Draft_PWS_BMETS_29 June 2022.pdf

PERFORMANCE WORK STATEMENT

BIOMEDICAL EQUIPMENT REPAIR TECHNICIAN (BMETS), BIOMEDICAL EQUIPMENT REPAIR

TECHNICIAN SYSTEM ADMINISTRATORS (BMET/SAs), AND ADVANCED OFFICE CLERK

SERVICES (AOCs)

BROOKE ARMY MEDICAL CENTER, FORT SAM HOUSTON, TX

29 June 2022

1. General. It is expressly agreed and understood that this contract is a non-personal services contract, as defined in

Federal Acquisition Regulation (FAR) 37.101, under which the professional services rendered by a contract service provider are rendered in their capacity as an independent Contractor or employee of any independent company that may be a party to this contract. The Government may evaluate the quality of professional and administrative services provided, but retains no control over the professional aspects of the services rendered, including but not limited to the contract service provider’s professional medical judgment, diagnosis, or specific medical treatments.

The Contractor shall be solely liable for and expressly agree to indemnify the Government with respect to any liability producing acts or omissions by its employees or agents. This contract does not create an employer-employee relationship between the Government and any corporation, partnership, business association or other party or legal entity with which the individual contract service provider may be associated. Contract personnel providing the services are not subject, either by the contract terms or by the manner of its administration, to the supervision and control usually prevailing in relationship between the Government and its employees.

1.1 Place and Period of Performance: The Contractor shall provide qualified personnel to perform Biomedical

Equipment Repair Technician (BMET), Biomedical Equipment Repair System Administrators (SA), and Advanced

Office Clerk (AOC) services for Brooke Army Medical Center (BAMC) to include other areas of responsibilities at

JBSA, Fort Sam Houston, Texas, as required by this Performance Work Statement (PWS) and in accordance with the terms and conditions of the contract. The Period of Performance (PoP) shall be for a base period of twelve (12) months plus four (4) 12-months option as follows:

Period of Performance Dates

Base Period 01 October 2022 – 30 September 2023

Option Year 1 01 October 2023 – 30 September 2024

Option Year 2 01 October 2024 –30 September 2025

Option Year 3 01 October 2025 –30 September 2026

Option Year 4 01 October 2026 –30 September 2027

1.1.1 The Contractor shall provide at least one qualified BMET with advanced and/or specialized training within each of the following modalities: radiology/imaging, sterilizers/sterilization, dialysis and clinical laboratory, ventilators and respiratory, operating room, endoscopy, and heart-lung bypass and perfusion systems. The BMET and SA Contractor shall provide maintenance and technical support functions for Medical Devices and Equipment

(MDE) and for the users of this MDE. The Contractor shall perform highly skilled work of considerable difficulty on types of MDE requiring initial, continued, or specialized training or experience, to include radiology, clinical laboratory, physiological monitoring equipment and other clinical modalities required in a medical center setting.

Work Environment/Physical Requirements. Work may be sedentary. There may be physical demands. Requirements may include walking, standing, bending, stooping, being in confined areas, sitting or bending. Must be able to carry

25-50 pounds. The BMET and SA Contractor shall be available for on-call duties. The AOC shall be a fully qualified typist with a minimum of 50 WPM. English language, correct grammar, spelling, punctuation, capitalization, and format to prepare and edit written correspondence, reports, and transcribed material. Work

Environment/Physical Requirements. The work can be sedentary. However, there may be some physical demands.

Requirements include walking, standing, sitting or bending. Must be able to carry 25-50 pounds and reach high shelving units with the assistance of stepladders to retrieve and file MDE records and parts.

1.1.2 This contract is a non-personal service contract under which the personnel rendering the services are not subject, either by the contract’s terms or by the manner of its administration, to the supervision and control usually prevailing in relationships between the Government and its employees.

1.1.3 The Contractor shall comply with Defense Health Agency (DHA) and BAMC policies regarding the Sexual

Harassment and Sexual Assault Response and Prevention (SHARP) program. The SHARP reporting requirements apply only to knowledge obtained by the Contractor personnel while performing services under this contract.

1.1.3.1 The Contractor shall require all Contract Service Providers (CSP) with knowledge of an incident of sexual assault occurring on a Government facility, to include a Government leased facility, where the Contractor is providing services under this contract, to report the incident to the Contractor who shall immediately (within 24 hours) report the incident in writing to the Governments Contracting Officer’s Representative (COR). All incidents shall be reported whether they involve the Contractor personnel or Government personnel, or other individuals.

1.1.3.2 The Contractor shall require all CSPs with knowledge of an incident of sexual harassment occurring on a

Government facility, to include a Government leased facility, where the Contractor is providing services under this contract, to report the incident to the Contractor who shall immediately (within 24 hours) report the incident in writing to the Government's COR. All incidents shall be reported whether they involve the Contractor personnel, Government personnel, or other individuals.

1.2 HOURS OF PERFORMANCE

1.2.1 Duty Hours. The Contractor shall ensure that all contract personnel work a full work day (eight working hours) in one of the designated shifts: first shift is 0700-1600 Monday to Friday, second shift is 1300-2200 Monday to

Friday (excludes BMET I), and third shift is 2100-0600 Monday to Saturday (excludes BMET I).

