Attachment 5_Performance Work Statement.docx

PERFORMANCE WORK STATEMENT

Mobilization Force Generation Installation (MFGI) Soldier Readiness Processing Center Fort Bliss, El Paso, Texas

PART I GENERAL

1. GENERAL. This contract provides for personal and non-personal services in coordination with William Beaumont Army Medical Center (WBAMC) with primary support to Fort Bliss Mobilization and Demobilization (MOB/DEMOB), Soldier Readiness Processing (SRP), Conus Replacement Center (CRC), and Separation and Physical History Examinations (SHPE) and secondary support to WBAMC and outlying clinics.

1.1. Mission requirements are to ensure Active Military, Reservist, ARNG, DA Civilians, and Contractor Personnel are medically validated for deployment, upon re-deployment, resolve non-deployable conditions and perform full Separation History and Physical Examinations. All services are to be performed on Fort Bliss military installations, with most services provided within the Soldier Readiness Processing Center and other soldier processing affiliated facilities (medical/dental) located throughout the installation. Current locations are subject to change as the installation’s MFGI Mobilization Support Force (MSF) capabilities and capacities are expected and projected to expand. All services provided under this contract shall be as comprehensive as government-supplied facilities, equipment, and support services permit. The contract personnel may be required to work at different locations within WBAMC due to transitioning services, staff shortages, or peak/surge workloads. The hours required under this contract may fluctuate based on mobilization and demobilization mission requirements. During non-peak times if feasible, the Government will assign contract personnel to support WBAMC’s Primary Care mission. These services shall be essentially the same duties as those required of any DoD Medical Corps, DoD Nurse Corps, Medical Service Corps, DoD Dental Corps, Medical Specialist Corps, or Government Civil Service personnel of similar experience and in similar duty assignments. When not feasible the Government will release contractor’s personnel not required to perform services at the Government's discretion. The Government will notify the contractor when this determination has been made.

1.2. BACKGROUND

As fully detailed in this Performance Work Statement, this requirement is to provide for medical readiness support in coordination with William Beaumont Army Medical Center (WBAMC) to support soldier mobilizations and demobilizations, as well as to provide secondary support to WBAMC and outlying clinics when mission permits.

Department of the Army pamphlet DA PAM 40-502 explains and documents the basic process and general procedures for assessing, documenting, and reporting medical readiness. It contains individual medical readiness (IMR) definitions, assessment, reporting, and monitoring; physical profile definitions, assessment, reporting, and monitoring; medical examinations and assessments; deployment and geographical area considerations. AR 40-502 is the authoritative publication for medical readiness. If any provisions in the DA PAM conflict with the most recent versions of the AR 40-502 policies, the provisions in AR 40-502 take precedence.

Mobilization and Redeployment Concept of the Operations. Support implementation of Combatant Command (CCMD) requirements and accomplish service readiness goals with tasks described in OPORD ORDER 19-20 (Medical and Dental Soldier Readiness Processing) – USAMEDCOM. Providers conducting Soldier Readiness Processing (SRP) and Reverse Soldier Readiness Processing (RSRP) will carefully review all responses on the Deployment Health Assessment (DHA), Periodic Health Assessment (PHA), Separation Health and Physical Examination (SHPE) the electronic health record (EHR), provided documentation, and e-Profile. Providers will address all positive endorsed answers and perceived inconsistencies (obtain medical clearance for moderate or severe responses) with coordination of appropriate follow-up. Medical Provides serving at Mobilization Force Generation Installation (MFGI) comply with standardized procedures outlined in the OPORD Annexes implementing CCMD, Army, and Department of Defense (DoD) specific guidance.

CRC Concept of the Operations. The Conus Replacement Center (CRC) and Individual Deployment Site (IDS) serves as the gateway to check readiness and conduct deployment requirements for the AO. The CRC and IDS validate non-unit related personnel for deployment, resolve non-deployable conditions, provide sustainment of Non- Unit Related Personnel (NRP) flow to the theater, and receive and reintegrate NRP on redeployment. The initial CRC/IDS mission was to ensure Army NRP were fully prepared for deployment. The CRC/IDS mission has expanded in recent years to include individuals from all Services. This includes all Department of Defense (DOD) civilian personnel, contract personnel, and employees of the National Red Cross, and the Army/Air Force Exchange Services (AAFES). The CRC and IDS are activities providing theater specific deployment processing and do not perform a garrison support unit (GSU) or reception station’s responsibility to mobilize Reserve component (RC) soldiers.

SHPE Concept of Operations. The office of the Surgeon General (OTSG), the United States Army Medical Command (USAMEDCOM), and the United States Army Medical community informs members of the Armed Forces on the requirement for a Separation History and Physical Examination (SHPE). The SHPE includes a soldier’s medical history review documented on a DD Form 2807-1 and physical examination documented on a DD Form 2808. Effective 01 Jan 2015, all Active Duty (AD) and Reserve Component (RC) soldiers separating from active duty must complete a separation history and physical exam with the results of that exam entered in their service treatment record (STR) before the date of separation.

