DRAFT PWS Occupational Medicine SSV PWS - OHS.pdf

DHS Enterprise Medical Surveillance and Occupational Medicine Services Strategic Sourcing Vehicle – DRAFT Performance Work Statement

Department of Homeland Security (DHS)

Office of Health Security (OHS)

Performance Work Statement

1.0 Background

Since the inception of the Department of Homeland Security (DHS), health security has been foundational to mission execution and workforce readiness. DHS operates in complex operational environments, including law enforcement, emergency response, border security, maritime operation, and aviation security, where personnel may face occupational exposures, physical demands, and mission-driven health risks that require standardized medical surveillance and occupational medicine services.

To strengthen workforce health, safety, and medical readiness, DHS established the Office of Health Security (OHS) in 2022. OHS, led by the DHS Chief Medical Officer, is the principal medical, workforce health and safety, and public health authority for DHS. Since the inception of DHS, health security has played a pivotal role in the execution of the Department’s mission. The Office of Health Security positions the Department for a proactive and agile response to the evolving health security landscape. OHS was created via bipartisan and bicameral legislation which permitted the Department to effectuate a mission-targeted reorganization solely focused on departmental workforce health, safety, and medical functions. The roles, responsibilities and authorities of the Department’s Chief Medical Officer and OHS are found in statute including 6 U.S.C. § 350, 6 U.S.C. § 597, 6 U.S.C. § 597a, and 6 U.S.C. § 321q. These authorities are further reinforced via DHS Delegation 26000, Designation 00-26000 (Designated Agency Safety and Health Official), Designation 00-26002 (Anomalous Health Incident Agency Coordination Lead), and numerous Directives and Instructions.

With a mission to protect those who protect the nation, through the delivery of high-quality health, safety, and wellness programs and policies across DHS that are vital to a mission ready and resilient DHS workforce, OHS’ Total Workforce Protection Directorate (TWPD) enriches the DHS workforce, including working animals, to promote and sustain workforce health, prevent injury and illness, restore health, and sustain organizational wellness and psychological resilience. TWPD is responsible for programs, projects and activities in alignment with 6 U.S.C.

§ 350 and 6 U.S.C. § 597. Additionally, TWPD establishes departmental policies for health services programs (5 U.S.C. § 7901 and 5 U.S.C. § 7904), occupational safety and health (29 C.F.R. Part 1960) and workers’ compensation programs (5 U.S.C. § 8101 et seq.). Embedded within TWPD, the Health and Medical Readiness Division (HMRD) works to integrate efforts towards workforce health protection through policy, guidance, and activities that maintain mission continuity while minimizing health threats and work-related injuries or disabilities.

HMRD seeks to build and enhance a department-wide occupational medicine infrastructure that supports workforce health activities via overarching policy. The policy will provide a way to link information about all aspects of employee medical readiness for the purposes of improvement, surveillance, and other questions related to workforce health and readiness.

OHS leads and coordinates efforts to:

• Protect the DHS workforce (Total Workforce Protection)

• Provide oversight and support for healthcare systems and providers

• Enhance preparedness and response for health, food, and agriculture threats

• Manage medical and public health data to support decision‑making

• Support DHS field medical operations and interagency coordination

OHS supports DHS Components by providing enterprise-level leadership, governance, and oversight for workforce health and safety programs, medical quality management, and medical readiness capabilities. DHS Components operate in high‑risk operational environments (law enforcement, emergency response, border security, detention/custody, maritime operations, etc.).

Many positions require Occupational Safety and Health Administration (OSHA)‑mandated medical surveillance and other occupational medicine services (e.g., hearing conservation, respiratory protection, bloodborne pathogens, lead, asbestos, hazardous waste operations, travel medicine, fitness‑for‑duty). Historically, Components have procured these services independently, resulting in variable standards, limited interoperability, and administrative inefficiencies. These gaps can negatively impact compliance with occupational health requirements, workforce readiness, and the Department’s ability to maintain consistent medical oversight across Components.