As an entry level position BMET are not authorized to work second or third shifts. Alternate work schedules (second and third shift plus any other contractor request) will be reviewed and approved by the Chief of BES and COR IAW the needs of the contract personnel and by the operational needs and requirements of the Government work site activity to which the contract personnel are assigned. Second and third shifts are subject to night differential pay.

1.2.2 Federal Holidays. The following eleven (11) Government federal holidays are observed:

New Year’s Day

Martin Luther King Jr.’s Birthday

President’s Day

Memorial Day

Juneteenth

Independence Day

Labor Day

Columbus Day

Veteran’s Day

Thanksgiving Day

Christmas Day

1.2.3 Any of the above federal holidays falling on a weekend will be observed on the designated BAMC working day (the Friday prior to the federal holiday or the following Monday). Any holidays that are declared by Presidential

Executive Order shall be observed in the same manner as the federal holidays listed above. Closures due to inclement weather or other instances that are determined to require only mission essential contract personnel.

Mission essential contract personnel shall be designated in writing and are expected to be at work or utilize appropriate Leave requests. All other contract personnel are subject to payment not being rendered during this time.

1.2.4 The Contractor shall ensure that all contract personnel not be scheduled for more than 80 regular hours in a two-week period. Duty hours include a one hour (per 8-hour shift), non-compensable lunch break, along with a fifteen minute (per 4 hours of work), compensable break. Meals may be taken in the hospital dining facility at the published staff rate.

1.2.5 Overtime. The Contractor shall ensure that BMETs (II and III) and SAs may be required to work overtime on an as-needed basis. Overtime occurs after 40 hours of services have been provided by a contract person in a one-week (1) period. Overtime hours of services must be approved by the COR with Contractor concurrence before services are rendered. Overtime is not applicable to the AOC.

1.2.6 On-Call. The Contractor shall ensure that BMETs and SAs are capable of working an on-call shift. On-call shift will be in writing at least 60 days prior to shift start and provided by the COR and Chief, BES. On-call shift will be staffed on a rotating basis, with a shift starting on a Monday for a seven-day (7) period. When on the on-call schedule, contract personnel shall be readily available to respond to calls within one (1) hour and be on-site within a two-hour (2) period (days, evenings, and nights, to include weekends). During times where second and third shift contract personnel are already on-site, the on-call Contractor may notify personnel on-site for assistance.

1.2.7 Callback. The Contractor shall ensure that BMETs and SAs are capable of callback during emergency situations. Callback is primarily tied with the on-call schedule but may be requested of mission essential contract personnel during emergencies. During a callback, contract personnel shall provide phone support and/or be on-site within a two-hour (2) period. When not in an on-call status, contract personnel shall notify the COR and the

Contractor’s representative if they are not available for callback.

1.2.8 On-call and Callback. Contract personnel shall perform an on-call shift for a seven-day (7) period, where contract personnel may receive a callback for emergency repairs and/or deliverables (i.e. MRI goes down or an emergency bed delivery). Contract personnel shall be provided a Government phone during an on-call status. The on-call Contractor shall have Government phone readily available during this time. On-call Contractor may be required to assist at front desk if the Government civilian, military and/or the AOC are unavailable. On-call duty will be established and Contractor notified at least 60 days in advance, with the seven-day (7) period starting on

Monday. Changes to schedule and/or swaps with other Contractors must be approved by the COR, Chief of BES, or

NCOIC at least 30 days in advance, with the exception of emergency appointments, leave, or sick time required. If an emergency appointment, leave, or sick time is identified, on-call Contractor must notify the COR, Chief of BES, or NCOIC immediately to get replacement coverage. On-call Contractor shall continue their duty upon return. On-call Contractor is required to document all calls received using Government provided automated or manual APSR.

Consumption of alcohol is prohibited while on an on-call status. If called, on-call Contractor shall respond within one (1) hour and, if needed, be on site within two (2) hours for callback. On-call Contractor is required to be on site

(callback) for emergency situations (no backup MDE, patient safety, health hazards, mission critical, and life/limb/eyesight emergencies) and MDE overnight delivery (patient beds) and will be compensated a minimum of two (2) hours callback during this time. During times where a second or third shift is already on-site, on-call

Contractor may notify the second or third shift to address the issue and will log findings in the automated or manual

APSR. If on-call Contractor is ever uncertain, clarification shall be sought immediately through the COR, Chief of

BES, or through the NCOIC. Exemption of on-call duty is determined and approved by COR, Chief of BES, and/or the NCOIC BAMC and are coordinated with the Contractor for review and approval. Review of the automated or manual APSR shall be conducted to review callback. Abuse of callback by Contractor may result in termination.

Examples of abuse of callback defined as returning to work when not required, reporting a return to work without doing so, or any type of falsifying callback to earn additional pay.

1.2.9 Leave. The Contractor shall ensure that contract personnel notify the Contractor’s representative daily for accountability. The Contractor notifies the Contractor’s representative and COR within the same business day of approved or denied requests for proper accountability.

2. CONTRACTOR PERSONNEL

2.1 The Contractor shall designate, in writing, at least five (5) working days prior to commencement of services, a representative for contract coordination and implementation. Changes in the representative, at any time after the contract commencement, shall require the Contractor to notify the COR of the new authorized representative five (5) working days prior to said change. This notification shall be in writing and shall state the name of the new contract representative.

