Attachment 1 -PWS Radiation Therapy - Final.pdf

Attachment 1

FA301021R010

27May2021

PERFORMANCE WORK STATEMENT

RADIATION THERAPY SERVICES

Personal Services

1. DESCRIPTION OF SERVICES AND GENERAL INFORMATION. The Government requires services of six full time equivalent (FTE) Radiation Therapy support personnel to include one FTE Medical Physicist, one FTE Senior Medical Dosimetrist, one FTE Medical Dosimetrist, one FTE Lead Radiation Therapist, and two FTE Radiation Therapists. Contractor personnel shall work in Radiation Oncology department providing services for Government beneficiaries at the Keesler Medical Center, Keesler Air Force Base (KAFB), Mississippi (MS), also referred to as the "medical treatment facility" (MTF) herein. Performance shall be in accordance with (IAW) the ethical, professional, and technical standards of the healthcare industry, the requirements contained in this Performance Work Statement (PWS), the professional standards of practice of The Joint Commission (TJC), the Air Force Inspection Agency Office of the Health Service Inspector, and applicable Air Force (AF) regulations.

1.1.CONTRACTOR MANAGEMENT STAFF RESPONSIBILITIES.

1.1.1. Verification and Validation of Candidate Qualifications. The Contractor shall verify and validate candidate qualifications against Government minimum requirements prior to submission of qualifying documents.

1.1.2. Placement of Contractor Personnel. The Contractor shall recruit and place contractor personnel in a timely manner. The contractor personnel shall physically start work no later than 15 calendar days from the initial date on the period of performance.

1.1.3. Replacement of Contractor Personnel. The Contractor shall replace permanent contractor personnel such that vacancies will not exceed 30 consecutive calendar days.

When replacing a contractor personnel, the consecutive calendar days begin when the contractor personnel terminates employment. The replacement contractor personnel must begin work within thirty (30) consecutive calendar days after the previous contractor personnel departed the position.

1.1.4. Substitute or Temporary Coverage. The Contractor shall substitute permanent contractor personnel whenever a temporary absence is expected to exceed 30 consecutive calendar days. The Contractor shall promptly notify the Contracting Officer Representative (COR) and Functional Requirements Evaluation Designee (FRED) of any projected absences exceeding 30 consecutive calendar days and ensure no temporary absence exceeds 30 consecutive calendar days through the use of a qualified substitute.

1.1.5. Resolve Performance Issues. The Contractor shall adequately resolve MTF and patient complaints regarding contractor personnel which satisfy Government concerns.

FA301021C00XX

27May2021

1.2. SPECIFIC PROCEDURES FOR WHICH THE CONTRACTOR SHALL BE

RESPONSIBLE. The Contractor shall furnish all labor, management, supervision, teaching, and reports required to provide personal services of the following Contractor personnel:

- 1 Medical Physicist

- 1 Senior Medical Dosimetrist

- 1 Medical Dosimetrist

- 1 Lead Radiation Therapist

- 2 Radiation Therapists

1.2.1. MEDICAL PHYSICIST. Contractor personnel shall be accountable directly to the Chief of Radiation Oncology and be responsible for directing the Radiation Oncology physics program, including technical direction and training of medical Dosimetrist, radiation therapists, and other physics support staff personnel. The Contractor personnel shall:

1.2.1.1. Manage the Radiation Oncology clinic Quality Assurance (QA) Programs at the direction of the Chief of Radiation Oncology. Develop, technically supervise, and analyze technologist Quality Control (QC) testing of radiation producing, detecting, and measurement equipment. Perform physics QC testing, calibration, and evaluation of equipment used for radiation therapy purposes IAW the American Association of Physicists in Medicine (AAPM) Task Group reports, applicable Air Force instructions and federal regulations.

1.2.1.2. Be responsible for all technical aspects of Intensity-Modulated Radiation Therapy (IMRT), Image-Guided Radiation Therapy (IGRT), Volumetric Modulated Arc Therapy (VMAT), Stereotactic Body Radiation Therapy (SBRT), and Stereotactic Radiation Surgery (SRS) treatments which includes: acceptance testing, commissioning, and implementation of the IMRT, IGRT, VMAT, and SBRT/SRS treatment planning systems and all subsequent upgrades, including software and hardware units.

1.2.1.3. Be responsible for commissioning of linear accelerators, simulators, treatment planning software, and any new radiation oncology equipment, as necessary.

1.2.1.4. Establish and manage the QA program to include the planning system, the delivery system and the interface between them. Review each patient’s plan for agreement with physician’s intent and requirements. Evaluate and validate all approved treatment plans. Measure radiation doses during treatment delivery for verification of the developed plans. Perform treatment QC chart checks and documentation, as required.

1.2.1.5. Manage the treatment planning systems (TPS), Varian Linear Accelerator with On Board Imaging (OBI), Cone Beam Computed Tomography (CT), Philips CT simulator, ARIA Record and Verify System, Eclipse TPS, secondary dose calculation software (i.e. RadCalc), BrainLab, and other equipment not listed or yet to be acquired.

1.2.1.6. Monitor maintenance of treatment devices, dosimetry, and radiation therapy imaging equipment and pertinent accessory options. Develop equipment procurement specification and perform acceptance-testing evaluation of new equipment.

1.2.1.7. Consult with other staff members on patient simulation and treatment and development of improved technology and techniques. Provide radiation safety support during all facets of radiation therapy.

