangement on this TO: Optometrists, Laser Center Associate Director/Research Assistant, Refractive Research Surgical Technicians, Refractive Research Technicians, and Administrative Service Operations Manager.

☒Non-Personal Services: The following labor category is under a non-personal services arrangement on this TO: Surgical Coordinator.

1.5.4. Quality Assurance: The Government will evaluate the Contractor’s performance under this task order IAW a separate Quality Assurance Surveillance Plan (QASP). This Government-only plan is primarily focused on what the Government will do to ensure that the Contractor has performed IAW contract performance standards. The Task Order QASP provides a systematic method to evaluate performance to include how the performance standards will be applied, the frequency of surveillance, and the acceptable quality levels for each of the metrics identified in Exhibit 1, Performance Requirements Summary. The QASP is created with the premise that the Contractor is responsible for management and quality control actions to meet the terms of the TO while the Government is responsible for quality assurance actions.

1.5.5. Contracting Officer’s Representative (COR): The following individual is designated as the COR for this TO: will be provided upon contract award.

1.5.6. Recognized Holidays: Contract HCWs ☐will ☒ will not be required to work on federally recognized holidays.

Holiday Projected Date New Year's Day January 1 Martin Luther King Jr's Birthday 3rd Monday in January President's Day 3rd Monday in February Memorial Day Last Monday in May Independence Day July 4 Labor Day 1st Monday in September Columbus Day 2nd Monday in October Veterans' Day November 11 Thanksgiving Day 4th Thursday in November Christmas Day December 25

1.5.7.1. Hours of Performance: The performance hours of the MTF are as follows:

0600-1700 Monday through Friday

1.5.7.2. Scheduling: The schedule or scheduling process is as follows:

The associate director will determine schedule templates for both personnel and clinic patients.

1.5.7.3. Recording HCW Time: Changes to the recording of HCW time identified in the contract PWS are as follows:

The Contractor shall be responsible for recording arrival or departure times, reporting absenteeism, signing payroll timesheets or completing corporate appraisal reports for HCWs, unless otherwise identified in the TO. The Government will not sign any contractor documents.

1.5.7.4.3. Substitute HCWs: If the Contractor substitutes permanent HCWs for a temporary period of time, the substitute shall meet the same qualification standards and health requirements as stated in the contract and TO. Substitutions will be required when the permanent HCW is unavailable for more than 30 calendar days. Additional qualification and standards are as follows: NA.

1.5.7.5. Closures: During a planned closure of the facility due to training, holiday or unplanned closure due to unusual and compelling circumstances (e.g., natural disasters, military emergencies, severe weather), the Contractor will:

☒be compensated only for the actual hours the HCW provided services

1.5.8. Place of Performance: The work to be performed under this contract will be at JBSA Lackland, AFB: Wilford Hall Ambulatory Surgical Center & Joint Warfighter Refractive Surgery Center. HCWs shall receive notification two weeks prior to the reassignment to another location with a 40-mile commuting radius of their assigned

MTF.

1.5.9. Mission Essential: The following labor categories are designated as mission essential:

None.

1.6.1. Quality Control Plan (QCP): The Contractor shall have a planned and systematic QCP that outlines the quality control process covering every aspect of the Contractor’s operation under this TO. The Contractor shall submit a Task Order QCP to the TOKO as outlined in Exhibit 2 of this TO. The TOKO will approve the QCP in writing. The Contractor shall submit changes to an approved QCP to the TOKO for approval throughout the life of the contract.

1.6.3. Periodic Progress Meetings: Contractor ☒ will ☐ will not be required to attend periodic progress meetings at no additional cost to the Government. The terms at which the periodic meeting will be conducted include: Periodic meetings may be necessary quarterly and will be coordinated 30 days in advance. Teleconference is an acceptable means of conducting these meetings.

1.6.4.1. Contractor Representative: The Contractor shall submit the Contractor representative contact information and any other key personnel, in writing, to the TOKO as identified in Exhibit 2 to this TO.

1.6.4.2. Representative Status Change: The Contractor shall notify the TOKO in writing of changes in the status (i.e., termination or replacement) of designated Contractor representative within 5 business days of the change.

1.6.6. Contractor Travel: Reimbursement ☐will ☒ will not be provided for travel within a 40-mile radius of the place of performance. HCW travel requirements are as follows:

Occasional travel may be required to obtain professional development such as education, training, seminars, conference attendance, and refractive surgery site visits as it relates to the PRK field. Pre-authorization for this travel will be required.

