Attachment 1 - Infection Preventionist PWS_Final.pdf

RFQ No. FA520520QMG01 Attachment 1

Performance-based Work Statement (PWS)

For

Infection Preventionist

For 35th Medical Group, Misawa AB, Japan.

Non-Personal Service

35TH CONTRACTING SQUADRON

MISAWA AIR BASE, JAPAN

Date: Apr 20

TABLE OF CONTENTS

Section: Description

1. DESCRIPTION OF SERVICES/GENERAL INFORMATION

2. SCOPE OF WORK

3. SPECIFIC DUTIES

4. REQUIRED QUALIFICATIONS

5. SUPERVISION RECEIVED

6. HOURS OF OPERATION

7. WORK SCHEDULE

8. INSTALLATION SECURITY NOTICE TO EMPLOYEES

9. SPECIAL SECURITY REQUIREMENTS

10. PERFORMANCE EVALUATION MEETINGS

11. SPECIAL REQUIREMENTS

12. HEALTH REQUIREMENTS

13. PROFESSIONAL LIABILITY RESPONSIBILITY/MEDICAL MALPRACTICE

14. CONTRACTOR EMPLOYEE

15. TRAINING

16. SERVICES SUMMARY

17. GOVERNMENT FURNISHED PROPERTY AND SERVICES

18. APPLICABLE PUBLICATIONS AND FORMS

19. DEPARTMENT OF DEFENSE (DOD) REGULATIONS/MANUALS

INSTRUCTIONS/DIRECTIVES

20. AIR FORCE INSTRUCTIONS

21. OTHER REFERENCES

1. DESCRIPTION OF SERVICES/GENERAL INFORMATION. This is non-personal service contract. The Government requires one (1) Full Time Equivalent Registered Nurse for this contract within the 35th Medical Group (MDG), Misawa Air Base, Japan. Contractor shall furnish all supervision and labor necessary to provide services in accordance with the requirements contained in this Performance-based Work Statement (PWS) and the professional standards, policies and guidelines of the 35 MDG, The Joint Commission (TJC), and all Air Force Instructions (AFIs) and regulations.

2. SCOPE OF WORK. This is an advisory and assistance (A&AS), performance based, non-personal services requirement. The contractor shall provide Infection Preventionist (IP) services in support of the Military Treatment Facility (MTF) at Misawa Air Base, Japan to administer and guide all elements of the MTF’s Infection Prevention and Control Program (IPCP) to include all buildings and geographically separated units (GSU) associated with the MTF. In accordance with (IAW) Air Force Instruction (AFI) 44-108, Infection Prevention and Control Program and in consultation with the AF Surgeon General (SG) IP Consultant and Headquarters (HQ) IP (Air Force Medical Operations Agency (AFMOA)), the contractor shall provide professional IP and technical authority to oversee the MTF’s IPCP. The contractor shall advise senior leadership about program status and any Infection Prevention and Control (IPC) concerns. The IPCP focuses on preventing and controlling infections in patients, staff, visitors and the MTF environment. The IPCP involves all MTF personnel, assigned Air Guard and Reserve personnel, personnel assigned in training and residency programs, vendors, visitors and volunteers.

2.1. Travel Requirements. The contractor shall be required to travel in the local MTF area utilizing their privately owned vehicle to inspect the offsite laundry/linen facility on an annual basis. The contractor may be accompanied by military enlisted, officer, or civilian assistant personnel. The contractor may also be required to visit and inspect geographically separated units (GSUs) and outlying buildings associated with the MTF a minimum of twice per year to include following locations: Building 96 (Education & Training/Mental Health, Building 1760 (Warehouse), Building 1370 (Veterinary Clinic).

2.2. Mission/Emergency Essential. In the event of a biohazard or hazmat event (Ebola virus, emerging infectious disease or potential outbreak, i.e., Influenza epidemic/pandemic) the contractor IP would be designated mission/emergency essential. The Contractor shall furnish a listing of all Contractor personnel fulfilling mission/emergency essential tasks to the Contracting Officer (CO) and Contracting Officer’s Representative (COR). Contractor personnel performing mission/emergency essential tasks will be considered mission/emergency essential personnel.

Should the Government plan to assume or supplement the Contractor–supplied essential services during crisis situations, the Government will make the Contractor aware of such replacement and transitioning plans.

2.2.1. The Contractor shall develop contingency plans for those tasks that have been identified as mission essential to provide reasonable assurance of continuation during crisis conditions.

2.2.2. The Government will establish administrative controls to ensure that all information on mission essential Contractor employees is handled as sensitive data and released only to authorized personnel.

3. SPECIFIC DUTIES.

3.1. Infection Preventionist Services. The contractor shall provide on-site labor and management resources not otherwise furnished by the Government to perform the following advisory and assistance services associated with the scope and desired capabilities described in the tasks described below.

3.1.1. Implement the MTF IPCP IAW AFI 44-108, Infection Prevention and Control Program.

3.1.2. Perform an annual self-inspection to determine if there is sufficient evidence of MTF’s compliance or noncompliance with regulatory standards below. Provides assessment of IPC program to the Infection Prevention and Control Function (IPCF) Chair and shares with IPCF at quarterly meetings. Standards and guidelines used to determine compliance include, but are not limited to:

3.1.2.1. AFI 44-108, Infection Prevention and Control Program. The applicable IPC references are:

3.1.2.1.1. American Society for Gastrointestinal Endoscopy. Multisociety guideline on reprocessing flexible GI endoscopes: 2016 update. (Unless superseded by more recent guidance) Available at: https://www.sgna.org/Portals/0/MS_guideline_reprocessing_GI_endoscopes.pdf.

