BHOP PWS Clinical Social Worker final from 51 MDG DRAFT.pdf

PERFORMANCE WORK STATEMENT

INTEGRATED PRIMARY CARE

Clinical Social Worker AT 51ST MEDICAL

GROUP OSAN AIR BASE, KOREA

Part 1

General Information

1. GENERAL: This is a personal services contract for one (1) Social Worker to support the Air Force Behavioral Health Optimization Program (BHOP) at 51st Medical Group Medical Treatment Facility (MTF), Osan Air Base, Korea. This is a personal service contract (as defined by FAR Subpart 37.104) and is intended to create an employer-employee relationship between the Government and the individual health care providers only to the extent necessary for providing the health care services required. The performance of health care services by individuals under a personal services contract are subject to day-to-day supervision and control by health care facility personnel comparable to that exercised over military and civil service individuals engaged in comparable health care services.

Any personal injury claims alleging negligence by personnel within the scope of performance of the personal services contract shall be processed by DoD in the same manner as claims alleging negligence by 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 individual may be associated. The authority for this contract is 10 United States Code 1089 and 10 United States Code 1091.

1.1 Description of Services/Introduction: The Contractor shall furnish all management, tools, equipment, reports, consultation, and labor necessary to ensure that the Contractor provides one (1) qualified Social Worker for the 51st Medical Group BHOP. The Clinical Social Worker shall provide all services, labor, and other items required to accomplish performance of Clinical Social Worker duties as specified, in strict accordance with all terms, conditions, general and special provisions, specifications, and attachments contained herein or incorporated by reference, as described in this Performance Work Statement (PWS). The Clinical Social Worker shall perform to the standards in this contract.

1.2 Background: The mission of the military healthcare system (MHS) is to ensure the nation has available at all times a healthy military force supported by a combat ready healthcare system. Health care services for eligible MHS beneficiaries are provided at Military Treatment Facilities (MTF) located on or near military installations or posts. The military treatment facility may be a clinic, hospital, or medical center. Clinics are outpatient facilities offering primary care or simple specialty care (routine exams, tests, and treatments). The clinic may be stand-alone site or satellite of a larger clinic, hospital, or medical center.

The 51st Medical Group mission is to seamlessly transition from community healthcare to contingency operations and respond to a full spectrum of health requirements, prepare medically ready forces, expand medical capabilities, and sustain war reserve materiel in support of 7 Air Force (AF) and United States Forces Korea (USFK). The Clinical Social Worker works with other members of the Medical Management Team, all clinical and patient administrative areas of the MTF to provide individualized care and promote a positive outcome for the beneficiaries through collaborative and effective counseling.

1.3 Objectives: To support the Air Force 51st Medical Group Behavioral Health Optimization Program by providing continuing and comprehensive mental and behavioral health care for individuals, families, and groups.

1.3.1 All services shall comply with established standards, principles, and ethics of the Clinical Social Worker profession and applicable professional specialty organization, the Joint Commission (JC) standards, the professional standards at the MTF, the Accreditation Association for Ambulatory Heath Care (AAAHC), applicable Department

DRAFT

of Defense (DoD), Air Force Instructions (AFI)-44-171& 44-173, AF Guide to Population Health, DoD Medical Management Guide and Medical Group Instruction (MDGI) 44-106. These documents are available in the MTF and maintained by the Government. Supplements or amendments to instructions or publications from any organizational level may be issued during the life of the contract. The Contractor shall immediately implement those changes. The Clinical Social Worker shall give the highest regard to patient dignity and observe the precepts of the American Hospital Association’s Bill of Rights for patients. Clinical Social Worker shall be held accountable for compliance to the standards listed in the Comprehensive Accreditation Manual for Hospitals (CAMH) dated 2011 or current version.

1.3.2 Clinical Social Worker shall provide services in conjunction with other non-contract providers to include physicians, nurse practitioners, physician assistants, registered and licensed practical nurses, and other support personnel. All contact personnel shall perform essentially the same functions, within scope of acceptable practice for the specific specialty or position, as those required by Air Force or Government service health care professionals of similar experience and similar duty assignments. The scope of services provided in military treatment facilities cover the same range of services as those that are provided in civilian treatment facilities of similar size and scope of services.

1.4 Scope: The Clinical Social Worker shall function in a specialty mental health clinic or in a patient centered medical home (PCMH) location as a behavioral health consultant (BHC) and/or Behavioral Health Care Facilitator

(BHCF)

1.5 Period of Performance: The period of performance shall be for one (1) Base Year of 12-months and four (4)

12-month option years.

1.6 General Information

1.6.1 Quality Management: The Contractor shall have a planned and systematic quality management process for monitoring and analyzing contract performance to ensure the service is performed in accordance with applicable laws and pertinent regulations, and commercial practices. The contractor shall develop and implement procedures to identify, prevent and ensure non-recurrence of defective services. The Clinical Social Worker shall comply with the MTF quality management/process improvement activities. The Contractor shall ensure the Clinical Social Worker participates in the MTF’s Medical Quality Assurance/Risk Management (QA/RM) Orientation procedures for newly assigned Clinical Social Worker to include regulations specific to their professional specialty, hospital, and Air Force policy and procedures.