1.6.7. Relocation Costs: The Government ☐will ☒will not pay the Contractor to relocate HCWs.

1.6.9 Orientation: Orientation will be ☒ paid at the billable rate or ☐ compensated separately.

1.6.9.2. Computer Skill Competency: Each HCW shall demonstrate competency as required in the contract and as follows: The HCW should be technically inclined using various software such as: Microsoft Word, Outlook, PowerPoint, Excel, PDF, Composite

Health Care System (CHCS), Armed Forces Health Longitudinal Technology Application (AHLTA), ESSENTRIS, and Zeiss Forum – Clinicomp system for electronic medical record documentation formats. Knowledge of computer operations and proficiency in the use of basic word processing, data entry, and automated medical records.

1.6.10. MTF Training: Additional training requirements are as follows:

General - The Government will schedule and furnish initial and annual training which may include but shall not be limited to various applicable software, data base systems, quality assurance policies, radiation safety, local in-service, safety briefings, compliance, patient safety, performance improvement, risk management, infection control, fire protection, security, Operations Security (OPSEC) and patient sensitivity training. The classes may be scheduled as required throughout the life of the contract. The Government may provide voluntary specialty training to the HCW.

MTF Orientation – All personnel assigned to the 59 MDW will complete base and facility orientation within 30 duty days of assignment. The MTF Orientation will familiarize the HCW with the policies and procedures of the MTF and will be scheduled by the COR, or the designated government representative. Orientation attendance shall be required of the HCW during government paid duty time.

1.6.12. MTF Standards: Specific policies, procedures, and instructions/regulations for the place of performance are as follows: See part 7, Applicable Publications.

In/Out Processing – All personnel performing service under this contract shall be required to in process through the 59th Medical Wing Logistic Contract Personnel Office upon reporting for duty. During the in-processing, an MTF checklist will be provided to ensure a proper in-process is completed within 30 duty days to the necessary areas (Division of Education and Training, Systems, Keys/Badges, Security etc). All mandatory training will be completed. Upon termination or expiration of the contract, HCWs shall be required to out-process through the same office and return all government issued items (i.e., keys, badges, CAC, etc).

1.6.20.3. Occupational Health: The HCW ☒shall ☐shall not be required to obtain documentation of required physical testing or a report of a physical examination annually.

1.6.20.5. Tuberculosis Screening: The additional immunization/screening requirements for the risk of exposure to tuberculosis (TB) are as follows:

IAW Centers for Disease Control and Prevention Testing Guidelines (2-step testing protocol or an approved blood assay screening). Must be performed within the last 12 months for new employees to the Military Healthcare System. If the member has a history of previous latent TB or active TB, a chest radiograph may be required before being cleared to work based upon physician’s discretion. Periodic requirement based on annual TB Risk Assessment.

1.6.25 Competency-Based HCW Interviews: Prior to HCW placement, the Government ☒will ☐ will not contact the HCW to determine if the HCW meets the requirements set in the contract and/or task order.

PART 3

GOVERNMENT FURNISHED PROPERTY, EQUIPMENT, AND SERVICES

3. Government Furnished Items and Services:

3.1. General: The following additions are made to the Government furnished items and services for this TO:

The Government will provide use of all available MTF facility’s and support services, materials, publications and forms, use of equipment, and specialty clothing required for contract performance (except as designated in the contract). The contractor shall keep Government furnished supplies, equipment, and work areas in a safe, orderly and clean condition. The Government will schedule and furnish initial and annual training which may include but shall not be limited to various applicable software, data base systems, quality assurance policies, radiation safety, local in-service, safety briefings, compliance, patient safety, performance improvement, risk management, infection control, fire protection, security, Operations Security (OPSEC) and patient sensitivity training. The classes may be scheduled as required throughout the life of the contract.

PART 4

CONTRACTOR FURNISHED ITEMS AND SERVICES

4. Contractor Furnished Items and Responsibilities:

4.1. Rubber Stamp: The Contractor ☐ will ☒ will not be required to ensure privileged HCWs providing services on this contract have a rubber stamp.

4.2. General: The following Contractor furnished items and services are required for this TO: None.

PART 5

PERSONAL SERVICE PERFORMANCE REQUIREMENTS

Labor Category: Optometrists (Credentialed)

HCW Qualifications (Contract PWS 5.2; 5.2.3; 5.2.4; 5.2.6.4.4):

• Degree/Education (5.2.4): Doctor of Optometry Degree from an accredited 4 year college approved by HQ USAF/SG.

• Certifications in addition to Basic Life Support (5.2.3): None

• Experience: Contractor must have knowledge of all aspects of refractive surgery and the pre-operative and post-operative management of refractive surgery patients. Knowledge of clinic regulations, policies, and procedures to receive visitors and patients, screen phone calls, and answer or refer questions.