3.1.2.1.2. Association for Professionals in Infection Control and Epidemiology (APIC).

APIC Text Online: Text of Infection Control (IC) and Epidemiology. Available at:

https://apic.org/ (Note: call AFMOA/SGHQ Infection Preventionist for access code).

3.1.2.1.3. Association for the Advancement of Medical Instrumentation (AAMI).

Sterilization, Part 1: Sterilization in Health Care Facilities, 2015 Edition, Arlington, VA.

(Unless superseded by more recent guidance) Available at:

http://esubscription.aami.org/Login.aspx (Note: call AFMOA/SGHQ Infection Preventionist for access code).

3.1.2.1.4. Association of periOperative Registered Nurses (AORN), Inc. Guidelines for Perioperative Practice. 2018 Edition. Denver, CO. (Unless superseded by more recent guidance) Available on the Air Force Medical Service (AFMS) Virtual Library, Stat! Ref at:

https://kx2.afms.mil/kj/kx8/VirtualLibrary/Pages/home.aspx.

3.1.2.1.5. Centers for Disease Control and Prevention (CDC). Note: the following guidelines are available at this link: https://www.cdc.gov/infectioncontrol/guidelines/index.html.

3.1.2.1.6. 2007 Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcare Settings. (Unless superseded by more recent guidance).

3.1.2.1.7. Guidance for Evaluating Health-Care Personnel for Hepatitis B Virus Protection and for Administering Post-exposure Management, 2013 (Unless superseded by more recent guidance).

3.1.2.1.8. Guideline for Disinfection and Sterilization in Healthcare Facilities, 2008.

(Unless superseded by more recent guidance).

3.1.2.1.9. Guideline for Hand Hygiene in Healthcare Settings, 2002. (Unless superseded by more recent guidance).

3.1.2.1.10. Guideline for Prevention of Catheter-Associated Urinary Tract Infections, 2009.

(Unless superseded by more recent guidance).

3.1.2.1.11. Guideline for Prevention of Surgical Site Infection, 2017. (Unless superseded by more recent guidance).

3.1.2.1.12. Guideline for the Prevention and Control of Norovirus Gastroenteritis Outbreaks in Healthcare Settings, 2011. (Unless superseded by more recent guidance).

3.1.2.1.13. Guideline for Infection Control in Health Care Personnel, 1998. (Unless superseded by more recent guidance).

3.1.2.1.14. Guidelines for Environmental Infection Control in Health-Care Facilities, 2003.

(Unless superseded by more recent guidance).

3.1.2.1.15. Guideline for Hand Hygiene in Healthcare Settings, 2002. (Unless superseded by more recent guidance).

3.1.2.1.16. Guidelines for Infection Control in Dental Health-Care Settings, 2003. (Unless superseded by more recent guidance).

3.1.2.1.17. Guidelines for Preventing Health-Care-Associated Pneumonia, 2003. (Unless superseded by more recent guidance).

3.1.2.1.18. Guidelines for the Prevention of Intravascular Catheter-Related Infections, 2011.

(Unless superseded by more recent guidance).

3.1.2.1.19. Guidelines for Preventing the Transmission of Mycobacterium tuberculosis in Health-Care Settings, 2005. (Unless superseded by more recent guidance).

3.1.2.1.20. Immunization of Health-Care Personnel, Recommendations of the Advisory Committee on Immunization Practices (ACIP), 2011. (Unless superseded by more recent guidance).

3.1.2.1.21. Management of Multidrug-Resistant Organisms in Healthcare Settings, 2006.

(Unless superseded by more recent guidance).

3.1.2.1.22. Summary of Infection Prevention Practices in Dental Settings, 2016. (Unless superseded by more recent guidance).

3.1.2.1.23. International Association of Healthcare Central Services Material Management (IAHCSMM): Central Service Technical Manual, 8th Edition, 2016. Available at:

http://www.iahcsmm.org/.

3.1.2.1.24. Society of Healthcare Epidemiology of America/Infectious Disease Society of America. Compendium of Strategies to Prevent Healthcare-Associated Infections in Acute Care Hospitals: 2014 Updates. Available at: https://www.shea-online.org/index.php/practice-resources/priority-topics/compendium-of-strategies-to-prevent-hais.

3.1.2.1.25. The Joint Commission. Comprehensive Accreditation Manual for Hospitals (use latest edition). https://www.jcrinc.com/store/publications/.

3.1.2.1.26. Unified Facilities Criteria (UFC) 4-510-01, Design: Military Medicals Facilities. 1 May 2016, Change 2, November 2017. Available at:

https://www.wbdg.org/FFC/DOD/UFC/ufc_4_510_01_2016_c2.pdf.

3.1.2.1.27. United States Air Force Dental Service. USAF Guidelines for Infection Prevention and Control in Dentistry. Available at:

https://kx2.afms.mil/kj/kx2/DECS/Documents/Infection%20Prevention%20and%20Control/Res ources/USAF%20Guidelines%20for%20Infection%20Prevention_Control%20in%20Dentistry% 202017.pdf.

3.1.2.1.28. United States Department of Labor, Occupational Safety and Health Administration, Title 29 Code of Federal Regulations, Standard 1910.1030, Bloodborne Pathogens. Available at:

https://www.ecfr.gov/cgi-bin/retrieveECFR?gp=&SID=59079c1fe9b3d1c4c8059166c3ae6d5d&mc=true&r=PART&n=pt2 9.6.1910#se29.6.1910_11030.

3.1.2.1.29. United States Department of Labor, Occupational Safety and Health Administration, Code of Federal Regulations, Title 29, Standard 1910.134, Respiratory Protection. Available at:

https://www.ecfr.gov/cgi-bin/retrieveECFR?gp=&SID=59079c1fe9b3d1c4c8059166c3ae6d5d&mc=true&r=PART&n=pt2 9.5.1910#se29.5.1910_1134.