Tele-Health Services. As with the past COVID-19 outbreak, or if other public health crises arise in the future, certain personal services as dictated by the Soldier Readiness Processing (SRP) mission may be required to be performed via Tele-Health. Tele-Health is described as the use of electronic information and telecommunications technologies to support long-distance pre-mobilization, mobilization, deployments, and post-deployments. Tele- health services may include, record screenings, interviews, referrals, clinical health care, patient and professional health-related education, public health, and health administration.

Primary Care Services. Is the delivery of integrated, accessible health care services by physicians and their health care teams who are accountable for addressing a large majority of personal health care needs, developing a sustained partnership with patients, and practicing in the context of family and community. Additionally, primary care includes health promotion, disease prevention, health maintenance, counseling, patient education, diagnosis, and treatment of acute and chronic illnesses in a variety of health care settings. Primary care provides patient advocacy in the health care system to accomplish cost-effective and equitable care by coordination of health care services. Primary care promotes effective communication with patients and families to encourage them to be a partner in health care.

MFGI Expansion. The requirements are based upon the Department of Defense’s required flexibility to reconstitute or expand the capabilities of the Military Services on short notice to meet a resurgent or increased threat to U.S. national security.

Health Records. Medical examiners review the Soldier Treatment Record (STR) and/or EHR in use whether an examination is for relief from active duty, resignation, retirement, separation from the Service, or any other physical examination – to include exams done for schools, flight duties and so forth---or as part of a PHA. The examiner notes any significant problems, patient education, and follow-up care on the DD Form 2766 (Adult Preventive and Chronic Care Flowsheet), as appropriate.

Facilities. Contract Personnel must understand and comply with environmental management programs, plans, permits, procedures, policies, directives, and guidance, and comply with all environmental requirements IAW Federal State, and local laws, and Army regulations/guidance. Contract Personnel must receive environmental training and ensure personnel with functions that may impact the environment receive information on appropriate environmental specific Federal, State, and local laws and installation policies.

1.3. The personal services portion of this contract is intended to create an employer-employee relationship between the government and the contract personnel (CP) providing healthcare services. Such services are subject to the day- to-day supervision and control of designated government personnel in a manner comparable to that exercised over military and civil service personnel engaged in comparable health care services. Any personal injury claims alleging negligence by the individual CP while performing within the scope of these personal services contract shall be processed by the government in the same manner as claims alleging negligence by Department of Defense (DoD) military or civil service personnel. The contract does not create an employer-employee relationship between the government and any corporation, partnership, business association, or other party or legal entity with which the CP may be associated. The authority for this contract is 10 United States Code 1089 and 10 United States Code 1091. Contract personnel providing personal services shall consist of the following skill sets:

· Physician

· Physician Assistant

· Nurse Practitioner

· Licensed Clinical Social Worker

· Pharmacist

· Registered Nurse Case Manager

· Licensed Vocational Nurse

· Certified Nurse Assistant

· Dental Assistant

· Pharmacy Technician

· Optometry Technician

· Audiology Technician

· Phlebotomist

· Medical Laboratory Technician

1.4. The non-personal services portion of this contract (as defined by Federal Acquisition Regulation (FAR) Subpart 37.104) and is not intended to create an employer-employee relationship between the Government and the individual contract personnel (CP) performing under the contract. The performance of health care services by the individual contract personnel (CP) under the non-personal services portion of the contract will not be subject to the day-to-day supervision and control by health care facility personnel comparable to that exercised over military and civil service CPs engaged in comparable health care services. Under no circumstances shall the Government assign tasks to or prepare work schedules for individual contractor employees under a non-personal services arrangement. It shall be the responsibility of the Contractor to manage its non-personal service employees and to guard against any actions that are of the nature of personal services or give the perception of personal services. If the Contractor believes that any actions constitute, or are perceived to constitute personal services, it shall be the Contractor's responsibility to notify the Contracting Officer in writing within 24 hours of such incident or action. The Contractor may have designated Leads for non-personal services to handle personnel issues and be able to resolve these issues without the Government's intervention. Leads shall be located off-site, shall not occupy any government space, and shall not impede the mission. Communications between the Lead and employees shall be conducted off the clock. Lead position(s) will not be covered by this contract and therefore not compensated by the government.

The non-personal services shall be provided under the direct control and general supervision of the contractor.

Contract personnel providing non-personal services shall consist of the following skill sets:

· Medical Credentialing Specialist

· Administrative Assistant

· Medical Support Clerk

· Medical Records Clerk

· Supply Technician

1.5. Performance Measures.

1.5.1. Outcome. The contractor shall provide the personal services of technically competent health care personnel to augment or supplement the staffing at military treatment facilities (MTF) to provide services that contribute to a stable workforce providing quality services due to surges in workload, deployments, and civilian personnel vacancies throughout Department of Defense Manual (DODM).

