BS SOO RFI.docx

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RFI for medical support services to DoS employees and trainees at the Occupational Medical Clinic
Solicitation number
19AQMM26-RFI-MED-1001
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This is a Statement of Objectives (SOO) and Request for Information (RFI) issued by the U.S. Department of State's Office of Acquisitions Management on behalf of the Bureau of Medical Services. The Department seeks occupational and urgent care medical services at the Bureau of Diplomatic Security's training facility (FASTC) in Blackstone, Virginia, to support up to 600 permanent federal employees and administrative personnel plus up to 750 additional trainees on a 40-hour weekly schedule (0800-1600, Monday-Friday). The primary objective is to provide quality occupational and urgent care medical services, including clinical care for minor illnesses and injuries, episodic occupational medicine, telehealth quarantine checks via secure video, monthly health education messaging, limited CLIA-waived laboratory testing with infectious disease testing capabilities, occupational surveillance services (audiograms, blood lead level testing), and limited periodic vaccinations. The required staffing structure includes one full-time medical provider (Nurse Practitioner or Physician's Assistant), one full-time Certified Occupational Health Nurse, 0.05 FTE Physician, and PRN positions to maintain continuous full coverage in an existing clinic space (approximately 545 square feet of treatment, office, reception, and storage areas).

Key deliverables include quarterly program review presentations, monthly clinic utilization reports, monthly health education/promotion messaging, monthly staffing schedules, quarterly Quality Assurance and Compliance Reviews, clinical provider credentialing reports, Standard Operating Procedures, physician standing orders, and detailed monthly invoices. Phase-in requirements mandate program manager on-site upon contract award, professional liability insurance ($1 million per occurrence/$3 million aggregate) submission within five business days, staff hiring completion within 15 calendar days, full service establishment within 7 days of award, and full operational capability within 45 days. Contractor employees will require DOS Personal ID Cards, with OpenNet access requiring MRPT clearance. All professional liability is borne by the Contractor. This RFI is issued for information and planning purposes only and does not constitute a solicitation or promise of future solicitation. Written responses in PDF format are due to contracting officers Alicia Hofhine (HofhineAK@state.gov) and Robin Guillie (GuillieRL@state.gov) by Friday, May 1, 2026.

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U.S. Department of State Blackstone – 3 Request for Information

Bureau of Medical Services

U.S. Department of State

Office of Acquisitions Management supporting Bureau of Medical Services Request for Information

Occupational Medical Support to Bureau of Diplomatic Security Training Facility Blackstone, VA

SECTION C – STATEMENT OF OBJECTIVES (SOO)

C.1 OVERVIEW AND BACKGROUND

The Office of Health and Safety (MED/CP/HS) through the Office of Global Acquisitions (GA) has a need to respond to critical threats to the Department’s training missions domestically at the Bureau of Diplomatic Security’s (DS) training site in Blackstone, Virginia. The current and everchanging security status of diplomatic missions around the world have necessitated the increased operational tempo of the Foreign Affairs Security Training Center (FASTC) programs for all overseas personnel as well as other security training provided to DS employees stationed domestically and abroad. MED/CP/HS is responsible for occupational medical support to this facility for federal employees, family members, and other eligible persons. Nowhere is the provision of this occupational medical support more important than at this critical training site for the Department. Routinely, participant trainees are exposed to simulated situations that can put them at risk for injury that may require immediate acute urgent care services and continued follow-up to inform and clear return to training authorization. This training develops the practical skills necessary to operate in today’s overseas environment. Hard skills training allows the foreign affairs community to learn how to detect surveillance, provide emergency medical care, increase identification skills to recognize Improvised Explosive Devices (IED), participate in firearms familiarization, and perform defensive/counterterrorist driving maneuvers. This mandatory training improves security and life safety for the protection of U.S. personnel operating abroad.

Most of the training requires a level of physical intensity that many participants do not regularly experience and may put them at greater risk of injury due to their fitness level and underlying chronic disease status. In order to meet the medical needs of both trainees and FASTC personnel, an occupational medical services support contract is required.

C.2 PURPOSE

This RFI is issued solely for information and planning purposes. It does not constitute a solicitation or a promise to issue a solicitation in the future. Responses to this RFI will assist the Department in understanding services available, industry capabilities, and best practices for implementing the technical requirements solution that meets the Department’s needs.