2.2 The Contractor’s representative shall meet with the COR on a quarterly basis or when requested by the COR to discuss any problems that the Contractor’s personnel may be experiencing during the performance of this contract.

Problems experienced by the Government with the Contractor’s performance will be discussed and resolved by the

COR, the Contractor’s representative, and the Contractor. Unresolved problems shall be referred to the Contracting

Officer (KO) for resolution.

2.3 The Contractor shall ensure that all contract personnel providing services under this contract shall be able to read, write, and speak English well enough to effectively communicate with all parties.

2.4 The Contractor shall ensure that all contract personnel conduct themselves in a professional manner and possess sufficient initiative, interpersonal relationship skills and social sensitivity such that he/she can relate constructively to a variety of staff from diverse backgrounds.

2.5 The Contractor shall ensure that all contract personnel be required to wear safety shoes (provided by the

Contractor and/or the employee) and dress in attire IAW BAMC Memo 600-50, Wearing of Uniforms, Civilian

Attire, and Hospital Specific Items of Clothing, 8 October 2015.

2.6 The Contractor shall ensure that neither full-time military nor Government Civilian employees shall be used as a contract employee in matters related to this contract. Part-time military (Reservists, National Guard, etc.) and

Government Civilian employees may be used as a contract employee as long as it does not interfere with matters related to this contract.

2.7 The Contractor shall ensure that all contract personnel not be permitted on the installation when his/her presence is considered detrimental to the security of the installation. The Government reserves the right to remove from the job site any contract personnel whose continued employment is inconsistent with the interest of military security or who are found to be otherwise impaired.

2.8 The Contractor shall ensure that all contract personnel conduct themselves in a professional manner as detailed throughout the contract agreement. Contractor employee complaints or reprimands that are not in keeping with

DHA, BAMC and Biomedical Engineering Services (BES) policies, regulations or this contract are subject to corrective or disciplinary action by the Contractor. Complaints or reprimands that are substantiated by either the

Contractor or the Government are subject to a recommendation of employment termination.

2.9 Contractor Fill Rate. The Contractor shall maintain a 95% fill rate throughout the length of the contract.

3. GOVERNMENT FURNISHED ITEMS AND SERVICES:

3.1 GOVERNMENT FURNISHED ITEMS AND SERVICES: The items listed below are available in the MTF and are available during the performance of the contract but, do not meet the definition of GFP/GFE.

3.1.1 Training. The Contractor shall ensure that all contract personnel complete all mandatory DHA and BAMC required annual training no later than 30 days after the expiration date. Contract personnel shall complete all internal

Clinical Engineering (CE) assigned annual training no later than 90 days after assignment, unless a specific due date

(provided in writing) is given by the COR, NCOIC, or Chief of BES.

3.1.2 Training/Travel. The Contractor shall ensure that all contract personnel maintain necessary sustainment training and/or certifications, and are at the expense of the Contractor or contract personnel. The government may elect to provide unique government training to the Contractor who is 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. When directed by the Contracting Officer Representative (COR) in coordination with the

Contracting Officer (KO). Contractor shall attend all such training in a paid status as part of the normal services required and billed under the contract. If determined by the Contracting Officer, such training may require a performance commitment by the Contractor to reimburse the government (by means of a reduction in an invoice) if a Contractor fails to satisfy the performance commitment after the Contractor receives the unique government training. The amount of the reimbursement shall be the prorated cost of the training, calculated based on the total cost of the training and the number of months by which the Contractor fails to complete the performance commitment. The length of the performance commitment shall be 12 months or until the end of all performance under this contract, whichever occurs first.

Advanced, specialty, and manufacturer specific training may be provided, as written in the contract. Contract personnel shall be compensated their normal rate during the training duration up to their 40 hours per week. Contract personnel shall be reimbursed for travel costs and per diem IAW FAR 31.205-46.

3.1.3 Manufacturer Training. Contract personnel shall attend advanced, specialty, and/or manufacturer MDE training, as required upon approval from the Contracting Officer Representative in coordination with the Contracting

Officer. Contract personnel shall develop training within 30 days of return. The training will include topics such as an overview of the MDE, a functional checkout, and preventive maintenance and calibration, so long as it does not violate manufacturer agreements. Contractor personnel shall provide the training (PowerPoint and hands-on demonstration, if possible) to the COR, Chief of BES, or NCOIC for review and distribution.

3.1.4 The Contractor shall ensure that all contract personnel receive SHARP training no later than 60 calendar days after beginning performance under this contract. SHARP training shall be provided IAW DHA policies and is provided by the BAMC SHARP representatives.

3.1.5 The Contractor shall ensure contract personnel maintain DHA and Joint Commission (TJC) refresher, sustainment, and continuous education and training requirements.

3.2 Facilities: The Government will provide all instrumentation and accompanying workspace (computer access, telephones, printers) necessary to complete moderate and/or high complexity laboratory testing in accordance with the PWS.

