Draft PWS Data Analyst.pdf

Draft

PERFORMANCE WORK STATEMENT

Data Analyst I

AT MADIGAN ARMY MEDICAL CENTER, WA

TABLE OF CONTENTS

SECTION TITLE

1.0 INTRODUCTION

2.0 BACKGROUND

3.0 SCOPE OF WORK

4.0 PERFORMANCE REQUIREMENTS SUMMARY

5.0 POSITION DESCRIPTIONS

6.0 APPLICABLE TECHNICAL ORDERS, SPECS, REGULATIONS, AND MANUALS

7.0 ACRONYMS AND DEFINITIONS

1.0. INTRODUCTION.

1.1. The contractor shall provide the non-personal services of Data Analyst I in the Department of Clinical Investigation at Madigan Army Medical Center which shall contribute to a stable workforce tasked with providing quality health care services to a diverse beneficiary population.

1.2. All services shall be provided in accordance with established standards, principles and ethics of the profession and applicable professional specialty organizations, The Joint Commission (JC) standards, applicable Department of Defense (DoD) and Army specific regulations, directives, and policies, and military treatment facility (MTF) specific policies, procedures, and job descriptions.

1.3. RESERVED

1. 4. This contract is a non-personal services 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.

2.0 BACKGROUND.

2.1. The mission of the military healthcare system (MHS) is to ensure the nation has available at all times a healthy military force supported by a combat ready healthcare system. Health care services for eligible MHS beneficiaries are provided at military treatment facilities (MTFs) located on or near military installations or posts. The military treatment facility may be a clinic, Hospital, or Medical Center. Clinics are outpatient facilities offering primary care or simple specialty care (routine exams, tests, treatments). The Clinic may be a stand-alone site or a satellite of a larger Clinic, Hospital, or Medical Center. Army Community Hospitals (ACH) offer more complex, resource-intensive secondary care (e.g. inpatient care, surgery under anesthesia) and primary care at outpatient clinics inside and outside the hospital. Army Medical Centers (MEDCENs) offer tertiary (sophisticated diagnosis/treatment of any ailment), secondary, and primary care, hospital services, preventive services, blood bank, and other services. In addition, all MEDCENs offer graduate medical education programs for physicians.

2.2 The Department of Clinical Investigation at Madigan Army Medical Center provides support to interns, residents, and fellows, as well as other junior investigators, to fulfill research requirements for graduation from an Accreditation Council for Graduate Medical Education accredited institution. The services provided by the Data Analyst directly assists investigators in data aggregation and analysis as well as with statistical analysis pre- and post- project.

3.0 SCOPE OF WORK.

3.1 The Data Analyst I provides statistical, data aggregation, and analytical support to the Department of Clinical Investigation and the greater Madigan Graduate Medical Education (GME) community in support of required scholarly activity for continued accreditation and graduation from the program.

3.2 ADMINISTRATIVE.

3.2.1. Contractor Representative. The Contractor shall designate, in writing, a primary point of contact for contract coordination and implementation not later than five business days after receiving notice of contract award. Changes in the primary point of contact (POC), at any time, shall require the Contractor to notify the Contracting Officer (KO) of the new representative at least five working days prior to the change. This notification shall be in writing and shall state the name and contact information for the new point of contact.

3.2.2. The Contracting Officer’s Representative (COR) will be the KO’s authorized representative in administering the contract at the MTF level. The Contractor’s representative shall be available 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. Unresolved problems will be referred to the KO for resolution. The KO is the only individual authorized to change the terms and conditions of the contract.

3.2.3. Contractor shall not include or use non-compete provisions with respect to the performance of Government medical service contracts in its employment, consultant, or third party contract agreements (hereafter agreements) with its contract personnel which are effective beyond the period of contract performance. Non-compete provisions shall not prevent contract personnel from being interviewed, employed, or accepting offers of employment or making other arrangements with potential competitors for follow-on contracts. Additionally, non-compete provisions shall not prevent contract personnel from accepting offers of employment or making other arrangements with any contractors who provide services to the Government, or from accepting offers of employment with the US Government, following the period of contract performance. Inclusion of such non-compete or similar conditions in agreements with contract personnel will result in an offeror’s proposal being determined unacceptable and may be grounds for termination of any awarded contract or task order. Preventing contract personnel from accepting these offers will hinder the Government’s ability to accomplish the mission of providing medical care to its beneficiaries.

3.2.4. The Contractor and contract personnel shall abide by all MTF standards, rules, and procedures including requirements for any licensure, credentialing and quality assurance requirements. Such regulations include, but are not limited to, general safety, fire prevention, waste disposal, infection control, JC, and patient safety initiatives.

3.2.5. Media and Other Inquiries. The Contractor shall not respond to any media inquiries. Any inquiries from the media, third parties, or public agencies shall be immediately relayed to the COR, who will relay them to the MTF Public Affairs Officer or, after duty hours, to the Administrative Officer of the Day (AOD). There shall be no interviews, comments, or any other response without the knowledge and approval of the MTF Director. Other than routine inquiries from external agencies, all other inquiries and complaints shall be brought to the attention of the

COR.

