Attach 4_PWS_BMETS_6 Dec.pdf

PERFORMANCE WORK STATEMENT

BIOMEDICAL EQUIPMENT REPAIR TECHNICIAN (BMETS), BIOMEDICAL EQUIPMENT REPAIR

TECHNICIAN SYSTEM ADMINISTRATORS (BMET/SAs), AND

ADVANCED OFFICE CLERK SERVICES (AOCs)

BROOKE ARMY MEDICAL CENTER, FORT SAM HOUSTON, TX

Revised 6 December 2022

1. General. It is expressly agreed and understood that this contract is a non-personal services contract, as defined in

Federal Acquisition Regulation (FAR) 37.101, under which the professional services rendered by Contract

Personnel (CP) are rendered in their capacity as independent Contractor or personnel of any independent company that may be a party to this contract. The Government may evaluate the quality of professional and administrative services provided but retains no control over the professional aspects of the services rendered. The Contractor shall be solely liable for and expressly agree to indemnify the Government with respect to any liability producing acts or omissions by its personnel or agents. This 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 individual CP may be associated. CP providing the services are not subject, either by the contract terms or by the manner of its administration, to the supervision and control usually prevailing in relationship between the

Government and its employees.

1.1 Place and Period of Performance: The Contractor shall provide qualified personnel to perform Biomedical

Equipment Repair Technician (BMET), Biomedical Equipment Repair System Administrators (SA), and Advanced

Office Clerk (AOC) services for Brooke Army Medical Center (BAMC) to include other areas of responsibilities at

JBSA, Fort Sam Houston, Texas, as required by this Performance Work Statement (PWS) and in accordance with the terms and conditions of the contract.

1.1.1 The Contractor shall provide at least one qualified BMET with advanced and/or specialized training within each of the following modalities: radiology/imaging, sterilizers/sterilization, dialysis and clinical laboratory, ventilators and respiratory, operating room, endoscopy, and heart-lung bypass and perfusion systems. The BMET and SA CP shall provide preventive maintenance, repairs, and technical support functions for Medical Devices and

Equipment (MDE) and for the users/staff of the MDE. The CP shall perform highly skilled work of considerable difficulty on types of MDE requiring initial, continued, or specialized training or experience, to include radiology, clinical laboratory, physiological monitoring equipment and other clinical modalities required in a medical center setting. Work Environment/Physical Requirements for BMET and BMET SA. Work may be sedentary. There may be physical demands. Requirements may include walking, standing, bending, stooping, being in confined areas, sitting or bending. Must be able to carry 25-50 pounds. The BMET and SA CP shall be available for on-call duties.

Work Environment/Physical Requirements for AOC. The work can be sedentary. However, there may be some physical demands. Requirements include walking, standing, sitting, or bending. Must be able to carry 25-50 pounds and reach high shelving units with the assistance of stepladders to retrieve and file MDE records and parts. The

AOC shall be a fully qualified typist with a minimum of 50 WPM. English language, correct grammar, spelling, punctuation, capitalization, and format to prepare and edit written correspondence, reports, and transcribed material.

1.2 HOURS OF PERFORMANCE

1.2.1 Duty Hours. The Contractor shall ensure that all CP work a full workday (eight working hours) in one of the designated shifts: first shift is 0700-1600 Monday to Friday, second shift is 1300-2200 Monday to Friday (excludes

BMET I), and third shift is 2100-0600 Monday to Saturday (excludes BMET I). Department hours of operations may flex within one (1) or two (2) hours without having to modify the contract.

1.2.1.1 Standard Workdays. The Contractor shall provide CP support services during standard workdays, defined as

Monday through Friday, not to exceed 40 hours, excluding federal holidays, between the hours of 7:00 AM to 6:00

PM (0700-1800).

1.2.1.2 Non-Standard Workdays. The Contractor shall provide CP support services during any eight-hour shift, Sunday through Saturday, to include federal holidays, evenings, and night shifts, based on the mission needs. BMET

I are only authorized to work Standard Workdays and hours for first and second shift.

1.2.2 Federal Holidays. The following eleven (11) Government federal holidays are observed:

New Year’s Day

Martin Luther King Jr.’s Birthday

President’s Day

Memorial Day

Juneteenth

Independence Day

Labor Day

Columbus Day

Veteran’s Day

Thanksgiving Day

Christmas Day

1.2.3 Any of the above federal holidays falling on a weekend will be observed on the designated BAMC working day (the Friday prior to the federal holiday or the following Monday). Any holidays that are declared by Presidential

Executive Order shall be observed in the same manner as the federal holidays listed above. Closures due to inclement weather or other instances that are determined to require only mission essential CP. Mission essential CP shall be designated in writing to the Contracting Officer Representative (COR) and Chief, Biomedical Engineering

Services (BES) 30 days post contract award. Mission essential CP are expected to be at work unless on approved leave. All other CP are subject to payment not being rendered during this time.

1.2.4 The Contractor shall ensure that all CP not be scheduled for more than 80 regular hours in a two-week period, and no more than 40 regular hours per week. Duty hours include a one hour (per 8-hour shift), non-compensable lunch break, along with a fifteen minute (per 4 hours of work), compensable break. Meals may be taken in the hospital dining facility at the published staff rate.

