Draft Performance Work Statement EM PHYSICIANS 05-12-2022 v1a.pdf

PERFORMANCE WORK STATEMENT

Emergency Medicine Physician Services

Martin Army Community Hospital (BMACH) Fort Benning, Georgia 31905

1 GENERAL

1.1.1 SCOPE OF SERVICES. The contractor shall provide the services for full time Emergency Medicine Physician Services to Martin Army Community Hospital (BMACH) at Fort Benning, Georgia. The contractor shall provide these services as required by this Performance Work Statement (PWS) and in accordance with the terms of this contract. This is a personal services contract and all Emergency Medicine Physicians (hereinafter referred to as contract healthcare provider {HCP}) performing under this contract are subject to the clinical supervision and direction of the department supervisor who assigns cases, outlines resources, and establishes operating procedures.

Clinical direction will be provided by the Government.

1.1.2 The full time contract HCP will primarily work in the Department of Emergency Medicine (DEM). The contract HCP will provide treatment to eligible beneficiaries of the military health care system who present themselves to the medical treatment facility (MTF) for treatment. Services provided will be at no expense to the beneficiaries. The contract HCP may be assigned alternate work assignments/areas depending on the qualifications and the BMACH mission requirements.

1.1.3 The contract HCPs shall provide services in conjunction with other non-contract providers to include physicians, ancillary HCPs, and support personnel. Contract HCPs shall perform all procedures and duties that are normal to the scope of that HCPs specialty for which privileges are granted or scope of clinical practice for the MTF. These are essentially the same duties as those required of any Military or Government civil service HCP’s of similar experience and in similar duty assignments. The scope of services provided in the MTFs cover the same range of services as those that are provided in civilian treatment facilities of similar size and scope of services.

1.1.4 The contractor shall be prepared upon request of the Government to provide a qualified Emergency Medicine Physician for short term vacancies, such as deployments, turnover in staff etc. The contractor may utilize locum tenens for these vacancies. The qualifications, credentialing, in-processing, out-processing, etc. will be the same for these providers. The Government will provide the contractor a minimum of 90 days’ notice with a requested start date/period of performance to fill the vacancy. The requested period of performance will be no less than 60 days for each request.

1.2 PERFORMANCE MEASURES

1.2.1 The contractor will provide qualified personnel who will fulfill the requirements to provide HCP services at a standard enabling the MTF to provide such services at a high level of quality, meeting or exceeding currently recognized national standards as established by the American Medical Association (AMA), National Committee for Quality Assurance (NCQA), The Joint Commission (TJC), the professional standards of BMACH, as well as state criteria for Emergency Medicine.

1.2.2 STANDARDS. Acceptable measures include but are not limited to:

1.2.2.1 Provide a qualified contract HCP

1.2.2.2 Ensure a fill rate of 95%

1.2.2.3 Provide courteous customer service. Substantiated patient complaints shall not exceed the maximum of two

(2) Complaints per contract year per contract HCP. A customer complaint is a valid complaint when, after a thorough investigation, determines that Medical Standards of Care have not been met.

1.2.2.4 Current certification/licensure (BLS, ACLS, etc.)

1.2.2.5 The contract HCP shall comply with all hospital policies and procedures

1.2.2.6 Productivity. When treating urgent and non-urgent patients (and sufficient patients are available in these categories), the contract physician shall see no less than an average of 1.5 patients per hour.

1.2.2.7 Other performance evaluation factors will be monitored that are not quantified by numerical measurements which include:

1.2.2.7.1 Contractor providing personnel exceeding the minimum qualification standards

1.2.2.7.2 Patient customer service comments – see section 1.11.1

1.2.2.7.3 Contract HCP and contractor relationship with hospital staff and government contracting personnel

1.2.2.7.4 Maintain TRICARE access standards for all enrolled beneficiaries

1.2.2.7.5 Provide on-site coordination with other BMACH personnel when required

1.2.3 HOW MEASURED. The Contracting Officer’s Representative (COR) will monitor contract HCP performance through government information systems and records, patient records, customer service information, contractor reports, and BMACH sign-in/sign-out sheets with input from authorized department/clinic personnel.

1.3 CONTRACTOR RESPONSIBILITIES. The contractor shall begin full performance of the contract requirements ninety (90) days after award. It is critical that contract application requirements for all contract HCP are processed forty-five (45) days prior to contract commencement date. No later than forty-five (45) days prior to contract HCP start date, the contractor shall submit completed applications packets (to include primary source verification (PSV)) for those contract HCP who shall be performing services under this contract to the

COR.

1.4 HOURS OF PERFORMANCE.

1.4.1 The Emergency Room is operational 24 hours per day 7 days per week and does not close, therefore contract staff may be scheduled to work on holidays, training holidays, and weekends. During the first 15 minutes of their shift, the HCP shall obtain a report from the previous shift and during the last 15 minutes of their shift, the HCP shall provide a report to the next shift. The following are examples of possible shift requirements.

This is NOT an all-inclusive listing.

