Attachment 1 - Performance Work Statement.docx
DOCX document 31 KB Posted
- Solicitation number
- 15A00025Q00000002
About this file
This document is a Performance Work Statement (PWS) for a single award Blanket Purchase Agreement (BPA) to provide Medical Review Officer (MRO) services to the Bureau of Alcohol, Tobacco, Firearms and Explosives (ATF).
The key objectives are for the MRO to review medical records and reports, including those from an ATF-appointed physician, to make independent findings and recommendations to the ATF Authorized Official on whether an ATF employee should be returned to full duty or remain on restricted duty. The MRO may also be required to provide testimony for agency or court proceedings and ensure HIPAA compliance.
The period of performance is one base year and four option years. The MRO will primarily work from their own office, but may be required to travel within the Washington D.C. metropolitan area for in-person evaluations. Travel expenses may be reimbursable with prior approval. This requirement is set aside for small businesses, and the award will be made using the Lowest Price Technically Acceptable (LPTA) source selection method.
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Other files
| File | Type | Posted |
|---|---|---|
| 15A00025Q00000002 - Questions and Answers.docx | DOCX document | |
| Attachment 2 - Quality Assurance Surveillance Plan.docx | DOCX document | |
| Attachment 3 - Instructions - 15A00025Q00000002.docx | DOCX document | |
| Attachment 4 - Evaluation Criteria - 15A00025Q00000002.docx | DOCX document | |
| Attachment 5 - Past Performance Survey - 15A00025Q00000002.docx | DOCX document | |
| SF1449 - 15A00025Q00000002.pdf |
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PWS for <Project> Page 2 of 17
PERFORMANCE WORK STATEMENT
Bureau of Alcohol, Tobacco, Firearms and Explosives (ATF) Workforce Wellness and Services Division Medical Officer Services Attachment 1 - 15A00025Q00000002
Table of Contents
| 1.0 | General | 3 |
| 2.0 | Specific Requirements/Tasks | 5 |
| 3.0 | Contractor Quality Assurance | 6 |
| 4.0 | Delivery or Deliverables | 7 |
| 5.0 | Meetings | 8 |
| 6.0 | Required Travel and Other Direct Costs (ODCs) | 9 |
| 7.0 | Special Instructions | 9 |
| 8.0 | Government Furnished Property/Equipment/Information | 9 |
| 9.0 | Glossary of Abbreviations and Acronyms | 10 |
Performance Work Statement (PWS) for Medical Officer Services
| 1.0 | General |
| 1.01 | Introduction |
The Bureau of Alcohol, Tobacco, Firearms and Explosives (ATF) is a principal law enforcement agency within the United States Department of Justice (DOJ) dedicated to preventing terrorism, reducing violent crime, and protecting our nation. The men and women of ATF perform the dual responsibilities of enforcing federal criminal laws and regulating the firearms and explosives industries. We are committed to working directly, and through partnerships, to investigate and reduce crime involving firearms and explosives, acts of arson, and illegal trafficking of alcohol and tobacco products.
1.02 Objective
The ATF O 2121.2, Medically Restricted Duty and Medical Fitness for Duty Examinations authorizes the placement of an ATF employee on a medically restricted duty status when an authorized official determines that such action is in the best interest of the government, the best interest of the employee, or the interest of public safety. The causes for placing an ATF employee on restricted leave include, but are not limited to, medical impairment (including physical and mental medical impairment).
When placed on restricted duty, an ATF employee also may be required to surrender government property in the employee’s custody or control, such as ATF firearms, credentials, vehicles, office keys, computer, cell phone, tactical vest, or radio. When placed on restricted duty, an ATF employee’s access to ATF information technology systems and facilities may be restricted or suspended.
Once it places an employee on restricted duty because of medical impairment, ATF may conduct a Medical Fitness for Duty Examination (MFFDE) of the employee when considering whether to lift the restriction. An MFFDE provides probative information that allows ATF management to make an informed decision whether to lift the restriction.
An ATF appointed Physician performs the MFFDE and makes findings and recommendations as to whether the employee is medically fit (including mentally fit, if mental fitness is in question). ATF provides the findings and recommendations of the ATF Appointed Physician to the ATF Medical Review Officer (MRO). The employee also may submit reports of other medical examinations (such as an examination by the employee’s personal physician) for consideration by the ATF Medical Review Officer (MRO). After review of the findings and recommendations of the ATF appointed Physician, and any other reports provided by the employee, the ATF Medical Officer shall make independent findings and recommendations to the ATF Authorized Official. To accomplish this task, it is ATF’s intent to procure the services of a contractor to perform the duties of the ATF Medical Review Officer (MRO).
1.03 Scope of Work
ATF has a requirement for a contract physician to act as a Medical Officer and, in that capacity, shall review the findings and recommendations set out in the physical and mental fitness for duty examination of an ATF employee and make recommendations whether to return the employee to full duty. This Consists of telephone, audio or video communication, document review, research, opinion preparation and affidavit and document submission for ATF employees to recommend whether an employee is fit to return to duty. The Medical Officer shall conduct this review pursuant to the policies and procedures set out in ATF Order 2121.2, Medically Restricted Duty and Medical Fitness for Duty Examinations.
The Medical Review Officer must have a full unrestricted license from the state of practice and degree of doctor of medicine or equivalent in medicine or osteopathic medicine.
