Attachment 1 PWS W81K0425RA020.docx

PERFORMANCE WORK STATEMENT (PWS)

Medical Simulation Training Support Services

W81K0425RA020

1. GENERAL. This is a non-personal services contract to provide medical simulation training support services to Department of Defense (DOD) medical forces through Army Reserve Medical Command (AR-MEDCOM) tasked to the Medical Readiness Training Command (MRTC). The Government will not exercise any supervision or control over the contract service providers (CSP) performing the services herein. Such CSPs shall be accountable solely to the contractor, who in turn is responsible to the Government.

1.1. Purpose and Background.

1.1.1. Mission of the Medical Readiness Training Command (MRTC): MRTC is a United States Army Reserve (USAR) Command tasked to provide pre-deployment readiness training to medical units throughout the USAR, the Army Active Component, DOD, and Joint and Multinational partners. The MRTC provides various levels of training to units throughout the Regionally Aligned Readiness and Modernization Model (ReARMM) and certifies medical units for readiness prior to deployment to a combat theater. The MRTC effort is supported by the Regional Training Site – Medical (RTS- MED) at Ft. McCoy, WI and by the Regional Training Site – Medical (RTS-MED) at Ft. Gordon, GA.

1.1.2. Need for Realistic Trauma Simulation: Current Army training mechanisms do not provide realistic, cost-effective trauma events which give medical personnel adequate training to provide trauma care and support in a Hospital Center (HC), Field Hospital (FH) or Forward Resuscitative Surgical Detachment (FRSD) during combat operations or to defense the homeland in response to a natural disaster. A contracted simulation center will provide realistic trauma environment, which exercises and tests actual administration of medical care and services. It also allows medical personnel to develop knowledge, skills and abilities that are otherwise unavailable outside real world trauma rooms.

1.2. Scope of Work. The contractor shall provide MRTC, and the training audience, access to a multidisciplinary medical simulation center to conduct medical simulation exercises. The contractor shall ensure the simulation center is large enough to accommodate approximately 60-75 Government personnel in addition to the contractor’s support staffing, i.e. CSPs. The contractor shall ensure the simulation center has an auditorium/conference room, a minimum of four medical simulation suites, with audio-visual recording capability, and a minimum of nine (9) additional rooms for the training audience and staging area, for a total of 15 rooms. The simulation center will be used by the Government to replicate treatment areas within an HC/FH such as an emergency room (ER), intensive care unit (ICU), and operating room (OR). The nine (9) additional rooms, for a total of 14 rooms, will be used for the simulated ancillary services such as radiology, laboratory/blood bank, pharmacy, and Nursing Services; a computer room for Medical Communications for Combat Casualty Care or approved USG system of record; and a Tactical Operations Center (TOC) for the command staff.

1.2.1. Facility Requirements: The contractor shall provide access to a multidisciplinary medical simulation center for the designated Government personnel to conduct comprehensive simulation exercises. The simulation center shall accommodate 60-75 Government personnel and contractor support staff (CSPs). Minimum facility requirements include: Auditorium/Conference Room: A large space to seat 62-75 personnel, equipped with audio-visual (A/V), Video-Assistive Debriefing (VAD) capability for after-action review (AAR). Medical Simulation Suites: At least four (4) rooms with A/V recording capabilities to simulate various healthcare environments, including emergency rooms (ER), intensive care units (ICU), and operating rooms (OR). Ancillary Service Rooms: Nine (9) additional rooms to simulate ancillary services such as radiology, laboratory/blood bank, pharmacy, Nursing Services, a Tactical Operations Center (TOC) for command staff, and a computer room for Medical Communications for Combat Casualty Care (MC4). The Government team is made up of 50 individuals who make up the training audience to include but not limited to Army, Air Force, Navy, Marines, and Multi-National service members, a group of 8-20 Military Observers, Controllers/Trainers (OC/Ts) and/or Subject Matter Experts (SMEs), and an exercise staff of 8-20 individuals.