1.6.2 Quality Assurance: The government will evaluate the contractor’s performance under this contract in accordance with the Quality Assurance Surveillance Plan. This plan primarily focuses 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 minimum acceptable defect rate(s).

1.6.2.1 Inspection: The inspection and acceptance point for all services rendered under this contract will be the FRED. The performance by the Clinical Social Worker, the quality of services rendered, and any documentation or written material in support of the same, shall be subject to continuous inspection, surveillance and review for acceptance by the KO or COR. Any services rendered by the Clinical Social Worker to patients or interaction with military/civilian personnel deemed unprofessional, threatening, or dangerous by the KO will be grounds for immediate termination for default or cause. Quality Assurance procedures established by the MTF shall be used for continuous monitoring. Other performance evaluation factors will be monitored that are not quantified by numerical measurements which include: Contractor providing personnel not meeting the minimum qualification standards;

inappropriate prescriptions; patient customer service comments; Contractor relationship with hospital staff/Government contracting personnel; compliance with hospital healthcare policies and procedures.

1.6.3 Recognized Holidays: The following is a list of legal federal holidays. Any of the federal holidays falling on a Saturday will be observed on the preceding Friday. Holidays falling on a Sunday will be observed on the following Monday.

New year’s Day, January 1st Martin Luther King’s Birthday, 3rd Monday in January President’s Day, 3rd Monday in February Memorial Day, Last Monday in May Independence Day, July 4th Labor Day, 1st Monday in September Columbus Day, 2nd Monday in October Veteran’s Day, November 11th Thanksgiving Day, 4th Thursday in November Christmas Day, December 25th

1.6.3.1 Any holidays that are declared by Presidential Executive Order shall be observed in the same manner as holidays listed above. If the area in which the Clinical Social Worker is scheduled to work is closed due to the holiday declared by an Executive Order and the Clinical Social Worker 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. The Clinical Social Worker will not provide services on PACAF’s family days or 51st Fighter Wing’s down days.

1.6.3.2 The Clinical Social Worker shall report to work as scheduled during emergencies, disasters, or during adverse weather conditions which does not result in installation/facility closure. Contract services are still required during these situations. However, if transit to work is not possible, the Clinical Social Worker shall immediately notify the COR and supervisor.

1.6.3.3 During anticipated closure of the facility due to Command declared training holidays or unplanned closure of the facility due to natural disasters, military emergencies, severe weather, or otherwise the Contractor will only be paid for the actual hours that were worked.

1.6.3.4 The Contractor shall not invoice the Government for services not performed and the Government will not be liable for any such closures.

1.6.4 Hours of Operation: The MTF provides services 24 hours a day, 365 days a year (366 days during leap years) including holidays. Clinics have designated operating hours. Duty hours will be dayshift hours, no weekends and Federal holidays. Duty hours may include Korean holidays and base exercise days where limited military staffing is available. The Clinical Social Worker will only be paid for hours actually worked. When hiring personnel, the Contractor shall keep in mind that the stability and continuity of the workforce are essential.

1.6.4.1 Work Schedule: A normal work week is 40 hours (8 hours per day excluding 1-hour lunch break) from 0730hrs to 1630hrs in 51st MDG and 0800 to 1700 in 8th MDG Monday thru Friday. The Clinical Social Worker shall perform eight (8) patient care hours per day. This will result in averaging approximately eight (8) patients per day or 40 patients per week if working in the mental health clinic. Providers working in the BHOP will average approximately 10-12 patients per day or 50-60 patients per week. These target productivity standards should be attenuated in consideration of any meetings the provider is required to attend by their supervisor and/or the MTF.

The Clinical Social Worker will be compensated only for time actually devoted to delivery of services in this contract. There may be occasions when mission and workload changes require employees to adjust work schedules to meet demand. The COR will be responsible for communicating with the contractor regarding scheduling. The Chief of Medical Staff may act as point of contact after normal duty hours, weekends, and holidays. In such cases, the COR shall confirm all actions on the next normal working day. The Clinical Social Worker shall not provide overtime or on-call duties under this contract. In any instances where the Government supervisor directs the provider to remain on duty in excess of their scheduled shift due to an unforeseen emergency or to complete patient treatment where lack of continuity of care would otherwise jeopardize patient health, the Clinical Social Worker shall remain on duty. The supervisor will adjust the Clinical Social Worker’s schedule for additional hours such that the number of hours on the contract is not exceeded and no overtime is required.