3.3 Utilities: The Government will provide all necessary utilities needed in order to complete all tasks as outlined in the PWS. The Contractor shall instruct employees in utilities conservation practices. The contractor shall be responsible for operating under conditions that preclude the waste of utilities, which include turning off the water faucets or valves after using the required amount to accomplish cleaning vehicles and equipment.

3.4 Equipment: The Government will provide equipment, monitors/computer access, scanners, fax machines and printers in order for completion of training, moderate and high complexity laboratory testing and resulting.

3.5 Materials: The Government will provide all Personnel Protective Equipment (PPE), Policies and Standing

Operating Procedures.

3.6 Government Vehicle. The Contractor shall ensure contract personnel can provide a valid state license and maintain the minimal level of insurance as required by the State of Texas. Contract personnel shall be able to operate a Government vehicle, such as a car, pickup truck and/or a van. Contract personnel shall perform the

Preventive Maintenance Checks and Services (PMCS), to include monthly dispatch, fuel, wash, and return of

Government vehicles. Contract personnel may be charged for misuse or damage of Government vehicles IAW

DHA, Army, and BAMC policies, as applicable.

3.7 Contract personnel shall safeguard Government property. Contract personnel may be charged for misuse, loss, or damage of Government property IAW DHA, Army, and BAMC policies, as applicable.

4. CONTRACTOR FURNISHED ITEM, RESPONSIBILITIES AND SERVICES

4.1 General: The Contractor shall furnish all supplies, equipment, and services required to perform work under this contract that are not listed under PART 3 of this PWS.

4.2 Secret Facility Clearance: N/A

4.3 Materials: N/A

4.4 Equipment: N/A

4.5 Services: APPLICABLE TO ALL BMET and SA

4.5.1 Unscheduled Services. Contract personnel shall conduct repairs of electronic, pneumatic, electro-mechanical and mechanical MDE to include troubleshooting, identifying source of problem(s) and replacement of defective printed circuit board(s), discrete-component(s) or other parts as appropriate. Contract personnel shall assist the

Government in determining parts and accessories necessary to perform repair functions. Contract personnel shall document the extent and cost of repairs to assist the Government in maintaining maintenance logs. Contract personnel shall compute power and space requirements for installation of MDE and installs units to manufacturer’s specifications. Contract personnel shall prepare and submit MDE reports. Contract personnel shall inspect new

MDE (acceptance) and disposition MDE (technical evaluations). Contract personnel shall document all findings in the Accountable Property System of Record (APSR). Contract personnel shall check, review, and process the individual inbox within the APSR daily. Contract personnel shall repair MDE after parts are received within 72 hours. Contract personnel shall service work orders based on the following priority within the APSR: emergency work orders have a response time of two (2) hours with a completion turnaround time (TAT) of five (5) days, urgent work orders have a response time of 48 hours with a completion TAT of seven (7) days, and routine work orders have a response time of 72 hours with a completion TAT of 30 days. Exceptions are made for external factors, such as supply chain delays. Acceptable error rate is ten percent (10%) or less of work orders reviewed.

4.5.2 Scheduled Preventive Maintenance (SPM). Contract personnel shall conduct monthly SPM of MDE, to include inspections, preventive maintenance, calibrations, and scheduled parts replacements IAW manufacturer’s specifications and literature. Contractor personnel shall complete all high risk MDE by the 15th calendar day. High risk MDE not complete by the 15th calendar day shall have a proper work order status for reporting purposes.

Contractor personnel shall update work order status for all remaining SPM by the 20th calendar day for reporting purposes. Contractor personnel may be required to request parts or manufacturer services up to 90 days in advance for SPM (documents provided by COR, Chief of BES, or NCOIC). Contractor personnel shall affix calibration/verification labels on all MDE upon completion of the SPM. Contractor personnel shall ensure all SPM are completed by the final day of the month. Exceptions are made for external factors, such as supply chain delays, and vendor delays, but work order reviews will be assessed to determine when the SPM was reviewed. Priority of efforts shall be on high risk MDE, ensuring parts and vendor requirements are requested, followed by all remaining

SPM MDE. Acceptable error rate is ten percent (10%) or less of work orders reviewed.

4.5.3 Accountable Property System of Record (APSR) Data Entry and Equipment Records. Contract personnel shall input accurate data entry in the APSR. This includes concise but detailed work order notes, proper service lines with accurate time accountability, maintenance assessments, condition codes, failure reasons, statuses, as well as proper

“work by other” service lines, parts, attachments, utilizing the APSR checklist, and validating the equipment record on all work orders. Contract personnel shall annotate all scheduled parts replacement and last known replacement in work order notes. Contract personnel shall input all expected, read, and tolerance values in the work order notes and/or in the APSR checklist. Contract personnel shall complete work orders within 24 hours of servicing the MDE.

Acceptable error rate is ten percent (10%) or less of work orders reviewed.

4.5.4 Completion and Utilization Rate. Contract personnel shall complete work commensurate with the modalities of

MDE being serviced. Average daily work order completed shall be one (1) thru an indefinite number, dependent on the MDE modality being serviced. For example, time-intensive modalities, such as radiographic, sterilization, and respiratory ventilators may average one to two (1-2) services completed in a day, whereas other MDE such as thermometers or infusion pumps, may average ten (10) or more completed in a day. Because of a minimal time entry of 0.1 per service line, it is possible to surpass eight (8) hours in the APSR in a given day. Contract personnel shall input an “as accurate as possible” time entry in the service lines of the APSR in order to properly account for utilization rate. Excessive time differences by contract personnel shall be reviewed by the APSR average time and the various contract personnel, Government civilians, and military to check for training opportunities. Contract personnel shall maintain a utilization rate of 95%. The Contractor’s representative shall maintain a utilization rate of

75%.