1.2.1.8. Work closely with Dosimetrist and physician on development of treatment plans. Perform duties of medical Dosimetrist when Dosimetrist is unavailable or in extenuating circumstances.

1.2.1.9. Attend planning conferences, chart rounds, and other required departmental and hospital meetings. Be available during scheduled work hours, unless absence is approved by the Chief of Radiation Oncology, and be willing to work after hours, as needed.

1.2.1.10. Will comply with the wear, use, and maintenance of all required personal protective equipment (to include, but not limited to respiratory protection) as required to perform normal duties, as identified by Bioenvironmental Engineering occupational health surveillance.

1.2.2. SENIOR MEDICAL DOSIMETRIST. Contractor personnel shall work under direct supervision of Medical Physicist and shall be accountable to the Chief of Radiation Oncology. Contractor personnel shall:

1.2.2.1. Develop quality of care surveys and measurements in coordination with the physicians and physicists, instituting corrective systems when necessary. Comply with all reviews and standards established in the Radiation Therapy Clinic’s Quality Assurance and Quality Improvement programs.

1.2.2.2. Coordinate and perform radiation therapy treatment planning, assist with patient simulation and setup. Generate documentation (paper or electronic) of treatment plans, as required

1.2.2.3. Identify areas for improvement, develop plans, and coordinate implementation to ensure high standards of professional performance. Assist in developing new techniques, and/or working on complex therapeutic procedures. Participate in research protocols within the Radiation Therapy Oncology Group or other protocol groups, as necessary. Participate in continuing education to maintain certification and familiarity with modern radiation oncology techniques and practices.

1.2.2.4. Advise and direct the Dosimetrist and therapists in new and difficult procedures, ensuring coordination and appropriate set-up instructions are recorded and followed. Assist in fabrication of treatment blocks and patient positioning devices.

1.2.2.5. Check charts of patients under treatment for completeness and accuracy.

Attend planning conferences, chart rounds, and other required departmental and hospital meetings.

1.2.1.10. Will comply with the wear, use, and maintenance of all required personal protective equipment (to include, but not limited to respiratory protection) as required to perform normal duties, as identified by Bioenvironmental Engineering occupational health surveillance.

1.2.3. MEDICAL DOSIMETRIST. Contractor personnel shall work under direct supervision of Senior Medical Dosimetrist and shall be accountable to the Chief of Radiation Oncology. Contractor personnel shall:

1.2.3.1. When required, perform duties of Radiation Therapist (see section 1.2.5.)

1.2.3.2. Develop quality of care surveys and measurements in coordination with the physicians and physicists, instituting corrective systems when necessary. Comply with all standards established in the Radiation Therapy Clinic’s QA and Quality Improvement programs.

1.2.3.3. Coordinate and perform radiation therapy treatment planning, assist with patient simulation and setup. Generate documentation (paper or electronic) of treatment plans, as required.

1.2.3.4. Advise and direct the therapists in new and difficult procedures, ensuring coordination and appropriate set-up instructions are recorded and followed. Assist in fabrication of treatment blocks and patient positioning devices.

1.2.3.5. Check charts of patients under treatment for completeness and accuracy.

Attend planning conferences, chart rounds, and other required departmental and hospital meetings.

1.2.3.6. Will comply with the wear, use, and maintenance of all required personal protective equipment (to include, but not limited to respiratory protection) as required to perform normal duties, as identified by Bioenvironmental Engineering occupational health surveillance.

1.2.4. LEAD RADIATION THERAPIST. Contractor personnel shall hold the same duties as a Radiation Therapist (see section 1.2.5.), but shall be responsible for scheduling, programmatic and logistical functions for all Contractor therapist personnel.

Accountable to the Chief of Radiation Oncology the Contractor personnel shall:

1.2.4.1. Oversee scheduling for daily simulation and treatment operations. Identify areas for improvement, develop plans, and coordinate implementation to ensure high standards of professional performance. Coordinate treatment machine assignments for treatment therapists so that staffing is adequate to meet patient needs.

1.2.4.2. Participate in Radiation Therapy and Medical Physics Quality Assurance/Risk Management program.

1.2.4.3. Provide information regarding both operating and capital needs for simulation and therapist sections, including billing and coding data.

1.2.4.4. Assist Chief of Radiation Oncology develop standards for therapist productivity and monitor workload for adherence to those standards.

1.2.4.5. Ensure orderliness and cleanliness of Radiation Oncology Clinic. Maintain Radiation Oncology Clinic compliance with infection control program requirements as outlined in Medical Group Instructions (MDGIs).

1.2.4.6. Ensure Radiation Oncology Clinic supplies are adequately stocked, and coordinate the proactive ordering of supplies as necessary.

1.2.4.7. Will comply with the wear, use, and maintenance of all required personal protective equipment (to include, but not limited to respiratory protection) as required to perform normal duties, as identified by Bioenvironmental Engineering occupational health surveillance.

1.2.5. RADIATION THERAPIST. Contractor personnel shall perform all aspects of radiation therapy delivery and assist in administrative functions within the Radiation Oncology Clinic, as needed. Accountable to the Chief of Radiation Oncology, the Contractor personnel shall:

1.2.5.1. Contractor personnel shall ensure all radiation therapy procedures are performed IAW established protocols and only upon the order of a person lawfully authorized to prescribe radiation therapy. Confer with Radiation Oncologist and physicist to establish requirements of nonstandard treatment and determine factors, such as positioning and blocking to satisfy those requirements. Contractor personnel shall refer any ambiguous procedures or requisitions to the Chief of Radiation Oncology and Medical Physicist.