1.4.2 Twelve hour shifts: 0645-1915; 1845-0700; 0945-2215; 1145-2415; 1345-0215; 1445-0315

1.4.3 Ten hour shifts: 0645-1715; 0945-2015; 1145-2215; 1645-0315; 1845-0515; 2245-0915

1.4.4 Eight hour shifts: 0645-1515; 1045-1915; 1445-2315; 2245-0715

1.4.5 Shifts include a thirty (30) minute meal break. Time taken for meals shall be at no expense to the

Government.

1.4.6 Hour scheduled for shifts do not include travel time involved in reaching the work site or changing attire.

1.4.7 Signing in early does not increase chargeable time.

1.4.8 The HCP(s) shall be physically and mentally rested and capable of performing the duties required under this contract. The HCP(s) shall not have worked at MACH or anywhere else for at least eight (8) hours prior to starting a shift.

1.4.9 The Government reserves the right to verify the hours worked by the HCP(s) not only by implementing sign in/sign out procedures, but by any other means deemed appropriate by the COR. The HCP(s) shall sign in and out each day they provide services, by entering his/her time of arrival and departure on a sign-in sheet.

The HCPs shall ensure an authorized Government official verifies each entry. The COR will determine the location of the sign-in sheet. These attendance logs are for the sole use of Government officials to ensure compliance with FTE hours and will not be provided to the Contractor for any reason and/or purpose.

1.4.10 Schedule: The Government will provide shift requirements by month to the Contractor forty-five (45) calendar days in advance of the required performance month. The Government will identify shift requirements by the day of the month and specific duration of shifts. The Contractor shall provide the COR a completed schedule by name of HCP(s) to fill each required shift not later than fifteen days after receipt of the Government’s request.

1.4.11 The following is a breakdown of time when full hours of time are not used.

0-14 minutes = .00 of the hourly rate 15-29 minutes = .25 of the hourly rate 30-44 minutes = .50 of the hourly rate 45-59 minutes = .75 of the hourly rate

1.4.12 SCHEDULED AND UNSCHEDULED ABSENCES. The contractor/contract HCP shall notify the Department/Service Chief or designated Government representative within two (2) hours of scheduled reporting time if the contract HCP is sick or unavailable and cannot report to work as scheduled. Scheduled absences shall be scheduled at least thirty (30) calendar days in advance and approved by the Department Chief or his/her designee.

Scheduled and unscheduled absences are not chargeable to the Government.

1.4.12.1The contract HCP shall not leave a scheduled shift without an appropriately privileged replacement. If the contract HCP is in the middle of a procedure at the end of his/her shift, the contract HCP shall not leave if his/her leaving would affect the continuity of care to the patient.

1.4.13 The contract HCP providing services under this contract shall take daily work directions from the Chief, Department of Emergency Medicine, or his/her designated representative.

1.4.14 All backup contract HCP proposed to provide services during absences shall meet the same qualifications/requirements stated in the contract.

1.4.15 The contract HCP shall report to work in accordance with (IAW) BMACH policies and procedures concerning mission essential personnel in the event of a disaster or inclement weather.

1.4.16 Contract personnel performing work under this contract shall remain employees of the contractor and will not be considered employees of the Government.

1.4.17 Interviews. There will be no interviews conducted by Government personnel.

1.4.18 Facility Closures: During Anticipated closure of the facility due to Command declared training holidays, administrative leave granted to the entire government staff, or other closure, contract HCPs may not be required to perform services, unless specifically scheduled. In the event of unplanned closure of the facility due to natural disasters, military emergency, or severe weather, contract workers who are scheduled to work, shall not report to work unless notified differently.

1.4.19 Federal Holidays. The contract HCP will not be paid on federal holidays unless contract HCP is scheduled to work on a holiday and will be paid for hours worked at the hourly rate established in the contract.

1.4.20 Holidays. The following is a list of legal federal holidays as referred to elsewhere in the contract. The

Contract HCP may be required to work on legal holidays as determined by the Department Chief.

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

NOTE: Any of the above holidays falling on a Saturday will be observed on the preceding Friday; holidays falling on a Sunday will be observed on the following Monday. Any holidays that are declared by Presidential Executive Order shall be observed in the same manner as the holidays listed above. If the area in which a contract HCP is scheduled to work is closed due to the holiday and the employee 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.

1.4.21 The contract HCP may be required to extend the duty hours to ensure completion of the scheduled patient treatment or in cases of emergencies. Contract HCP shall be paid the contract hourly rate until the contract HCP leaves the MTF premise. Hours worked do not include travel to and from the MTF.

1.4.22 OVERTIME AND ON-CALL IS NOT AUTHORIZED.

1.5. QUALIFICATIONS

1.5.1 The contract HCP shall possess and maintain an unrestricted U.S. state license to practice emergency medicine. The contract HCP may not work with expired medical license.

1.5.2. Drug Enforcement Agency (DEA): Contract HCPs who write prescriptions for controlled substances must have a current DEA certificate or Controlled Drug Substance number as appropriate. The contractor shall ensure that renewal actions are accomplished well before expiration of the HCP’s license and/or DEA certification to ensure compliance with the contract. The contract HCP may not work with expired DEA certification.

