SOW_FY15_OMSU_12_3_2014.doc

REQUEST FOR QUOTATIONS

VEHICLE TOWING, STORAGE, MAINTENANCE, AND DISPOSAL SERVICES FOR THE USMS DISTRICT OF MARYLAND

SOLICITATION # DJMS-06--Q-0020

RFI # DJM-15-A41-I-0006

USMS MEDICAL OVERSIGHT SERVICES FOR SPECIAL OPERATIONS GROUP

STATEMENT OF WORK

MEDICAL OVERSIGHT SERVICES FOR SPECIAL OPERATIONS GROUP

A. BACKGROUND

The United States Marshals Service (USMS), a component of the Department of Justice (DOJ), is actively engaged in enforcing the nation’s laws and executing federal court orders. The USMS locates, pursues and arrests state and local fugitives under legislative acts and brings them before the criminal and civil justice systems.

USMS’ mission is to defend the Constitution of the United States through protection of the judiciary and the judicial process. This law enforcement responsibility is carried out through performance of the following functions:

· Providing court security

· Safekeeping protected witnesses of the court

· Apprehending fugitives trying to escape justice

· Ensuring prisoners are securely and humanely confined

· Producing prisoners for court appearances and judicial-related activities in a timely fashion

· Executing court orders to seize and dispose of detainee forfeited assets

The Special Operations Group (SOG) is a specially trained and equipped unit deployed in high risk law enforcement situations. SOG’s secondary mission is the tactical support of USMS initiatives during national emergencies, civil disorders, natural disasters, or as ordered by the Attorney General.

B.

OBJECTIVES

The purpose of this acquisition is to acquire medical direction and oversight for SOG’s Operational Medical Support Unit (OMSU). Specific objectives for this effort are as follows:

· University/Medical Center (Level I Adult and Pediatric trauma center at the same location within the Baltimore-Washington metropolitan area (within 60 miles of USMS Headquarters located in Arlington, Virginia).

· Clinical facilities for training and patient admission.

· Clinical facilities capable of rendering emergent and urgent care for patients with minor injuries, illnesses, and critical injuries.

· State-licensed physician that meets the requirements for medical direction.

· On-line medical direction, available 24 hours a day, 7 days a week for Emergency Medical Technicians (EMTs) (Basic, Intermediate and Paramedics).

· A minimum of 100 hours of off-line medical direction for first responder EMTs (Basic, Intermediate and Paramedics). This must include medical direction for an automated external defibrillator program.

· Two 40-hour EMT Refresher courses a year that meet the National Registry of Emergency Medical Technician requirements and must teach Expanded Scope skills to Emergency Medical Technician Basics.

· A physician available to travel domestically and internationally, as needed. Physician’s time will be billed at a daily rate.

C.

SCOPE

The contractor shall provide all administrative, management, supervision, labor, and other services as they pertain to this Statement of Work (SOW). Tasks to be performed shall include, but not be limited to, the following:

C.1 Conduct two (2) 40-hour Emergency Medical Technician (EMT) refresher classes per year that meet the 24-hour National Registry of Emergency Medical Technicians (NREMT) guidelines. Classes (estimated at approximately 100 students for each class) will either be held at a location provided by the contractor, or in Pineville, LA (SOG’s location). Each EMT refresher class shall include the following:

· 16 hours of continuing education learning, including a CPR recertification course for OMSU members.

· Instruction by a physician at least 70 percent of the time. Other instructors shall be either a mid-level provider (NP/PA), a nurse, or an OMSU Program Manager, or his designee.

· Expanded scope including, but not limited to, airway procedures (oropharyngeal and nasopharyngeal airways, Combitube device, King airway device and surgical cricothyroidotomy); needle procedures (peripheral intravenous access and fluid therapy, intraosseous access and needle thoracosotomy); medication administration (oral, sublingual and intravenous); hemorrhage control (tourniquet application and topical hemostatic agents); and wound care (local anesthetic administration, tissue adhesive application, wound closure-stapling and wound closure-suturing).

· Cadaver lab learning opportunities for anatomy and procedure training.

At the conclusion of these classes, the contractor shall provide official EMT refresher class certification documentation to each of the class participants that passed the class.

C.2 Provide oversight for SOG medics, as follows:

· Approximately Fifteen (15) SOG medics must be authorized to carry approximately 30 medications ranging from over-the-counter medications to narcotics.

· Possess a valid DEA license and the ability to procure narcotic medications for SOG medics for official use. USMS will keep the DEA license in a secure file.

· Train and update SOG medics in the latest advancements in tactical and operational medicine, pursuant to the Tactical Combat Casualty Care (TCCC) protocols and the National Registry of Emergency Medical Technicians (EMT) pre-hospital care.

