Attachment 1 PWS for Medical Director and EAP.pdf

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ATTACHMENT 1

OCCUPATIONAL HEALTH MEDICAL DIRECTOR AND EMPLOYEE ASSISTANCE

PROGRAM COORDINATOR (EAP) SUPPORT PERFORMANCE WORK STATEMENT

(PWS)

GENERAL INFORMATION

Location and Hours of Work.

The services under this performance work statement (PWS) are to be performed at John C. Stennis Space Center (SSC), Mississippi.

SSC's Clinic core business hours are 0700 AM to 1530 PM Central Time, Monday through Friday, except Federal holidays. The Contractor shall manage shifts to provide adequate coverage to meet PWS requirements during these hours. The Contractor shall meet the requirements of the PWS and be flexible to meet National Aeronautics and Space Administration (NASA) compliance and mission requirements. Workhours outside core business hours may be required to meet requirements delineated in the PWS or by NASA or Tenant missions.

MEDICAL DIRECTOR SERVICES

General.

Medical Director services performed under this contract shall be performed by an occupational health physician. The Physician shall maintain a regular on-site presence, at a level sufficient to meet contract requirements and applicable NASA regulations. The specific hours of on-site presence may vary from week to week depending on workload and program needs. Some services may be performed remotely, provided that the Physician remains available for timely virtual consultation when not physically on-site.

The Medical Director shall:

a. Ensure the program meets all Federal, state, and NASA requirements for that jurisdiction.

b. Ensure other healthcare providers (e.g., nurse practitioners and physician assistants) are appropriately credentialed in compliance with the requirements of NASA Procedural Requirement (NPR) 1850.1.

c. Ensure physicians and other healthcare providers (e.g., nurse practitioners and physician assistants) are privileged in compliance with the requirements in NPR 1850.1.

d. Ensure employees who administer spirometry testing maintain certification from a National Institute for Occupational Safety & Health (NIOSH) approved course, as required by

OSHA.

e. . Establish immunization policies and procedures and ensure immunization services are available in such areas as international travel, medical surveillance/job certification, occupational injuries/illnesses, and preventive medicine.

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f. b. Ensure the medication management process is sound, properly documented, meets NASA Quality Assurance (QA) Program elements, and follows the most current Centers for Disease Control and Prevention (CDC) recommendations.

g. a. Establish procedures to meet the medical expectations of the emergency management plan including, but not limited to, skill mix and number, employee training and drills, equipment, and supplies.

h. Where appropriate- provide credentialling of Emergency Medical Technicians from the Office of Protective Services.

i. Establish measures to safeguard and retrieve medical records in paper or electronic format per 5 U.S.C. § 552a, Health Insurance Portability and Accountability Act of 1996, Pub. L.

104-191, (1996), (HIPAA), where applicable, and NPR 1441.1.

j. Ensure OM staff are appropriately trained, and adequate supplies are readily available.

k. Support other OH disciplines in meeting their respective requirements in disaster management such as supporting the Employee Assistance Program (EAP) in Critical Incident Stress Management (CISM) training and debriefing.

l. Medical Director shall ensure the overall quality of care provided by all healthcare providers. In all situations where the decision regarding medical qualification or certification is unclear, the Medical Director, or qualified designee when the Medical Director is unavailable, is responsible for reviewing the clinical information and making the final decision.

m. Medical Directors shall provide oversight and medical direction for the Center Automatic External Defibrillator (AED) program.

n. Review the Blood Borne Pathogen (BBP) plan annually, or more frequently as needed, to ensure currency.

o. Establish policies and procedures to ensure compliance with the BBP plan and that treatment is available for all employees in the event of an actual exposure in compliance with 29 CFR § 1910.1030. This may include but is not limited to:

p. (1) Providing oversight for the content and/or delivery of related training classes.

q. (2) Provision and documentation of hepatitis B vaccine to at-risk employees free of charge.

r. (3) Documentation of declination of offer to vaccinate and the process by which the employee may obtain the vaccine later.

s. (4) Post-exposure prophylaxis plan.

t. (5) Medical confidentiality.

u. (6) Issuing the medical opinion letter in compliance with the BBP Standard.