1.6.4.2 Absences and leave: The Clinical Social Worker will be allowed 160 hours of absences per year for vacation, sick leave, and miscellaneous reasons. The absences are to be coordinated with and at the discretion of the FRED. Absences will not excuse the performance of any duty under this contract. The Contractor shall notify the COR when scheduled Clinical Social Worker cannot fill a shift due to illness or emergency. Notification shall be as early as possible; but no later than 2 hours prior to start of scheduled shift. Scheduled absences for vacation shall be coordinated with the COR at least 30 calendar days in advance. All scheduled absences, including sick absences and emergency absences are unpaid. The Contractor is responsible for submitting accurate invoices.

1.6.4.3 Continuity of Services/Replacement Staff: The Contractor’s point of contact shall ensure qualified replacement Clinical Social Worker are available to provide coverage when the primary Clinical Social Worker's scheduled absence is expected to exceed two work weeks (80 hours). The Contractor shall ensure timely replacement of Clinical Social Worker is provided to reduce any interruption of 51st Medical Group’s mission.

The Contractor shall ensure that a stable workforce is maintained with minimal turnover of personnel. The Contractor shall notify the COR in writing when he/she cannot fill a position.

1.6.5 Place of Performance: The work to be performed under this contract will be performed at 51st Medical Group Military Treatment Facility at Osan Air Base, Korea.

1.6.5.1 Performance of services during crisis declared by the National Command Authority or Overseas Combatant Commander: On occasion, services may be required to support an activation or exercise of contingency plans outside the normal duty hours. Emergency situations (i.e. accident and rescue operations, civil disturbances, natural disasters, military contingency operations, and exercises) may necessitate the Clinical Social Worker provide increased or reduced support as determined by the Contracting Officer. The Government will negotiate an equitable adjustment with the Contractor for the cost of these emergency requirements.

1.6.6 Type of Contract: The Government contemplates award a Firm-Fixed Price contract.

1.6.7 Security Requirements: The Clinical Social Worker shall coordinate with the COR to obtain the following pass, registration, and identification items required for contract performance:

a. DD Form 1172, Application for Uniformed Services Identification Card (if applicable)

b. AETC Form 58, Civilian Identification Card (if applicable)

c. AF Form 2219 (series), Registered Vehicle Expiration Tab

d. DD Form 2220, DoD Registered Vehicle and Installation Tab

e. AF Form 75, Visitor/Vehicle Pass

f. AF Form 1199, USAF Restricted Area Badge, or locally developed badge

The Clinical Social Worker shall return all identification media, including vehicle decals, to the Pass & ID office upon completion/termination of the contract as appropriate.

The Contractor shall implement local base procedures for entry to Air Force controlled/restricted areas where Clinical Social Worker will work.

1.6.7.1 National Agency Check: The Clinical Social Workershall successfully complete a National Agency Check (NAC) before operating government-furnished workstations that have access to Air Force automated information systems. Requests for Clinical Social Worker hired at the beginning of the contract, shall be submitted to the Government not later than five (5) workdays after the performance start date. Clinical Social Worker receiving unfavorable NACs shall not be employed under this contract. The Government will submit requests for investigations on AF Form 2583 Request for Personnel Security Action, at no additional cost to the Contractor. The Clinical Social Worker shall comply with the requirements of DoD 5200.2-R Personnel Security Program, and AFI 33-119 Electronic Mail (e-mail) Management and Use. The Clinical Social Worker shall comply with the requirements of Volume 1 AFI 71-101 Criminal Investigations and paragraph 1.1 of Volume 2 Protective Service Matters. The Clinical Social Worker shall report any information or circumstances of which they are aware that may pose a threat to the security of DoD personnel, contract personnel, resources, and classified or unclassified defense information to the Chief Pharmacology Services. The Clinical Social Worker’s immediate supervisor shall brief him/her upon initial on-base assignment and as required thereafter.

1.6.7.2 Identification Badge: The Contractor and Clinical Social Worker shall comply with local installation and MTF personnel identification and access requirements. While on site, each Clinical Social Worker shall wear visible security badge identification, provided by the military installation or the MTF, on the front of his/her outer clothing.

The badge shall show the full name, title, and the word “CONTRACTOR” in front. The COR will provide the paperwork to request identification badges. The Clinical Social Worker shall immediately report any lost or stolen badges to the COR. The contractor is responsible for absences of Clinical Social Worker due to expired identification and access documents. Such absences shall not relieve the Contractor of its obligation to perform the healthcare services required under this contract. The Contractor will only be paid for services actually performed and shall not bill the Government during the Clinical Social Worker’s absence. The Clinical Social Worker shall turn in all identification badges to the COR upon termination of their services under this contract.

