Attachment 1 - PWS_MINI_NCAT Requirement_Final.pdf

PERFORMANCE WORK STATEMENT

for

The DOD Neurocognitive Assessment Tool (NCAT) and Support Services

6 January 2025

1. GENERAL.

1.1. This is a non-personal services requirement for the U. S. Army Medical Command’s (MEDCOM’s) neurocognitive assessment program to provide neurocognitive assessment and support services for all Department of Defense (DOD) agencies (Army, Navy/Marine Corps, Air Force, and Space Force). Additionally, at a future date, the assessments and support may include the U. S. Coast Guard. As a non-personal services contract, the Government shall not exercise any supervision or control over the non-personal service contractor personnel performing the services herein.

This component of the DOD’s neurocognitive assessment program is designed to provide baseline and reassessment neuropsychological testing for military Service members (SM), new accessions at Initial Military Training (IMT) sites, and DOD civilian employees working at-risk occupations or locations. In addition, the Contract Service Provider (CSP) will support neurocognitive assessments and re-assessments for SM who have sustained head injuries, were exposed to potentially concussive events, or have symptoms that indicate the SM may have a brain injury or was exposed to other hazards to brain health, such as blast overpressure, directed energy weapons, toxins, etc.

The CSP will provide a full spectrum of program support that involves, but is not limited to, configuration of laptops to support the specified neurocognitive assessment tool (NCAT), customer and technical support, IT support, data management and storage, and the administration of computer-based testing of neurocognitive function modules as directed by the government’s Neurocognitive Assessment Program (NCAP). Currently, the DOD uses the Automated Neuropsychological Assessment Metrics (ANAM), a specific NCAT; however, the DOD reserves the right to adopt another NCAT during the performance of this contract. The CSP will conduct testing on all individuals who present themselves for testing.

1.1.1. The NCAP has a high level of visibility by senior military leadership as well as from Congress. As a result, NCAP Program Management Office (PMO) government staff must have the ability to quickly respond to inquiries for information. To ensure the program can meet these expectations, NCAP PMO will require frequent communication with the CSP to obtain NCAT information. NCAP PMO leadership will also rely on this critical communication to address and resolve unforeseen testing site issues and to communicate this to appropriate military offices. To foster and enhance effective communications between testing sites and NCAP PMO and to ensure challenges at assessments sites are quickly addressed, the CSP will designate a Contract Lead or Contract Manager to work with the government team to troubleshoot unforeseen issues.

This position or their designee will be required to have availability outside of normal working hours and on weekends depending on NCAT test schedules at NCAT testing sites to swiftly address any problems that arise at NCAT testing sites and to ensure coordination with the testing sites. This person is expected to have frequent communications with the government NCAP PM as well as other government staff assigned to OTSG’s and designated DOD offices, such as the Defense Health Agency’s (DHA) Traumatic Brain Injury Center of Excellence (TBICoE), to address requests for information from senior leadership and to keep the NCAP government team apprised of critical challenges at NCAT testing sites. The Contract Manager/Lead position or a designee with decision making authority will initially work out of the Army’s Office of the Surgeon General (OTSG) in Falls Church, VA; however, it is expected the position will change to Silver Spring, MD when the program transitions to DHA, at a date to be determined. The Government PM or any government staff working out of the OTSG or TBICoE space will not have any supervisory control over CSP personnel.

1.2. BACKGROUND. Neurocognitive testing provides quantitative and objective measures of individual Service members’ (SM) neurocognitive capabilities and cognitive health. The DOD will use specific neurocognitive assessment tools (NCAT) to obtain baseline neurocognitive assessments on all SMs and then periodically reassess all SMs throughout their military careers, as well as neurocognitive assessments and re-assessments for SM who have sustained head injuries, were exposed to potentially concussive events, or have symptoms that indicate the SM may have a brain injury or was exposed to other hazards to brain health, such as blast overpressure, directed energy weapons, toxins, etc.

1.3. Neurocognitive testing data is currently stored using a DOD approved data repository storage system. To obtain test results, a request needs to be submitted to the contract CSP’s help desk. The NCAP PMO and DHA are working to evolve data storage and access. As these system upgrades are made, the CSP will adapt data storage and data sharing based on available systems as directed by the government NCAP PMO and DHA.

The NCAP is guided by the following documents:

• Department of Defense Instruction 6490.13 requires all SMs to have a cognitive assessment baseline performed before deployment.

• The Department of Defense’s Warfighter Brain Health (WBH) initiative and as outlined in action #33 of the Joint Requirements Oversight Council Memorandum (JROCM) 004-22, dated 19 January 2022, all Service Members (SMs) are required to complete a neurocognitive baseline assessment and follow-up assessment as directed by the Services.

• Office of the Under Secretary of Defense for Personnel and Readiness (OUSD(P&R)) indicated in a Report to Congress (RTC) that Services would use the Automated Neuropsychological Assessment Metrics (ANAM) tool to collect neurocognitive assessment baselines at DOD Initial Military Training locations by the end of 2024.