1.5.2. Standards. All services shall be provided in accordance with established standards, principles and ethics of the profession and applicable professional specialty organizations, The Joint Commission (TJC) standards, applicable Department of Defense (DoD) and service specific regulations, directives, and policies, and applicable MTF policies, procedures, and job descriptions. Contract employees shall give the highest regard to patient dignity and observe the precepts of the American Hospital Association's Bill of Rights for Patients. The contract health care provider shall provide services in conjunction with other non-contract providers to include physicians, nurse practitioners, physician assistants, registered and licensed practical nurses, and support personnel. All contract healthcare providers provided by the contractor shall perform essentially the same functions, within the scope of acceptable practice, as those required by Army or government service health care professionals of similar experience and in similar duty assignments. Acceptable measures include substantiated patient complaints of no more than two per CP per period of performance; no CP initiated cancellation of treatment except as medically required by patient or provider illness, etc. Other performance factors which are not quantified by numerical measurements may include: contractor providing personnel who do not meet the minimum qualifications; patient customer service comments/complaints; CP relationship with government personnel or other contractor personnel; and compliance with MTF policies and procedures.

1.5.3. How Measured. The inspection and acceptance point for all services rendered under this contract will be by the designated contracting officer representative (COR) in coordination with the Department Leadership or designee. The performance by the CP, the quality of services rendered, and any documentation or written material in support of same, shall be subject to continuous inspection, surveillance, and review for acceptance by the Department Leadership or designee. Any services rendered by the CP to patients or interaction with military/civilian personnel deemed unprofessional/ threatening/dangerous by the Department Leadership or designee will be considered as grounds for removal of the CP and possible termination under clause 52.212-4(m) Termination for Cause. Services provided by the CP shall be reviewed and rated in accordance with the MTF policies, by-laws, and TJC standards. A poor rating shall be grounds for removal of the CP.

1.6. Quality Assurance: The Government will evaluate the Contractor’s performance under this contract in accordance with the Quality Assurance Surveillance Plan (QASP). This plan is primarily focused on what the Government must do to ensure that the Contractor has performed in accordance with the performance standards. It defines how the performance standards will be applied, the frequency of surveillance, and the acceptable quality levels (performance thresholds).

1.7. Quality Control Plan (QCP): The Contractor shall develop and maintain a QCP to ensure services are performed in accordance with (IAW) this PWS. The Contractor shall develop and implement procedures to identify, prevent, and ensure non-recurrence of defective services. The Contractor's QCP is how it assures that the work provided complies with the requirements of the contract.

1.7.1. The Contractor’s Proposed QCP shall be submitted to the Contracting Officer (KO) through the Contracting Officer’s Representative (COR) for review within ten (10) days after date of contract award.

1.7.2. The Government will review and either notify the Contractor in writing of acceptance of the plan or return their comments to the Contractor within 15 days. If the Government has provided comments, the Contractor shall then have five (5) days to submit a Final QCP. After receipt of the Final QCP, the Contractor may receive the Contracting Officer’s acceptance in writing. Any proposed changes to the accepted QCP are required to be resubmitted for acceptance by the Contracting Officer no later than 15 days prior to the anticipated change and before implementation by the Contractor. The timeline noted above will apply for review and acceptance for proposed changes. At a minimum, the QCP must include and answer the following to be acceptable:

(a) A chart showing the organizational structure and lines of authority, the names, qualifications, duties, responsibilities, and classification of each member of the Contractor's Quality Control Team.

(b) How the Contractor will monitor work to ensure performance complies with all deliverables (etc. timelines, deadlines, and goals).

(c) How the Contractor will monitor work to ensure performance complies with all specifications and requirements of the contract, including the contract’s clauses.

(d) How the Contractor will monitor and ensure staff qualifications remain current and valid including Department of Defense (DoD) Contractor Personnel Office (DOCPER) processes/approvals throughout contract performance.

(e) How the Contractor will ensure all keys issued will remain controlled items (Paragraph 3.8.3.).

(f) How the Contractor will inventory, and track maintenance of all Government Furnished Property provided Equipment / Materials.

(g) Table of Penalties that lists the recommended disciplinary actions for the various non-conforming performance and misconduct.

(h) How the Contractor will identify, investigate, and correct any non-conforming performance and misconduct and prevent similar deficiencies in the future; and

(i) How the Contractor will file and save all Quality Control related documents for the life of the contract plus 5 years.

1.7.3. The Contractor shall inform the COR of issues or potential issues that might affect the performance within 24 hours of identifying those issues. Verbal reports shall be followed up by written reports within three (3) days.

PART 2 REQUIREMENTS AND QUALIFICATIONS.

