OBJECTIVES_AFLOAT.docx

FOR OFFICIAL USE ONLY

V3 as of 18 Mar 16 BUMED M9 Revisions to Sections 2, 3 & 4

2.0 Background: The US Navy intends to accomplish an evolutionary modernization of the current Expeditionary Medical Facility -150 bed (EMF-150) system into a modular and scalable capability called “Capabilities-Based Medical Treatment Facility” (CB-MTF). CB-MTF is a family of systems (FoS) that delivers rapidly deployable, task organized and scalable expeditionary health service support in the afloat or ashore environments in order to support designated combatant command (CCDR) missions across the full range of military operations to include medical stability operations. The CB-MTF FoS is clinically effective and comprised of standard and adaptive medical force packages that are manned, trained, equipped and certified ready for operations. Inherent in the full CBMTF capability (known as CB-MTF Major Contingency Operations (MCO)), is a Role 2 Enhanced (R2E) capability that can operate independently either ashore or afloat in the cargo hold of an available cargo ship. CB-MTF R2E is a Role 2 Enhanced medical facility as defined in JP 4-02, Health Service Support.

This RFP is focused specifically for the Role 2E afloat capability of the CB-MTF.

2.1 Vision: Under the CB-MTF Concept of Operations (CONOPS), the R2E afloat is envisioned as a modular capability established in hard walled shelters that can be configured as necessary to operate in the cargo hold of available Military Sealift Command (MSC) ships. A core team of approximately 64 medical professionals will provide the services, supported by an additional team of up to 15 non-medical technicians and support personnel. This team will be berthed and supported aboard the ship, without relying on host ship berthing, messing, etc. facilities. The R2E will support up to 6.5 surgeries per day, and have the capability to hold at least 10 post-surgical patients, up to 4 critical, until they can be moved to a higher level of care. The R2E will stand up and operate with medical and support supplies for up to 30 days without resupply (except for fuel and water, which are envisioned to be provided by the host ship).

2.2 CB-MTF Role 2E afloat (hard shelter) Core Attributes: The four attributes elaborated on below are those that support the Role 2E afloat capability.

2.2.1 Possess scalable capability and capacity: Enables transition from light to heavy casualty throughput, with “snap together” modules to increase capability and capacity; (i.e. being able to transition from smaller to larger configurations to facilitate patient throughput)

2.2.2 Possess modular capability: Ability for medical components to operate independently and “snap together” for increased capacity. While related to scalability, it refers to the capability to operate independently. Transition from storage afloat to employment as a Role 2E level medical facility while aboard the same ship.

2.2.3 Possess Clinical Effectiveness: Conform to clinical practice guidelines for surgical and other health services support. To include stabilization, triage, treatment, evacuation and conformance to clinical practice.

2.2.4 Possess Deployable Capability: Reflects as small a footprint and “cube”, with as low weight, as feasible consistent with the demands of operating afloat, for transport and compatible with intermodal handling platforms (air, sea, truck and rail).

3.0 Criteria: The Role 2 Enhanced hard-wall containerized medical system used afloat shall conform to following criteria.

3.1 The hard-wall shelter containerized capability shall provide basic secondary health care, built around primary surgery, an intensive care unit, and acute care ward beds. It will also provide berthing/hotel services for 79 medical professionals and support personnel, and be self-sustainable with the exception of fuel and water, for 30 days.

3.1.2 The hard-wall shelter shall meet the International Standard Organization (ISO) standards of the 20 foot standard length container intermodal freight transport (rail, ship, truck, air).

3.1.3 The hard-wall shelter shall meet the International Convention for Safe Containers. For storage and transport it will be certified stackable 9 high. Hard walled shelters are not envisioned as stacked when configured and employed as a Role 2E MTF.

3.1.4 The hard-wall shelter (packed out) maximum weight shall not exceed 20K pounds in its closed position ready for transportation.

3.1.5 The hard-wall shelter shall have the capacity to store all medical equipment, medical / surgical, pharmaceutical consumables and administrative supplies.

3.1.6 The hard-wall shelter container shall be capable of being cooled or heated independently or as part of the integrated system.

3.1.7 The hard-wall shelter to the greatest extent possible shall be outfitted with prefabricated lighting, 60 Hz/120V outlets, and shelving and in the case of berthing prefabricated containers with beds.

3.1.8 The hard-wall containerized operating room shall have high-efficiency particulate air (HEPA) filtration,) effective operating room lighting as part of its prefabricated design and meet the applicable national standards for safe Operating Room practice.

3.1.9 All medical equipment that receives, transmits, creates, edits, and stores data regarding patient information shall conform to the Risk Management Framework (RMF) for DoD Information Technology (IT).

3.1.10 The hard-wall shelter containerized system shall have a power distribution system to support the entire complex to include generators, electrical cabling, plugs, adapters, power panels, central digital monitoring and the necessary redundant equipment for independent operations or scaled to increase capacity.