3.2.6. Emergency health care for contract personnel. The MTF will provide emergency healthcare for injuries or life threatening medical emergencies occurring while on duty at the MTF. The Contractor shall reimburse the Government for such services as billed by the MTF.

3.3. CONFLICT OF INTEREST.

3.3.1. No part of this PWS shall be construed as such where the Contractor or contract personnel shall render health care services to any patients under this contract.

3.3.2. The Contractor or contract personnel shall not, while performing services under this contract, advise, recommend, or suggest to persons eligible to receive medical care at Government expense that such persons should receive care from the Contractor or contract personnel or from any third party at any place other than as designated under this contract.

3.3.3. Confidentiality 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 healthcare services under this contract. The Contractor shall not release any of the above information without prior written consent of the KO. The Contractor/contract personnel shall not use patient care information pursuant to this contract as part of a non-government authorized study, research project, or publication. The contract personnel shall prepare medical records, forms and documents as required, in accordance with the regulations and established guidelines listed in the contract.

3.3.4. The Contractor shall abide by federal employment statutes and the Federal ethics regulations in the selection and hiring of contractor personnel.

3.3.5. The Contractor or contract personnel shall not use Government facilities, supplies, or equipment in private practice or for any purpose other than providing the services required under this contract.

3.4. SECURITY.

3.4.1. Security Identification Badges. The Contractor and contract personnel shall comply with the local installation and MTF personnel identification and access requirements while on site.

3.4.1.1. While on site, contract personnel shall wear a visible security badge identification, provided by the military installation or the MTF, on the front of his/her outer clothing. The badge must show the full name, title and if required by the Military the word “Contractor” in front. The COR will provide the paperwork to request identification badges.

3.4.1.2. The Contractor is responsible for absences of contract personnel due to expired identification and access documents. Such absences shall not relieve the Contractor of its obligation to perform the services required under this contract.

3.4.1.3. The contract personnel shall immediately report any lost or stolen badges to the COR.

3.4.1.4. The contract personnel shall turn in all identification badges to the COR, or his/her designated representative upon termination of their services under this contract.

3.4.2. Vehicle Registration. The MTFs are located on restricted access military installations. The Contractor/contract personnel shall comply with the local installation requirements for vehicle registration and operation on the military installation.

3.4.2.1. All vehicles are subject to search. Contract personnel may encounter long delays for vehicle inspection and identification checks upon entering and exiting the installation. The Government will not reimburse the Contractor for time spent at installation checkpoints. Contract personnel must plan accordingly and report to work at their scheduled duty time, at their appointed place of duty within the MTF.

3.4.3. Keys. The Contractor shall be responsible for any keys issued by the Government to contract personnel for use in the MTF. The keys shall not be duplicated. The Contractor shall be financially responsible for the replacement of any lost keys and any associated locks. Lost keys and/or locks shall be reported to the issuing party, Department Chief, or COR immediately upon recognition of the loss.

3.4.4. Safeguarding Material. The contract personnel shall be responsible for safeguarding all Government property.

The Contractor shall safeguard information of a confidential or sensitive nature. All patient related information is considered confidential and sensitive.

3.5. ORIENTATION AND TRAINING.

3.5.1. MTF in-processing checklist. When commencing work under this contract, the contract personnel shall obtain in-processing checklist(s) from the COR or designated office. All contract personnel are required to complete the applicable items on the checklist and turn it in to the designated office. Upon completion of the duty assignment, the contract personnel need to complete an out-processing checklist and return it to the designated office.

3.5.2. MTF and Unit Orientation. The contract personnel shall be provided with a Government paid orientation to familiarize the contract personnel with the policies and procedures of the MTF, assigned department and specific unit.

3.5.2.1. Orientation shall be completed within 45 days.

3.5.3. Annual training requirements. The Contractor shall ensure that contract personnel complete any mandatory annual training requirements in accordance with MTF procedures.

3.5.4. Government unique training. The Government may elect to provide unique Government training to contract personnel 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 personnel.

When directed by the KO, contract personnel shall attend all such training in a paid status as part of the normal services required and billed under the contract.

3.5.5. Computer Training. Contract personnel who have any interaction with the MTF computer systems must receive training for the applicable system(s). The COR will coordinate the necessary computer training. The training will be on-site and during normal duty hours. This training will be part of the contractor’s representative’s normal duty functions. These systems include but are not limited to:

3.5.5.1. MHS GENESIS is the electronic health record for the Military Health System (MHS), providing enhanced, secure technology to manage health information. MHS GENESIS integrates inpatient and outpatient solutions that will connect medical and dental information across the continuum of care, from point of injury to the military treatment facility.

3.5.6. AT/OPSEC REQUIREMENTS

3.5.6.1. AT Level I training. All contractor employees, including subcontractor employees, requiring access to DHHQ, Direct Reporting Markets (MTFs), Small Markets and Stand Alone (SSO) facilities and controlled access areas, shall complete AT Level I awareness training within 30 calendar days after contract start date or effective date of incorporation of this requirement into the contract, whichever is applicable and annually thereafter. The contractor shall submit certificates of completion for each affected contractor employee and subcontractor employee, to the COR or to the contracting officer, if a COR is not assigned, within 05 calendar days after completion of training by all employees and subcontractor personnel. AT level I awareness training is available at the following website: http://jko.jten.mil.