1.2.5 Overtime. The Contractor shall ensure that BMETs (II and III) and SAs may be required to work overtime on an as-needed basis. Overtime occurs after 40 hours of services have been provided by CP in a one-week (1) period.

Overtime hours of services must be approved by the COR with Contractor concurrence before services are rendered.

Overtime is not applicable to BMET I or AOC.

1.2.6 On-Call. The Contractor shall ensure that BMETs and SAs are capable of working an on-call shift. On-call shift roster will be published by the Government in writing at least 60 days prior to shift start. On-call shift will be staffed on a rotating basis, with a shift starting on a Monday for a seven-day (7) period. When on the on-call schedule, CP shall be readily available to respond to calls within one (1) hour and be on-site within a two (2) hour period (days, evenings, and nights, to include weekends). During times where second and third shift personnel are already on site, the on-call CP may notify personnel on site for assistance. New CPs will be added to the on-call shift roster on the next published on-call roster.

1.2.7 Callback. The Contractor shall ensure that BMETs and SAs are capable of callback during emergency situations. Callback is primarily tied with the on-call schedule but may be requested of mission essential CP during emergencies. During a callback, CP shall provide phone support and/or be on-site within a two-hour (2) period.

When not in an on-call status, CP shall notify the COR and the Contractor’s Representative if they are not available for callback.

1.2.8 On-call and Callback. CP shall perform an on-call shift for a seven-day (7) period, where CP may receive a callback for emergency repairs and/or deliverables (i.e. MRI goes down or an emergency bed delivery). CP shall have a working phoneline during an on-call status. The on-call CP shall have phone readily available during this time. On-call CP may be required to assist at front desk if the Government civilian, military and/or the AOC are unavailable. On-call duty will be established by the Government at least 60 days in advance, with the seven-day (7) period starting on Mondays. Changes to schedule and/or swaps with other CPs must be approved by the Contractor, at least 30 days in advance, with the exception of emergency appointments, leave, or sick time required. If an emergency appointment, leave, or sick time is identified, on-call CP must notify the Contractor Representative who in turn will notify the COR, Chief of BES, or NCOIC immediately of the replacement coverage. On-call CP shall continue their duty upon return. On-call CP is required to document all calls received using Government provided automated or manual APSR. Consumption of alcohol is prohibited while on an on-call status. If called, on-call CP shall respond within one (1) hour and, if needed, be on site within two (2) hours for callback. On-call CP is required to be on site (callback) for emergency situations (no backup MDE, patient safety, health hazards, mission critical, and life/limb/eyesight emergencies) and MDE overnight delivery (patient beds) and will be compensated a minimum of two (2) hours of callback pay during this time. During times where a second or third shift is already on-site, on-call CP may notify the second or third shift to address the issue and will log findings in the automated or manual APSR. Review of the automated or manual APSR shall be conducted to review callback during on-call.

Abuse of callback by CP will be reported to the Contractor and the Contractor’s Representative for review.

Examples of abuse of callback defined as returning to work when not required, reporting a return to work without doing so, or any type of falsifying callback to earn additional pay.

1.2.9 Leave. The Contractor shall ensure that CP notify the Contractor’s Representative daily for accountability. The

Contractor approves and/or denies CP leave requests and notifies the Contractor’s Representative who in turn will notify the COR, Chief of BES, and/or NCOIC of BES within the same business day.

2. CONTRACTOR PERSONNEL

2.1 The Contractor shall designate, in writing, at least five (5) working days prior to commencement of services, a

Contractor’s Representative for contract coordination and implementation. Changes in the representative, at any time after the contract commencement, shall require the Contractor to notify the COR, Chief of BES, and/or the

NCOIC of BES of the new authorized representative five (5) working days prior to said change. This notification shall be in writing and shall state the name of the new Contractor’s Representative.

2.2 The Contractor’s Representative shall meet with the COR on a quarterly basis or when requested by the COR to discuss any problems that the 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 by the COR, the

Contractor’s Representative, and the Contractor. Unresolved problems shall be referred to the Contracting Officer

(KO) for resolution.

2.3 The Contractor shall ensure that all CP providing services under this contract shall be able to read, write, and speak English well enough to effectively communicate with all parties.

2.4 The Contractor shall ensure that all CP conduct themselves in a professional manner and possess sufficient initiative, interpersonal relationship skills and social sensitivity such that he/she can relate constructively to a variety of staff from diverse backgrounds.

2.5 The Contractor shall ensure that all CP be required to wear safety shoes (provided by the Contractor and/or the

CP) and dress in attire IAW BAMC Memo 600-50, Wearing of Uniforms, Civilian Attire, and Hospital Specific

Items of Clothing, 8 October 2015.

2.6 The Contractor shall ensure that neither full-time military nor Government Civilian employees shall be used as a

CP in matters related to this contract. Part-time military (Reservists, National Guard, etc.) and Government Civilian employees may be used as a CP as long as it does not interfere with matters related to this contract or any other employment restrictions. The Contractor shall ensure there are no employment conflicts for CPs hired to support this contract. During mandatory callback the CP shall notify the Contractor and Contractor’s Representative of military requirements. The CP shall provide written notice and provide documentation, if available, to the Contractor and

Contractor’s Representative.