• The Deputy Secretary of Defense’s (DEPSECDEF) memo “Department of Defense Requirements for Managing Brain Health Risks from Blast Overpressure,” dated 22 August 2024, requires NCAT testing capabilities at all new military accessions sites by the end of 2024. In addition, the memo requires “baseline cognitive assessments for currently serving high-risk Active-Duty Service members by the end of FY 2025 and address the remaining Active and Reserve Component Service members, with the exception of the Individual Ready Reserve (IRR), as soon as possible. National Guard forces are included in the requirement to obtain baseline cognitive assessment on Reserve component SMs.

The NCAP PMO established 24 permanent contract-staffed NCAT testing sites and contract-staffed surge support teams to provide NCAT testing capacity at other temporary sites. The CSP will maintain the current contract-staffed locations outlined in Exhibit C and F and 7 fully contract-staffed staff surge support teams. Since 2021, the CSP has supported as many as 65 surge requests annually. The CSP will also provide help desk, IT technical and troubleshooting, and administrative support for approximately 160 government-staffed permanent NCAT tests sites as well as hub and mobile surge government-staffed NCAT testing sites. The number of government staffed NCAT testing sites noted above, may vary plus or minus 10 to 20 percent dependent on operational tempo.

The sites listed in Exhibit C and F, and government staffed NCAT testing sites, as well as the surge support are critical components of the DOD’s NCAP and its mission to ensure all SMs receive baseline cognitive assessments by FY2027 and then periodically throughout their career. This contract provides support for maintaining the existing neurocognitive assessment capabilities as well as for obtaining cognitive baseline assessment and reassessments for other SMs and at-risk members of the DOD civilian workforce as outlined above.

1.4. SCOPE OF WORK. The CSP will ensure all SMs and at-risk DOD civilian workforce who present themselves for testing at CSP staffed NCAT testing sites receive a NCAT test. The CSP shall provide: (a) all services necessary to execute neurocognitive assessments of SMs at the permanent sites listed in Exhibit C and F, (b) provide testing capability and staff capacity to operate a minimum of 4 surge support teams to test at other DOD installations, and (c) provide support for testing site set up to include Joint Proctor and System Training. In addition to operating the sites in Exhibit C and F and the surge teams, the CSP will execute all aspects and functions necessary to support the NCAP as directed by the government NCAP PMO, including but not limited to: managing NCAT proctor and system training requests, provide training as outlined in this agreement, manage request for surge support, IT/data management, IT systems management, data storage, data requests, server management, IT security for servers, laptops and other data storage devices, logistics, NCAT training, and administrative support services to the NCAP PMO, including sites staffed by government personnel.

Surge support missions will require approval of the COR and NCAP PM. The CSP shall conduct assessments for 100% of those who present themselves for testing at contract staffed NCAT sites. The services shall consist of functional, technical, and administrative services, to include any necessary equipment (not elsewhere provided), materials, supplies, facilities, logistical services, and scheduling services necessary to support the DOD NCAB IMT program.

The CSP shall provide day to day operations for the contract staff at NCAT testing sites listed in Exhibit C and F and contract-staffed surge support teams.

The CSP shall provide IT, help desk, data storage, technical and administrative support for all DOD NCAT testing sites included in Exhibit C and F, and government staffed NCAT testing sites and surge support teams. This support also includes training of NCAT proctors (government and CSPs).

Contract proctors will confirm SM identification information is accurate before they check out. The CSP will be responsible for following the NCAT process, to include encryption and uploading of data to designated locations. NCAP PMO will provide these processes upon award of the contract.

1.5. Regular Work Hours. CSP will provide testing based on the schedule at each of the NCAT testing locations. Each location may require unique hours to conduct NCAT testing, including day, evening, weekends, and holidays. The CSP will need to accommodate the unique operational schedules of these sites by providing testing and support services during non-traditional operating hours, including evenings and weekends.

The CSP at time of award will provide final site-specific hours that provides coverage for NCAT testing at each site in support of Exhibits C and F, to include help desk support and IT support services to all NCAT testing sites (CSP and government staffed) and surge teams. Testing coverage must meet the site-specific testing time availability, and each site will operate to offer testing 40 hours every week.

The government retains the right to alter the windows for the scheduling of NCAT tests and will provide updated scheduling windows to the CSP with a minimum advance notice of 72-hours. The 72-hour notice will not apply when technical issues, equipment malfunction, or other unforeseen situations occur that prohibit the completion of SMs’ scheduled NCAT testing. In these circumstances, the government retains the right to alter testing schedules to ensure testing is completed with the goal to have no or minimal impact on the SM’s schedule.

The CSP will coordinate with local NCAT POCs to schedule SMs’ NCAT testing within these windows or to reschedule testing when a SM’s test was interrupted or could not be performed as outlined above. At all times, the local designated government NCAT POC retains final authority to approve the scheduling or rescheduling of SMs’ NCAT testing within the above guidelines.

Surge activities at Services locations will require the same level of scheduling flexibility as those outlined above to achieve mission goals. The driving force behind scheduling times will depend on each site’s activities and unique mission requirements.

