DRAFT - Performance Work Statement - Medical Services.docx

PERFORMANCE WORK STATEMENT

I. 1. INTRODUCTION:

The USDA Forest Service Job Corps Civilian Conservation Centers (JCCCC) provide academic, vocational, and life-learning skills to at risk youth and young adults at 24 Job Corps Centers across the United States (U.S.). As part of this program, youth and young adults at the Centers are provided healthcare services as follows: medical, dental, mental health, and drug & alcohol intervention. Each Forest Service JCCCC has a need for basic health services provided by licensed medical professionals that includes examinations and assessments, treatment, issuance of prescriptions and immunizations, monitoring health conditions, recommending hospitalization, follow-up care, and prevention planning and intervention.

III. 2. BACKGROUND:

Job Corps is a U.S. Department of Labor (DOL), Employment and Training Administration (ETA) program. Job Corps is designed to assist young people who need and can benefit from the wide-range of services provided at a Job Corps center. Services include the following: basic education, High School Diploma (HSD) program; General Educational Development (GED); vocational skills training; residential living program; healthcare; and related support services. The comprehensive combination of training and support services is designed to help each student become a responsible and productive citizen. Student populations range from 100 to over 300 enrollments depending on the Center’s On Board Strength (OBS). Job Corps is a self-paced program: therefore, a student’s length of enrollment varies. Students may remain in the program for up to two years, but the average length of enrollment is approximately eight months.

III. 3. CONTRACT EFFORT REQUIRED:

A. The Physician and/or Nurse Practitioner/Physician Assistant shall provide ON-SITE Medical services for all students on Center, in accordance with applicable Federal laws/regulations, OSHA and HIPAA requirements, state and local laws, and guidelines of the American Medical Association.

B. Medical services must also include analysis and use of the most efficient and cost-effective practice of contemporary, evidence-based health care possible given available time, resources, and personnel. These services will involve coordinating and integrating the Medical services program with other health and wellness components/activities on Center and providing Medical services to enrollees and established students on Center

C. The general emphasis of Medical services must be on the early identification and diagnosis of medical problems, basic medical care, and medical promotion, prevention, and education as outlined in the Policy and Requirements Handbook (PRH) Exhibit 6-10, R1 and included in the required immunization, screenings, and laboratory test list in Table 1.

D. Contractor personnel shall:

· possess the ability to work both independently and as a member of a healthcare team to provide optimal services to a population of financially disadvantaged youth, ranging from 16 to 24 years in age;

· provide supervision to Nurse Practitioner and/or Physician Assistant, if applicable, to comply with regulations in state where Center is located;

· promptly review applicant files and conduct an initial medical examination (intake); and a medical treatment plan, as applicable;

· record all medical documentation, such as, diagnosis, treatment and management plans, medication, reason of denial into the program (if recommended) etc. on the Student Health Record (SHR) and Job Corps Health and Wellness Program forms;

· during regular scheduled hours treat minor conditions (i.e. respiratory infections, cold and flu symptoms), episodic illness, provide first aid and CPR, and other care within capabilities that do not require emergency care or specialized treatment;

· provide management, written diagnoses, and treatment plans as part of a chronic care management plan for students with chronic conditions/disabilities;

· provide treatment of acute conditions and promotion and maintenance of a family planning program;

· collaborate with Substance Abuse Counselor, and Center Mental Health Counselor to prescribe Schedule II medications and discuss long-term medication management, as needed;

· participate in Reasonable Accommodation Committee (RAC) meetings & file applicant review team meetings during regular scheduled hours, when requested;

· ensure medical equipment is properly cleaned and maintained;

· comply with federal, state, and Job Corps infection control policies and procedures;

· assist students to acquire health-related skills and knowledge of healthy medical care;

· on a monthly basis, report to the Center Director and HWM on all health- related matters; including student medical separations, justification and costs of needed special services, health and non-healthcare equipment repair and replacement needs, depletion of medical supplies and medications, and other areas deemed appropriate;

· Establish an appropriate specialty medical referral system for students who require special, or emergent, medical care;

· attend monthly conference calls, webinars, and DOL Training, as available during regular scheduled hours of service;

· maintain, safeguard, and ensure the confidentiality of all required student health records in accordance with the Health Insurance Portability and Accountability Act (HIPAA);

· participate in health and wellness program continuous quality improvement activities and advise and assist the health education instructor in the development and implementation of the Medical Health Education Program;

· provide Medical services in a positive and productive manner to facilitate student willingness to pursue recommended dental treatment plan;

· not to engage in any research projects and/or publications relating to Job Corps health activities without prior written approval from the Job Corps National Office in Golden, CO;

· report adverse student behavior incidents to the HWM or Contracting Officer’s (CO) Representative (COR) in a timely manner; and

· cooperate and comply with Job Corps assessment team’s audits to verify quality of services and adherence to the PRH requirements.