2.7 The Contractor shall ensure that all CP not be permitted on the installation when his/her presence is considered detrimental to the security of the installation. The Government reserves the right to remove from the job site any CP whose continued employment is inconsistent with the interest of military security or who are found to be otherwise impaired.

2.8 The Contractor shall ensure that all CP conduct themselves in a professional manner as detailed throughout the contract agreement. CP complaints or reprimands that are not in keeping with DHA, BAMC and BES policies, regulations or this contract are subject to corrective or disciplinary action by the Contractor. Complaints will be reported to the Contractor and Contractor’s Representative for review and to determine if complaints or reprimands are substantiated.

2.9 Contractor Fill Rate. The Contractor shall maintain a 95% fill rate throughout the length of the contract.

3. GOVERNMENT FURNISHED ITEMS AND SERVICES:

3.1 GOVERNMENT FURNISHED ITEMS AND SERVICES: The items listed below are available in the MTF and are available during the performance of the contract but, do not meet the definition of GFP/GFE.

3.1.1 Training. The Contractor shall ensure that all CP complete all mandatory DHA and BAMC required annual training no later than 30 days after the expiration date. CP shall complete all internal BMET/AOC job-related

Clinical Engineering (CE) assigned annual training no later than 90 days after assignment, unless a specific due date

(provided in writing) is given by the COR.

3.1.2 Training/Travel. The Contractor shall ensure that all CP maintain necessary sustainment training and/or certifications, and are at the expense of the Contractor or CP. The Government may elect to provide unique

Government training to the CP who is 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. When directed by the COR in coordination with the Contracting Officer (KO). CP shall attend all such training in a paid status as part of the normal services required and billed under the contract. If determined by the CKO, such training may require a performance commitment by the CP to reimburse the Government (by means of a reduction in an invoice) if a CP fails to satisfy the performance commitment after the CP receives the unique Government training. The amount of the reimbursement shall be the prorated cost of the training, calculated based on the total cost of the training and the number of months by which the CP 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.

Advanced, specialty, and manufacturer specific training may be provided, as written in the contract. CP shall be compensated their normal rate during the training duration up to their 40 hours per week. CP shall be reimbursed for travel costs and per diem IAW FAR 31.205-46.

3.1.3 Manufacturer Training. CP shall attend advanced, specialty, and/or manufacturer MDE training, as required upon approval from the COR in coordination with the KO. CP shall develop training within 30 days of return. The training will include topics such as an overview of the MDE, a functional checkout, and preventive maintenance and calibration, so long as it does not violate manufacturer agreements. CP shall provide the training (PowerPoint and hands-on demonstration, if possible) to the COR, Chief of BES, and/or NCOIC of BES for review and distribution.

3.1.4 The Contractor shall ensure CP maintain DHA and Joint Commission (TJC) refresher, sustainment, and continuous education and training requirements.

3.2 Facilities: The Government will provide all instrumentation and accompanying workspace (computer access, telephones, printers) necessary to complete moderate and/or high complexity laboratory testing in accordance with the PWS.

3.3 Utilities: The Government will provide all necessary utilities needed in order to complete all tasks as outlined in the PWS. The Contractor shall instruct personnel in utilities conservation practices. The CP shall be responsible for operating under conditions that preclude the waste of utilities, which include turning off the water faucets or valves after using the required amount to accomplish cleaning vehicles and equipment.

3.4 Equipment: The Government will provide equipment, monitors/computer access, scanners, fax machines and printers in order for completion of training, moderate and high complexity laboratory testing and resulting.

3.5 Materials: The CP shall provide their own Personnel Protective Equipment (PPE) aside from what is already in the BES department (these PPE are signed out and returned after use). The Government shall provide all additional

Policies and Standing Operating Procedures.

3.6 Government Vehicle. The Contractor shall ensure CP can provide a valid state license and maintain the minimal level of insurance as required by the State of Texas. CP shall be able to operate a Government leased/owned vehicle, such as a car, pickup truck, and/or a van to provide maintenance services throughout BAMC, San Antonio, and as far as Houston and Corpus Christi, Texas. CP shall perform the Preventive Maintenance Checks and Services

(PMCS), to include monthly dispatch, fuel, wash, and return of Government vehicles. Contract personal may be charged for misuse or damage of Government vehicles IAW DHA, Army, and BAMC policies, as applicable.

3.7 CP shall safeguard Government property. CP may be charged for misuse, loss, or damage of Government property IAW DHA, Army, and BAMC policies, as applicable.

4. CONTRACTOR FURNISHED ITEM, RESPONSIBILITIES AND SERVICES

4.1 General: The Contractor shall furnish all supplies, equipment, and services required to perform work under this contract that are not listed under PART 3 of this PWS.