1.2.5.2. Assemble and review patient information in preparation for simulation.

Document information, create patient charts, and coordinate treatment time with other staff. Check prescriptions, diagnosis, charts, and patient identification. Secure x-ray, lab reports, and patient coding/billing information as needed.

1.2.5.3. Provide a supportive and caring environment for patients undergoing radiation treatment, showing empathy to patient and family, and representing the department with a pleasant, professional behavior. Explain procedure, means of communication during treatment, and procedures to follow if emergency arises during treatment to patient. Respect the patient’s right to refuse treatment. If the patient does not want the procedure performed, the patient’s wish shall be respected and the incident shall be brought to the attention of the respective Radiation Oncologist.

1.2.5.4. Receive patients, explain treatment procedures, position patients, obtain patient contours, and confer with the Radiation Oncologist and Dosimetrist regarding the volumes to be treated. Simulate treatment, mark patient’s skin, and prepare specialized, tailor-made accessories; such as bolus, blocks, immobilization devices, and compensating filters.

1.2.5.5. Oversee treatment and evaluate overall daily treatment operations. Ensure the correct position and alignment of fields, as simulated, and that all treatments are delivered as prescribed by Radiation Oncologist.

1.2.5.6. Perform computerized tomography (CT) simulation for all patients. Check operating parameters of radiation therapy simulators, treatment system, and linear accelerators to ensure compatibility of simulation setup and treatment machine setup.

Ensure all simulation documentation is properly completed and filed. Assist Dosimetrist during patient setup to record radiation therapy treatment parameters in treatment charts.

1.2.5.7. Prepare room and necessary equipment for patient treatment/CT simulation. Transfer patient safely to treatment/simulation couch. Maintain both visual and audio contact with the patient at all times during treatment. If either the television camera system or intercom system is not working, the patient shall not be treated.

1.2.5.8. Obtain kV x-rays and CBCT images of patient setups for documentation and QC purposes, as prescribed. Review images with the Radiation Oncologist and make corrections deemed necessary by the physician.

1.2.5.9. Perform daily, weekly, and monthly checks of the simulator and safety equipment (i.e., eye wash station), as required. Under the supervision of Dosimetrist and/or medical physicist perform daily QC checks of simulation and radiation therapy equipment and maintain QC records. Document and report any problems/discrepancies to Medical Physicist or Chief of Radiation Oncology, as applicable.

1.2.5.10. Prepare and use treatment aids (molds, blocks, tissue compensating devices, bolus, etc.). Assist in tumor localization, dosimetry, procedures, follow-up, and other clinical examinations of patients.

1.2.5.11. Assist in an emergency treatment of patients and with pre-treatment monitor unit calculations in emergent setting, as needed.

1.2.5.12. Provide ongoing education and reinforcement to patients regarding side effects and technical aspects of radiation therapy. Observe patient for unusual reactions and events, reporting observations to the Radiation Oncologist. Bring irregularities or difficulties during treatment immediately to the attention of Medical Physicist or Radiation

Oncologist, as appropriate.

1.2.5.13. Document delivered treatment clearly, according to departmental procedures.

Maintain records of daily treatment and other records as required in Record & Verify Computer System ARIA. Communicate information regarding treatment to other therapists.

Review and recommend prescriptions for planned modifications and anticipate activity related to such.

1.2.5.14. Maintain QC of patient records by reviewing charts on a regular basis to verify that all QC procedures and documentation are correct. Participate in other QC activities or programs as assigned by the medical physicist or physician.

1.2.5.15. Ensure the treatment machine is operated IAW the manufacturer’s guidance, all applicable laws, Radiation Oncology Clinic and medical group guidance, and any additional directions provided by medical physicist. Observe radiation safety measures for patients and staff. Report problems with the treatment machines directly to Medical Physicist and Chief of Radiation Oncology, the service support engineer (if applicable), Medical Equipment Repair Center (MERC) (if applicable), and assist in documenting and ensuring resolution of the problem.

1.2.5.16. Maintain the mold lab, linear accelerator vault, control console, and simulator room; ensuring all needed equipment and supplies are on hand and in compliance with the MDGIs.

1.2.5.17. Secure and maintain required supplies. Requisition of material will be accomplished through the assigned Property Custodian of the Radiation Oncology Clinic.

1.2.5.18. Orient new staff to procedures for simulation and treatment machines.

1.2.5.19. Maintain orderliness and cleanliness of Radiation Oncology Clinic. Assist with other duties, including administrative duties within clinic, as needed.

1.2.5.20. Maintain familiarity with and observe all Federal, State, Department of Defense (DoD), AF, MTF, and departmental regulations and requirements applicable to the services to be performed under this contract.

1.2.5.21. Check charts of patients under treatment for completeness and accuracy.

Attend planning conferences, chart rounds, and other required departmental and hospital meetings.

1.2.5.22. Will comply with the wear, use, and maintenance of all required personal protective equipment (to include, but not limited to respiratory protection) as required to perform normal duties, as identified by Bioenvironmental Engineering occupational health surveillance.