1.2.2. Personnel Requirements: The contractor shall provide trained personnel responsible for operating the Government-provided high-fidelity manikins for the ER, OR and ICU. The contractor shall provide trained personnel to assist with cataloging of the video footage for playback during AARs with the training audience. Required labor categories with position descriptions are detailed in Attachment 2 of this solicitation.

1.2.3. Training Schedule: Simulation training will occur on a three-day schedule, with simulation exercises conducted on Saturday and Sunday. Friday will focus on in-processing, familiarization and orientation to the training area, AARs, and set-up of each area by the training audience. The simulation training will be contained to the Saturday and Sunday during the three-day training period. The simulation exercises will occur at a minimum of four (4) to a maximum of ten (10) times per year on the scheduled training dates, for three consecutive days which will begin on Friday afternoon at 1700 hours and end on Sunday at approximately 1400 hours. Exact dates will be coordinated between the government and the contractor.

1.2.4. Simulation Equipment and Setup: Prior to the training exercise, the contractor shall ensure the simulated ICU has a minimum of four (4) ICU beds with space for monitoring equipment, ventilators, and defibrillators. There shall be a control area for the Government provided high-fidelity manikins with the intent to provide high tech realism to the simulated medical events. The contractor shall ensure the simulated ER has a minimum of four (4) trauma bays and the associated monitoring equipment The contractor shall ensure the simulated OR has a minimum of two (2) operating tables, two (2) anesthesia machines with the associated back tables and over bed stands; and is large enough to accommodate the equipment along with two (2) surgical teams. One surgical team in the operating room consists of 5-6 members. The contractor shall ensure the ancillary rooms/space have tables, chairs, and whiteboards. The contractor shall ensure the simulated operating room has enough space to accommodate a minimum of two (2) operating tables, two (2) [Removed] machines and two (2) surgical teams with the associated back tables and over bed stands. The contractor shall ensure the ancillary rooms/space have tables, chairs, and whiteboards and space to accommodate for two surgical teams (5-6 members per team). Ancillary Rooms shall be equipped with tables, chairs and whiteboards for functional training and support.

1.3. Quality Control Plan. The contractor is not required to have a QCP since the contractor only provides the facility and specific standardized medical equipment OC/Ts and/or SMEs are conducting and providing the training plans and scenarios.

1.4. Period of Performance. The period of performance shall consist of 1 base ordering period followed by 3 more consecutive one-year ordering periods. The period of performance reads as follows:

Base Period: 01 September 2025 through 31 August 2026 Period of Performance I: 01 September 2026 through 31 August 2027 Period of Performance II: 01 September 2027 through 31 August 2028 Period of Performance III: 01 September 2028 through 31 August 2029

1.5. Place of Performance. The work to be performed under this contract shall be performed at the contractor’s simulation center. The simulation center shall have a loading dock and vehicle parking with immediate access to the training area. The loading dock shall be able to accommodate a large panel truck which the Government will use to transport equipment from the Regional Training Site – Medical (RTS-MED), Ft. McCoy, WI, to the contractor site within 500 miles and by the Regional Training Site – Medical (RTS-MED) at Ft. Gordon, GA will be within 500 miles to be used during the training exercises and shall have place to secure military equipment for the exercise event.

1.6. Hours and Days of Operation. The contractor’s representative shall be available between the hours of 0730- 1900 local time, Friday through Monday, except federal holidays or when the Government facility is closed due to emergencies, inclement weather, administrative closings, or similar Government-directed closings. Facility closings shall be coordinated with the Government’s POC as far in advance as possible. The contractor’s representative shall be available during the simulation training exercises.

1.6.1 Recognized Holidays. The following is a list of legal federal holidays as referred to elsewhere in the order. Contract Staff may be required to work on legal holidays as determined by the Contracting Officer’s Representative (COR). The provider will be paid regular hourly rate while working hours on Federal holidays.