3.1.2.1.30. United States Environmental Protection Agency (EPA). Selected EPA-registered Disinfectants. Available at: https://www.epa.gov/pesticide-registration/selected-epa-registered-disinfectants.

3.1.2.1.31. United States Food and Drug Administration. Topical Antiseptic Products: Hand Sanitizers and Antibacterial Soaps. Available at:

https://www.fda.gov/Drugs/DrugSafety/InformationbyDrugClass/ucm444681.htm.

3.1.2.1.32. United States Pharmacopeia. References available at:

http://www.usp.org/reference-standards/reference-standards-catalog.

3.1.2.1.33. United States Public Health Service, Updated U.S. Public Health Service Guidelines for the Management of Occupational Exposures to HIV and Recommendations for Postexposure Prophylaxis, 2013. Available at: https://stacks.cdc.gov/view/cdc/20711.

3.1.2.1.34. World Health Organization. Hand Hygiene in Health Care: a Summary. Available at: http://www.who.int/en/.

3.1.2.2. AFI 90-201, The Air Force Inspection System.

3.1.2.3. AFI 44-119, Medical Quality Operations.

3.1.2.4. Most current TJC standards appropriate for facility type (e.g., hospital environments, outpatient clinics).

3.1.2.5. The Air Force Inspection Agency (AFIA) Unit Effectiveness Inspection (UEI) evaluation criteria (e.g., Management Internal Control Toolset (MICT), and Accreditation Manager Plus (AMP).

3.1.3. Guides the MTF on IPC-related accreditation preparation activities and regulatory readiness. Formulates corrective actions IAW current standards and guidelines.

3.1.4. Develops the annual Infection Control Risk Assessment (ICRA); prioritizes according to the level of probability and potential for harm. Coordinates ICRA development with other team members, including the IPCF Chair, IPCF members, Public Health (PH) and others as needed.

3.1.5. Develops and coordinates the annual Infection Prevention and Control Program Plan (IPCPP) based upon the approved ICRA prioritized list. Updates the IPCPP as needed throughout the year.

3.1.6. Develops and coordinates the IPCP Annual Summary that describes all activities in the IPCPP. The summary shall include a general discussion, actions taken and resolution.

Unresolved items must be carried over to the next IPCP Annual Summary. All program documents shall be accomplished in a timely manner; clear suspenses for the completion of each document IPCPP—shall be signed by the Commander or designee and shall be in place 30 days following the close out of the reporting year.

3.1.7. Plans and develops the IPCF agenda with the IPCF Chair based on activities outlined in the IPCPP; standard agenda items are included at least quarterly. Completes and files meeting minutes per MTF policy.

3.1.8. Contractor employees shall maintain active memberships in the following groups: Safety or Environment of Care Committee, Product Evaluation Committee, Patient Safety Committee, Space Utilization Committee, Medical Readiness Staff Function, Nursing Executive Function, and Executive Committee of the Medical Staff (ECOMS).

3.1.9. Performs IPC-related surveillance as defined by the annual ICRA and IPCPP as approved by MTF senior leadership (e.g. ECOMS). Assists in reviewing and revising IPC relevant MTF Operating Instructions (OIs) as required. Shares surveillance activities and findings with the IPC Chair, IPC Function and other related stakeholders, as applicable.

3.1.10. Verifies current standards are implemented throughout the MTF (e.g., reprocessing of reusable medical devices (RMD), high level disinfection (HLD), instrument processing, environmental hygiene, hand hygiene, transmission-based precautions, etc.).

3.1.11. Participates in quality/performance improvement (PI) and patient safety (PS) activities related to IPC.

3.1.12. Advises and collaborates on IPC-related issues with many various staff/groups that include, but are not limited to, IPCF, ECOMS, TJC Environment of Care program (EOC) Committee, Nurse Executive Council (NEC), and Performance Improvement Council.

3.1.13. Liaises with installation Air Reserve Component (ARC) Medical Units on IPCP management and serves as a conduit to elevate IPC-related issues to MTF leadership. Assists ARC IPC monitor in development of a Memorandum of Understanding or Memorandum of Agreement (MOU/MOA), or Host Tenant Agreement.

3.1.14. Consults with other MTF IPs, SG IP Consultant and HQ IP on a regular basis regarding data, trends, and activities.

3.1.15. Collaborates with AFMS and local area peers to advance awareness of current IPC news and trends.

3.1.16. Participates in AF and Defense Health Agency (DHA) IPC forums, teleconferences, and meetings.

3.1.17. Applies epidemiologic principles and statistical methods to break the chain of infection and improve IPC efforts.

3.1.18. Utilizes databases, graphs, and reports to track, trend, and monitor infectious processes and facilitate evidence-based practices.

3.1.19. Uses Government-provided Information Technology (IT) systems; e.g., Electronic Healthcare Record (EHR), Composite Healthcare Systems (CHCS), etc., to identify infection occurrences, reservoirs, incubation periods, periods of communicability, modes of transmission, signs and symptoms, and susceptibility associated with the disease process.

3.1.20. Interprets diagnostic and laboratory reports and advises clinicians on limitations and advantages of types of tests used to diagnose infectious processes.

3.1.21. Identifies epidemiologically significant organisms for immediate review and investigation and collaborates with multidisciplinary teams, county/state public health departments, and when necessary, in consultation with the AF/SG IP Consultant, AFMOA IP and the CDC.