1.5.3 Life Support Certification: The HCP(s) shall have and maintain current certification in Basic Life Support (BLS), Advance Cardiac Life Support (ACLS), and Pediatric Advanced Life Support (PALS). Advanced Trauma Life Support (ATLS) and Neonatal Resuscitation Program (NRP) are encouraged. BLS and ACLS shall be obtained through an American Heart Association approved training program. The Government will not reimburse the Contractor for any fees associated with renewal or maintaining certifications.

1.5.4. The HCP (M.D. or D.O.) shall have successfully completed a residency program and be board certified in Emergency Medicine.

1.5.5. Allopathic or osteopathic physicians utilized by the contractor to fulfill the terms of this contract shall meet the requirements of the American Medical Board of Medical Specialties. Board certification shall be recognized by the American Board of Medical Specialties.

1.5.6. The contract HCP shall be registered in National Provider Identifier (NPI) and Provider Enrollment, Chain and Ownership System (PECOS).

1.5.7. The contract HCP shall have two (2) years of current clinical experience following completion of residency and fellowship training prior to commencement of services under this contract.

1.5.8. The contract HCP shall be qualified to perform the full range of emergency room services for pediatric through geriatric patients in a level I, II, or III medical facility. And shall have the ability and experience to adequately diagnose and treat urgent/acute diseases and injuries.

1.5.8. The contract HCP shall meet the requirements of the Crime Prevention Act of 1990 so that he/she can provide health care to children under the age of 18.

1.5.9. The contract HCP shall be able to read, write, and speak English well enough to effectively communicate electronically and verbally with patients, family members, and other HCPs, and other staff members.

1.5.10. The contract HCP shall meet Continuing Medical Education (CME) requirements for his/her specialty. The Government will not reimburse the contractor for CME costs and the contractor shall not bill the Government the hourly rate while the contract HCP attends CME classes.

1.5.11. The contract HCP must have at least basic computer skills to be able to master electronic media requirements, and should be a competent typist to complete documentation in BMACH’s electronic health record system. The contract HCP must be able to effectively log on and off, shutdown, and restart the computer system.

The contract HCP must also be able to change network password, and know the difference between various application passwords and their network password. The contract HCP must be able to handle minor application problems (frozen software applications). The contract HCP must be able to effectively use the right mouse button for quick menu access and navigate in a Windows® environment. The contract HCP must be able to open and save a file from a disk or the hard drive. This may be demonstrated by opening previously saved files (saved from/to any drive or directory). The contract HCP must be able to delete unwanted files, copy or move files as needed between drives and directories, and create folders/directories as necessary to complete the desired task(s). The contract HCP must be able to start an application, switch between applications, create backup files, and print documents by using a stand-alone or networked printer.

1.6. CONFLICT OF INTEREST. The contract HCP providing services under this contract shall not be a Department of Defense (DoD) employee, military or civilian, in accordance with the Dual Compensation Act (5 U.S.C. Section 5536).

1.6.1. If the contract HCP applies and is subsequently selected for a civil service position the contractor shall not be entitled to any compensation from the Government.

1.6.2. The Contract HCP shall not use patient care rendered pursuant to this agreement as a part of a study, research grant, or publication without the prior written consent of the MTF Commander.

1.6.3. The Contract HCP shall not bill the patient, an insurer, or anyone else for services rendered. The Contractor HCP is prohibited from receiving compensation of any kind for eligible patients treated, procedures performed, or any other actions performed, except under the terms and conditions of this contract, at the rate specified in the contract.

1.6.4. The Contract HCP shall not, while performing services under this contract advise, recommend, or suggest to persons eligible to receive medical care at Army expense that such persons should receive care from the Contract HCP at any place other than at the MTF. The Contract HCP will not refer any patients to any company or service to which they have a direct or indirect involvement (including partnership programs and ancillary services not offered by the MTF).

1.6.5. The Contract HCP shall not introduce new medical procedures or changes in standing operating procedures without first coordinating with the Chief of Services.

1.6.6. The Contract HCP is not prohibited by reason of his employment under this contract from conducting private practice, if there is no conflict with the performance of services under this contract.

1.6.7. The Contract HCP shall not use Government facilities or other Government property in connection with conducting a private practice.

1.6.8. The Contract HCP shall not be an employee of the United States Government if the employment would create a conflict of interest. The Contract HCP who is an employee of the Department of Defense, either military or civilian, shall not be employed unless such person seeks and receives approval in accordance with DoD 5500.7-R and MEDCOM Reg 600-3.

1.7. CONDUCT OF PERSONNEL: At any time during the performance of this contract, the Contracting Officer (KO) may direct the Contractor to immediately remove any contractor staff whose actions or impaired state raises reasonable suspicion that clear and present danger of physical harm exists to a patient, other contractor staff, government personnel, or to the impaired individual. This provision will be used in emergency situations only and not for the purpose of bringing performance issues or other non-urgent concerns to the attention of the Contractor.