1.2.6. Contractor personnel shall be productive and perform with minimal supervisory direction.

1.2.7. Contractor personnel shall be in the work area and available for work at the appointed times.

1.2.8. Contractor personnel shall ensure all equipment is properly cleaned and stored at the end of each work shift and ensure preventive maintenance and routine cleaning are performed as directed.

1.2.9. Contractor personnel shall ensure a safe work environment and employee safe work habits.

1.2.10. Contractor personnel shall complete all MTF job specific training as required by the MTF during the duty day.

1.2.11. Contractor personnel shall complete all in-processing and out-processing within MTF requirements (e.g., badges, e-mail accounts, Privacy Act, etc.).

1.2.12. All patient charting is included as part of the patient visit and must be completed within department standards. There is an adequate amount of administrative time scheduled for each Contractor personnel to complete all administrative duties; therefore, it is the expectation that patient charting be completed during the normal duty day.

1.2.13. See Section 2, Services Summary (SS), for Performance Objectives and Performance Thresholds.

1.2.14. All services shall be rendered IAW established principles and ethics of the medical profession, the national standards established by the Joint Commission (JC), Health Insurance Portability and Accountability Act (HIPAA), Occupational Safety and Health Administration (OSHA), the professional standards at MTF, and the respective professional organizations (i.e. AAPM, American Association of Medical Dosimetrists (AAMD), American Registry of Radiologic Technologist (ARRT), American College of Radiology (ACR), and American Society for radiation Oncology (ASTRO). Contractor personnel shall provide services to all patients eligible for care at the MTF for treatment or as directed by the designated Government representatives.

The Contractor employees shall provide services and support typically provided in a civilian MTF of similar size. The Government will evaluate the quality of professional and administrative services provided and retain control over the medical and professional aspects of services rendered (e.g., professional judgments, diagnosis for specific medical treatment). The Contractor shall ensure that the following Contractor personnel have the minimum qualifications/training indicated.

1.3. PROCEDURE GUIDANCE. Contractor personnel shall perform procedures compatible with the MTF’s operating capacity and equipment. New medical procedures/services shall not be introduced without prior recommendation to, and approval of, the MTF Commander or authorized representative.

1.4. PATIENT SENSIVIVITY. Contractor personnel shall provide patients with utmost care and attention. All patients shall be assured of their privacy and personal dignity.

1.5. COMMUNICATION. Contractor personnel shall maintain open and professional communication with members of the MTF staff. Complaints validated by the Functional Requirements Evaluator Designee (FRED) shall be reported in writing to the Contract Administrator and the Contractor for action.

Failure of the Contractor to correct validated complaints raised by the MTF staff and the Contracting Officer (CO) will be considered a failure to perform.

1.6. DOCUMENTATION. Contractor personnel shall prepare all documentation (to include patient records) to meet or exceed established standards of the MTF, to include but not limited to, timeliness, accuracy, content, and signature. Only MTF and Air Force-approved abbreviations shall be used for documentation of the patient health record.

1.7. MAINTENANCE OF CERTIFICATION (MOC) REQUIREMENTS.

Contractor personnel registered or certified by national/medical associations and boards shall continue to meet the minimum standards for MOC/registry to remain current as prescribed in AFI 41-117, Chapter 2, Medical Service Officer Education, 24 Mar 15.

Current certification/registry status with supporting documentation will be reported to the contract FRED, if requested.

1.7.1. Periodically, Continuing Medical Education (CME) may be conducted at the MTF and may be available, at no cost, should Contractor personnel desire to attend.

Attendance will be at the discretion of the Chief of Radiation Oncology. Time spent by the Contractor personnel attending meetings/conferences will not be considered as leave, but must be approved by the Chief of Radiation Oncology or designated representative.

1.7.2. Replacement staff for Contractor personnel attending extended continuing education will be provided by the Contractor upon request of the CO.

1.7.3. Contractor shall ensure all Contractor personnel maintain their qualifications (CMEs). Time spent by Contractor personnel attending meetings/conferences will not be considered work. The attendance to a meeting/conference and leave must be approved in advance by the Chief of Radiation Oncology or designated representative. Travel funding will not be provided by the contract.

1.8. Reserved

1.9. PERSONNEL.

1.9.1. Point of Contact (POC). The Contractor shall provide a POC who shall be responsible for the performance of the work. The POC shall have full authority to act for the Contractor on

27May2021 all matters relating to the daily operation of this contract. The POC may be Contractor personnel providing care IAW this PWS. The Contractor shall designate this individual, in writing, to the CO before the contract start date. An alternate may be designated, but the Contractor shall identify those times when the alternate shall be the primary POC.

1.9.2. Availability. The Contractor’s designated project manager shall notify the FRED, as early as possible of programmed absences of the Contractor personnel to allow for planning of service coverage and workload distribution.

1.9.3. Hours of Operation. The MTF/ Radiation therapy clinic, operates Monday through Friday from 0730 hrs to 1630 hrs, excluding Federal holidays.

1.9.3.1. Work Schedule/Duty Hours. Duty hours will be Monday through Friday between 0700 hrs and 1700 hrs according to established individual schedules based on the department needs not to exceed 8 hours/day excluding a 1 hour lunch. Any changes to the work schedule must be approved by the Chief of Radiation Oncology. Contractor personnel shall be in the clinic and available for work during the hours specified in their respective work schedules.

1.9.3.2. Contractor staff shall be required to log in time worked in both, the Defense Medical Human Resource System – internet (DMHRSi) - every two weeks, and in the MTF locally established duty tracking system – for every day of work, as well as any locally established duty tracking system as established by the duty section.

