Attachement 1 EDCOE PWS 06 MAY 2020.pdf

ATTACHMENT 1

RFP FA301620R0023

PERFORMANCE WORK STATEMENT (PWS)

(PERSONAL SERVICE)

FOR

COMPREHENSIVE DIABETES MANAGEMENT, EDUCATION, PREVENTION, RESEARCH, AND

OUTREACH SERVICES FOR THE

ENDOCRINOLOGY DIABETES CENTER of EXCELLENCE (EDCoE)

06 May 2020

1. Description of Services.

1.1. Requirement with Background. The Department of Defense Military Treatment Facilities (MTF) in San Antonio, Texas, have a requirement for personal services as described in this PWS. This is a follow-on requirement for services currently being performed. The Contractor shall provide personal services for Endocrinology Diabetes Center of Excellence (EDCoE) referred to as the Health Care Provider (HCP) / Contractor Personnel at San Antonio, Texas Department of Defense Military Treatment Facilities (MTF).

The contract personnel and HCP for personal services provide comprehensive diabetes management to any Tricare beneficiary that is referred to the clinic for care. The EDCoE mission and vision encompass a three-tiered approach: Diabetes management, outreach/education, and translational research. The management section include diabetes prevention through an intensive diabetes prevention program, diabetes education through an American Diabetes Association recognized education program, and intensive diabetes management (includes use of complex regimens, insulin pump, glucose sensors, comprehensive foot exams, vaccination programs, and specialized testing). The research section conducts translational research, investigator initiated research, and validation of new treatment models. The research section gains approval through the Institutional Review Board for all studies. The outreach/training section provides services and products that support any DoD MTF. Those services include management of the Diabetes Central website, Diabetes Champion Course (multi-day education course every 6 months), Diabetes ECHO (monthly provider webinar), Diabetes Webinar (monthly nurse webinar), as well as developing additional programs based on other MTF input. The contractor and HCP shall perform services and support compatible with the medical facility’s operating capacity and equipment. The HCP shall work within the Government provided facility and use Government provided equipment and perform services and support compatible with the medical facility’s operating capacity and equipment.

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 standards, Accreditation Association for Ambulatory Health Care, applicable Department of Defense (DoD), military specific regulations, directives, and policies, and MTF specific policies and procedures. HCP shall give the highest regard to patient dignity and observe the precepts of the American Hospital Association’s Bill of Rights for Patients.

1.3. Relationship of the Parties and Professional Liability.

1.3.1. This is a personal services contract (as defined by Federal Acquisition Regulation[FAR] Subpart 37.104) and is intended to create an employer-employee relationship between the Government and the HCP only to the extent necessary for providing the health care services required under the contract. The performance of the HCP under this contract is subject to day-to-day supervision, clinical oversight and control by healthcare facility personnel comparable to that exercised over military and civil service personnel engaged in comparable work. The personal services 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 HCP may be associated.

1.3.2. Any personal injury claims alleging negligence by the HCP within the scope of the HCP 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 personnel. The authority for this contract is 10 United States Code 1089 and 10 United States Code 1091.

1.3.3. If any suit or action is filed or any claim is made against the HCP, which occurred as a result of work performed by the HCP under this contract, the HCP shall immediately notify the Contracting Officer (CO) and furnish copies of all pertinent correspondence received.

1.3.4. The HCP shall also 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 HCP in, or take charge of, any litigation involved in such an action. The HCP may, at the HCP's own expense, participate in defense of such claim or litigation.

1.4. Specific Tasks. HCP duties shall include other duties deemed necessary by Director, Nurse Manager, and Chief Tech, as well as the following, but are not limited to:

1.4.1. Outreach and Training (Certified) Diabetes Care Education Specialist (1 position)

1.4.1.1. Primary Duties:

1.4.1.1.1. Implements/executes Outreach Diabetes Program requirements.

1.4.1.1.2. Works with EDCoE leadership in support of Air Force Medical Service (AFMS) , Defense Health Agence, and/or other agencies as appropriate (ie – VA, NIH, American Diabetes Association, etc.)

initiatives for diabetes management (e.g., e-consult initiative, Diabetes ECHO, Diabetes Champion Certification, Diabetes Central, Diabetes Webinars).

1.4.1.1.2.1. Works in conjunction with Outreach Training Administrator to coordinate diabetes symposiums offered at Wilford Hall Ambulatory Surgical Center (WHASC) through Defense Collaborative System (DCS), or other current/new education virtual platforms, and in residents;

independent or alongside other military public health forums.

1.4.1.1.2.1.1. Prediabetes and Diabetes ECHO – 1hr, 2 times/month education lecture series and case discussion for providers across the AFMS.

1.4.1.1.2.1.1.1. Develop annual calendar of topics and objectives to support CE submission

1.4.1.1.2.1.1.2. Market program; solicit speakers (may conduct some modules); review/validate presentations in support of CE submission

1.4.1.1.2.1.1.3. Coordinate DCS session (or other virtual platform); monitor attendance

1.4.1.1.2.1.1.4. Utilize feedback for continual program improvement.

1.4.1.1.2.1.2. Diabetes Champion Course (DCC)– multiday, multispecialty course offered at least every 6 months (currently 4 days, but may change). May be set in an off-site location within San Antonio, TX.

1.4.1.1.2.1.2.1. Continually revise course content based on feedback and changes in standards of care/clinical practice guidelines; develop/orders supplies/handouts to support curriculum.

1.4.1.1.2.1.2.2. Market program; solicit speakers (may conduct some modules); review/validate presentations in support of CE submission.