Access and general protection/security policy and procedures. Contractor and all associated sub-contractors employees shall 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 (FAR clause 52.204-9, Personal Identity Verification of Contractor Personnel) as directed by DOD, DHHQ 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.

http://jko.jten.mil/

For contractors requiring CAC. Before CAC issuance, the contractor employee requires, at a minimum, a favorably adjudicated National Agency Check with Inquiries (NACI) or an equivalent or higher investigation in accordance with DHA-AI 5200.04. The contractor employee will be issued a CAC only if duties involve one of the following: (1) both physical access to a DoD facility and access, via logon, to DoD networks on-site or remotely;

(2) remote access, via logon, to a DoD network using DoD-approved remote access procedures; or (3) physical access to multiple DoD facilities or multiple non-DoD federally controlled facilities on behalf of the DoD on a recurring basis for a period of 6 months or more. At the discretion of the sponsoring activity, an initial CAC may be issued based on a favorable review of the FBI fingerprint check and a successfully scheduled NACI at the Office of Personnel Management.

AT Awareness Training for Contractor Personnel Traveling Overseas. This standard language requires U.S.-based contractor employees and associated subcontractor employees to make available and to receive Government-provided area of responsibility (AOR) -specific AT awareness training as directed by DHA-AI 078.

Specific AOR training content is directed by the combatant commander, with the unit ATO being the local point of contact.

iWATCH/Suspicious Activity Reporting Training. This standard language is for contractor employees with an area of performance within a DHA-controlled installation, facility, or area. The contractor and all associated subcontractors shall brief all employees on the local Suspicious Activity Training program (training standards provided by the requiring activity ATO). This locally developed training will be used to inform employees of the types of behavior to watch for and instruct employees to report suspicious activity to the COR.

This training shall be completed within 30 calendar days of contract award and within 05 calendar days of new employees commencing performance, with the results reported to the COR NLT 30 calendar days after contract award.

Service Training Certification Tracking System (STCTS) registration for contractor employees who require access to government information systems. All contractor employees with access to a government information systems must be registered in the STCTS at commencement of services, and must successfully complete the DOD Information Assurance Awareness prior to access to the IS and then annually thereafter.

For contracts that require OPSEC Training. Per DHA-AI 5200.03, Operations Security, the contractor employees must complete Level I OPSEC Awareness training. New employees must be trained within 30 calendar days of their reporting for duty and annually thereafter.

For Cyber Awareness (Information Assurance (IA)/information Technology (IT) training. All contractor employees and associated subcontractor 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 requirements DoD 8570.01 and DoD 8570.01-M within six months of appointment to IA/IT functions. DoD Cyber Awareness Challenge Training is available at the following website:

https://jkodirect.jten.mil/Atlas2/page/login/Login.jsf?ORG=NAVSEA , DOD Course US1364-22 DOD Cyber Awareness Challenge 2022.

For Cyber (Information assurance (IA)/information technology (IT) certification. Per DoD 8570.01-M , DFARS 252.239.7001, the contractor employees supporting IA/IT functions shall be appropriately certified upon contract award. The baseline certification as stipulated in DoD 8570.01-M must be completed upon contract award.

Threat Awareness Reporting Program. For all contractors with security clearances. Per DHA-AI 097, Insider Threat Program, contractor employees must receive annual Insider Threat Awareness training within 30 days of initial employment, and refresher training annually either through instructor-led or computer-based.

3.6. MTF HOURS OF OPERATION

3.6.1. ACH’s and MEDCEN’s provide services 24 hours a day, 365 days a year (366 days during leap years) including holiday. Clinics have designated operating hours.

3.6.1.1. The Department of Clinical Investigation is open from 0700 to 1700 Monday through Friday. Closed on Weekends and Federal Holidays.

3.6.2. Holidays. The following is a list of legal federal holidays. Any of the federal holidays falling on a Saturday will be observed on the preceding Friday, holidays falling on a Sunday will be observed on the following Monday.

Contract personnel may be required to work on legal holidays as determined by the COR.

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 Juneteenth Independence Day, June 19th 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 1: 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 employee 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.

3.6.3. Contract personnel shall report to work as scheduled during emergencies, disasters or during adverse weather conditions. Contract services are still required during these situations.

3.6.4. Closures. During anticipated closure of the facility due to Command declared training holidays or during unplanned closure of the facility due to natural disasters, military emergencies, severe weather, or otherwise, the contractor shall not invoice the Government for services not performed and the Government will not be liable to the contractors for any such closures.

3.7. HOURS OF PERFORMANCE.

3.7.1. Scheduling process: The contractor shall perform services in the Department of Clinical Investigation five days a week, 8 hours per day with two non-consecutive 15-minute paid breaks and a ½-hour unpaid lunch.