2. REQUIREMENTS AND QUALIFICATIONS.

2.1. The contractor shall ensure that all contractor personnel providing these contracted services meet the following requirements:

2.1.1. The Contractor shall not employ any individual to provide direct health care services who is listed on the Health and Human Services (HHS) list of providers excluded from federally funded health care programs. The list may be found at http://oig.hhs.gov/fraud/exclusions.asp.

2.1.2. The following shall disqualify, at any time, any individual from consideration/performance under this contract who is...

2.1.2.1. Contract must assure that Ready Reservists and Retirees subject to military recall during mobilization do not occupy key, Emergency Essential (E-E) positions. These are positions that cannot be vacated during a national emergency or mobilization without seriously impairing the capability of the organization to function effectively. This will preclude such positions from being vacated by recall or during a mobilization.

2.1.2.2. An individual under probation/revocation/indictment/suspension action at any time from any state, the District of Columbia, or U.S. Territory where the provider has/had a license.

2.1.2.3. An individual who was previously convicted of any felony.

2.1.2.4. An individual who is awaiting possible adverse administration action by any board of medicine.

2.1.2.5. An individual who has been declined to participate in any Tricare program.

2.1.2.6. If none of the above listed conditions are applicable, the contractor shall provide a letter stating so.

2.1.3. Contractor personnel shall be a United States citizen.

2.1.4. Contractor personnel shall successfully complete a criminal history background check in accordance with paragraph 3.10 of this performance work statement (PWS) prior to start of employment.

2.1.5. Contractor personnel shall be able to read, write, and speak English well enough and enunciate with sufficient clarity to effectively communicate with patients and other healthcare providers.

2.1.6. Contractor personnel shall possess sufficient initiative, interpersonal relationship skills and social sensitivity such that the contractor personnel can relate to a variety of patients from diverse backgrounds.

2.1.7. Contractor personnel shall be able to operate a personal computer utilizing Microsoft applications, such as Word, Excel, Outlook, etc., and efficiently utilize an Electronic Medical Record.

2.1.8. Contractor personnel shall possess the ability to use various hospital information systems (HIS), clinical information systems (CIS), and clinical automation systems as required, such as, but not limited to Military Health System's (MHS) Genesis, Ambulatory Data System (ADS), Medical Operations Data Systems (MODS), Medical Protection System (MEDPROS), Joint Longitudinal Viewer (JLV), Medical Electronic Data Care History And Readiness Tracking (MEDCHART), Laboratory Information Systems (LIS), and Defense Medical Human Resource System – internet (DMHRSi). The inability to learn the use of any automated system within a reasonable amount of time (approximately 30 days) may be reason to request replacement of that person.

2.1.9. Contractor personnel shall have sufficient skills, knowledge, and experience to perform the specific tasks (see Section 5) listed for their specialty.

2.1.10. Contractor and contractor personnel shall abide by all clinical standards, rules, and procedures including requirements for licensure, credentialing, and quality assurance programs.

2.1.11. Contractor personnel shall be required to take and maintain in a current status, any on-going training as required by regulation, command directive, The Joint Commission and/or any other inspecting entity.

2.1.12. Contractor personnel in positions requiring the granting of privileges must be able to meet the favorable recommendation of the WBAMC Credentialing Committee and final approval from the WBAMC Commander and maintain their credentials in a current status at all times.

2.1.13. Privileged healthcare providers are required to meet Continuing Education (CE), Continuing Medical Education (CME), Continuing Education Units (CEU) requirements in DHA-PM 6025.13 and AR 351-3 or as determined by the provider’s state of licensure, whichever is more stringent. Maintaining/obtaining the CME requirements is entirely the responsibility of the individual and the Government is not obligated to pay for nor otherwise reimburse for any associated costs.

2.1.14. As it pertains to Tele-Health services, notwithstanding any law regarding the licensure of healthcare providers, a designated licensed individual practitioner may practice their profession in any location in any jurisdiction of the United States, regardless of where the provider or patient is located, so long as the practice is within the scope of authorized federal duties. (Ref: DHA PM 6025.13, section 1094.).

2.2. Qualifications. The contractor shall ensure that all contractor personnel providing services meet the following qualifications for their respective specialties:

2.2.1. Physicians (Internal Medicine / Family Practice) shall:

· Degree: Doctor of Medicine or Doctor of Osteopathy

· Education: Graduation from a medical school in the United States, Canada, or approved by the Liaison Committee on Medical Education of the American Medical Association (AMA), graduation from a college of osteopathy approved by the American Osteopathic Association (AOA), or graduation from a medical school with evidence of Educational Commission for Foreign Medical Graduates (ECFMG) certification for physicians. Contract workers who are graduates of foreign medical schools will possess both a U.S. medical license and certification by ECFMG for health care physicians. Residency institutions must have been ACGME accredited during the time the member was enrolled. ECFMG is required for graduates of medical schools located outside the U.S., Puerto Rico, and Canada. As of 2017 a provider who possesses Fifth Pathway is no longer acceptable.