C.3 OBJECTIVES

The performance objective is to provide quality occupational and urgent care medical services to the employees and trainees supporting the State Department training mission at Blackstone VA, and to support the Bureau of Medical Service’s Mission to promote and safeguard the health and well-being of America’s diplomatic community. In accomplishing that objective, the following outcomes must be achieved:

a. Provide continued medical furnishings/supplies of the patient treatment rooms in the identified physical space in building A2 immediately upon contract award.

b. Provide continuing clinical services and care according to established standards to a population of up to 600 permanent training and admin personnel as well as a variable population up to 750 additional trainees for 40 hours per work week.

c. Establish full urgent care, occupational, and limited emergency medical care services.

d. Provide capacity for daily disease-related telehealth checks via secure video to non- or mildly-ill employees who are quarantined due to contact protocols or otherwise unable to access the clinic.

e. Provide monthly health education/promotional messaging to employees.

f. Establish the capability to provide limited laboratory testing with outside partners and or CLIA-waved technology onsite.

g. Provide routine and urgent infectious disease testing for all personnel who may require it. This may include but is not limited to screening, close contact, symptomatic, and travel-based testing requirements for all personnel at this location including contract clinic employees. Testing platform and capabilities should include current CLIA-waived FDA-approved and CLIA-waived FDA-EUA waived antigen testing capabilities with the ability to incorporate novel or updated CLIA waived testing technology when it is available and required for testing, managing, and clearing personnel.

h. Provide occupational surveillance services to include yearly audiogram screenings with Government furnished equipment, blood lead level lab testing, and lead exposure physical exam in accordance with the Office of Safety and Health Administration (OSHA) and State Department published requirements and forms if exposures are identified.

i. Provide for administration of limited periodic vaccinations of MED supplied vaccine when authorized by MED.

C.4 SCOPE

The Department’s occupational medical clinic at Fort Barfoot, Blackstone, VA, supports the occupational medical and acute care needs of the Department’s employees and promotes and safeguards the health and well-being of America’s diplomatic community. To ensure the success of the occupational medical clinic, the Department seeks the services of a Contractor to provide the following support:

1. Provide continued medical furnishings/supplies of the two patient treatment rooms each approximately 110 sq ft, adjacent office approximately 100 sq ft, reception space approximately 235 sq ft, and storage space approximately 100 sq ft in the existing space in building A2 Suite 22.210 and storage space 22.214 to meet the requirements outlined in 2 a-c below.

2. Provide clinical services and care to a permanent population of about 600 Federal and third-party contract personnel in addition to a variable population of up to 750 additional trainees. Services shall include:

a. Clinical care to include Occupational Medicine, episodic care of minor illnesses and injuries, screenings, infectious disease related daily telehealth checks with secure video observation for employees who are required to quarantine and mildly ill people in isolation at an offsite location, limited immunizations, facilitation of form CA-16 authorizing definitive care facilities to provide eval/TX that will initiate a Worker Comp claim and health promotion/education.

b. Nursing support to above.

c. Limited Clinical Laboratory Improvement Amendments (CLIA) waived lab testing.

3. Provide adequate staffing to support the clinic operations 40 hours per week from 0800-1600 Monday -Friday.

a. Current effective staffing level is:

· 1 FTE medical provider (Nurse Practitioner or Physician’s Assistant)

· 1 FTE Certified Occupational Health Nurse

· .05 FTE Physician

· PRN positions to support continuous full staffing

C.5 KEY DELIVERABLES

See table below:

Item No.

Deliverable/ Item Title

Description

Frequency

Delivery Format

Due By

1
Quarterly Program Review
Quarterly program review presentation with an Executive Summary and graphic representation of clinic utilization to include: visit types, total visits, unique employee visits, top three conditions seen for occupational and non-occupational visits, and wellness/health education initiatives.
Once per Quarter
Via email to COR and ACORs
Template due for approval within 20 days of contract award and reports due by April 15th, July 15th, October 15th, January 15th.
2
Monthly Clinic Utilization report
Monthly clinical utilization segregated by visit types (worker’s comp, occupational, non-occupational
Once per Month
Via email to COR and ACORs
Template due for approval within 20 days of contract award and on the 15th day of each month after contract award
3
Monthly Health education/Promotion messaging
Provide a monthly health education message that can be distributed to employees via email
Once per Month
Via email to ACORs
On the first business day of each month
4
Monthly Staffing Schedule
Submit a staffing schedule that identifies staff hours to provide full coverage of the clinic hours
Once per Month
Via email to ACORs
One week prior to the first business day of each month
5
Quarterly Quality Assurance and Compliance Review (QACR)
Submit quarterly QACRs showing how the Contractor

met or failed to meet the performance requirements listed the contract.

Once per Quarter
Via email to COR and ACORs
Template due for approval within 30 days of contract award and reports due by April 15th, July 15th, October 15th, January 15th.
6
Clinical Provider Credentialing report
The Contractor shall maintain and provide a true copy

of clinical credentials to the COR for each physician, physician’s assistant, advanced nursing provider, nurses, medical technicians, paramedics, laboratory technologists, and radiology technicians.