To address these challenges, OHS intends to establish an enterprise medical services and occupational medicine services SSV that provides standardized, high‑quality occupational health, medical surveillance, and occupational medicine services, supported by an integrated occupational health record management capability. This SSV is a tool that DHS Components can use to acquire services consistent with OHS policy, DHS Medical Quality Management Directive 248‑01 and Instruction 248‑01‑001, DHS Medical Evaluation Program Directive 066- 23, and applicable regulatory requirements while maintaining the flexibility to support diverse mission environments.

2.0 Purpose and Scope

This PWS defines the requirements for a multi‑award SSV for medical surveillance and occupational medicine screening services to support DHS personnel nationwide and in U.S.

territories throughout the employment lifecycle—from Entry on Duty (EOD) through separation.

2.1 The scope of services under this SSV include, but are not limited to

2.1.1 Medical surveillance exams (baseline, periodic, and exit) https://www.dhs.gov/publication/health https://www.dhs.gov/publication/health

2.1.2 Pre-Employment Mental Health Screening & Specialized Consults

2.1.3 Occupational medicine and occupational health screening assessments

(pre‑placement, fitness‑for‑duty, functional capacity exams, return‑to‑work)

2.1.4 Medical surveillance testing (e.g., respiratory, lead/heavy metals, hearing, asbestos‑related, tuberculosis, vision, lab testing, EKG, chest X‑ray, etc.)

2.1.5 Regulatory compliance examinations and testing (OSHA, CDC, National Institute for Occupational Safety and Health, other applicable standards)

2.1.6 Travel health services (pre‑travel consultations, travel clearances, travel vaccines, travel medications)

2.1.7 Immunizations and post‑exposure prophylaxis (e.g., influenza, hepatitis, tetanus, bloodborne pathogen exposures)

2.1.8 Wellness consultations, screenings, health fairs, and health promotion events

2.1.9 Occupational injury and illness evaluations

2.1.10 Occupational health record management, integration, and interoperability with DHS systems of record

2.1.11 Onsite/mobile outreach clinics or regional support as applicable Program management, quality assurance, and medical credentialing support

This SSV supports DHS Components by enabling consistent access to occupational health services while allowing Components to tailor scope, volume, and service delivery requirements at the Task Order level.

2.2 Covered Service Population

The Contractor shall support DHS personnel who require medical surveillance testing and/or occupational medical services. Covered DHS personnel may include, but are not limited to:

2.2.1 Special Agents

2.2.2 Special Officers

2.2.3 Investigative Protection Officers

2.2.4 Technical Security Investigators

2.2.5 Protective Support Technicians

2.2.6 Operations Support Technicians

2.2.7 Physical Security Specialists

2.2.8 Uniformed Division personnel

2.2.9 Detection Systems Specialists

2.2.10 Firearms Instructors/Firing Range Maintenance Workers

2.2.11 Respirator Fitness Certification personnel

2.2.12 Counter Sniper Team (Uniformed Division)

2.2.13 Special Services Division personnel (series/title-specific employees- non-administrative personnel)

2.2.14 Forensic Services Division personnel (series/title-specific employees-non-administrative personnel)

2.2.15 Federal Air Marshal Service Agents

2.2.16 Law Enforcement Officers (LEOs) and other personnel working in hazardous environments

2.2.17 Any other employees who may require surveillance testing or medical services, as determined at the Task Order level.

Final identification of the covered service population will be determined by the Government at the Task Order level and may vary by Component, duty location, mission requirements, and evolving operational conditions.

This PWS is intended to be comprehensive, modular, and scalable to support DHS components requiring standardized delivery of occupational medicine and medical surveillance services while maintaining flexibility to tailor requirements at the Task Order level.

3.0 Period and Place of Performance

• Ordering Period: Base period of 12 months plus four 12-month option periods. Periods of performance will be established at the task order level.