1.9.4. Holidays. The Contractor shall not be required to provide services on federally recognized holidays (or the actual day set aside for observation):

1.9.5. Vacation/absences. Contractor personnel are authorized absences for vacation, sick leave, and miscellaneous reasons. Absences are to be coordinated at a minimum two weeks in advance with, and at the discretion of, the Chief of Radiation Oncology.

1.9.6. Overage. An overage hour is an hour directed/scheduled for the contractor personnel to perform services beyond the normal duty hours outlined in the contract for continuity of care purposes. Overage hours are billable to the Government whenever the contractor personnel performs duties outlined in the work schedule to include continuity of care purposes beyond the contractor personnel's normal duty hours. Overage hours on the work schedule are established by the MTF and are clearly stated in the contract. Any variation of overage hours on the work schedule must be authorized by the Government supervisor in advance to the extent practicable.

The total number of overage hours worked cannot exceed the number identified in the contract.

The contractor personnel shall record and report time worked IAW MTF policy. The Contractor shall establish a process for contractor personnel to accurately record and report overage hours worked without relying on the Government.

27May2021

1.9.7. Unplanned Closures. In the event of an unplanned closure of the facility due to natural disasters, military emergency, or severe weather, Contractor personnel shall be allowed to account for those hours as billable to the Government if the following two conditions exist: (1) local base policy and base access procedures prevented the Contractor personnel from performing duties at the place of performance; and, (2) the Contractor personnel was scheduled to work, but unable to work because of the unplanned closure. If any of these conditions do not exist (e.g., the Contractor personnel was on leave), the Contractor cannot bill the Government for hours during the unplanned closure.

1.9.8. Emergency Situations. In the instance where the Government Supervisor directs the Contractor personnel to remain on duty in excess of the scheduled shift to an unforeseen emergency or to complete patient treatment where lack of continuity of care would otherwise jeopardize patient health (e.g., equipment malfunction, emergency treatment, special procedure request, increased patient workload), the Contractor personnel shall remain on duty and may be required to work outside the previously defined clinic hours (Monday-Friday, between 0700 and 1700). 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 shift. If the contract includes overage hours, the Government Supervisor may use those overage hours. If the contract does not include overage hours, the Government Supervisor shall adjust the Contractor personnel’s work schedule for the additional hours such that the number of duty hours on the contract is not exceeded.

1.9.9. SUPERVISION. Contractor personnel shall be supervised or controlled by the Contractor for the purposes of directing the terms and conditions of employment. However, this does not preclude Contractor personnel from complying with directions received from MTF professional personnel in the course of patient care activities. Contractor personnel shall comply with credentialing/privileging requirements, utilization review/management criteria and procedures, quality assessment procedures and criteria, as well as peer review to include quality of care reviews IAW the policy, procedures, and regulatory provisions established for Government practitioners.

1.10. PERSONNEL REQUIREMENTS.

1.10.1. English Language Requirement. Contractor personnel shall read, understand, speak, and write English fluently.

1.10.2. Appearance and Conduct. Contractor personnel shall present a professional, conservative, and neat appearance. Contractor personnel shall report for duty in appropriate attire befitting a health care setting and having complied with socially acceptable standards of personal hygiene expected of health care workers. The Contractor personnel shall maintain a professional manner and display a positive, cooperative attitude while in the workplace.

1.10.2.1. While on duty the Contractor personnel shall be neat and clean, free from visible dirt and stains well groomed, and appropriately dressed. The Contractor personnel’s clothing shall fit correctly to provide a professional, modest appearance, in keeping with normally accepted community standards of dress for the work being performed.

1.10.2.2. Facial hair (including beards, mustaches, and sideburns) shall be controlled (restrained) or trimmed. It shall not interfere with safe work practices, look unkempt, or be unclean. Facial hair shall not interfere with the face seal if a respirator (e.g. N95 particulate respirator duckbill mask fitting) is required to be worn for normal duties.

1.10.2.3. The Contractor personnel shall display legible MTF provided identification media on his/her outer clothing.

1.10.2.4. Protective clothing. When required, and supplied by the Government, Contractor personnel shall wear special protective clothing and shoe covers. When duties will be performed in specific areas, a disposable protective suit with other appropriate Personal Protective Equipment (PPE) (for example, gloves, boots, etc.) shall be worn to ensure universal precautions are observed. The Government will provide ALL PPE. These items shall remain the property of the Government and shall not be removed from the MTF. After use, protective clothing shall be turned in or destroyed as directed by the Chief of Service.

1.10.3. FORMAL EDUCATION.

1.10.3.1. Medical Physicist shall have a minimum of a Master degree in Physics and be Board Certified by the American Board of Radiology (ABR) for Therapeutic Medical Physics.

1.10.3.2. Senior Medical Dosimetrist and Medical Dosimetrist shall have a minimum of a Bachelor of Science degree in a physical, radiological, biological science, or engineering field from an accredited educational institution and be certified by the Medical Dosimetrist Certification Board.

1.10.3.3. Lead Radiation Therapist shall have a minimum of a Bachelor of Science degree in a physical, radiological, biological science, or engineering field from an accredited educational institution be a graduate from a JRCERT accredited radiation therapist training program and have a current certification from the American Registry of Radiologic Technologist (ARRT).

