Attachment 1 - Performance Work Statement (PWS).pdf

Department of Defense

Defense Health Agency

Performance Work Statement

Service: Neonatology Coverage

Location: Naval Hospital Guam (NHG)

Date: 1/20/2025

PART 1

PERFORMANCE WORK STATEMENT

IN ADDITION TO THE BASIC CONTRACT ACQUISITION PWS, THE

FOLLOWING REQUIREMENTS ARE REQUIRED:

1.2. Description of Services: The Contractor shall provide 24-hour on-site Neonatology coverage. The Contractor provided 24-hour Neonatology coverage shall include No Less

Than (1) Neonatologist and may include Neonatal Nurse Practitioners (NNP). The

Contractor provided Neonatologist(s) (not NNP) shall provide no less than 48 hours a week of Primary support at the MTF, with up to 120 hours a week of back-up support if

NNPs are used. The Contractor provided coverage shall consist of (1) provider on-site during a normal workday as identified on the contract, this is not in addition to the 48 hours of Neonatologist primary support. The Contractor shall provide on-call coverage and arrive at the MTF within (1) hour after initial contact. The contractor shall ensure coverage is continuous regardless of contracted employee vacation and sick leave. The contractor shall ensure adequate 24-hour on call Neonatology coverage not to exceed 3 patients. No incumbent. This is a new requirement for NH Guam.

The services required on this Task Order are in the following market segments:

☒ Physician Services

☐ Dental Services

☐ Ancillary Services

☒ Nursing Services

The services required on this Task Order are under the following special program:

Neonatal Intensive Care Unit (NICU)

1.5. General Information:

This Task Order is issued under the following arrangement:

☐Personal Services: The following labor categories are under a personal services arrangement on this TO: N/A

☒Non-Personal Services: The following labor categories are under a non-personal services arrangement on this TO:

Physician – Neonatologists (24-hour coverage)

Nurse Practitioner/Pediatric Hospitalist – Neonatal (24-hour coverage)

1.5.4. Quality Assurance: The Government will evaluate the Contractor’s performance under this task order IAW a separate Quality Assurance Surveillance Plan (QASP). This

Government-only plan is primarily focused on what the Government will do to ensure that the Contractor has performed IAW contract performance standards. The Task Order

QASP provides a systematic method to evaluate performance to include how the performance standards will be applied, the frequency of surveillance, and the acceptable quality levels for each of the metrics identified in Exhibit 1, Performance Requirements

Summary. The QASP is created with the premise that the Contractor is responsible for management and quality control actions to meet the terms of the TO while the

Government is responsible for quality assurance actions.

1.5.5. Contracting Officer’s Representative (COR): The following individual is designated as the COR for this TO:

Name of COR: Geminiano E. Ignacio

COR Email Address: Geminiano.e.ignacio.civ@health.mil

COR Telephone Number: 671-344-9675

Task Order Contracting Officer (TOKO): The following individual is the TOKO for this

TO:

Name of TOKO: Cassi J. Newman COR Email Address: cassi.j.newman.civ@health.mil

COR Telephone Number: 726-203-0088

1.5.6. Recognized Holidays: Contract HCWs ☒ will ☐ will not be required to work on federally recognized holidays.

New Year’s Day, January 1st

Martin Luther King’s Birthday, 3rd Monday in January

President’s Day, 3rd Monday in February

Memorial Day, Last Monday in May

Juneteenth National Independence Day, June 19th

Independence Day, July 4th

Labor Day, 1st Monday in September

Columbus Day, 2nd Monday in October

Veteran’s Day, November 11th

Thanksgiving Day, 4th Thursday in November

Christmas Day, December 25th

1.5.7.1. Hours of Performance: The performance hours of the MTF are as follows:

This requirement is to provide 24-hour coverage for the Neonatal Intensive Care Unit

(NICU). The Contractor shall comply with all DHA and MTF shift duration restrictions.

This is a 24-hour coverage performance-based requirement, coverage is determined by contractor solution in conjunction with the specific hours and days listed herein. The specified hours and days of the week are essential for successful performance. It is the contractor’s responsibility to propose and manage staffing, coverage, and hours as they deem appropriate.

