Attachment 1 - Performance Work Statement.pdf

PERFORMANCE WORK

STATEMENT

TELECONSULTATION

PROGRAM

1.0 GENERAL

1.1 Purpose. The Peace Corps (PC) is in need of medical care decision support consultation services, both urgent and non-urgent, for PC overseas Regional Medical Officers (RMOs) and headquarter Medical Providers within PCs’ Office of Health Services (OHS). The services required are collaborative, expert consultations provided by experienced, United States equivalent medical-board certified specialists who can provide the medical decision support that is currently unavailable to OHS or are very difficult to attain in a timely manner, with expertise with international health systems and conditions in developing countries. This program is not intended to replace PCs’ current consultation programs that are more elective and less time sensitive. It is estimated that OHS will use a Rough Order of Magnitude Estimate initial average estimate of 150 consultation requests per year for purposes of this PWS. This PWS is for consultation services only; no direct contact with any patient or patient care will be required.

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Medical Teleconsultation Program

Attachment 1 - Performance Work Statement

Most of the urgent decision support consultations included in this Performance Work Statement (PWS) shall utilize mobile telephone connections. However, an ability to use additional communication technology, such as Skype, email and/or video conferencing shall also be needed.

All communication shall ensure secure data transmission in accordance with Federal Information Security Management Act (FISMA) of 2002 and Contractor’s National Institute of Standards and Technology (NIST)/ Health Insurance Portability and Accountability Act (HIPAA) and Health Information Technology for Economic and Clinical Health Act (HITECH) standards via the most secure mode available to support the mission at hand. This should include the ability to transmit diagnostic findings to include ultrasound, x-rays, ECGs, otoscope and ophthalmoscope images, physical exam such as gait or rashes, heart sounds by digital stethoscope etc. remotely via real time link in compliance with the above-mentioned standards. Installation of additional communication or instrumentation equipment at PCs’ facilities is not requested nor anticipated. Peace Corps has a secure method of sending email that the vendor shall be expected to utilize for sending secure electronic protected health information (EPHI) to and from designated mail addresses. The contractor shall have in place an Interconnection Security Agreement (ISA) with the United States Government. The Contractor will be responsible for all labor necessary to perform the requirements of the PWS.

1.2 Background. PC is an independent executive agency of the federal government established in 1961 by President John F. Kennedy to promote world peace and friendship through the service of American volunteers abroad. The volunteers’ service fulfills the three primary goals established in the founding legislation:

• Improve the lives of people through grassroots assistance.

• Foster a better understanding of Americans on the part of the people served; and

• Foster a better understanding of other people on the part of Americans.

As of January 2020, the Peace Corps had more than 7,000 volunteers serving in posts located in 60 countries worldwide. The posts are divided into three (3) regions: Africa (AF), Intra-America and Pacific (IAP), and Europe, Mediterranean and Asia (EMA). On March 15, 2020, the Peace Corps announced the temporary, global suspension of all Peace Corps volunteer activities and the evacuation of all of Peace Corps Volunteers due to the COVID-19 pandemic. At the time of the evacuation, Peace Corps had 6892 Volunteers and trainees serving in foreign countries. Peace Corps intends to return to normal operations as soon as conditions permit a safe return.

For information about where Peace Corps serves, please visit the Countries page on our website:

https://www.peacecorps.gov/countries/. For more information on the Peace Corps mandate and mission, see the Peace Corps website: https://www.peacecorps.gov/about/history/.

Peace Corps provides all necessary and appropriate medical care to PC Trainees/Volunteers (PCTs/PCVs). This medical care includes full coverage of all urgent and emergent medical needs, and care for stable and chronic conditions as well as preventive care. The mission of OHS is to ensure the provision of quality medical and mental health services. PC has a team of on-site doctors and other medical professionals at approximately 60 post locations worldwide known as Peace Corps Medical Officers (PCMOs). PCMOs located at overseas posts provide and coordinate needed health care services for PCT/PCVs. PCMOs encompass various backgrounds, to include

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Physicians, mid-level providers (Nurse Practitioners) and Registered Nurses. In addition, PC has six Regional Medical Officers (RMOS) who provide support to PCMOs within the sub region and provide liaison with OHS.