1.4.1.1.2.1.2.3. Arrange venue; coordinate video/teleconference/broadcasts

1.4.1.1.2.1.2.4. Oversee registration/sign-in and distribution of materials; conduct modules; moderate sections

1.4.1.1.2.1.2.5. Uses feedback for continual program improvement.

1.4.1.1.2.1.3. Diabetes Webinars – 0.5 hr monthly education lecture series for disease managers across

DHA

1.4.1.1.2.1.3.1. . Develop annual calendar of topics and objectives to support CE submission

1.4.1.1.2.1.3.2. Market program; solicit speakers (may conduct some modules); review/validate presentations in support of CE submission

1.4.1.1.2.1.3.3. Coordinate DCS session (or other virtual platform); monitor attendance

1.4.1.1.2.1.3.4. Utilize feedback for continual program improvement.

1.4.1.1.2.1.4. Diabetes Central – Diabetes Website maintained on the AF knowledge Exchange (Kx)

1.4.1.1.2.1.4.1. Acts as webmaster for Diabetes Central on the Kx

1.4.1.1.2.1.4.2. Conducts annual review of site to ensure content is accurate and current.

1.4.1.1.2.1.4.3. Updates EDCoE program pages (ECHO, Webinars, DCC, MIST, VA VMC (Virtual Medical Center), DPP, etc) pre/post scheduled events.

1.4.1.1.3. Provides Subject Matter Expertise:

1.4.1.1.3.1. Reviews/validates/submits Continuing Medical Education/Continuing Nurse Education (CME/CNE) for each program.

1.4.1.1.3.2. Delivers diabetes briefings, educational sessions, and Seminars/workshops.

1.4.1.1.3.3. Reviews applicable diabetes documents for the MTFs, in order for the MTFs to implement robust diabetes management and prevention programs. Also available for consultative guidance for other MTFs and other governmental agencies to provide DSMES guidance for product/program development.

1.4.1.1.3.4. Establishes and maintains relationships with alliance partners, external companies, investigators and opinion leaders to optimize performance on clinical trial activities.

1.4.1.1.3.5. Develops and participates in outreach activities designed to improve diabetes care and prevention at external MTFs.

1.4.1.1.3.6. Helps plan, coordinate, market and conduct evidence-based programs and services aimed at diabetes education, health improvement and disease intervention/prevention.

1.4.1.1.3.7. Participates in teleconferences, updates, working groups, review panels, symposiums, etc.

related to diabetes education and management.

1.4.1.1.3.8. Develops and participates in external training and marketing of EDCoE outreach initiatives.

1.4.1.1.3.9. Assists in planning and execution of all aspects of the EDCoE in concert with Air Force Diabetes Program strategic plan, goals and objectives.

1.4.1.2. Secondary Duties:

1.4.1.2.1. Provides care to patients in area of clinical expertise as needed to maintain competency and relevancy to the training mission.

1.4.1.2.1.2. Educates individuals, families and groups on a variety of health-related topics employing age-specific and behavioral learning theory to include training patients and families on pump/sensor/injectable therapy and blood glucose monitoring.

1.4.1.2.1.2. Support diabetes self-management education and support services provided by the EDCoE to include: presentation of material to individuals or groups, assisting patient goal setting, and membership on advisory board.

1.4.1.2.2. Develops, updates, coordinates, and executes Diabetes Self-Management Education and Support (DSMES) via the Medical Interagency Satellite Training (MIST) platform, and VA Virtual Medical Center (VMC), or via other (virtual) platforms that supersede or complement current MIST system.

1.4.1.2.2.1. Promotes and disseminates the DSMES via MIST (or alternative platform) to other Military Treatment Facilities (MTFs) throughout the DoD with the goal of increasing MTF enrollment of 5 or more per year, contacting at least 15 MTFs per year to promote the DSMES via MIST program.

1.4.1.2.2.2. Liason to ensure MIST (or alternative platform) equipment operable for DSMES classes and works through appropriate channels to troubleshoot technical problems for the MIST (or alternative platform) equipment.

1.4.1.2.2.3. Obtain training from MIST (or alternative platform) support team to operate basic functionality of MIST (or alternative platform) equipment in order to export DSMES via the MIST (or alternative platform) equipment to other MTFs.

1.4.1.2.3. Support EDCoE diabetes prevention program (DPP) initatives.

1.4.1.2.3.1. Support DPP services provided by the EDCoE to include telehealth platforms (MIST, VAVMC, or other platforms that supersede or complement current systems).

1.4.1.2.3.2. Support training program for DPP development at the EDCoE and other MTFs in person or virtually.

1.4.1.2.3.3. Annual review/revise DPP content for both the participant and facilitator curriculum

1.4.1.2.3.4. Utilize feedback for continual program improvement.

1.4.1.2.4 Provide subject matter expertise to support diabetes related DHA joint initiative projects, Center of Excellence in Medical Multimedia diabetes related projects, and clinical practice guideline development.

1.4.2. Outreach and Training (Certified) Diabetes Care Education Specialist (2 positions)

1.4.2.1. Primary Duties:

1.4.2.1.1. Implements/executes Outreach Diabetes Program requirements.

1.4.2.1.2. Develops, updates, coordinates, and executes Diabetes Self-Management Education and Support (DSMES) via the Medical Interagency Satellite Training (MIST) platform, and VA Virtual Medical Center (VMC), or via other (virtual) platforms that supersede or complement current MIST system.