3.1.22. Identifies indications for environmental and microbiological monitoring.

3.1.23. Collects and compiles surveillance data from patient care areas and applies current nationally recognized definitions and methodologies to interpret and explain Healthcare Acquired Infection (HAI) data (e.g., Surgical Site Infections (SSIs), Standardized Infection Ratio (SIR), etc.).

3.1.24. Collaborates with multidisciplinary teams on risk reduction and error prevention strategies to reduce HAIs.

3.1.25. Interprets and translates data from antibiograms and antibiotic utilization.

3.1.26. Educates staff on Multi-Drug Resistant Organisms (MDROs) and on optimal and prudent use of antimicrobials. Coordinates interprofessional effort to improve antimicrobial stewardship through education, surveillance, and evidence-based practices.

3.1.27. Consults on facility renovations, construction and repair projects, facility modifications, and facility relocations impacting patient care areas.

3.1.27.1. Develops a focused ICRA to preplan IPC efforts requiring coordination before any new construction or renovation begins.

3.1.27.2. Conducts a walk-through of renovated areas prior to any unit occupying a new space or changes the existing functional use prior to the start of any construction project.

3.1.28. Coordinates and consults on service contracts and plans that have IPC implications, to include the Hospital Aseptic Management System (HAMS) or equivalent housekeeping contract, linen/laundry contract, and waste management contract.

3.1.29. Consults with Aerospace Medicine on development of exposure control plans.

3.1.30. Collaborates with PS and Risk Management (RM) on tracking and trending of IPC near misses, events and/or issues relating to PS and the TJC National Patient Safety Goals (NPSGs) pertaining to IPC.

3.1.30.1. Engages in proactive and reactive analyses in regards to IPC related events; e.g., Root Cause Analysis (RCA), Failure Mode and Effect Analysis (FMEA), or other PS initiatives.

3.1.30.2. Advises leadership and staff on identifying relevant improvement opportunities and utilizes Performance Improvement (PI) tools; e.g., Plan, Do, Study, Act (PDSA), Lean Six Sigma, to improve performance and outcomes.

3.1.31. Develops and implements MTF-wide IPC education and training. Facilitates training for professional and ancillary support staff on IPC topics.

3.1.31.1. Assesses needs, develops goals and measurable objectives, and prepares lesson plans, power point slides, handouts and other materials for IPC educational in-services and briefings as needed.

3.1.31.2. Prepares and provides briefings including, but not limited to, Newcomers’ Orientation, annual training, executive staff meetings, in-services, unit-based training and other programs as requested.

3.1.31.3. Utilizes principles of adult learning to educational strategies and delivery of in-services and briefings. Prepares, presents, and coordinates educational workshops, lectures, discussion, simulation or one-on-one instruction on a variety of IPC topics.

3.1.31.4. Evaluates the effectiveness of education and learner outcomes.

3.1.31.5. Instructs patients, families, and visitors about methods to prevent and control infections.

3.1.32. Maintains knowledge of IPC issues occurring world-wide as provided through valid communication sources (e.g. DHA, CDC, World Health Organization (WHO), APIC).

3.1.33. Advocates, influences, motivates, and persuades leadership and staff to consistently incorporate IPC guidelines and standards throughout the MTF.

3.1.34. Maintains IPC-related files IAW Air Force Manual (AFMAN) 33-363, Management of Records.

3.1.35. Utilizes the APIC Text of Infection Control and Epidemiology on-line (http://text.apic.org/) and other IPC references located on the AFMS Virtual Library (i.e.

https://kx2.afms.mil/kj/kx8/VirtualLibrary/Pages/home.aspx). APIC Text online access is granted by contacting the HQ IP (AFMOA).

4. REQUIRED QUALIFICATIONS: All the requirements in this paragraph will be reviewed and approved by 35 MDG personnel during the solicitation and/or replacement process.

4.1. Experience. Minimum of one (1) year of current experience in infection prevention and control or equivalent relevant clinical experience within the last five year. The following background are considered as “equivalent relevant clinical experience.”:

- Nursing

- Medicine

- Sterile processing

- Public Health

- Laboratory

- Biology

4.2. Education. Minimum of a Bachelor’s degree in Nursing, Public Health, Epidemiology or Microbiology from a nationally recognized accredited college program.

4.3. Licensure. Must possess a current, valid and unrestricted registered nursing license as applicable, in one of the 50 states and/or the District of Columbia, the Commonwealth of Puerto Rico, or territories of the United States. All licenses must meet all state requirements, be unencumbered and remain in effect during contract employment. The contractor must be in good standing, and under no restrictions, with the state or national licensure board in any state in which a license is held or has been held within the last 10 years.

4.4. Additional Requirement for applicants who are not a U.S. national. Non-US citizen applicants and their non-US citizen employees are required to have a valid Japanese working VISA prior to the first day of this contract. The applicant is responsible for obtaining any required Japanese working VISAs.

5. SUPERVISION RECEIVED:

5.1. Direct: The contractor is responsible to supervise its own employee(s). None of MDG personnel supervise the contractor.

6. HOURS OF OPERATION. The contractor’s normal duty days and hours are Monday- Friday, 0730-1630 hours, with an hour for lunch. The duty hours may be changed if there is instruction from the Base or Medical Group commander. This does not mean the contractor has an option to request to change their hours, but only allows hours to be changed in times of need by the government. This only goes into effect when the contractor is notified by the government.