• Place of Performance: Contractor facilities, network clinics, and/or on-site at DHS locations as required. Services must be available in all 50 states, the District of Columbia, and U.S. territories (Puerto Rico, U.S. Virgin Islands, Guam, Northern Mariana Islands, American Samoa). Periods of performance will be established at the task order level.

4.0 Definitions

4.1 Baseline Examination: Initial medical evaluation conducted prior to assignment or exposure to establish an employee’s health status and suitability for duty requirements.

4.2 Periodic Examination: Performed at established intervals to monitor occupational exposures and health outcomes.

4.3 Exit Examination: Conducted at separation from a covered position or cessation of exposure to document end-of-assignment health status and support continuity of care as appropriate.

4.4 Fitness-for-Duty (FFD) Evaluation: A medical evaluation performed to determine whether an employee can safely perform the essential functions of their position with or without restrictions. FFD evaluations may be conducted pre-placement, return-to-work, or when required by medical surveillance standards, occupational health policy, or mission needs.

4.5 Functional Capacity Exam: is a comprehensive, objective assessment performed by a qualified healthcare professional (often a physical or occupational therapist) to evaluate an individual's physical abilities and functional limitations. The exam measures a person's capacity to perform work-related tasks and daily activities, often in the context of injury, illness, or disability. FCEs are commonly used to determine readiness to return to work, eligibility for disability benefits, or to guide rehabilitation planning.

4.6 Post-Exposure Evaluation: A clinical assessment conducted following a suspected or confirmed occupational exposure to hazardous substances, biological agents, or other workplace hazards.

4.7 Occupational Exposure: Contact with chemical, biological, physical, or ergonomic hazards occurring while performing official duties that may require medical surveillance, monitoring, or evaluation.

4.8 Covered Personnel: DHS employees who require medical surveillance testing and/or occupational medicine services based on job duties, exposure risk, operational requirements, and applicable standards.

4.9 Clinical Documentation: Medical records, encounter notes, test results, clearance determinations, and related documentation produced during delivery of services under this PWS, maintained in accordance with applicable laws, DHS policy, and Task Order requirements.

4.10 Occupational Medicine: The branch of medicine focused on the prevention and treatment of work-related injuries and illnesses. For the purposes of this contract, travel and work-related vaccinations are included in occupational medicine services.

4.11 Medical Surveillance (MS): A systematic process of medical evaluations and testing conducted to monitor and protect employee health when job duties may involve exposure to occupational hazards. Medical surveillance services may include baseline, periodic, post-exposure, and exit evaluations to support early identification of adverse health effects and ensure compliance with applicable occupational health standards.

4.12 Medical screening is a method for detecting disease or body dysfunction before an individual would normally seek medical care. Screening tests are usually administered to individuals without current symptoms, but who may be at high risk for certain adverse health outcomes. Screening is also performed post-hire, prior to the employee engaging in work that has medical qualification standard or periodically during a career.

4.13 Regulatory Medical Examination: Is an occupational health examination required by federal regulations or standards based on job hazards, exposure risks, or specific work assignments. These exams may include required testing, documentation, and medical clearance determinations.

4.14 Wellness Programs: Services aimed at promoting general health, including consultations, and screenings.

Other clinical and programmatic terms may be defined at the task order level.

5.0 Description of Services and Tasks

The Contractor shall provide the following services, at a minimum:

5.1 Enterprise Program Management and Medical Quality Management In accordance with DHS Medical Quality Management (MQM) Directive 248-01 and Instruction 248-01-001, the Contractor shall implement and maintain a medical quality management framework that includes:

• Performance Measures and Performance Improvement

• Clinical Competency Assessment

• Risk Management and Risk Assessment

• Records Management

• Provider Credentialing

• Standard Operating Procedures (SOPs) and Clinical Protocols

At a minimum, the Contractor shall:

a. Program Management o Provide a Program Manager (key personnel) as the primary point of contact for

OHS and Component CORs.

o Develop and maintain a Program Management Plan covering governance, communications, risk, quality, credentialing, and reporting.