C.3 Provide an Emergency Medicine Physician on-site for the first five (5) days of the annual SOG Selection in Pineville, Louisiana. SOG Selection is a 30-day high intensity selection of SOG personnel held at least once every two (2) years. The physician shall lead/oversee//participate in the on-site medical pre-screening of invited candidates.

C.4 Provide clinical training for EMTs in an accredited (i.e., Joint Commission on the Accreditation of Healthcare Organizations) Level 1 adult and pediatric trauma center that includes emergency department and operating room rotations. The OMSU EMT will observe and practice skills taught in an emergency and operating room setting while being overseen by a nurse or physician.

C.5 Provide indoor and outdoor facilities and space for dynamic tactical medicine scenarios instructed by trained tactical medical experts to include physicians, nurses, and paramedics. Training shall accommodate the use of both live and simulated ordnances and available for both daylight and nighttime training at the contractor’s facility.

C.6 Provide an Emergency Medicine Physician 24 hours per day, seven (7) days per week, for real-time, on-line medical consultation via telephone with OMSU medical personnel. OMSU providers must be able to speak to the Emergency Medicine Physician within five (5) minutes of the initial call. Consultations must be through an existing communications center with live dispatch personnel.

C.7 Develop, implement, maintain, and oversee the USMS electronic patient care record and reporting system. Keep all records in a secure area in accordance with applicable HIPA regulations.

C.8 Work with USMS to develop, maintain, and oversee agency-wide treatment protocols which shall be provided to all OMSU medics in both hard copy and electronic format.

C.9 On an as-needed basis, provide written pre-deployment medical briefings and advanced medical threat assessments for domestic and international travel for USMS and SOG missions/deployments.

D.

MEETINGS

All meetings with contractor personnel will take place at the USMS Tactical Operations Division in Springfield, Virginia, or at the contractor’s facility located within sixty (60) miles of the USMS Headquarters located in Arlington, Virginia. Meetings will be used for contract planning purposes and to review treatment protocols. The USMS will hold between 6-8 meetings per year. At a minimum, attendees shall include key personnel, and the Contracting Officer’s Representative (COR). Attendance by contractor’s key personnel will not be billable under this anticipated contract. Any anticipated contractor expenses for these meetings shall be included in the appropriate CLIN.

E.

PERIOD OF PERFORMANCE

The period of performance shall be from April 1, 2015, through March 31, 2016 (base period), subject to the availability of funds, plus four (4) one-year option periods.

F. PLACE OF PERFORMANCE

All work shall be performed at the contractor’s facility, unless otherwise directed by the USMS OMSU Program Manager via written notice.

G. TRAVEL

The contractor shall provide a physician trained in tactical medicine to travel domestically and internationally for operational support, as needed, approximately 6 days per year, which includes the five (5) days for SOG Selection. The cost of all travel required in connection with this contract shall be agreed to by the Contractor and the Government and approved in advance by the COR. For all other travel, the contractor shall be reimbursed for actual transportation costs and travel allowances of contractor employees in accordance with Federal Government Travel Regulations.

Such transportation costs shall not be reimbursed in an amount greater than the cost of coach class commercially scheduled air or ground travel by the most expeditious route unless coach air or ground travel space is not available and the contractor certifies to this fact in his/her voucher or other documents retained as part of his/her contract records to support his/her claim or post audit.

H.

INSPECTION AND ACCEPTANCE

H.1 Services. Inspection, acceptance and evaluation of services to be furnished shall be performed by the COR. The Government reserves the right to conduct any inspection and test it deems reasonably necessary to assure that the services provided conform in all respects to the contract specifications as outlined in the SOW. Services, which upon inspection are found to not be in conformance with contractual specifications, as outlined in the SOW, shall be promptly rejected by the COR and a notice of such rejection will be provided to the contractor by the Contracting Officer.

H.2 Reports and Data. No reports are required under this contract.

H.3 Deliverables. The contractor shall provide the applicable official EMT refresher class certification documentation, as required in paragraph C.1, page 2, of this statement of work. The contractor shall also provide tactical medical protocols in both print, and in electronic format, as required in paragraph J.5, page 5 of this statement of work.

I.

KEY PERSONNEL

I.1 The following contractor personnel are designated as key personnel and considered essential to the work performed hereunder:

Emergency Medicine Physician

I.2 Offerors must submit, together with their quote, resume(s) and letter(s) of commitment/letters of intent for any key personnel selected to work on this contract. The resumes should not just identify where the person has worked, they should also describe the type of work performed and indicate the advancements, education, personal accomplishments, and qualifications relevant to the position for which the applicant is proposed. A sample format is provided below.

NAME:

PROPOSED POSITION: Title and Description

ORGANIZATION AFFILIATION: If teaming arrangement, specify organization affiliation

EXPERIENCE: Summarize overall experience and capabilities applicable to the work identified in the SOW. List specific examples of work performed and accomplishments achieved. List responsibilities, advancements achieved, and authority gained.