1.10.3.4. Radiation Therapist shall be a graduate from a Joint Review committee on Education in Radiologic Technology (JRCERT) accredited radiation therapist training program and have a current certification from the American Registry of Radiologic Technologist (ARRT).

1.10.4. Board Certification, Licensure/Registration. IAW paragraph 3.1, AFI 44-119, Medical Quality Operations, 16 Aug 11, military, civil service, and personal services Contractor personnel who require a license, certification, or registration to perform their duties must maintain a license or other authorizing document such as certification or registration from any U.S. jurisdiction.

1.10.4.1. Medical Physicist shall be certified by the American Board of Radiology (ABR) in Therapeutic Medical Physics and enrolled in the ABR Maintenance of Certification (MOC) program – e.g. ‘DABR-T’.

1.10.4.2. Senior Medical Dosimetrist and Medical Dosimetrist shall be certified by the Medical Dosimetrist Certification Board– e.g. ‘CMD’.

1.10.4.3. Radiation Therapist, Lead Radiation Therapist, and Medical Dosimetrist shall be registered by the American Registry of Radiologic Technologists, Radiation Therapy Technology – e.g. ‘R.T. (T) (ARRT)’.

1.10.4.4. Copies of required certification for each Contractor personnel shall be furnished to the CO prior to performance on this contract, and must be provided with resume/qualification package.

1.10.5. EXPERIENCE

1.10.5.1. Medical Physicist shall have a minimum of five and preferably ten (10) years of full time experience as Radiation Therapy Physicist. Contractor personnel shall have extensive experience that includes acceptance and commissioning testing of linear accelerators, CT simulators, TPS, and associated radiation oncology equipment;

overseeing all aspects of radiation therapy QA/QC program and advising staff on safe radiation practices. Physicist shall have an extensive working knowledge of the operation of Varian linear accelerators with CBCT/OBI (including calibration), Philips CT simulators, Varian RPM system, Varian Eclipse TPS and ARIA RVS software package (version 11 or later) and shall have at least three years of experience as administrator managing Varian software. Contractor personnel shall be skilled in designing electron and photon treatment plans, using 3-D planning such as conformal 3D, IMRT, hybrid 3D/IMRT planning, IGRT (gated), VMAT (RapidArc), SBRT and SRS planning. Ability to identify and troubleshoot hardware and software problems is desired. Proficiency in working with Armed Forces Health Longitudinal Technology Application (AHLTA) is desired.

1.10.5.2. Senior Medical Dosimetrist shall have a minimum of ten (10) years of a full time dosimetry experience, three years of supervisory/management experience in a radiation therapy clinical environment, and preferred minimal three year dosimetry applications experience. The Contractor personnel shall be knowledgeable in the operation of Varian linear accelerators with cone-beam CT (CBCT) and On-Board Imaging (OBI) and have an extensive working knowledge of Varian Real-Time Position Management (RPM) system, Varian software package (version 11 or later), including Varian Eclipse 3-D Treatment Planning System (TPS) and ARIA Record and Verify System (RVS). Personnel shall be skilled in designing electron and photon treatment plans, using 3-D planning such as conformal 3D, IMRT, hybrid 3D/IMRT planning, IGRT (gated), VMAT (RapidArc), SBRT and SRS planning. Proficiency in working with Armed Forces Health Longitudinal Technology Application (AHLTA) is desired.

1.10.5.3. Medical Dosimetrist shall have a minimum of five years of full time medical dosimetry and treatment planning experience and a minimum of five years of full time working experience as a radiation therapist. Contractor personnel shall be knowledgeable in the operation of Varian linear accelerators with CBCT/OBI and have an extensive working knowledge of Varian RPM system, Varian software package (version 11 or later), including Varian Eclipse TPS and ARIA RVS. Personnel shall be skilled in designing electron and photon treatment plans, using 3-D planning such as conformal 3D, IMRT, hybrid 3D/IMRT planning, IGRT (gated), VMAT (RapidArc), SBRT and SRS planning. Proficiency in working with AHLTA is desired.

1.10.5.4. Lead Radiation Therapist shall have a minimum of ten (10) years of full time experience as a radiation therapist in a radiation therapy center and five years of management experience in a radiation therapy clinical environment. Contractor personnel should have extensive working experience in medical billing and coding in radiation therapy settings. Contractor personnel shall be knowledgeable in the operation of Varian linear accelerators with CBCT/OBI and have an extensive working knowledge with Philips CT simulators, Varian RPM system, Varian ARIA RVS software package (version 11 or later). Proficiency in working with Armed Forces Health Longitudinal Technology Application (AHLTA) is highly desired.

1.10.5.5. Radiation Therapist shall have a minimum of ten (10) years of full time experience as a radiation therapist in a radiation therapy center. Contractor personnel shall be knowledgeable in the operation of Varian linear accelerators with CBCT/OBI and have an extensive working knowledge with Philips CT simulators, Varian RPM system, Varian ARIA RVS software package (version 11 or later). Proficiency in working with Armed Forces Health Longitudinal Technology Application (AHLTA) is desired.

1.11. GUIDANCE. Contractor personnel shall perform procedures compatible with the MTF’s operating capacity and equipment. New medical procedures/services shall not be introduced without prior recommendation to, and approval of, the MTF Commander or authorized representative or without proper training.