Volunteers are typically placed in rural environments, often at a considerable distance from the PCs’ main office and medical unit. PCMOs provide medical support for PCT/Vs in many remote, high-risk, and/or medically austere locations and must often operate without the resources commonly available within the United States (U.S.).

OHS has a team of medical providers consisting of physicians and nurse practitioners (International Health Coordinators or IHCs) based at PC headquarters in Washington, DC, who coordinate with RMOs and provide support to PCMOs at each post through field consultation and evaluation. The only PC representatives who will be eligible under this agreement to request decision support consultation services will be HQ medical providers and RMOs, collectively known as OHS Medical Providers.

2.0 SCOPE

2.1 General Requirement for Contractor to provide highly specialized medical decision support consultants: OHS medical providers require 24/7/365 prompt access (as stated in section 2.2.4) to competent, experienced and specialized medical personnel, expertise, and telecommunications capabilities that can provide consultations to enable optimal treatment of a full spectrum of illnesses and injuries (see Appendix A). The Contractor must be capable of demonstrating they can routinely provide appropriate consultation and medical advice to OHS medical providers in a specified timely manner. Contractor must also be capable of providing teleconsultation services to OHS medical providers with the understanding that PC Trainees and Volunteers and their in-country medical staff may not have access to the medical diagnostic (electronic, radiographic and laboratory) resources commonly available in the U.S.

This PWS requires the Contractor to provide medical consultations based on the following degree of urgency and/or complexity.

All requests for an urgent or emergency consultation from the OHS Medical Provider shall be a Level I consultation.

All requests for a non-urgent consultation from the OHS Medical Provider will be a Level II consultation.

The scope of the level of required consultations is further described in section 2.2.

2.1.1 The Peace Corps has a requirement for a five (5) year Blanket Purchase Agreement (BPA).

The Government estimates, but does not guarantee, that purchases through this agreement may be $823,100.00 over the life of the Agreement. This is not a maximum ceiling amount; it is strictly an estimate and may be exceeded at the discretion of the Government on a unilateral basis. There is no minimum guaranteed dollar amount, quantity, or initial order quantity. The Government is obligated only to the extent of authorized purchases ordered under this

BPA.

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2.2 Specific Areas of Scope:

2.2.1 Clinical Consultation Services – Director, Call Center & Tiered High Level Specialty Consultants. The Contractor shall provide a Program Manager/director with demonstrated organizational and managerial skills, and expertise to ensure all requirements of this BPA are met.

The Contractor’s program must ensure that OHS Medical Providers have access to a call center utilizing one, unique (solely for use by the Peace Corps) single global telephone access number for Peace Corps that is continuously operational 24/7/365; accessible from worldwide networks;

and shall be equipped to route all calls from the OHS Medical Provider to the Contractor’s live Call Center Operator (or equivalent) within the contractually agreed upon timeframe of an average call waiting time of 30 seconds or less. If no operator is immediately available, callback will be within a maximum of 5 minutes. The contractor shall be responsible for ensuring all calls are routed to the correct consultant in the time frame specified in this PWS (see below).

2.2.2 A Level 1 consultation is for urgent/emergency situations and will be responded to by Medical Specialists as described in Appendix A. PC requires the Contractor to have a full array of U.S. Board Certified Medical, Psychological, Psychiatric and Surgical Specialists who have at least five (5) years of documented active clinical experience. Expected callback time from specialist to OHS Medical Provider will be one hour or less. The Specialist will evaluate the case summary as supplied by the OHS Medical Provider; discuss the clinical aspects of the case; review any relevant imaging, lab or other test results, and subsequently advise the OHS Medical Provider regarding the recommended optimal clinical management. Initial consultation shall include recommendations for possible immediate measures to preserve life, limb and/or special senses (e.g., eyesight, neurological function, etc.); definition of additional studies or procedures to better manage the possible conditions; and indications and assessments of urgency for possible evacuation of the patient to a medical center of higher care relative to the patient’s current location if appropriate. In situations requiring more immediate feedback (such as urgent radiology interpretation or urgent recommendation for change in care, consultant will provide a brief summary via email within 3 hours or interpretation or recommendation. The consultant will subsequently provide a written report summarizing the consultation within 24 hours.

2.2.2.1 Number of consults

Peace Corps has an initial need of 25 Level 1 consults for the Base year. If that number is exceeded there will be an additional line that allows individual consults to be requested individually.