NOTE: Any of the above holidays falling on a Saturday will be observed on the preceding Friday, holiday falling on Sunday will be observed the following Monday. Any holiday that are declared by Presidential Executive Order shall be observed in the same manner as the holidays listed above. If the area in which a contract employee is scheduled to work is closed due to the holiday declared by an Executive Order and the employee is not required to report in, payment will not be made for those hours. Closures of the installation due to inclement weather or other such acts of God shall be handled in the same manner.

1.7. Security Requirements. The contractor shall be responsible for the security of all training site information.

1.8. Physical Security. The contractor shall ensure a program is in place for site physical security of the training facility and loading dock. Physical security may include checklists, telephone points of contact, etc., and shall be in place to protect the Government equipment being utilized during the training simulations IAW paragraph 3.2. of this PWS. The contractor shall ensure all doors, windows, and gates are locked daily, and ensure all automation equipment is secure and turned off, as appropriate.

1.9. Quality Assurance. The Government will monitor the contractor’s performance under this contract IAW the Quality Assurance Surveillance Plan (QASP). The Government has the right to perform inspections and performance evaluation at any time. If any aspect of the performance is not in conformance with the requirements of the contract, the Contracting Officer (KO) may issue a Contract Discrepancy Report (CDR) to the contractor. The contractor shall respond to the COR within the timeframe required. The contractor shall maintain copies of all inspection and evaluation reports.

1.10. Occupational Safety. The contractor should ensure a program is in place for site safety and shall maintain an appropriate library of safety and Occupational Safety and Health Administration (OSHA) references. The contractor shall provide a point of contact for this requirement to coordinate with the units conducting training.

1.11. POLICIES FOR REPORTING INCIDENTS OF SEXUAL ASSAULT AND SEXUAL HARRASSMENT UNDER SEXUAL ASSAULT PREVENTION AND RESPONSE PROGRAM (SHARP).

1.11.1. The contractor shall comply with Office of the Surgeon General (OTSG)/United States Army Medical Command (MEDCOM) Policy Memo 21-040, Policy for Reporting Incidents of Sexual Assault and Sexual Harassment under the Sexual Assault Prevention and Response Program (SHARP), 29 Mar 2016, Army Directive 2022-13, Reforms to Counter Sexual Harassment/Sexual Assault in the Army, 20 September 2022, and Army Regulation 600-20, Personnel-General Army Command Policy, Chapters 7 & 8, 24 July 2020. These policies remain in effect until formally rescinded.

1.11.2. The contractor shall require all CSPs with knowledge of an incident of sexual assault occurring on a Government facility, to include a Government leased facility, where the contractor is providing services under this contract, to report the incident to the contractor who shall immediately (within 24 hours) report the incident in writing to the government's COR. This reporting policy also applies to sexual assault incidents involving military personnel that occur on the contractor’s owned or leased facility under this contract. All incidents shall be reported whether they involve contractor personnel or Government personnel, or other individuals, when the incidents occur on a Government facility, or a Government leased facility.

1.11.3. The contractor shall require all CSPs with knowledge of an incident of sexual harassment occurring on a Government facility, to include a Government leased facility, where the contractor is providing services under this contract, to report the incident to the contractor who shall immediately (within 24 hours) report the incident in writing to the government's COR. This reporting policy also applies to sexual harassment incidents involving military personnel that occur on the contractor’s owned or leased facility under this contract. All incidents shall be reported whether they involve contractor personnel or Government personnel, or other individuals, when the incidents occur on a Government facility, or a Government leased facility.

2. DEFINITIONS AND ACRONYMS.

2.1. Definitions.

2.1.1. Hospital Center (HC)/Field Hospital (FH). A mobile hospital that can expand as necessary, providing between 24 and 148 operational beds. The typical configuration is 24/60 beds. A HC/FH is climate controlled, and includes a pharmacy, laboratory, X-ray, and dental capabilities.