The government shall provide the CSP with NCAT testing hours as part of the surge request approval process. As with the permanent testing sites, the government retains the right to request rescheduling of SM’s NCAT testing that could not be performed due to technical and equipment issues or for other unforeseen circumstances. In these circumstances, the CSP will work with the local POC (identified in the Surge request) to determine the best time to reschedule the NCAT test. Any other changes to the scheduling window must be approved by the government NCAP PM, COR, or KO with a minimum of 72 hours advance notice.

1.5.1. CONTINGENCY OPERATIONS. In the event of natural or man-made disaster or other emergency conditions, both parties must make use of the resources and tools available to continue contracted functions to the maximum extent possible under emergency circumstances. In the event that any disruption of normal, daily operations occurs, the CSP and Government shall promptly open an effective means of communication and verify the following:

• Key points of contact (Government and CSP),

• Temporary work locations (alternate office spaces, telework, virtual offices, etc.),

• Means of communication available under the circumstances (e.g., email, webmail, telephone, facsimile (FAX), courier, etc.),

• Essential work products expected to continue by priority.

1.5.1.1. Within 30 days of contract award the CSP will develop and submit to the government for approval a contingency operating plan for all CSP manned NCAT testing sites included in Exhibit C and F. The purpose of the contingency operations plan is to ensure NCAT operations are in line with the hosting command’s operational requirements. The CSP must include in their contingency plan, how they will ensure NCAT assessments are in line with the local command’s operational status during emergencies and inclement weather.

1.6. Test Requirements. Using Government-provided NCAT platforms, furniture, and auxiliary materials, the CSP will utilize established equipment or set-up mobile/ surge NCAT testing laptops and other testing equipment in designated spaces, as listed in Exhibit C and F or on surge support requests.

1.6.1. For some IMT sites, on a daily or weekly basis (dependent on frequency of test scheduling at each location), the local government NCAT POC will provide a list of all SMs who will present for testing. The frequency and timing of the lists is site specific as some sites will not test every day. When the list is provided, the CSP will be responsible for tracking SMs who present and complete testing and provide the list to the local government NCAT POC or their designated representative.

The CSP will develop site-specific scheduling procedures following all local, Service’s, and DOD policies as well as any applicable DOD PII and PHI regulations.

1.6.2. The CSP will present the government approved NCAT briefing slides prior to testing. This may be conducted in the same room as testing or in a designated briefing room proximal to the testing area. The briefing slides or approved video used to familiarize SMs with the structure of the assessment are approved by the Government and may not be altered or changed by the CSP without the NCAP PM, COR, and KO’s approval.

1.6.3. SMs are required to test by utilization of a laptop or tablet while in a seated position. SMs taking the test are required to complete the patient demographics module, which takes less than ten minutes, followed by the ANAM Expanded Military Battery.

The Expanded Military Battery includes "ten performance tests, two subjective scales, and three surveys (TBI Questionnaire, Neurobehavioral Symptom Inventory, PTSD Checklist)". Once the test begins, SMs are required to complete it in one session.

Individual modules can be restarted at the SM’s request if instructions are not understood or if the proctor determines invalid responses. After each SM completes the testing, the proctor will validate the test was fully complete and check for any critical alerts (TBI symptoms, score <56, and/or mood) on the Summary Report. If SMs score equal to or less than 56% accuracy, the proctor will conduct retakes as needed. The proctors will also advise the local government NCAT POC or their designated representative if a SM is flagged with a critical alert. The CSP will ensure government approved local SOPs provide guidance on what actions to perform for each type of critical alert. The local NCAT POC will follow service or the local command’s specific guidelines regarding such alerts.

1.6.3.1. At IMT locations, the CSP will maintain constant visibility (eyes on) on anyone taking the assessment who receives a critical alert for mood until the person is handed over to a representative from the local command. This handoff is critical to ensure no one who is at risk of hurting themselves or others is left unsupervised and is not properly handed off to the local command.

1.6.3.2. Contract staff will maintain a log of all critical alerts to include the name of the local command’s representative who was notified of the critical alert and in the case of a mood critical alert also include the name of the command’s representative who the SM or at-risk DOD civilian was handed off to. The CSP will submit a copy of this log via properly encrypted email to the NCAT site’s POC or designated representative at the conclusion of each day’s testing. In addition, the CSP will ensure a consolidated version of the log is sent to the NCAP PMO and COR as a deliverable by the 5th business day of each month. The CSP will develop a report format and submit to the government for approval within 30 days of contract award.

1.6.4. Quality Assurance and regular reporting are critical components of neurocognitive testing that ensures services are delivered to a high standard, with testing accuracy and reliability being paramount. The CSP will provide throughput, notable trends, and concerns for each NCAT site included in Exhibit C and F, and for CSP staffed surge missions to the COR and government NCAP PMO. The CSP will provide a monthly summary outlining the number of SMs who completed testing, number of critical alerts broken out by each type, notable trends, and any concerns to the COR and NCAP PM on a monthly and ad hoc basis, unless otherwise approved by the NCAP PM, COR, or KO. The report is due no later than the fifth business day of the month and will be broken out by each NCAT site covered by this agreement. The CSP will comply with all DOD regulations, safety standards, and health and operational security guidelines for the installation. The CSP will ensure staff are adequately trained and equipped to meet these standards, providing efficient and uninterrupted service delivery at all sites.