E. The following table includes the PRH required entrance immunizations, laboratory tests, and screenings.

Table 1

skin test

Urinalysis (dipstick) for Glucose/Protein

Drug Screen (urine)

(Males Only)

Urinalysis (dipstick) for Leukocyte Esterase (gonorrhea screen)

Chlamydia Testing (urine)

Gonorrhea Testing if Leukocyte Esterase Screen is Positive (urine)

(Females Only)

Pregnancy Test (urine)

Pap Smear

Chlamydia Testing (endocervical or urine)

Gonorrhea Testing (endocervical or urine)

III. 4. SCHEDULE AND AVAILABILITY:

A. Medical services are required on a weekly basis, during days of the week and hours of the day established in coordination with Center personnel. The days and times of services shall be upon mutual agreement between the Contractor and center personnel and must be considered reasonable. A reasonable schedule would be considered providing services one (1) or two (2) days a week, M-F, 8am – 5pm.

B. Center OBS and the PRH may change at any time; consequently, the quantity of required Medical services hours may vary, depending on the needs of the student population. However, any changes to the required hours will be executed via a bilateral modification to the contract

C. Key Personnel must provide a current contact number to the Center HWM or COR. When Key Personnel are unavailable for an extended period of time, as determined by the Contracting Officer, the Contractor will provide an acceptable substitute to provide services.

III. 5. QUALIFICATIONS OF CONTRACTOR PERSONNEL:

A. Contractor personnel shall:

· have an active, unrestricted license to practice independently in the state where services will be provided;

· maintain licensing requirements/certification/accreditation and required insurance coverage during the entire performance period with proof being submitted to the CO upon request;

· agree to a criminal background check, and drug testing, as a prerequisite for contract performance, if determined necessary by the CO.

· Information obtained through the background check may be used in determining contractor’s qualification for this contract. Information regarding a person’s race, national origin, color, sex, religion, disability, genetic information (including family medical history), or age will not be evaluated or have any impact on the determination of qualifications for this contract.

· Government may terminate the contract if the background check is determined to be unacceptable or if any aspect would jeopardize the health and safety of the students.

III. 6. MATERIALS AND EQUIPMENT:

A. The Government shall furnish the following:

Adequate workspace, equipment, supplies, and materials as needed to accomplish the work requirements outlined herein, including examination rooms and furniture, assessment equipment, telephone, computer, a fax machine, prophylaxis supplies, gloves, masks, and similar items. Prescription and over-the-counter medications will be disbursed at the Center. These supplies and property shall be utilized during the performance of this contract only while providing student care.

B. The Contractor shall furnish the following:

All labor, services, permits, licenses, transportation of Contractor personnel (as necessary), and incidentals (other than those provided by the federal Government) as needed to fulfill the work requirements herein.

C. Security:

The space, equipment, and supplies used by contractor personnel MUST be secured at all times, per Center requirements. The Contractor shall review and be familiar with Center security procedures.

III. 7. THE ROLE OF GOVERNMENT PERSONNEL AND RESPONSIBILITY FOR CONTRACT

ADMINISTRATION:

A. Contracting Officer: The CO has the overall responsibility for the administration of this contract. The CO alone, without delegation is authorized to:

· amend, modify, or deviate from the contract;

· request removal of unsuitable Contractor personnel;

· order re-performance of unacceptable work or performance by other means.

· delegate other responsibilities to authorized representatives.

B. Contracting Officer’s Representative: A COR may be designated in writing at the time of award to assist the CO in the day-to-day on-site administrative of the contract requirements. The COR is responsible for, but not limited to, the following:

· determine the compliance and adequacy of performance by the Contractor;

· ensure adequacy of schedule and Quality Assurance Surveillance Plan (QASP), as well as coordination of changes to the schedule and QAP if necessary.

III. 8. GOVERNING REGULATIONS, HANDBOOKS AND REFERENCES:

A. The Contractor shall provide Health and Wellness (H&W) services in accordance to the following documents; which are available upon request. Changes to these documents does not change the terms of the contract without a bilateral modification

· Job Corps Federal Regulations (Title 20 Code of Federal Regulations, Part 638.510) Part 684 as amended, Job Corps Program under Title TV-B of the Job Training Partnership Act

· Applicable Technical Assistance Guides (TAG s)

· Job Corps Physician Desk Reference

· ET Handbook 330

· Job Corps Health & Wellness information and Department of Labor PRH: https://eprh.jobcorps.gov/Pages/Home.aspx

III. 9. INVOICE PROCEEDURES:

· Invoices shall be submitted on a monthly basis between the first and fifteenth of the following month;

· Invoices shall include only those services rendered during the billing period;

· Invoices shall be billed at the rates, and in accordance with the Contract Line Item Numbers (CLIN), as listed in the Schedule of Items;

· Invoices shall be submitted through the INVOICING PROCESSING PLATFORM (IPP) which can be accessed at: http://www.ipp.gov/index.htm

· IPP Customer Support – 1 (866) 973 – 3131

III. 10. CONTRACTORS PERFORMANCE ASSESSMENT REPORTING SYSTEM (CPARS)

A. In accordance with FAR 42.1502 – Past performance evaluation shall be prepared at least annually and at the time the work under a contract or order is completed for each contract and/or order that exceeds the simplified acquisition threshold (SAT). This includes any contract and/or order that is below the SAT and is modified, which results in the contract exceeding the SAT.