2.1.2. Forward Resuscitative Surgical Detachment (FRSD). Small, mobile surgical units consisting of a headquarters, Advanced Trauma Life Support (ATLS), Operating Room (OR), and recovery ICU. The FRSD usually consists of 22 staff members, including up to four surgeons, including up to two emergency physicians.

2.1.3. Contractor. A supplier or vendor has a contract to provide specific supplies or service to the Government. The term used in this contract refers to the prime.

2.1.4. Contracting Officer (KO). An individual with authority to enter into, administer, and /or terminate contracts and make related determinations and findings. This individual is the only person with authority to bind the Government.

2.1.5. Contracting Officer’s Representative (COR). An employee of the U.S. Government appointed by the contracting officer to monitor contract performance. Such an appointment will be in writing by the contracting officer and will state the scope of authority and limitations. This individual has authority to provide technical direction to the Contractor as long as that direction is within the scope of the contract, does not constitute a change, and has no funding implications. This individual does NOT have the authority to change the terms and conditions of the contract.

2.1.6. Deliverable. Anything that can be physically delivered but may include non-physical things such as meeting minutes.

2.1.7. Operational Medicine Information Systems – Army (OMIS-A) or approved USG system of record will utilize programs to be the combat health support information management system to integrate and field RTS-MED information for operational and tactical medical forces.

2.1.8. Physical Security. Actions that prevent the loss or damage of Government property.

2.1.9. Quality Assurance. The Government procedures to verify that services being performed by the Contractor are performed according to acceptable standards.

2.1.10. Quality Assurance Surveillance Plan (QASP). An organized written document specifying the surveillance methodology to be used for surveillance of Contractor performance.

2.1.11. Quality Control. All necessary measures taken by the Contractor to assure that the quality of an end product or service shall meet contract requirements.

2.2. Acronyms.

3. GOVERNMENT FURNISHED ITEMS AND RESPONSIBILITIES.

3.1 MRTC will be responsible for providing and for the operation, physical security and maintenance of any Government networked servers or automated systems that support operations, daily workforce operations and training support services.

3.1.1. Mobile Systems include but not limited to JOMIS, OMIS-A, MC4 Systems and OHIT with pre-loaded modules relevant to including but not exclusive to Hospital Center (HC), Field Hospital (FH) and Forward Resuscitative Surgical Detachments (FRSD) operations will be provided for the exercise by the Government. The number of units will be determined by the unit type. Any mobile system will be networked as a standalone system, i.e. not integrated into the contractor’s network system.

3.2 MRTC will arrange for the Government’s equipment (i.e. supply push package) to be delivered to the contractor’s facility no later than (NLT) on the Friday afternoon of the scheduled training event for equipping and set- up for the exercise. The Government will provide at least two personnel to receive, inventory and secure the push package and serve as the advance party for the training group. The training group will set up the Government equipment for the exercise on Friday afternoon and following the exercise the training group will pack up the equipment to be returned to respective Readiness Training Site on Sunday.

3.3. The Government will provide durable and expendable end items necessary for the exercise, i.e. Class VIII medical supplies. Government provided items are subject to change at the Government's discretion during the performance of the contract. The Contractor shall not be required to supply any equipment/supplies in addition to what is stated at Section 4 of the PWS without consent of the contracting officer either verbally or in writing.

3.4. The Government will provide both low and high-fidelity manikins and medical simulators such as standard mannequins, surgical simulators, traumas simulators and veterinary simulators. The Government will provide all required supplies, moulage make-up and simulated blood necessary to prepare these mannequins for utilization in the exercise. The Government will moulage and prep the mannequins prior to and during the exercise.

3.5. The Government will coordinate times and dates for the un-loading and loading of U.S. Army equipment used in the simulation exercise with the contractor prior to start of the exercise.