EDUCATION: Identify institution, degree or certificate earned, and dates. Only degrees from accredited institutions shall be cited. Degrees from institutions that are not accredited will not be considered.

PROFESSIONAL REGISTRATION/CERTIFICATION: Identify professional membership, special training, professional registrations, awards, etc. For each relevant professional registration / certification, list Title, State/Society, Year, and a brief statement detailing activities / accomplishments.

LIST OF PERTINENT HONORS, AWARDS, AND OTHER ACHIEVEMENTS: Provide a brief statement detailing relevant accomplishments, awards, honors, etc.

I.3 Letter(s) of commitment/letter(s) of intent for key personnel shall convincingly demonstrate their availability and commitment to the contract for a minimum of twelve (12) months. For those individuals who are not currently employed by the proposing organization, letters of intent shall be provided that convincingly demonstrate their availability and willingness to accept the position and remain committed to the contract for a minimum of twelve (12) months. Both letters of commitment and letters of intent shall specify the percentage of time each key person will dedicate to the contract.

I.4 Should the key person vacate the position permanently, the contractor shall notify the CO immediately and provide a fully trained, qualified replacement within two (2) business days. The notification shall include:

· An explanation of the circumstances necessitating the replacement.

· A complete resume of the proposed replacement.

· Any other information requested by the CO to enable the Government to verify the proposed replacement meets or exceeds the mandatory qualifications.

I.5 The CO shall approve any changes in key personnel, whether temporary or permanent. No diversion shall be made of key personnel to other programs without the advanced written consent of the CO.

I.6 The Emergency Medicine Physician must possess the following mandatory qualifications:

· State Medical licensed;

· Emergency Medicine Board certified;

· Medical director;

· Physician capable of satisfying the requirement for EMS medical direction;

· Documented related experience (minimum of 10 years) managing a tactical medicine program;

J.

OTHER MANDATORY REQUIREMENTS

J.1 The contractor’s Medical & Education facilities shall both be located within sixty (60) miles of the USMS Headquarters in Arlington, VA.

J.2 The contractor shall possess classroom facilities for at least 30-40 students with audio and video equipment pre-installed. Classrooms must be equipped with computers, Internet access, MS Power Point capability, television, simulation room, and conference space. These classrooms must be located on a medical campus within the contractor’s facility.

J.3 The contractor shall possess a dedicated Special Operations-type program with formal experience (minimum of 10 years) providing medical direction and operational support to federal and/or state law enforcement agencies.

J.4 The contractor shall possess faculty physicians and medical staff experienced in tactical / law enforcement medicine.

J.5 The contractor shall be experienced (minimum of 10 years) in developing tactical medical protocols for Federal Agency EMT’s (Basic, Intermediate and Paramedic) and demonstrate the ability to capture their experience in a handbook and electronic format. The contractor shall provide the aforementioned protocols in print (for 30-40 students per class), and also in electronic format.

J.6 The contractor shall possess faculty physicians actively engaged in research involving tactical medicine and demonstrate recent publications in peer-reviewed medical journals on the subject matter. This will enable the USMS to provide best practice protocols by staying current on medical research.

J.7 The contractor shall possess some experience with telemedicine and remote video medical consultation for the purposes assisting with development and operation of a functional USMS/OMSU telemedicine and video conference program.

J.8 The contractor shall possess faculty physicians proficient in medical ultrasound for the purposes assisting with development and operation of a functional USMS/OMSU ultrasound program.

J.9 The contractor shall possess Advanced Post-Graduate Fellowship training programs in Emergency

Medical Services, International Emergency Medicine, and Disaster Preparedness. These programs need not be certified.

J.10 The contractor shall maintain a Level 1 Adult and Pediatric trauma center at the same location within the Baltimore-Washington metropolitan area (within 60 miles of USMS HQ in Arlington, VA). The Adult and Pediatric trauma center must be able to permit law enforcement medics to participate in direct patient care at the trauma center. This will be coordinated, as schedules permit, for both the USMS and the contractor.

J.11 The contractor shall operate a standing, dedicated medical communications center

(staffed 24/7) for the purposes of emergency consultations between USMS providers and physician medical control.

J.12 The contractor shall provide a Maryland, Virginia, or District of Columbia-licensed physician capable of satisfying the Maryland Institute of Emergency Medical Services Systems (MIEMSS) Title 30, Subtitle 03 and Chapter 03 requirements for EMS medical direction.

J.13 The contractor shall possess and operate critical care transport ambulances and aeromedical services.

J.14 The contractor shall have at least ten (10) years of experience working for a law enforcement agency as a Medical Director providing direction to tactical law enforcement medics.

J.15 The key personnel (Medical Director and his/her designated medical associates) proposed by the contractor will be subjected to a thorough background investigation prior to commencement of the contract and must be able to obtain and maintain a Top Secret Security Clearance (will potentially have access to classified documents, facilities and operations).

12/3/2014