· Board Certification: The DoD only recognizes certifications issued by boards that are members of the American Board of Medical Specialties (ABMS) or the AOA Bureau of Osteopathic Specialists

· Internship/Residency: Completion of an accredited residency approved by the Accreditation Council for Graduate Medical Education (ACGME).

· Experience: Possess a minimum of one year of experience within the last two years working as a full-time physician in the care of adult patients which enables him/her to perform the specific tasks listed for this specialty in this PWS..

· Licensure/Registration: Contract workers requiring licensure shall have and maintain a current, valid, unrestricted license specific to the position (with no limitations, stipulations or pending adverse actions) in one of the 50 US States and/or territories. Additional licenses held by a provider must be in good standing whether they are inactive, expired, or limit the provider’s practice to a military setting. The healthcare provider’s license(s) must remain current, valid, and unrestricted throughout the duration of the contract worker performance on the contract. The DHA PM 6025.13, vol 4, is the governing directive for all licensure, registration, and certification. Adherence to the outlined requirements within the DHAPM 6025.13, vol. 4, shall be met. Possess a current Drug Enforcement Administration (DEA) Registration certificate and a National Provider Identifier (NPI).

· Additional Certifications: Contract workers shall maintain current certification in Basic Life Support (BLS) from the American Heart Association, or the American Red Cross. Certification cards must display the American Heart Association, the American Red Cross or other approved certifying body emblem. Web-based (on-line) classes are not acceptable by the Government.

2.2.2. Nurse Practitioner (NP) shall:

· Degree: Masters in Nursing

· Education: Graduate from an academic program, within the nursing specialty field of study that is accredited by a regional or national nursing accrediting agency recognized by the Accreditation Commission for Education in Nursing (ACEN) or the Commission on Collegiate Nursing Education (CCNE).

· Certification: Certified as a Nurse Practitioner by the American Nurses Credentialing Center (ANCC), American Academy of Nurse Practitioners (AANP).

· Experience: Shall have a minimum of one year of experience within the last two years practicing in primary care medicine (e.g. family practice, general medicine, internal medicine).

· Licensure: Contract workers requiring licensure shall have and maintain a current, valid, unrestricted license specific to the position (with no limitations, stipulations or pending adverse actions) in one of the 50 US States and/or territories. Additional licenses held by a provider must be in good standing whether they are inactive, expired, or limit the provider’s practice to a military setting. The healthcare provider’s license(s) must remain current, valid, and unrestricted throughout the duration of the contract worker performance on the contract. The DHA PM 6025.13, vol 4, is the governing directive for all licensure, registration, and certification. Adherence to the outlined requirements within the DHAPM 6025.13, vol. 4, shall be met. Registration: Drug Enforcement Administration (DEA) Registration not required. NPI required.

· Additional Certification: Contract workers shall maintain current certification in Basic Life Support (BLS) from the American Heart Association, or the American Red Cross. Certification cards must display the American Heart Association, the American Red Cross or other approved certifying body emblem. Web-based (on-line) classes are not acceptable by the Government. BLS recertification shall be maintained in a current status at all times while the CP provides services via this contract.

2.2.3. Physician Assistant (PA) shall:

· Degree: Baccalaureate or Master’s degree.

· Education: Graduate from an accredited college or university certified by the Accreditation Review Commission on Education of the Physician Assistant (ARC-PA), or previously recognized accrediting body. In addition to the education requirements listed in the DHA-PM for PAs, specialty PAs must complete residency or fellowship training of 12 months or more in a medical specialty program acceptable to the DHA. NPI is required.

· Certification: Certified by the National Commission on Certification of Physician’s Assistants (NCCPA).

· Experience: Shall have a minimum of one year of experience within the last two years working as a full-time Physician Assistant in primary care medicine (e.g. family practice, general medicine, internal medicine).

· Licensure: Contract workers requiring licensure shall have and maintain a current, valid, unrestricted license specific to the position (with no limitations, stipulations or pending adverse actions) in one of the 50 US States and/or territories. Additional licenses held by a provider must be in good standing whether they are inactive, expired, or limit the provider’s practice to a military setting. The healthcare provider’s license(s) must remain current, valid, and unrestricted throughout the duration of the contract worker performance on the contract. The DHA PM 6025.13, vol 4, is the governing directive for all licensure, registration, and certification. Adherence to the outlined requirements within the DHAPM 6025.13, vol. 4, shall be met.

· Registration: Drug Enforcement Administration (DEA) Registration not required. NPI is required.

· Additional Certification: Contract workers shall maintain current certification in Basic Life Support (BLS) from the American Heart Association, or the American Red Cross. Certification cards must display the American Heart Association, the American Red Cross or other approved certifying body emblem. Web-based (on-line) classes are not acceptable by the Government.