The following is a list of legal Federal holidays and services are not provided:

- New Year's Day 1st of January

- Martin Luther King's Birthday 3rd Monday of January

- President's Day 3rd Monday of February

- Memorial Day Last Monday of May

- Independence Day 4th of July

- Labor Day 1st Monday of September

- Columbus Day 2nd Monday of October

- Veteran's Day 11th of November

- Thanksgiving Day 4th Thursday of November

- Christmas Day 25th of December

NOTE: Any of the above holidays falling on a Saturday will be observed on the preceding Friday; holidays falling on a Sunday will be observed on the following Monday. The Government may add additional family days in conjunction with these holidays which may result in MTF closures.

7. WORK SCHEDULE. The contractor may be required to perform at least 8 hours per day during normal clinic business hours. If the contractor cannot perform IAW the schedule approved by Functional Requirements Evaluator Designees (FREDs), the contractor shall promptly report to the CO for resolution. No shows or sudden disappearances may be cause for termination. The MTF will coordinate the appointment templates with the contractor. The contractor may be required to work more than 8 hours in a single day or 40 hours in a week, as determined by the FREDs or designee based on the needs of the MTF. If additional hours are worked, the Government will reduce future scheduled hours to maintain a 40 hour work week average. All hours worked will be recorded accurately on the work schedules. Under no circumstances are the work schedules to reflect hours worked when the contractor was absent or vice versa. This service contract is not classified as “mission-essential” during a crisis as declared by the National Command Authority or Overseas Combatant Commander. In the event of such a crisis, the CO will direct the contractor to discontinue the service due to base closure.

7.1. Non-Duty Days. The contractor employee will not be required to perform on MTF closure days. The contractor does not to have an option to work those days once it is determined as MTF closure day by MDG commander.

7.1.1. PACAF Family day. PACAF family days are not considered off days in 35 MDG. MTF will determine and notify us of any upcoming PACAF family days and whether they will be considered off days or open days. COR will notify to the contractor and their employee only if upcoming PACAF family days will be considered MTF closure.

7.2. Closures. If the commander determines the base is closed due to snow, hurricane, or acts of God, the contractor shall annotate their time sheet as such. In such cases where the Wing Commander determines the base closed to all “non-essential personnel”, the contracted employees under this contract will be released from work. These incidents will not change the invoicing amount, as these cases are outside of the contractor’s control.

7.2.1. Performance of Services During Crisis Declared by the National Command Authority or Overseas Combatant Commander. This service contract is not classified as “mission-essential” during a crisis as declared by the National Command Authority or Overseas Combatant Commander. In the event of such a crisis, the CO or the COR will direct the contractor employee to discontinue the service due to base closure. Until such a notification, the contractor employee are required to continue the performance.

7.3. Scheduled and Unscheduled Absences. The contractor shall advise the CO, COR, and FRED or designee about absences due to illness or incapacitation. If the contractor is absent for more than 5 consecutive days due to illness, the Contractor shall provide the Government with a statement that the employee is free from communicable illness before or as the employee returns to work. The government has no interest in tracking the status of individual employees by name when they are absent, only to ensure that they will not pass illnesses onto others. The Government reserves the right to examine and/or re-examine any worker who meets this criterion. In cases of absences in excess of 10 days due to the illness, the contractor shall provide temporary replacement staff. The contractor shall only provide personnel with equal or greater qualifications and replacement staff must submit their package and get approved in writing by the 35 MDG evaluator prior to the start of work.

7.3.1. LEAVE. The contractor personnel are allowed to take up to 20 work days of leave annually. Leave is classified as both annual, vacation or sick leave. All leave after taking 20 work days is considered non-paid days and shall be deducted from the contractor’s monthly invoice. Leave shall not exceed 10 consecutive work days excluding weekends. In cases of absences in excess of 10 days, the contractor shall provide temporary replacement staff. The contractor shall only provide personnel with equal or greater qualifications and replacement staff must submit their package and get approved in writing by the 35 MDG evaluator prior to the start of work. In order to ensure that customer’s access to care is not limited due to manning, timing of leave shall be coordinated with Flight leaders, FRED and/or COR as much as possible at least 15 days in advance. The contractor personnel must notify the working section if they are unable to report to work at least 2 hours prior to beginning of each duty day.

7.4. Replacement of contractor employee. Unless in an emergency, the contractor is required to give at least a 30-day official notice of the intention to vacate the job to contractor management staff, CO, Contracting Administrator (CA), COR, and supervisor to ensure all team members are aware. The contractor management staff shall replace permanent contractor personnel at the earliest possible date, ensuring vacancies do not exceed 30 calendar days. The calendar days begin on the departing contract employee’s last duty day at the requesting location.

The contractor management staff shall ensure that all temporary or permanent replacement staff are fully qualified, meet all pre-placement requirements and are ready to perform within the required timeframe. The Government reserves the right to follow termination procedures as outlined in FAR 12.403 after the thirty 30 calendar days vacancy period unless the CO determines the termination is not in the best interest of the Government.

7.4.1. Additional Requirement for applicants who are not a U.S. national. If non-US citizen employees will be working as a replacement, they are required to have a valid Japanese working VISA prior to their first day of work.

7.5. Non-paid days. The government will not be required to pay for scheduled/unscheduled absences or days where the contractor does not perform services once the 20 annual days of leave are taken for the year. The contractor will still be paid during MTF closure days.

Invoicing will the full contract rate until the 20 allowed leave days is exceeded (i.e. waiting for replacement contractor personnel to arrive, etc.). The contractor is only allowed to utilize leave days when the position is filled by an employee and the employee is using the day as annual, vacation, or sick leave. Utilizing any of the allowed 20 days of leave per year to minimize gaps in service or help the contractor obtain a higher invoice value in not allowed.

The Rate for Non-paid days will be calculated as follows:

Monthly amount times 12 months divided by 2080 hours = Hourly Rate

This calculation will be utilized only for invoicing purposes if there is Non-paid days during the month.