1.6.7.3 Vehicle Registration: The MTFs are located on restricted access military installations. The Contractor & Clinical Social Worker shall comply with the local installation requirements for vehicle registration and operation on the military installation. All Clinical Social Worker must register their vehicles with the office responsible for vehicle registration to gain access onto the military installation. A valid driver’s license, Government-furnished civilian identification, proof of insurance, and current registration must be presented to the Provost Marshal’s Office, at which time a DoD decal will be issued. The decal shall be placed on the vehicle’s front windshield in accordance with instructions. All vehicles, with or without a DoD decal, are subject to search. The Clinical Social Workermay encounter long delays for vehicle inspection and identification checks upon entering and exiting the installation. The Government will not reimburse the Clinical Social Worker for time spent at installation checkpoints. The Clinical Social Worker must plan accordingly and report to work at their scheduled duty time, at their appointed place of duty within the MTF. The Clinical Social Worker shall follow installation procedures for removal and turn-in of the vehicle decal upon termination of services under this contract. A personally owned vehicle (POV) is not required. It is up to the Clinical Social Worker whether or not he/she wants to bring his/her POV. It is the Clinical Social Worker’s responsibility to pay with his/her own funding out-of-pocket for all related costs for shipping a POV. The Clinical Social Worker may also decide if he/she wants to procure a POV in-country with his/her own funding out-of-pocket.

1.6.7.4. Safeguarding Government Property/Information: The Clinical Social Worker shall be responsible for safeguarding all government equipment, information and property (including controlled forms) provided for Clinical Social Worker use. The Clinical Social Worker shall safeguard information of a confidential or sensitive nature. All patient related information is considered confidential and sensitive. If working remotely during contingency, Clinical Social Worker are prohibited from reproducing patient information in any way (this includes printing).

Neither the Contractor nor any of its Clinical Social Worker shall disclose or cause to be disseminated any information concerning the operation of the MTF that could result in or increase the possibility of a breach in security or interrupt the continuity of operations or which breach the requirements of the Federal Privacy Act of 1974. However, the Clinical Social Worker may be required to provide testimony or disposition in cases of due process action. At the close of each work period, government facilities, equipment, and materials shall be secured.

1.6.7.4.1 Clinical Social Worker are advised that the 51st Medical Group Commander has placed restrictions on the smoking of tobacco products in and around facilities. AFI 40-102, Tobacco Use in the Air Force, and its supplements, outline the procedures used by the commander to control smoking in our facilities. As of now, the medical treatment facility is a smoke free campus. Clinical Social Worker and visitors are subject to the same restrictions as government personnel. Smoking is not permitted anywhere on the medical campus.

1.6.7.5 Key Control: The Contractor shall establish and implement methods of making sure all keys/key cards issued to the Clinical Social Worker by the Government are not lost or misplaced and are not used by unauthorized persons. NOTE: All references to keys include key cards. The Contractor shall be financially responsible for the replacement of any lost keys and any associated locks. No keys issued to the Clinical Social Worker by the Government shall be duplicated. The Clinical Social Worker shall turn-in any issued keys when they no longer require access to locked areas. The Clinical Social Worker shall immediately report any occurrences of lost or duplicate keys/key cards to the COR or Contracting Officer.

1.6.7.5.1. In the event keys, other than master keys, are lost or duplicated, the Contractor shall, upon direction of the Contracting Officer, re-key or replace the affected lock or locks; however, the Government, at its option, may replace the affected lock or locks or perform re-keying. When the replacement of locks or re-keying is performed by the Government, the total cost of re-keying or the replacement of the lock or locks shall be deducted from the monthly payment due the Contractor. In the event a master key is lost or duplicated, all locks and keys for that system shall be replaced by the Government and the total cost deducted from the monthly payment due the Contractor.

1.6.7.5.2. The Contractor shall prohibit the use of Government issued keys/key cards by any persons other than the assigned Clinical Social Worker. The Clinical Social Worker shall prohibit the opening of locked areas by Contractor employees to permit entrance of persons other than Clinical Social Worker engaged in the performance of assigned work in those areas, or personnel authorized entrance by the Contracting Officer.

1.6.8 Special Qualifications:

1.6.8.1 Education: The Clinical Social Worker shall possess a Master of Social Work (M.S.W.) degree from a graduate school of social work fully accredited by the Council on Social Work Education (CSWE).

1.6.8.2 License: The Clinical Social Worker shall possess and maintain throughout the course of the contract a current, active, valid, unrestricted (with no limitations, stipulations, or pending adverse actions) state license to practice psychology in any one of the fifty United States, the District of Columbia, the Commonwealth of Puerto Rico, Guam, or the U.S. Virgin Islands.

1.6.8.3 Certification: The Clinical Social Worker shall possess and maintain throughout the course of the contract a current certification in either the American Heart Association Basic Life Support (BLS) Course C or the American Red Cross CPR/BLS course as required by AFI 44-102, Community Health Management, Tables 1.1 through 1.6. The MTF will provide BLS refresher courses.

1.6.8.4 English Language Requirement: The Clinical Social Worker working on this contract shall be able to communicate in the English language at the intermediate level as exemplified in their written and verbal skills in the performance of their duties under this contract. Government will assess language skills of all contract employees who are required by terms of this PWS to be proficient at speaking English through performance of services. If the Government, at its sole discretion, determines that the language skills of the Clinical Social Worker does not meet the language proficiency skills required of the position, the Government reserves the right to require the Contractor to provide a replacement Clinical Social Worker that does possess the required language proficiency skills required of the position, at no additional cost to the Government.