Alternative work schedules may be considered if the vendor and COR/POC determine it is appropriate.

3.7.1.1. There will be no overtime approved.

3.7.1.2 This requirement is for one (1) Full Time Equivalent (FTE) Data Analyst I. The basis of 1 FTE is equal to 1,912 hours per year.

Unit of Issue for Contract Line Item (CLIN) for FTE’s: The unit of issue is set as “Quarter Hour”; For CLIN’s unit of issue, “Quarter Hour” means individual 15 minute (time) units.

1 Full Time Equivalent = 1,912 hours.

1,912 hours * 4 Quarter Hours/Hr = 7,648 Quarter Hours per FTE.

Therefore; 1 FTE = 7,648 Quarter Hours.

3.7.2. RESERVED

3.7.3. Absences and leave:

3.7.3.1. The contractor shall notify the COR when contract personnel will be absent due to illness or emergency.

Notification shall be as early as possible, but no later than 2 hours prior to start of scheduled work hours.

3.7.3.2. When the contractor cannot fill a position, the contractor shall notify the COR.

3.7.3.3. Scheduled absences of contract personnel shall be coordinated with the COR at least 30 calendar days in advance.

3.7.4. The Contractor is responsible for submitting an accurate invoice. The Contractor may only invoice and be paid for the services actually rendered. If the Contractor performs fewer services than are provided in the contract schedule, the Government may, at the end of the applicable contract period, deobligate the excess quantities.

Invoices shall not be submitted more frequently than once per month.

3.7.4.1. The Contractor shall NOT invoice for partial units. As used for unit of measure Quarter Hours means individual 15 minute (time) units as described under the CLIN description and PWS Paragraph 3.7.1.2 herein.

Invoices containing any partial unit of quantity shall be rejected and require resubmittal in whole units.

A partial unit of issue (quantity) on an invoice would be any quantity that has any amount other than 0 in the decimal place (e.g an invoice for as quantity of 485.25 units will be rejected, the invoice would need to be corrected to a whole unit quantity of 485.00).

Invoice Example: Contractor Employee works for 159 hours and 45 minutes for one month. Therefore:

159 hours * 4 quarter hours per hour = 636.00 quarter hours 45 minutes / 15 minutes per quarter hour = 3.00 quarter hours

636.00 quarter hours + 3.00 quarter hours = 639.00 total quarter hours Therefore, the Contractor’s invoice is for 639.00 quarter hour units.

3.8. REMOVAL OF CONTRACT PERSONNEL.

3.8.1. At any time during the performance of this contract, the KO or COR may direct the contractor to immediately remove any contract provider whose actions or impaired state raises reasonable suspicion that clear and present danger of physical harm exists to a patient, other contract Health Care Providers (HCPs), 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.

3.8.2. If the need for a removal occurs, the COR will contact the contractor's POC and direct the contractor to remove that individual from the military facility and to not use that individual to perform any services required under this contract until the issue has been resolved by the KO. The contractor shall formally meet with the COR to discuss further action in accordance with the MTF Quality Assurance and Inspection (QA&I) Plan and DHA-PM

6025.13. A review of the basis for removal will be made by the KO within 3 working days after the COR directed the removal.

3.8.3. If, after any investigation deemed necessary by the KO and discussions with the COR, the KO concludes that the contract provider’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 contractor's representative concerning matters of impaired contract provider’s, the decision of the KO will be final. During the period of time between the removal and the final decision of the KO, the contractor shall provide a backup/replacement contract provider in accordance with the terms and conditions of this contract.

3.9. CONDUCT.

3.9.1. Contract personnel shall comply with MTF policies regarding personal appearance and conduct.

3.9.2. Contract personnel shall abide by federal, state, and local MTF regulations and requirements concerning the nature of limited privileged communication between patients and the contract personnel as may be necessary for security and personnel reliability programs. They shall also abide by federal, state, and local MTF regulations concerning the confidentiality of patient records, as embodied in federal statutes including the Privacy Act of 1974 and the Health Insurance Portability and Accountability Act (HIPAA) of 1996. All medical records and reports will remain the property of the Government.

3.10. Health and immunization requirements. All contract personnel performing services under this contract shall comply with the health and immunization requirements per Madigan Army Medical Center Policy.

Backup/replacement contract personnel shall meet the same health and immunization requirements. The expense to comply with the health and immunization requirements shall be borne by the Contractor at no additional cost to the Government.

3.11. Criminal History Background Check Requirements. Contract HCPs involved in the delivery of health care to patients under the age of 18 must undergo a Child Care National Agency Check and Inquiries (CNACI) as part of a CHBC as stated in Procedures, Enclosure 3 of DoDI 1402.05. The Contractor Facility Security Officer (FSO) and/or Security POC shall initiate background investigations. At the discretion of the COR, the MTF security personnel may initiate background investigation requests.

3.12. MISSION PARTNER IDENTITY, CREDENTIAL AND ACCESS MANAGEMENT (MP ICAM)

3.12.1. The Contractor shall comply with agency personal identity verification procedures that implement Homeland Security Presidential Directive-12 (HSPD-12), Office of Management and Budget (OMB) guidance M- 05-24, and Federal Information Processing Standards Publication (FIPS PUB) Number 201.