4.5.5 Contract personnel shall communicate with BES and clinical (i.e. physicians, wards, nurses, doctors, technicians, etc.) staff, as necessary, to provide guidance and assistance with services, setup, calibration, operations, checkouts, and applications of MDE. Contract personnel shall respond to MDE hazard alerts, recalls, updates, and incidents. Contract personnel shall make service recommendations based on manufacturer guidance, personal knowledge, and professional judgment to assist with sustainment development and documentation. Contract personnel shall document findings in the APSR.

4.6 AOC (Work Order Clerk, TMDE Clerk, Supply Parts Clerk). AOC shall be required to perform in the duties of the work order clerk, TMDE clerk, and/or the supply parts clerk, as follows;

4.6.1 Work Order Clerk. Contract personnel shall respond to telephonic, face-to-face, and emails for MDE requests.

Contract personnel shall open new work orders for MDE in the APSR, and assign to the team lead. Contract personnel shall accept only sanitized/cleaned MDE into the BES shop prior to opening a work order. Contract personnel shall review equipment record data, as requested. Contract personnel shall update internal documents and reports, as requested. Contract personnel shall maintain internal records, as requested. Contract personnel shall notify Property Custodian (PC) of SPM information, as needed. Contract personnel shall notify PC of MDE work orders completed and ready for pick up. Contract personnel shall maintain a clean and organized front desk. Other duties as assigned. Acceptable error rate is ten percent (10%) or less of work orders reviewed should have accurate data entry for work orders opened.

4.6.2 Test, Measurement, and Diagnostic Equipment Clerk. Contract personnel shall issue and receive tools and

TMDE to the BMET I – BMET III / SA II. Contract personnel shall inspect tools and TMDE before and after issue for damage and accessories. Contract personnel shall review SPM forecast of TMDE that is due for calibration services. Contract personnel shall coordinate for TMDE to be serviced on-site or shipped back to the manufacturer for calibration services and document records in the APSR. Contract personnel may be required to contact PC to coordinate and receive their TMDE for calibration services. Contract personnel shall follow DHA TMDE protocol for monthly SPM. Contract personnel shall maintain a clean and organized TMDE room. Contract personnel shall inventory and maintain records of tools and TMDE. All (100%) TMDE shall be shipped out or pending an on-site calibration service date by the end of the first week of the SPM month.

4.6.3 Supply Parts Clerk. Contract personnel shall ship and receive MDE and parts. Contract personnel shall ship and/or issue MDE and parts in the APSR following this priority: SPM and emergency work orders within 24 hours, urgent work orders within 48 hours, routine work orders within 72 hours. Contract personnel shall maintain a clean and organized supply and shipping room. Contract personnel shall inventory and maintain records of parts and provide records/reports to the COR, Chief of BES, or NCOIC every six (6) months. Contract personnel shall review the parts catalog in the APSR and routinely update the parts records. Contract personnel shall request for critical parts restocking when stock is low. Contract personnel shall process excess and old parts no longer needed for disposition.

5. SPECIFIC TASKS/QUALIFICATIONS

5.1 Contract personnel shall provide a valid state license and maintain the minimal level of insurance as required by the State of Texas for the entire term of service.

5.2 BMET I. The Association for the Advancement of Medical Instrumentation (AAMI) standards for BMETs and levels of qualifications shall be applied to this position. Contract personnel, under general technical oversight, shall repair, calibrate, and maintain all types of basic clinical equipment technologies, devices, instruments, and systems. Contract personnel shall inspect, install, repair, prepare for disposition, and provide SPM of general clinical MDE.

5.2.1 Duties include.

1. Contract personnel shall possess and apply basic knowledge for MDE in one or more of the following modalities: Healthcare Imaging (Radiology), Laboratory, Sterilization, Patient Monitoring, Operating

Room Services, Dental, Pharmacy, Respiratory Services, Scopes, Pulmonary, Anesthesia, Veterinary, and

High-End Electronics.

2. Contract personnel shall evaluate, install, maintain, diagnose, repair, calibrate, and test MDE, including high risk and life support MDE. This shall include complex Food and Drug Administration (FDA) approved MDE to include but not limited to standalone MDE and/or components that contain integrated circuitry (designed along an event and where the patient becomes part of the circuit), microprocessors, pneumatic, electro-mechanical, and mechanical MDE, such as dental MDE, sterilizers, low capacity radiographic (x-ray) MDE, electrical beds, basic laboratory equipment, defibrillators, ventilators, and infusion pumps.

3. Contract personnel shall conduct SPM of MDE which includes visual inspections, calibration, and performance verification. SPM are performed using written test procedures. Interpretation of SPM results to determine whether equipment is safe and operating within manufacturer’s specifications. Contract personnel shall annotate and maintain detailed documentation of inspections, preventative maintenance, and calibrations.