1.4.2.1.2.1. Promotes and disseminates the DSMES via MIST (or alternative platform) to other Military Treatment Facilities (MTFs) throughout the DoD with the goal of increasing MTF enrollment of 5 or more per year, contacting at least 15 MTFs per year to promote the DSMES via MIST program.

1.4.2.1.2.2. Liason to ensure MIST (or alternative platform) equipment operable for DSMES classes and works through appropriate channels to troubleshoot technical problems for the MIST (or alternative platform) equipment.

1.4.2.1.2.3. Obtain training from MIST (or alternative platform) support team to operate basic functionality of MIST (or alternative platform) equipment in order to export DSMES via the MIST (or alternative platform) equipment to other MTFs.

1.4.2.1.3. Assists in planning and execution of all aspects of the EDCoE in concert with Air Force Diabetes Program strategic plan, goals and objectives.

1.4.2.2. Secondary Duties:

1.4.2.2.1. Provides care to patients in area of clinical expertise as needed to maintain competency and relevancy to the training mission.

1.4.2.2.1.2. Educates individuals, families and groups on a variety of health-related topics employing age-specific and behavioral learning theory to include training patients and families on pump/sensor/injectable therapy and blood glucose monitoring.

1.4.2.2.1.2. Support diabetes self-management education and support services provided by the EDCoE to include: presentation of material to individuals or groups, assisting patient goal setting, and membership on advisory board.

1.4.2.2.2. Works with EDCoE leadership in support of Air Force Medical Service (AFMS) , Defense Health Agence, and/or other agencies as appropriate (ie – VA, NIH, American Diabetes Association, etc.)

initiatives for diabetes management (e.g., e-consult initiative, Diabetes ECHO, Diabetes Champion Certification, Diabetes Central, Diabetes Webinars).

1.4.2.2.2.1. Works in conjunction with Outreach Training Administrator to coordinate diabetes symposiums offered at Wilford Hall Ambulatory Surgical Center (WHASC) through Defense Collaborative System (DCS), or other current/new education virtual platforms, and in residents;

independent or alongside other military public health forums.

1.4.2.2.2.1.1. Prediabetes and Diabetes ECHO – 1hr, 2 times/month education lecture series and case discussion for providers across the AFMS.

1.4.2.2.2.1.1.1. Develop annual calendar of topics and objectives to support CE submission

1.4.2.2.2.1.1.2. Market program; solicit speakers (may conduct some modules); review/validate presentations in support of CE submission

1.4.2.2.2.1.1.3. Coordinate DCS session (or other virtual platform); monitor attendance

1.4.2.2.2.1.1.4. Utilize feedback for continual program improvement.

1.4.2.2.2.1.2. Diabetes Champion Course (DCC)– multiday, multispecialty course offered at least every 6 months (currently 4 days, but may change). May be set in an off-site location within San Antonio, TX.

1.4.2.2.2.1.2.1. Continually revise course content based on feedback and changes in standards of care/clinical practice guidelines; develop/orders supplies/handouts to support curriculum.

1.4.2.2.2.1.2.2. Market program; solicit speakers (may conduct some modules); review/validate presentations in support of CE submission.

1.4.2.2.2.1.2.3. Arrange venue; coordinate video/teleconference/broadcasts

1.4.2.2.2.1.2.4. Oversee registration/sign-in and distribution of materials; conduct modules; moderate sections

1.4.2.2.2.1.2.5. Uses feedback for continual program improvement.

1.4.2.2.2.1.3. Diabetes Webinars – 0.5 hr monthly education lecture series for disease managers across

DHA

1.4.2.2.2.1.3.1. . Develop annual calendar of topics and objectives to support CE submission

1.4.2.2.2.1.3.2. Market program; solicit speakers (may conduct some modules); review/validate presentations in support of CE submission

1.4.2.2.2.1.3.3. Coordinate DCS session (or other virtual platform); monitor attendance

1.4.2.2.2.1.3.4. Utilize feedback for continual program improvement.

1.4.2.2.2.1.4. Diabetes Central – Diabetes Website maintained on the AF knowledge Exchange (Kx)

1.4.2.2.2.1.4.1. Acts as webmaster for Diabetes Central on the Kx

1.4.2.2.2.1.4.2. Conducts annual review of site to ensure content is accurate and current.

1.4.2.2.2.1.4.3. Updates EDCoE program pages (ECHO, Webinars, DCC, MIST, VA VMC (Virtual Medical Center), DPP, etc) pre/post scheduled events.

1.4.2.2.3. Provides Subject Matter Expertise:

1.4.2.2.3.1. Reviews/validates/submits Continuing Medical Education/Continuing Nurse Education (CME/CNE) for each program.

1.4.2.2.3.2. Delivers diabetes briefings, educational sessions, and Seminars/workshops.

1.4.2.2.3.3. Reviews applicable diabetes documents for the MTFs, in order for the MTFs to implement robust diabetes management and prevention programs. Also available for consultative guidance for other MTFs and other governmental agencies to provide DSMES guidance for product/program development.

1.4.2.2.3.4. Establishes and maintains relationships with alliance partners, external companies, investigators and opinion leaders to optimize performance on clinical trial activities.

1.4.2.2.3.5. Develops and participates in outreach activities designed to improve diabetes care and prevention at external MTFs.

1.4.2.2.3.6. Helps plan, coordinate, market and conduct evidence-based programs and services aimed at diabetes education, health improvement and disease intervention/prevention.

1.4.2.2.3.7. Participates in teleconferences, updates, working groups, review panels, symposiums, etc.

related to diabetes education and management.