2.2.3 A Level 2 consultation is for non-urgent situations and will be responded to by Medical Specialists as described in Appendix A. PC requires the Contractor to have a full array of U.S.

Board Certified Medical, Psychological, Psychiatric and Surgical Specialists who have at least five

(5) years of documented active clinical experience. Expected callback time from specialist to OHS Medical Provider will be 24 hours or less. The Specialist will evaluate the case summary as supplied by the OHS Medical Provider; discuss the clinical aspects of the case; review any relevant

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imaging, lab or other test results, and subsequently advise the OHS Medical Provider regarding the recommended optimal clinical management. The consultant will provide a written report summarizing the consultation within 3 business days.

2.2.3.1 Number of consults

Peace Corps has an initial need of 25 Level 2 consults for the Base year. If that number is exceeded there will be an additional line that allows individual consults to be requested individually.

Sample Scenarios:

Level 1 Consultation: An OHS Medical Provider receives a report from a PCMO that a PCV has sustained a severe head injury with loss of consciousness. The PCMO notifies the on-call OHS Medical Provider, who calls the Contractor’s Call Center (or equivalent). The Call Center picks up within 30 seconds and connects the OHS medical provider to the designated Neurotrauma specialist within one hour.

Level 2 Consultation: An OHS Medical Provider receives a report from a PCMO that a PCV has a rash for two weeks of unknown origin. The rash has not responded to treatment and has been difficult to diagnosis. Further, the rash is spreading and is painful. The OHS Medical Provider decides a consultation with a Dermatologist is required and contacts the Contractor’s Call Center (or equivalent), who will reach out to the indicated Dermatologist. Because it is not urgent or life-threatening, this is a Level 2 consultation. Specialist will respond to the OHS Medical Specialist within 24 hours.

2.2.4 Additional considerations for providing means to estimate costs and means to meet key principle requirements for providing a broad range of Consulting Medical Specialists with highly specialized skill sets. PC seeks a means to acquire near immediate, unfettered access to a source of state-of-the-art medical knowledge for expedited application to a medical patient in need at almost any place in the world at any time. Cost estimates to provide the services shall include costs of utilizing the Contractor’s existing staff and any additional personnel necessary (expressed in Consultation per Level) plus any additional equipment that the Contractor would require to provide the services specified. In an average year, OHS estimates the need for approximately 75 - 150 consultation episodes, the average of OHS’ estimated consultation request volume (It should be noted that this estimate is based on approximately 7,000 active volunteers. PC is in the process of planning a gradual return of volunteers to PC Posts following the recent evacuation; therefore, the number of initial consults will be lower and will be determined at the time of the award of this BPA.) OHS also understands that a given consultation episode may require only the services of a Level 1 consultant or that it may require services provided by both Level 1 and Level 2 consultants. OHS does not have data to allow a reasonable estimate of the ratio between Level 1 and Level 2 consultation episodes. .

2.2.5 Contractor’s general requirement for providing a Teleconsultation Capability. OHS requires the Contractor to provide a teleconsultation capability to facilitate consultation regarding

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medical care for PCT/PCVs. That capability must include direct telephonic and optional visual communication; in addition to additional communication technology, such as Skype, encrypted email and/or an agency approved video conferencing solution. This should include the ability to transmit diagnostic findings to include ultrasound, x-rays, ECGs, otoscope and ophthalmoscope images, photo or short videos, heart sounds by digital stethoscope, etc., remotely via real time link in compliance with the below-mentioned standards. All communication shall ensure secure data transmission in accordance with Federal Information Security Management Act (FISMA) of 2002 and Contractor’s National Institute of Standards and Technology (NIST)/ HIPAA and HITECH standards via the most secure mode available to support the mission at hand. (The contractor shall provide an alternate secure fax ability in case secure email is not available at the time of the consultation.) All email (SMTP) communications between the vendor and the Peace Corps shall be required to employ the use of Transport Layer Security (TLS 1.2 or above).

The Contractor’s teleconsultation capability will provide prompt acquisition and maintenance of clinical communication links between OHS Medical Providers who work at either Peace Corps headquarters in Washington, DC or at one of the three regional referral sites in Morocco, South Africa, or Thailand and the Contractor’s Call Center. PC recognizes that the Contractor cannot be held responsible for maintenance of commercial telephone services, but the Contractor’s systems must be resilient and flexible enough to adapt to the poor IT and healthcare infrastructure that characterizes many host countries. The Contractor will demonstrate the capability to provide connections to wider bandwidth U.S. media communications systems.