1.6.8.5 Prior Experience: Clinical Social Worker shall have at least 12 months of experience, in the last 24 months, with assessing and providing evidence-based individual counseling to patients within a mental health or health care facility within five (5) years.

1.6.8.5.1 Prefer those with recent experience (within the past three years) providing integrated behavioral health services within a primary care setting

1.6.8.6 Clinical Social Worker shall have at least 12 months of direct hands-on experience in the last 24 months with computer operations, basic word processing, data entry, and use of an automated medical record system

1.6.9 Post Award Conference/Periodic Progress Meetings: The Contractor agrees to attend any post award conference convened by the contracting activity or contract administration office in accordance with Federal Acquisition Regulation Subpart 42. The Contracting Officer's Representative (COR) may meet periodically with the Contractor to review the Clinical Social Worker’s performance. These meetings shall be at no additional cost to the Government.

1.6.10 Contracting Officer Representative (COR): The (COR) will be identified by separate letter. The COR monitors all technical aspects of the contract and is the KO’s authorized representative in administering the contract at the MTF level. The COR is authorized to perform the following functions: assure that the Clinical Social Worker performs the technical requirements of the contract; perform inspections necessary in connection with contract performance; maintain written and oral communications with the Clinical Social Worker concerning technical aspects of the contract; issue written interpretations of technical requirements, including Government drawings, designs, specifications; monitor Clinical Social Worker 's performance and notifies both the Contracting Officer and Contractor of any deficiencies; coordinate availability of government furnished property; and provide site entry of Clinical Social Worker. A letter of designation issued to the COR, a copy of which is sent to the Contractor, states the responsibilities and limitations of the COR, especially with regard to changes in cost or price. The COR is not authorized to change any of the terms and conditions of the resulting contract. The COR will be available during normal duty hours (0700-1630) Monday through Friday to discuss any problems that may be experienced during the performance of this contract.

1.6.11 Conflict of Interest: The Contractor or Clinical Social Worker shall not bill the patient for services rendered under this contract. The Contractor or Clinical Social Worker shall not request or accept compensation of any kind for patients treated, procedures performed, or any other actions performed, except under the terms and conditions of this contract at the rate specified. The Contractor or Clinical Social Worker shall not, while performing services under this contract, advise, recommend, or suggest to persons eligible to receive medical care at Government expense that such persons should receive care from the Contractor or Clinical Social Worker or from any third party at any place other than as designated under this contract.

1.6.12 Confidentiality of Information: Unless otherwise specified, all financial, statistical, personnel, and/or technical data which is furnished, produced or otherwise available to the Clinical Social Worker during the performance of this contract are considered confidential business information and shall not be used for purposes other than performance of healthcare services under this contract. The Clinical Social Worker shall not release any of the above information without prior written consent of the KO. The Contractor/Clinical Social Worker shall not use patient care rendered pursuant to this contract as part of a study, research project, or publication. The Clinical Social Worker shall prepare medical records, forms and documents as required, in accordance with the regulations and established guidelines listed in the contract. The Clinical Social Worker will comply with all AFMS requirements for safe keeping, handling, release, and disposal of any of the above information.

1.6.13 Communication: The Contractor shall ensure that Clinical Social Worker maintains open and professional communication with the COR. Complaints validated by the COR shall be reported in writing to the Contracting Officer and Contractor for action. Failure of the Contractor to correct validated complaints raised by the COR and/or the KO will be considered a failure to perform.

1.6.14 Professional Liability: Pursuant to 10 United States Code 1089 (a), DoD shall process any personal injury claim alleging negligence by the Clinical Social Worker within the scope of the Clinical Social Worker’s performance under this contract as claims alleging negligence by DoD military or civil service personnel. The contractor or Clinical Social Worker is not required to maintain medical malpractice liability insurance, and the Government will not reimburse or otherwise pay for such insurance should any be purchased.

1.6.14.1 Responsibility and Procedures: If any suit or action is filed or any claim is made against the Clinical Social Worker, which occurred as a result of work performed by the Clinical Social Worker under this contract, the Clinical Social Worker shall immediately notify the Contractor, the COR, Contracting Officer and the chief of the appropriate services and promptly furnish them copies of all pertinent documents received. The Contractor and the Clinical Social Worker shall cooperate with the government, without further compensation, in the processing, review, settlement, or defense of the suit, action, or claim; and authorize government representatives to settle or defend the claim and to represent the Clinical Social Worker in, or take charge of, any litigation involved in such an action. The Clinical Social Worker may, at the Clinical Social Worker’s own expense, participate in defense of such claim or litigation.