o Conduct regular program reviews (e.g., quarterly) with OHS and Component stakeholders.

b. Policies, Procedures, and Clinical Protocols o Maintain and annually review/update policies, procedures, standing orders, and clinical guidelines used to deliver services under this contract.

o Ensure all protocols are consistent with DHS policy, OHS standards, OSHA/CDC/NIOSH guidance, and applicable federal/state law.

c. Documentation Quality and Audits o Utilize a process and defined criteria for random documentation reviews to assess completeness, accuracy, and adherence to protocols.

o Implement corrective actions and performance improvement where deficiencies are identified.

d. Provider Credentialing and Clinical Competency

Under the oversight of OHS Oversight & Integrity Division (OID), the Contractor shall:

o Conduct Primary Source Verification of provider licenses with state licensing authorities (for each license held).

o Enroll and continuously monitor providers in the National Practitioner Data Bank (NPDB) (http://www.npdb.hrsa.gov/).

o Provide the initial NPDB report for each health care provider no later than 5 days after onboarding and provide any NPDB deficiency or adverse reports immediately upon receipt to:

MedicalCredentialing@hq.dhs.gov (OHS/OID) o Complete the DHS Health Care Provider Credentialing Form (DHS Form

5207) for each provider and email it to MedicalCredentialing@hq.dhs.gov no later than 5 days after onboarding.

o On a quarterly basis (no later than 15 days after the end of the quarter), submit a roster of licensed healthcare providers supporting DHS under this SSV to MedicalCredentialing@hq.dhs.gov including:

Last Name First Name Provider Type (e.g., MD/DO, RN, NP, PA, PharmD, etc.)

o Conduct annual clinical competency assessments for each healthcare provider.

o Maintain files for each provider’s licenses, certifications, and credentialing history, and make them available to OHS/OID upon request.

OID reserves the right to conduct random credentialing audits and may request NPDB reports at any time.

5.2 Medical Surveillance and Occupational Health Examinations The Contractor shall provide:

a. Baseline, periodic, and exit medical surveillance exams per OSHA, CDC, NIOSH, and Component-specific requirements.

b. Pre-placement, fitness-for-duty, and return-to-work medical screening evaluations in accordance with Component medical standards and OHS guidance.

c. Pre-employment mental health screening and specialized consults in accordance with Component medical standards and OHS guidance

d. Regulatory compliance testing and examinations as required (OSHA, NIOSH, CDC, and other applicable standards).

e. Referral coordination when specialty evaluation is required.

Exams may include, but are not limited to:

f. Medical history review

g. Physical examination

h. Vital signs and anthropometrics

i. Audiometry, spirometry, EKG, chest X-ray

j. Lab tests (e.g., CBC, CMP, lead, other heavy metals, TB testing, Hepatitis/HIV as required for exposures). Labs used to process samples must be certified or otherwise http://www.npdb.hrsa.gov/ mailto:MedicalCredentialing@hq.dhs.gov mailto:MedicalCredentialing@hq.dhs.gov mailto:MedicalCredentialing@hq.dhs.gov credentialed through quality control and blind sample testing in accordance with applicable standards

k. Vision testing (acuity, color, depth perception)

l. Other testing required by specific surveillance programs or job standards

The Contractor shall document and communicate exam results, including clearance recommendations and restrictions, within timeframes specified in task orders.

5.3 High-Volume Pre-Placement and Onboarding Medical Exams (As Ordered)

Upon request by the Government and as specified at the Task Order level, the Contractor shall have the capability to provide pre-placement, onboarding, and fitness-for-duty medical examinations for large cohorts of personnel, including mass hiring events, seasonal surges, or emergency response activations.

The Contractor shall:

a. Scale staffing and operations to support high-volume exam demand, including the ability to complete 100+ examinations within a condensed timeframe (e.g., 2–4 weeks) as required

a. Coordinate scheduling and prioritization with the Government-designated POC • Provide qualified clinical and administrative staff to conduct examinations at Government sites, Contractor facilities, network clinics, and/or mobile locations

b. Ensure required testing is completed as applicable (e.g., medical history, physical exam, TB screening, hearing/vision testing, respiratory clearance, immunizations, and any other surveillance requirements)

c. Provide exam results and clearance determinations within timelines established at the Task Order level, not to exceed five (5) business days from the date of examination unless otherwise specified

d. Provide status reporting on completion rates, no-shows, and risks to onboarding timelines

e. Maintain surge capability, including after-hours and weekend operations when required to meet mission timelines

5.4 Respiratory Protection Program Support

The Contractor shall provide Respiratory Protection Program (RPP) support, including:

a. Medical clearance for respirator use per 29 CFR 1910.134.

b. Administration and review of OSHA respiratory questionnaires (using DHS/Component forms or an OHS-approved equivalent).

c. Pulmonary function testing (spirometry) when indicated.

d. Written documentation and communication of clearance status (qualified, qualified with restrictions, not qualified).

e. Optional qualitative and quantitative fit testing where specified in task orders.

5.5 Lead and Heavy Metal Testing

The Contractor shall:

a. Conduct blood lead level and other heavy metal testing as required by OSHA and Component exposure risk (e.g., 29 CFR 1910.1025 for lead).

b. Provide appropriate clinical evaluation and documentation of results.

c. Notify Components of results and recommendations consistent with regulatory requirements and medical standards.

5.6 Hearing Conservation Program Support

The Contractor shall support hearing conservation programs, including:

a. Audiometric testing (baseline, annual, and post-exposure) in accordance with OSHA 29 CFR 1910.95 and applicable standards.

b. Use of calibrated equipment and sound-treated booths meeting ANSI/OSHA requirements.

c. Detection and documentation of standard threshold shifts, and notification and follow-up processes.

d. Maintenance of OSHA-compliant audiometric records.

5.7 Tuberculosis (TB) Surveillance

The Contractor shall:

a. Provide TB screening (e.g., PPD skin test or IGRA blood test) and follow-up evaluations in accordance with CDC and Component policies.

b. Coordinate chest X-rays and medical evaluations for positive tests or exposures.

c. Document and report TB screening results, ensuring appropriate confidentiality

5.8 Immunizations and Travel-Related Vaccines

The Contractor shall:

a. Administer routine, occupational, post-exposure, and travel-related vaccines (e.g., influenza, Hepatitis A/B, Tdap, MMR, polio, yellow fever, meningococcal, rabies, as ordered).

b. Provide pre-travel medical consultations and clearance exams, assessing destination-specific risks and mission-specific factors.

c. Prescribe or dispense travel medications (e.g., malaria prophylaxis, traveler’s diarrhea treatment, altitude illness prophylaxis) consistent with current CDC/WHO guidance and federal/state law.

d. Document travel vaccinations in International Certificate of Vaccination or Prophylaxis (“Yellow Card”) or equivalent documentation as required by destination countries.

5.9 Wellness and Health Promotion

Upon order, the Contractor shall:

a. Provide wellness consultations, health risk assessments, and counseling on risk factors (e.g., cardiovascular risk, obesity, tobacco use).

b. Conduct health fairs, screenings (e.g., blood pressure, cholesterol, glucose), and educational outreach, coordinated with OHS and Component wellness programs.

c. Support OHS and Component Organizational Wellness initiatives as appropriate.

5.10 Occupational Injury and Illness Evaluations

When requested, the Contractor shall:

a. Conduct occupational injury and illness evaluations, including immediate assessment and follow‑up care coordination with Component officials.

b. Provide case management and medical oversight consistent with Component policies.

c. Refer employees to specialists as appropriate, maintaining communication with

Component occupational health staff within privacy constraints.

5.11 Pre-Employment Mental Health Screening and Specialized

Consultations (As Ordered)

Upon request by the Government and as specified at the Task Order level, the Contractor shall provide pre-employment mental health screening and specialized clinical consultations to support workforce readiness and position-specific suitability requirements. Services may include structured screening/assessment, review of Government-provided documentation, coordination of follow-up evaluation(s) when clinically indicated and authorized, and documentation of results and recommendations in accordance with Task Order requirements. Final suitability, hiring, and adjudicative determinations remain the responsibility of the Government

5.12 Medical Recordkeeping and Documentation

The Contractor shall:

a. Maintain individual medical records in accordance with DHS, OSHA, CDC, and HIPAA requirements and General Records Schedule (GRS) 2.7 – Employee Health and Safety Records.

b. Ensure all records are complete, accurate, legible, and maintained in a secure occupational health record system that is:

o FedRAMP Moderate (or higher) compliant, where cloud services are used o Covered by a DHS Authority to Operate (ATO) under DHS 4300A o Configured to comply with DHS privacy and security requirements

c. Upload finalized medical records, as required, to DHS/Component systems of record (e.g., Safety Incident Management System (SIMS) or other designated occupational health systems) in agreed formats.

d. Provide logs of records submitted for retention/destruction, and support records disposition in accordance with GRS 2.7 and DHS records schedules.

e. Ensure that Social Security Numbers (SSNs) are not collected or stored, unless specifically authorized by DHS in writing.

5.13 HR/ER-Driven Referral and Documentation Review (As Ordered) When requested by the Government, the Contractor shall support HR/ER-driven occupational medical documentation review services, which may include:

a. Reviewing Government-provided documentation related to occupational medical issues (e.g., duty limitations, medical clearance needs, fitness-for-duty considerations)

b. Providing clinical interpretation and recommendations within scope of practice

c. Supporting documentation consistency and completeness for medical clearance decisions

d. Coordinating follow-up evaluations or referrals when clinically indicated and authorized at the Task Order level

5.14 Other Services

Other occupational health and medical services may be ordered under this SSV, including but not limited to:

a. Independent medical examinations (IMEs), functional capacity exams, and fitness-for-duty evaluations

b. Specialized occupational surveillance programs (e.g., asbestos, radiation, bloodborne pathogens, laboratory animal exposure, HAZWOPER, etc.) beyond the core discrete programs listed above

c. Embedded clinicians or on-site clinic staffing (e.g., at major operational centers)

d. Technical assistance and clinical consulting to OHS and Components on occupational health policy, guidance, and program design

e. Occupational injury and illness evaluations

f. Case management and medical oversight

g. Litigation support and expert testimony

h. Referrals to specialist, as needed

6.0 Performance Standards and Quality Assurance

6.1 The Contractor shall maintain an internal Quality Control Plan (QCP) to ensure compliance with this PWS, DHS MQM, and task order requirements.

6.2 The Government will monitor performance in accordance with a Quality Assurance Surveillance Plan (QASP), which may include performance standards such as:

Timeliness of appointment scheduling and exam completion Timeliness and completeness of exam documentation Credentialing and competency compliance Record accuracy and data integrity Customer service interactions o Regulatory compliance (OSHA, CDC, NIOSH)

6.3 Performance may be tied to incentives or disincentives at the task order level.

7.0 Contractor Personnel Requirements

7.1 General

The Contractor shall provide all personnel, management, equipment, supplies, facilities, and systems necessary to deliver the services described herein, except as specifically designated as Government‑furnished at the task order level.

The Contractor shall work in close partnership with OHS and Component stakeholders to support the Total Workforce Protection Directorate, ensuring DHS personnel remain healthy, safe, and mission‑ready.

7.2 Minimum Qualifications: Medical Personnel

All healthcare providers shall be subject to DHS medical credentialing requirements under DHS MQM Directive 248-01 and Instruction 248-01-001, as further detailed below.