1.6.4.1. The CSP will ensure they comply with the QASP. The CSP’s reports, forms, and other documents submitted to the government shall contain 100% data accuracy and have no more than a 5% error rate. The CSP’s quality control plan shall ensure checks to ensure all of their employee’s forms are error free.

1.7. NCAT IT Support. The NCAT IT systems are currently configured as an air-gapped system with the NCAT laptops, servers, and data storage systems not connected to a network. As the system matures, it is expected the data storage will transition to a DHA approved network. The CSP will provide IT support for all NCAT IT & data management systems for maintenance and upgrades, as well as the transition to a DHA network.

The CSP will provide IT Technical Support Services. IT Technical Support Service operations for all DOD NCAT testing sites, to include CSP staffed and government staffed testing sites.

1.7.1. The CSP’s support shall include but not be limited to remote help desk support and when necessary on-site support. When the CSP is not able to resolve the IT technical issues remotely, they will notify the NCAP PMO with a recommendation to further evaluate and resolve the issue (i.e. ship equipment to CSP space for repair, replace equipment, TDY IT staff to site, etc.). The CSP should consider the following in their recommendation:

• Urgency to return equipment to Service

• Time required to execute plan

• Cost to execute plan

• Other factors

The CSP will provide the NCAP PMO and COR a monthly inventory list of operable laptops and switches ready for deployment as well as a list of laptops and switches that are inoperable.

1.7.2. IT technical support will also include developing and installing NCAT images on all NCAT laptops and other approved testing equipment.

1.7.3. Currently NCAT data reside in the National Data Repository housed on Joint Base San Antonio with the data scheduled to transfer to a SQL server/data base housed on Joint Base San Antonio at a date to be determined. The CSP will maintain the current NCAT testing data storage devices (i.e., ANAM repository and SQL database) in compliance with DOD and DHA requirements, including obtaining and maintaining all security requirements, such as but not limited to Authorities to operate (ATO), and permission to use designated NCAT and other required software on DOD and DHA IT laptops and systems.

1.7.3.1. The CSP will also provide qualified staff to load and retrieve NCAT data from the data storage systems (i.e., data repository and SQL database).

1.7.3.1.1. The CSP will provide Technical Support/Customer Service for uploading and for downloading information that is required to respond to healthcare providers requests for NCAT information held on the Server. The CSP’s customer support will provide an initial response to a healthcare providers’ NCAT report request within 15 minutes of receipt of request. The response will include acknowledging receipt of request and an estimated time required to provide the report back to the requestor. The CSP will ensure the maximum time required to provide the report back to the requestor is 1 hour or less, unless otherwise approved in writing by the requesting provider. Additionally, the COR or KO may provide advanced permission to exceed the 1-hour limit. due to expected unavailability of the systems (i.e., scheduled system maintenance). The CSP will notify the NCAP PMO within 1 hour of an unexpected data system outages.

1.7.3.2. The CSP will provide a monthly report of the total number of NCAT comparison report requests received, not to include routine follow-up reassessments. The report shall also include a deidentified list of requests that exceed the 1-hour time limit as discussed in section 1.7.3.1.1, a summary of what led to the failure to respond within 1-hour, and what actions the CSP took to minimize the risk of additional reoccurrences of the causative factor. This report is due by the 5th workday of each month, unless otherwise approved by the COR or KO.

1.7.3.2.1. The contract staff performing this function must work out of space co-located with the NCAT servers housed in a government facility at Fort Sam Houston/San Antonio, TX. Technical Support/Customer Service operations must be available 24/7, with a 1 hour or less turnaround time for filling provider requested NCAT comparison reports.

1.8. TRAINING REQUIRMENTS. The CSP will operate a NCAT training program to train DOD staff (i.e., DOD civilians, SMs, authorized DOD CSPs, etc.) in the administration of the NCAT and how to setup a NCAT testing space, to include IT equipment, furniture, briefing area, and flow of testers into testing space, through check out and exit testing space.

1.8.1. This training curriculum and material must be approved by the NCAP PMO prior to use. The CSP will manage the requests and scheduling of NCAT training classes. The CSP will attempt to resolve any scheduling conflicts; however, in the event the CSP is not able to resolve conflicts with training requests and schedules they will elevate the issue to the COR and NCAP PMO for resolution.

1.8.2. NCAT Systems Training is a three-day course, with Day 1 dedicated to proctor training (serving as a pre-requisite) and Days 2 and 3 covering system-specific training The CSP shall prepare and submit a schedule to the COR and NCAP PMO for approval a plan to conduct routine scheduled training. This plan is due to the COR and NCAP PMO within 30 days of start of the contract and within 30 days of any subsequently awarded periods of performance.