1.5.7.1.1. Duty hours will vary and are dependent upon admittance of patients to the

Neonatal Stabilization Unit (NSU) and the need for in-person consultations. Health Care

Provider (HCP) is required to be physically present when necessary for patient care or when attending multidisciplinary meetings. HCP shall be available telephonically within

10 minutes of notification and shall be required to report to the MTF within 30 minutes of notification, if required. HCP is not expected to respond to all Code Purple OB

Emergencies, but only when it is determined that their presence is necessary. The

Contractor will be required to provide on-call hours on a rotating basis with other HCPs assigned to the NSU. Duty and on-call days/hours will be determined based on patient workload and availability of HCPs within the Department in collaboration with the

Department Head of Pediatrics of Pediatrics.

1.5.7.1.2. Monthly Salary. Contractor will be paid on a monthly basis (salary). Services will be provided in the NSU of the Department of Pediatrics at NHG. Hours scheduled for shifts do not include travel time involved in reaching the MTF.

1.5.7.1.3. On-Call/Call Back Service. On-call services are required. Carrying a command duty phone shall qualify as being on-call. Call-back service is defined as actual patient care performed in the hospital when the Contractor is called back to provide care at the

MTF. The Contractor is required to perform on-call services on a rotating basis with government military participating in the NSU On-call schedule during hours other than routine duty hours, Monday through Friday, including weekends, legal federal holidays, and locally declared training holidays scheduled by the Department Head of Pediatrics or

Government designee. When the Contractor is on-call, he or she is required to carry the government furnished duty phone. The Contractor is not required to remain at a place of residence while on-call but shall respond telephonically within 10 minutes of a call or text being sent and shall be prepared to provide telephone consultation and/or return to the MTF to provide on-site assistance within 30 minutes of notification. The on-call/call back duty services may include but not limited to inpatient or emergency room consultation, emergent simulation and treatment. The Contractor shall provide a secondary telephone number that is available 24-hours a day.

1.5.7.1.3.1. On-call Schedule. On-Call Services will be performed in accordance with a schedule determined by the Department Head of Pediatrics of Pediatrics and will on a rotating basis with government military Neonatologists/Neonatal Nurse Practitioners participating in the NSU On-Call Schedule. The pattern of this On-Call may vary in accordance with current service policy and has ranged from a one-week block of On-Call coverage to one night or weekend, holiday day, or a partial night or day coverage at a time. The Contractor will be responsible for follow-up evaluations of the patient.

1.5.7.1.3.2. On-Call Duty Roster. The initial On-Call duty roster will be provided by the

COR to the Contractor after contract award and at least 15 calendar days prior to performance. Once the On-Call roster is published, the Contractor becomes responsible for the coverage during the designated time period. Changes will not be made without the prior approval of the Department Head of Pediatrics of Pediatrics, or government designee.

1.5.7.1.3.3. Weekday On-Call. If instituted, scheduled weekday activities will be to evaluate same-day consults, including potential emergent patients, and to perform same-day simulation and treatment when appropriate. The on-call physician will be available while patients are receiving treatment unless other arrangements have been made with another staff Neonatologist/Neonatal Nurse Practitioner. The on-call provider will head the weekly Quality Assurance meeting and chart rounds.

1.5.7.1.3.4. Weekend On-Call. The on-call/call back duty services may include, but are not limited to, inpatient or emergency room consultation, emergent simulation and treatment. The Contractor shall provide a secondary telephone number that is available

24-hours a day.

1.5.7.1.3.5. Absences.

1.5.7.1.3.6. Scheduled Absences. Scheduled absences as defined in section 2.1 such as vacations, continuing education units, personal time off, etc. shall be scheduled at least

30 calendar days in advance and mutually agreed upon by the COR or designated

Government Representative, the Department Head of Pediatrics of Pediatrics or designated Government Representative, and the Contractor.

1.5.7.1.3.7. Unscheduled Absences as defined in section 2.1 shall be called into the COR or designated Government representative by the Contractor within the first 2 hours of each duty day that he/she are unable to report to work.

1.5.7.1.3.8. Extended Absences Over 30 days: For absences of more than 30 days allowable vacation/sick (scheduled or unscheduled) for a 12-month period, the monthly salary shall be prorated accordingly. The formula for determining the prorated rate when in excess of the 30 allowable days is:

Scheduled Payment is divided by the number of workdays for pay period times the days in excess of 30 allowable.

For Example:

Scheduled Payment: $1,000.00

Workdays per pay period: 10

Days in excess of 30 days: 2

Scheduled payment of $1,000.00 divided by normal workdays per pay period (10 days) equal $100.00 per day times number of days in excess of the 30 authorized days (in this example is 2 days) equals $200.00, which will be deducted against the scheduled payment. The payment for this pay period would be $800.00.