2.2.4. Licensed Clinical Social Worker (LCSW) shall:

· Degree: Master’s degree in Social Work (MSW)

· Education: Graduate from a School of Social Work fully accredited by the Council on Social Work Education (CSWE).

· Experience: Experience in clinical social work, either through a master’s-level practicum or 2 years post-MSW experience, in the last three years, as a full-time LCSW.

· Licensure: Contract workers requiring licensure shall have and maintain a current, valid, unrestricted license specific to the position (with no limitations, stipulations or pending adverse actions) in one of the 50 US States and/or territories. Additional licenses held by a provider must be in good standing whether they are inactive, expired, or limit the provider’s practice to a military setting. The healthcare provider’s license(s) must remain current, valid, and unrestricted throughout the duration of the contract worker performance on the contract. The DHA PM 6025.13, vol 4, is the governing directive for all licensure, registration, and certification. Adherence to the outlined requirements within the DHAPM 6025.13, vol. 4, shall be met..

· Additional Certification: Contract workers shall maintain current certification in Basic Life Support (BLS) from the American Heart Association, or the American Red Cross. Certification cards must display the American Heart Association, the American Red Cross or other approved certifying body emblem. Web-based (on-line) classes are not acceptable by the Government.

2.2.5. Pharmacist shall:

· Degree: Doctor of Pharmacy (Pharm.D.).

· Education: Graduate from a college or university accredited by the Accreditation Council on Pharmaceutical Education (ACPE).

· Internship/Residency: Completion of a clinical pharmacy residency or fellowship accredited by the American Society of Health System Pharmacists or American College of Clinical Pharmacy.

· Experience: Possess a minimum of one year post graduate experience as a clinical Pharmacist within the last two years.

· Licensure: Contract workers requiring licensure shall have and maintain a current, valid, unrestricted license specific to the position (with no limitations, stipulations or pending adverse actions) in one of the 50 US States and/or territories. Additional licenses held by a provider must be in good standing whether they are inactive, expired, or limit the provider’s practice to a military setting. The healthcare provider’s license(s) must remain current, valid, and unrestricted throughout the duration of the contract worker performance on the contract. The DHA PM 6025.13, vol 4, is the governing directive for all licensure, registration, and certification. Adherence to the outlined requirements within the DHAPM 6025.13, vol. 4, shall be met.

· Registration: Possess a current Drug Enforcement Administration (DEA) Registration certificate and a National Provider Identifier (NPI).

· Additional Certification: Contract workers shall maintain current certification in Basic Life Support (BLS) from the American Heart Association, or the American Red Cross. Certification cards must display the American Heart Association, the American Red Cross or other approved certifying body emblem. Web-based (on-line) classes are not acceptable by the Government.

2.2.6. Registered Nurse (RN) Case Manager shall:

· Degree: Associates or Baccalaureate Degree in Nursing.

· Education: Graduate from a college or university accredited by the Accreditation Commission for Nursing Education (ACEN) or the Commission on Collegiate Nursing Education (CCNE).

· Certification: Possess one of the following certifications:

· Commission for Case Manager Certification Certified Case Manager (CCM)

· American Nurses Credentialing Center Nurse Case Manager (RN-NCM)

· National Academy of Certified Care Managers: Care Manager Certified (CMC)

· Experience: Possess a minimum of one year of experience within the last two years working as a full-time RN-Case Manager.

· Licensure: Contract workers requiring licensure shall have and maintain a current, valid, unrestricted license specific to the position (with no limitations, stipulations or pending adverse actions) in one of the 50 US States and/or territories. Additional licenses held by a provider must be in good standing whether they are inactive, expired, or limit the provider’s practice to a military setting. The healthcare provider’s license(s) must remain current, valid, and unrestricted throughout the duration of the contract worker performance on the contract. The DHA PM 6025.13, vol 4, is the governing directive for all licensure, registration, and certification. Adherence to the outlined requirements within the DHAPM 6025.13, vol. 4, shall be met.

· Additional Certification: Contract workers shall maintain current certification in Basic Life Support (BLS) from the American Heart Association, or the American Red Cross. Certification cards must display the American Heart Association, the American Red Cross or other approved certifying body emblem. Web-based (on-line) classes are not acceptable by the Government.

2.2.7. Licensed Practical/Vocational Nurse (LPN/LVN) shall:

· Degree: Certificate.

· Education: Graduate from an accredited community college, junior college, college, university or vocational nursing program approved by the appropriate State agency and accredited by the Commission on Nursing Education Accreditation (CNEA), the Commission on Collegiate Nursing Education (CCNE), or another acceptable accreditation body.

· Experience: Possess a minimum of one year of experience within the last two years working as a full-time LVN/LPN.