8. INSTALLATION SECURITY NOTICE TO EMPLOYEES. The government reserves the right to restrict the contractor who is identified as a potential threat to the health, safety, security, general well-being, or operational mission of the installation and its population. The contractor shall know that they may be subject to search, at the discretion of the installation commander, when entering or leaving the installation.

9. SPECIAL SECURITY REQUIREMENTS. The contractor shall comply with all Misawa AB security requirements. The government will provide escorts for the contractor, as required.

Failure to comply with the security requirements is cause for termination.

9.1. Criminal Background Check. Background checks are required on all healthcare workers involved in the delivery of healthcare to children under the age of 18 on a frequent and regular basis as stated in DODI 1402.5, Criminal History Background Checks on Individuals in Child Care Services, Enclosure 5. Contractor personnel receiving an unfavorable criminal background check shall not be allowed to perform under this contract. The contractor is responsible for completing and submitting the government-provided AF 2583 (REQUEST FOR PERSONNEL SECURITY ACTION) as part of the credentialing package prior to providing service at the MTF. Contractor may need to visit MTF to fill in the form in case they are not able to open attachment outside of government computer. Contractor shall comply with all security and background check requirements as outlined in DODI 1402.5 and other applicable regulations and guidelines.

9.2. National Agency Check (NAC). The government shall perform security investigations on contractor employees IAW DoD 5200.02, Personnel Security Program, and AFI 33-129, Web Management and Internet Use. The contractor shall submit a request for a NAC to the Unit Security Manager within 5 working days after the first duty day. Contractor employee receiving unfavorable NAC status shall not be allowed to perform under this contract.

9.3. Base Access. Prior to start of work, the contractor shall submit a 5 AF Form 99, “Applications for Base Passes” to the 35th Contracting Squadron, Bldg. 656, for all employees requiring base access to perform the work. The contractor shall submit a 35 FW Form 54, “Application for Vehicle” and copies of the vehicle inspection certificate, for all the vehicles requiring base access under this contract. The contractor shall turn in all base passes to the Visitor Control Section, 35 SFS/SFAP, Bldg. 301, and obtain a return receipt after a pass is no longer needed or the contract expires, whichever comes first. Final payment may be withheld until the required clearances have been accomplished.

9.4. Base Computer Network Access. Contractor employee are required to have access to the government local area network (LAN). Contractor shall obtain Common Access Card (CAC) for contractor employee.

9.4.1. Obtain CAC procedure. CACs are not authorized until the Background check is initiated. Contractor personnel receiving a status other than favorable status on their background check will have their CAC privileges removed. Before completion of their background submission, contractor will submit a Letter of Authorization (LOA) generated by Synchronized Pre-deployment and Operational Tracker – Enterprise Suite (SPOT-ES) for MTF COR in Medical Logistics. Contractor should not schedule CAC appointment through Military PF (MPF) until Trusted Agent (TA) will submit and approve them in Trusted Agent Sponsor System (TASS). Their process to obtain CAC shall take roughly 2 through three 3 weeks, therefore contractor has responsible to contact to MTF COR within three 3 business days after award notice was sent by Contracting Office.

9.5. Physical Security. Contractor employee shall be responsible for safeguarding any and all medical information provided for contractor use. At the close of each work period, information shall be secured.

9.6. Credentialing and Privileging. The contractor shall comply with all applicable DOD, AFMS and 35 MDG credentialing and privileging requirements and be appropriately credentialed and privileged by the 35 MDG Credentials Committee prior to beginning patient care at the MTF and no later than 15 days prior to contract start date. AFI 44-119, Medical Quality Operations, governs this credentialing process.

9.7. Reporting. During performance, report any information or circumstances observed that may pose a threat to the security of DoD personnel, contractor employee, resources, and defense information to the Security Forces. The government supervisor will brief the contractor upon initial on-base assignment of requirements. The contractor shall comply with the requirements of Volume 1, AFI 71-101, Criminal Investigations Program, and paragraph 1.1 of Volume 2, Protective Security Matters.

9.8. Random Antiterrorism Measures (RAMs). RAMS are conducted on Misawa Air Base at varying times during a 24-hour period and may consist of measures such as spot checks of identification credentials, random vehicle searches, and site security sweeps. The contractor is subject to participating and cooperating with RAMS as directed by competent authority.

Anticipate increased RAMS during implementation of elevated Force Protection Conditions (FPCONs).

9.9. Reporting Suspicious Activity. It is the responsibility of all personnel working and residing on Misawa Air Base to be alert for detecting and reporting suspicious criminal or terrorist activity. The contractor shall immediately report any on-base observed suspicious activity to the 35 SFS/BDOC, Bldg. 646. All contractor-employed personnel shall be familiar with suspicious activity reporting numbers and procedures. The primary number for reporting suspicious activity on Misawa Air Base is 911 from a base phone or 0176-53-1911 from a mobile phone or off-base.

9.10. LEVEL I ANTITERRORISM AWARENESS TRAINING FOR CONTRACTORS

(JAN 2019)

(a) Definition. As used in this clause—

“Military installation” means a base, camp, post, station, yard, center, or other activity under the jurisdiction of the Secretary of a military department or, in the case of an activity in a foreign country, under the operational control of the Secretary of a military department or the Secretary of Defense (see 10 U.S.C. 2801(c)(4)).

(b) Training. Contractor personnel who require routine physical access to a Federally-controlled facility or military installation shall complete Level I antiterrorism awareness training within 30 days of requiring access and annually thereafter. In accordance with Department of Defense Instruction O-2000.16 Volume 1, DoD Antiterrorism (AT) Program Implementation: DoD AT Standards, Level I antiterrorism awareness training shall be completed—

(1) Through a DoD-sponsored and certified computer or web-based distance learning instruction for Level I antiterrorism awareness; or

(2) Under the instruction of a Level I antiterrorism awareness instructor.