1.4.2.2.3.8. Develops and participates in external training and marketing of EDCoE outreach initiatives.

1.4.2.2.4. Support EDCoE diabetes prevention program (DPP) initatives.

1.4.2.2.4.1. Support DPP services provided by the EDCoE to include telehealth platforms (MIST, VAVMC, or other platforms that supersede or complement current systems).

1.4.2.2.4.2. Support training program for DPP development at the EDCoE and other MTFs in person or virtually.

1.4.2.2.4.3. Annual review/revise DPP content for both the participant and facilitator curriculum

1.4.2.2.4.4. Utilize feedback for continual program improvement.

1.4.2.2.5 Provide subject matter expertise to support diabetes related DHA joint initiative projects, Center of Excellence in Medical Multimedia diabetes related projects, and clinical practice guideline development.

1.4.3. Outreach and Training Education Administrator:

1.4.3.1. Implements/executes Outreach Diabetes Program requirements.

1.4.3.2. Provides curriculum development of diabetes champion course, and administrates this program.

1.4.3.3. Works with EDCoE leadership in support of AFMS initiatives for diabetes management (e.g., Diabetes ECHO, Diabetes Champion Certification, Diabetes Webinars)

1.4.3.3.1. Prediabetes and Diabetes ECHO – 1hr 2 times per month education lecture series and case discussion for providers across the DHA.

1.4.3.3.2. Diabetes Champion Course – multiday, multispecialty course offered at least every 6 months (currently 4 days, but may change). May be set in an off-site location within San Antonio, TX.

1.4.3.3.3. Diabetes Webinars – 0.5 hr monthly education lecture series for disease managers across the

AFMS

1.4.3.4. Works in conjunction with Outreach Training Certified Educator to coordinate diabetes symposiums offered at WHASC through DCS (or current virtual platform), other new education platforms, and in residence; independent or alongside other military/DHA public health forums.

1.4.3.4.1. Determines topics to be discussed.

1.4.3.4.2. Solicits educators and develops own educational material.

1.4.3.4.3. Markets program to ensure adequate attendance.

1.4.3.4.4. Submits CME/CNE for each program, to include through DHA J7 CEPO multi-CE program

1.4.3.4.5. Conducts post course/lecture assessments to determine effectiveness.

1.4.3.4.6. Uses feedback for continual program improvement.

1.4.3.4.7. Content manager for the Diabetes Central web page on the AFMS Knowledge Exchange and works in coordination with Outreach Diabetes Educators to update and develop content as necessary.

1.4.3.5. Completes all continued medical and continued nurse education (CME/CNE) credits for all outreach programs.

1.4.3.6. Establishes competencies for support personnel to participate in Diabetes Management.

1.4.3.7. Maintains database of all outreach projects to determine effectiveness, utilization, and assist with process improvement.

1.4.3.8. Develops and oversees all local training programs conducted within the EDCoE.

1.4.3.9. Assists in planning and execution of all aspects of the EDCoE in concert with Air Force Diabetes Program strategic plan, goals and objectives.

1.4.3.10. As desired, able to participate in research efforts of the EDCoE in concert with the overall mission of the EDCoE.

1.4.3.11. Works closely with other outreach team members to ensure success of all EDCoE outreach projects.

1.4.4. Exercise Physiologist / Preventionist

1.4.4.1. Obtain and maintain Centers for Disease Control (CDC) recognition of the EDCoE’s Diabetes Prevention Program (DPP).

1.4.4.2. Subject matter expert in regards to EDCoE’s DPP.

1.4.4.2.1. Obtains expert/master trainer certification for DPP.

1.4.4.2.2. Provides outreach services to additional military treatment facilities.

1.4.4.2.3. Develops and presents briefings to individuals, class participants, and groups as requested within area of expertise. Programs include, but not limited to: Diabetes Self-Management Education [DSME] and Outreach programs – Diabetes Champion Course, ECHO, webinars).

1.4.4.3. Develops/updates/implements/executes/promotes current DPP at WHASC.

1.4.4.3.1. Annual review/revise DPP content for both the participant and facilitator curriculum.

1.4.4.3.2. Assist in development, updating, and execution of virtual delivery of DPP via VA VMC or other platforms that are developed.

1.4.4.3.3. Promote DPP throughout JBSA and other MTFs as able, which includes, but not limited to:

developing and disseminating marketing tools and participating in health fairs.

1.4.4.4. Reviews consults, schedules patients, and coordinates multispecialty education classes to diabetics and pre-diabetics.

1.4.4.5. Documents all patient interactions and maintains accurate and current notes, records, and patient medical records of all patients seen, as appropriate, and produce reports of evaluation and/or treatment as required.

1.4.4.6. Organizes and counsels fitness, health, and prevention classes as outlined by current CDC guidelines for diabetes prevention program for the 1 year Diabetes Prevention Program; CDC guidelines subject to change and must update and keep current. Conduct weekly phone/computer educational reinforcement (for first 12 weeks) along with, at a minimum, monthly in-class one hour presentations for one (1) full year.

1.4.4.7. Provides Core (12 wk) and Post-Core (52 wk) lifestyle management education across a range of modalities in accordance with the diabetes prevention program.

1.4.4.8. Administers physical fitness assessment for patients at risk of diabetes; may include muscular fitness testing, body fat assessment, and exercise prescriptions.

1.4.4.9. Maintains all patient information in an Access database (or other database) to assess program effectiveness. Reviews the data to assess effectiveness of program while conducting continual process improvement.