The clinical credentials of all personnel providing services under this contract are subject to review and approval by the COR prior to beginning performance.

Initial and Yearly
Via email to COR and ACORs
Prior to each new hire and yearly at the end of the contract year
7
Standard Operating Procedures
Copy of clinical and administrative Standard Operating

Procedures impacting or affecting the care of patients eligible under this contract

Initial and Yearly
Via email to COR and ACORs
Due for approval within 30 days of contract award and report of SOP compliance submitted 45 calendar days

prior to end of base year and all option years.

8
Standing Orders
Physician standing orders for nursing care provide written protocols that authorize nurses and other clinicians to perform specific clinical tasks without a direct, patient-specific order from a physician at the time of care.
Initial and reviewed/ republished yearly and as needed
Via email to COR and ACORs
Due for approval within 30 days of contract award
9
Phase-In Deliverables / Requirements
The Program Manager is on contract upon contract award.

Proof(s) of professional liability insurance in the amount of at least $1 million per occurrence and $3 million aggregate for each physician, physician’s assistant, or advanced practice nurse shall be submitted to the CO and COR within 5 business days of contract award, and before entry on duty of any new or replacement clinical staff.

Develop initial reporting and invoicing formats to facilitate effective program and project within 20 business days of contract award

Complete hiring of all staff within 15 calendar days of contract award

Establish full primary, occupational, and emergency medical care services within 7 days of contract award.

Ensure all personnel are trained and operating at full operating capability within 45 days of contract award.

Varies
Via email to COR and ACORs
Varies
10
Invoicing
Detailed statement of costs for each CLIN # that is being billed
Monthly
Via email to COR and ACORs
Sample invoice submitted to COR within 20 business

days following contract award.

Invoices submitted to DOS within 30 days after the end of the billing month.

11
Final Invoice
A full and accurate inventory, accounting for all lost, stolen or damaged property must be furnished to the

COR before final payment is authorized.

Once per contract year
Via email to COR and ACORs
Prior to final payment

C.6 PERFORMANCE MONITORING

The Contractor will propose a Quality Assurance Surveillance Plan (QASP) which the government will use to monitor the Contractor’s performance. Once the contract agreement is reached the contract award will include below the mutually agreed upon QASP. The QASP will provide oversight help to ensure that service levels reach and maintain the required levels for performance of this task. Further, the QASP provides the COR with a proactive way to avoid unacceptable or deficient performance, and provides verifiable input for required Past Performance Information Assessments. The QASP is a living document and may be updated by the Government as necessary. Any updates to the QASP will be provided to the Contractor.

The following table identifies technical performance standards that align with PWS tasks. The Contractor shall establish a performance baseline or minimum Acceptable Quality Level (AQL) and define a target performance level for each metric. Should the minimum AQL not met during performance, the Contractor shall implement a process for corrective action and quality improvement.

C.7 OPERATING CONSTRAINTS:

All professional liability shall be borne by the Contractor in accordance with FAR 37.401

For clarification, this clinic will not include emergency medical response to incidents outside of building A2. All other emergency medical response at the training site is provided through a separate contract mechanism.

C.8 GOVERNMENT FURNISHED EQUIPMENT (GFE):

Attachment D, “Government Furnished Equipment” contains a list of the GFE provided by the Government under this contract. Reference the GFE requirements in clause 52.245-1.

C.9. SECURITY REQUIREMENTS:

This is an unclassified contract. Contractor employees will require the issuance of a DOS Personal ID Card. Contractor employees requiring access to OpenNet will require an MRPT.

C.10 RESPONSE INSTRUCTIONS

Interested parties are requested to submit a written response that includes the following:

· Completed RFI Blackstone Vendor Response Document to include the cover page with vendor information.

· A brief overview of the company and relevant experience.

· A description of the proposed solution and how it meets the desired capabilities outlined above.

· Details on implementation approach, training, and support services

· Estimated timelines for implementation and transition.

· Any additional information, recommendations, or innovative solutions that may benefit the Department.

C.11 SUBMISSION DETAILS

Responses should be submitted electronically in PDF format to the contracting officers Alicia Hofhine, HofhineAK@state.gov and Robin Guillie, GuillieRL@state.gov by Friday, May 1, 2026. Questions regarding this RFI may be directed to Alicia Hofhine, HofhineAK@state.gov.

C.12 DISCLAIMER

This RFI is issued solely for information and planning purposes. It does not constitute a solicitation or a promise to issue a solicitation in the future. Responses to this RFI will assist the Department in understanding available technologies, industry capabilities, and best practices for implementing a solution that meets the Department’s needs.

Source Selection Information – See FAR 2.101 and 3.104 image1.png image2.jpg

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