3.12.2. The Contractor shall comply with agency personal identity verification procedures in all subcontracts when the subcontractor is required to have physical access to a federally controlled facility or access to a Federal information system.

3.12.3. The Contractor shall ensure compliance with the provisions set forth below. For purposes of the Federal Acquisition Regulation (FAR) Clause 52.204-9, the USG will designate a Mission Partner Affiliation Sponsor (MPAS) and the Contractor shall designate a FSO for this contract. The USG reserves the right to amend or supplement these provisions pursuant to the Changes clause in the contract.

3.12.4. The Contractor is responsible for absences of contractor personnel due to expired identification and access documents. Such absences shall not relieve the Contractor of its obligation to perform the services required under this contract.

3.12.5. In-processing Requirements. Contractor personnel are prohibited from performing services under this contract absent compliance with the in-processing requirements set forth below.

3.12.6. The USG will sponsor contractor personnel with an e-mail address. All contractor personnel e-mail addresses will be provided by the MTF to identify them as a Contractor.

3.12.7. The USG MPAS will send a notice through the MP ICAM to the e-mail address provided IAW the above requirement. The contractor personnel’s user ID and password will be provided in the e-mail and will be require a change at first login. In the event the e-mail message is not received, the Contractor may request the username and password from the MPAS and proceed to the website https://mpartnerregweb.dmdc.osd.mil/mpartnerregweb to complete the process.

3.12.8. The contractor personnel shall log into the MP ICAM and complete the verification process by submitting the application back to the MPAS for approval.

3.12.9. The application will be accepted, returned, or rejected by the MPAS. Notice as to whether the application has been accepted, returned, or rejected will be provided to the contractor personnel’s e-mail address within 48 hours after submission. If the application is returned or rejected, the contractor personnel shall contact the MPAS and comply with the MPAS’s guidance to attempt to correct and resolve the issue(s).

3.12.10. Upon approval of the application, contractor personnel will receive an e-mail stating the CAC application was approved. The applicant must then go to a RAPIDS Issuing Facility to have the USG credential issued. To make an appointment, contractor personnel will follow the instructions provided by the MPAS and contact the COR for instructions. Contractor personnel must present two acceptable forms of ID, which may include: Driver's License, Military ID, Contractor Company ID with picture and expiration date, charge card with picture imprinted, or passport.

3.12.11. Revalidation Requirements. The MPAS is required to revalidate all contractor personnel, in the MP ICAM, every 6 months. In the event revalidation is denied, the CAC credentials shall be revoked, and the CAC will not be useable to log in.

3.12.12. Out-processing Requirements. When a contractor personnel’s performance under this contract ceases, contractor personnel shall personally bring the CAC to the TA and complete the DA Form 2962. The TA will revoke the CAC from the MP ICAM.

3.13. QUALITY MANAGEMENT

3.13.1 The Contractor shall have a planned and systematic quality management process for monitoring and analyzing its contract performance.

3.13.2. The Contractor shall ensure that all contract employees comply with the MTF quality management/process improvement activities.

4.0 PERFORMANCE REQUIREMENTS SUMMARY: See Attachment 01.

4.1. Inspection. The inspection and acceptance point for all services rendered under this contract will be the COR.

The performance by the contract personnel, the quality of services rendered, and any documentation or written material in support of same, shall be subject to continuous inspection, surveillance and review for acceptance by the KO or COR. Any services rendered by the contract personnel to patients or interaction with military/civilian personnel deemed unprofessional, threatening, or dangerous by the KO may be grounds for immediate termination for default or cause. Quality Assurance procedures established by the MTF shall be used for continuous monitoring.

Other performance evaluation factors will be monitored that are not quantified by numerical measurements which include: Contractor providing personnel not meeting the minimum qualification standards; inappropriate prescriptions; patient customer service comments; Contractor relationship with hospital staff/Government contracting personnel; compliance with hospital healthcare policies and procedures.

5.0. POSITION DESCRIPTIONS.

5.1 Required Services: Data Analyst I

5.1.1. Assigned to: Department of Clinical Investigation

5.1.2. Reports to: The Contracting Officer’s Representative

5.1.3. Qualifications

5.1.3.1. Education: Bachelor’s Degree in Biostatistics, Computational Science, Data Analytics, Bioinformatics, Biochemistry, Molecular Biology, Genetics or related field

5.1.3.2. Licensure/Certification/Registration: COMPTIA Security+ (or equivalent) preferred.

5.1.3.3. Experience: At a minimum, three (3) years of professional experience doing computational biology or quantitative analyses in health research settings. Must be proficient in statistical analysis, SQL and at least one programming language (R, Perl, Python, etc.). Must be self-motivated, have excellent organizational, troubleshooting and problem-solving skills including the potential to learn new technology, software or programming language quickly. Demonstrate the ability to work closely with clinicians and basic researchers to provide customized or guided computational support within a team environment while meeting deadlines. Excellent written and verbal communication skills. Preference is given to candidates with experience mining and aggregating data from large datasets and developing repositories from clinical and/or research data. Experience in applying modern machine learning algorithms (clustering, classification, regression), statistical methods, and optimization.

