Attach 2 - Performance Work Statement.pdf

PERFORMANCE WORK STATEMENT

SPECIAL NEEDS COORDINATOR (SNC)

AT 8th MEDICAL GOUP, KUNSAN AB ROK

TABLE OF CONTENTS

SECTION TITLE

1.0 INTRODUCTION

2.0 BACKGROUND

3.0 SCOPE OF WORK

4.0 QUALITY ASSURANCE

5.0 POSITION DESCRIPTIONS

6.0 APPLICABLE TECHNICAL ORDERS, SPECS, REGULATIONS, AND MANUALS

7.0 ACRONYMS AND DEFINITIONS

1.0. INTRODUCTION.

1.1. The contractor shall provide the personal services of Medical Social Worker-Special Needs Coordinator (SNC) at the 8th Medical Group, Kunsan AB, Republic of Korea which shall contribute to a stable workforce tasked with providing quality health care services to a diverse beneficiary population. As a condition of employment, contract providers must meet all applicable credentialing requirements outlined in this PWS and all Government regulatory guidelines and be fully qualified to perform independently within the scope of their practice.

1.2. All services shall be provided in accordance with established standards, principles and ethics of the profession and applicable professional specialty organizations, The Joint Commission (JC) standards, applicable Department of Defense (DoD) and Army specific regulations, directives, and policies, and military treatment facility (MTF) specific policies, procedures, and job descriptions. Contract health care providers (contract personnel) shall give the highest regard to patient dignity and observe the precepts of the American Hospital Association’s Bill of Rights for Patients. The Contractor shall provide services for varied healthcare specialties in accordance with established principles and ethics of the medical profession, the national standards established by the JC, the professional standards at the military treatment facility (MTF), and the American Board of applicable specialty. The Contractor shall be held accountable for compliance to the standards listed in the Comprehensive Accreditation Manual for Hospitals (CAMH) dated January 2025 or current version.

1.3. The Contractor or contract employees shall provide services in conjunction with other non-contract providers to include physicians, nurse practitioners, physician assistants, registered and licensed practical nurses, and support personnel. All contract employees shall perform essentially the same functions, within the scope of acceptable practice for the specific specialty or position, as those required by Army or Government service health care professionals of similar experience and in similar duty assignments. The scope of services provided in military treatment facilities cover the same range of services as those that are provided in civilian treatment facilities of similar size and scope of services.

1.4. This contract is a personal services contract (PSC) and is intended to create an employer-employee relationship between the Government and the individual contract health care providers only to the extent necessary for providing the healthcare services required under this contract. Individual compensation is limited for all personal services contracts to a statutory pay cap of $400,000 annually as required by 10 USC 1091, 3 USC 102, and Defense Health Agency Procedural Instruction 6025.05, paragraph 3g. The performance of healthcare services by the individual contract SNCs under a personal services contract are subject to day-to-day supervision and control by healthcare facility personnel comparable to that exercised over military and civil service SNCs engaged in comparable healthcare services. Any personal injury claims alleging negligence by the individual contract SNCs within the scope of the SNCs performance of the personal services contract shall be processed by DoD in the same manner as claims alleging negligence by DoD military or civil service SNCs. The contract does not create an employer-employee relationship between the Government and any corporation, partnership, business association or other party or legal entity with which the contract SNC may be associated. The authority for this contract is 10 United States Code 1089 and 10 United States Code 1091.

1.4.1. Professional Liability.

1.4.1.1. Pursuant to 10 USC 1089(a), DoD shall process any personal injury claim alleging negligence by the SNC within the scope of the SNC’s performance under this contract as claims alleging negligence by DoD military or civil service SNC. The contractor or SNC is not required to maintain medical malpractice liability insurance, and the Government will not reimburse or otherwise pay for such insurance should any be purchased.

1.4.2. Responsibility and Procedures.

1.4.2.1. If any suit or action is filed or any claim is made against the contract SNC, which occurred as a result of work performed by the SNC under this contract, the SNC shall immediately notify the contractor, the contracting officer and the chief of the appropriate services and promptly furnish them copies of all pertinent documents received.

1.4.2.2. The contractor and contract SNC shall cooperate with the government, without further compensation, in the processing, review, settlement, or defense of the suit, action, or claim; and authorize government representatives to settle or defend the claim and to represent the SNC in, or take charge of, any litigation involved in such an action. The contract SNC may, at the contract SNC’s own expense, participate in defense of such claim or litigation.

2.0. BACKGROUND.

2.1. The mission of the military healthcare system (MHS) is to ensure the nation has available at all times a healthy military force supported by a combat ready healthcare system. Health care services for eligible MHS beneficiaries are provided at military treatment facilities (MTFs) located on or near military installations or posts. The military treatment facility may be a clinic, Hospital, or Medical Center. Clinics are outpatient facilities offering primary care or simple specialty care (routine exams, tests, treatments).