1.12. CRIMINAL HISTORY BACKGROUND CHECKS. Contractors shall perform criminal history background checks on all employees to ensure they can pass the Government required background checks for issuing Common Access Card (CAC). For Contract employees involved on a frequent and regular basis in the provision of care and services to children under the age of 18. Contractors shall perform criminal history background checks IAW Department of Defense Instruction (DoDI) 1402.5, (background checks on individuals in DOD Child Care Services Programs), 11 Sep 2015. The background checks are required by Criminal Control Act, P.L. 101-647, Section 231 (CC Act 1990, 42 U.S.C. Section 13041). The Contractor shall assemble all necessary documentation required by DoDI 1402.5 for the background checks and submit with qualifying documents.

1.12.1. Background checks will be based on fingerprints of individuals obtained by a Government law enforcement officer and inquiries conducted through the Federal Bureau of Investigations (FBI) and state criminal history repositories.

1.12.2. With the consent of the CO, the contractor personnel may provide contract services prior to completion of background checks. However, at all times while children are in the care of that individual, the Contractor personnel shall be within sight and continuous supervision of a staff person whose background check has been completed.

1.12.3. Individuals shall have the right to obtain a copy of any background check pertaining to themselves and to challenge the accuracy and completeness of the information contained in the report.

1.12.4. Individuals who have previously received a background check shall provide proof of the check to the Security Manager or obtain a new one.

1.13. CONFLICT OF INTEREST. The Contractor shall not employ any person who is an employee of the United States Government, if the employment of that person would create a conflict of interest. The Contractor shall not employ any person who is an employee of the Department of the Air Force, either military or civilian, unless such person seeks and receives approval IAW DoD Directive (DoDD) 5500.7, Standards of Conduct, 29 Nov 07, and AF policy.

1.14. PRIVILEGING/CREDENTIALING REQUIREMENTS. N/A

1.15. HEALTH REQUIREMENTS.

1.15.1. Contractor personnel shall receive a pre-employment physical examination prior to commencement of work. The Contractor personnel shall report to a civilian physician to receive a pre-employment examination and immunizations prescribed by the MTF, IAW Centers for Disease Control (CDC) guidelines at the contractor’s expense.

1.15.2. Certification that the Contractor personnel has completed the medical evaluation required above, shall be provided to the Functional Services Manager (FSM), not later than five working days prior to commencement of work. This certification shall state the date on which the examination was completed, the name of the doctor who performed the examination, and a statement concerning the physical health of the individual. The certification shall also contain the following statement: “(Name of Contractor personnel) is suffering from no contagious diseases to include, but not limited to, Tuberculosis, Hepatitis, and Venereal Disease.”

1.15.3. The Occupational Safety & Health Administration (OSHA) requires that all Contractor personnel who will have occupational exposure to blood or body fluids, or other potentially infectious materials, shall receive Hepatitis B vaccine, sign a voluntary declination, or have documented proof of immunity to Hepatitis B infection. Contractor personnel who sign declinations may change their minds at any time and receive the Hepatitis B vaccine without penalty.

1.15.4. The Contractor is responsible for reporting to the OIC/Medical Director, all information necessary to assure hospital records can be maintained correctly, and therefore comply with the JC, OSHA, and CDC health record requirements.

1.16. EMERGENCY HEALTH CARE. The MTF will provide emergency health care for the Contractor personnel for injuries incurred while on duty in the MTF. These services will be billed to the Contractor at the current full reimbursement rate.

1.17. OCCUPATIONAL HEALTH PROGRAM/MEDICAL TESTS. Contractors are solely responsible for compliance with OSHA standards and the protection of their employees unless otherwise provided by law or regulation to be specified in the contract. Optically Stimulated Luminescence (OSL) monitoring will be provided only to occupational radiation workers who require personnel radiation dosimetry monitoring as identified by the Installation Radiation Safety Officer (IRSO). No medical tests or procedures required by the contract will be performed by the Government, with the exception of Tuberculosis testing and post blood borne exposure protocols after start of work or exposure. Government duty sections shall be responsible for tracking currency of respiratory protection training and fit-tests IAW 29 CFR

1910.134 for contractor personnel; however expenses for all required tests and/or procedures identified in the contract (e.g., N95) shall be borne by the Contractor or Contractor personnel at no additional expense to the Government.

1.18. MEDICAL QUALITY IMPROVEMENT/RISK MANAGEMENT (QI/RM)

1.18.1. Contractor personnel shall participate in QI/RM activities to the extent required by Section 2C, AFI 44-119, Medical Quality Operations, 16 Aug 11, and the individual MTF QI/RM plan or regulation.

1.18.2. The Government will evaluate the Contractor personnel’s professional, as differentiated from administrative, performance under this contract using QI standards specified in AFI 44-119 paragraphs 2.12 and 2.13. Nothing in this paragraph precludes the Government from also conducting inspections under the Inspection/Acceptance requirement of FAR clause 52.212-4.

1.19. PERFORMANCE EVALUATION MEETINGS. The CO will require the Contractor to meet with the CO, CA, FSM, and other Government personnel as often as deemed necessary.

Contractor personnel may request a meeting with the CO when deemed necessary.

1.20. ORIENTATION. The Contractor shall ensure that all Contractor personnel participate in the MTF orientation procedures for newly assigned personnel to include regulations specific to their professional specialty and hospital and Air Force policy and procedures.