1.6.16 Contractor Responsibility: The Contractor shall accomplish the assigned work by employing and utilizing qualified candidates with appropriate combinations of education, experience, knowledge, training, abilities and skills. The Clinical Social Worker shall begin performance in the MTF at start of performance period. All Status of Forces Agreement (SOFA) or host nation requirements, health, security, and credentialing/privileging requirements shall be met prior to start of performance by an initial or replacement provider. The Clinical Social Worker is responsible for obtaining all passports, visas, or other documents necessary for the provider to enter and or exit the foreign country where performance is required.

1.6.17 In/Out-Processing, Orientation, and Training: The Clinical Social Worker shall complete all specified orientation programs, initial and annual training requirements, and comply with all MTF policies, procedures, productivity standards and instructions as provided by the MTF.

1.6.17.1 In/Out-Processing: When commencing work under this contract, the Clinical Social Worker shall obtain an in-processing checklist(s) from the COR. The Clinical Social Worker is required to complete the applicable items on the checklist and turn it in to the designated office. Upon completion of contract performance, the Clinical Social Worker shall complete an out-processing checklist and return it to the designated office.

1.6.17.2 MTF Orientation: The Contractor shall ensure that all Clinical Social Worker participate in the MTF orientation procedures for newly assigned providers. The purpose of the orientation is to familiarize Clinical Social Worker with policies and procedures of the MTF, regulations specific to their professional specialty, and Air Force policy and procedures. The Contractor and Clinical Social Worker shall abide by all MTF standards, rules, and procedures including requirements for any licensure, credentialing, and quality assurance requirements. Such regulations include but are not limited to general safety, fire prevention, waste disposal, infection control, Joint Commission (JC), and patient safety initiatives.

1.6.17.3 Training Requirement: The Clinical Social Worker shall complete all mandatory annual training requirements in accordance with 51st Medical Group procedures. The Government may elect to provide unique Government training to Clinical Social Worker performing services under this contract. If the Government elects to provide such training, the Government will provide such training at no additional expense to the Contractor or to the Social Worker. When directed by the KO, the Clinical Social Worker shall attend all such training in a paid status as part of normal services required and billed under the contract. 51st Medical Group may provide life support training (ACLS/BLS) required by the position and 51st Medical Group’s mission.

1.6.17.4 Computer Training: The Clinical Social Worker shall receive training for applicable MTF computer system(s). The COR will coordinate the necessary computer training. The training will be on-site and during normal duty hours. This training will be at no cost to the Contractor. These systems include but are not limited to:

Composite Healthcare Computer System (CHCS), Armed Forces Health Longitudinal Technology Application (AHLTA), and Ambulatory Data System (ADS).

1.6.17.5 Continuing Medical/Health Education (CME): The Clinical Social Worker shall maintain all license and certification requirements and meet all continuing education requirements of the U.S. jurisdiction in which he/she is licensed to practice. Pursuant to AR 40-68 Chapter 8-7, the Clinical Social Worker’s file must have evidence of approved continuing medical/health education. Such evidence will be accumulated by the provider for intervals of not less than 2 years and made available to the credentials manager for initial privileges/appointment and for biennial renewal. The annual requirement for CME credits according to AR 351–3 or as determined by the provider’s State of licensure, whichever is more stringent. If the state has no CME requirements, provide documentation showing this.

1.6.18 Health and Immunization Requirement: The Clinical Social Worker providing services under this contract shall receive a pre-employment physical examination prior to commencement of work and annually thereafter. In accordance with the Integrated Health Organization Policy # 18-59, the 51st Medical Group COR will ensure that all contract employees report to Occupational Health Services (OHS) for pre-placement evaluation, annual medical examination, and termination evaluation. The request for physical examination shall be made using OF Form 178 to verify the credibility of the physician being called on to perform this action before services are rendered. It is the contractor’s responsibility to pay for any medical examinations necessary to ensure this public health compliance requirement is met.

1.6.18.1 The Clinical Social Worker performing services under this contract shall comply with the health and immunization requirements as stated Part B. Section 4 of OF Form 178. Backup/replacement Clinical Social Worker shall meet the same health and immunization requirements. The expense to comply with the health and immunization requirements shall be borne by the Contractor at no additional cost to the Government.

1.6.18.2 In accordance with AFI 48-105, the provider shall follow the methods for controlling and preventing disease as described in the American Public Health Association publication, Control of Communicable Diseases Manual, and the Centers for Disease Control and Prevention (CDC) Publication, Morbidity and Mortality Weekly Report (MMWR), and its supplements. Where applicable, the most recent guidelines from these publications are utilized as the standard. The Contractor shall not provide and will be required to replace any providers that are not in compliance with AFI 48-105 or CDC recommendations. All Clinical Social Worker performing services under this contract shall comply with the health and immunization requirements as stated in the Health Requirements clause (reference Section H of this solicitation). Replacement Clinical Social Worker shall meet the same health and immunization requirements. The expense to comply with the health and immunization requirements shall be borne by the Contractor at no additional cost to the Government.