4.2 Secret Facility Clearance: N/A

4.3 Materials: N/A

4.4 Equipment: N/A

4.5 Services: APPLICABLE TO ALL BMET and SA

4.5.1 Unscheduled Services. CP shall conduct repairs of electronic, pneumatic, electro-mechanical and mechanical

MDE to include troubleshooting, identifying source of problem(s) and replacement of defective printed circuit board(s), discrete-component(s) or other parts as appropriate. CP shall assist the Government in determining parts and accessories necessary to perform repair functions. CP shall document the extent and cost of repairs to assist the

Government in maintaining maintenance logs. CP shall compute power and space requirements for installation of

MDE and installs units to manufacturer’s specifications. CP shall prepare and submit MDE reports. CP shall inspect

MDE for functional and safe operations. CP shall document all findings in the Accountable Property System of

Record (APSR). CP shall check, review, and process the individual inbox within the APSR daily. CP shall repair

MDE after parts are received within 72 hours. CP shall service work orders based on the following priority within the APSR: emergency work orders have a response time of two (2) hours with a completion turnaround time (TAT) of five (5) days, urgent work orders have a response time of 48 hours with a completion TAT of seven (7) days, and routine work orders have a response time of 72 hours with a completion TAT of 30 days. Exceptions are made for completion TAT not being met due to external factors, such as supply chain delays, and are determined by the COR.

MDE under contract and/or warranty (identified in the APSR) are not worked on in a manner that would violate or void the contract and/or warranty. MDE under contract relayed to the COR of the MDE. Acceptable error rate is ten percent (10%) or less of work orders reviewed.

4.5.2 Scheduled Preventive Maintenance (SPM). CP shall conduct monthly SPM of MDE, to include inspections, preventive maintenance, calibrations, and scheduled parts replacements IAW manufacturer’s specifications and literature. CP shall complete all high risk MDE by the 15th calendar day. High risk MDE not complete by the 15th calendar day shall have a proper work order status for reporting purposes. CP shall update work order status for all remaining SPM by the 20th calendar day for reporting purposes. CP shall advise COR of any required parts or manufacturer services up to 90 days in advance for SPM (documents provided to COR, Chief of BES, and/or

NCOIC of BES). CP not authorized to approve Government funds. CP shall affix calibration/verification labels on all MDE upon completion of the SPM. CP shall ensure all SPM are completed by the final day of the month.

Exceptions are made for external factors, such as supply chain delays, and vendor delays, but work order reviews will be assessed to determine when the SPM was reviewed by the CP. Priority of efforts shall be on high risk MDE, ensuring parts and vendor requirements are requested, followed by all remaining SPM MDE. MDE under contract and/or warranty (identified in the APSR) are not worked on in a manner that would violate or void the contract and/or warranty. MDE under contract relayed to the team leader and/or the COR of the MDE. MDE under warranty still have the SPM performed to validate functionality and operability. Acceptable error rate is ten percent (10%) or less of work orders reviewed.

4.5.3 Accountable Property System of Record (APSR) Data Entry and Equipment Records. CP shall input accurate data entry in the APSR. This includes concise but detailed work order notes, proper service lines with accurate time accountability, maintenance assessments, condition codes, failure reasons, statuses, as well as proper “work by other” service lines, parts, attachments, utilizing the APSR checklist, and validating the equipment record on all work orders. CP shall annotate all scheduled parts replacement and last known replacement in work order notes. CP shall input all expected, read, and tolerance values in the work order notes and/or in the APSR checklist. CP shall complete work orders within 24 hours of servicing the MDE. Acceptable error rate is ten percent (10%) or less of work orders reviewed.

4.5.4 Completion and Utilization Rate. CP shall complete work commensurate with the modalities of MDE being serviced. Average daily work order completed shall be one (1) thru an indefinite number, dependent on the MDE modality being serviced. For example, time-intensive modalities, such as radiographic, sterilization, and respiratory ventilators may average one to two (1-2) services completed in a day, whereas other MDE such as thermometers or infusion pumps, may average ten (10) or more completed in a day. Because of a minimal time entry of 0.1 per service line, it is possible to surpass eight (8) hours in the APSR in a given day. CP shall input an “as accurate as possible” time entry in the service lines of the APSR in order to properly account for utilization rate. Excessive time differences by CP shall be reviewed by the APSR average time and the various CP, Government civilians, and military to check for training opportunities. CP shall maintain a utilization rate of 95%. The Contractor’s

Representative shall maintain a utilization rate of 75%.

4.5.5 CP shall communicate with BES and clinical (i.e. physicians, wards, nurses, doctors, technicians, etc.) staff, as necessary, to provide guidance and assistance with services, setup, calibration, operations, checkouts, and applications of MDE. CP shall respond to MDE hazard alerts, recalls, updates, and incidents. CP shall make service recommendations based on manufacturer guidance, personal knowledge, and professional judgment to assist with sustainment development and documentation. CP shall document findings in the APSR.

4.6 AOC (Work Order Clerk, TMDE Clerk, Supply Parts Clerk). AOC shall be required to perform in the duties of the work order clerk, TMDE clerk, and/or the supply parts clerk, as follows:

4.6.1 Work Order Clerk. CP shall respond to telephonic, face-to-face, and emails for MDE work order requests. CP shall open new work orders for MDE in the APSR and assign the work order to the team’s inbox for appropriate distribution. CP shall accept only sanitized/cleaned MDE into the BES shop prior to opening a work order. CP shall review equipment record data, as requested. CP shall update internal documents and reports, as requested. CP shall maintain internal records, as requested. CP shall notify Property Custodian (PC) (military and/or Government civilians) of SPM information, as needed. CP shall notify PC of MDE work orders completed and ready for pick up.

CP shall maintain a clean and organized front desk. Acceptable error rate is ten percent (10%) or less of work orders reviewed should have accurate data entry for work orders opened.