The Clinic may be a stand-alone site or a satellite of a larger Clinic, Hospital, or Medical Center. Army Community Hospitals (ACH) offer more complex, resource-intensive secondary care (e.g. inpatient care, surgery under anesthesia) and primary care at outpatient clinics inside and outside the hospital. Army Medical Centers (MEDCENs) offer tertiary (sophisticated diagnosis/treatment of any ailment), secondary, and primary care, hospital services, preventive services, blood bank, and other services. In addition, all MEDCENs offer graduate medical education programs for physicians.

2.2. The 8 MDG is a clinic that delivers primary care to approximately 2,600 active-duty beneficiaries.

Annually, the 8 MDG delivers approximately 24,000 patient visits across primary care services. It is staffed by 7 physicians, 3 nurses, 24 medical technicians, and based on mission requirements. It also refers approximately 2,000 patient visits per year for specialty care and sub-specialty care.

3.0 SCOPE OF WORK.

3.1 The SNC shall oversee and manage the Exceptional Family Member Program—Medical (EFMP-M) IAW DoD and Air Force (AF) policy, and any subsequent implementing guidance. The SNC uses a multi-disciplinary and collaborative approach with other key service providers, such as installation youth and childcare facilities, and officer and enlisted spouses’ groups, to ensure effective outreach and identification of special needs. Ensures AF sponsors assigned to the installation, or whose personnel functions are handled at the installation, are “Q-coded” (EFMP-enrolled) regardless of location of family members.

3.2 Administrative.

3.2.1. Contractor Representative. The Contractor shall designate, in writing, a primary point of contact for contract coordination and implementation not later than five business days after receiving notice of contract award. Changes in the primary point of contact (POC), at any time, shall require the Contractor to notify the Contracting Officer (KO) of the new representative at least five working days prior to the change. This notification shall be in writing and shall state the name and contact information for the new point of contact.

3.2.2. The Government’s Representative will be the KO’s authorized representative in administering the contract at the MTF level. The Contractor’s representative shall be available to discuss any problems that the Contractor’s personnel may be experiencing during the performance of this contract. Problems experienced by the Government with the Contractor’s performance will be discussed and resolved.

Unresolved problems will be referred to the KO for resolution.

3.2.3. Contractor shall not include or use non-compete provisions with respect to the performance of Government medical service contracts in its employment, consultant, or third party contract agreements (hereafter agreements) with its Health Care Provider (HCP) workers which are effective beyond the period of contract performance. Non-compete provisions shall not prevent HCP workers from being interviewed, employed, or accepting offers of employment or making other arrangements with potential competitors for follow-on contracts. Additionally, non-compete provisions shall not prevent HCP workers from accepting offers of employment or making other arrangements with any contractors who provide services to the Government, or from accepting offers of employment with the US Government, following the period of contract performance. Inclusion of such non-compete or similar conditions in agreements with HCP workers will result in an offeror’s proposal being determined unacceptable, and may be grounds for termination of any awarded contract or task order. Preventing HCP workers from accepting these offers will hinder the Government’s ability to accomplish the mission of providing medical care to its beneficiaries.

3.2.4. The Contractor and contract personnel shall abide by all MTF standards, rules, and procedures including requirements for any licensure, credentialing and quality assurance requirements. Such regulations include, but are not limited to, general safety, fire prevention, waste disposal, infection control, JC, and patient safety initiatives.

3.2.5. Media and Other Inquiries. The Contractor shall not respond to any media inquiries. Any inquiries from the media, third parties, or public agencies shall be immediately relayed to the Government’s Representative, who will relay them to the MTF Public Affairs Officer or, after duty hours, to the Administrative Officer of the Day (AOD). There shall be no interviews, comments, or any other response without the knowledge and approval of the MTF Director. Other than routine inquiries from external agencies, all other inquiries and complaints shall be brought to the attention of the Government’s Representative.

3.2.6. Emergency health care for contract personnel. The MTF will provide emergency healthcare for injuries or life threatening medical emergencies occurring while on duty at the MTF. The Contractor shall reimburse the Government for such services as billed by the MTF.

3.3. Conflict of Interest.

3.3.1. The Contractor or contract personnel shall not bill the patient for services rendered under this contract. The Contractor or contract personnel shall not request or accept compensation of any kind for patients treated, procedures performed, or any other actions performed, except under the terms and conditions of this contract, at the rate specified.

3.3.2. The Contractor or contract personnel shall not, while performing services under this contract, advise, recommend, or suggest to persons eligible to receive medical care at Government expense that such persons should receive care from the Contractor or contract personnel or from any third party at any place other than as designated under this contract.

3.3.3. Confidentiality of Information. Unless otherwise specified, all financial, statistical, personnel, and/or technical data which is furnished, produced or otherwise available to the Contractor during the performance of this contract are considered confidential business information and shall not be used for purposes other than performance of healthcare services under this contract. The Contractor shall not release any of the above information without prior written consent of the KO. The Contractor/contract personnel shall not use patient care rendered pursuant to this contract as part of a study, research project, or publication. The contract personnel shall prepare medical records, forms and documents as required, in accordance with the regulations and established guidelines listed in the contract.