· Licensure: Contract workers requiring licensure shall have and maintain a current, valid, unrestricted license specific to the position (with no limitations, stipulations or pending adverse actions) in one of the 50 US States and/or territories. Additional licenses held by a provider must be in good standing whether they are inactive, expired, or limit the provider’s practice to a military setting. The healthcare provider’s license(s) must remain current, valid, and unrestricted throughout the duration of the contract worker performance on the contract. The DHA PM 6025.13, vol 4, is the governing directive for all licensure, registration, and certification. Adherence to the outlined requirements within the DHAPM 6025.13, vol. 4, shall be met.

· Additional Certification: Contract workers shall maintain current certification in Basic Life Support (BLS) from the American Heart Association, or the American Red Cross. Certification cards must display the American Heart Association, the American Red Cross or other approved certifying body emblem. Web-based (on-line) classes are not acceptable by the Government.

2.2.8. Certified Nurse Assistant (CNA) shall:

· Degree: Certificate.

· Education: Completion a Nursing Assistant school or program of instruction.

· Certification: A diploma or certificate of training from a Nursing Assistant school or program of instruction.

· Experience: A minimum of one year of experience within the last two years working as a full-time nursing assistant.

· Additional Certification: Contract workers shall maintain current certification in Basic Life Support (BLS) from the American Heart Association, or the American Red Cross. Certification cards must display the American Heart Association, the American Red Cross or other approved certifying body emblem. Web-based (on-line) classes are not acceptable by the Government.

2.2.9. Dental Assistant shall:

· Degree: Certificate

· Education: Successful completion of one of the following:

· Certificate or associate degree as a dental assistant/technician from a program accredited by the Commission on Dental Accreditation (CODA) of the American Dental Association (ADA) and 12 months experience within the preceding 36 months.

· Certification from a military dental technician or dental assistant school and 12 months experience within the preceding 36 months.

· Certification from a Red Cross Dental Assistant course and 12 months experience within the preceding 36 months.

· 36 months experience within the preceding 48 months as a dental assistant in a private practice or a military clinic.

· Membership in good standing with the American Association of Dental Assistants with required continuing education and 12 months experience within the preceding 24 months.

· Graduation from a state accredited program for dental assistants or dental technology within the preceding 12 months.

· All training must have included a course in radiation physics; radiation biology; radiation health, safety, and protection; X-ray films and radiographic film quality; radiographic techniques; darkroom and processing techniques; film mounting; and digital radiographic processing techniques.

· Certification: Certified in radiography as required by 42 CFR Part 75.

· Experience: Possess a minimum of one year of experience within the last two years working as a full-time Dental Assistant.

· Additional Certification: Contract workers shall maintain current certification in Basic Life Support (BLS) from the American Heart Association, or the American Red Cross. Certification cards must display the American Heart Association, the American Red Cross or other approved certifying body emblem. Web-based (on-line) classes are not acceptable by the Government.

2.2.10. Pharmacy Technician shall:

· Degree: Certificate.

· Education: Graduate from a formal pharmacy technician program accredited by the American Society of Health-System Pharmacists (ASHP) or a formal pharmacy technician program (i.e., technical, hospital, or retail-based program) or a formal medical services training program of the United States Military.

· Certification: Certified by the Pharmacy Technician Certification Board (PTCB)

· Experience: Possess a minimum of one year experience within the last two years working as a full-time pharmacy technician.

· Additional Certification: Contract workers shall maintain current certification in Basic Life Support (BLS) from the American Heart Association, or the American Red Cross. Certification cards must display the American Heart Association, the American Red Cross or other approved certifying body emblem. Web-based (on-line) classes are not acceptable by the Government.

2.2.11. Optometry Technician shall:

· Degree: Certificate

· Education: Completion of an optometric technician course or formal optometric on the job training or training and certification obtained through the Army, Navy, or Air Force Optometry Technician program.

· Experience: Possess a minimum of one year experience within the last two years working as a full-time Optometry technician.

· Additional Certification: Contract workers shall maintain current certification in Basic Life Support (BLS) from the American Heart Association, or the American Red Cross. Certification cards must display the American Heart Association, the American Red Cross or other approved certifying body emblem. Web-based (on-line) classes are not acceptable by the Government.

2.2.12. Audiology Technician shall:

2.2.13. Phlebotomist shall:

· Degree: Certificate.

· Education: High school equivalent and completion of NAACLS or two-part Phlebotomy program. Graduate from an academic course of phlebotomy that includes didactic & hands-on phlebotomy (or required by state law).

· Certification: Certification/registration as determined by state requirements or a national certification through the American Society for Clinical Pathology (ASCP) or American Medical Technologists (AMT).

· Experience: A minimum of one year experience within the last two years working as a full-time a phlebotomist in a hospital, blood-bank, or a pathology/laboratory environment.

· Additional Certification: Contract workers shall maintain current certification in Basic Life Support (BLS) from the American Heart Association, or the American Red Cross. Certification cards must display the American Heart Association, the American Red Cross or other approved certifying body emblem. Web-based (on-line) classes are not acceptable by the Government.