3.6. U.S. Army Medical Command (MEDCOM) Unique Training.

3.6.1. Sexual Harassment/Assault Response and Prevention (SHARP). The contractor shall ensure all contractor service providers receive Sexual Harassment/Assault Response and Prevention (SHARP) training not later than 60 calendar days after the contractor begin performance under this contract. Training can be obtained either online or in person as offered at the installation where services are being provided. If the contractor locum tenens has an AKO account, they can access online the Team Bound Self Study course through Army Learning Management System (ALMS) at: http://www.atsc.army.mil/tadlp/delivery/alms.asp

4. CONTRACTOR FURNISHED ITEMS AND SERVICES.

4.1. The contractor shall furnish all supplies, equipment, facilities and services required to perform services under this contract, except for those items listed under section 3 of this PWS.

4.2. The contractor shall provide adequate area/space for moulage and prep on mannequins and surgical Cut Suit to be used during exercise.

4.3. The contractor shall provide administrative and office automation support at the simulation center (e.g. sign-in sheets, printing and duplication).

4.4. The contractor shall maintain, and service contractor provided automated systems equipment.

4.5. The contractor shall maintain, and service contractor provided medical device equipment and auditorium equipment to be used during the exercise, debriefings, and AARs.

4.6. The contractor shall provide, maintain, and set-up all necessary audio/visual recording devices, video assistive debriefing throughout the Simulation Center. Various isolated cameras are required in order to capture a minimum of two angles per training area, i.e. ER, OR and ICU. The Government does not require integrated video and software.

4.7. The contractor shall provide a secure staging area/room with immediate access to the medical simulation suites for a MRTC-provided push package of all medical supplies necessary for the training event. The medical supplies will be similar to those used in a combat theater environment and include anesthesia, IV solutions, OR supplies and items necessary for the trauma scenarios that are scheduled.

5. SPECIFIC TASKS.

5.1. The contractor shall have qualified personnel available for the entire duration of the simulation training exercise. The personnel required and their desired qualifications are detailed in Attachment 2- Medical Simulation Labor Categories.

5.2. The contractor shall provide qualified personnel to operate the Government-provided high-fidelity manikins via computer for the ER, OR and ICU on the Saturday and Sunday of the training event. The personnel required and their desired qualifications are detailed in Attachment 2- Medical Simulation Labor Categories.

5.3. The contractor shall provide qualified personnel to assist in the cataloging of the video footage for playback during the after-action review conducted by the Government with the training audience on the last day of each training event, i.e. Sunday. The personnel required and their desired qualifications are detailed in Attachment 2- Medical Simulation Labor Categories.

5.4. The contractor shall provide qualified personnel to provide administrative support for the full duration of the simulation training exercise; administrative needs may include producing sign-in rosters, printing, duplication, etc. The personnel required and their desired qualifications are detailed in Attachment 2- Medical Simulation Labor Categories.

4.1. The contractor shall provide qualified personnel to load and operate the simulated trauma scenarios for the training event. The simulated training scenarios can either be from the contractor’s library of trauma scenarios as pre-approved by the Government or may provide military Subject Matter Experts (SMEs) and run the computers and equipment associated with the simulation center for the scheduled training event. The Government conducts multiple scenarios at a time during the training exercise. The personnel required and their desired qualifications are detailed in Attachment 2- Medical Simulation Labor Categories.

4.2. The contractor shall provide qualified personnel on the Saturday and Sunday of the training event to provide audio/visual event capture and immediate playback during debriefing sessions and of specific scenarios for MRTC and trainee unit uses during the Government’s AAR portion of the training event. The personnel required and their desired qualifications are detailed in Attachment 2- Medical Simulation Labor Categories.