1.04 Background
Workforce, Wellness and Services Division has a requirement for a medical review officer’s employability such as psychological and physical professional review services. Consisting of Telephone, Audio or video communication, document review, research, opinion preparation and affidavit and document submission for ATF employees to recommend whether an employee is fit to return to duty. These services will be scheduled upon request via the FOH – Fit for Duty Inter Agency Agreement, POCs, and ATF, Office of Chief Counsel, Management Division.
This task is to be accomplished by the Bureau of Alcohol, Tobacco, Firearms and Explosives (ATF), Office of Field Operations (Programs), Firearms Operations Division and ATF, Office of Chief Counsel, Management Division.
1.05 Type of Contract Contemplated
Single Award Blanket Purchase Agreement (BPA) with Firm-Fixed Price BPA Calls.
1.06 Period of Performance
The period of performance is one base year and four option years:
Base Year: 12/10/2024 – 12/09/2025 Option Year 1: 12/10/2025 – 12/09/2026 Option Year 2: 12/10/2026 – 12/09/2027 Option Year 3: 12/10/2027 – 12/09/2028 Option Year 4: 12/10/2028 – 12/09/2029
1.07 Place of Performance
The Medical Officer will conduct most business at the Medical Officer’s office. In the event an employee would need to be seen in person by the ATF Medical Officer for an in-person evaluation, the evaluation will take place in the Washington D.C./Maryland/Virginia area at a local facility of the Medical Officer’s choosing within 70 miles of ATF Headquarters.
| 2.0 | Specific Requirements/Tasks |
| 2.1 | Task One – Fit for Duty Examination Review |
The contracted ATF Medical Officer shall review all medical records provided by ATF, which will include the report of the ATF appointed Physician, any other medical examination reports or other medical information submitted by the employee, the employee's position description and such other available information as is reasonably probative on the question of fitness for duty.
If the ATF Medical Officer deems it necessary or advisable, he or she shall request that ATF obtain a second opinion from another ATF Appointed Physician found under the Federal Occupational Health (FOH).
2.2 Task Two – Reporting
After conducting the Fit for Duty Examination Review, the ATF Medical Officer shall review the findings and recommendations and shall make independent findings and recommendations to the ATF Authorized Official regarding whether the employee should be returned to full duties (with all restrictions lifted) or remain placed on restricted duty, subject to the same or modified restrictions.
If the employee was required to surrender government property and/or was subject to suspension or restriction of access to ATF information technology systems and/or facilities, the ATF Medical Officer shall make independent findings and recommendations to the ATF Authorized Official to continue, discontinue or modify such conditions. The ATF Medical Officer shall also make independent findings and recommendations to impose such conditions.
2.3 Task Three – Agency and/or Court Proceedings
The ATF Medical Officer will provide testimony when required for any official agency and/or court proceeding.
2.4 Task Four – Health Insurance Portability and Accountability Act of 1996 (HIPAA) Compliance All services provided will be HIPAA compliant.
3.0 Delivery or Deliverables
Fit for Duty Report as required in Section 2.2. Shall be provided electronically within 5 business days after receiving Fit for Duty Examination results 100% of the time.
| 4.0 | Required Travel and Other Direct Costs (ODCs) |
| 4.1 | Costs and incidental expenses for commuting to and from the ATF work sites and Contractor-provided facilities located in the Washington, D.C. metropolitan area shall not be reimbursed. When authorized as part of the scope of work on this contract, and when approved in advance by the Contracting Officer (CO) or Government Technical Representative (GTR), travel expenses incurred in performance of task order requirements may be reimbursed as allowed by the Federal Travel Regulations (FTR) in effect at the time of travel from the ATF work site (or any Contractor-provided facility located in Washington, D.C. metropolitan area) as point of origin, to point of required performance. Contractor provided facilities outside the D.C. metropolitan area that required attendance at meeting in the D.C. metropolitan area will be reimbursed upon prior approval from the CO or GTR. Local travel within the Washington, D.C. metropolitan area shall not be reimbursed. |
| 4.2 | To be reimbursable, the travel expense must be (i) other than local commuting travel expenses within the Washington, DC metropolitan area, (II) allowable under the FTR and provisions of this contract, (iii) approved prior to travel expenditure by the CO or GTR, and (iv) allocable and necessary for performance of this contract. |
| 4.3 | Travel reimbursement requests must be submitted in sufficient time for the CO or GTR to give prior approval and must identify (i) the name of the traveler, (ii) destination (s) including itinerary, (iii) purpose of travel, and (iv) cost breakdown. |
| 4.4 | To be reimbursed, invoices, including travel expenses must provide a detailed breakdown of the actual expenditures invoiced. Contractor shall maintain the original or legible copy of receipts for all travel expenses invoiced. ATF reserves the right to request evidence of any travel expense paid. |
| 4.5 | Local travel will not be reimbursed within a 50-mile radius of worksite. |
| 5.0 | Special Instructions |
ATF shall provide the ATF Medical Officer with findings and recommendations of the ATF Appointed Physician, any other medical examination reports or other medical information submitted by the employee, the employee's position description and such other available information as is reasonably probative on the question of fitness for duty.
ATF shall make all arrangements to obtain a second opinion from another ATF Appointed Physician from the Federal Occupational Health (FOH) upon a determination by the ATF Medical Officer that such a second opinion is necessary or desirable.
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