4.6.2 Test, Measurement, and Diagnostic Equipment Clerk. CP shall issue and receive tools and TMDE to the

BMET I – BMET III / SA II. CP shall inspect tools and TMDE before and after issue for damage and accessories.

CP shall review SPM forecast of TMDE that is due for calibration services. CP shall coordinate for TMDE to be serviced on-site or shipped back to the manufacturer for calibration services and document records in the APSR. CP not authorized to approve Government funds. Parts and/or service requests directed to the Billing Official for review and approval and/or denial. CP may be required to contact PC to coordinate and receive their TMDE for calibration services. CP shall follow DHA TMDE protocol for monthly SPM. CP shall maintain a clean and organized TMDE room. CP shall inventory and maintain records of tools and TMDE. All (100%) TMDE shall be shipped out or pending an on-site calibration service date by the end of the first week of the SPM month.

4.6.3 Supply Parts Clerk. CP shall ship and receive MDE and parts. Parts received shall only be accepted by

Government personnel. Government Purchase Card holder and/or Billing Official provides CP with shipping documents. CP retrieves boxes from the Supply Chain warehouse and provides documentation to the Government

Purchase Card holder and/or Billing Official for processing. CP shall ship and/or issue MDE and parts in the APSR following this priority: SPM and emergency work orders within 24 hours, urgent work orders within 48 hours, routine work orders within 72 hours. CP shall maintain a clean and organized supply and shipping room. CP shall inventory and maintain records of parts and provide records/reports to the COR, Chief of BES, and/or NCOIC of

BES every six (6) months. CP shall review the parts catalog in the APSR and routinely update the parts records. CP shall request for critical parts restocking when stock is low. CP shall process excess and old parts no longer needed for disposition. CP not authorized to obligate funds. CP notifies the Billing Official of low critical parts necessary and/or excess old parts for disposition.

5. SPECIFIC TASKS/QUALIFICATIONS

5.1 CP shall provide a valid state license and maintain the minimal level of insurance as required by the State of

Texas for the entire term of service.

5.2 BMET I. The Association for the Advancement of Medical Instrumentation (AAMI) standards for BMETs and levels of qualifications shall be applied to this position. CP, under general technical oversight, shall repair, calibrate, and maintain all types of basic clinical equipment technologies, devices, instruments, and systems. CP shall inspect, install, repair, prepare for disposition, and provide SPM of general clinical MDE.

5.2.1 Duties include.

1. CP shall possess and apply basic knowledge for MDE in one or more of the following modalities:

Healthcare Imaging (Radiology), Laboratory, Sterilization, Patient Monitoring, Operating Room Services, Dental, Pharmacy, Respiratory Services, Scopes, Pulmonary, Anesthesia, Veterinary, and High-End

Electronics.

2. CP shall evaluate, install, maintain, diagnose, repair, calibrate, and test MDE, including high risk and life support MDE. This shall include complex Food and Drug Administration (FDA) approved MDE to include but not limited to standalone MDE and/or components that contain integrated circuitry (designed along an event and where the patient becomes part of the circuit), microprocessors, pneumatic, electro-mechanical, and mechanical MDE, such as dental MDE, sterilizers, low capacity radiographic (x-ray) MDE, electrical beds, basic laboratory equipment, defibrillators, ventilators, and infusion pumps.

3. CP shall conduct SPM of MDE which includes visual inspections, calibration, and performance verification. SPM are performed using written test procedures. Interpretation of SPM results to determine whether equipment is safe and operating within manufacturer’s specifications. CP shall annotate and maintain detailed documentation of inspections, preventative maintenance, and calibrations.

4. Schedule and oversee third party SPM and repairs, as necessary, of MDE. CP not authorized to obligate

Government funds.

5. CP recommends SPM intervals and procedures based on manufacturer’s guidance, command policies, industry standards and operational needs.

6. CP conducts initial inspections of new MDE, ensuring parts and accessories are present and MDE is functional for patient use. CP documents the results of inspections using Government provided forms and presents findings to Government personnel. Official acceptance will be by Government.

7. CP provides assistance to other BMETs, BES and clinical staff on safe use, application, testing, and SPM and repair of all types of clinical equipment technologies and systems, as needed.

8. CP shall be on an on-call status for a period of seven (7) days (placed on the on-call roster after a period of six months after employment); CP shall have a working phoneline during an on-call status. The on-call CP shall have phone readily available during this period and callback required for emergencies and/or deliverables after hours (bed deliveries).

9. Document all work in the APSR.

5.2.2 Education/Experience. Graduate of a military BMET Course or a higher education degree from an accredited college in BMET or Engineering. Minimum of six months experience in the repair and maintenance of MDE (six months of internship shall be considered). The Contractor may review candidates who do not meet the requirements but have hands-on experience through a bona fide occupational qualification (BFOQ).

5.2.3 Knowledge, Skills, and Abilities (KSA).

1. Knowledge and ability to apply electronic circuitry and technical aspects of the operation, repair and maintenance of electronic MDE. Repair electronic, pneumatic, electro-mechanical and mechanical MDE to include troubleshooting, identifying source of problem(s), replacement of defective printed circuit board(s), discrete component(s), or other parts as appropriate.