(a) FAR 42.1502 directs all Federal agencies to collect past performance information on contracts. The Department of Agriculture (USDA) has implemented the Contractor Performance Assessment Reporting System (CPARS) to comply with this regulation. One or more past performance evaluations will be conducted in order to record your contract performance as required by FAR 42.15.

(b) The past performance evaluation process is a totally paperless process using CPARS. CPARS is a web-based system that allows for electronic processing of the performance evaluation report. Once the report is processed, it is available in the Past Performance Information Retrieval System (PPIRS) for Government use in evaluating past performance as part of a source selection action.

(c) We request that you furnish the CO with the name, position title, phone number, and email address for each person designated to have access to your firm’s past performance evaluation(s) for the contract no later than 30 days after award. Each person granted access will have the ability to provide comments in the Contractor portion of the report and state whether or not the Contractor agrees with the evaluation, before returning the report to the Assessing Official. The report information must be protected as source selection sensitive information not releasable to the public.

(d) When your Contractor Representative(s) (Past Performance Points of Contact) are registered in CPARS, they will receive an automatically generated email with detailed login instructions. Further details, systems requirements, and training information for CPARS is available at http://www.cpars.csd.disa.mil/. The CPARS User Manual, registration for Online Training for Contractor Representatives, and a practice application may be found at this site.

(e) Within 60 days after the end of a performance period, the CO will complete an interim or final past performance evaluation, and the report will be accessible at http://www.cpars.csd.disa.mil/. Contractor Representatives may then provide comments in response to the evaluation or return the evaluation without comment. Comments are limited to the space provided in Block 22. Your comments should focus on objective facts in the Assessing Official’s narrative and should provide your views on the causes and ramifications of the assessed performance. In addition to the ratings and supporting narratives, blocks 1 – 17 should be reviewed for accuracy, as these include key fields that will be used by the Government to identify your firm in future source selection actions. If you elect not to provide comments, please acknowledge receipt of the evaluation by indicating “No comment” in Block 22, and then signing and dating Block 23 of the form. Without a statement in Block 22, you will be unable to sign and submit the evaluation back to the Government. If you do not sign and submit the CPAR within 60 days, it will automatically be returned to the Government and will be annotated: “The report was delivered/received by the contractor on (date). The contractor neither signed nor offered comment in response to this assessment.” Your response is due within 60 calendar days after receipt of the CPAR.

(f) The following guidelines apply concerning your use of the past performance evaluation:

(1) Protect the evaluation as “source selection information.” After review, transmit the evaluation by completing and submitting the form through CPARS. If for some reason you are unable to view and/or submit the form through CPARS, contact the CO for instructions.

(2) Strictly control access to the evaluation within your organization.

Ensure the evaluation is never released to persons or entities outside of your control.

(3) Prohibit the use of or reference to evaluation data for advertising, promotional material, pre-award surveys, responsibility determinations, production readiness reviews, or other similar purposes.

(g) If you wish to discuss a past performance evaluation, you should request a meeting in writing to the CO no later than seven days following your receipt of the evaluation. The meeting will be held in person or via telephone or other means during your 60-day review period.

(h) A copy of the completed past performance evaluation will be available in CPARS for your viewing and for Government use supporting source selection actions after it has been finalized.

B. Contractors must register at the following websites:

CPARS: http://www.cpars.csd.disa.mil/ and PPIRS: http://www.ppirs.gov/

III. 11. QUALITY ASSURANCE SURVEILLANCE MATRIX:

A. In accordance with FAR 37.401, the Government will evaluate the quality of professional and administrative services provided, but retains no control over the medical, professional aspects of services rendered (e.g. professional judgments, diagnosis for specific medical treatment, etc.)

B. The Contractor will receive performance evaluations in accordance with the Quality Assurance Surveillance Plan for this requirement, which shall be provided to the Contractor by the CO. Performance evaluations will include assessment of the following:

HWM and COR, and review of documentation

C. This requirement is being procured as a Performance-Based Service Acquisition. Accordingly, the Contractor will receive performance evaluations at least annually. Performance evaluations will address, but are not limited to, analysis of the Quality/Performance Standards identified above.

D. Failure to perform to the standards identified in the Quality Assurance Surveillance Matrix will result in a negative impact to the Contractor’s performance evaluations. In addition, the use of the Quality Assurance Surveillance Matrix to evaluate Contractor performance in no way limits the Government’s rights and remedies established under contract regarding the CO’s discretion to pursue termination by convenience or default, to exercise (or not) contract options, to accept or reject services provided, etc.