1.7.1. If the need for a removal occurs, the KO will contact the Contractor's Representative (CR) and direct the Contractor to remove that individual from the military facility and to not use that individual to perform any healthcare services required under this contract until the issue has been resolved by the KO. The Contractor shall formally meet with the KO to discuss further action in accordance with the MTF Quality Assurance and Inspection

(QA&I) Plan and AR 40-68. A review of the basis for removal will be made by the KO within 3 working days after the KO directed the removal.

1.7.2. If, after any investigation deemed necessary by the KO and discussions with the Contractor’s Representative (CR), the KO concludes that the contractor staff member’s impairment requires permanent removal from performance under the contract, the KO will notify the Contractor that permanent removal is required. In the event of disagreements between the government and the CR concerning matters of impaired contractor staff, the decision of the KO will be final.

1.7.3. The Hospital Commander has the prerogative to hold in abeyance, to deny, or to summarily suspend clinical privileges/practice when there is a reasonable cause to doubt the contract HCP’s competence to practice or for any cause affecting the safety of patients or others. AR 40-68 outlines the adverse clinical privileging and practice actions for privileged personnel and adverse practice actions and peer review for non-privileged personnel.

1.7.4. Any occurrence of the following will result in the immediate removal of the contract HCP: Intoxication or debilitation from the use of drugs (legal or illegal) or alcohol; insubordination; theft; or patient or staff abuse.

1.8 SECURITY REQUIREMENTS. The contract HCP or any representative of the contractor entering Fort Benning, Georgia shall abide by all security regulations and shall be subject to security checks.

1.8.1 The contract HCP shall not be permitted on the installation when their presence is considered detrimental to the security of the installation. The Government reserves the right to remove from the job site any contract HCP whose continued employment is not consistent with the interest of military security or who is found to be otherwise impaired.

1.8.2 Performance of the contract will not be allowed without full compliance with the Crime Control Act of 1990 and Department of the Army (DA) Circular 690-92-1, 15 November 1992, Criminal History Background Checks (CHBCs), on individuals in Child Care Services. The contractor shall conduct criminal background checks on all contract HCPs IAW the procedures set forth in Public Law 100-235, DOD Directive 5200.28, Enclosure 6, paragraph E6.4.1.2, DOD Directive 5200.R, DODI 1402.5. The contractor is responsible for ensuring background check submissions are initiated IAW BMACH procedures prior to the contract HCP providing services at the MTF, and that they are properly cleared and meet the requirements of the law. Background checks shall be based on fingerprints of individuals and on inquiries conducted through the Federal Bureau of Investigation (FBI), State Criminal History Repository (SCHR) check, and a local Installation Record Check (IRC), if required.

1.8.2.1 An IRC shall be conducted by DoD Component personnel at the installation level. Upon favorable completion of the IRC, an individual may be selected to provide services to a minor child under line-of-sight supervision (LOSS) until the required background checks are successfully completed. Line-of-sight supervision is defined in DODI 1402.5.

1.8.2.2 Security Identification Badges. Contract HCP shall comply with the local installation and MTF personnel identification and access requirements. The Contractor is responsible for absences of Contract HCP due to expired identification and access documents.

1.8.2.3 Each Contract HCP shall wear a visible Security badge ID, provided by the Military Treatment Facility or the Military Installation in accordance with their guidance. The badge must show the full name, title and if required by the Military the words “Contractor” in front.

1.8.3 KEY CONTROL. The contract HCP shall be responsible for any key(s) issued by the Government to him/her for use in at BMACH. The key(s) shall not be duplicated. The contractor shall be responsible for the replacement of any lost key(s) and the associated lock(s). All areas, for which the contract HCP possesses the key, shall be locked when not in use and at the close of each work period.

1.8.3.1 The contract HCP shall return all key(s) issued by the Government to the department/service Key Control Officer upon termination of his/her employment with the contractor or termination of the contract.

1.8.3.2 The contractor shall report any occurrence of duplicated, misplaced, and/or lost keys to the COR or the Administrative Officer of the Day (AOD) on a non-duty day immediately after discovery of occurrence and submit a written report to the KO by close of the next business day. The written report shall provide complete details related to duplication, misplaced key(s), or loss.

1.8.3.3 The contractor shall reimburse the Government for replacement of all locks or re-keying required as a result of keys being duplicated, misplaced, or lost by contract HCP. The contractor shall also reimburse the Government for any Government property lost or stolen as determined by the Report of Survey as a result of unauthorized key duplication, misplaced key, or loss of key by contractor or contract HCP.

1.8.4 VEHICLE OPERATION. Contractor personnel operating motor vehicles on the installation shall have a valid state license for the category of vehicle being operated and shall comply with vehicle operation directives regarding motor vehicle use on the installation.

1.8.5 OPERATIONS SECURITY (OPSEC) STANDARD OPERATING PROCEDURES (SOP) PLAN

REQUIREMENTS. The contractor shall adhere to the Government’s Operations Security (OPSEC) Standard Operating Procedure (SOP)/Plan during the entire period of performance (POP).