2. Knowledge of how external forces (e.g., other devices with which it may be interconnected, geographical and climatic conditions, interference from other electronic equipment) may affect the adequate functioning of electronic devices.

3. Knowledge and skill in using standard Microsoft operating systems, Microsoft Office suite of products for

Office Automation, and administrative and clinical software products currently in use at BAMC.

4. Knowledge of current regulatory requirements.

5. Knowledge of basic anatomy, physiology, and medical terminology.

6. Knowledge of color code conventions used in component and wiring marking.

7. Ability to analyze, repair, and test electronic and electromechanical MDE.

8. Ability to perform preventive maintenance inspections.

9. Ability to run diagnostic programs.

10. Ability to maintain accurate records of repairs, calibration, and tests.

11. Understand and comply with TJC and other applicable standards and regulations.

12. Ability to lift up to 50 pounds of MDE and TMDE; to push/pull equipment carts; to kneel, stand, bend, and reach during MDE repair and SPM.

13. Skill in testing electronic equipment.

14. Skill in manual dexterity, hand-to-eye coordination, and color vision.

15. Skilled in effective communications, verbally and in writing, accurately and completely document MDE

SPM and unscheduled services.

16. Able to communicate with clinical staff and provide assistance in service training.

5.3 BMET II. The AAMI standards for BMETs and levels of qualifications shall be applied to this position. CP shall independently repair, calibrate, and maintain all types of clinical equipment technologies, devices, instruments, and systems of moderate complexity. CP shall inspect, install, repair, prepare for disposition, and provide SPM of

MDE.

5.3.1 Duties include all items listed under BMET I, to additionally include.

1. CP shall apply basic and advanced knowledge in two (2) or more of the following modalities: Healthcare

Imaging (Radiology), Laboratory, Sterilization, Patient Monitoring, Operating Room Services, Dental, Pharmacy, Respiratory Services, Scopes, Pulmonary, Anesthesia, Veterinary, and High-End Electronics.

2. CP shall compute power and space requirements for installation of MDE and installs MDE to manufacturer’s specifications.

3. CP provides mentoring, guidance, and assistance to BMET I on safe use, application, testing, and SPM and repair of all types of clinical equipment technologies and systems.

5.3.2 Education/Experience. Same as BMET I, with a minimum level of experience of four (4) years.

5.3.3 KSAs include all items listed under BMET I, to additionally include.

1. Considerable knowledge and ability to apply electronic circuitry and technical aspects of the operation, repair and maintenance of electronic equipment. Repair electronic, pneumatic, electro-mechanical and mechanical medical to include troubleshooting, identifying source of problem(s), replacement of defective printed circuit board(s), discrete component(s), or other parts as appropriate.

2. Has a knowledge of solid state, digital and integrated circuits (microprocessors) to isolate and resolve the complex relationship between electrical, electronic, computer operating systems, mechanical, physical, and chemical components of the equipment and system and changes in circuitry when the patient and respective

Environment of Care (EOC) become part of the system is required.

3. Develop knowledge and gain experience related to each EOC concerning how external forces (e.g., other devices with which it may be interconnected, geographical and climatic conditions, interference from other electronic equipment) may affect the adequate functioning of electronic devices and what methods may have been used successfully in similar circumstances.

4. Has an in-depth understanding and ability to diagnose problems with the quality of images and signals as required by medical professionals based on the equipment, network, and medical procedure being performed. Understands the physiological parameters associated with a patient when diagnosing and troubleshooting MDE and deals effectively with patients.

5. Considerable knowledge of analysis techniques to be able to devise recovery plans for system failure situations

6. Considerable knowledge and skill in using standard Microsoft operating systems, Microsoft Office suite of products for Office Automation, and administrative and clinical software products currently in use at

BAMC.

7. Considerable knowledge of current regulatory requirements.

8. Substantial knowledge of basic anatomy, physiology, and medical terminology.

9. Ability to interpret schematics, wiring diagrams, and illustrated parts drawings of biomedical instrumentation.

10. Able to document investigation of equipment hazard alerts, recalls, updates, and incidents.

5.4 BMET III. The AAMI standards for BMETs and levels of qualifications shall be applied to this position. CP shall provide expert-level experience in the repair, calibrate, and maintenance of all types of clinical equipment technologies, devices, instruments, and complex systems. CP shall inspect, install, repair, prepare for disposition, and provide SPM of MDE.

5.4.1 Duties include all items listed under BMET II, to additionally include.

1. Serves as the Subject Matter Expert (SME) for MDE in three (3) or more of the following modalities:

Healthcare Imaging (Radiology), Laboratory, Sterilization, Patient Monitoring, Operating Room Services, Dental, Pharmacy, Respiratory Services, Scopes, Pulmonary, Anesthesia, Veterinary, and High-End

Electronics.

2. Assign routine SPM, repairs, inspections, dispositions, and installations to CPs and observe their performance.

3. Provides mentorship, guidance, and assistance to other BMETs, BES and clinical staff on safe use, application, testing, and SPM and repair of all types of clinical equipment technologies and systems.