1.6.19 Media and Other Inquires: The Contractor or Clinical Social Worker shall not respond to any media inquiries. Any inquiries from the media, third parties, or public agencies shall be immediately relayed to the COR, who will relay them to the MTF Public Affairs Officer or the Administrative Officer of Day (AOD) after duty hours. There shall be no interviews, comments, or any other response without the knowledge and approval of the MTF Commander. Other than routine inquiries from external agencies, all other inquiries and complaints shall be brought to the attention of the COR.

1.7 Administrative:

1.7.1 Contractor Representative: The Contractor shall designate in writing, a primary point of contact (POC) for contract coordination and implementation not later than five (5) business days after receiving notice of contract award. The Contractor shall notify the Contracting Officer of changes in the primary point of contact at least five working days prior to the change. This notification shall be in writing and shall state the full name, phone number, and email address of the point of contact.

1.7.2 Records: The Clinical Social Worker shall create and maintain Government-owned/Clinical Social Worker-held records, regardless of media, in accordance with AFI 33-119, Electronic Mail (E-mail) Management and Use, paragraph 8; AFI 33-202, Computer Security, paragraphs 3.5.1 and 3.6.1; AFI 33-322, Records Management Program, paragraphs 7,8,9 and 10 and supplements; AFMAN 37-123, Management of Records, Chapters 2 – 6, paragraphs 7.10 – 7.29, AFMAN 33-323, AFI 37-138, Records Disposition—Procedures and Responsibilities, Chapters 2, 3 and 6, and supplements; and Electronic Records. Upon completion of this contract, all government-owned/Clinical Social Worker-held records (regardless of media) received, created, maintained or provided in the performance of the performance work statement shall be turned over to the Government. Background electronic data and records specified for delivery to the contracting agency must be accompanied by sufficient technical documents to permit the Air Force to use the data. In the event of default or non-performance, the Government will have access to all records in order to ensure mission support is not interrupted.

1.7.3 Emergency Healthcare for Clinical Social Worker: The MTF will provide emergency healthcare for injuries or life threatening medical emergencies occurring while on duty at the MTF. The Contractor shall reimburse the Government for such services as billed by the MTF.

1.7.4 HIPAA Compliance: The Clinical Social Worker agrees to abide by all the requirements of the Health Insurance Portability and Accountability Act (HIPAA) of 1996 (Public Law 104-191) as codified at 45 CFR Part 160 and Part 164, subparts A and E, and implemented by DoD 6025.18-R regarding the privacy and confidentiality of health records and information being provided and shared under the resulting contract. The Clinical Social Worker shall also comply with the Business Associate Agreement (BAA) listed in the appendix A under Privacy of Protected Health Information and hereby incorporated into this Performance Work Statement as Attachment 2.

1.7.5 The Clinical Social Worker shall abide by federal, state, and local MTF regulations and requirements concerning the nature of limited privileged communication between patients and the Clinical Social Worker as may be necessary for security and personnel reliability programs. They shall also abide by federal, state, and local MTF regulations concerning the confidentiality of patient records, as embodied in federal statutes including the Privacy Act of 1974 and the Health Insurance Portability and Accountability Act (HIPAA) of 1996. All medical records and reports will remain the property of the Government.

1.7.6 Criminal History Background Check Requirement: The Clinical Social Worker involved in the delivery of health care to children under the age of 18 on a frequent and regular basis shall meet the requirements of the Crime Prevention Act of 1990, as specified in the Criminal History Background Check Requirements Clause (reference Section H of this Solicitation).

1.7.7 Patient Sensitivity: The Clinical Social Worker shall respect and maintain the basic rights of patients, demonstrating concern for personal dignity and human relationships. The Clinical Social Worker receiving complaints validated by the COR shall result in counseling, Contract Deficiency Report, and/or termination depending on the nature and severity of the complaint.

1.7.8 The Clinical Social Worker shall not introduce new procedures or services without prior approval of the

Health Care Integrator (Supervisor) or representative. If disagreements or deviations from protocols or procedures occur, the Chief of Medical Staff or representative shall be the deciding authority.

1.7.9 The Clinical Social Worker providing medical services under this contract shall ensure his/her rubber stamp contains his/her full name, degree, title, DEA License number, and the word “CONTRACTOR”. The stamp shall be placed on all forms and documentation having the Clinical Social Worker’s signature.

Example:

John J. Jones, Ph.D.

Clinical Social Worker

DEA #123456

Contractor

1.8 Access and General Protection/Security Policy and Procedures: This standard language text is for contractor employees with an area of performance within an U.S. Government controlled installation, facility, or area. The contractor and all associated sub-contractors’ employees shall comply with applicable installation, facility, and area commander installation/facility access and local security policies and procedures (provided by government representative). The contractor shall also provide all information required for background checks to meet installation access requirements to be accomplished by installation Provost Marshall Office, Director of Emergency Services, or Security Office. The contractor workforce must comply with all personal identity verification requirements as directed by DOD and/or local policy. In addition to the changes otherwise authorized by the changes clause of this contract, should the Force Protection Condition (FPCON) at any individual facility or installation change, the Government may require changes in contractor security matters or processes.