3.1.11 The Hard-wall Container shall have interlocking capability to connect or disconnect allowing for multiple configurations within the design, consistent with envisioned operations within the hold of a cargo ship.

3.1.12 The Hard-wall berthing container design shall be sufficient to house/berth up to 79 personnel who operate and support the Role 2E afloat.

3.1.13 The Hard-wall containerize system shall provide laundry (capable of washing soiled medical linen (CDC: min 160 degrees Fahrenheit-25 mins), bathroom and shower service for a minimum of 10 patients and 79 medical professionals.

3.1.14 The Hard-wall containerized system shall provide food service capability: store, refrigerate, cook, distribute, feed, wash and disinfect for a minimum of 10 patients and 79 medical medical/support personnel .

3.1.15 The Hard-wall containerized system shall be capable of receiving, storing and disbursing fuel and water for 3 days of distribution throughout the system.

3.1.16 The Hard-wall containerized system shall have the means to collect and/or dispose of hazardous/medical waste, grey/black water.

3.1.16 The Hard-wall containerized system shall include sufficient space for administration, medical logistics operations, and Command and Control.

3.1.17 The Hard-wall containerized system shall have medical oxygen generation capability compatible with ship board operations.

4.0 Performance Objectives: Note that the performance objectives below are only put in place for offerors to ascertain the approximate or estimated level of effort for this contract. This is not to be construed as mandatory or necessarily the best technical approach. It is only in place as a reference to allow offerors to understand the general scope of this effort from the government's perspective.

Core Role 2E Functions include:

· Resuscitative trauma surgery and emergency medical support

· Primary Surgery (Allied Joint Pub 4.10(A) defines Primary Surgery as: “the surgery directed at repair of the local damage caused by wounding, rather than correcting the generalized effects” as opposed to Damage Control Surgery which applies the concept that “only the minimum is done to deal with life-threatening problems” when the casualty’s physiological limits can’t tolerate primary surgery.)

· Complex medical and surgical care

· Critical care (respiratory therapy, and post-anesthesia care to a variety of trauma, surgical, and medical patients)

· Advanced trauma life support (ATLS)

· Laboratory and other ancillary services, medical C2, administration, medical logistics support, oxygen generation, and blood operations

4.1 The Hard-wall containerized medical system design shall include a fully functional, clinically effective Operating Room (OR) with two tables, accomplishing up to 6.5 surgeries per day. It will have 4 Intensive Care beds sand a 6 bed acute care ward capability with sufficient supplies to be sustainable for 30 days before resupply (except for fuel and water: see 3.1.15).

4.1.2 The Hard-wall containerized medical system shall provide the necessary medical equipment and supplies to be able to stabilize post-surgical cases for evacuation to definitive medical care.

4.1.3 The integrated internal design of the hard-wall shelter containerized system shall allow for unencumbered reception of patients, casualties, free-flow movement for staff and patient transport via standard military patient carrying systems such as field litter, gurney, wheelchair or stretcher throughout the structure.

4.1.4 Shall have the capability to receive, transmit, create, edit, and store data regarding patient location patient status telemedicine diagnosis and therapy, medical regulation and medical logistics.

4.1.5 Shall provide sufficient power to operate the entire Hard-wall containerized medical system. It shall have sufficient back up power in the event of main power interruption and shall have the means to either scale up or scale down the power distribution to support the modularity attribute: see 2.2.2.

4.1.6 The medical system shall be packed, loaded and transportable in the fewest number of 20 foot equivalent units (TEU’s). Transport platforms include aircraft (C-17 or C-5), train, ground or ship.

4.1.7 Packing and methods of preservation shall protect material against environmentally induced corrosion and deterioration, physical and mechanical damage and other forms of degradation during storage and multiple handling as well as when employed.

4.1.8 The hard-wall containerized medical system shall be capable of being rapidly erected and set up to begin medical operations with the fewest number of individuals feasible.

4.1.9 The hard-wall shelter shall have a scalability component that will allow it to be snapped together with other configurations increasing its capacity.

4.1.10 The Hard-wall containerized system shall be capable of operating for 3 days before requiring fuel and water resupply from the host ship

4.1.11 The Hard-wall containerized medical system shall deliver no less than (93% +-3%) oxygen concentration

4.1.12 The hard-wall containerized medical system shall provide Basic Laboratory procedures in hematology, urinalysis, microbiology, and serology, limited Blood Banking capability (storage for up to 60 units); no frozen red blood cells capability, other ancillary services to include pharmacy equipped to securely store and dispense medications; radiology equipment includes a mobile radiographic x-ray unit, portable ultrasound system; and, sterilizer and water reclaimer unit.

SOURCE SELECTION INFORMATION – SEE FAR 2.101 AND 3.104