4. Schedule and oversee third party SPM and repairs, as necessary, of MDE.

5. Contract personnel recommends SPM intervals and procedures based on manufacturer’s guidance, command policies, industry standards and operational needs.

6. Contract personnel conducts incoming inspections of new MDE to include receipt, inventory of parts, and accessories, assembly, inspection, calibration, and performance verification, parts replacement, and documents the results of incoming inspections using Government provided forms. Sets up and installs new

MDE systems.

7. Contract personnel provides assistance to other BMETs, BES and clinical staff on safe use, application, testing, and SPM and repair of all types of clinical equipment technologies and systems, as needed.

8. Contract personnel shall be on an on-call status for a period of seven (7) days (placed on the on-call roster after a period of six months after employment); on-call phone maintained during this period and callback required for emergencies and/or deliverables after hours (bed deliveries).

9. Document all work in the APSR.

5.2.2 Education/Experience. Graduate of a military BMET Course or a higher education degree from an accredited college in BMET or Engineering. Minimum of six months experience in the repair and maintenance of MDE (six months of internship shall be considered). Exceptions are authorized by the COR, Chief of Clinical Engineering

(CE), or Chief of BES, BAMC, through a review of a bona fide occupational qualification (BFOQ) and/or through

Regional Health Contracting Office-Central (RHCO-C).

5.2.3 Knowledge, Skills, and Abilities (KSA).

1. Knowledge and ability to apply electronic circuitry and technical aspects of the operation, repair and maintenance of electronic MDE. Repair electronic, pneumatic, electro-mechanical and mechanical MDE to include troubleshooting, identifying source of problem(s), replacement of defective printed circuit board(s), discrete component(s), or other parts as appropriate.

2. Knowledge of how external forces (e.g., other devices with which it may be interconnected, geographical and climatic conditions, interference from other electronic equipment) may affect the adequate functioning of electronic devices.

3. Knowledge and skill in using standard Microsoft operating systems, Microsoft Office suite of products for

Office Automation, and administrative and clinical software products currently in use at BAMC.

4. Knowledge of current regulatory requirements.

5. Knowledge of basic anatomy, physiology, and medical terminology.

6. Knowledge of color code conventions used in component and wiring marking.

7. Ability to analyze, repair, and test electronic and electromechanical MDE.

8. Ability to perform preventive maintenance inspections.

9. Ability to run diagnostic programs.

10. Ability to maintain accurate records of repairs, calibration, and tests.

11. Understand and comply with TJC and other applicable standards and regulations.

12. Ability to lift up to 50 pounds of MDE and TMDE; to push/pull equipment carts; to kneel, stand, bend, and reach during MDE repair and SPM.

13. Skill in testing electronic equipment.

14. Skill in manual dexterity, hand-to-eye coordination, and color vision.

15. Skilled in effective communications, verbally and in writing, accurately and completely document MDE

SPM and unscheduled services.

16. Able to communicate with clinical staff and provide assistance in service training.

5.3 BMET II. The AAMI standards for BMETs and levels of qualifications shall be applied to this position.

Contract personnel shall independently repair, calibrate, and maintain all types of clinical equipment technologies, devices, instruments, and systems of moderate complexity. Contract personnel shall inspect, install, repair, prepare for disposition, and provide SPM of MDE.

5.3.1 Duties include all items listed under BMET I, to additionally include.

1. Contract personnel shall apply basic and advanced knowledge in two (2) or more of the following modalities: Healthcare Imaging (Radiology), Laboratory, Sterilization, Patient Monitoring, Operating

Room Services, Dental, Pharmacy, Respiratory Services, Scopes, Pulmonary, Anesthesia, Veterinary, and

High-End Electronics.

2. Contract personnel shall compute power and space requirements for installation of MDE and installs MDE to manufacturer’s specifications.

3. Contract personnel provides mentoring, guidance, and assistance to BMET I on safe use, application, testing, and SPM and repair of all types of clinical equipment technologies and systems.

5.3.2 Education/Experience. Same as BMET I, with a minimum level of experience of four (4) years.

5.3.3 KSAs include all items listed under BMET I, to additionally include.

1. Considerable knowledge and ability to apply electronic circuitry and technical aspects of the operation, repair and maintenance of electronic equipment. Repair electronic, pneumatic, electro-mechanical and mechanical medical to include troubleshooting, identifying source of problem(s), replacement of defective printed circuit board(s), discrete component(s), or other parts as appropriate.

2. Has a knowledge of solid state, digital and integrated circuits (microprocessors) to isolate and resolve the complex relationship between electrical, electronic, computer operating systems, mechanical, physical and chemical components of the equipment and system and changes in circuitry when the patient and respective

Environment of Care (EOC) become part of the system is required.

3. Develop knowledge and gain experience related to each EOC concerning how external forces (e.g., other devices with which it may be interconnected, geographical and climatic conditions, interference from other electronic equipment) may affect the adequate functioning of electronic devices and what methods may have been used successfully in similar circumstances.

4. Has an in-depth understanding and ability to diagnose problems with the quality of images and signals as required by medical professionals based on the equipment, network, and medical procedure being performed. Understands the physiological parameters associated with a patient when diagnosing and troubleshooting MDE, and deals effectively with patients.