1.8.2.1. CSP shall plan to annually conduct a minimum of 12, 3-day in-person Joint Proctor and System Training classes located in local government space on Joint Base San Antonio.). The CSP may be required to conduct additional local training classes based on the demand for proctors within the Services.

1.8.2.2. CSP shall plan to annually conduct 50-60, 3-day in-person Joint Proctor and System Training classes located at non-local military facilities (i.e., will require travel).

1.8.2.3. CSP shall only utilize remotely conducted Proctor Training classes when other options are not available or feasible and with the NCAP PMO approval. All remote training classes will utilize approved and appropriate DOD systems.

1.8.2.4. The government reserves the right to request the CSP adjust the timeframe and schedule for the above training in the event of unknown/unforeseen events that results in an increased need for NCAT proctors. These changes may require adjustments between the number of each type of training; however, any changes shall not result in an increased financial burden to the CSP than is accounted for in the CSP’s original plan.

1.9. NEUROCOGNITVE BASELINE ASSESSMENTS AND RE-ASSESSMENTS.

The computer-based neuropsychological assessment is more effective if an individual’s baseline cognitive function can be established prior to exposure to potential hazards to brain health. As a result, the CSP shall test 100% of SMs or at-risk members of the DOD workforce who present themselves for testing at a CSP staffed NCAT testing site included in Exhibit C and F, or CSP staffed surge site. The CSP will coordinate any required retesting or rescheduling of SMs’ NCAT testing at CSP staffed sites with the local NCAT POC or their designated representative. The CSP will also notify individual SMs if they are required to retest the NCAT and what actions are required before they can be retested. The CSP will also maintain a list of those SM or at-risk civilians that require retesting and forward it to the SM’s chain of command by the conclusion of each testing day. This list will include the SM’s who were flagged as having critical alerts during testing and specify the reason for the alert (i.e., elevated mood scale, active TBI symptoms, inability to score greater than 56 on any module after retesting.

1.9.1. The hours of retesting and rescheduling will align with section 1.5. In the event a CSP is not available at the testing site during scheduled testing hours, the CSP will immediately notify the COR and NCAP PMO. The CSP will notify the COR and NCAP PMO and local site POC within 24 hours of any SM who was not able to have testing completed as scheduled due to equipment failure or CSP staffing.

1.9.2. The CSP will provide the government NCAP PM or designee and COR a monthly report for each site that includes: the number of SMs receiving NCAT assessments, the number of SMs who presented and failed to receive testing with a brief explanation of why, and a summary of unexpected issues that occurred during the month.

1.9.3. The current NCAT is administered via a stand-alone computer laptop with Windows OS. The NCAT test normally requires approximately 30 minutes administration time and approximately 10 minutes of instructional time per individual;

however, these times may vary depending on SMs’ knowledge and abilities. The test may be administered in a group format. Total estimated time for assessing in a group format is 60 min (group size up to 50 SMs) that includes instructional period, test administration, and retake of module(s) as required. For groups greater than 50, 75 to 90 min should be used for scheduling purposes.

1.10. OCCUPATIONAL HEALTH REQUIREMENTS. All Contract Service Providers (CSPs) performing health care services under this contract shall comply with the local MTF Occupational Health Policy.

1.10.1. Upon failure of a CSP to meet the occupational health requirements stated herein, the Contracting Officer (KO) may, upon the advice of the IMT commander or his/her designee, determine that such CSP is not an acceptable individual to perform services under this contract.

1.11. QUALIFICATIONS/EDUCATION/LICENSURE/CERTIFICATION/REGISTRATI

ON REQUIREMENTS.

Below is a list of the positions with their minimal qualifications; however, it should not be considered as a complete list of positions required to complete the requirements of this contract.

1.11.1. Qualifications for NCAT proctors. The CSP shall provide NCAT proctors.

The proctors shall have adequate experience to present in a professional manner and be familiar with both engaging in and documenting encounters with military personnel.

The CSP shall ensure proctors are highly proficient as users of office automation equipment and be able to collect and upload data from NCAT computer systems as required. Recommended NCAT proctors have completed an applicable associate’s degree from an accredited college or university, medical, or other relevant experience, 6 months experience in a health care setting (preferably with the military health system), and a NCAP PMO approved ANAM certificate program.

1.11.1.1. Experience Level. The NCAT proctors must have experience in health care for at least six (6) months within the last five (5) years or have equivalent experience that prepares them for the role.

1.11.1.2. Communication. The CSP shall be able to read, write, understand, and speak English clearly and to communicate effectively.