1.8.6 HANDLING OR ACCESS TO CLASSIFIED INFORMATION. The contractor shall comply with FAR 52.204-2, Security Requirements. This clause involves access to information classified as “(Con)fidential”, “(Sec)ret”, or “Top (Sec)ret” and requires contractors to comply with the Security Agreement (DD Form 441), including the National Industrial Security Program Operating Manual (DoD 5220.22-M) and any revisions to DoD 5220.22-M, notice of which has been furnished to the contractor.

1.8.7 Antiterrorism/Operations Security Requirements:

1.8.7.1 AT Level I Training. All contractor employees, to include subcontractor employees, requiring access Army installations, facilities and controlled access areas shall complete AT Level I awareness training within 90 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 COR or to the KO, if a COR is not assigned, within 10 calendar days after completion of training by all employees and subcontractor personnel. AT level I awareness training is available at the following website: https://atlevel1.dtic.mil/at.

1.8.7.2 Access and General Protection/Security Policy and Procedures: 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 Marshal Office, Director of Emergency Services or Security Office.

Contractor workforce must comply with all personal identity verification requirements as directed by DOD, HQDA 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.

1.8.7.3 iWATCH Training. BMACH Antiterrorism Officer (ATO) will provide the local developed training to contract employees during in processing. The training will consist of the types of behavior to watch for and instruct employees to report suspicious activity to the Military Police or local Law Enforcement and ATO. This training shall be completed within 30 calendar days of new employees commencing performance.

1.8.7.4 Access to Government Information Systems. All contractor employees shall successfully complete the DOD Information Assurance Awareness prior to access to the IS and then annually thereafter.

1.8.7.5 OPSEC Training. In accordance with AR 530-1 all personnel, to include contractor employees and associated sub-contractor employees must complete Level I Operations Security (OPSEC) training which is composed of both initial and continual awareness training (annually). All personnel within the first 30 days of arrival in the organization must receive initial training to include a briefing on the organizations critical information and read/sign the OPSEC Individual User Compliance Agreement form. The end state of initial and continual awareness training is that each individual should have the requisite knowledge to safeguard critical information.

1.8.7.6 For Information assurance (IA)/information technology (IT) training: Information Assurance (IA)/Information Technology (IT) training. All contractor employees and associated sub-contractor employees must complete the DoD Cyber Awareness training before issuance of network access and annually thereafter. All contractor employees working IA/IT functions must comply with DoD and Army training requirements in DoDD 8570.01, DoD 8570.01-M and AR 25-2 within six months of employment.

1.8.8 PHYSICAL SECURITY. Contract HCP shall keep Government furnished supplies, equipment and work areas in a safe, orderly and clean condition. Contract HCPs shall abide by all MTF and Army requirements for physical security of Army property and equipment.

1.9 CREDENTIAL REVIEWS/PRIVILEGING/DRUG TESTING. As a prerequisite to performance under the resultant contract, the contract HCP performing the services must be privileged by the BMACH Commander.

Therefore, compliance with the privileging requirements is essential to performance under this contract. Any failure to meet these requirements is considered nonperformance and the basis for termination of this contract unilaterally by the Government. The contractor shall conduct applicant urinalysis drug testing of candidates prior to submitting a credentials packet to the COR for that candidate. The contractor shall conduct random urinalysis drug testing of HCPs at least annually. The contractor shall conduct reasonable suspicion urinalysis drug testing upon request of the Government.

1.9.1 The privileging process is subject to the provisions of AR 40-68, Clinical Quality Management, and other subsequent changes to that regulation or any successor regulations that might evolve and BMACH policy. The Credentials Committee established at BMACH is the sole agency authorized to accept applications for privileges submitted by the contractor to the COR and to make recommendations to the BMACH Commander on the granting of privileges. The BMACH Commander is the final authority for approving or denying clinical privileges for HCPs.

1.9.2 The BMACH Commander or his/her designee is the sole authority that can revoke or otherwise restrict the privileges of any contract HCP whom he/she determines is not qualified to perform the services.

1.9.3 Once privileges are granted, subsequent actions taken concerning the privileges of the contract HCP, including any limitations on privileges, will be governed by the procedures in AR 40-68.

1.9.4 Any actions that suspend, revoke, place in abeyance, or otherwise restrict the privileges of the contract HCP(s) results in those contract HCP(s) not being authorized to perform under this contract.

1.9.5 Adverse actions on a contract HCP’s privileges taken by the BMACH Commander may be appealed by the contract HCP under the provisions of AR 40-68.

1.9.6 The contractor shall provide current clinical competence established within the past two (2) years for each contract HCP. The contractor shall not employ any individual to provide direct healthcare services who, within five

(5) years prior to employment, had his/her clinical privileges limited, suspended, or revoked by any healthcare facility, public or private, anywhere in the world. This prohibition does not apply to any individual whose clinical privileges, although originally limited, suspended or revoked by a healthcare facility, were subsequently fully reinstated by the healthcare facility.