For each level, any transfer of EPHI shall be executed utilizing Peace Corps secure email solution and the vendor must supply and provide evidence for the ability to fax EPHI securely in the case of no email access.

3.0 ADDITIONAL REQUIREMENTS

3.1 Contractor Conduct. The Contractor will comply with all applicable Government regulations, policies and procedures when visiting, working at, or communicating with Government facilities and personnel.

3.2 Malpractice Insurance. The contractor shall obtain malpractice insurance for all the contractor’s practitioners and shall be required to provide a detailed description of the contractor’s credentialing process. Evidence of ongoing credentialing processes shall also be required. The contractor shall be responsible for all costs associated with obtaining and maintaining this insurance.

3.3 Unreasonable Delays. If OHS Medical Providers experience unreasonable delays (greater than 8 hours for written or verbal response) or lack of access to the contractor’s resources, PC reserves the right to procure simultaneous, competitive facilities requests for emergency consultation services for its patients which may result in non-exclusive contracts and associated non-payment for the service in question.

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3.4 Restricted Distribution of Documents. The Contractor, including its subcontractors, will exercise the utmost discretion in regard to all matters relating to all Government documents. They will not communicate to any person outside of PC any information known to them because of their access to the Government documents. FISMA, NIST, HIPAA and HITECH requirements shall be followed at all times. These documents are for use under this BPA and are the exclusive property of the U.S. Government except as provided for elsewhere herein. The contractor shall report any breach of medically confidential information immediately upon discovery to the Peace Corps.

3.5 Media Relations. The Contractor and OHS shall advise all employees and subcontractors of Peace Corps guidelines for dealing with media, press and other inquiries about the contractor’s customers, business, and other information deemed by either entity to be important, confidential and/or business sensitive. The contractor shall acknowledge in writing that the contractor is prohibited from speaking to the Media, using the contract in any promotional activities, or using PHI from Peace Corps Volunteers in publications, papers, grand rounds, or similar, without the express written consent of Peace Corps.

4. PRIVACY AND SECURITY OF PROTECTED HEALTH INFORMATION.

4.1 The Contractor meets the definition of Business Associate, business associate” shall generally have the same meaning as the term “business associate” at 45 CFR 160.103 of the Health Insurance Portability and Accountability Act (HIPAA) and the Peace Corps meets the definition of a covered entity “covered entity” shall generally have the same meaning as the term “covered entity” at 45 CFR 160.103 of the HIPAA Therefore, a Business Associate Agreement (BAA) between the Contractor and the Peace Corps is required to comply with HIPAA Rules, “HIPAA Rules” shall mean the Privacy, Security, Breach Notification, and Enforcement Rules at 45 CFR Part 160 and Part 164. Section H.3 serves as the required BAA. As a Business Associate, the Contractor shall comply with the HIPAA applicable to a business associate performing under this Contract. The following terms used in this contract shall have the same meaning as those terms in the HIPAA Rules: Breach, Data Aggregation, Designated Record Set, Disclosure, Health Care Operations, Individual, Minimum Necessary, Notice of Privacy Practices, Protected Health Information, Required by Law, Secretary, Security Incident, Subcontractor, Unsecured Protected Health Information, and Use.

4.2 The Contractor agrees to not use or disclose protected health information and use appropriate safeguards to prevent use or disclosure of Protected Health Information (PHI) or Personally Identifiable Information (PII) except as permitted or required by this contract or as required by law.

4.3 The Contractor agrees to use administrative, physical, and technical safeguards that reasonably and appropriately protect the confidentiality, integrity, and availability of the electronic protected health information that it creates, receives, maintains, or transmits in the execution of this BPA.

The Contractor shall supply a description of where and how they will store EPHI received from PC. The Contractor shall provide evidence that stored data is backed up (monthly report) and is being patched. The contractor shall provide information on who will have access to that EPHI, and it should be as limited as possible.

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4.4 The Contractor agrees to mitigate, to the extent practicable, any harmful effect that is known to the Contractor of a use or disclosure of PHI/PII in violation of the requirements of this BPA

4.5 The Contractor agrees to report to the Government any security incident involving PHI/PII of which it becomes aware, including breaches of unsecured protected health information as required at 45 CFR 164.410, and any security incident or any use or disclosure of PHI/PII not provided for by this BPA of which the Contractor becomes aware in accordance with 45 CFR 164.410.

4.6 The Contractor agrees to ensure that any agent, including a subcontractor, that creates, receives, maintains, or transmits protected health information on behalf of the contractor or to whom it provides PHI/PII received from, or created or received by the Contractor on behalf of the Government agrees to the same restrictions, conditions, and requirements that apply under this BPA to the Contractor with respect to such information as stipulated in 45 CFR 164.502(e)(1)(ii) and 164.308(b)(2).

4.7 The Contractor agrees to ensure that any agent, including a subcontractor, to whom it provides electronic PHI/PII, agrees to implement reasonable and appropriate safeguards to protect it as stipulated in 45 CFR 164.308(b)(2).

4.8 The Contractor agrees to provide access, at the request of the Government, and in the timeframe and manner designated by the Government, to PHI/PII in a designated record set. This access shall be provided to the Government, or as directed by the Government, to an individual in order to meet the requirements and obligations under 45 CFR 164.524.

4.9 The Contractor agrees to make any amendment(s) to PHI/PII in a designated record set that the Government directs or agrees to pursuant to 45 CFR 164.526 at the request of the Government or an individual, and in the timeframe and manner designated by the Government at no increase in BPA price or cost.

4.10 The Contractor agrees to make internal practices and records required to provide an accounting of disclosures relating to the use and disclosure of PHI/PII received from or created or received by the Contractor on behalf of the Government, available to the Government, or at the request of the Government to the Secretary, for purposes of the Secretary determining the Government’s compliance with HIPAA rules and Privacy Rule under 45 CFR 164.528.

4.11 The Contractor agrees to document such disclosures of PHI/PII, and information related to such disclosures as would be required for the Government to respond to a request by an Individual for an accounting of disclosures of PHI in accordance with 45 CFR 164.528.

4.12 The Contractor agrees to provide to the Government or an Individual, in time and manner designated by the Government, information collected in accordance with this section of the BPA to permit the Government to respond to a request by an Individual for an accounting of disclosures of PHI in accordance with 45 CFR 164.528.

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4.2 General Use and Disclosure Provisions. Except as otherwise limited in this section, the Contractor may use or disclose PHI on behalf of, or to provide services to, the Government for treatment, payment, or health care operations purposes, in accordance with the specific use and disclosure provisions below, if such use or disclosure of PHI would not violate Subpart E of 45 CFR Part 164.

4.3 Specific Use and Disclosure Provisions.

4.3.1 Except as otherwise limited in this section, the Contractor may use PHI for the proper management and administration of the BPA.

4.3.2 Except as otherwise limited in this section, the Contractor may use PHI to provide Data Aggregation services to the Government as permitted by 45 CFR 164.504(e)(2)(i)(B).

4.3.3 The Contractor may use PHI to report violations of law to appropriate Federal and State authorities, consistent with 45 CFR 164.502(j)(1).

4.4 Permissible Requests by the Government.

4.4.1 The Government will not request the Contractor to use or disclose PHI in any manner that would not be permissible under 45 CFR Part 164 subpart E if done by the Government.

4.4.2 The Government reserves its rights and remedies set forth in the Inspection of Services clause (FAR 52.246-4) and the Default clause (FAR 52.249-8) if any non-conformance with these requirements by the Contractor should occur.

4.4.3 Effect of Termination/Conclusion of BPA. All records subject to this section should be handled in accordance with the records management requirements of this contract.

Notwithstanding the records management requirements, the Contractor shall return all PHI received from the Government or created or received by the Contractor on behalf of the Government. This provision shall apply to PHI that is in the possession of subcontractors or agents of the Contractor. The Contractor shall retain no copies of the PHI.

4.4.4 Regulatory References. A reference in the requirements of this section to a section in Privacy Rule (at 45 CFR Part 160 and Subparts A and E of Part 164) or Security Rule (45 CFR Part 160 and Subparts A and E of Part 164) means the section as in effect or as amended, and for which compliance is required.

4.4.5 Survival. The respective rights and obligations of Business Associate under the “Effect of Termination” paragraph of this section shall survive the termination of this BPA.