4. Recommend new equipment and testing procedures.

5. Collaborate with Information Systems to ensure HIPAA compliance and connectivity of MDE.

5.4.2 Education/Experience. Same as BMET II, with a minimum level of experience of eight (8) years.

5.4.3 KSAs include all items listed under BMET II, to additionally include.

1. Extensive knowledge and ability to apply electronic circuitry and technical aspects of the operation, repair and maintenance of electronic equipment. Repair electronic, pneumatic, electro-mechanical and mechanical medical to include troubleshooting, identifying source of problem(s), replacement of defective printed circuit board(s), discrete component(s), or other parts as appropriate.

2. Applies knowledge of information theory, computer science, and systems analysis to integrated operational systems for specific and complex MDE and systems; such as the Cardio/Patient Monitoring Systems, Imaging Systems and DINPACS.

3. Knowledge of systems interface and local area network issues are significant and not defined/discussed in manufacturer literature.

4. Basic knowledge of networking theory.

5.5. BMET II/SA I. The AAMI standards for BMETs and levels of qualifications shall be applied to this position.

CP shall independently repair, calibrate, and maintain all types of clinical equipment technologies, devices, instruments, and systems of moderate complexity. CP shall inspect, install, repair, prepare for disposition, and provide SPM of MDE. Perform DoD cyber-security. This position requires a skillset of an entry-level SA. Entry-level experience in configuring, monitoring, upgrading, and maintaining information systems hardware, software, and related infrastructure. Able to develop and maintain less complex systems, applications, security, and network configurations. Troubleshoots basic network performance and creates and maintains a disaster recovery plan.

Recommends software and hardware upgrades, patches, and new applications on MDE and related information systems. Provides MDE and information technology technical support and guidance to users. Builds and manages system development lifecycle (i.e., Certificate of Net worthiness, Risk Management Framework [RMF]) for MDE that require network certification and/or accreditation. Has knowledge of commonly used MDE and information technology concepts, practices, and procedures within the medical field.

5.5.1 Duties include all items listed under BMET II, to additionally include.

1. Possesses and applies basic and advanced knowledge for MDE and IT in two (2) or more of the following modalities: Healthcare Imaging (Radiology), Laboratory, Sterilization, Patient Monitoring, Operating

Room Services, Dental, Pharmacy, Respiratory Services, Scopes, Pulmonary, Anesthesia, Veterinary, and

High-End Electronics, Information Technology (IT), Networks, RMF, RFID, ATO, Servers, and Systems.

2. CP shall evaluate, install, maintain, diagnose, repair, calibrate, and test MDE, including high risk and life support MDE. This shall include complex Food and Drug Administration (FDA) approved MDE to include but not limited to integrated/networked systems and related electronics and automation/networking that requires integrating this equipment; examples include magnetic resonance imaging (MRI), computed tomography scanners, radiographic-fluoroscopic x-ray systems, ultrasound scanners, surgical and dermatological lasers, physiological monitoring systems, proprietary local area networks, input and output computers, computed radiography (digital imagery), tele-maintenance, tele-radiography, and telemedicine.

CP shall ensure adequacy of all equipment networking and/or LAN integration for assigned functional area to include compatibility with existing utilities and existing equipment/components, determining what modifications to utilities are necessary to ensure the equipment operates as the user intends, and overseeing selection of network hardware. CP shall ensure that cabling such as fiber optics, cat 5, ethernets, etc., and hardware such as switches, hubs and converters are in place and are functioning and capable of interfacing with said hardware (modalities).

3. Assists in ensuring IA compliance for all Logistics systems. Serves as assistant SA for other IM/IT systems for agreements between sections within Logistics, where MDE is integrated with IM/IT systems (i.e.

Temperature Sensitive Medical Products connected to MDE).

4. Conducts cybersecurity analysis to address and make recommendations of network vulnerabilities, inspections and testing.

5. Collaborate with Information Management Division (IMD) to ensure HIPAA compliance and connectivity of MDE.

5.5.2 Education/Experience.

1. Same as BMET II, with additional coursework in IT and a minimum level of experience of four (4) years in the repair and maintenance of MDE and IT systems.

2. Must be able to obtain and maintain a SECRET security clearance.

3. Must have DoD Information Assurance Technician (IAT) Level II Certification (DoDI 8570 is going to be

DoDI 8140).

5.5.3 KSAs include all items listed under BMET II, to additionally include.

1. Has an in-depth understanding and ability to diagnose problems with the quality of images and signals as required by medical professionals based on the equipment, network, and medical procedure being performed. Understands the physiological parameters associated with a patient when diagnosing and troubleshooting MDE (servers/workstations) and deals effectively with patients.

2. Applies knowledge of information theory, computer science, and systems analysis to integrated operational systems for specific and complex MDE and systems, such as the Cardio/Patient Monitoring Systems, Imaging systems and DINPACS.

3. Knowledge of systems interface and LAN issues, especially for issues that may not be clearly defined/discussed in manufacturer literature.

4. Considerable knowledge of the application and repair of computers and servers and how they interface with

MDE.

5. Considerable knowledge of IT standards and IMD conventions as they relate to design approaches, coordination requirements, and documentation.

6. Considerable knowledge of established IT systems security techniques and procedures to ensure that requirements related to physical, personnel, emanations, and information security is accomplished.

7. Considerable knowledge of IA performance management/measurement methods, tools, techniques, system security testing, and evaluation principles in order to participate in IA audits and HIPAA security assessments tools.