2.2.14. Medical Laboratory Technician shall:

· Degree: Certificate or Associate Degree.

· Education: Graduate from a medical laboratory technician training program accredited by the National Accrediting Agency for Clinical Laboratory Sciences (NAACLS) or the Accrediting Bureau of Health Education Schools (ABHES) or educational program acceptable to the American Medical Technologist (AMT).

· Certification: Certification/registration as determined by the American Society for Clinical Pathology (ASCP) or AMT.

· Experience: Possess a minimum of one year of experience within the last two years working as a full-time laboratory technician in a clinic, hospital, blood bank, or stand-alone laboratory.

· Additional Certification: Contract workers shall maintain current certification in Basic Life Support (BLS) from the American Heart Association, or the American Red Cross. Certification cards must display the American Heart Association, the American Red Cross or other approved certifying body emblem. Web-based (on-line) classes are not acceptable by the Government.

2.2.15. Credentialing Specialist shall:

· Education: Possess a high school equivalent and have a minimum of one year of college education.

· Experience: Possess a minimum of one year of experience within the last three years working as a full-time medical credentialing specialist.

· At least 50% of the time was spent focused on verifying and maintaining the credentials of licensed, registered, and/or certified medical personnel, including but not limited to physicians, advanced practice registered nurses, physician assistants, therapists, etc.

· Additional Certification: Contract workers shall maintain current certification in Basic Life Support (BLS) from the American Heart Association, or the American Red Cross. Certification cards must display the American Heart Association, the American Red Cross or other approved certifying body emblem. Web-based (on-line) classes are not acceptable by the Government.

2.2.16. Administrative Assistant shall:

· Education: Possess a high school equivalent and have a minimum of one year of college education.

· Experience: Must have a minimum of one year of experience within the last three years in program assistance/management support role. Possess sufficient proficiency to work with automated systems utilizing common software such as MS Office Word, Excel, and PowerPoint.

· Additional Certification: Contract workers shall maintain current certification in Basic Life Support (BLS) from the American Heart Association, or the American Red Cross. Certification cards must display the American Heart Association, the American Red Cross or other approved certifying body emblem. Web-based (on-line) classes are not acceptable by the Government.

2.2.17. Medical Support Clerk shall:

· Education: High school equivalent.

· Experience: Possess a minimum of one year of experience within the last three years working as a full-time medical clerk in a hospital, clinic, or doctor’s office within the last two years.

· Additional Certification: Contract workers shall maintain current certification in Basic Life Support (BLS) from the American Heart Association, or the American Red Cross. Certification cards must display the American Heart Association, the American Red Cross or other approved certifying body emblem. Web-based (on-line) classes are not acceptable by the Government.

2.2.18. Medical Records Clerk shall:

· Education: High school equivalent.

· Experience: Possess a minimum of one year of experience within the last three years working as a full-time medical records clerk in a hospital, clinic, or doctor’s office.

· Additional Certification: Contract workers shall maintain current certification in Basic Life Support (BLS) from the American Heart Association, or the American Red Cross. Certification cards must display the American Heart Association, the American Red Cross or other approved certifying body emblem. Web-based (on-line) classes are not acceptable by the Government.

2.2.19. Supply Technician shall:

· Education: Possess a high school equivalent and have a minimum of one year of college education or vocational training.

· Experience: Possess a minimum of one year of inventory management experience working as a full-time supply or warehouse manager during the last three years.

· Additional Certification: Contract workers shall maintain current certification in Basic Life Support (BLS) from the American Heart Association, or the American Red Cross. Certification cards must display the American Heart Association, the American Red Cross or other approved certifying body emblem. Web-based (on-line) classes are not acceptable by the Government.

2.3. Health and Immunizations Requirements

2.3.1. The Contractor shall ensure HCPs are immunized annually with the seasonal influenza vaccine and any other vaccine recommended by the Advisory Committee on Immunization Practices (ACIP) of the Centers for Disease Control (CDC) for HCPs or service/MTF specific guidance as outlined in DoDD 6205.02e, Policy and Program for Immunizations to Protect the Health of Service Members and Military Beneficiaries. The expense for all health requirements, to include monitoring and tracking annual requirements, shall be borne by the Contractor at no additional cost to the Government.

2.3.2. All contract Healthcare Providers (CPs) performing direct healthcare services under this contract shall receive a general physical examination prior to commencement of services. The contractor shall provide the Contracting Officer's Representative, 10 calendar days before beginning services under this contract, a physical examination certificate for each individual CP who will provide services. The certification shall state the date on which the physical examination was completed and the name of the psychiatrist who performed the examination. The psychiatrist performing the examination shall sign this certification. For the purposes of this paragraph, a physical examination administered more than 45 days prior to performance of the contract will not be considered adequate. The physical examination shall include the following: