Draft PWS - Health Services Program.docx

Health Services Program

Performance Work Statement Internal Revenue Service Health Services Program & Worklife and Wellness Programs

1.0 BACKGROUND

The Federal Government has a responsibility to provide health programs to promote the physical and mental state of Federal employees. In 1946, the U.S Congress recognized the importance of the federal workforce with maintaining a healthy wellness and lifestyle federal work force with the passage of Public Law 79-658, Title 5, U.S. Code, and Section 7901. The Public Law 79-658 authorizes Federal agencies to establish health services programs. The purpose of this law is to improve the overall health fitness of employees in the Federal Government. This law authorizes agencies to establish within appropriations limits available, health programs to promote and maintain the physical and mental fitness of Federal employees. For these reasons, the Internal Revenue Service (IRS) Health Services Program was created to improve and maintain a health wellness and lifestyle for the IRS employees. Also, the Federal Government has a responsibility to protect the transfer, disclosure, and use of health care information. Under the Health Insurance Portability and Accountability Act of 1996 (HIPPA), protects employees from erroneous health care information disclosure. Due to the HIPPA Act, the IRS is concerned with the privacy and protection of employees’ data. The importance of having security programs in place is to ensure an employee's health identity is protected is critical. As a result of the health programs implemented, the IRS future state improves with the recruitment and retention of employees. Due to these laws, IRS established Health Clinics to provide health services to employees. The health programs are also provided to IRS employees through Health Clinics located at workplaces throughout the United States, the District of Columbia, and U.S. territories including, but not limited to, the Commonwealth of Puerto Rico, The Virgin Islands, and Guam.

2.0 SCOPE OF WORK

The IRS has a need for a comprehensive health program that provides:

· Health education

· Preventive health screenings

· Physical Examinations

· Medical Screening Tests

The contractor(s) shall maintain health clinics within IRS locations throughout the United States, District of Columbia and Puerto Rico. The clinical regions are as follows: The Clinical East Region (EAST) including but not limited to: Alabama, Arkansas, Connecticut, Delaware, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Nebraska, New Hampshire, New Jersey, New York, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Vermont, West Virginia, Wisconsin and Puerto Rico. The Clinical West Region (WEST) including but not limited to: Alaska, Arizona, California, Colorado, Hawaii, Idaho, New Mexico, Montana, Nevada, Oregon, Utah, Washington and Wyoming. The Clinical National Capital Region (NCR) including but not limited to: Maryland, Virginia and District of Columbia.

The contractor shall only allow custodial care - personal services administered by nurses and other medical staff to IRS employees only. Personal services will not be provided to non-IRS federal employees or contractor employees working within the IRS workforce. For employees assigned to Center Campuses, the IRS has determined that when the population of any shift exceeds an average population of 500 employees for any quarter, nurse services will be provided. IRS employees at remote Post of Duty (POD) locations are able to participate by visiting the Health Clinic in other PODs. For select services, a nurse will travel to an IRS POD if there are at least 25 or more federal employees participating in the outreach, and the POD is within 250 miles of an established Health Clinic.

There is no cost to employees for most medical services, however when the medical services fall outside the scope of the requirements, the contractor will refer employees to their federal employee health benefits plan (FEHB). When employees accept these referrals, they are responsible for the fees charged by the facility and/or health plan.

2.1 Objectives:

The Health Services Program objective is to improve and promote sound physical and mental health within the IRS workforce by providing information on preventive and curative healthcare. For these reasons the contractor shall provide the following requirements:

Health Services Program Requirements

3. 0 GENERAL INFORMATION

3.1 Recognized Holidays:

The contractor may have to work on the holidays listed below depending on if the Post of Duty is open:

3.2 Hours of Operation:

The contractor is responsible for conducting business, when the Post of Duty and Campus sites are open, between the hours identified on the health clinic attachment (Attachment 1); Monday thru Friday except Federal holidays or when the Government facility is closed due to local or national emergencies, administrative closings, or similar Government directed facility closings. For other than firm fixed price contracts, the contractor will not be reimbursed when the government facility is closed for the above reasons. The Contractor must at all times maintain an adequate workforce for uninterrupted performance of all tasks defined within this document when the Government facility is not closed for the above reasons. When hiring personnel, the Contractor shall keep in mind that the stability and continuity of the workforce are essential.

3.3 Type of Contract:

The government anticipates awarding a Firm Fixed Price (FFP), Blanket Purchase Agreement (BPA)

3.4 Period of Performance:

The BPA period of performance shall not exceed (5) years from date of award.

3.5 Places of Performance:

This document provides a vehicle for use by Treasury, including each of its components to procure Health Services to qualified IRS employees located throughout the United States, the District of Columbia, and U.S. territories including, the Commonwealth of Puerto Rico.

4.0 PROGRAM REQUIREMENTS

This section describes the requirements listed in greater detail and the nature of services required for the Health Services Program. As a result, the contractor shall provide the requirements listed to fulfill the contract terms and services.

4.1 Health Education:

The contractor shall provide education/health promotion programs to include but not limited to cancer detection, breast cancer, nutrition, tobacco cessation and abusive behaviors. The purpose of the Health education is to improve IRS employees’ awareness by increasing their health knowledge to prevent diseases.

The contractor shall conduct a minimum of three programs per year per location where the Health Clinic is on-site with a goal of one per month. One program will be cancer screening and/or detection. In locations that are within a 250 mile radius of the Contractor’s Health Clinic with 25 or more employees the contractor may travel to provide health outreach programs with a goal of at least three per year per location. No hearing screenings are to be conducted at an outreach event.

The contractor shall provide monthly on-line health resources through newsletters, articles, web links and other resources to all IRS sites covered under this contract (with or without a health clinic).

The contractor shall collaborate and coordinate with the IRS Employee Assistance Program (EAP), IRS occupational health and safety programs, and IRS human resources/administrative staff to provide a complete health promotion and disease prevention strategy.

4.2 Preventive Health Screening:

As outlined in National Agreement 2016, Article 27 Health and Safety, employees will have access to on-site Health Clinics. The contractor shall provide employees with routine, urgent, and emergency treatment on site, which includes a thorough assessment and evaluation of each individual’s needs, and may include initial treatment, medication, first aid and/or referrals as appropriate. The contractor nursing care shall include follow-up for minor illnesses and injuries. The contractor services shall also include health education programs; health screening programs and individual health counseling, and timely disposal of bio- hazard waste. In the event of an emergency “911” should always be used. The nurse will assist until emergency medical services arrive (EMS).

The contractor shall provide:

Preventive Health Screening

4.3 Physical Examinations – Fee for Service:

The contractor shall provide physical examinations to IRS employees for a fee or charge to the employee federal health benefit plan.

4.4 Medical Screening Tests– Fee for Service:

The contractor shall provide medical testing to IRS employees for a fee or charge to the employee federal health benefit plan. The contractor shall perform a screening test to detect potential health disorders or diseases in IRS employees who do not have any symptoms of disease. The goal is early detection and lifestyle changes or surveillance, to reduce the risk of disease, or to detect it early enough to treat it most effectively. The screening tests are not considered diagnostic, but are used to identify a subset of the population who should have additional testing to determine the presence or absence of disease.

4.5 Temporary Evacuation/ Emergency– Nurses Role:

The contractor nurse shall assist with basic first aid (i.e. CPR, cuts, and sprains) for the IRS Emergency Team Advisor or designated emergency point of contact (EPOC) during an office evacuation. The contractor nurse shall leave the building immediately during an evacuation and report to the IRS Emergency Team Advisor or designated EPOC. The contractor nurse shall return to the building upon the IRS Emergency Team Advisor or EPOC notification. A designated meeting spot has been established at each location where an emergency first aid/evacuation station is located, and the contractor nurses’ staff shall get notified by the IRS once the evacuation ends.

The contractors’ nurses’ role during a temporary evacuation or emergency shall be to provide:

Temporary Evacuation/ Emergency– Nurses Role

All other emergencies and additional assistance other than what is listed above will be requested through the IRS Situation Awareness Management Center (SAMC). The SAMC will contact the Human Capital Office (HCO) Program Manager regarding the contract for further assistance and direction.

The contractors’ nurses’ role during an evacuation or emergency is only to provide basic first aid, triage, and evacuation support as requested by the IRS Emergency Team Advisor or EPOC. The contractors’ nurses’ shall not attend meetings; make decisions on behalf of IRS. The nurse shall log and track care provided to any employees assisted during an evacuation. The contractors’ nurses’ shall provide a complete report of the evacuation to their Area Nurse Manager. The contractor shall also provide a summary to the HCO Program Manager of the evacuations within the monthly summary reports.

4.6 Health Risk Appraisal – Fee for Service:

The contractor shall provide a Health Risk Appraisal. The appraisal shall consist of a detailed health risk questionnaire; blood test for cholesterol, triglycerides and glucose; blood pressure; pulse, height and weight. IRS Employees will participate either by visiting their local Health Clinic, or by an On-line Health Risk Appraisal.

4.7 Smoking Cessations Program - Fee for Service:

The contractor shall have a smoking cessation program employees can participate in by a short personalized intake interview. The smoking cessation program shall address the reasons behind their smoking habit. The IRS employee will receive 8 weeks of nicotine replacement therapy (NRT) and a written plan to quit smoking. The IRS employees are entitled to receive one NRT each fiscal year. The contractor shall refer IRS employees to the Employee Assistance Program for further help in quitting smoking.

4.8 Immunization – Fee for Service:

The contractor shall administer Flu vaccines annually and vaccines for Tetanus-Diphtheria or Tetanus-Diphtheria with Pertussis (TDAP) every 10 years. Pneumococcus – is given ONCE to employees to prevent pneumonia in those 65 years & older, OR under 65 years, with an increased risk of pneumococcal disease(e.g., cardio respiratory, renal hepatic disorders & diseases associated w/ immunosuppression with a physician’s order. Note: The employee must provide a Physician’s Order Form signed by his/her physician for Pneumococcus.

When a flu vaccine shortage does not exist, the contractor shall administer the flu vaccine to all IRS employees located in a building with a Health Clinic. The contractor shall also administer influenza vaccinations in remote post of duties by request through the contractor

4.9 Periodic Physical Examination– Fee for Service:

The contractor shall provide IRS employees can participate in a periodic health evaluation. The periodic health evaluation includes a physical examination by a contract physician and, if needed or indicated, a tetanus-diphtheria vaccination, electrocardiogram, and glaucoma screening. Uninsured employees who wish to receive a physical examination must go to an IRS Health Clinic for these services. The contractor shall provide the following to IRS employees:

Periodic Physical Examination– Fee for Service

4.10 Medical Review Services:

The IRS is frequently required to make administrative decisions based on the interpretation of medical information. These decisions may relate to Family and Medical Leave, reasonable accommodation, fit for duty, Workers' Compensation (OWCP) issues, ergonomics, advance sick leave and ordinary sick leave,.

The contractor shall provide unbiased interpretation of medical information and also provide medical recommendations that will help the IRS properly and fairly act on these matters.

The IRS will submit medical information directly to the contractor by National Treasury Employee Union (NTEU) representatives or employees who determine not to share their medical diagnosis with their managers. However, the contractor shall not work directly with NTEU or employees. The contractor shall work directly with the Contracting Officer Representative (COR) or Labor Relations Specialists Point of Contacts (POC’s) specified by the COR or Reasonable Accommodation Coordinators (RACs). No services are provided without proper funding in place.

Medical Services is a requirement as outlined in Article 33 (see definition).

4.11 Family Medical Leave Act (FMLA) Medical Reviews:

The Contractor shall provide appropriate staff for medical consultative services to perform IRS medical reviews. The contractor shall receive cases from Labor Relations and Equal Employment Opportunity staff, Family Medical & Leave Act Coordinators, NTEU or employees who determine not to share their medical diagnosis with their managers.

At a minimum, the contractor shall have:

Family Medical Leave Act (FMLA) Medical Reviews

4.12 Reasonable Accommodations Medical Reviews:

The contractor shall review all documentation provided by the IRS related to reasonable accommodation cases. The contractor shall prepare a report that addresses issues requested by the IRS. If necessary, the contractor shall consult with the employee’s physician after obtaining a medical release. The contractor shall provide medical consultative assistance, which may include referral to a medical specialist, to include a psychiatrist, for input on cases. If referred to a specialist, the cost will vary and are subject to prior IRS HCO Program Manager approval for the service provision.

4.13 Fitness for Duty Examination – Fee for Service:

The contractor shall provide Fitness for Duty consultation upon the request of the IRS and in compliance with 5 CFR Part 339. A Fitness for Duty evaluation is appropriate when an employee demonstrates actions or behavior, which may affect the safe and efficient performance of the individual employee or others. The contractor shall provide consultation, which may include a physical examination, psychiatric examination or psychological assessment, functional capacity evaluation, etc. The contractor shall obtain IRS HCO Program Manager approval before beginning a fitness for duty examination. The estimated costs of fitness for duty examination shall never exceed $10K with a medical/psychiatric specialist.

The physical examination components shall include:

Fitness for Duty Examination

4.14 Medical Consultative (Workman Compensation (OWCP)) and Ergonomics:

The contractor shall provide additional consultative services if requested by the IRS for workers compensation and ergonomist. The contractor shall also provide medical consultative in cases involving workstation modifications, mobility impairments, back injuries, carpel tunnel syndrome, and general return to work planning. The contractor shall provide monthly reports to the Contracting Officer Representative and the HCO Program Manager which reflect a summary of the IRS client service profile, the IRS location for the service, a description of the accommodation, the diagnosis, the average cost and time of medical service per case, the service request date and the final report date. Each subsequent monthly report will provide the individual data fields and a cumulative year-to-date summary of types of accommodation cost and time. The contractor shall maintain IRS records under confidentiality and privacy guidelines outlined within the Public Health Service system of records.

4.15 Medical Consultative (Advance Sick Leave, Ordinary Sick Leave):

The contractor shall provide medical consultative services to assist IRS managers with leave approval for medically related absence.

The contractor shall:

Medical Consultative (Advance Sick Leave, Ordinary Sick Leave)

The contractor shall not disclose medical details of cases such as diagnosis or treatment unless there is a written release from the employer or the employee has already disclosed the same material to the IRS. The contractor shall abide by federal regulations regarding FMLA, reasonable accommodations and fit for duty.

The contractor shall provide weekly, monthly and quarterly statistical and summary reports on reviewed cases by the 15th calendar day following the end of each quarter and an annual summary statistical report with a fiscal year roll up due 65 30 calendar days after the end of the fiscal year.

4.16 Medical Consultative (Crisis Incidents):

The contractor shall provide medical consultative services to assist IRS in health-related crisis situations that impacts IRS workforce.

4.17 Infectious Disease:

The contractor shall have a plan in place to address infectious diseases such as:

Infectious Disease

4.18 Expert Witness Services:

The contractor shall provide physician testimony in court as an expert witness upon request of the IRS. Physicians shall travel if necessary to be an expert witness. The contractor shall obtain prior approval from the IRS with estimated costs associated with expert witness services. Travel shall occur on an as needed basis’ at the Contracting Officer’s Representative’s (COR’s) request. The contractor is responsible for transportation and per diem costs. This BPA does not cover travel costs.

4.19 Nursing Mother’s Program:

The contractor shall collaborate with the HCO program manager to develop a communication plan to make employees aware of the IRS nursing program. The contractor shall develop communication to:

Nursing Mother’s Program

4.20 Episodic/Symptomatic Care:

The contractor shall allow all IRS employees’ access to an IRS Health Clinic for walk-in services and emergencies. The Contractor shall provide an assessment and evaluation of the IRS employee and administer:

Episodic/Symptomatic Care

4.21 Outside Provide Directed Care:

The contractor shall provide IRS employees health care their private health care provider has written an order for a medical request. Note: Contract policy must be followed, (e.g., the need for recurring bed rest must always be prescribed by the client’s private health care provider on a current Physician’s Order Form (See Attachment 3).

The contractor’s physician shall approve all orders:

Outside Provider Directed Care

4.22 Communications:

The contractor shall develop communication plan and materials to promote the Health Services program. The communication plan shall provide measures to improve and increase awareness of the program. The plan shall consist of communications such as the web, posters, webinars and social media by engaging, and educating employees on the importance of health and wellness including: (Is this occurring under the current contract?)

Communications

4.23 Collaborative Relationship:

The contractor shall maintain collaborative relationships with IRS “points of contact” such as Employee Assistance Program and all other management and personnel. The contractor shall remain aware of the Service's mission statement and objectives. The purpose of the collaborative partnership is to promote broader goals and outcomes for the entire IRS workforce benefit.

4.24 Program Outreach Promotion:

The contractor shall provide a promotion outreach to reach IRS workforce within the post of duty (POD) or campus site to encourage health fitness and mental wellness.

The contractor shall:

Program Outreach Promotion

4.25 Health Data Bases:

The contractor shall have appropriate data bases/automation systems for record maintenance, quality assurance, referrals and other operations for effective implementation of the contract. The contractor shall have the security, privacy and confidentiality of all electronic protected health information as required by law [Privacy Act and Health Insurance Portability and Accountability Act (HIPPA)].

4.26 Confidentiality:

The contractor shall be responsible for maintaining confidential records on participants. These records are the property of the Internal Revenue Service and must be maintained in a system of records. The contractor shall maintain all IRS records in the Public Health Service/Contractor system of records. The contractor shall return these records to the Internal Revenue Service COR at the termination of the contract. The contractor will put in place appropriate administrative, technical and physical safeguards that protect against uses and disclosures of Protected Health Information as required by law [Privacy Act and Health Insurance Portability and Accountability Act (HIPPA)].

The contractor shall maintain policies and procedures for safeguarding the confidentiality of client data and files and may be liable under the law for improper release of such information. The contractor shall agree to assert any privilege allowed by law to defend vigorously IRS and employee rights to confidentiality. The contractor shall report to the COR any security or privacy breeches that compromise employee health information. Within 15 business days of any such incident, the contractor shall submit a report detailing the resolution of the incident to the COR.

4.27 Transition Plan/Assumption of Required Duties Without Service Degradation:

The Contractor shall assume Health Services work in progress from the incumbent Contractor without deterioration of services currently being provided. There must be a seamless, transparent transition for IRS employees. There must be minimum disruption to health clinic nurses’ services. The Contractor shall describe the strategy and approach to full implementation and assumption of responsibilities for all requirements in the performance work statement.

4.28 On-site Reviews:

An annual onsite review will get conducted at the contractor’s site by IRS Information Technology Cybersecurity, IRS Physical Security and the COR. The purpose of the annual site review is to fulfill the Federal Information Security Management Act (FISMA) requirements of security and privacy controls to protect government information.

4.29 Security and Disclosure:

The Contractor shall not publish or disclose in any manner, without the Contracting Officer's written consent, the details of any safeguards either designed or developed by the Contractor under this contract or otherwise provided by the Government.

(b) To the extent required to carry out a program of inspection to safeguard against threats and hazards to the security, integrity, and confidentiality of Government data, the Contractor shall afford the Government access to the Contractor's facilities, installations, technical capabilities, operations, documentation, records, and databases.

(c) If new or unanticipated threats or hazards are discovered by either the Government or the Contractor, of if existing safeguards have ceased to function, the discoverer will immediately bring the situation to the attention of the other party.

4.30 Critical Incidents:

The contractor shall play a critical role during times of a disaster, crisis or a medical outbreak either nationally or at specified location only after a request has been made by the Contracting Officer or COR of the contract. The contractor shall provide doctors and/or nurses on-site to provide the necessary medically qualified assistance. The contractor doctors and nurses will either lead in the support of the crises or be there to support the crises and the entity taking the lead. This could include times when the government is experiencing a shutdown, reduction in force or furlough of agency employees.

4.31 Quality Assurance:

Quality Control The contractor shall develop and maintain an effective quality control program to ensure services are performed in accordance with this PWS. The contractor shall develop and implement procedures to identify, prevent, and ensure non-recurrence of defective services. The contractor’s quality control program is the means by which he assures himself that his work complies with the requirement of the contract.

The contractor shall deliver the Quality Control Plan (QCP) within 30 days after contract award. After acceptance of the quality control plan the contractor shall receive the contracting officer’s acceptance in writing of any proposed change to his QC system.

The contractor shall provide the IRS minimum quality control requirements:

Quality Control Program

above, indicate any other self-evaluation methods to be utilized by the Contractor in the program plan.

used.

programs and services. The contractor shall have the measures reviewed and agreed to by the IRS before implementation.

4.32 Staff Qualifications:

The Contractor shall ensure the contractor’s employees and any subcontractors obtain and maintain the necessary licenses, permits and insurance required to perform the services covered by the contract. The contractor shall validate the qualifications of employees and subcontractor personnel assigned to providing telephone or face-to-face interviews with IRS clients, as well as any other services described herein.

The Contractor shall designate a Project Manager/Program Manager with overall responsibility for management and coordination of the contract and for reporting to the COR. The Project Manager possesses full authority to act on behalf of the Contractor.

This person may or may not perform direct services as part of the role. If the Project Manager is not involved in direct services with IRS offices; he/she must, at a minimum, meet all following requirements:

Project Manager/Program Manager

4.33 Staff and Subcontracted Personal Qualifications:

The Contractor shall provide only professionally trained staff with the appropriate state licensure:

Staff and Subcontracted Personal Qualifications

4.34 Staff Changes:

The contractor shall ensure new staff members who are assigned to work on this contract meet the requirements for the position. The contractor shall provide a stable staff environment that result in a low turnover rate. In the event that any key staff are replaced or added to this contract after the starting date, that person(s) shall meet all the qualifications for that position and a resume must be approved by the COR in advance of replacement . (This sentence is inconsistent using the terms "must" and "if at all possible".). If not in advance, immediately following the replacement the COR will approve or reject the selected person.

4.35 Unacceptable Contractor Personnel:

The contractor personnel shall be deemed ineligible and rejected under this contract:

Staff and Subcontracted Personal Qualifications

The government will also require the contractor to immediately remove any employee from this contract who is found to be unfit to perform his/her duties. A determination of an unfit employee may be made from, but not limited to, the Rules and Regulations Governing Conduct on Federal Property, 41 CFR 101-20.3

4.36 Background Investigations:

All contractor staff considered for use on the contract and requiring access to any IRS facility shall undergo an appropriate background investigation and be approved in accordance with the provision of Internal Revenue Manual 1.23.2 At a minimum, the required background investigations for contractor personnel will be National Agency Check and Inquiries (NACI) (Low Risk as appropriate) investigation for the on-site Health Clinic nurses. The contractor shall provide for a centralized process and point of contact for the receipt, review, processing and forwarding of completed background investigation paperwork to the appropriate IRS representative.

The government shall provide necessary forms for the conduct of the background investigations. The contractor shall have the responsibility that all required forms are returned to the Government no less than two weeks before work is to be performed on the contract.

4.37 Health Clinics Space and Facilities:

In Post of Duties (PODs) other than Center Campuses, where there are Federally-Sponsored health clinics on premises staffed by trained professionals or technicians, the employer will participate in the health clinic so that IRS employees may use the health clinic services.

In the event of a shutdown, the Procurement Office will issue a stop work order to the contractor. Procurement will rescind the stop work order once funds are available. The contractor would not be allowed access to any IRS facility and should not perform any work during the stop work order in regards to this contract.

4.38 Inspection and Acceptance of Deliverables:

Inspection and acceptance of deliverable items under orders placed in accordance with the contract shall be performed at destination by the Contracting Officer’s Representative (COR) or a designee. The Government will have ten business days after receipt to either accept each deliverable or return it with specific written instructions for correction. If a deliverable is returned, the Contractor shall make the noted corrections within five business days and return the deliverable for re-inspection. If the deliverable still does not pass inspection, based on the requirements of the task order work statement, the Government may (1) accept the non-conforming deliverable as described below, or (2) reject the deliverable. Multiple rounds of corrections will not be undertaken. Rejection of the deliverable shall result in non-payment for that deliverable. Rejection of multiple deliverables during the term of the contract may be grounds for termination of the contract.

The contractor shall provide the following in electronic format:

Deliverables

5 business days of an critical incident

Monthly Invoice with itemized services

after the contract effective date

after the contract effective date

5 business days of a service complaint.

4.39 Acceptance of Non-Conforming Deliverables:

Acceptance of non-conforming deliverables is at the discretion of the Government based on its needs and the nature and magnitude of the non-conformity. If the Government accepts a non-conforming deliverable, the COR by way of the Contracting Officer will notify the Contractor in writing of the nature of the non-conformity and the decision to accept the deliverable. The Contractor, when invoicing for each non-conforming deliverable, shall deduct 20% from the price of the task order line item pertaining to that deliverable as consideration to the Government for acceptance of the item. The original line item price, the 20% reduction, and the reason for the reduction shall all clearly be shown on the invoice. If, in the Government’s view, the number of instances where non-conforming deliverables are submitted for acceptance becomes excessive, the Government may initiate termination action in accordance with the terms of the contract.

4.40 QASP – Quality Assurance Surveillance Plan

PERFORMANCE REQUIREMENTS SUMMARY

Required Services (Tasks)

Performance Standards

Acceptable Quality Levels

Methods of Surveillance Incentive (Positive and/or Negative) (Impact on Contractor Payments)

QA Plan with Data Elements - Provide to the COR 10 days after the contract effective date

5.0 CONTRACTOR REQUIREMENTS

The contractor shall provide:

Contractor Requirements

· Computers (equipment and cabling)

· Testing equipment (Audio booths/audiometers, spirometry, litmus machines/Snellen charts, etc.) if available

· Medical Director for oversight of the Health Clinic

· Clinical Books/resource materials (Drug Handbooks, BBP, etc.)

· Forms (medical and others needed dependent of policies and procedures established)

· Biohazard Pick up/Disposal

· ER response bags

· Wheel chairs

· Hospital beds

· Desk and chairs

· Medical equipment (first aid kits/supplies, reflex hammer, heating unit, hydro collator, insect sting kit, oxygen tanks/masks/tubing, ophthalmoscope & speculums, mask/respirator( particulate), refrigerator for vaccine storage, racks for medical pamphlet, physician exam scales, sphygmomanometer/aneroid, bedside stands, lamps, stethoscope, stools for use in exam rooms and with equipment, tables for testing equipment, temperature recorder, test strips & glucometer, trash cans, etc.)

· Medications (for example: acetaminophen, aspirin, antibiotic ointment, benzocaine oral solution, calamine lotion, calcium carbonate, cepacol, dacriose ophthalmic solution, GI distress medications, ammonia Inhalant, etc.)

· Vaccines (based on clinical policies and procedures established by the Medical Director)

· Medical supplies (for example: adhesive tape, alcohol wipes, gauze, batteries, linens, bedspreads, crutches, gloves, control solutions for glucometers, patient gowns, etc.)

· Vendors in which to procure the medications/vaccines needed