5.1.4. Specific Duties/Tasks:

5.1.4.1. The Contractor Representative shall provide customized bioinformatics consult services to investigators to support all phases of the research project from study design to assisting investigators with submission of manuscripts and/or grant applications. Expertise may relate to interim analysis, study design, sample size estimation, data collection, data monitoring, and interpretation of large datasets using complicated statistical methodologies.

5.1.4.2. The Contractor Representative shall ensure consultations are scheduled and conducted in a timely and professional manner. He/she shall provide reports of data analyses to investigators in accordance with the departmental standard operating procedures.

5.1.4.3. The Contractor Representative shall assist investigators in data science research to include mining DoD and non-DoD databases, aggregating and merging datasets from different sources, creating surveys and analyzing and interpreting results to provide information in a comprehensive and understandable manner for reports and publications.

5.1.4.4. The Contractor Representative shall establish and manage an analytical pipeline for data analyses, generate workflows in scripting languages to automate bioinformatics processes.

5.1.4.5. The Contractor Representative shall maintain accurate records of all experimental, medical and clinical data generated for research. Data storage, sharing and destruction must follow the DoD/DHA standard operating procedures.

5.1.4.6. The Contractor Representative shall stay abreast of current and emerging technologies by interacting with local and external computational biologists, as well as attending scientific conferences and/or workshops related to bioinformatics. When possible, the Contractor Representative shall apply state-of-the art tools to provide contemporary solutions to research problems.

5.1.4.7. The Contractor Representative shall assist in the development of standard operating procedures to define, explain and clarify processes for the section in which the contractor is assigned.

5.1.4.8. The Contractor Representative shall be required to obtain and maintain appropriate certifications (CompTIA Security+, etc.) as required to perform the job. The expense to comply with Trainings and examinations requirements shall be borne by the Contractor at no additional cost to the Government.

5.1.4.9. The Contractor Representative shall assist in educational and informational seminars to the Madigan investigator communities about statistics, bioinformatics and data science principles. Educational seminars may include demonstrations of available tools and resources to conduct research.

5.1.4.10. The Contractor Representative shall assist Madigan clinicians, Principal Investigators, sub-Investigators and Scientists performing clinical research in achieving compliance with regulatory affairs, data collection, and records management.

5.1.4.11. The Contractor Representative shall report an incident of sexual assault or sexual harassment to the POC within 24 hours of the act.

5.2. Requirements for all positions.

5.2.1. 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 and other health care providers.

5.2.2 Basic Computer Skills. Contract personnel shall possess knowledge, skills, and abilities required for the labor (i.e., medical terminology, basic computer skills, customer service expectations, telephone etiquette, and basic typing).

5.2.3 Physical Qualifications. Contract personnel shall be capable of meeting the physical demands of the position as outlined in the PWS. In most cases, the contract personnel may be asked to stand and/or sit for extended periods of time.

5.2.4. The contract personnel shall possess sufficient initiative, interpersonal relationship skills and social sensitivity such that he/she can relate constructively to a variety of patients from diverse backgrounds.

5.2.5 The contract personnel shall have the required education, training, experience and documented current competence in the required specialty position description.

6.0. APPLICABLE TECHNICAL ORDERS, SPECIFICATIONS, REGULATIONS, AND MANUALS.

Following is a list of basic publications applicable to this performance based statement of work. The Contractor is obligated to follow these publications.

Applicable Publications

Public Law:

Public Law 91-596 Occupational Safety and Health Act of 1970 Public Law 104-191 Health Insurance Portability and Accountability Act of 1996

Accreditation Manuals:

The Joint Commission (JC) Manual (Current Edition)

Defense Health Agency:

DHA-AI 001 Telework Program DHA-AI 003 Physical Security Program DHA-AI 034 Drug-Free Workplace Program DHA-AI 050 Accounting of Disclosures of Personally Identifiable Information (PII) and Protected Health

Information (PHI) DHA-AI 5015.01 Records Management DHA-AI 5200.02 Information Security Program DHA-AI 5200.03 Operations Security (OPSEC) Program

DHA-AI

DHAPI 6000.03 Life Support Training Certification Requirements and Guidance DHAPI 6010.02 MHS Prescription Drug Monitoring Program DHAPI 6015.02 Beneficiary Counseling and Assistance Coordinator (BCAC) and Debt Collection Assistance

Officer (DCAO) DHAPI 6025.04 Pain Management and Opioid Safety in the MHS DHAPI 6025.06 Standardized Templates for Primary Care Clinical Encounter Documentation DHAPI 6025.10 Standard Processes, Guidelines, and Responsibilities of the DoD Patient Bill of Rights and

Responsibilities in the Military Health System (MHS) Military Medical Treatment Facilities (MTFs)