1.5.7.1.3.9. Emergency Essential Position. Neonatologists are emergency essential positions.

1.5.7.1.4.0 Closures: The NSU will not be subject to anticipated closure of the facility due to command declared training holidays or unplanned closure of the facility due to natural disasters, military emergencies, severe weather, or otherwise when patients are present.

1.5.7.1.4.1. The Contractor shall be rested and fully physically and mentally capable of performing the duties required under this contract. The Contractor shall not have worked the 8 hours prior to beginning services at NHG unless the Contractor was on-call.

1.5.7.2. Scheduling: The schedule or scheduling process is as follows:

Performance of the HCW will constitute a non-personal services relationship. Health care workers rendering non-personal services are not subject to the supervision and control usually prevailing in relationships between the Government and its employees either by the contract’s terms or by the manner of its administration. Under no circumstances shall the Government assign tasks to, or prepare work schedules for, individual contractor employees under a non-personal services arrangement. It shall be the responsibility of the

Contractor to manage its non-personal service employees and to guard against any actions that are of the nature of personal services or give the perception of personal services. The Government is not liable for malpractice allegations against non-personal services HCWs in the performance of duties on the TO; therefore, the Contractor is required to carry malpractice insurance at a level acceptable to the TOKO prior to the commencement of services.

1.5.7.3. Recording HCW Time: Changes to the recording of HCW time identified in the contract PWS are as follows:

The Contractor shall ensure HCWs hours are tracked according to MTF policy (i.e., time clock, KRONOS, etc.).

1.5.7.4.3. Substitute HCWs: If the Contractor substitutes permanent HCWs for a temporary period of time, the substitute shall meet the same qualification standards and health requirements as stated in the contract and TO. The contractor shall ensure coverage is continuous regardless of contracted employee vacation and sick leave.

1.5.7.5 Closures: During a planned closure of the facility due to training, holiday, or unplanned closure due to unusual and compelling circumstances (e.g., natural disasters, military emergencies, severe weather), the Contractor will:

☒be compensated only for the actual hours the HCW provided services.

☐ be compensated for the unplanned closure (personal services only)

1.5.7.5.1 Unplanned Closures: Other than the federal holidays listed in paragraph 1.5.6, the following are considered training days or days where the HCW will not be required to work on this TO:

N/A

1.5.8. Place of Performance: The work to be performed under this contract will be at

Physician Services: Newborn Nursery, Neonatal Intensive Care Unit (NICU), Department of Pediatrics, Naval Hospital Guam.

Nursing Services: Newborn Nursery, Neonatal Intensive Care Unit (NICU), Department of Pediatrics, Naval Hospital Guam

1.5.9. Mission Essential: The following labor categories are designated as mission essential:

Physician – Neonatologists

Nurse Practitioner – Neonatal

The objective is to stabilize and treat neonates requiring specialized care beyond the capabilities of a standard newborn nursery for an estimated duration of 10 days, provided they are medically stable.

In the case of severely decompensating neonates, Aeromedical evacuation of eligible beneficiaries within 24 to 96 hours is feasible for critically ill or severely compromised neonates.

The available resources and equipment include: HFJV, Drager Babylog ventilators, Bubble CPAP, VapoTherm, GlideScope, blood warming devices, Philips monitoring systems, GE Giraffe beds and Panda Warmers, phototherapy units, human donor milk, and fortification to 22 kcal with Neosure.

The workload expectation is to deliver approximately 30 babies per month, with the team providing neonatal care to any infant in need, aligning with the national average of 10-

12%.

1.6.1. Quality Control Plan (QCP): The Contractor shall have a planned and systematic

QCP that outlines the quality control process covering every aspect of the Contractor’s operation under this TO. The Contractor shall submit a Task Order QCP to the TOKO as outlined in Exhibit 2 of this TO. The TOKO will approve the QCP in writing. The

Contractor shall submit changes to an approved QCP to the TOKO for approval throughout the life of the contract.

1.6.3. Periodic Progress Meetings: Contractor ☒ will ☐ will not be required to attend periodic progress meetings at no additional cost to the Government. The terms at which the periodic meeting will be conducted include: HCWs shall attend quarterly onsite meetings and will be given notice approximately 1 week in advance.