1.11.2. Qualifications for Contract Manager/Lead. The CSP shall provide a NCAT Lead or Contract Manager. The CSP Lead/ Contract Manager shall have adequate knowledge and experience in military settings to equip them to function in a highly visible location, such as the Amy’s Office of the Surgeon General. The CSP Lead/contract manager must have a high proficiency with typical office equipment and computer software, such as Microsoft Office. Additionally, the candidate must have the ability and experience to problem solve, articulate, and present on complex issues impacting NCAT testing sites. They will also have good attention to detail and a high proficiency with grammar and spelling. Other attributes necessary for the position include knowledge and handling of project and program management methodology and techniques, ability to work positively with a wide range of individuals involved in the NCAP, strong leadership and management skills, and the ability to find innovative ways to resolve problems.

1.11.2.1. Experience Level. The CSP NCAT Lead/contract manager should have at least 3 years of senior level management experience, preferably in coordinating, directing, and leading computer-based testing at multiple geographically dispersed locations.

1.11.2.2. Communication. The contract NCAT Lead/ Contract Manager shall be able to read, write, understand, and can speak clearly and communicate effectively.

They must be able to clearly articulate their position on critical topics involving NCAT testing processes, challenges, gaps, risks, and solutions.

1.11.3. Qualifications for NCAT IT Specialist. The CSP must maintain at least two NCAT Testing IT laptop and server support personnel. The CSP must be able to identify software or hardware technical problems impacting the ANAM laptops and servers and then to quickly deploy the appropriate IT solutions to solve those problems. The CSP must have experience in encrypting data on removable media, such as CDs.

1.11.3.1. Experience Level. The CSP NCAT IT shall have at least an associate degree in computer science or other related field and 3 years of professional IT experience working on laptops and network systems. They must possess the knowledge, experience, and skills to quickly trouble shoot and resolve IT issues on NCAT laptops.

1.11.3.2. Communication. The contract NCAT IT shall be able to read, write, understand, and speak clearly and to communicate effectively. They must be able to clearly articulate complex IT issues in layman terms.

1.11.4. Qualifications for Information Assurance. The CSP must maintain at least one individual who works with the data repository server who has a designation of

Information Assurance Technical level II (IAT- II), and another individual who has the designation Information Assurance Management level II (IAM-II), and another individual who has the designation of Information Technology Manager (IT Manager). The individuals who fill the IAT-II, IAM-II and IT Manager positions must hold current appropriate training certificates to meet the government regulations and requirements that pertain to performing the Information Technology requirements for the NCAT data repository server. It is the CSP’s responsibility to ensure that all certifications and training are current and up to date and meet the requirements and intent of DOD Directives regarding server security and maintenance 8140.01 and 8570.01.

1.11.4.1. Experience Level. The CSP shall have at least 3 years of similar Information Assurance experience.

1.11.4.2. Communication. The contract NCAT IT shall be able to read, write, understand, and speak clearly and to communicate effectively. They must be able to clearly articulate complex IT issues in layman terms.

1.11.5. Qualifications for NCAT Logistic support. The CSP must maintain at least two logistics specialists and must be skilled in maintaining, receiving, storage, and delivering of products similar to NCAT equipment and accessories. The CSP at a minimum must be able to manage inventory (tracking and reporting inventory and deliveries), coordinate shipments of electronic equipment, and work with carriers and third-party services to ensure delivery of products as scheduled. Additionally, the CSP must be able to ensure compliance with shipping regulations, to include DOD regulations. The CSP’s knowledge, skills and abilities must be sufficient to efficiently work with the logistics and NCAT team to seamlessly resolve NCAT-related logistical issues.

1.11.5.1. Experience Level. The CSP shall have at least 3 years of similar logistical experience.

1.11.5.2. Communication. The contract NCAT Logistic support shall be able to read, write, understand, and the ability to speak clearly and communicate effectively.

They must be able to clearly articulate complex logistic issues in layman terms.

1.11.6. Qualifications for Information System Security Manager. The CSP must maintain at least one person as an Information System Security Manager (ISSM). The ISSM is responsible for safeguarding the program’s information systems by ensuring compliance with DoD cybersecurity regulations, including NIST, RMF, and FISMA standards. This leadership role involves managing system accreditation and maintaining the Authority to Operate (ATO), conducting risk assessments to identify and mitigate vulnerabilities, and overseeing the integration of system updates to ensure security and compliance. The ISSM leads incident response efforts, including detection, containment, and recovery from security events, and prepares detailed reports for leadership and stakeholders. Additionally, the ISSM will collaborate closely with program managers, IT teams, and external auditors to align security objectives with operational goals and provide guidance on secure system design and implementation.

This role requires expertise in cybersecurity tools such as Splunk, Nessus, and other SIEM solutions, as well as strong leadership and problem-solving skills. A bachelor’s degree in Computer Science or equivalent experience in Information Systems, or a related field is required, along with 5+ years of experience in information security, including at least 2 years in a managerial role. Preferred certifications include CISSP, CISM, or Security+. The ISSM plays a pivotal role in advancing the mission by addressing the unique cybersecurity needs of medical-related information ensuring the confidentiality, integrity, and availability of sensitive data.

1.11.6.1 Communication. The contract Information System Security Manager shall be able to read, write, understand, and can speak clearly and communicate effectively. They must be able to clearly articulate their position on critical topics involving information systems.