4.4.6 Interpretation. Any ambiguity in this section shall be resolved in favor of a meaning that permits the Government to comply with HHS Privacy Rule (at 45 CFR Part 160 and Subparts A and E of Part 164) or HHS Security Rule (at 45 CFR Part 160 and Subparts A and E of Part 164)

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5.0 DELIVERABLES

The Contractor shall provide all Government requested documents in this PWS pertaining to operations under this BPA and not otherwise considered to be proprietary by the Contractor.

5.1 Initial “Kickoff” meeting. The Contractor shall attend a “Kickoff” meeting with the Contracting Officer Representative (COR) and designated OHS Staff within three (3) business days after the effective date of the BPA (a mutually acceptable later date may be defined if OHS agrees or determines that the earlier date is not practicable). The meeting is to discuss BPA requirements; objectives of the PWS; and review the Contractor’s processes. The purpose is to go over the contract and how we will be working together with the contractor more specifically. The meeting will be held at PC Headquarters, by virtual conference or via teleconference.

5.2 Verbal Recommendations. A verbal recommendation regarding management of the case shall be made with each consultation, followed by a written consultation within the timeframes specified in Sections 2.2.3 and 2.2.4.

5.3 Written Clinical Consult. A written clinical consultant report shall be produced and electronically transmitted via a secured email system or agency approved encryption method to the responsible OHS Medical Provider, the COR and to OMSFieldSupport@peacecorps.gov, within the timeframes specified in Sections 2.2.3 and 2.2.4. The written clinical consultation report shall include at minimum a summary of the consultation, information reviewed, discussions held, and recommendations made. A template will be developed in conjunction with the contractor at the time of the BPA award.

5.4 Monthly Activity Reports. The Contractor will submit to the COR a written monthly activity report by the 15th of every month, detailing the summary of the teleconsultation activity performed with sufficient detail as to allow OHS to monitor and report system efficiency, quality, and effectiveness. The monthly report shall include elements of the Performance Requirements Summary (PRS)and at a minimum the following:

Number of consultations requested per day.

Type and number of each specialists consulted.

Number of each level of consultations per month with diagnosis and/or problem.

Response/turnaround time.

Communication, connections, or technical issues, etc.

Recommendations summary.

6.0 PERFORMACNE REQUIREMENTS SUMMARY (PRS)

The contractor service requirements are summarized into performance objectives that relate directly to mission essential items. The performance threshold briefly describes the minimum acceptable levels of service required for each requirement. These thresholds are critical to mission success.

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The Contractor, and not Peace Corps, is responsible for management and quality control actions to meet the terms of the BPA unless specified otherwise. Peace Corps’ role is to solicit input from Contractor; specify OHS’ measures of quality assurance; define Process Key Matrices; and audit defined elements of performance to ensure BPA standards and standards of good medical practice are achieved.

Service Objective

Performance Objective Acceptable Quality Level

Method of Surveillance

Consultant Response Time to initial request for a consult

Expected callback or connection for initial contact with a Specialist shall be within 1 hour for Level 1 consults and 24 hours for level 2 consults.

Consults initiated within time limit > 95%

Monthly review of consult reports to monitor connection time.

Written Clinical consult

Contains all required elements and submitted within 24 hours following a level 1 consult and 3 calendar days following a level 2 consult

Written consults completed and sent to Peace Corps within time limit > 95%

COR will monitor the progress of each consult to ensure deadlines are met.

Contractor Monthly Activity Report Received by OHS within First 15 Days of Following Month

At a Minimum, Contractor’s Monthly Activity Report Includes all items specified in section 4.4

Activity Report Complete and within Time Intervals 100%

Monthly review of reports by COR

Quarterly Quality Control/Quality Improvement plan due within the first two weeks of the first month of the quarter

At minimum, report should summarize how the contractor is meeting performance standards

Activity Report Complete and within Time Intervals 100%

Review by COR upon receipt.

7.0 KEY PERSONNEL

7.1 The personnel specified below are considered to be essential to the work being performed under this BPA arrangement. During the first ninety (90) calendar days of performance, the

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Contractor shall make no substitutions of key personnel unless the substitution is necessitated by illness, death or termination of employment. The Contractor shall notify within 15 calendar days after the occurrence of any of these events and provide the reason for the change and all key personnel resumes.