1.9.7 No later than forty-five (45) days prior to HCP start date, the contractor shall submit a complete credential application packet (to include primary source verification) to the COR. Forms may be obtained from the following web site: www.apd.army.mil. Local forms will be provided by COR. Upon the receipt of candidate packet, the credentials personnel will send an email for the candidate to receive access to the e-application for a JCCQAS account. Candidate will be required to follow the instructions in the initial e-mail to login, when prompted request itemized privileges and enter Board Certification/National Certifications appropriately to qualify for privileging by the Commander, Martin Army Community Hospital.

1.9.8 CREDENTIAL APPLICATION PACKET. The credentials checklist provides detailed explanation of the documents required for the completion of a credentials application packet for the Credentials Committee to review and the BMACH Commander to grant privileges to the contract HCP. The contractor must expend every effort to review the completed credentials application packet for the contract HCP prior to submission to the COR to ensure that they comply with AR 40-68 and all BMACH requirements. A Contract Provider Credential Documents Checklist (Attachment A) shall be used.

1.9.8.1 The contractor shall submit credential application packets only for those contract HCPs who can reasonably be anticipated to render performance. The submission of an unreasonable number of HCPs for credentialing who lack the requisite qualifications, who will not work at all, or who will work intermittently, is unacceptable and will be considered a failure to perform.

http://www.apd.army.mil/

1.9.8.2 The Government will only accept complete credential application packets for processing. Incomplete packets, that is, those that do not fully comply with the requirements in the credentials packet, will be returned to the contractor without action.

1.9.8.3 Return of incomplete credential packets for completion is not a waiver of the requirement to submit a complete credential packet. Repetitive submissions of incomplete credential packets will be considered a failure to perform.

1.9.8.4 Point of Contact. Three calendar days prior to performance of services, the Contract HCP shall designate, in writing, and provide to the Contracting Officer's Representative [COR] and Contracting Officer, the name, email address, and telephone number of the point of contact for all actions on this requirement.

1.9.8.5 REPLACEMENT OR ADDITIONAL PROVIDERS. Identical submission procedures and requirements apply to contract HCPs who are proposed as replacements or additional providers. Complete credential application packets for replacement/additional contract HCPs shall be submitted at least forty-five (45) days in advance of their assignment to BMACH.

1.9.8.6 REAPPOINTMENT. Contractor shall ensure reappointment credential application packets are submitted to the COR sixty (60) days prior to expiration of privileges. Privileges normally expire one (1) year after initial appointment and two (2) years after reappointment.

1.9.9 The COR will notify the contractor when a contract HCP has been granted privileges at BMACH and will request a start work date. Contractors shall not schedule contract HCPs for in-processing at BMACH without concurrence from the COR.

1.10 PROFESSIONAL LIABILITY. Pursuant to 10 USC 1089(a), in a personal services contract, DOD shall process any personal injury claim alleging negligence by the contract HCP within the scope of the contract HCP’s performance of this contract as claims alleging negligence by DOD military or civil service HCP. The contractor or contract HCP 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 by the contractor or contract HCP.

1.10.1 RESPONSIBILITY AND PROCEDURES

1.10.1.1 The contract HCP is subject to the day-to-day clinical supervision and control of designated Government employees. The Government will evaluate the quality of professional and administrative services provided and retain control over the medical and professional aspects of services rendered (professional judgments, diagnosis for specific medical treatment, etc.).

1.10.1.2 If any suit or action is filed or any claim is made against the contract HCP which occurred as a result of work performed by the contract HCP under this contract, the contract HCP shall immediately notify the contractor, the KO, and the chief of the appropriate service and promptly furnish them copies of all pertinent papers received.

1.10.1.3 The contract HCP 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 contract HCP in, or take charge of, any litigation involved in such an action.

The contract HCP may, at the contract HCP's own expense, participate in defense of such claim or litigation.

1.10.1.4 Should any case be identified as potentially unacceptable care by the in-house peer review and/or DOD External Civilian Peer Review, the contract HCP shall respond by submitting the required forms and supporting documentation within fourteen (14) calendar days.

1.11 GOVERNMENT QUALITY ASSESSMENT AND IMPROVEMENT (QA&I). The Government will monitor the contract HCP’s performance under this contract using QA&I procedures established by BMACH and pursuant to the Inspection of Services Clause. Additionally, the contract HCP’s performance is subject to scheduled and unscheduled review by the QA&I as defined by the BMACH QA&I Plan and AR 40-68.

1.11.1 The contract HCP is required to follow the current Quality Control Program (QCP) in place at B BMACH to ensure that medical services are provided at a level of quality that meets MTF standards.

1.11.2 The contract HCP shall provide good customer service which will be reflected in the Army Provider Level Satisfaction Survey (APLSS).

1.11.2.1 APLSS Question number 7:

Definition: Percent who selected “satisfied” or “completely satisfied” on APLSS question #7: Overall, how satisfied do you feel about your visit with your provider?

Performance Standards: Exceeds standard: ≥ 95% (average of last 3 months of rating period), meets standard ≥ 93% - < 95% (average of last 3 months of rating period)

Comments: Individuals whose baseline is below 85% may meet standard by achieving ≥ 90% (average of last 3 months of rating period)

1.11.2.2 APLSS Question number 13:

Definition: Percent who selected “very good”, or “excellent” on APLSS question #13: The courtesy and helpfulness of the staff during the visit

Performance Standards: Exceeds standard: ≥ 87% (average of last 3 months of rating period), meets standard ≥ 83% - < 87% (average of last 3 months of rating period)

1.11.2.3 APLSS Question number 20:

Definition: Percent who selected “satisfied” or “completely satisfied” on APLSS question #20: Everything considered, how satisfied were you with the <facility> during this visit?

Performance Standards: Exceeds standard: ≥ 95% (average of last 3 months of rating period), meets standard ≥ 93% - < 95% (average of last 3 months of rating period)

1.12 CONTRACTOR REPRESENTATIVE. Within ten (10) calendar days after award or the pre-work conference, if conducted, the contractor shall designate in writing to the KO and the COR the name and local or toll-free telephone number of a primary and alternate individual to act as their representative. The representative shall manage and coordinate the contract with the KO and the COR. The contractor representative shall be the POC for the Government and shall have the authority to act or make decisions for the contractor on all matters pertaining to this contract. The contractor representative shall be responsible for the overall management and coordination of the contract with the KO and the COR at BMACH. The contractor shall include in the designation letter any limitations on the representative’s authority to bind the contractor to changes and /or adjustments in the contract. The contractor shall notify the KO and the COR in writing of any change in the contractor’s primary or alternate representative’s name and phone number no later than one (1) calendar day prior to change.

1.12.1 The contractor’s representative shall meet with the COR and/or the Alternate COR (ACOR) as required to discuss any problems that the contractor or Government may be experiencing during the performance of this contract. Unresolved problems will be referred to the KO for resolution.

1.13 UNIFORM/ATTIRE. The contract HCP shall wear professional attire (uniforms/scrubs) and maintain a professional appearance at all times while providing services under this contract.

1.13.1 PERSONAL APPEARANCE. While providing services under this contract, the contract HCP shall be neat and clean, well groomed, appropriately attired, and wearing MEDDAC and contractor-furnished badges identifying him/her as a contract HCP.

1.13.2 The contract HCP shall not wear clothing made of “see-through” material, “cutoffs”, tank tops, or clothing that displays slogans or offensive pictures; nor shall the contract HCP wear athletic or athletic-styled clothing, e.g., jogging suits and sweat suits while providing services at BMACH. In all cases, clothing shall be neat, i.e., free from visible dirt and stains, and shall fit so as to provide a professional appearance in keeping with accepted standards of dress for the work performed.

1.13.3 The contract HCP shall be rested and physically and mentally capable of performing the duties required under this contract. The contract HCP shall not have worked anywhere else for at least eight (8) hours prior to starting a shift at BMACH with the exception of an on-call status for BMACH.

1.13.4 Shoes shall cover the foot to meet sanitation and safety requirements. Open-toe shoes or sandals shall not be worn.

1.13.5 The contract HCP Health and Immunization requirements. All contract providers/technicians performing health care services under this contract shall comply with the Health and Immunization requirements identified below at the time of initial request for clinical privileges and annually thereafter (see Attachment C for Sample Immunization form).

1.14 GOVERNMENT OBSERVATIONS. The contract HCP shall allow access by authorized Government officials to Government-owned facilities utilized by the contract HCP for observation or inspection by any authorized official/employee (i.e. command, safety, security inspections, etc.).

1.15 INTERFACE WITH GOVERNMENT OPERATIONS. Performance of work by contract HCP under the terms of this contract shall not interfere with regularly scheduled Government operational activities.

1.16 WASTE, FRAUD, and ABUSE. In all instances where Government property and/or equipment is damaged, the contract HCP will immediately report the damage. A full written report of the facts and the extent of such damage shall be submitted to the COR within 24 hours of the occurrence. The Government will conduct an investigation. If the damage was due to neglect or misuse by the contract HCP, a statement of charges will be assessed.

1.17 CONSERVATION OF UTILITIES. Contract HCP shall operate under conditions that preclude waste of Government-furnished utilities.

1.18 FIRE PROTECTION: The contract HCP shall comply with MEDDAC Regulation 385-10 and the Life Safety Code, NFPA 101, for fire protection and fire prevention.

1.19 ACCIDENT REPORTING. In the event of an unusual risk situation or injury, BMACH will administer emergency care to the contract HCP and will provide a report of the findings to the contract HCP. The contractor shall reimburse BMACH, at the current reimbursement rate established by the Department of the Army (DA) for any medical care provided for the contract HCP by the Government and provide follow-up care for the contract

HCP.

1.19.1 If an adverse event should occur, the contract HCP shall ensure that the Patient Safety Event is completed and forwarded to the COR and the Department Officer in Charge (OIC) within 24 hours of the incident. If a death or life-threatening injury should occur, the contract HCP shall immediately notify the Risk Manager, COR, Deputy Commander for Clinical Services (DCCS), and the MTF Commander.

1.19.2 The contract HCP performing direct healthcare service under this contract that experiences a parenteral (e.g., needle stick or cut) or mucous membrane exposure (e.g., splash to the eye or mouth) to blood or bloody body fluids shall receive prompt treatment.

1.19.3 The MTF will evaluate the source of exposure for risk of Hepatitis B, Hepatitis C, and Human Immunodeficiency Virus (HIV) and will provide a report of the findings to the contract HCP and the contractor.

1.19.4 It shall be the contractor’s responsibility to provide the contract HCP with appropriate treatment as needed to possibly include Tetanus-Diphtheria booster, Immune Globulin. The contractor shall be responsible for providing the contract HCP with initial testing and, if the source of exposure was unknown, positive, or considered at high risk for HIV infection, follow-up testing three (3), six (6), and twelve (12) months after exposure. In the event of a confirmed or highly suspected parenteral exposure to HIV, the contractor shall ensure that the contract HCP receives appropriate counseling and referral immediately to a private infectious disease specialist for consideration of an experimental therapy (e.g., AZT). The government may require the contractor to provide evidence of the status of treatment and testing of the contract HCP under the contract. Treatment will be at the contractor’s expense.

1.19.5 In the event of a serious long-term illness or incapacity rendering a participating contract HCP incapable of delivering services or care for patients under this agreement for an extended period of time (more than ten (10) working days), the contractor shall provide a credentialed replacement.

1.20 SAFETY. The contract HCP shall safeguard and maintain all Government property as well as provide for the safety and well-being of personnel employed in the administration of this contract. The contract HCP shall comply with all safety procedures and practices associated with the facility in accordance with BMACH regulations and policy.

1.21 DISCLOSURE OF INFORMATION. Unless otherwise specified, all financial, statistical, personnel, and/or technical data which is furnished, produced, or otherwise available to the contractor during the performance of this contract are considered confidential business information and shall not be used for purposes other than performance of work under this contract. The contractor/contract HCP shall not release any information without prior written consent of the KO. The contractor/contract HCP shall not use patient care rendered pursuant to this contract as part of a study, research project, or publication.

1.21.1 The contract HCP shall manage requests for information IAW established BMACH policies and procedures.

Medical records are confidential and are the property of the U.S. Government. The contract HCP shall not release medical information or medical records without prior coordination with the Patient Administration Division (PAD) or authorized personnel.

1.21.2 The contract HCP shall keep all medical information, computer passwords, and access, confidential and protected from disclosure.

1.21.3. Reserved.

1.22 SMOKING POLICY. The contract HCP shall comply with MTF smoking policies while performing services under this contract. Smoking will be limited to designated smoking areas outside the MTF.

1.23 IN-PROCESSING. The contract HCP shall complete BMACH in-processing within 30 days of the initial start date.

1.23.1 The contract HCP shall produce Government-issued photographic identification when initially reporting for duty under this contract such as a state-issued driver’s license or current passport.

1.23.2 The contract HCP shall attend the BMACH Newcomer’s Orientation either prior to or during the first month of performing services under this contract.

1.24 ORIENTATION AND TRAINING. The contract HCP shall adhere to the BMACH orientation policies and required The Joint Commission (TJC) standard training requirements. Orientation attendance will be required for all contract HCPs and will be scheduled during normal duty hours.

1.24.1 The contract HCP shall attend all required Government-unique training at Government expense for the performance of this contract as identified by this contract and Army and MEDCOM Regulations.

1.24.1.1 Government-unique training includes, but is not limited to, Composite Health Care System (CHCS) training; Armed Forces Longitudinal Technology Application (AHTLA) training; Health Insurance Portability and Accountability Act (HIPAA) training, and all other training required to perform services under this contract where the training is not available on the commercial market. The Government may elect to provide Government-unique training to contract HCPs who are 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 contract HCPs. When directed by the KO, contract HCPs shall attend all such training in a paid status as part of the normal services required and billed under the contract.

1.24.1.2 The contract HCP shall become generally proficient in the use of all BMACH information systems and programs and equipment as part of the routine performance of services after being provided training and within a reasonable timeframe (30 to 45 days) after start of service under this contract.

1.24.1.3 The contract HCP shall also complete all training in APEQS within the timeframe required.

1.24.2 Sexual Harassment Assault Response and Prevention (SHARP)

1.24.2.1. The contractor shall comply with OTSG/MEDCOM Policy Memo 13-062, Policy for Reporting Incidents of Sexual Assault and Sexual Harassment under the Sexual Assault Prevention and Response Program (SHARP), 12 Nov 2013. The SHARP reporting requirements apply only to knowledge obtained by contractor personnel while performing services under this contract.

1.24.2.2 The contractor shall require all Contract Service Providers (CSP) with knowledge of an incident of sexual assault occurring on a Government…