8. Considerable knowledge of analysis techniques to be able to devise recovery plans for system failure situations

5.6. BMET III/SA II. The AAMI standards for BMETs and levels of qualifications shall be applied to this position.

CP shall provide expert-level experience in the repair, calibrate, and maintenance of all types of clinical equipment technologies, devices, instruments, and complex systems. CP shall inspect, install, repair, prepare for disposition, and provide SPM of MDE. Perform DoD cyber-security. This position requires a skillset of a mid-level SA. Capable of ensuring systems are engineered, configured, and optimized for maximum functionality and availability. Lead hardware/software installations; oversee server upgrade/expansion project, terminal services and network performance; and integrated new technologies into existing data-center environments. Troubleshoots complex network performance and creates and maintains a disaster recovery plan. Recommends software and hardware upgrades, patches, and new applications on MDE and related information systems. Provides MDE and IT technical support and guidance to users. Builds and manages system development lifecycle (i.e. Certificate of Net worthiness, RMF) for MDE that require network certification and/or accreditation. Has knowledge of commonly used MDE and

IT concepts, practices, and procedures within the medical field. Relies on experience and judgment to plan and accomplish goals.

5.6.1 Duties include all items listed under BMET II/SA I, to additionally include.

1. Serves as the SME for MDE and IT in three (3) or more of the following modalities: Healthcare Imaging

(Radiology), Laboratory, Sterilization, Patient Monitoring, Operating Room Services, Dental, Pharmacy, Respiratory Services, Scopes, Pulmonary, Anesthesia, Veterinary, and High-End Electronics, Information

Technology (IT), Networks, RMF, RFID, ATO, Servers, and Systems.

2. Assign routine SPM, repairs, inspections, dispositions, and installations to CPs and observe their performance.

3. Provides mentorship, guidance, and assistance to other BMETs, BES and clinical staff on safe use, application, testing, and SPM and repair of all types of clinical equipment technologies and systems.

4. Recommend new equipment and testing procedures.

5. Address cybersecurity vulnerabilities, analysis, inspection, and testing.

5.6.2 Education/Experience.

1. Same as BMET II/SA I, with additional coursework in IT and a minimum level of experience of eight (8) years in the repair and maintenance of MDE and IT systems.

2. Must be able to obtain and maintain a SECRET security clearance.

3. Must have DoD IAT Level II certification (DoDI 8570 is going to be DoDI 8140).

5.6.3 KSAs include all items listed under BMET II/SA I, to additionally include.

1. Extensive knowledge and ability to apply electronic circuitry and technical aspects of the operation, repair and maintenance of electronic equipment. Repair electronic, pneumatic, electro-mechanical and mechanical medical to include troubleshooting, identifying source of problem(s), replacement of defective printed circuit board(s), discrete component(s), or other parts as appropriate.

2. Extensive knowledge of systems interface and local area network issues are significant and not defined/discussed in manufacturer literature.

3. Extensive knowledge of the application and repair of computers and servers and how they interface with medical equipment.

4. Extensive knowledge of IT standards and IMD conventions as they relate to design approaches, coordination requirements, and documentation.

5. Extensive knowledge of established IT systems security techniques and procedures to ensure that requirements related to physical, personnel, emanations, and information security is accomplished.

6. Extensive knowledge of Information Assurance performance management/measurement methods, tools, techniques, system security testing, and evaluation principles in order to participate in IA audits and

HIPAA security assessments tools.

5.7 AOC. CP shall provide reception and administrative support in non-direct patient care areas, serving in the roles of Work Order Clerk, TMDE Coordinator, and Supply Parts Clerk.

5.7.1 Duties include:

1. Customer and BES service oriented duties that require telephonic, face-to-face, email, etc. communication.

2. Accepting only clean/decontaminated MDE into the BES shop.

3. Receive MDE work requests telephonically and/or in person and enter appropriately in the APSR.

4. Maintain APSR work order register; assign/issue MDE to the appropriate team’s inbox; notify, issue, and return MDE back to the customer. The PC retrieves MDE.

5. Verify work order information elements are accurate and align with the equipment record. Ensure the

Maintenance Expenditure Limit, Date in Service, Life Expectancy, Location, and Warranty/Contract Data are listed and correct.

6. Retrieve, modify and create maintenance/equipment life cycle queries using designated business software in APSR to generate various management reports.

7. Ensure all required reports are completed, reviewed/approved and forwarded to the appropriate activity as required.

8. Update internal documents and rosters as required by the NCOIC.

9. Reconcile the warranty service report monthly. Purge the warranty file of all expired items.

10. Ensure that a warranty file is established and maintained for all new MDE received.

11. Review open unscheduled work orders to identify MDE under warranty over 30 days old.

12. Send monthly SPM notifications for the following month. Request read receipts and save the emails (to include read receipts) in the shared drive by the 15th of the month.

13. Send UL Register to customers by the 21st calendar day, or first working day thereafter, of the month.

14. Maintain BES disinfection station supplies.

15. Pick up boxes/parts from the warehouse. Receive and issue parts to BMETs and SAs within allotted timeframe.

16. Stock and inventory excess parts and update records in the APSR.

17. Identify supply stock beyond “use dates” and prepare/send for disposition.

18. Issue, receive, and maintain inventory of tools and TMDE.

19. Stock and maintain inventory of supply parts.

5.7.2 Education/Experience.