1.6.4.1. Contractor Representative: The Contractor shall submit the Contractor representative contact information and any other key personnel, in writing, to the TOKO as identified in Exhibit 2 to this TO.

1.6.4.2. Representative Status Change: The Contractor shall notify the TOKO in writing of changes in the status (i.e., termination or replacement) of designated Contractor representative within 5 business days of the change.

1.6.6. Contractor Travel: Reimbursement ☐will ☒ will not be provided for travel within a 40-mile radius of the place of performance. HCW travel requirements are as follows:

Note: For travel outside of the 40-mile radius, the travel shall not be conducted prior to the appropriate funding being obligated.

1.6.7. Relocation Costs: The Government ☒will ☐will not pay the Contractor to relocate HCWs. Note: DoD contractors are not authorized to access the commissary or full base shopping privilege. They may avail themselves only of the single-service food and beverage purchases currently granted to all base patrons. DoD contractors are not authorized to access the DODEA schools.

1.6.9 Orientation: Orientation will be ☒ paid at the billable rate or ☐ compensated separately.

1.6.9.2. Computer Skill Competency: Each HCW shall demonstrate competency as required in the contract and as follows:

Contractor shall ensure the HCWs have the ability to acquire and use basic computer skills with such programs as Microsoft Office, and general data entry functions to enter patient data, and extract patient information via the electronic health record.

1.6.10. MTF Training: Additional training requirements are as follows:

Government unique training. The government may elect to provide unique government training to contract HCWs who are performing services under this contract. If the government elects to provide such training, the government will provide such training at no additional expense to the contractor or to the contract HCW. When directed by the contracting officer, contract HCWs shall attend all such training in a paid status as part of the normal services required and billed under the contract.

1.6.12. MTF Standards: Contractor shall ensure HCW abides by specific policies, procedures, and instructions/regulations for the place of performance. These include but are not limited to: Comply with the standards of the Joint Commission, applicable provisions of law, and the rules and regulations of any and all governmental authorities pertaining to licensure and regulation of health care personnel and medical treatment facilities, the regulations, and standards of medical practice of the MTF and the bylaws of the MTF’s medical staff. Adhere to and comply with all Department of the Navy, Bureau of Medicine and Surgery and local instructions and notices which may be in effect during the term of the contract. Attend and/or comply with all annual training classes required by the command, to include but not limited to applicable command instructions, departmental instructions/protocols, and respiratory therapy/pulmonary medicine related protocols.

1.6.20 HCW Health Requirements: The Contractor ☒ shall ☐ shall not provide documentation certifying health requirements such as immunizations, annual vaccinations, medical testing (i.e., tuberculosis, N95 particulate respirator duckbill mask fitting) and physical examination when required at the time of initial placement.

1.6.20.3. Occupational Health: The HCW ☒shall ☐shall not be required to obtain documentation of required physical testing or a report of a physical examination.

1.6.20.5. Tuberculosis Screening: The additional immunization/screening requirements for the risk of exposure to tuberculosis (TB) are as follows:

Health examination, tuberculosis, and immunization screening after contract award, but prior to performing services. Annual TB screening.

1.6.25 Competency-Based HCW Interviews: Prior to HCW placement, the Government

☒will ☐ will not contact the HCW to determine if the HCW meets the requirements set in the contract and/or task order.

PART 3

GOVERNMENT FURNISHED PROPERTY, EQUIPMENT, AND SERVICES

3. Government Furnished Items and Services:

3.1. General: The following additions are made to the Government furnished items and services for this TO:

None

PART 4

CONTRACTOR FURNISHED ITEMS AND SERVICES

4. Contractor Furnished Items and Responsibilities:

4.1. Rubber Stamp: The Contractor ☒ will ☐ will not be required to ensure privileged

HCWs providing services on this contract have a rubber stamp.

His/her rubber stamp containing their full name, degree, title, DEA license number and company name (if applicable) or the word, "Contractor." The stamp shall be placed on all forms and documentation having the provider's signature:

EXAMPLES:

Jane J. Jones, APRN, BC John J. Jones, APRN, BC

Physician - Neonatologist Physician - Neonatologist

DEA #123456 DEA #12456

Jones Healthcare Company Contractor

4.2. General: The following Contractor furnished items and services are required for this

TO:

None

PART 5

PERFORMANCE REQUIREMENTS

Labor Category: Physician – Neonatologist

HCW Qualifications (Contract PWS 5.2; 5.2.3; 5.2.4; 5.2.6.4.4):

• Degree/Education (5.2.4): Doctor of Medicine, Doctor of Osteopathic

Medicine, or comparable degree from an accredited institution. Completion of an ACGME accredited fellowship in Neonatal-Perinatal Medicine.