(c) Additional information. Information and guidance pertaining to DoD antiterrorism awareness training is available at https://jko.jten.mil/ or as otherwise identified in the performance work statement.

(d) Subcontracts. The Contractor shall include the substance of this clause, including this paragraph (d), in subcontracts, including subcontracts for commercial items, when subcontractor performance requires routine physical access to a Federally-controlled facility or military installation.

10. PERFORMANCE EVALUATION MEETINGS. The contractor may be required to meet periodically with Multi-functional Team Members at the beginning of contract performance.

Meetings will be scheduled as needed by the CO. The contractor may request meetings at any time. The written minutes of these meetings shall be signed by the CO and emailed out for all attendees to review. Attendees have five 5 days after minutes are emailed to dispute any items therein.

11. SPECIAL REQUIREMENTS.

11.1. HIPAA and Business Associate Agreement (BAA). Refer the Health Insurance Portability and Accountability Act (HIPAA) Business Associate Agreement IAW AFI 41-200, HIPAA, 25 July 2017 and full text entitled BAA attached to the contract.

12. HEALTH REQUIREMENTS.

12.1. Contractor employee providing services under this contract shall receive a pre-employment physical examination prior to commencement of work and annually thereafter. Health care providers shall report to the Government to receive pre-employment examination and immunizations/shots prescribed by the MTF. This is at no additional cost to the contractor.

12.2. As a condition of this contract, Occupational Safety and Health Administration (OSHA) requires that all contractors who will have occupational exposure to blood or body fluids, or other potentially infectious materials, shall receive Hepatitis B Vaccination series, sign a voluntary declination, or have documented proof of immunity to Hepatitis B infection by titer screening. Personnel who sign declinations may change their minds at any time and receive the Hepatitis B vaccine without penalty. Other tests required upon employment include Tuberculosis Skin Test (TST) along with initial and bi-annual Human Immunodeficiency Virus (HIV) Test. Contractors must show proof of previous Measles, Mumps, Rubella/Rubeola (MMR), Tetanus/Diphtheria/Pertussis (Tdap), and Varicella vaccinations or consent to proof of immunity by titer screening. In addition, contractors must receive an Influenza vaccination annually.

12.2.1. The following vaccinations are mandatory IAW AFI 44-108, Infection Prevention and control Program. The contractor shall be responsible for assuring that all personnel report to the appropriate government medical office to receive the pre-employment examinations. The government will offer them at no cost to the contractor upon contract award:

- Hep B Vaccination Series (Serological test for those with direct patient care duties are required, may sign declination form if in low risk work environment)

- Tuberculosis Skin Test (TST) or an approved blood assay performed w/in the last 12 months.

For Japanese contractor: Chest X-Ray from a Japanese Occupational Health Doctor will be accepted. If they don’t have it an approved blood assay is required.

- Human Immunodeficiency Virus (HIV) Test, every 2 year (must sign consent form)

- Measles, Mumps, Rubella/Rubeola (MMR) vaccination or proof of immunity (if employee cannot show proof of vaccination, titer must be drawn before administering series)

- Varicella Vaccination or proof of immunity by titer screening (if employee cannot show proof of vaccination, titer must be drawn before administering vaccination)

- Tetanus/Diphtheria/Pertussis (Tdap) (booster every 10 years)

- Influenza, annual IAW DoD policy and annual AF/SG seasonal influenza memorandum

NOTE: Health requirements may change at any time during the contractors’ employment (IAW CDC and DoD policy). Contractors must comply with any additional health requirements during their employment at the cost of the government.

12.2. It is the Contractor’s responsibility to report (to the appropriate MTF staff member) all information necessary to assure hospital records can be maintained correctly, and therefore comply with TJC, OSHA, and Centers for Disease Control (CDC) health records requirement.

12.3. After start of work, in the event of blood borne exposure, the Government will provide follow up and care protocols according to applicable AFIs.

13. PROFESSIONAL LIABILITY RESPONSIBILITY/MEDICAL MALPRACTICE.

This non-personal service contract doesn’t establishes a personal service relationship between the health care worker and the Government while the health care worker is performing services under this contract. The health care worker is required to maintain medical malpractice liability insurance. The Government does not own any responsibility for the health care workers medical malpractice under this contract.

14. CONTRACTOR EMPLOYEE.

14.1. Conflict of Interest. Contractor shall not employ anyone who is an employee of the Department of the Air Force, either military or civilian, unless such person seeks and receives prior approval IAW DOD Directive 5500.7-R, Joint Ethics Regulation. The contractor shall not employ persons for the work of this contract if such employment would create a conflict of interest per AFI 64-106, Air Force Industrial Labor Relations Activities.

14.2. Personnel Appearance. While on duty, contractor employee shall present a neat, well groomed, clean image and be dressed in appropriate workplace attire. Clothing shall fit correctly, present a professional, modest appearance and be kept neat and clean, free from visible dirt and stains. Facial hair (including beards, mustaches, and sideburns) shall be controlled (restrained) or trimmed and shall not interfere with safe work practices nor look unkempt or unclean. Contractor employee shall comply with socially acceptable standards of personal hygiene expected of health care workers.

14.3. Protective Clothing. When required and supplied by the MTF, contractor employee shall wear special protective clothing and shoe covers. These items shall remain the property of the Government and shall not be removed from the MTF. Special protective clothing shall be used, then turned in or destroyed as directed by the MTF officer/designee.