v. Specify in the plan the means to protect and train the at-risk employees in accordance with

29 CFR § 1910.1030.

w. Ensure the BBP plan is accessible to employees and serves as the foundation of the respective employer's plan.

x. Establish a process by which they can address any deviations from the BBP Plan and review the plan annually in collaboration with the affected directorates and disciplines.

y. Ensure an infection control program is established and maintained at their Centers and adequate resources, including time and training, are available to support the program.

z. Ensure the infection control plan guidelines and practices will:

aa. Address patient care issues such as hand-washing practices, approved antiseptics and disinfectants, sterilization of equipment and disinfecting the clinic, laundry, housekeeping, ventilation, and environmental sampling.

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bb. Establish a medical surveillance program for healthcare employees, including immunizations, post-exposure protocols, and work restrictions/accommodations.

cc. Include the BBP Plan and a tuberculosis prevention and control plan.

dd. Ensure appropriate and timely action is taken on all infection control issues or problems and a process for follow-up has been established to ensure effectiveness of the CA.

ee. Ensure training of healthcare employees on infection control methods as required by

Federal OSHA regulations is accomplished. For infection control, the training will include the following:

ff. Newly assigned healthcare employees receive infection control training within ten working days of placement in the clinical environment.

gg. Healthcare employees annually receive infection control training, including OSHA BBP, standard and transmission-based precautions, and Personal Protective Equipment (PPE) training.

hh. Healthcare employees receive training when significant regulatory changes occur.

ii. Healthcare employees provide direct care to employees who receive continuing education on patient care practices to minimize the risk of nosocomial-acquired infections.

jj. Ensure all training documentation and continuing education records are kept in the healthcare employees’ records in accordance with NASA records management guidelines.

kk. Designate at least one person to the role of Infection Control Officer (ICO) for their Center.

Scope

NASA’s Occupational Health Program (OHP) provides initial care for NASA employees, user(s)/tenant(s) employees, and visitors who become ill or injured while on-site, as well as health services to maintain and improve the health of NASA employees and contractors with a focus on the prevention, diagnosis, treatment, and care of illness and injuries caused or aggravated by the work environment. The Medical Director is the final medical technical authority for all medical issues. General clinic operations are not the responsibility of the Medical Director.

NASA requires a professional Occupational Health Services (OHS) program in accordance with NPR 1800.1, NASA Occupational Health Program Procedures that complies with all regulatory standards including Federal, state, and local requirements.

The major areas of services provided within this PWS section are Medical Director oversight of the Occupational Health program.

Limitations, Restrictions, and/or Special Conditions

The Contractor shall perform Medical Director services during core business hours (0700-1530).

General Requirements

The Contractor shall:

Provide an Occupational Physician to serve as Medical Director to support occupational

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Provide a Medical Director necessary to support the clinic on a five (5)-day-per-week basis to fulfill the overall mission of providing an Occupational Health Physician.

Provide a physician who is board certified by the American Board of Medical Specialties to serve as the Medical Director of the Stennis Occupational Health Clinic.

An alternate certifying credential may be accepted with the approved waiver by Office of the Chief Health and Medical Officer (OCHMO) to serve as the Medical Director.

The Medical Director qualification shall include:

• Occupational medicine experience.

• Meet the individual credential and license standards established by the State of

Mississippi.

Provide oversight of all OHP reports for external agencies or organizations as required by law and submit in a timely manner to NASA for transmittal to appropriate agencies.

Historical Workload Indicators

The following workload indicators are included to allow prospective bidders the opportunity to understand the volume and nature of the work the Medical Director will oversee.

VISITS/TASKS SSC HISTORICAL AVERAGE/YEAR

Audiograms 360 Blood Pressure Evaluations 750 Bloodborne Pathogen Class 75 Blood Work/Labs 500 Certification Physicals 450 Drug Screens 50

EKG 75

Fitness For Duty 30 Injections 250 Non-Occupational Injury/Illness 50 Occupational Injury/Illness 200 Optical Services 120 Primary Prevention and Health Promotion 850 Pulmonary Function Test 50 Return to Work Exams 750 X-Rays 100

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EMPLOYEE ASSISTANCE PROGRAM (EAP) COORDINATOR SERVICES

General. The Contractor shall provide EAP services in accordance with Federal, state, and local requirements, including, but not limited to, NASA PR1800.1, NASA Occupational Health Program Procedures.