1.8.1 Anti-Terrorism (AT) Level I Training: This provision/contract text is for contractor employees with an area of performance within an U.S. Government controlled installation, facility, or area. All contractor employees, to include subcontractor employees, requiring access to U.S. Government installations, facilities, and controlled access areas shall complete AT Level I awareness training within 50 calendar days after contract start date or effective date of incorporation of this requirement into the contract, whichever is applicable. The contractor shall submit certificates of completion for each affected contractor employee and subcontractor employee to the Contracting Officer Representative (COR) or to the Contracting Officer (KO), if a COR is not assigned within 20 calendar days after completion of training by all employees and subcontractor personnel.

1.8.2 AT Awareness Training for Contractor Personnel Traveling Overseas: This standard language text required U.S. based contractor employees and associated sub-contractor employees to make available and to receive government provided area of responsibility (AOR) specific AT awareness training as directed by AFI 10-245.

Specific AOR training content is directed by the combatant commander with the unit Anti-Terrorism Officer (ATO) being the local point of contact.

1.8.3 For Contracts that Require OPSEC Training: Per AFI 10-701, Operations Security, new contractor employees must complete Level I OPSEC training within 30 calendar days of their reporting for duty. All contractor employees must complete annual OPSEC awareness training.

1.8.4 For Contractors Requiring Performance or Delivery in a Foreign Country, DFARS Clause 252.225-7043, Antiterrorism/Force Protection for Defense Contractors Outside the US: The clause shall be used in solicitations and contracts that require performance or delivery in a foreign country. This clause applies to both contingencies and non-contingency support. The key AT requirement is for non-local national contractor personnel to comply with theater clearance requirements and allows the combatant commander to exercise oversight to ensure the contractor’s compliance with combatant commander and subordinate task force commander policies and directives.

PART 2

DEFINITIONS & ACRONYMS

2. DEFINITIONS AND ACRONYMS:

2.1. DEFINITIONS

2.1.1 AMBULATORY DATA SYSTEM (ADS). This computer system produces forms on which the providers identify the appropriate billing codes for diagnoses and procedures for each patient.

2.1.2 ARMED FORCES HEALTH LONGITUDINAL TECHNOLOGY APPLICATION (AHLTA) contains the MTF’s appointment scheduling program, pharmacy, lab, and radiology ordering system and is interlinked with other departments in the MTF. In addition, it contains the electronic medical records for MHS beneficiaries.

2.1.3 COMPOSITE HEALTHCARE COMPUTER SYSTEM (CHCS) is the military’s world-wide automated medical information system interfaces with 40 plus external clinical and administrative systems.

2.1.4. CONTRACTOR. A supplier or vendor awarded a contract to provide specific supplies or service to the government. The term used in this contract refers to the prime.

2.1.5. CONTRACTING OFFICER (KO). A person with authority to enter into, administer, and or terminate contracts, and make related determinations and findings on behalf of the government. Note: The only individual who can legally bind the government.

2.1.6. CONTRACTING OFFICER'S REPRESENTATIVE (COR). An employee of the U.S. Government appointed by the contracting officer to administer the contract. Such appointment shall be in writing and shall 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 authority to change the terms and conditions of the contract.

2.1.7. DEFECTIVE SERVICE. A service output that does not meet the standard of performance associated with the Performance Work Statement.

2.1.8. DELIVERABLE. Anything that can be physically delivered, but may include non-manufactured things such as meeting minutes or reports.

2.1.9. FUNCTIONAL REQUIREMENT EVALUAOR DESIGNEES. Carry out inspection and surveillance duties.

Will be appointed in writing to the Service Contract Manager and Contracting Officer Representative not later than 30 days after the contract start date. Monitor schedule compliance, days and hours worked. Inspect deliverables, work performance. Submit surveillance documentation to the Contracting Officer Representative IAW specific contract terms. The Contracting Officer Representative will notify the applicable Squadron Commander of surveillance documentation not submitted within required time frames. Submit reports of nonconformance to the Contracting Officer Representative within three business days of the incident.

2.1.10. KEY PERSONNEL. Contractor personnel that are evaluated in a source selection process and that may be required to be used in the performance of a contract by the Key Personnel listed in the PWS. When key personnel are used as an evaluation factor in best value procurement, an offer can be rejected if it does not have a firm commitment from the persons that are listed in the proposal.

2.1.11. PHYSICAL SECURITY. Actions that prevent the loss or damage of Government property.

2.1.12. QUALITY ASSURANCE. The government procedures to verify that services being performed by the Contractor are performed according to acceptable standards.

2.1.13. QUALITY ASSURANCE SURVEILLANCE PLAN (QASP). An organized written document specifying the surveillance methodology to be used for surveillance of contractor performance.

2.1.14. QUALITY CONTROL. All necessary measures taken by the Contractor to assure that the…