1.4.4.10. Participates in research projects within the EDCoE as pertains to DPP.

1.4.4.11. Consults with the Primary Diabetes Care Provider on appropriate exercise preparation.

1.4.4.12. Assists in planning and execution of all aspects of the Endocrinology Diabetes Center of Excellence in concert with Air Force Diabetes Program strategic plan, goals and objectives.

1.4.5. Nurse Practitioner:

1.4.5.1. Implement/execute acute/chronic adult Diabetes Clinical Service program requirements.

1.4.5.2. Management of endocrine related diseases focusing on the treatment of patients with diabetes (acute and chronic conditions) within accepted protocols.

1.4.5.3. Nurse Practitioner acts in collaboration with the physician in the health care of patients with chronic diabetes.

1.4.5.4. Ensures compliance with standards of care and practice in accordance with all established policies, procedures, and guidelines used in the medical treatment facility.

1.4.5.5. Requests consultation or referral with appropriate physicians, clinics, or other health resources as indicated.

1.4.5.6. Orders and follows up diagnostic tests as applicable.

1.4.5.7. Prescribes and dispenses medications as delineated by the Pharmacy and Therapeutics Committee.

1.4.5.8. Promotes preventive and health maintenance care, including annual physicals, positive health behaviors, and self-care skills through education and counseling.

1.4.5.9. Coordinates patient care through a continuum and facilitates the achievement of optimal outcomes in relation to care, quality and cost effectiveness.

1.4.5.10. Participates in clinic meetings, provides input to improve patient care, and maximizes coding to meet assigned targets, whether that is RVUs or encounters, depending on command direction.

1.4.5.11. Reviews/approves consults from outside clinics and triages consults; requests additional information as needed.

1.4.5.12. Prepares reports, presentations and other material in support of the Diabetes Program and associated research with the possibility of presentations at regional or national conferences as time allows.

1.4.5.13. Communicates and collaborates with a diverse group of people for the purpose of informing the healthcare team of plans/actions, for teaching/education to benefit the patient/family.

1.4.5.14. Plans, coordinates, markets and conducts evidence-based programs and services aimed at diabetes education, health improvement and disease intervention/prevention.

1.4.5.15. Assists in planning and execution of all aspects of the EDCoE in concert with Air Force Diabetes Program strategic plan, goals and objectives.

1.4.6. Research Program Administrator/Director:

1.4.6.1. Develops and writes protocols, case report forms, and informed consent documents for clinical trials.

1.4.6.2. Participates in the design, implementation and monitoring of clinical trials, preparation of integrated medical reports, etc.

1.4.6.3. Provides strategy on recruitment/selection on new investigators, contract research organizations and outside vendors.

1.4.6.4. Assists in planning and implements all activities required to conduct and monitor complex trials and ensures that Good Clinical Practices (GCPs) are followed.

1.4.6.5. Monitors site visits pre-study, at study initiation, and at regular intervals during the study closeout if needed.

1.4.6.6. Provides investigator performance information including adherence to protocol, enrollment problems, and anything else pertinent with protocol continuation as necessary.

1.4.6.7. Monitors and participates in patient recruitment efforts based on protocols as necessary.

1.4.6.8. Enrolls/performs informed consent of patients entering research trials as necessary.

1.4.6.9. Monitors and participates in the compilation/writing of integrated medical reports.

1.4.6.10. Assists the principle investigator (PI) and prepares manuscripts for technical journals and makes presentations at scientific meetings.

1.4.6.11. Assists in the planning, execution, and evaluation of all aspects of the EDCoE in concert with Air Force Diabetes Program strategic plan, goals and objectives.

1.4.6.12. Provides care to patients in the EDCoE in order to maintain currency and relevance to the research mission as long as it does not hinder assisting the efforts of EDCoE PIs, to include, but not limited to Endocrine staff, Endocrine fellows, and Internal Medicine residents.

1.4.6.12.1. If Research Program Director is a medical provider this can entail direct patient care.

1.4.6.12.2. If Research Program Director is other than a medical provider, this can entail being actively engaged in their own research.

1.4.6.13. Plans clinical research programs and develops a timetable, budget and resource analysis for clinical research programs and personnel administration.

1.4.6.14. Establishes and maintains relationships with alliance partners, external companies, investigators and opinion leaders to optimize performance on clinical trial activities.

1.4.6.15. Actively seeks research grant opportunities, and prepares grant proposals for research projects in accordance with AFMS and EDCoE research goals.

1.4.6.16. Provides comprehensive coordination of the entire AFMS diabetes research program. Actively participates in coordinating and directing the overall Air Force Diabetes research mission/focus.

Coordinates diabetes research at different sites to reduce duplication of effort and improve collaboration on multi-site studies.

1.4.6.17. Occasional travel may be required to other military sites or military specific research conferences to provide education and consultation related to diabetes research results and studies.

1.4.6.18. Supervises data analysis with working knowledge of basic data analysis and at least one of the major programs utilized for data analysis (eg- SPSS).

1.4.6.19. Develops and submits for at least 1 grant per year.

1.4.7. Clinical Licensed Vocational Nurse (LVN):

1.4.7.1. Implement/execute Diabetes Clinical Service program requirements.

1.4.7.2. Provide initial patient assessment to include vital signs, phlebotomy, injections, and other requirements as dictated by clinic policy.

1.4.7.3. Perform annual routine comprehensive diabetic foot exam and quarterly high risk foot visual inspection.

1.4.7.4. Serves as a medical assistant performing care and assessments, establishes policies, procedures, protocols, and guidelines.

1.4.7.5. Provides routine patient care and treatment to beneficiaries. Organizes the medical environment and performs and directs support activities for outpatient care settings.

1.4.7.6. Accurately accomplishes appropriate documentation in patients’ medical record in a timely manner (AHLTA), Healthcare Artifacts and Image Management Solution (HAIMS), EDCoE database, other systems as the AFMS deems necessary).

1.4.7.7. Pre-clinic preparation; updates electronic and physical clinic patient safety charts with updated information prior to the following day’s clinic.

1.4.7.8. Adheres to infection control procedures including use of personal protective equipment, disposal of waste, and aseptic technique when conducting finger sticks, triage and standard of care.

1.4.7.9. Ensure all equipment is stored at the end of each work shift and preventive maintenance and routine cleaning are performed as directed.

1.4.7.10. Participate in in-service training and continuing education programs for new procedures, techniques, and equipment.

1.4.7.11. Provide training related to diabetic care, especially foot assessment and care, to staff from other DoD clinics and facilities.

1.4.7.12. Assists with clinic communications, including, but not limited to, patient scheduling, responding to routine inquiries, and telephone consultants.

1.4.7.13. Assists clinic front desk staff with checking in patients, scheduling patients, rescheduling patients, and other administrative duties.

1.4.7.14. Maintains adequate medical and non-medical clinic supplies through routine inventory and ordering.

1.4.7.15. Assist research program administrator with screening research patients (vitals), performing surveys, and documenting results.

1.4.7.16. Performs other duties as deemed necessary by Director and Nurse Manager.

1.5. Special Qualifications.

1.5.1. The HCP/Contractor shall meet the following qualification requirements:

1.5.1.1. Continuing Medical Education (CME) / Continuing Education Units (CEU). The HCP/Contractor shall keep their license/registration/certification current. Required continuing education for CME/CEU shall be at no additional cost to the Government. The HCP/Contractor shall provide appropriate CME/CEU documentation to the COR or designated Government representatives within one month after all CME/CEU accredited events.

1.5.1.2. Outreach and Training Certified Diabetes Care Education Specialist Nurse (including Tasks 1.4.1 and 1.4.2):

1.5.1.2.1. Bachelors of Science in Nursing degree from an accredited institution is required.

1.5.1.2.2. Be a Certified Diabetes Care and Education Specialist ((CDCES) - Previously known as Certified Diabetes Educator (CDE)) or be eligible for certification and expected to test within 3 years.

1.5.1.2.2.1. The HCP is NOT responsible for the training or certification to become a CDCES. The Contractor shall be responsible for paying for the certification if not already obtained prior to service.

1.5.1.2.3. Minimum of three (3) years age-specific experience as a diabetes educator is required within the last five (5) years.

1.5.1.2.4. Technical experience maintaining/updating internet websites.

1.5.1.2.5. Prior experience with development and submission for Continuing Nursing education Credits

(CNE).

1.5.1.3. Outreach and Training Education Administrator (including Task 1.4.3.):

1.5.1.3.1. Bachelor's degree in a health-related field from an accredited institution is required.

1.5.1.3.2. Minimum of five (5) years' experience in administration/curriculum development is required within the last six (6) years.

1.5.1.3.3. Prior experience with education delivery through on-line classroom/platform.

1.5.1.3.4. Prior experience with development and submission for Continuing Education credits (CE), of any discipline (e.g. – nursing (CNE), MD/DO (CME), etc.)

1.5.1.4. Exercise Physiologist/ Preventionist (including Task 1.4.4.):

1.5.1.4.1. Bachelor's degree in a health-related field from an accredited institution is required.

1.5.1.4.2. Minimum of two (2) years' experience in a health-related field is required within the last three

(3) years.

1.5.1.4.3. Training to be a trainer/presenter for the Centers for Disease Control (CDC) recognized Diabetes Prevention Program (DPP) utilized within the EDCoE required. Expected to obtain master trainer certification for CDC recognized DPP utilized within the EDCoE within 2 years.

1.5.1.5. Nurse Practitioner (including Task 1.4.5.):

1.5.1.5.1. Master of Science in Nursing Degree required.

1.5.1.5.2. Must have a minimum three (3) years in active clinical practice is required within the last four

(4) years.

1.5.1.5.3. Minimum of two (2) years’ experience managing diabetes patients on insulin pumps and continuous glucose sensors.

1.5.1.6. Research Program Administrator/Director (including Task 1.4.6.):

1.5.1.6.1. Doctor of Medicine (MD) with current unrestricted medical license or Doctor of Philosophy (PhD) in a scientific or health care related field.

1.5.1.6.2. Minimum of five (5) years' experience in a health related field is required within the last six (6) years.

1.5.1.6.3. Minimum of two (2) years' experience actively conducting diabetes research within the last three (3) years.

1.5.1.7. Licensed Vocational Nurse (including Task 1.4.7.):

1.5.1.7.1. Associates of Arts or Bachelors of Science in a health related field.

1.5.1.7.2. Licensed Vocational Nurse required.

1.5.1.7.3. Minimum of two (2) year experience in a hospital or clinic is required within the last three (3) years.

1.5.1.7.4. Technical experience downloading insulin pumps, continuous sensors, and glucometers.

1.5.2. License and Certification Verification. (AFI 44-119, Medical Quality Operation (Chapter 4 Paragraph 4.6) Applies to only those positions that perform direct patient care.

1.5.2.1. All Contracted Personnel shall have and maintain a current Basic Life Support (BLS) certification.

1.5.2.2. The HCP shall perform all primary and annual licensure or certification document verifications.

The HCP shall maintain these certifications in a current status throughout the life of this contract.

Verifications shall be submitted to the Government at least ten (10) working days prior in accordance with Appendix B.

1.5.2.3. The HCP shall confirm that the clinical licenses or certifications have not been suspended or revoked by any healthcare facility, public or private, anywhere in the world. This does not preclude any HCP whose licensure or certification, although originally suspended or revoked by a healthcare facility, were subsequently fully reinstated by the same.

1.5.2.4. Healthcare professionals who fail to maintain a license, registration or certification will be removed from independent practice and privileged providers will be placed in abeyance. If time exceeds 30 days of abeyance, the provider will be placed in summary suspension IAW AFI 44-119, paragraph

9.16. until the license, registration or certification is renewed. Issuing agency grace periods are not honored by the AFMS when renewing a license, certification, or registration.

1.5.3. The credentials of the HCP shall meet the privileging requirements as outlined in the most current version of AFI 44-119, Medical Quality Operations, entire instruction applies.

1.5.3.1. The Contractor shall furnish the MTF Credentialing Office with copies of the HCP’s valid, current, active, unrestricted medical licenses, registrations, education training certificates, and/or certifications in accordance with AFI 44-119 (entire instruction applies). In addition, copies of board certifications are required, if applicable. The HCP shall continuously maintain at least one active licensure or authorizing document from any U.S. jurisdiction throughout the life of this contract. The Contractor shall be responsible for primary source verifications of all licenses and documents.

1.5.3.2. Applications for privileges shall be screened through the National Practitioners Data Bank (NPDB), Healthcare Integrity and Protection Data Bank (HIPDB), by the Contractor.

1.5.3.3. The Contractor shall also screen the HCP through The Department of Health and Human Services (DHHS) at http://exclusions.oig.hhs.gov/ and TRICARE sanction listing at www.tricare.osd.mil/. The listings must be reviewed prior to entering into contract or hiring HCP for the position.

1.5.3.4. Professional staff appointments and clinical privileges are specific to the facility and the provider.

An Initial Medical Staff appointment will be granted to all newly accessed HCP for a period of 12 months. During this period, the HCP’s performance will be under close review by their assigned clinical supervisor for clinical competence as well as for compliance with the facility’s policies, procedures, bylaws, and code of professional conduct. Thereafter, the HCP’s privileges will be reviewed/evaluated for an Active Medical Staff appointment, which is granted for a period of two years.

1.5.3.5. The Contractor shall submit the HCP privileging package to the MTF Credentialing Office thirty

(30) days prior to performance start date, or immediately upon employment. Any HCP failing the credentialing process will not be allowed to perform under the provisions of this Contract.

1.5.3.6. The HCP shall comply with all applicable AFIs, Department of Defense Regulations, and Medical Wing Instructions (MDWI) as outlined in Appendix A.

NOTE: Copies of referenced MDWI will be furnished to prospective contractors electronically upon their request through the CO.

1.5.3.7. Government Data. The HCP/Contractor shall manage all data created for Government use or legally controlled by the Government, in support of the functional activity or required by AF publications, IAW with the AF Records Management Program procedures in AFI 33-322, Records Management Program, paragraph 10; AFMAN 33-363, Management of Records, paragraph 6.4.; AFI 33-364, Records

Disposition - Procedures and Responsibilities, paragraph 2.10 and the Air Force Records Disposition Schedule (AF RDS) located at: www.af.mil/shared/media/document/AFD-080429-051.pdf

1.5.3.8. Abide by federal 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 & Accountability Act of 1996 (HIPAA). All medical records and reports will remain the property of the Government. All financial, statistical, personnel, and/or technical data which is furnished, produced or otherwise available to the Contractor/HCP during the performance of this contract are considered confidential business information and shall not be used for purposes other than performance of work under this contract. The Contractor/HCP shall not release any of the above information without prior written consent of the CO.

1.5.4. The HCP shall furnish the MTF Credentialing Office with copies of valid, current, active, unrestricted medical licenses, registrations, education training certificates, and/or certifications in accordance with AFI 44-119, Medical Quality Operations. In addition, copies of board certifications are required, if applicable. The HCP shall continuously maintain at least one active licensure or authorizing document from any U.S. jurisdiction throughout the life of this contract. The HCP shall be responsible for primary source verifications of all licenses and documents.

1.6. General Information.

1.6.1. Contractor Representative. The contractor shall identify the name and telephone number of the contractor’s point of contact to the Contracting Officer (CO) in writing prior to beginning performance.

The contractor shall identify in the designation letter any limitations on its representative's authority to act on behalf of the contractor. The contractor shall provide an updated designation letter whenever any changes occur. The contractor representative may be required to meet with the Government during the performance of this contract at the request of the CO.

1.6.1.1. The Contractor Representative shall respond to a request to meet with the CO within twenty-four

(24) hours of notification under routine circumstances.

1.6.2. Hours of Performance.

1.6.2.1. Contract performance requirements are governed by the contract. The Contractor shall provide qualified and trained personnel to cover the required hours of performance. Normal hours of operation are 7:30 AM to 4:30 PM Monday through Friday, to include a one (1) hour unpaid lunch, not to exceed 40 hours per week. Non-clinical personnel (all except the Clinical LVNs and Nurse Practitioner) have the option to shift to 6:00 AM to 3:00PM or 6:30 AM to 3:30PM with one (1) hour unpaid lunch not to exceed 40 hours per week as government oversight available and approval by FRED. Any deviation to these days and times will be only as authorized by the Contracting Officer Representative.