DHAPI 6025.20 Medical Management (MM) Program within the Military Health System (MHS) DHAPI 6025.26 Standard Processes for the Military Health System (MHS) Nurse Advice Line (NAL) DHAPI 6025.27 Integration of Primary Care Behavioral Health (PCBH) Services into Patient-Centered Medical

Home (PCMH) and Other Primary Care Service Settings within the Military Health System

(MHS)

DHAPI 6025.28 Standard Processes and Procedures for Communication of Laboratory and Radiology Results DHAPI 6025.29 Provision of Human Immunodeficiency Virus (HIV) Pre-Exposure Prophylaxis (PrEP) for Persons at High Risk of Acquiring HIV Infection DHAPI 6025.33 Acupuncture Practice in Military Treatment Facilities DHAPI 6025.39 Medical Ethics in the Military Health System DHAPI 6025.42 Routine Adult Transthoracic Echocardiogram (TTE) Standards for all Military Medical Treatment

Facilities (MTFs) DHAPI 6040.07 Medical Coding of the DOD Health Record DHAPI 6401.01 Dental Sedation Medical Management DHAPI 6490.02 Behavioral Health (BH) Treatment and Outcomes Monitoring DHAPM 6025.01 Primary Care Behavioral Health (PCBH) Standards DHAPM 6025.13, Volumes 1-7 Clinical Quality Management in the Military Health System www.health.mil/Reference-Center/DHA-publications

Department of Defense (DoD):

DoD 5200.1-R Information Security Program DoD 5200.2 Personnel Security Program DoDI 5200.46 DoD Investigative and Adjudicative Guidance for Issuing the Common Access Card DoD 5210.42-R Nuclear Weapons Personnel Reliability Program (PRP) Regulation DoD 5400.7-R DoD Freedom of Information Act DoD 5400.11-R Department of Defense Privacy Program DoD 6010.13-M Medical Expense and Performance reporting System for Fixed Military Medical And Dental

Treatment Facilities Manual DoD 6010.15-M Military Treatment Facility Uniform Business Office (UBO) Manual DoD 6015.1-M Glossary of Healthcare Terminology DoD 6025.18-R DoD Health Information Privacy Regulation DoD 6055.5-M Occupational Medical Examinations and Surveillance Manual DoD 8580.02-R HIPAA Security Rule DoDD 5144.02 Information Technology Standards in the DoD DoDD 5205.2 DoD Operations Security (OPSEC) Program DoDD 5400.11 DoD Privacy Program DoDD 5500.07 Standards of Conduct DoDD 6000.14 Patient Bill of Rights and Responsibilities in the Military Health System (MHS) DODM 6025.13 Medical Quality Assurance (MQA) in the Military Health System (MHS) DoDD 6040.41 Medical Records Retention and Coding at Military Treatment Facilities DoDD 6205.02E Policy and Program for Immunizations to Protect the Health of Service Members and Military

Beneficiaries DoDD 8190.3 Smart Card Technology DoDD 8500.01E Information Assurance DoDI 1100.22 Policy and Procedures for Determining Workforce Mix DoDI 1402.5 Criminal History Background Checks on Individuals in Child Care Services DoDI 3020.37 Continuation of Essential DoD Contractor Services During a Crises DoDI 5200.02 DoD Personnel Security Program (PSP) DoDI 6000.11 Patient Movement DoDI 6015.23 Delivery of Healthcare at Military Treatment Facilities: Foreign Service Care; Third Party

Collection; Beneficiary Counseling and Assistance Coordinators (BCACs) DoDI 6025.8 Ambulatory Procedure Visit (APV)

DoDI 6025.13 Medical Quality Assurance (MQA) and Clinical Quality Management in the Military Health System

DoDM 6025.13 Medical Quality Assurance (MQA) and Clinical Quality Management in the Military Health System (MHS)

DoDI 6025.18 Privacy of Individual Identifiable Health Information in DoD Health Care Programs DoDI 6040.40 Military Health System Data Quality Management Control Procedures DoDI 6040.42 Medical Encounter and Coding at Military Treatment Facilities DoDI 6040.43 Custody and Control of Outpatient Medical Records DoDI 6205.2 Immunization Requirements DoDD 6459.01 Sexual Assault and Response (SAPR) Program

7.0. ACRONYMS AND DEFINITIONS.

AHLTA Armed Forces Longitudinal Technology Application AQL Acceptable Quality Level BAA Business Associate Agreement BLS Basic Life Support CAC Common Access Card CAF Central Adjudication Facility CDC Centers for Disease Control CE Continuing Education CFR Code of Federal Regulations CHBC Criminal History Background Check CHCS Composite Health Care System CLIN Contract Line Item Number CNACI Child Care National Agency Check with Inquiries COR Contracting Officer Representative CPARS Contractor Performance Assessment Reporting System DEA Drug Enforcement Administration DFARS Defense Federal Acquisition Regulation Supplement DHA Defense Health Agency DMHRSi Defense Medical Human Resources System - internet DoD Department of Defense DoDD Department of Defense Directive DoDI Department of Defense Instruction DTF Dental Treatment Facility e-QIP Electronic Questionnaires for Investigations Processing ERP Enterprise Resource Planning FAR Federal Acquisition Regulation FIPS PUB Federal Information Processing Standards Publication FTE Full-Time Equivalent FTR Federal Travel Regulation HIPAA Health Insurance Portability and Accountability Act of 1996 HSPD Homeland Security Presidential Directive IA Information Assurance IAW In Accordance With JTR Joint Travel Regulation KO Contracting Officer KPP Key Performance Parameter MAC Multiple Award Contract MHS Military Health System MTF Military or Medical Treatment Facility NACI National Agency Check with Written Inquiries NAICS North American Industry Classification System NoPP Notice of Privacy Practices