5. Considerable knowledge of analysis techniques to be able to devise recovery plans for system failure situations

6. Considerable knowledge and skill in using standard Microsoft operating systems, Microsoft Office suite of products for Office Automation, and administrative and clinical software products currently in use at

BAMC.

7. Considerable knowledge of current regulatory requirements.

8. Substantial knowledge of basic anatomy, physiology, and medical terminology.

9. Ability to interpret schematics, wiring diagrams, and illustrated parts drawings of biomedical instrumentation.

10. Able to document investigation of equipment hazard alerts, recalls, updates, and incidents.

5.4 BMET III. The AAMI standards for BMETs and levels of qualifications shall be applied to this position.

Contract personnel shall provide expert-level experience in the repair, calibrate, and maintenance of all types of clinical equipment technologies, devices, instruments, and complex systems. Contract personnel shall inspect, install, repair, prepare for disposition, and provide SPM of MDE.

5.4.1 Duties include all items listed under BMET II, to additionally include.

1. Serves as the Subject Matter Expert (SME) for MDE in three (3) or more of the following modalities:

Healthcare Imaging (Radiology), Laboratory, Sterilization, Patient Monitoring, Operating Room Services, Dental, Pharmacy, Respiratory Services, Scopes, Pulmonary, Anesthesia, Veterinary, and High-End

Electronics.

2. Assign routine SPM, repairs, inspections, dispositions, and installations to subordinates and observe their performance.

3. Provides supervision, mentoring, guidance, and assistance to other BMETs, BES and clinical staff on safe use, application, testing, and SPM and repair of all types of clinical equipment technologies and systems.

4. Provide operational leadership to personnel and possibly serve as temporary site manager in the absence of the director/manager/supervisor.

5. Recommend new equipment and testing procedures.

6. Collaborate with Information Systems to ensure HIPAA compliance and connectivity of MDE.

5.4.2 Education/Experience. Same as BMET II, with a minimum level of experience of eight (8) years.

5.4.3 KSAs include all items listed under BMET II, to additionally include.

1. Extensive knowledge and ability to apply electronic circuitry and technical aspects of the operation, repair and maintenance of electronic equipment. Repair electronic, pneumatic, electro-mechanical and mechanical medical to include troubleshooting, identifying source of problem(s), replacement of defective printed circuit board(s), discrete component(s), or other parts as appropriate.

2. Applies knowledge of information theory, computer science, and systems analysis to integrated operational systems for specific and complex MDE and systems; such as the Cardio/Patient Monitoring Systems, Imaging Systems and DINPACS.

3. Knowledge of systems interface and local area network issues are significant and not defined/discussed in manufacturer literature.

4. Basic knowledge of networking theory.

5.5. BMET II/SA I. The AAMI standards for BMETs and levels of qualifications shall be applied to this position.

Contract personnel shall independently repair, calibrate, and maintain all types of clinical equipment technologies, devices, instruments, and systems of moderate complexity. Contract personnel shall inspect, install, repair, prepare for disposition, and provide SPM of MDE. Perform DoD cyber security. This position requires a skillset of an entry-level SA. Entry-level experience in configuring, monitoring, upgrading and maintaining information systems hardware, software and related infrastructure. Able to develop and maintain less complex systems, applications, security, and network configurations. Troubleshoots basic network performance and creates and maintains a disaster recovery plan. Recommends software and hardware upgrades, patches, and new applications on MDE and related information systems. Provides MDE and information technology technical support and guidance to users. Builds and manages system development lifecycle (i.e. Certificate of Networthiness, Risk Management Framework [RMF]) for

MDE that require network certification and/or accreditation. Has knowledge of commonly used MDE and information technology concepts, practices, and procedures within the medical field.

5.5.1 Duties include all items listed under BMET II, to additionally include.

1. Possesses and applies basic and advanced knowledge for MDE and IT in two (2) or more of the following modalities: Healthcare Imaging (Radiology), Laboratory, Sterilization, Patient Monitoring, Operating

Room Services, Dental, Pharmacy, Respiratory Services, Scopes, Pulmonary, Anesthesia, Veterinary, and

High-End Electronics, Information Technology (IT), Networks, RMF, RFID, ATO, Servers, and Systems.

2. Contract personnel shall evaluate, install, maintain, diagnose, repair, calibrate, and test MDE, including high risk and life support MDE. This shall include complex Food and Drug Administration (FDA) approved MDE to include but not limited to integrated/networked systems and related electronics and automation/networking that requires integrating this equipment; examples include magnetic resonance imaging (MRI), computed tomography scanners, radiographic-fluoroscopic x-ray systems, ultrasound scanners, surgical and dermatological lasers, physiological monitoring systems, proprietary local area networks, input and output computers, computed radiography (digital imagery), telemaintenance, teleradiography, and telemedicine. Contract personnel shall ensure adequacy of all equipment networking and/or LAN integration for assigned functional area to include compatibility with existing utilities and existing equipment/components, determining what modifications to utilities are necessary to ensure the equipment operates as the user intends, and overseeing selection of network hardware. Contract personnel shall ensure that cabling such as fiber optics, cat 5, ethernets, etc., and hardware such as switches, hubs and converters are in place and are functioning and capable of interfacing with said hardware (modalities).