1.6.2.2. The HCP is advised that special activities including but not limited to commander’s calls, sports days, employee quality of life meetings, late reporting, staggered reporting times, early release, physical fitness time, office picnics, and holiday parties are for Government personnel only and do not apply to the HCP unless expressly stated otherwise in the contract. If any special activity occurs, the HCP will continue to perform contract requirements unless expressly excused by the contracting officer. In the event that the contracting officer excuses performance, the contractor understands that its employees’ participation in such event will not be at government expense.

1.6.2.3 During a planned closure of the facility (e.g. training and holidays) or unplanned closure (e.g., natural disasters, military emergencies, severe weather, executive orders), the HCP will not be compensated for the unplanned closure.

1.6.2.4. Absences. The HCP shall ensure that scheduled absences do not interrupt service performance.

Scheduled absences shall be scheduled at least thirty (30) calendar days in advance and mutually agreed upon by the Contracting Officer Representative (COR). Unscheduled absences shall be reported to the COR by the contractor no later than two (2) hours prior to the start of the shift.

1.6.2.5. Federal Holidays: The MTF will observe the ten federal holidays listed below.

Holiday Projected Date

New Year's Day January 1 Martin Luther King Jr's Birthday

3rd Monday in January

President’s Day 3rd Monday in February Memorial Day Last Monday in May Independence Day July 4 Labor Day 1st Monday in September Columbus Day 2nd Monday in October Veterans' Day November 11 Thanksgiving Day 4th Thursday in November Christmas Day December 25

Should the official holiday fall on Saturday then the observed holiday is the previous Friday.

Should the official holiday fall on Sunday then the observed holiday is the following Monday.

1.6.2.5. HCP performing under this contract shall abide by the provisions of MDWI 41-101 Medical Expense and Performance Reporting System (MEPRS), (Paragraph 2.1.3.). The contractor shall provide documentation or records of units worked through Wide Area Work Flow (WAWF) under inspector extension code: F2MTW4

1.6.2.6. Services performed under this contract have been determined not to be essential for performance during crisis declared by the National Command Authority.

1.6.3. Compliance.

1.6.3.1. MTF Orientation. The HCP shall attend the MTF Orientation at the outset of their working at MTF. The MTF Orientation will familiarize the HCPs with the policies and procedures of the MTF and will be scheduled by the COR within two (2) months of employment. Orientation attendance shall be required of the HCP during Government paid working hours.

1.6.3.2. In/Out processing. All personnel performing service under this contract shall be required to in-process through the 59 MDW Medical Logistics Contract Personnel Office upon reporting for duty. At this time, the HCP shall initiate the process to receive a Common Access Card (CAC), Base Identification Passes, Restricted Area Badges, and keys. Upon termination or expiration of the contract, contract personnel shall be required to out-process through the same office and turn in the CAC, Base Identification Passes, Restricted Area Badges, and keys.

1.6.4. Conduct Requirements.

1.6.4.1. The Government will restrict the performance on this contract by any individual who is identified as a potential threat to the health, safety, security, general well-being, or operational mission of the MTF and its population.

1.6.4.2. The HCP shall not advise, recommend, or suggest to persons eligible to receive medical care at Government expense that such person should receive care at an outside agency or provider at any place other than as designated under this contract.

1.6.4.3. The HCP shall not use Government facilities or other Government property for personal use or other business not related to this contract.

1.6.4.4. HCP shall not respond to any media inquiries nor provide interviews, comments, or any other responses to the media regarding any subject related to this contract. All inquiries or complaints from the media or other sources shall be immediately relayed to the COR.

1.6.4.5. The HCP shall ensure that its employees conduct themselves in a professional manner while on the installation and refrain from disruptive, offensive, or otherwise improper behavior that undermines order and discipline. The CO may direct the contractor to remove from performance of this contract on this installation any contractor employee engaging in such misconduct.

1.6.4.6. Abide by federal 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 & Accountability Act of 1996. All medical records and reports will remain the property of the Government.

All financial, statistical, personnel, and/or technical data which is furnished, produced or otherwise available to the HCP during the performance of this contract are considered confidential business information and shall not be used for purposes other than performance of work under this contract. The HCP shall not release any of the above information without prior written consent of the contracting officer.

1.6.4.7. Smoking in AF Facilities. HCP are advised that the Air Force has placed restrictions on the smoking of tobacco products in AF facilities. AFI 40-102, Tobacco Free Living in the Air Force, outlines the procedures used by the commander to control smoking in our facilities. HCP and visitors are subject to the same restrictions as government personnel. Smoking is permitted only in designated smoking areas.

1.6.4.8. Joint Base San Antonio (JBSA) Traffic Code. All applicable Traffic Codes will be enforced and apply to all personnel operating vehicles on a JBSA installation. The governing instruction for all Traffic Codes is AFI 31-218(I) and AFMAN 31-116. For a complete listing of all JBSA Traffic Codes and all other applicable traffic policies and procedures, please contact the Contracting Office.

1.6.4.9. Cell Phone Usage. HCP are advised that DoD Instruction (DoDI) 6055.04 prohibits cellular telephone usage when approaching, entering or exiting any installation gate. Cell phone usage by drivers on installations is prohibited in moving vehicles unless used with a hands-free device. The installation Security Forces Squadron (SFS) is strictly enforcing this regulation. Those found in violation of this regulation are subject to be ticketed.

1.6.4.10. Base Fire Prevention Program. The HCP will be required to comply with the applicable Fire Prevention Program, for JBSA Lackland the applicable directive is AFI 91-203.

1.6.4.11. The HCP will conduct themselves in a professional manner while on the installation and refrain from disruptive, offensive, or otherwise improper behavior that undermines order and discipline.