1.11.6.2 Experience Level. The CSP shall have at least 5+ years of similar information system security manager experience.

1.11.7 Qualifications for Data Analyst. The CSP must maintain at least one person as a Data Analyst. The Data Analyst is responsible for collecting, organizing, and analyzing large datasets to support neuropsychological and cognitive monitoring initiatives. They will design and maintain data pipelines, develop reports and dashboards, and provide actionable insights to guide program strategies and outcomes.

Using statistical and analytical tools such as Python, R, SQL, and Power BI, the Data Analyst will identify trends, create predictive models, and generate visualizations to communicate findings to technical and non-technical stakeholders. Key responsibilities include ensuring data accuracy and integrity through thorough cleaning and validation processes, managing data governance and compliance requirements, and collaborating with cross-functional teams to address program objectives. This role requires a bachelor’s degree in Data Science, Statistics, or a related field, with 3+ years of experience in data analytics or a similar role. Industry certifications (e.g., Microsoft Power BI Data Analyst, SAS, or AWS Data Analytics) are preferred. The ideal candidate will possess strong analytical skills, attention to detail, and the ability to translate complex datasets into meaningful insights to advance the mission of ANAM/CMP.

Familiarity with healthcare or government data systems is a plus.

1.11.7.1 Communication. The contract NCAT Data Analyst shall be able to read, write, understand, and can speak clearly and communicate effectively. They must be able to clearly articulate their position on critical topics involving data analytics.

1.11.7.2 Experience Level. The CSP shall have at least 3 years of similar data analytics experience.

1.11.8 Qualifications of Data Manager. The CSP must maintain at least one person as a Data Manager. The Data Manager is responsible for overseeing the efficient, secure, and compliant management of program data. This role involves developing and maintaining robust data systems, ensuring data accuracy, and implementing quality control processes to support data flow from the field to storage platform. The Data Manager will lead efforts in data storage solutions, and system performance optimization while ensuring compliance with regulatory standards, including HIPAA, DoD cybersecurity requirements, and data governance best practices. Key responsibilities include managing data workflows, overseeing data validation and retrieval, and collaborating with cross-functional teams to align data infrastructure with program objectives. The ideal candidate will have expertise in data management tools such as SQL, Oracle, or cloud platforms like AWS and Azure, along with experience in data visualization tools such as Power BI or Tableau. A bachelor’s degree or equivalent experience in Data Science, Information Systems, or a related field is required, with a minimum of 3+ years of experience in data management or database administration.

Preferred qualifications include certifications such as Certified Data Management Professional (CDMP) or AWS Certified Data Analytics. Strong leadership, project management, and analytical skills are essential to ensure the seamless operation of Cognitive Monitoring Program’s (CMP’s) data systems. By maintaining the integrity, security, and accessibility of sensitive program data, the Data Manager plays a critical role in advancing the program’s mission to enhance program capabilities.

1.11.8.1 Communication. The contract NCAT Data Manager shall be able to read, write, understand, and can speak clearly and communicate effectively. They must be able to clearly articulate their position on critical topics involving data management.

1.11.8.2 Experience Level. The CSP shall have at least 3 years of similar data manager experience.

1.11.9 Qualifications of Operations Manager. The CSP must maintain at least one person as an Operations Manager. The Operations Manager is responsible for planning, directing, and coordinating operational activities to ensure seamless program execution and alignment with organizational goals. This role involves managing day-to-day operations, optimizing workflows, and ensuring compliance with policies and standards, including DoD regulations. Key responsibilities include developing and implementing operational strategies, managing program logistics, and monitoring performance metrics to drive efficiency and effectiveness. The Operations Manager will collaborate with multidisciplinary teams, including data, technical, logistical, and unit leadership to ensure alignment of resources and processes with program objectives. A bachelor’s degree or equivalent experience in Business Administration, Operations

Management, or a related field is required, with 5+ years of experience in operations or project management. Preferred qualifications include PMP or Lean Six Sigma certifications. Strong leadership, organizational, and problem-solving skills are essential, along with the ability to manage multiple priorities in a fast-paced environment. The Operations Manager plays a pivotal role in advancing CMP’s mission by ensuring operational excellence in support of program initiatives.

1.11.9.1 Communication. The contract NCAT Operations Manager shall be able to read, write, understand, and can speak clearly and communicate effectively. They must be able to clearly articulate their position on critical topics involving NCAT operational activities.

1.11.9.2 Experience Level. The CSP shall have at least 5 years of similar operational management experience.

1.11.10 Qualifications of Training Coordinator. The CSP must maintain at least one person as a Training Coordinator. The Training Coordinator is responsible for organizing, schedule management and delivering training programs to support the program’s mission of advancing program mission. This role involves assessing training needs, implementing curriculum, and coordinating training sessions for diverse stakeholders, including proctors and program staff. The Training Coordinator will oversee the integrity of instructional materials, manage training logistics, and evaluate program effectiveness to ensure continuous improvement. A bachelor’s degree or equivalent experience in Education, Training, or a related field is required, with 3+ years of experience in training development and delivery. Proficiency with instructional design tools and familiarity with adult learning principles. Strong organizational, communication, and facilitation skills are critical for success in this role. By ensuring effective training delivery, the Training Coordinator supports the readiness and expertise of all personnel involved in the CMP program.