1.21. SECURITY REQUIREMENTS.

1.21.1. All Contractor personnel employed by the Contractor in the performance of this contract, or any representative of the Contractor entering the Government installation, shall abide by all security regulations of the installation (i.e., 81st Training Wing (81 TRW) Plan 31-101, Integrated Defense, or AFI 31-101, Integrated Defense.). The Contractor shall sign an agreement stipulating the security requirements of this contract.

1.21.2. Base Access. The Contractor shall obtain personal identification passes for all Contractor personnel and vehicle passes for all Contractor personnel’s personal vehicles, to include prospective Contractor personnel, requiring entry onto KAFB. Additionally, the Contractor shall keep current, for Government inspection, a list of the names of Contractor personnel employed on this contract. Contractor personnel shall complete KAFB Form 299, Application for KAFB Identification Card, and submit it through the CO to the Security Forces and Pass and Registration. Vehicle registration, proof of insurance, and a valid driver’s license must be presented for all vehicles to be registered.

1.21.3. Pass and Identification Requirements (Pass & ID). Contractor personnel whose duties require access to KAFB computer system are required to obtain a CAC. To obtain a CAC, Contractor personnel shall coordinate with their gaining unit’s security manager or the 81st Communications Squadron Consolidated Client Support Activity (CSA) at 228-376-4335.

1.21.3.1. Applicability.

a. These requirements apply to Contractor personnel requiring entry/access to KAFB for service contracts with Period of Performance (POP) exceeding 60 days when a CAC is not issued.

(1) Contract POP begins at performance start date. The POP end date is based on the contract completion date.

(2) These requirements shall be included (flow down) to subcontracts at every tier.

b. These requirements do not apply to Contractor Personnel requiring entry/access to KAFB with a POP of 60 days or less. Entry/Access to KAFB for Contractor personnel with a POP of 60 days or less will be coordinated between the Contractor and the 81st Security Forces Squadron (81 SFS).

c. When work under this contract requires unescorted entry to controlled or restricted areas, the Contractor shall comply with AFI 31-101, Integrated Defense, 24 Mar 20, and DODM 5200.02, Air Force Personnel Security Program, 1 Aug 18, as applicable.

d. Contractor Personnel are not covered by FAR 52.222-3, Convict Labor, for the purposes of entry/access to installations/locations.

1.21.3.2. Badging System Data Requirements.

a. The Contractor shall provide the following to the Contracting Office:

(1) “Listing of personnel requiring access/entry.” The list shall contain the following:

(a) Contract number.

(b) Contract award date.

(c) POP dates.

(d) Work site(s) or location(s).

(e) Each employee’s full name and Social Security Number (SSN). For those without SSNs, a working visa or Permanent Resident Card with a Resident Alien number must be provided, or base entry will be denied.

(f) Identify up to two - Contractor personnel for designation as “sponsor” authorities. Badges will identify the Contractor personnel with sponsorship privileges.

(2) Completed KAFB Form 299 shall authorize Security Forces to fingerprint Contractor personnel and conduct additional background checks. The consent form will outline the following:

(a) The Contractor personnel for the purpose of the KAFB Form 299.

(b) The information on the form is collected IAW 18 U.S.C. 1382 and DoD

Directive 5200.08, both of which permit installation commanders to limit access to installations for security reasons.

(c) Completion of the form is voluntary.

(d) Agreement to provide a specimen of fingerprints.

(e) Awareness of a list of “disqualifying factors.”

(f) Consent and authorization for Security Forces to conduct background screening and to compare fingerprints against State and Federal criminal databases.

(g) Knowing and willful false statements on the form can be punished by a fine, imprisonment, or both (10 U.S.C. 1001).

(h) The consent form shall remain valid for 24 months after the end of the contract.

b. The Contractor personnel list and consent form(s) shall be submitted as follows:

(1) 81 SFS/PASS & ID e-mail account: 81 sfs.pass.id@us.af.mil. Personnel list must be submitted IAW the PWS. The signed KAFB Form 299 must be submitted in person to the 81 SFS/PASS & ID office.

(2) Refer questions regarding the Contractor personnel list and KAFB Form 299 to 81

SFS/PASS & ID at 228-377-1845 or 228-377-3844.

1.21.3.3. Background checks.

1.21.3.3.1. Upon receipt of the KAFB Form 299 with a copy of Driver’s License and Social Security card, a background check will be accomplished. Background checks will be categorized as favorable or unfavorable. Unfavorable background checks contain any one of the “disqualifying factors.” Any person with an unfavorable background check will be denied entry/access to the installation.

1.21.3.3.2. “Disqualifying factors” include:

a. Barred from entry/access to any military installation or facility.

b. Wanted by federal or civil law enforcement authorities.

c. Name appears on any federal agencies “watch list” or “hit list” for criminal behavior or terrorist activity.

d. Conviction of firearms or explosives violation within the past seven years.

e. Incarcerated regardless of offense or violation.

f. Conviction of aggravated assault, armed robbery, felony drug possession, drug possession with intent to sell, or drug distribution within the past seven years.

g. Conviction of espionage, sabotage, treason, terrorism, murder, sexual assault, rape, or child molestation.

h. Terrorist or terroristic threats or repetitive history of criminal history.

i. Currently serving parole or probation for a felony case.

j. U.S. citizenship, immigration status, or Social Security Account Number cannot be verified.

1.21.3.3.3. An unfavorable background check/denial may be appealed through the 81 SFS/PASS & ID. The appeal shall include a signed letter of rebuttal and any associated supporting…