• Certifications in addition to Basic Life Support (5.2.3): Possess and maintain current certification in Neonatal Resuscitation Program (NRP), Pediatric Advanced Life Support (PALS), and The S.T.A.B.L.E. Program.

• Experience: Experience in a level III NICU setting, to include experience managing high frequency jet ventilation (HFJV), whole-body cooling for hypoxemic-ischemic encephalopathy, inhaled nitric oxide for pulmonary hypertension required. Competence with NICU procedures, including intubation, umbilical line placement, arterial puncture, peripheral arterial line placement, and chest tube insertion required. Experience with neonatal transport preferred.

• Board Certification (5.2.6.4.4): Shall be an American Board of Pediatrics

(ABP) board certified or board eligible Neonatal-Perinatal Medicine physician.

Must maintain certification in good standing for the duration of employment.

• Non-Personal Service HCW Licensure: Non-personal service HCWs requiring licensure shall have and maintain a current, valid, unrestricted license specific to the position (with no limitations, stipulations or pending adverse actions) in the U.S. jurisdiction within which the HCW is performing as outlined in the applicable regulation or instruction at the place of performance.

All licenses must be unencumbered and remain in effect during the duration of the HCW performance on the TO.

HCW Duties (5.1 Task 1): The Contractor shall ensure the duties for the HCW are defined as follows:

5.1. Task 2: Physician HCWs shall attend monthly onsite meetings for complicated obstetric patients (COB), the Perinatal Advisory Board (PAB), and Code Purple drill planning meetings.

*As defined in DHA PI 6023.30 Guidance for Service Implementation of Code Purple: A Code Purple can be called 24 hours a day, seven days a week, to activate an emergency response for additional personnel to support a potential OB and/or neonatal emergency. A team of providers and caregivers are summoned to the bedside to immediately assess and treat the patient with the goal of preventing maternal morbidity and mortality. Purple is valid in all settings, but most often will be used in Labor and Delivery units; labor/ delivery/recovery units; OB units, recovery units with mothers and neonates, postpartum or mother baby units and emergency departments.

5.1. Task 3: Be fully prepared to provide all emergency neonatal services required without assistance or supplementation by other MTF physicians.

5.1. Task 4: Adequately diagnose and treat diseases/injuries; perform medical procedures/tasks to include, but not limited to the following:

5.1a. Provide acute and chronic inpatient medical care for neonatal patients in the NSU.

Expedite care and facilitate consultation of complex patients to multiple specialties as needed.

5.1b. Indicate responsibility for the content and correctness of all prepared and transcribed reports by affixing physician signature with appropriate physician stamp to the documents and validating their contents.

5.1c. Provide immediate evaluation and management of emergent problems as they occur. Write patient progress notes and/or consultation notes at appropriate intervals as determined by local MTF policy.

5.1d. Provide and document history, physical examinations, required or recommended laboratory and imaging examinations and diagnoses. Ensure all information is entered in the patients' medical records. These procedures should normally be completed prior to the performance of any treatment. However, when it is deemed necessary to save life, limb, or vision through emergency treatment, the above procedures shall be accomplished as soon as possible after treatment.

5.1e. Submit prepared documents with 24 hours.

5.1f. Act as a consultant to the Emergency Department, Pediatric Clinic, Multi-Service

Ward pediatric patients, and Newborn Services.

Labor Category: Nurse Practitioner – Neonatal/Pediatric Hospitalist

HCW Qualifications (Contract PWS 5.2; 5.2.3; 5.2.4; 5.2.6.4.4):

• Degree/Education (5.2.4): Master's degree in nursing. Graduate from an academic program, within the nursing specialty field of study that is accredited by a regional or national nursing accrediting agency recognized by the Accreditation

Commission for Education in Nursing (ACEN) or the Commission on Collegiate Nursing

Education (CCNE). Certified in the specialty required by the TO as a Nurse Practitioner by the American Nurses Credentialing Center (ANCC), American Academy of Nurse

Practitioners (AANP) or the recognized national nursing certification organization for the specialty area of practice as appropriate (for example, National Certification Board of

Pediatric Nurse Practitioners and Nurses, American Nurses Association, National

Certification Corporation for the Obstetric, Gynecologic and Neonatal Specialties).