1.11.10.1 Communication. The contract NCAT Lead/ Contract Manager shall be able to read, write, understand, and can speak clearly and communicate effectively.

They must be able to clearly articulate their position on critical topics involving NCAT training.

1.11.10.2 Experience Level. The CSP shall have at least 3 years of similar experience in training coordination and facilitation.

1.11.11 Qualifications of IT System Administrator. The CSP must maintain at least one person as IT System Administrator. The IT System Administrator is responsible for maintaining and optimizing the program’s IT infrastructure to ensure reliable and secure system operations. This role involves installing, configuring, and managing hardware, software, and network systems, as well as troubleshooting and resolving technical issues. The IT System Administrator will monitor system performance, implement updates and patches, and ensure compliance with DoD cybersecurity and operational standards. Additional responsibilities include managing user accounts, maintaining backups, and developing system documentation to support continuity and reliability. A bachelor’s degree or equivalent experience in Information Technology, Computer Science, or a related field is required, with 3+ years of experience in system administration. Preferred qualifications include certifications such as CompTIA Security+, Microsoft Certified: Azure Administrator Associate, or Red Hat Certified System Administrator (RHCSA). Expertise in server administration, virtualization technologies, and cloud platforms such as AWS or Azure is essential. Strong problem-solving, analytical, and communication skills are critical for this role. The IT System Administrator ensures the stability and security of the program’s IT environment, playing a key role in supporting CMP’s mission of advancing program capabilities.

1.11.11.1 Communication. The System Administrator shall be able to read, write, understand, and can speak clearly and communicate effectively. They must be able to clearly articulate their position on critical topics involving NCAT program’s IT infrastructure.

1.11.11.2 Experience Level. The CSP shall have at least 3 years of similar systems administrator experience.

1.11.12 Qualifications of Trainer/Instructor. The CSP must maintain at least two part-time trainers/instructors. Trainers/instructors are responsible for providing Proctor and Systems courses training on the neurocognitive assessment tool (NCAT). The Trainer will clearly communicate the processes and procedures to administer testing and conduct end of day processing. Additionally, responsible for instructing trainings on how to establish a NCAT testing room for effective and efficient mass testing, as well as instructing on how to create a local area network for NCAT assessments. An associate’s degree in education or equivalent experience in course instruction/training is required a related field is required.

1.11.12.1 Communication. The Trainer/Instructor shall be able to read, write, understand, and can speak clearly and communicate effectively. They must be able to clearly articulate knowledge of critical topics involving NCAT program curricula for training and education.

1.11.12.2 Experience Level. The individual will have at least 2 years of experience as a course instructor, teaching in a large group setting. At least 2 years of technical knowledge in creating computer networks and troubleshooting network communication/connectivity. Must have versatility and flexibility in teaching style to meet the needs of the trainees and address the different learning styles and skill level of the audience. Must be able to travel domestically and internationally.

1.12. CONFLICT OF INTEREST. The CSP and/or CSPs shall not use patient care or assessment/testing rendered pursuant to this contract as a part of a study, research grant, or publication without the prior written consent of the KO.

1.12.1. All CSPs providing services on a government facility, answering Government telephones, attending meetings, or working in other situations where their CSP status is not obvious to third parties are required to identify themselves as CSP employees. All documents or reports produced by the CSP shall be marked as CSP products and CSP participation appropriately disclosed; however, this marking will not imply the CSP owns or has proprietary rights to the information contained in the document. CSP personnel are prohibited from using their retired or reserve component military rank or title in all written or verbal communications associated with the contract under which they provide services.

1.12.2. The CSP and/or CSPs shall not bill the patient, an insurer, or anyone else for services rendered under this contract. The CSP is prohibited from receiving compensation of any kind from any actions performed except under the terms and conditions of this contract.

1.13. SECURITY. The CSP and/or CSPs shall follow the security guidelines of each installation. The CSP shall be responsible for the security of all Service Members’ information.

1.13.1. Neither the CSP nor any of its CSPs shall disclose or cause to disseminate any information concerning operations of military activities. Such action(s) could result in violation of the contract and possible legal actions.

1.13.2. All inquiries, comments, or complaints arising from any matter observed, experienced, or learned of because of or in connection with the performance of this contract, the resolution of which may require the dissemination of official information, shall be directed to the Contracting Officer’s Representative (COR) and the KO.

1.13.3. The CSP shall only conduct business with designated government personnel listed as points of contact (POCs), on Exhibit F or as otherwise outlined in this contract. Names of authorized personnel shall be provided to the CSP by the KO, in writing, and updated as necessary throughout the contract.

1.13.4. Copies of original results and reports, government records, verified original data, corrected data, and corrected supporting final reports are maintained by the CSP, but remain the property of the U.S.