4.3. Training Schedule Deliverable. The training schedule for the current FY (FY25) is already established. For future FYs, the contractor shall coordinate with the Government to agree upon the training schedule no later than the 5th working day of December of each calendar year. The Government will provide the contractor with the number of training sessions needed in the fiscal year and a preferred timeline for the training sessions to occur no later than the 5th working day of October preceding the December deliverable due date. A maximum of ten training events will occur per Government fiscal year (FY). Depending on the number of units in the ReARMM cycle, the number of training events needed may be less than six events in any given FY.

4.4. After Action Review (AAR) Deliverable. The contractor shall provide an AAR within two weeks of completion of the training event. This AAR will be used by the Government to assist in future planning and to facilitate effective training for each scheduled training iteration. The AAR shall include a count/description of the contractor equipment and supplies used, and losses from the training exercise, if applicable. The contractor may also include in the AAR recommendations to the Government on how to improve the established scenarios to enlist a better response from the participants.

4.5. Contractor Manpower Reporting (CMR) Deliverable. ACCOUNTING FOR CONTRACT SERVICES-The Office of the Assistant Secretary of the Army (Manpower & Reserve Affairs) operates and maintains a secure Army data collection site where the contractor will report ALL contractor manpower (including subcontractor manpower) required for performance of this contract. The contractor is required to provide a report to include but not limited to: (1) Contracting Office, Contracting Officer, Contracting Officer’s Technical Representative; (2) Contract number, including task and delivery order number; (3) Beginning and ending dates covered by reporting period; (4) Contractor name, address, phone number, e-mail address, identity of contractor employee entering data; (5) Estimated direct labor hours (including sub-contractor); (6) Estimated direct labor dollars paid this reporting period (including sub- contractor); (7) Total payments (including sub-contractor); (8) Predominant Federal Service Code (FSC) reflecting services provided by contractor (and separate predominant FSC for each sub-contractor if different); (9) Organizational title associated with the Unit Identification Code (UIC) for the Army Requiring Activity (the Army Requiring Activity is responsible for providing the contractor with its UIC for the purposes of reporting this information); (10) Locations where contractor and sub-contractors perform the work (specified by zip code in the United States and nearest City, Country, when in an overseas location, using standardized nomenclature provided on website); (11) Presence of deployment or contingency contract language, and, (12) Number of contractor and sub- contractor employees deployed in theater this reporting period (by country). (13) As part of its submission, the contractor will also provide the estimated total cost (if any) incurred to comply with this reporting requirement. The reporting period will be the period of performance not to exceed 12 months ending September 30 of each Government fiscal year and must be reported by 31 October of each calendar year. The contractor shall notify the Contracting Officer’s Representative (COR) by the 5th working day of November whether or not they have completed this report. If the COR is unavailable, the contractor will notify the Assistant COR (ACOR), or if neither is available the contractor will notify the Contracting Officer (KO).

5. APPLICABLE PUBLICATIONS. The following is a list of basic publications applicable to this PWS. The most current version of the publication applies. Current issues of Army publications and links to other service publications can be accessed at http://www.apd.army.mil/. Army publications not on the internet or MTF policies and procedures can be obtained from the COR. DoD publications can be found at www.defenselink.mil/pubs or www.dtic.mil/whs/directives . The Publications have been coded as advisory or mandatory. The Contractor is obligated to follow those coded as mandatory only to the extent that they apply to this contract. Supplements, amendments, or changes to these mandatory publications may be issued during the life of the contract. Advisory publications may be used for information and guidance but are not binding for compliance.

6.1 Mandatory Publications:

6.1.1. OTSG/MEDCOM Policy Memo 16-033, Sexual Harassment/Assault Response and Prevention (SHARP) Program, 29 Mar 2016

6. Exhibits/Attachments.

Attachment 1- PWS

Attachment 2- Medical Simulation Labor Categories

Attachment 3 - Performance Requirement Summary (PRS)

Attachment 4 – SCA Wage Determinations

Exhibit A - Exclusion from Participation in Federal Health Care Programs (LEIE)