The Contractor shall perform EAP services during core business hours (0700-1530). On-site performance of this work is allowed but not required. After hours EAP services are covered by an Agency contract not included in this work statement.

A. Scope

NASA requires a professional EAP service in accordance with NPR 1800.1, NASA Occupational Health Program Procedures that comply with all regulatory standards including Federal, state, and local requirements.

EAP providers/clinicians shall, at a minimum:

a. Implement EAP policies and programs as described in this requirement.

b. Counsel and assist employees on a variety of issues, to include work concerns, family life, and alcohol and drug abuse problems in accordance with Federal Agency requirements, 5 CFR § 792, Federal Employees’ Health, Counseling, and Work/Life Programs.

c. Serve as the primary EAP point of contact for Center management and personnel.

d. Provide guidance and feedback to Center management and supervisors on work-related issues.

e. Participate in meetings scheduled by the Agency EAP manager.

f. Provide assessments, short-term counseling, referrals, and educational and outreach presentations to employees, including supervisors and managers.

g. Communicate and coordinate regularly with their EAP CORs/technical monitors to ensure the continuity and quality of the EAP.

h. Participate, coordinate, and/or contribute subject matter expertise to Center meetings, initiatives, and events (e.g., threat assessments, safety meetings, health/safety fairs, equal opportunity and diversity activities, and emergency management drills).

i. Ensure that management, supervisors, team leads, and employees are notified about available EAP benefits, including identifying methods to ensure offsite employees (e.g., those stationed at other Centers and remote workers) receive information.

j. Offer educational sessions, consulting, and coaching to managers, supervisors, team leaders, and similar personnel.

k. Establish and implement a confidential anonymous method to obtain Center-wide employee feedback to measure and track the degree of the workforce’s awareness of the EAP and its effectiveness.

l. Provide utilization reports as requested to the Agency EAP manager.

m. Manage the existing Critical Incident Stress Management (CISM) Team.

n. Provide periodic educational sessions for a CISM peer team (members are volunteers, with contractor personnel volunteers required to obtain appropriate permission to participate).

o. Make requests to the Agency EAP manager for additional temporary clinician support to respond to a critical event.

p. Notify the Agency EAP manager of all incidents that required implementation of CISM or

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CISM-like support.

q. After a CISM or CISM-like support, meet with Center emergency management personnel, medical first responders, and management to identify the employee(s) who may need immediate support.

r. Attend, at a minimum, one OCHMO-led event per year to collaborate with other clinicians, discuss best practices, share professional expertise, and otherwise foster beneficial working relationships across the Agency.

B. Limitations, Restrictions, and/or Special Conditions

The Contractor shall perform EAP services during core business hours (0700-1530), with access to the EAP during off-hours for emergency purposes.

EAP Clinician Certification, Licensure, and Training

Contractor shall use EAP providers who are licensed or certified in their state to provide mental health counseling.

EAP providers shall have knowledge and expertise about human behavior and mental health applicable to productivity in the workplace (e.g., alcohol and substance abuse, healthy functioning of the workplace, labor relations issues, organizational dynamics, and resolving concerns such as marital, family, financial, legal, emotional stress) and be familiar with EAP requirements and all EAP-related laws and regulations, including Confidentiality of Substance Use Disorder Patient Records, 42 CFR pt. 2, as well as drug treatment/rehabilitative insurance coverage that may be available to employees.

C. General Requirements

The Contractor shall:

Provide an Employee Assistance Program (EAP) in compliance with NPD 1830.1, NASA Employee Assistance Program.

• Include services related to alcohol and drug abuse prevention, and the identification and treatment of employee stress including Critical Incident Stress Management (CISM)

NOTE: This program is available to approximately 4,000 employees and their family members.

Historical Workload Indicators

The following workload indicators are included to allow prospective bidders the opportunity to

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VISITS/TASKS SSC HISTORICAL AVERAGE/YEAR

Alcohol 9 Drug 1 Emotion 145 Family/Marital 61 Psychiatric 1 Information 4