3.3.4. Contractor will abide by federal employment statutes and the Federal ethics regulations in the selection and hiring of contractor personnel.

3.3.5. The Contractor or contract personnel shall not use Government facilities, supplies, or equipment in private practice or for any purpose other than providing the healthcare services required under this contract.

3.4. Security.

3.4.1. Security Identification Badges. The Contractor and contract personnel shall comply with the local installation and MTF personnel identification and access requirements while on site.

3.4.1.1. While on site, each contract personnel shall wear a visible security badge identification, provided by the military installation or the MTF, on the front of his/her outer clothing. The badge must show the full name, title and if required by the Military the word “Contractor” in front. The Government’s Representative will provide the paperwork to request identification badges.

3.4.1.2. The Contractor is responsible for absences of contract personnel due to expired identification and access documents. Such absences shall not relieve the Contractor of its obligation to perform the healthcare services required under this contract.

3.4.1.3. The contract personnel shall immediately report any lost or stolen badges to the Government’s Representative.

3.4.1.4. The contract personnel shall turn in all identification badges to the Government’s Representative, or his/her designated representative upon termination of their services under this contract.

3.4.2. Vehicle Registration. The MTFs are located on restricted access military installations. The Contractor/contract personnel shall comply with the local installation requirements for vehicle registration and operation on the military installation.

3.4.2.1. All vehicles are subject to search. Contract personnel may encounter long delays for vehicle inspection and identification checks upon entering and exiting the installation. The Government will not reimburse the Contractor for time spent at installation checkpoints. Contract personnel must plan accordingly and report to work at their scheduled duty time, at their appointed place of duty within the

MTF.

3.4.3. Keys. The Contractor shall be responsible for any keys issued by the Government to contract personnel for use in the MTF. The keys shall not be duplicated. The Contractor shall be financially responsible for the replacement of any lost keys and any associated locks. Lost keys and/or locks shall be reported to the issuing party, Department Chief, or Government’s Representative immediately upon recognition of the loss.

3.4.4. Safeguarding Material. The contract personnel shall be responsible for safeguarding all Government property. The Contractor shall safeguard information of a confidential or sensitive nature. All patient related information is considered confidential and sensitive. If working remotely, Contractors are prohibited from reproducing patient information in any way. This includes printing. Neither the Contractor nor any of its contract personnel shall disclose or cause to be disseminated any information concerning the operation of the MTF that could result in or increase the possibility of a breach in security or interrupt the continuity of operations or which breach the requirements of the Federal Privacy Act of 1974. However, the Contractor may be required to provide testimony or disposition in cases of due process action.

3.5. Orientation and Training.

3.5.1. MTF in-processing checklist. When commencing work under this contract, the contract personnel shall obtain in-processing checklist(s) from the Government’s Representative or designated office. All contract personnel are required to complete the applicable items on the checklist and turn it in to the designated office. Upon completion of the duty assignment, the contract personnel need to complete an out-processing checklist and return it to the designated office.

3.5.2. MTF and Unit Orientation. The contract personnel shall be provided with a Government paid orientation to familiarize the contract personnel with the policies and procedures of the MTF, assigned department and specific unit.

3.5.2.1. Orientation shall be completed within 45 days.

3.5.3. Annual training requirements. The Contractor shall ensure that contract personnel complete any mandatory annual training requirements in accordance with MTF procedures.

3.5.4. Government unique training. The government may elect to provide unique government training to contract SNCs who are performing services under this contract. If the government elects to provide such training, the government will provide such training at no additional expense to the contractor or to the contract SNC. When directed by the contracting officer, contract SNCs shall attend all such training in a paid status as part of the normal services required and billed under the contract. Such training shall require a performance commitment by the contractor and the contractor shall reimburse the government (by means of a reduction in an invoice) if a contract SNC fails to satisfy the performance commitment after the contract SNC receives the unique government training. The amount of the reimbursement shall be the prorated cost of training, calculated based on the total cost of the training and the number of months by which the contract SNC fails to complete the performance commitment. The length of the performance commitment shall be 12 months or until the end of all performance under this contract, whichever occurs first.

3.5.5. Computer Training. Contract personnel who have any interaction with the MTF computer systems must receive training for the applicable system(s). The Government’s Representative will coordinate the necessary computer training. The training will be on-site and during normal duty hours. This training will be at no cost to the Contractor. These systems include but are not limited to:

3.5.5.1. MHS GENESIS is the electronic health record for the Military Health System (MHS), providing enhanced, secure technology to manage health information. MHS GENESIS integrates inpatient and outpatient solutions that will connect medical and dental information across the continuum of care, from point of injury to the military treatment facility.

3.5.5.2. Composite Healthcare Computer System (CHCS) is the military’s world-wide automated medical information system interfaces with 40 plus external clinical and administrative systems.

3.5.5.3. Armed Forces Health Longitudinal Technology Application (AHLTA) contains the MTF’s appointment scheduling program, pharmacy, lab, and radiology ordering system and is interlinked with other departments in the MTF. In addition, it contains the electronic medical records for MHS beneficiaries.

3.5.5.4. Ambulatory Data System (ADS). This computer system produces forms on which the providers identify the appropriate billing codes for diagnoses and procedures for each patient. In addition, contract personnel working in Labor and Delivery will be trained on the Labor and Delivery Statistics System

(LADS).

3.6. MTF HOURS OF OPERATION

3.6.1. ACH’s and MEDCEN’s provide services 24 hours a day, 365 days a year (366 days during leap years) including holiday. Clinics have designated operating hours.

3.6.1.1. The 8th Medical Group is open Monday through Friday 0730 – 1630.

3.6.2. Holidays. The following is a list of legal federal holidays. Any of the federal holidays falling on a Saturday will be observed on the preceding Friday, holidays falling on a Sunday will be observed on the following Monday. Contract personnel may be required to work on legal holidays as determined by the Government’s Representative.

New year’s Day, January 1st Martin Luther King’s Birthday, 3rd Monday in January President’s Day, 3rd Monday in February Memorial Day, Last Monday in May Juneteenth National Independence Day, June 19th Independence Day, July 4th Labor Day, 1st Monday in September Columbus Day, 2nd Monday in October Veteran’s Day, November 11th Thanksgiving Day, 4th Thursday in November Christmas Day, December 25th

NOTE 1: Any holidays that are declared by Presidential Executive Order shall be observed in the same manner as the holidays listed above. If the area in which a contract employee is scheduled to work is closed due to the holiday and the employee is not required to report in, payment will not be made for those hours. Closures of the installation due to inclement weather or other such acts of God shall be handled in the same manner.

3.6.3. Contract personnel shall report to work as scheduled during emergencies, disasters or during adverse weather conditions. Contract services are still required during these situations.

3.6.4. Closures. During anticipated closure of the facility due to Command declared training holidays or during unplanned closure of the facility due to natural disasters, military emergencies, severe weather, or otherwise, the contractor shall not invoice the Government for services not performed and the Government will not be liable to the contractors for any such closures.

3.7. HOURS OF PERFORMANCE.

3.7.1. Scheduling process: The SNC shall provide services during the duty day, 0730-1630 with a one-hour unpaid lunch, during the normal work week Monday through Friday.

3.7.2. The Government’s Representative or their designee will be responsible for communicating with the contractor regarding scheduling issues. The shift supervisor may act as point of contact after normal duty hours, weekends and holidays. In such cases, the Government’s Representative shall confirm all actions on the next normal working day.

3.7.3. Absences and leave:

3.7.3.1. The contractor shall notify the Government’s Representative when a scheduled contract personnel cannot fill a shift due to illness or emergency. Notification shall be as early as possible, but no later than 2 hours prior to start of scheduled shift.

3.7.3.2. When the contractor cannot fill a position, the contractor shall notify the Government’s Representative.

3.7.3.3. Scheduled absences of contract personnel shall be coordinated with the Government’s Representative at least 30 calendar days in advance. Depending on how the hours are specified will determine whether or not the contractor supplies a substitute. The Contractor will only be paid for hours actually worked.

3.7.4. The Contractor is responsible for submitting an accurate invoice. The Contractor may only invoice and be paid for the services actually rendered. If the Contractor performs fewer services than are provided in the contract schedule, the Government may, at the end of the applicable contract period, de-obligate the excess quantities.

3.8. LICENSE VERIFICATION AND CREDENTIALS REVIEW OR PRIVILEGING.

3.8.1. The Government’s Representative will designate the offices responsible for license verification for non-privileged personnel and the Credentials Office is responsible for credentialing and privileging actions.

If the contractor is providing privileged health care providers, the contractor shall check with the Credentials Office to determine their credentialing/privileging process and timelines so that the health care providers can be privileged prior to the start of work.

3.8.1.1. The contractor shall perform all primary source verifications and include all verifications with the credentials package or competency assessment folder information for non-privileged staff in accordance with DHAPM 6025-13, vol 4. The contractor shall obtain all paperwork, letters of reference, approvals, work history, etc. Required by the MTF credentialing or licensure verification processes. The MTF staff will not assist the contractor in obtaining any needed information for initial credentialing. The contractor is responsible for the current competence of contract SNCs used to provide healthcare services under this contract.

3.8.1.2. Licensure, certification, registration, or authorizing documents. Contract workers requiring licensure shall have and maintain a current, valid, unrestricted license specific to the position (with no limitations, stipulations or pending adverse actions). Additional licenses held by a provider must be in good standing whether they are inactive, expired, or limit the provider’s practice to a military setting. The healthcare provider’s license(s) must remain current, valid and unrestricted throughout the duration of the contract worker performance on the TO. The DHA PM 6025.13, vol 4, is the governing directive for all licensure, registration, and certification. Adherence to the outlined requirements within the DHA PM 6025.13, vol. 4, shall be met.

3.8.1.2.1. Personal services: Contract workers under a personal services arrangement requiring licensure may maintain a license in any U.S. jurisdiction as outlined in DHAPM 6025-13, Volume 4.

3.8.1.3 Drug Enforcement Agency (DEA) Requirements. Contract workers required to obtain a DEA registration number, shall have a current, valid DEA registration prior to performing on this contract in accordance with regulatory guidelines. The Contractor shall ensure DEA registrations are renewed throughout the performance of the contract worker.

3.8.1.4. Privileges are facility specific and the department chair or service chief develops the criteria to award privileges. The forms required for the privileging process are outlined in DHA-PM 6025.13 and will be provided by the Credentials Office. SNCs who require privileging shall not provide healthcare services until they have been granted privileges at the MTF.

3.8.1.5. The Credentials Committee may have questions which they will wish to present to the contractor’s

SNCs verbally or in writing. The Contractor’s SNCs shall answer questions presented by the Credential’s Committee either verbally or in writing.

3.8.1.6. The Contractor shall contact the Credential Office for current credentialing process. The Credential Office contact number is 315-782-7705.

3.8.1.7. The Contractor shall provide a completed credential file of the accepted candidate within 60 days from contract award.

3.8.1.8. The contract SNC shall have been granted privileges by the MTF Director and commencement of services under this work statement shall be in place within 90 days from contract award.

3.8.2. If the contractor adds additional/or replacement SNCs during the contract period, the same qualification standards, credentialing/privileging and health requirements shall apply.

3.8.3. The contractor shall not use any individual to provide direct health care services under this contract if that individual, within the past 5 years:

3.8.3.1. Has had his/her clinical privileges limited, suspended, or revoked by any healthcare facility, public or private, anywhere in the world.

3.8.3.2. Is the subject of a current or pending hearing or appeal brought by any healthcare facility, public or private, anywhere in the world, which may result in the limitation, suspension, or revocation of the individual’s clinical privileges.

3.8.3.3. This prohibition does not apply to any individual whose clinical privileges, although originally limited, suspended or revoked by a healthcare facility where the individual was subsequently fully reinstated by the healthcare facility.

3.8.3.4. Limitation of clinical privileges, as used in this paragraph, refers to a partial withdrawal/reduction of clinical privileges as a result of a determination that or pending investigation to determine whether an individual has engaged in unprofessional conduct or substandard medical practice or is incompetent to perform certain medical practices.

3.8.4. List of Excluded Individuals and Entities (LEIE). For any provider (privileged and non-privileged) within the DoD, the List of Excluded Individuals and Entities (LEIE) on the Health and Human Services website (http://oig.hhs.gov/exclusions/exclusions_list.asp) must be queried to determine if the provider has been excluded from participation in Federal Health Programs. If the provider’s name appears on this list, the provider is disqualified from working for the DoD, in any capacity.

3.8.5 A National Provider Identifier (NPI) type 1 is required for healthcare providers who furnish billable healthcare services, or those who are authorized to initiate or receive referrals. The NPI Type 1 is a 10-digit provider-unique number assigned by the Centers for Medicare & Medicaid Services (CMS), at no cost, to healthcare providers, both privileged and non-privileged, who meet established eligibility criteria as stated in the DHAPM 6025.13, volume 4

3.8.6. Removal of Contract SNCs. At any time during the performance of this contract, the Contracting Officer or the Government’s Representative may direct the contractor to immediately remove any contract SNC whose actions or impaired state raises reasonable suspicion that clear and present danger of physical harm exists to a patient, other contract SNCs, government personnel or to the impaired individual. This provision will be used in emergency situations only and not for the purpose of bringing performance issues or other non-urgent concerns to the attention of the contractor.

3.8.6.1. If the need for a removal occurs, the Government’s Representative will contact the contractor's point of contact and direct the contractor to remove that individual from the military facility and to not use that individual to perform any healthcare services required under this contract until the issue has been resolved by the Contracting Officer. The contractor shall formally meet with the Government’s Representative to discuss further action in accordance with the MTF Quality Assurance and Inspection (QA&I) Plan and DHA-PM 6025.13. A review of the basis for removal will be made by the Contracting Officer within 3 working days after the Government’s Representative directed the removal.

3.8.6.2. If, after any investigation deemed necessary by the Contracting Officer and discussions with the contractor's representative, the Contracting Officer concludes that the contract SNC’s impairment requires permanent removal from performance under the contract, the Contracting Officer will notify the contractor that permanent removal is required. In the event of disagreements between the government and the contractor's representative concerning matters of impaired contract SNCs, the decision of the Contracting Officer will be final. During the period between the removal and the final decision of the Contracting Officer, the contractor shall provide a backup/replacement contract SNC in accordance with the terms and conditions of this contract.

3.8.6.3. The MTF Director has the prerogative to hold in abeyance, to deny, or to summarily suspend clinical privileges/practice when there is a reasonable cause to doubt the health care provider’s competence to practice or for any cause affecting the safety of patients or others. DHA-PM 6025.13 outlines the adverse clinical privileging and practice actions for privileged personnel and adverse practice actions and peer review for nonprivileged personnel.

3.8.7. Conduct.

3.8.7.1. Contract personnel shall comply with MTF policies regarding personal appearance and conduct.

3.8.7.2. Contract personnel shall abide by federal, state, and local MTF regulations and requirements concerning the nature of limited privileged communication between patients and the contract personnel as may be necessary for security and personnel reliability programs. They shall also abide by federal, state, and local MTF regulations concerning the confidentiality of patient records, as embodied in federal statutes including the Privacy Act of 1974 and the Health Insurance Portability and Accountability Act (HIPAA) of 1996. All medical records and reports will remain the property of the Government.

3.8.8. Contract personnel shall not introduce new procedures or services without prior approval of the Department Chief or representative. If disagreements or deviations from protocols or procedures occur, the Department Chief or representative shall be the deciding authority.

3.8.9. The contractor shall ensure contract privileged providers providing medical services under this contract has his/her rubber stamp containing their full name, degree, title, DEA license number and company name (if applicable) or the word, "Contractor." The stamp shall be placed on all forms and documentation having the provider's signature:

EXAMPLES:

Jane J. Jones, APRN, BC John J. Jones, APRN, BC Family Nurse Practitioner Family Nurse Practitioner

DEA #123456 DEA #123456

Jones Healthcare Company Contractor

3.10. Health and immunization requirements. All contract personnel performing services under this contract shall comply with the health and immunization requirements as stated in the TAMC Health Requirements clause. Backup/replacement contract personnel shall meet the same health and immunization requirements. The expense to comply with the health and immunization requirements shall be borne by the Contractor at no additional cost to the Government.

3.11. Criminal History Background Check Requirements. Contract SNCs involved in the delivery of health care to patients under the age of 18 must undergo a Child Care National Agency Check and Inquiries (CNACI) as part of a CHBC as stated in Procedures, Enclosure 3 of DoDI 1402.05. The Contractor Facility Security Officer (FSO) and/or Security POC shall initiate background investigations. At the discretion of the COR, the MTF security personnel may initiate background investigation requests.

3.12. MISSION PARTNER IDENTITY, CREDENTIAL AND ACCESS MANAGEMENT (MP ICAM)

3.12.1. The Contractor shall comply with agency personal identity verification procedures that implement Homeland Security Presidential Directive-12 (HSPD-12), Office of Management and Budget (OMB) guidance M-05-24, and Federal Information Processing Standards Publication (FIPS PUB) Number 201.

3.12.2. The Contractor shall comply with agency personal identity verification procedures in all subcontracts when the subcontractor is required to have physical access to a federally controlled facility or access to a Federal information system.

3.12.3. The Contractor shall ensure compliance with the provisions set forth below. For purposes of the Federal Acquisition Regulation (FAR) Clause 52.204-9, the USG will designate a Mission Partner Affiliation Sponsor (MPAS) and the Contractor shall designate a FSO for this contract. The USG reserves the right to amend or supplement these provisions pursuant to the Changes clause in the contract.

3.12.4. The Contractor is responsible for absences of SNCs due to expired identification and access documents. Such absences shall not relieve the Contractor of its obligation to perform the services required under this contract.

3.12.5. In-processing Requirements. The SNCs are prohibited from performing services under this contract absent compliance with the in-processing requirements set forth below.

3.12.6. The USG will sponsor the contract SNCs with an e-mail address. All SNC e-mail addresses will be provided by the MTF to identify them as a Contractor.

3.12.7. The USG MPAS will send a notice through the MP ICAM to the e-mail address provided IAW the above requirement. The SNC’s user ID and password will be provided in the e-mail and will be require a change at first login. In the event the e-mail message is not received, the Contractor may request the username and password from the TA and proceed to the website https://mpartnerregweb.dmdc.osd.mil/mpartnerregweb to complete the process.

3.12.8. The SNC shall log into the MP ICAM System and complete the verification process by submitting the application back to the TA for approval.

3.12.9. The application will be accepted, returned, or rejected by the TA. Notice as to whether the application has been accepted, returned, or rejected will be provided to the SNC’s e-mail address within 48 hours after submission. If the application is returned or rejected, the SNC shall contact the TA and comply with the TA’s guidance to attempt to correct and resolve the issue(s).

3.12.10. Upon approval of the application, the SNC will receive an e-mail stating the CAC application was approved. The applicant must then go to a RAPIDS Issuing Facility to have the USG credential issued. To make an appointment, the SNC will follow the instructions provided by the TA and contact the COR for instructions. The SNC must present two acceptable forms of ID, which may include: Driver's License, Military ID, Contractor Company ID with picture and expiration date, charge card with picture imprinted, or passport.

3.12.11. Revalidation Requirements. The TA is required to revalidate all HCP, in the MP ICAM System, every 6 months. In the event revalidation is denied, the CAC credentials shall be revoked, and the CAC will not be useable to log in.

3.12.12. Out-processing Requirements. When a HCP’s performance under this contract ceases, the HCP shall personally bring the CAC to the TA and complete the DA Form 2962. The TA will revoke the CAC from the MP ICAM System.

3.13. QUALITY MANAGEMENT

3.13.1 The Contractor shall have a planned and systematic quality management process for monitoring and analyzing its contract performance.

3.13.2. The Contractor shall ensure that all contract employees comply with the MTF quality management/process improvement activities.

3.14. STATUS OF FORCES AGREEMENT

3.14.1. The contractor shall comply with requirements generated by the Status of Forces Agreements (SOFA) with Korea and applicable countries. Contractor personnel who obtain SOFA status are eligible for logistics support as described in USFK Regulation 700-19. This support is based on availability of services and SOFA accreditation status. The contractor is responsible for and shall meet Korea and applicable countries government requirements for contractors working these respective countries to include accreditation compliance. SOFA status submissions, for both the contract and for the contractor employees, require additional planning time for processing the status requests. The contractor shall execute SOFA submission requirements in such a manner as to ensure there are no mission failures due to lack of adequate personnel with the proper skills and experience. More information concerning SOFA requirements and submission procedures for Korea and applicable countries can be found at http://www.usfk.mil/usfk.

Personnel designated as other than US Ordinarily Resident (OR) are not authorized logistical support. The government has no objections to the contractor hiring Ordinarily Resident contractor personnel who have the necessary prerequisites to perform work under this contract.

4.0 QUALITY ASSURANCE:

4.1. Inspection. The inspection and acceptance point for all services rendered under this contract will be the Government’s Representative. The performance by the contract personnel, the quality of services rendered, and any documentation or written material in support of same, shall be subject to continuous inspection, surveillance and review for acceptance by the KO or Government’s Representative. Any services rendered by the contract personnel to patients or interaction with military/civilian personnel deemed unprofessional, threatening, or dangerous by the KO may be grounds for immediate termination for default or cause. Quality Assurance procedures established by the MTF shall be used for continuous monitoring. Other performance evaluation factors will be monitored that are not quantified by numerical measurements which include: Contractor providing personnel not meeting the minimum qualification standards; inappropriate prescriptions; patient customer service comments; Contractor relationship with hospital staff/Government contracting personnel; compliance with hospital healthcare policies and procedures.

5.0. POSITION DESCRIPTIONS.

5.1 Medical Social Worker Special Needs Coordinator (SNC)

5.1.1. Assigned to the 8th Medical Group

5.1.2. Supervised by the 8th Medical Group/Chief Medical Officer

5.1.3. Qualifications

5.1.3.1. Education. Master of Social Work (MSW) degree from an accredited graduate school of social work or a Bachelor of Science in Nursing (BSN) degree from an accredited program.

5.1.3.2. Experience. A minimum of two years full-time experience in care coordination, discharge planning or case management in a medical setting within the last (5) years.

5.1.3.3. License/certification. Social worker shall have current, active, valid and unrestricted Social Work License from any states of U.S.; or authorizing document from any U.S. state, District of Columbia; or U.S.

territory or jurisdiction to provide health care within the scope of practice for a specific health care discipline.

5.1.3.4. Work Environment/Physical Requirements include prolonged walking, standing, sitting or bending, and computer use. Position may require patient visitation at another medical treatment facility. May have exposure to communicable illnesses.

5.1.3.5. Basic Life Support (BLS) Certification. Contract SNCs shall maintain current certification in Basic Life Support (BLS) from the American Heart Association, or the American Red Cross. Certification cards must display the American Heart Association, the American Red Cross or other approved certifying body emblem. Web-based (on-line) classes are not acceptable by the Government. The Contractor shall not bill the Government for contractor time to attend Basic Life Support (BLS) certification training.

5.1.3.6. Clinical Competency. Credentialed contract SNCs shall meet credentialing and privileging clinical competency standards, current within the two years preceding the start of services, IAW DHA PM 6025.13, Volume 4, in addition to other regulatory guidelines as applicable.

5.1.3.7. Board Certification. Requirements for board certification, if applicable, will be outlined in the DHA PM 6025.13, vol. 4 and the PWS.

5.1.3.8. Foreign Medical Graduates. Certification by the Educational Commission for Foreign Medical Graduates (ECFMG) for physicians, certification by the Commission on Graduates of Foreign Nursing Schools (CGFNS) for nurses. Contract SNCs who are graduates of foreign medical schools will possess both a U.S. medical license and certification by ECFMG for health care physicians and CGFNS for nurses as defined in 29 CFR 825.125. Residency institutions must have been ACGME accredited during the time the member was enrolled. ECFMG is required for graduates of medical schools located outside the U.S., Puerto Rico, and Canada. As of 2017 a provider who possesses Fifth Pathway is no longer acceptable.

5.1.3.9. Continuing Education. The Contractor shall ensure that contract SNCs who are licensed, registered or certified by state bodies, professional organizations or national/medical associations continue to meet the minimum, standards for continuing education to remain current as prescribed by their professional agency and applicable regulatory guidelines and policies. The Contractor shall ensure contract SNCs obtain continuing education at no additional cost to the Government. The Government may approve contract SNCs to attend continuing education courses at the place of performance on a space available basis;

however, that time shall not be billable to the Government

5.1.4. Specific duties/tasks include but are not limited to the following:

5.1.4.1. The SNC social worker oversees and manages the installation EFMP-M IAW DoD and AF policy and any subsequent implementing guidance. The SNC will not be overseeing, rating, managing, or supervising any personnel whether civilian or military.

5.1.4.2. Uses clinical assessment skills and maintains procedures to identify sponsors whose family members have special medical and educational needs in a timely manner. The SNC uses a multi-disciplinary and collaborative approach with other key service providers, such as installation youth and childcare facilities, and officer and enlisted spouses’ groups, to ensure effective outreach and identification of special needs. Ensures family members of the AF personnel or family of the AF member are appropriately “Q coded” (EFMP-enrolled).

5.1.4.3. Ensures all active-duty sponsors known to the Air Force Personnel Center, and local Military Personnel Section (MPS) and/or Commander Support Staff (CSS) where applicable, having family members with special needs are identified in AF medical special needs data management systems. Provides oversight for base-level data entry in AF-provided data management systems used in the management of

EFMP-M.

5.1.4.4. Provides training to installation personnel and medical staff; and consultation as needed to support the implementation of EFMP-M base-wide.

5.1.4.5. Integrally involved in the Family Member Relocation Clearance (FMRC) process. Ensures all FMRC requirements are implemented by all EFMP-M staff. Coordinates the enrollment process and travel screening for all active-duty family members’ and travel screening upon request to the families of DoD civilian sponsored assignments going to an overseas base.

5.1.4.6. Provides oversight to ensure every AF sponsor with one or more family members with special needs assigned to the installation has a SN file maintained at the Medical Treatment Facility (MTF).

Ensures Q-coded sponsors assigned to the installation are contacted annually to determine if there are unmet needs and to request updates of information as needed.

5.1.4.7. Collaborates with the Integrated Delivery System (IDS) and other interagency forums that provide family medical information and referrals to base and civilian agencies. Ensures EFMP families are referred to the Airman and Family Readiness Center for additional community assistance as needed. Maintains a cooperative working relationship with the base MPS, CSS, and with Air Force Personnel Center (AFPC).

Actively supports the integration of EFMP-M, Exceptional Family Member Program – Family Support (EFMP-FS) and Exceptional Family Member Program – Assignments (EFMP-A) services at the installation. Provides information, appropriate contact information, and coordinates referrals as appropriate.

5.1.4.8. Participates in EFMP quarterly case reviews to discuss/assess newly identified families’, complex, or unmet medical needs. Determine the appropriate resources necessary for the families.

5.1.4.9. Patient specific assessments and clinical plans of action will be in AHLTA and the Special Needs record. Meeting minutes will not contain patient identifying information.

5.1.4.10. Coordinates and participates in designated facility meetings.

5.1.4.11. Participates in the clinic orientation and training of other staff of the Special Needs Program. May serve on committees, work groups, and task forces at the facility.

5.1.4.12. Maintains a level of productivity and quality consistent with complexity of the assignment;

facility policies and guidelines; established principles, ethics and standards of practice of professional social work, Health Services Inspection (HSI); and other applicable DoD and service specific guidance’s and policies. Shall comply with the Equal Employment Opportunity (EEO) Program, infection control and safety policies and procedures.

5.1.4.13. Follows applicable local MTF/AF/DoD instructions, policies and guidelines.

5.1.4.14. Completes medical record documentation and coding and designated tracking logs and data reporting as required by local MTF/AF/DoD instructions, policies and guidance.

5.1.4.15. Completes all required electronic medical record training, MTF-specific orientation and SNC training programs.

5.1.4.16. Shall effectively apply SNC functions: a) Assessment: Identification of patients that need special medical and education needs/management; comprehensive collection of patient information and medical status; and continued evaluation of an established plan of care; b) Planning: Collaboration with the patient, family/caregiver, primary provider and other members of the health care team for developing an effective plan of care; c) Facilitation: Care coordination and communication among all involved parties; d) Advocacy: Support for the patient and family/caregivers to ensure identified education and appropriate, timely care coordination is received.

5.1.4.17. Mastery of theories, principles, and methodologies underlying psychosocial practice.

5.1.4.18. Knowledge and understanding of developmental growth; dynamics of human behavior, family, and other social systems; and impact of illness and disability on social functioning.

5.1.4.19. Shall demonstrate abilities in program planning, implementation, and evaluation, and in conducting individual, family, group, and community assessments.

5.1.4.20. Shall work with service members and/or veterans and their families who are experiencing a wide range of complicated mental, emotional, behavioral, physical, psychosocial, and environmental problems.

5.1.4.21. Working knowledge of medical privacy and confidentiality (Health Insurance Portability and Accountability Act [HIPAA]), and accreditation standards of Accreditation Association for Ambulatory Health Care (AAAHC) and The Joint Commission (TJC).

5.1.4.22. Working knowledge of computer applications/software to include Microsoft Office programs, MS Outlook (e-mail), and internet familiarity is required. The ability to input, extract and format data from established databases is required.

5.1.4.23. Shall communicate…