7.2 Prior to diverting any of the specified individuals to other projects, or otherwise substituting any other personnel for specified personnel, the Contractor shall notify the Contracting Officer reasonably in advance but not less than 15 calendar days prior and shall submit justification (including proposed substitutions) in sufficient detail to permit evaluation of the impact on the BPA effort. Proposed substitutions must have comparable qualifications to those of the persons being replaced. No diversion shall be made by the Contractor without the written consent of the Contracting Officer; provided that the Contracting Officer may ratify a diversion or substitution in writing and that ratification shall constitute the consent of the Contracting Officer required by this clause. The Contracting Officer shall respond to the request within 15 calendar days of receipt. The BPA may be modified from time to time during the course of the BPA to either add or delete personnel or specialists, as required, depending upon the needs of OHS.

7.3 The Contractor shall ensure that the personnel under this BPA possess the skills, training (e.g., ongoing education requirements), expertise, and necessary malpractice insurance needed to perform the required tasks. Any training necessary to ensure that the requirements are met shall be the responsibility of the Contractor. All proposed substitutes shall meet or exceed the qualifications of the person to be replaced. The COR shall be notified in writing of any proposed substitution at least fourteen (14) days in advance of the proposed substitution. Such notification shall include: (1) an explanation of the circumstances necessitating the substitution; (2) a complete resume of the proposed substitute; and (3) any other information requested by the Contracting Officer’s Representative to enable that person to judge whether or not the Contractor is maintaining the same high quality of personnel.

Key-personnel shall be highly qualified with extensive experience in the tasks listed in the PWS.

Name Title =To be Named at the time of award.

7.4 Contractor’s Program Manager/Director, Teleconsultation BPA Program. The Program Manager shall dedicate 25% of their time (a .25 full time work equivalent) to this BPA.

7.5 Contractor’s Medical Specialists shall be Board Certified.

8.0 PERSONNEL SECURITY CLEARANCE REQUIREMENTS:

All Contractor and Subcontractor personnel performing work under this BPA must satisfy all requirements for appropriate security eligibility in dealing with access to information and information systems belonging to or being used on behalf of the Peace Corps. This includes providing all requested information and completion of necessary forms for the purpose of processing Contractor personnel for a background investigation deemed sufficient for access to Peace Corps facilities and information systems. The Contractor shall be responsible for ensuring

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compliance with the Peace Corps requirements by all of the Contractor’s and Subcontractor’s staff.

It is the responsibility of the Contractor to provide technically qualified and cleared/security eligible personnel to satisfy this requirement.

9.0 Continuity of Operations Plan: (COOP): The contractor shall have a continuity of operations plan in place.

10. SECTION 508 COMPLIANCE

Pursuant to Section 508 of the Rehabilitation Act of 1973 (29 U.S.C. 794d) as amended by P.L. 105-220 under Title IV (Rehabilitation Act Amendments of 1998) all Electronic and Information Technology (EIT) developed, procured, maintained and/or used under this contract shall be in compliance with the “Electronic and Information Technology Accessibility Standards” set forth by the Architectural and Transportation Barriers Compliance Board (also referred to as the “Access Board”) in 36 CFR Part 1194. The complete text of Section 508 Standards can be accessed at http://www.access-board.gov/ or at http://www.section508.gov

11.0 APPENDICIES

Appendix A:

U.S. Equivalent Medical Specialty/ Subspecialty Board Representative – Availability required to meet Requirement 2.2.3 and 2.2.4.

Anesthesiology Cardiology (Including Interventional Subspecialists) Cardiothoracic Surgery Dermatology, including Tropical Dermatology Subspecialists Endocrinology Gastroenterology Hematology/Oncology Infectious Diseases and Tropical Medicine Internal Medicine/Geriatrics and Family Practice Nephrology including Dialysis Center Specialists Neurology Neurosurgery Obstetrics & Gynecology Ophthalmology Oral and Maxillofacial Surgery Orthopedic Surgery Otorhinolaryngology Physical Medicine and Rehabilitation Psychiatry Pulmonary Medicine/Critical Care/Sleep Medicine Radiology including ‘Interventional’ Radiology Subspecialists

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Rheumatology Sexual Assault Nurse Examiner Urology Vascular Surgery

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