3. Assists in ensuring IA compliance for all Logistics systems. Serves as assistant SA for other IM/IT systems for agreements between sections within Logistics.

4. Conducts cybersecurity analysis to address and make recommendations of network vulnerabilities, inspections and testing.

5. Collaborate with Information Management Division (IMD) to ensure HIPAA compliance and connectivity of MDE.

5.5.2 Education/Experience.

1. Same as BMET II, with additional coursework in IT and a minimum level of experience of four (4) years in the repair and maintenance of MDE and IT systems.

2. Must be able to obtain and maintain a SECRET security clearance.

3. Must have DoD Information Assurance Technician (IAT) Level II Certification (DoDI 8570 is going to be

DoDI 8140).

5.5.3 KSAs include all items listed under BMET II, to additionally include.

1. Has an in-depth understanding and ability to diagnose problems with the quality of images and signals as required by medical professionals based on the equipment, network, and medical procedure being performed. Understands the physiological parameters associated with a patient when diagnosing and troubleshooting MDE (servers/work stations), and deals effectively with patients.

2. Applies knowledge of information theory, computer science, and systems analysis to integrated operational systems for specific and complex MDE and systems; such as the Cardio/Patient Monitoring Systems, Imaging systems and DINPACS.

3. Knowledge of systems interface and LAN issues, especially for issues that may not be clearly defined/discussed in manufacturer literature.

4. Considerable knowledge of the application and repair of computers and servers and how they interface with

MDE.

5. Considerable knowledge of IT standards and IMD conventions as they relate to design approaches, coordination requirements, and documentation.

6. Considerable knowledge of established IT systems security techniques and procedures to ensure that requirements related to physical, personnel, emanations, and information security is accomplished.

7. Considerable knowledge of IA performance management/measurement methods, tools, techniques, system security testing, and evaluation principles in order to participate in IA audits and HIPAA security assessments tools.

8. Considerable knowledge of analysis techniques to be able to devise recovery plans for system failure situations

5.6. BMET III/SA II. The AAMI standards for BMETs and levels of qualifications shall be applied to this position.

Contract personnel shall provide expert-level experience in the repair, calibrate, and maintenance of all types of clinical equipment technologies, devices, instruments, and complex systems. Contract personnel shall inspect, install, repair, prepare for disposition, and provide SPM of MDE. Perform DoD cyber security. This position requires a skillset of a mid-level SA. Capable of ensuring systems are engineered, configured and optimized for maximum functionality and availability. Lead hardware/software installations; oversee server upgrade/expansion project, terminal services and network performance; and integrated new technologies into existing data-center environments. Troubleshoots complex network performance and creates and maintains a disaster recovery plan.

Recommends software and hardware upgrades, patches, and new applications on MDE and related information systems. Provides MDE and IT technical support and guidance to users. Builds and manages system development lifecycle (i.e. Certificate of Networthiness, RMF) for MDE that require network certification and/or accreditation.

Has knowledge of commonly used MDE and IT concepts, practices, and procedures within the medical field. Relies on experience and judgment to plan and accomplish goals.

5.6.1 Duties include all items listed under BMET II/SA I, to additionally include.

1. Serves as the SME for MDE and IT in three (3) or more of the following modalities: Healthcare Imaging

(Radiology), Laboratory, Sterilization, Patient Monitoring, Operating Room Services, Dental, Pharmacy, Respiratory Services, Scopes, Pulmonary, Anesthesia, Veterinary, and High-End Electronics, Information

Technology (IT), Networks, RMF, RFID, ATO, Servers, and Systems.

2. Assign routine SPM, repairs, inspections, dispositions, and installations to subordinates and observe their performance.

3. Provides supervision, mentoring, guidance, and assistance to other BMETs, BES and clinical staff on safe use, application, testing, and SPM and repair of all types of clinical equipment technologies and systems.

4. Provide operational leadership to personnel and possibly serve as temporary site manager in the absence of the director/manager/supervisor.

5. Recommend new equipment and testing procedures.

6. Address cybersecurity vulnerabilities, analysis, inspection, and testing.

5.6.2 Education/Experience.

1. Same as BMET II/SA I, with additional coursework in IT and a minimum level of experience of eight (8) years in the repair and maintenance of MDE and IT systems.

2. Must be able to obtain and maintain a SECRET security clearance.

3. Must have DoD IAT Level II certification (DoDI 8570 is going to be DoDI 8140).

5.6.3 KSAs include all items listed under BMET II/SA I, to additionally include.

1. Extensive knowledge and ability to apply electronic circuitry and technical aspects of the operation, repair and maintenance of electronic equipment. Repair electronic, pneumatic, electro-mechanical and mechanical medical to include troubleshooting, identifying source of problem(s), replacement of defective printed circuit board(s), discrete component(s), or other parts as appropriate.

2. Extensive knowledge of systems interface and local area network issues are significant and not defined/discussed in manufacturer literature.

3. Extensive knowledge of the application and repair of computers and servers and how they interface with medical equipment.

4. Extensive knowledge of IT standards and IMD conventions as they relate to design approaches, coordination requirements, and documentation.

5. Extensive knowledge of established IT systems security techniques and procedures to ensure that requirements related to physical, personnel, emanations, and…