• Certifications in addition to Basic Life Support (5.2.3): Possess and maintain current certification in Neonatal Resuscitation Program (NRP), Pediatric Advanced Life

Support (PALS), and The S.T.A.B.L.E. Program.

• Experience: Contractor shall verify HCW has one a minimum of one year experience within the last two years prior to the execution of the contract. Competence with NICU procedures, including intubation, umbilical line placement, arterial puncture, peripheral arterial line placement, and chest tube insertion required. Experience with neonatal transport preferred.

• Board Certification (5.2.6.4.4): Shall be a National Certification Corporation

(NCC) board certified or board eligible Neonatal Nurse Practitioner and must maintain certification in good standing for the duration of employment.

• Non-Personal Service HCW Licensure: Non-personal service HCWs requiring licensure shall have and maintain a current, valid, unrestricted license specific to the position (with no limitations, stipulations or pending adverse actions) in the U.S.

jurisdiction within which the HCW is performing as outlined in the applicable regulation or instruction at the place of performance. All licenses must be unencumbered and remain in effect during the duration of the HCW performance on the TO.

The Contractor shall be familiar with DHA-PM 6025.13, Volume 4, Appendix, 1(c) when selecting NNPs in conjunction with Neonatologists; “Given the unusual circumstances that some state licensing boards require APNs to have a supervising or collaborating physician to be licensed in the same state in order to be eligible for advanced level nursing licenses, some state restrictions may be impractical and not in the best interest of delivery of healthcare in the DHA. Waivers for the advanced practice nursing license may be granted for those APNs who are ineligible for the advanced level licensure due incongruence with this DHA-PM, and for whom there is clear documentation establishing the military’s need for the individual to practice beyond the scope of their license or certification.”

NOTE: A Pediatric Hospitalist with sufficient experience in the care of ill neonates can be utilized in lieu of a neonatal nurse practitioner and are subject to the education and licensure requirements of a Pediatric Hospitalist. Pediatric

Hospitalists are required to have experience in endotracheal intubation, establishment of vascular access, and at least familiarity with high frequency jet ventilation, therapeutic hypothermia, and inhaled nitric oxide; however, they do not need to be independently comfortable as they will have a Neonatologist backing them up, but some basic familiarity/exposure is needed.

HCW Duties (5.1 Task 1): The Contractor shall ensure the duties for the HCW are defined as follows:

5.1. Task 2: Nurse Practitioners - HCWs shall attend monthly onsite meetings for complicated obstetric patients (COB), the Perinatal Advisory Board (PAB), and Code

Purple drill planning meetings.

5.1. Task 3: Be fully prepared to provide all emergency neonatal services required without assistance or supplementation by other MTF physicians.

5.1. Task 4: Adequately diagnose and treat diseases/injuries; perform medical procedures/tasks to include, but not limited to the following:

5.1a. Provide acute and chronic inpatient medical care for neonatal patients in the

NSU. Expedite care and facilitate consultation of complex patients to multiple specialties as needed.

5.1b. Indicate responsibility for the content and correctness of all prepared and transcribed reports by affixing physician signature with appropriate physician stamp to the documents and validating their contents.

5.1c. Provide immediate evaluation and management of emergent problems as they occur. Write patient progress notes and/or consultation notes at appropriate intervals as determined by local MTF policy.

5.1d. Provide and document history, physical examinations, required or recommended laboratory and imaging examinations and diagnoses. Ensure all information is entered in the patients' medical records. These procedures should normally be completed prior to the performance of any treatment. However, when it is deemed necessary to save life, limb, or vision through emergency treatment, the above procedures shall be accomplished as soon as possible after treatment.

5.1e. Submit prepared documents with 24 hours.

5.1f. Act as a consultant to the Emergency Department, Pediatric Clinic, Multi-

Service Ward pediatric patients, and Newborn Services.

5.1.1. Legal Authorization to Work in the United States: HCWs performing under this contract must be a U.S. Citizen or authorized to work in the U.S.

5.2.6. Qualifying/Credentialing Packages: The estimated average time, in days, it takes to complete a qualifying/credentialing package on this TO is:

30-45 days.

The Contractor shall provide a complete package IAW all requirements in ARs 40-66 and

40-68, as amended for physicians and DHA PM 6025-13 (and subsequent revisions) for nurses. The packages needed for this TO are as follows:

5.2.6.2. Reserved

5.2.6.3. Reserved

5.2.6.4. ☒Credentialing Package for Privileged HCWs: The Contractor shall provide a complete, current, and accurate credentialing package for Physician – Neonatologist and

Nurse Practitioner - Neonatal within 30 days before HCW placement IAW DHA-PM

6025.13, Volume 4.

5.2.6.4.1. Clinical Competency: Each HCW requesting clinical privileges shall ☒ shall not ☐ be required to demonstrate clinical competency within the past two years in the required clinical discipline as specified in this PWS.

5.2.6.4.3. Drug Enforcement Agency (DEA) Registration: Requirements for DEA registration numbers are required for.

Physician – Neonatologist

Nurse Practitioner - Neonatal

5.2.9. Security Investigative Requirements: The estimated average time, in days, it takes to complete a security investigative package on this TO is: 45 days.

The Contractor shall ensure HCWs comply with the following security requirements not already identified in the contract PWS:

5.2.9.1. ☒ HCWs shall be subject to the following additional security investigative processes, to include appointments with Security Managers:

The Contractor/HCW shall work with the COR in order to set up appointments with the

Security Manager at the MTF.

5.2.9.4. ☒ HCWs shall be subject to the following security processes for fingerprints:

Childcare National Agency Check and Inquires (CNACI)

5.2.9.5. ☒The HCW shall complete either a ☐SF-85 or an ☒SF-86 Questionnaire for

National Security Positions (or equivalent OPM investigative product)

5.3.1. Initial Placement: The Contractor shall ensure HCWs begin performance as follows:

Physician – Neonatologists, 20 January 2025

Nurse Practitioner – Neonatal, 20 January 2025

5.4.3.2. Malpractice Insurance for Non-Personal Services: The Contractor and all subcontractors shall meet the requirements of FAR Clause 52.237‑7, Indemnification and

Medical Liability Insurance, for its HCWs.

5.4.4. Schedule Management: Reserved

5.4.4.2. Schedule Management for Non-Personal Services: Hours of service and roster submission requirements are as follows:

Physician – Neonatologist/ Nurse Practitioner - Neonatal: Clinical service coverage does not necessitate that a patient is admitted to the NSU. During clinical coverage, the HCW is expected to provide in-house coverage as needed to meet clinical demands of NSU patients. During other times, when there are no NSU patients to attend to, the HCW shall be physically in-house from 0800-1200 on Mondays, Wednesdays, and Fridays. When necessary, the HCW shall remain on duty to complete patient treatment where lack of continuity of care would otherwise jeopardize patient health. This provision is not intended to apply to the time required to complete routine tasks (e.g., completion of paperwork or routine administrative tasks at the end of a shift) which are to be completed as part of the normal work schedule.

5.4.4.4. On-Call Hours: On-call requirements for each labor category are as follows:

Physician – Neonatologist/ Nurse Practitioner: HCW is required to be physically present only when necessary for patient care. HCW shall be available telephonically within 10 minutes of notification and shall be required to report to the MTF within 30 minutes of notification, if required. HCW is not expected to respond to all Code Purples, but only when it is determined that their presence is necessary.

5.4.4.5. Overage Hours: Overage hours* for each labor category are as follows: N/A

This is a performance-based requirement, and it is the contractor’s responsibility to deliver a solution utilizing the provided Contract Line Item Number (CLIN) structure.

* Note, overage hours are often used by the Contractor to pay overtime pay to their employees.

5.5.3. Scope of Work: HCWs ☒will ☐will not be able to bill the Government for participation in administrative functions (i.e., orientation, quality improvement programs, clinical/administrative data collection, meetings, and training). Specific tasks associated with administrative duties beyond the tasks outlined in the contract PWS include:

5.5.5. Billing for Services: The Contractor will be paid for 24-hour coverage that includes local Neonatologist(s) coverage at all times. Invoices without a local

Neonatologist(s) in the local area will be rejected as noncompliant to the terms and conditions of the contract. A Neonatologist must be available in the local area to respond if needed. If a vendor utilizes Neonatal Nurse Practitioners (NNPs) for coverage and there is no Neonatologist in the local area, the vendor will be deemed non-compliant with the Performance Work Statement (PWS) and will not be compensated for coverage.

Compliance ceases immediately when a Neonatologist leaves the local area, rendering the coverage unacceptable.

5.6.1. Task 6 – Reports. The minimum level of metrics maintained at the Task Order level include HCW overall coverage percentage. Acceptable Quality Levels (AQLs) on these metrics are set in Part 8 Exhibit 1, PRS in this TO.

Overall Fill Rate: > 100% - It is a 24-hour coverage contract and a break in coverage constitutes a break in the contracts terms and conditions. If a Neonatologist is not in the local area to provide coverage the Contractor is in breach and will not receive payment for any support.

Turnover Rate: N/A

Replenish Rate: > N/A

5.6.1.1. Overall Fill Rate: N/A

5.6.1.2. Turnover Rate: N/A

5.6.1.3. Replenish Rate: N/A

5.6.1.4. Additional Metrics: Additional metrics, to include customer satisfaction, complaint resolution percentage or local metric, on this Task Order ☒ are ☐ are not identified in Exhibit 1, PRS.

PART 6

OTHER TERMS, CONDITIONS, AND PROVISIONS

6.4.4 Health Insurance Portability and Accountability Act (HIPAA): Additional or supplemental instructions unique to HIPAA for this TO are as follows:

The HCWs shall comply with the privacy and security policies of the treatment facility.

Providers shall obtain/maintain a National Provider Identifier (NPI) in accordance with

DOD and MTF policy/instruction, as applicable. https://nppes.cms.hhs.gov/

PART 7

APPLICABLE PUBLICATIONS

7.1 Publications: In addition to the publications listed in the contract, the Contractor shall abide by the following applicable regulations, publications, or manuals:

The HCWs shall not use patient care rendered pursuant to this contract as part of a study, research project, or publication. The HCWs shall prepare medical records, forms, and documents as required, IAW the regulations and established guidelines listed in the contract.

PART 8

ATTACHMENTS/EXHIBIT

EXHIBIT 1

PERFORMANCE REQUIREMENTS SUMMARY (PRS)

The following performance outcome acceptable quality levels (AQLs) for minimum quality levels of service are required on this TO:

Performance

Objective Reference Performance Objective

Method of

Surveillance

AQL

Overall Fill Rate 5.1: Recruit

HCWs

Percentage of days adequately covered in a reporting period

Government management oversight;

discrepancy reports by

COR

Equal to 100%

Turnover Rate 5.3.2: Replace

HCWs

The number of FTEs that turned over during a reporting period

Government management oversight;

discrepancy reports by

COR

N/A

Replenish Rate

5.2: HCW

Qualifications

The measure of how well assigned positions remain filled in a reporting period

Government management oversight;

discrepancy reports by

COR

ADDITIONAL METRICS

Performance

Objective Reference

Performance

Objective

Method of

Surveillance

AQL

Customer

Service N/A Customer Complaints Documentation

No more than 2 substantiated complaints per quarter

Qualification requirements

PWS HCW

Duties per Labor

Category

Comply initially and annually.

Inspection

Maintain 100% compliance per quarter

Training

Paragraph 1.6.10 and Supplement to PWS per

Labor Category

Completion of required training

Observation & documentation

Maintain 80% compliance per quarter

Encounter

Closures

PWS HCW

Duties per Labor

Category

Completion of health record documentation

Monthly data review

Maintain 90% completion rate within 72 hours

EXHIBIT 2

DELIVERABLES SCHEDULE

Deliverable Frequency # of Copies Medium/Format Submit To

Key Personnel List NLT 5 business days of TO award

1 Electronic copy (MS

Word) via email

TOKO

Initial Placement of

HCWs:

Qualifying

Documentation (i.e., qualifying package;

credentialing package)

NLT 30 days before the required start date

Qualifying packages-

Electronic copy (Scan of original documents in PDF format)

Credentialing packages- Original documents (unless otherwise stated by the

COR)

COR

Replacement of

HCWs:

Qualifying documentation (i.e., qualifying package;

credentialing package)

NLT 15 days after vacancy occurs for non-credentialed

HCWs; NLT 30 days after vacancy for credentialed

HCWs

Qualifying packages-

Electronic copy (Scan of original documents in PDF format)

Credentialing packages- Original documents (unless otherwise stated by the

COR)

Quality Control Plan Within 15 days of

TO award

Electronic copy (MS

Word) via email

TOKO

Security Investigative

Package

NLT 30 days before the required start date of the HCW

Electronic or Original

(depends on MTF preference)