Knowledge required requisitioning equipment, supplies, and services. Must have 3 years of experience providing optometry health care for refractive surgery patients as an Optometrist with experience within the last 2 years in optometry healthcare for refractive surgery.

• Board Certification (5.2.6.4.4): Must have current on contact hours/national certification requirements.

• Licensure/Registration: Have an active, clear licensure for optometry in any US jurisdiction.

HCW Duties (5.1 Task 1): The duties for the HCW are as follows:

5.1.2. Examine, diagnose, and treat conditions of the visual system with medications, ophthalmic lenses, ophthalmic prisms, contact lenses, and low vision aids. Participate in the examination, diagnosis, treatment and management of diseases, injuries, and refractive surgery of the eye and ocular adnexa. The HCW will function as an optometric faculty member in the Ophthalmology Residency Program.

5.1.3 Provide outpatient clinic visits for refractive surgery exams at an average of eight to twelve each duty day averaged over an eight hour day depending on the type of visit and the exam schedule.

5.1.4 Provide other outpatient clinic visits at a minimum average of two to four per hour when there are no sufficient ophthalmic patients available to meet the ophthalmic minimum requirements (depending on the nature of the clinic). This shall include initial visits as well as follow-up visits and postop visits that may consist of six to eight patients per hour.

5.1.5 Coordinate all vision refractive surgery research projects to include assisting the Principal Investigator or designated representative with writing protocols, tracking consent, performing technical part of exams and evaluations, completion of required Institutional Review Board (IRB) forms and reports, and prepare final presentation or journal.

5.1.6 Provide instruction to co-managing optometrists at the Co-manager Certification Course and as needed in between official training courses.

Labor Category: Laser Center Associate Director/Research Assistant (Non- Privileged)

• Degree/Education (5.2.4): Have an associate’s degree (AA) as a minimum or four (4) years’ experience as a Laser Center Associate Director/Research performing similar duties as described below. Duties, is considered as equivalent.

• Certifications in addition to Basic Life Support (5.2.3): Must possess and maintain current certification as a Certified Ophthalmic Assistant (COA) or higher from the Joint Commission on Allied Health Personnel in Ophthalmology (JCAHPO). Must possess and maintain current EXCIMER and femptosecond laser certifications, which includes programming, calibration, on-site maintenance, and sterilization procedures. Must have and maintain Collaborative Institutional Training Initiative (CITI) Program research certification in Human and Animal research. Must be approved under the Federal Wide Assurance (FWA) for the Protection of Human Subjects for the duration of this contract.

• Experience: Knowledge of all aspects of refractive surgery and the pre-operative and post-operative management of refractive surgery patients.

Knowledge of clinic regulations, policies, and procedures to receive visitors and patients, screen phone calls, and answer or refer questions. Knowledge of the internal organization of patient records in order to search the record to extract medical information and data relevant to patient care. Knowledge required requisitioning equipment, supplies, and services. Have experience and possess the necessary training and certifications for the medical fitting of contact lenses to include RGP, scleral, and hybrid lenses for the treatment of keratoconus, iatrogenic corneal ectasia, and other corneal irregularities. Have at least 7 years previous experience in an Ophthalmology Department or in a similar or equivalent clinic or hospital performing evaluations of PRK patients to include use of a topographer, Pentacam, ultrasound, A-scan, pachymeter, Wavefront analyzer, and Vario topolyzer. Have at least 2 years research experience to include assistance with protocol development, maintenance and auditing of research source files, consenting of patients, and monitoring compliance for studies and FDA clinical trials.

• Board Certification (5.2.6.4.4): None.

• Licensure/Registration: None.

5.1.2. Manage the day-to-day operations of the clinic HCWs and be responsible for the patient screening; assist with all aspects of patient care.

5.1.3 Provide technical oversight of the PRK technician’s skills to include initial and annual skills assessments. In addition, the HCW shall ensure full completion and compliance of all Composite Health Care System (CHCS) requirements within the PRK Clinic.

5.1.4 Perform initial medical screening of patients including history, distance and near visual acuity with and without correction or pinhole, pupillary light reflex, and applanation tonometry and assist with all aspects of patient care. (This is not an authorization of overtime hours.)

5.1.5 Coordinate all vision refractive surgery research projects to include assisting the Principal Investigator or designated representative with writing protocols, tracking consent, performing technical part of exams and evaluations, completion of required Institutional Review Board (IRB) forms and reports, and prepare final presentation or journal.

5.1.6 Evaluate triage patients needing immediate attention. Answer or refer patient questions and chaperone patient exams, as needed.

5.1.7 Establish a sterile field and assist with minor surgical procedures including PRK and Laser-assisted In Situ Keratomileusis (LASIK) and other refractive surgical procedures.

5.1.8. Perform ophthalmic studies including auto refraction, keratometry, tonometry, visual field testing, pachymetry, specular microscopy, ophthalmic photography, potential acuity, brightness acuity, and other studies

5.1.9. Use and maintain an autorefractor, phoropter, auto and manual keratometer, tonopen, Humphrey and Goldman visual field machines, corneal topographer, A-scan machine, pachymeter, specular microscope, ophthalmic photography equipment, slit lamp, potential acuity meter, brightness acuity test, color vision plates, stereo vision test, and personal computers.

5.1.10. Coordinate with outside institutions the dates and schedules for rotating civilian residents and fellows, assist with their local credentialing process, prepare their schedules, and provide initial clinic orientation

5.1.11. Assist, educate, and train PRK staff, Ophthalmology Clinic residents, and other technicians in day-to-day clinic activities and refractive surgery procedural steps to include evaluation and surgical assisting.

5.1.12. Perform Excimer Laser responsibilities to include equipment and instrument inventory and upkeep and providing laser and other relevant equipment training for other technicians and providers.

5.1.13 Coordinate all vision PRK research projects to include assisting the Principal Investigator or designated representative with the maintenance of research records and forms, tracking all protocol reports to ensure data is entered and maintained properly, and ensuring patients are properly consented, evaluated, and tracked.

5.1.14 Coordinate and attend research meetings with collaborating sites and industry representatives and facilitate study-related site visits and audits.

5.1.15 Under the direction of the refractive surgery consultant to the Surgeon General of the Air Force, perform two to three site visits per year at other laser centers in the USAF Warfighter Refractive Surgery Program to evaluate laser and diagnostic equipment calibration, administrative and clinical chart reviews, clinic flow and efficiency, safety practices, surgical outcomes tracking, and clinic optimization. Provide related training at these visits and trouble shoot program issues.

5.1.16. Be available and knowledgeable to answer questions regarding program policies and practices from other laser centers.

5.1.17. Assist in coordinating the Annual USAF Refractive Surgery Summit to include identification of and coordination with venue, communication with laser centers, and compilation of agenda items, agenda preparation, and registration of attendees.

5.1.18. Assist in coordination of the quarterly Air Force-wide Refractive Surgery telephone conference to include communication with all laser centers, compilation of agenda items, agenda preparation, and follow up of tasking’s to specific laser centers.

Labor Category: Refractive Research Surgical Technician (Non-Privileged)

• Degree/Education (5.2.4): Have an associate’s degree (AA) as a minimum or four (4) years’ experience as a Refractive Research Surgical Technician performing similar duties as described below. Duties, is considered as equivalent.

maintain current certification as a Certified Ophthalmic Assistant (COA) or higher from the Joint Commission on Allied Health Personnel in Ophthalmology (JCAHPO). Must possess and maintain current EXCIMER and Femptosecond laser certifications, which includes programming, calibration, on-site maintenance, and sterilization procedures.

• Experience: Contractor must have knowledge of all aspects of refractive surgery and the pre-operative and post-operative management of refractive surgery patients. Knowledge of clinic regulations, policies, and procedures to receive visitors and patients, screen phone calls, and answer or refer questions.

Knowledge required requisitioning equipment, supplies, and services. Knowledge of the internal organization of patient records in order to search the record to extract medical information and data relevant to patient care. Have at least 5 years previous experience in an Ophthalmology department performing evaluations of refractive surgery patients to include use of a topographer, orb scan, ultrasound, A-scan, pachymeter, Wavefront analyzer, and Vario topolyzer.

5.1.2. Establish a sterile field and assists with minor surgical procedures including PRK, LASIK, and other refractive surgical procedures.

5.1.3. Manage pre- and post-ops of surgical patients, give pre-op and post-operative instructions, and complete surgical prep of the patient for the procedure.

5.1.4. Ensure proper technique and operating instructions are followed and maintained, surgical room supplies are maintained, and the laser is calibrated and maintained in working condition.

5.1.5. Upkeep equipment and instrument inventory of the Excimer laser and assist in providing laser and other relevant equipment training for other technicians and providers.

5.1.6. Assist, educate and train PRK staff, Ophthalmology Clinic residents, and other technicians in day-to-day clinic activities and refractive surgery procedural steps to include evaluation and surgical assisting and organizing and maintaining exam room stocks.

5.1.7. Prepare, maintain, and post the technicians’ schedules.

5.1.8. Perform initial medical screening of patients including history, distance and near visual acuity with and without correction or pinhole, pupillary light reflex, and application tonometry; and assist with all aspects of patient care.

5.1.9. Evaluate triage patients needing immediate attention.

5.1.10. Answer or refer patient questions and chaperone patient exams, as needed.

5.1.11. Perform ophthalmic studies including auto refraction, keratometry, tonometry, visual field testing, pachymetry, specular microscopy, ophthalmic photography, potential acuity, brightness acuity, and other studies.

5.1.12. Use and maintain an autorefractor, phoropter, auto and manual keratometer, tonopen, Humphrey and Goldman visual field machines, corneal topographer, A-scan machine, pachymeter, specular microscope, ophthalmic photography equipment, slit lamp, potential acuity meter, brightness acuity test, color vision plates, stereo vision test, ETDRS charts, high contrast /5% charts, and personal computers.

5.1.13. Assist with clinical research protocols to include consenting subjects, assisting with completion of required study documentation, verification and auditing of study documents, data extraction, and handling of animals in research.

5.1.14. Assist with clinical training activities to include laser certification wet labs, optometrist co-manager certification courses, and resident educational activities.

5.1.15. Be able to quickly learn new and unfamiliar technology, test equipment, and procedures being trialed for the Warfighter Refractive Surgery Program.

5.1.16. Assist in administrative/clinical duties such as filing and phone answering.

Labor Category: Refractive Research Technicians (Non-Privileged)

HCW Qualifications (Contract PWS 5.2; 5.2.3; 5.2.4; 5.2.6.4.4):

• Degree/Education (5.2.4): Have a high school diploma or GED equivalent as a minimum.

maintain current Certification as a Certified Ophthalmic Assistant (COA) or higher from the Joint Commission on Allied Health Personnel in Ophthalmology

(JCAHPO).

• Experience: Knowledge of all aspects of refractive surgery and the pre-operative and post-operative management of refractive surgery patients.

Knowledge of clinic regulations, policies, and procedures to receive visitors and patients, screen phone calls, and answer or refer questions. Knowledge of the internal organization of patient records in order to search the record to extract medical information and data relevant to patient care. Knowledge required requisitioning equipment, supplies, and services. Have at least 3 years previous experience in an Ophthalmology Department performing evaluations of refractive surgery patients to include use of a topographer, orb scan, ultrasound, A-scan, pachymeter, and Wavefront analyzer.

5.1.2. Perform initial medical screening of patients including history, distance and near visual acuity with and without correction or pinhole, pupillary light reflex, and application tonometry; assist with all aspects of patient care.

5.1.3. Evaluate triage patients needing immediate attention.

5.1.4. Answer or refer patient questions and chaperone patient exams, as needed.

5.1.5. Establish a sterile field and assists with minor surgical procedures including PRK and LASIK and other refractive surgical procedures.

5.1.6. Perform ophthalmic studies including auto refraction, keratometry, tonometry, visual field testing, pachymetry, specular microscopy, ophthalmic photography, potential acuity, brightness acuity, and other studies.

5.1.7. Use and maintain an autorefractor, phoropter, auto and manual keratometer, tonopen, Humphrey and Goldman visual field machines, corneal topographer, A-scan machine, pachymeter, specular microscope, ophthalmic photography equipment, slit lamp, potential acuity meter, brightness acuity test, color vision plates, stereo vision test, and personal computers.

5.1.8. Assist, educate, and train PRK staff, Ophthalmology Clinic residents, and other technicians in day-to-day clinic activities including organizing and maintaining exam room stocks.

5.1.9. Assist with clinical training activities to include laser certification wet labs, optometrist co-manager certification courses, and resident educational activities.

5.1.10. Perform Excimer laser responsibilities to include equipment and instrument inventory and upkeep.

5.1.11. Assist with clinical research protocols to include consenting subjects, assisting with completion of required study documentation, verification and auditing of study documents, data extraction, and handling of animals in research.

5.1.12. Be able to quickly learn new and unfamiliar technology, test equipment, and procedures being trialed for the Warfighter Refractive Surgery Program.

5.1.13. Assist in administrative/clinical duties such as filing and answering phones.

Labor Category: Administrative Service/Operations Manager (Non-Privileged)

• Degree/Education (5.2.4): Have a Bachelor’s degree (BS) as a minimum or four (4) years’ experience as an operations manager performing similar duties as described below. Duties, is considered as equivalent

• Certifications in addition to Basic Life Support (5.2.3): None

• Experience: Four (4) years’ experience as an operations manager performing similar duties as described below. Duties is considered as equivalent

5.1.2. Supervise other HCW personnel and provide technical administrative management and oversight of administrative functions performed by all other clinical HCW working under this contract.

5.1.3 Coordinate and monitor the day-to-day administrative operations, patient scheduling, prescreening applications, telephone and email interface, patient care activities and referrals, registrations, and ensure completion and compliance of the Composite Health Care System (CHCS).

5.1.4 Coordinate clinical operational activities to ensure adequate staffing and coordinate equipment maintenance and renovation activities of the Refractive Surgery clinical area.

5.1.5 Maintain and monitor an annual budget for the Refractive Surgery clinical area and reports to the Director of the Laser Center, the Refractive Surgery Consultant to the Surgeon General of the Air Force, Noncommissioned Officer In Charge (NCOIC) of Refractive Surgery and the MTF Chief Financial Officer. Receive, review, and compile budgetary data from all Air Force Refractive Surgery Clinics for the Refractive Surgery Consultant.

5.1.6 Under the direction of the refractive surgery consultant to the surgeon general of the Air Force, perform two to three site visits per year at other laser centers in the USAF

Warfighter Refractive Surgery Program to evaluate equipment inventory and age, conduct administrative chart reviews, verify compliance with program guidelines and patient authorization to proceed, monitor local outcomes tracking, assist with warfighter registry issues, and verify refractive records archival. Provide related training as needed and trouble shoot program issues.

5.1.7. Be available and knowledgeable to answer questions regarding program policies and practices from other laser centers in the DoD. Be familiar with differences in policy with sister services (i.e., U.S. Army, U.S. Coast Guard, and U.S. Navy) and facilitate communication and clarification of discrepancies with their laser centers when issues arise.

5.1.8. Function as liaison between the Warfighter Refractive Surgery Program and the Aeromedical Consult Service (ACS) at Wright-Patterson AFB regarding aviation-related refractive surgery policies and the Aviator Refractive Surgery Registry. Provide regular status updates to the Refractive Surgery Consultant to the Surgeon General of the Air Force and inform him of any issues that may arise.

5.1.9. Assist in coordinating the Annual USAF Refractive Surgery Summit to include venue coordination, communication with laser centers, and compilation of agenda items, agenda preparation, and registration of attendees.

5.1.10. Assist in coordination of the quarterly Air Force-wide Refractive Surgery telephone conference to include communication with all laser centers, compilation of agenda items, agenda preparation, and follow up of taskings to specific laser centers.

5.1.11. Develop and establish day-to-day administrative operations of other six Air Force Refractive Surgery Clinics, located in Andrews, AFB, MD; Elmendorf AFB, AK;

Keesler AFB, MS; Travis AFB, CA; Wright Patterson AFB, OH and the Air Force Academy, CO; advise in the maintenance, monitoring and reporting of annual budgets for each individual Refractive Surgery clinic.

5.1.12. Facilitate the other six Air Force Refractive Surgery Clinics in clinical operational activities to ensure adequate staffing, space, facility maintenance and renovation activities for each individual Refractive Surgery Clinic.

5.1.13. Assist in the method of coordinating and monitoring all logistical purchasing and tracking of supplies and equipment for each individual Refractive Surgery Clinic.

5.1.50. Answer phones (provide information to patients) and or take message.

5.2.6. Qualifying/Credentialing Packages: The Contractor shall provide a complete package IAW AR 40-68, DoDM 6025.13, AFI 44-119, BUMEDINST 6010.30. The packages needed for this TO are as follows:

5.2.6.2. ☒Qualifying Package: The Contractor shall provide a complete, current, and accurate qualifying package for within 15 days before HCW placement.

5.2.6.3. ☒Credentialing Package for Non-Privileged HCWs: The Contractor shall provide a complete, current, and accurate credentialing packages for Clinical Manager/Research Director, Refractive Surgical Technicians, Refractive Technicians, Administrative Service/Operations Manager and Surgical Coordinator within 30 days before HCW placement.

5.2.6.4. ☒Credentialing Package for Privileged HCWs: The Contractor shall provide a complete, current, and accurate credentialing package for Optometrists requires a credentialing package for privileged HCWs within 60 days before HCW placement.

5.2.6.4.1. Clinical Competency: Each HCW requesting clinical privileges shall ☒ shall not ☐ be required to demonstrate clinical competency within the past two years in the required clinical discipline as specified in this PWS.

5.2.6.4.3. Drug Enforcement Agency (DEA) Registration: Requirements for DEA registration numbers are required for N/A.

5.2.9. Security Investigative Requirements: The Contractor shall ensure HCWs comply with the following security requirements not already identified in the contract PWS:

5.2.9.1. ☒ HCWs shall be subject to the following additional security investigative processes, to include appointments with Security Managers:

Detailed in the onboarding instructions to be provided at the time of task award.

5.2.9.4. ☒ HCWs shall be subject to the following security processes for fingerprints:

HCWs shall not be issued a CAC without first satisfying the background vetting requirements, per DoDI 1000.13, Volume 1. Since the background vetting process can take up to 12 months, the HCW may be issued a CAC after a Federal Bureau of Investigation (FBI) fingerprint check returns favorable results provided that the Tier 1 (T1), formerly known as a NACI, investigation has been initiated. Submission of a satisfactorily completed SF 85 and OF 306 to the Security Manager is required prior to the HCW being fingerprinted. HCW will coordinate with the Security Manager to have an FBI fingerprint check appointment to be completed NLT twenty (20) days prior to the required in-place date. If an unfavorable fingerprint check is returned, the HCW will not be issued a CAC. Since the CAC is required by the HCW for installation and IT access and is essential to the performance of duties, the HCW’s ineligibility to receive a CAC will result in the Contractor being required to provide a replacement candidate.

5.2.9.5. ☒The HCW shall complete either an ☒SF-85 or an ☐SF-86 Questionnaire for National Security Positions (or equivalent OPM investigative product) and an ☒ OF 306, Declaration for Federal Employment.

5.3.1. Initial Placement: The Contractor shall ensure HCWs begin performance as follows:

Within 30 days of contract award.

5.4.3.2. Malpractice Insurance for Non-Personal Services: The Contractor and all subcontractors shall ☐shall not ☒ meet the requirements of FAR Clause 52.237‑7, Indemnification and Medical Liability Insurance, for its HCWs, in the following amounts for the entire performance period of the TO:

5.4.4. Schedule Management: The TO will establish the work schedule and billable hours for each HCW. The Contractor shall maintain a process to monitor work and billable hours on the TO. When directed by the Government, the HCW shall remain on duty to complete patient treatment where lack of continuity of care would otherwise jeopardize patient health. This provision is not intended to apply to the time required to complete routine tasks (e.g., completion of paperwork or routine administrative tasks at the end of a shift) which are to be completed as part of the normal work schedule.

5.4.4.1. Schedule Management for Personal Services: The work schedule for each labor category is as follows:

0600 to 1700 Monday thru Friday flex schedule.

5.4.4.1 Call-Back Hours: HCWs ☐ will ☒ will not be required to report in-person to the MTF during on-call hours if needed. The number if call-back hours and timeframe is as follows:

5.4.4.2. Schedule Management for Non-Personal Services: Hours of service and roster submission requirements are as follows:

NA

5.4.4.4. On-Call Hours: On-call requirements for each labor category are as follows:

N/A

5.4.4.5. Overage Hours: Overage hours for each labor category are as follows:

N/A.

5.5.3. Scope of Work: HCWs ☒will ☐will not be able to bill the Government for participation in administrative functions (i.e., orientation, quality improvement programs, clinical/administrative data collection, meetings, and training). Specific tasks associated with administrative duties beyond the tasks outlined in the contract PWS include:

None

5.5.5. Billing for Services: The Contractor will only be paid for the actual hours the HCW provides services with the following exception for personal services HCWs:

Mandatory Professional Staff meetings. The Contractor will be allowed to bill up to three

(3) hours at the billable rate in consideration for the HCW appointment to process an FBI fingerprint check.

5.6.1. Task 6 – Reports. The minimum level of metrics maintained at the Task Order level include HCW overall fill rate, on-time fill percentage, turnover rate, and replenish rate. Acceptable Quality Levels (AQLs) on these metrics are set in Exhibit 1, PRS in this TO. The minimum values for AQLs on Task Order metrics are set as follows:

Overall Fill Rate: > 80% On-Time Fill Percentage: > 80% Turnover Rate: < 25% Replenish Rate: > 80%

The minimum level of metrics will be calculated as follows:

5.6.1.1. Overall Fill Rate: The overall fill rate is the percentage of the total amount of required FTE-weighted days (i.e., purchased) filled in a reporting period. The overall fill rate is calculated by dividing the sum of FTE-weighted days HCWs fill a position in a reporting period by the total number of required FTE-weighted days in the same reporting period.

5.6.1.2. On-Time Fill Percentage: Percentage of FTEs filled by the required start date during the reporting period. The on-time fill percentage is calculated by dividing the number of initial and replacement FTEs assigned with a required start date in a reporting period filled on time by the total number of initial and replacement FTEs assigned with a required start date in the same reporting period.

5.6.1.3. Turnover Rate: The number of FTEs that turned over during a reporting period.

The turnover rate is calculated by dividing the number of assigned FTEs turned over in a reporting period (for any reason unless the TOKO informs the PMO not to count the turnover) by the total number of assigned FTEs in the same reporting period. Turnovers occurring less than 30 calendar days before the end of the TO will not be counted as a turnover for this metric.

5.6.1.4. Replenish Rate: The replenish rate is a measure of how well assigned positions remain filled in a reporting period. The replenish rate is calculated by dividing the sum of FTE-weighted assigned HCW days in a reporting period by the sum of FTE-weighted days available subsequent to initial HCW assignment start dates in the same reporting period.

5.6.1.5. Additional Metrics: Additional metrics, to include customer satisfaction, complaint resolution percentage or local metric, on this Task Order ☐ are ☒ are not identified in Exhibit 1, PRS.

PART 6

OTHER TERMS, CONDITIONS, AND PROVISIONS

6.4.4 Health Insurance Portability and Accountability Act (HIPAA): Additional or supplemental instructions unique to HIPAA for this TO are as follows:

N/A

PART 7

APPLICABLE PUBLICATIONS

7.1 Publications: In addition to the publications listed in the contract, the Contractor shall abide by the following applicable regulations, publications or manuals:

AFI 16-1404, Air Force Information Security Program AFI 31-218, Motor Vehicle Traffic Supervision AFI 31-501, Personnel Security Program Management AFI 33-332, Air Force Privacy and Civil Liberties Program AFI 33-322, Records Management Program AFMAN 33-363, Management of Records AFI 40-102, Tobacco Free Living AFI 44-102, Medical Care Management AFGMAFI44-102, Medical Care Management Jan 2017 AFI 44-119, Medical Quality Operation AFI 48-105, Surveillance, Prevention and Control of Diseases and Condition of Public Health or Military Significance AFI 48-122, Deployment Health AFI 48-1233, Medical Examination and Standards AFI 48-127, Occupational Noise and Hearing Conservation Program AFI48-149, Flight and Operational Medicine Program AFI48-307 Vol 1, En Route Care and Aeromedical Evacuation Medical Operations AFPD 48-1, Aerospace Medicine Enterprise AFI 71-101 Vo1 1, Criminal Investigation AFI 71-101, Vol 2, Protect Service Matters DoD Directive 5200.2-R, DoD Personnel Security Program DoDI 1402.5 Criminal History Background Checks on Individual in Child Care Services (Enclosure 5) MDWI 36-2601, Human Resources Development MDWI 41-101, Medical Expense and Performances Reporting Systems (MEPRS) AETC-I 36-2909, Recruiting, Education, Accession and Training Standards of Conduct

PART 8

ATTACHMENTS/EXHIBIT

EXHIBIT 1

PERFORMANCE REQUIREMENTS SUMMARY (PRS)

The following performance outcome acceptable quality levels (AQLs) for minimum quality levels of service are required on this TO:

Performance Objective Reference Performance Objective Method of

Surveillance AQL

Overall Fill Rate 5.1: Recruit HCWs

Percentage of days FTEs are assigned to a positon in a reporting period

Government Management Oversight and User Feedback/Complaint

80%

On-Time Fill Percentage

5.3: Place HCWs

Percentage of FTEs filled by the required start date in th e TO during the reporting period

Government Management Oversight and User Feedback/Complaint

80%

Turnover Rate 5.3.2: Replace HCWs

The number of FTEs that turned over during a reporting period

Government Management Oversight and User Feedback/Complaint

25%

Replenish Rate 5.2: HCW Qualifications

The measure of how well assigned positions remain filled in a reporting period

Government Management Oversight and User Feedback/Complaint

80%

EXHIBIT 2

DELIVERABLES SCHEDULE

Deliverable Frequency # of Copies Medium/Format Submit To

Key Personnel List NLT 15 business days of TO award

1 Electronic copy (MS Word) via email

TOKO

Initial Placement of HCWs:

Qualifying Documentation (i.e., qualifying package;

credentialing package)

NLT 30 days before the required start date

Electronic copy (MS Word) via email

COR

Replacement of HCWs:

Qualifying documentation (i.e., qualifying package;

credentialing package)

NLT 30 days after vacancy occurs for non-credentialed HCWs; NLT 60 days after vacancy for credentialed HCWs

Electronic copy (MS Word) via email

COR

Quality Control Plan Within 15 days of TO award 1

Electronic copy (MS Word) via email

TOKO

Security Investigative Package

NLT 20 days before the required start date of the HCW

Electronic copy (MS Word) via email

COR