14.4. MTF Identification. The Government will supply MTF ID badges, vehicle passes and keys if applicable. The contractor will surrender all identification, passes, and keys to the MTF upon termination.

14.5. LOGISTICAL SUPPORT. Individual logistical support will be requested under this contract in accordance with FAR 25.802, DFARS 225.802, and the policies and procedures of DoD 4525.6-M and AFI 36-3026. The Government shall provide Contractor the following logistics support unless specifically excluded by the terms of the US-Japan Status of Forces Agreement (SOFA):

14.5.1. SOFA status for Contractor employee and their lawful dependents

14.5.2. Duty-free importation privileges IAW SOFA and USFJ regulations

14.5.3. DD From 1173 (Uniformed Services Identification and Privilege Card)

14.5.4. Full Base Exchange (BX) privileges

14.5.5. Full Commissary Privileges

14.5.6. Full Class VI Store Privileges

14.5.7. Purchase of gasoline and petroleum, Oil, and Lubricant (POL) products at BX facilities

14.5.8. Military postal service privileges

14.5.9. Military banking and credit union privileges

14.5.10. Motor vehicle operator’s permit

14.5.11. Registration of one privately owned vehicle per family

14.5.12. Medical services for emergency care only on a reimbursable basis

14.5.13. Dental services for emergency care only on a reimbursable basis

14.5.14. Mortuary services on a reimbursable basis

14.5.15. DoD Dependent School on a space-available, tuition-paying basis

14.5.16. Continuing education programs on a space-available basis

14.5.17. Morale, welfare, and recreation facilities

14.5.18. Armed Forces recreation center facilities on a space-available basis

14.5.19. Legal assistance on a space-available basis

14.5.20. Billeting on a space-available basis

14.5.21. Housing referral services (limited to translation assistance and explanation of host country rental laws)

15. TRAINING. The contractor shall comply with and attend local 35 MDG Government-provided training which will include, but is not limited to, topics such as Basic Life Support (BLS), Compliance, Patient Safety, Newcomers Orientation, Performance Improvement, Risk Management, Infection Control, Fire Protection, Security, Patient Sensitivity, Automation Processing, and local in-service briefings. The classes may be scheduled individually throughout the year or scheduled at one time. These classes may take approximately 30 hours total during one year. This local training will count toward the 40 hour per week requirement. The contractor will assume all costs associated with travel and training attendance, and may not invoice for hours, for any mandatory or voluntary training outside of that provided by the 35 MDG, such as professional conferences, license recertification and/or continuing education, with the exception of BLS.

16. SERVICES SUMMARY.

16.1. Quality Assurance. The government will receive, investigate, and validate complaints from various customers located on the installation. The government shall appoint a representative to monitor contract performance using a variety of means including following-up on customer complaints, conducting random site visits, reviewing documents prepared, etc.

16.2. Continuity of Services. If services are disrupted for more than five (5) consecutive days due to the contractor’s failure or refusal to perform, this contract may be terminated for cause as identified in the Federal Acquisition Regulation (FAR) and all applicable supplements.

Termination for cause procedures may also be pursued by the CO if after 90 days the contractor fails to meet the standards identified in this PWS. Any worker demonstrating impaired judgment shall not be permitted to work in the MTF. The Government reserves the right to remove from the facility any contractor employees who in the judgment of a licensed physician is impaired by drugs or alcohol. Contractors removed for alcohol or drug abuse problems, or impaired judgment may only be allowed to return to work with express Government approval.

Performance Element

Performance Objectives

PWS

Reference

Acceptable Quality Level

Surveillance Method

Quality Contractor completes annual self-inspection to assess all requirements in accordance with the PWS

3.1.2.-3.1.6. No deficiencies 100% inspection.

Quality Contractor performance meets or exceeds established standards in accordance with the PWS

3.1.7.- 3.1.35.

No more than two (2) deficiencies or COR validated customer complaints per month

Random Inspection and Customer Complaints.

Schedule/ Management

Contractor provides continuous and reliable work as scheduled

7 No more than two (2) one (1)-hour work coverage deficiencies per month

Random Inspection and Customer Complaints

Regulatory Compliance

Contractor performance meets all Joint Commission and HIPAA Security Compliance

11.1 100% Compliant Random Inspection and Customer Complaints

Management Contractor appearance shall be neat and clean and professional behavior must be used at all times

14.2., 14.3. No more than 2 deficiencies or COR validated customer complaints per month

Random Inspection and Customer Complaints

17. GOVERNMENT FURNISHED PROPERTY AND SERVICES.

17.1. FACILITIES. The Government will provide use of all available MTF facilities and support services, materials, publications and forms and equipment required for contract performance (except as designated in the contract). Contractor employee shall keep government furnished supplies, equipment, and work areas in safe, orderly and clean condition. Contractor employee shall notify the Government whenever maintenance of equipment is required.

17.2. WORK AREA/SPACE. Any space used by contractor employee in performance of this contract may be used for other purposes during their absence. Items of clothing, personal effects, or equipment may not be able to be secured. The government will not incur any liability for theft, damage, or loss of such personal items.

17.3. TELEPHONE. The Government will provide defense switching network (DSN) lines limited to matters related to performance of this contract. Personal long distance calls are not authorized and the cost of all personal calls made will be deducted from the Contractor’s invoice.

17.4. COMPUTER SYSTEMS. Contractor shall be granted access to the following computer programs required to perform services under contract, including the issuance of a COMMON ACCESS CARD (CAC): CHCS, TRICARE Online, Referral Management software/applications, Medical Readiness Decision Support System (MRDSS), AHLTA, MiCARE, Essentris, CHAS-ICDB, MHSPHP (Carepoint 4G) and general desktop settings.