PHI Protected Health Information PII Personally Identifiable Information PKO Procuring Contracting Officer PMO Program Management Office PRS Performance Requirements Summary PSC Product Service Code PWS Performance Work Statement QA Quality Assurance QASP Quality Assurance Surveillance Plan QCP Quality Control Plan WAWF Wide Area Work Flow

SUPPLEMENT TO PERFORMANCE WORK STATEMENT

A. EXCLUSION FROM PARTICIPATION IN FEDERAL HEALTH CARE PROGRAMS (OCTOBER 2015)

1. The Contractor shall not employ or contract with any individual or entity (hereinafter collectively referred to as “person”) to provide items or services that will be included in invoices submitted to the Government under this contract if such person is listed on the Department of Health and Human Services (HHS) Office of the Inspector General (OIG) List of Excluded Individuals and Entities (LEIE) or the TRICARE Sanctioned Provider List. The Government is legally prohibited from paying for provision of items or services by such persons. The prohibition extends to services beyond direct patient care, such as services of persons in executive or leadership roles and administrative and management services, whether or not such services are billed separately. The LEIE may be found at http://oig.hhs.gov/fraud/exclusions.asp, and the TRICARE Sanctioned Provider list at http://www.health.mil/Military-Health-Topics/Access-Cost-Quality-and-Safety/Quality-And-Safety-of- Healthcare/Program-Integrity/Sanctioned-Providers. The LEIE and TRICARE Sanctioned Provider List are hereinafter collectively referred to as “the Lists.”

2. Prior to start of contract performance, the Contractor shall (a) query the Lists to determine whether the name of any person the Contractor employs or contracts with to provide services or items for which payment may be made under this contract appears on the Lists, and (b) certify to the Contracting Officer that the Contractor has queried the Lists and no such names appear on either of the Lists.

3. During performance of the contract, and prior to persons other than those whose names were queried in accordance with paragraph 2, above, (hereinafter “new persons”) providing services or items under the contract, the Contractor shall (a) query the Lists as in paragraph 2, and (b) certify to the Contracting Officer that the names of such new persons do not appear on either of the Lists.

4. The Contractor is advised that during performance of the contract, MTF personnel will periodically recheck of the names of contractor personnel working in the MTF against the Lists. The Government will notify the Contractor in the event any contractor personnel working in the MTF appear on either of the Lists.

5. Should any person providing items or services under the contract appear on either of the Lists at any time during contract performance, the Contractor shall promptly remove that person from the contract.

6. Violation of any aspect of the above paragraphs shall be considered a material breach of the contract and may result in termination of the contract.

7. The Contractor is further advised that, in accordance with Civil Monetary Penalties Law [CMP] (codified at 42 USC § 1320a-7a):

a. There are steep civil monetary penalties associated with billing the Government for providing items or services by a person on either of the Lists, and with failing to return to the Government any overpayments received for provision of such items or services.

b. Billing under the contract for provision of items or services by a person on either List may also result in exclusion of the person that employs or contracts with such person.

8. HHS OIG has issued a Special Advisory Bulletin on the Effect of Exclusion from Participation in Federal Health Care Programs with additional information on the CMP. The Special Advisory Bulletin may be found at http://oig.hhs.gov/exclusions/files/sab-05092013.pdf.

B. PERSONALLY IDENTIFIABLE INFORMATION, PROTECTED HEALTH INFORMATION, AND

FEDERAL INFORMATION REQUIREMENTS (REVISED 10/27/2020)

1. General Requirements Overview - Personally Identifiable Information (PII), Protected Health Information (PHI) and Federal Information Laws

This Section addresses the Contractor’s requirements under The Privacy Act of 1974 (Privacy Act), The Freedom of Information Act (FOIA), and The Health Insurance Portability and Accountability Act (HIPAA) as set forth in applicable statutes, implementing regulations and Department of Defense (DoD) issuances. In general, the Contractor shall comply with the specific requirements set forth in this Section and elsewhere in this Contract. The Contractor shall also comply with requirements relating to records management as described herein.

This Contract incorporates by reference the federal regulations and DoD issuances referred to in this Section. If any authority is amended or replaced, the changed requirement is effective when it is incorporated under contract change procedures. Where a federal regulation and any DoD issuance govern the same subject matter, the Contractor shall first follow the more specific DoD implementation unless the DoD issuance does not address or is unclear on that matter. DoD issuances are available at http://www.dtic.mil/whs/directives.

For purposes of this Section, the following…