7.2.1 All Contractor personnel performing clinical services must satisfy the following minimum requirements:

7.2.1.1 Physicians:

Doctor of Medicine (MD or Doctor of Osteopathic Medicine (DO from an accredited institution

Current unrestricted license to practice medicine in a U.S. state or territory, or the District of Columbia

Board certification or board eligibility in Occupational Medicine preferred

Minimum 5 years’ recent clinical experience (with relevant occupational medicine experience preferred)

7.2.1.2 Nurses (RNs / NPs / PAs):

Current, unrestricted RN license in a U.S state, territory, or the District of Columbia.

Minimum 2 years’ experience supporting occupational health clinics, medical surveillance programs, and clinical documentation preferred.

Demonstrated ability to perform clinical screening, specimen collection (as applicable), patient education, and coordination of follow-up care.

7.2.1.3 Licensed/Certified Allied Health Professionals:

As needed , the Contractor may provide allied health professionals such as:

Audiologists, Respiratory Therapists, and Other Allied Health Professionals.

Minimum qualifications for allied health professionals are

Current certification/licensure as required by state law Demonstrated experience in relevant occupational health services

7.2.2 All Contractor personnel performing administrative and support services must satisfy the following minimum qualifications:

Experience in medical office administration, scheduling, clinic operations, customer service, medical records support, and regulatory compliance

Knowledge of privacy requirements and handling of sensitive information.

8.0 Key Personnel

8.1 General

The Contractor shall provide qualified Key Personnel with the experience and credentials necessary to manage and deliver the services described in this PWS. Key Personnel shall be available at contract start (or as otherwise specified) and shall not be replaced without prior written approval of the SSV Contracting Officer (CO).

At a minimum, the following positions are designated as Key Personnel for this SSV:

• Program Manager (PM)

• Chief Medical Officer

• Medical Director / Chief Occupational Medicine Physician

• Occupational Health IT / Systems Lead

• Quality & Credentialing Lead

Individual task orders may designate additional Key Personnel (e.g., Onsite Clinic Lead, Regional Program Manager) based on specific requirements.

The Contractor shall identify proposed Key Personnel in its proposal and provide résumés demonstrating that each individual meets or exceeds the minimum qualifications specified below.

8.2 Program Manager (PM)

The PM shall serve as the primary point of contact for OHS and the SSV COR on all enterprise-level programmatic, contractual, and performance matters.

Minimum qualifications:

a. Bachelor’s degree in health administration, business, public administration, or related field (Master’s degree preferred).

b. Minimum of 7 years of experience managing large, multi-site healthcare or occupational health programs; at least 3 years managing federal or comparable public sector contracts is preferred.

c. Demonstrated experience overseeing multiple service lines (e.g., medical surveillance, immunizations, travel medicine, fitness-for-duty, onsite clinics) across geographically dispersed locations.

d. Demonstrated experience with performance management, reporting, and customer/stakeholder engagement at the enterprise level.

e. Ability to obtain and maintain any required DHS fitness/security determinations.

8.3 Medical Director / Chief Occupational Physician

The Medical Director shall provide clinical leadership and oversight for occupational medicine services delivered under this SSV and serve as the primary clinical liaison to OHS clinical leadership.

Minimum qualifications:

a. Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) from an accredited institution.

b. Current, unrestricted license to practice medicine in a U.S. state or territory, or the District of Columbia.

c. Board certification in Occupational Medicine, or board certification in Internal Medicine, Family Medicine, or Preventive Medicine with at least 5 years of recent occupational medicine experience.

d. Minimum of 7 years of clinical experience, including at least 3 years providing or overseeing occupational medicine and medical surveillance services for high-risk or law-enforcement/public safety populations.

e. Demonstrated experience developing and standardizing clinical protocols, interpreting regulatory medical standards (e.g., OSHA, CDC, NIOSH), and supporting fitness-for-duty and IME processes.

f. Experience participating in or leading Medical Quality Management (MQM) activities (e.g., peer review, incident review, clinical performance improvement).

8.4 Occupational Health IT / Systems Lead

The Occupational Health IT/Systems Lead shall be responsible for the occupational health record system(s), data integration, security, and interoperability activities supporting this SSV.

Minimum qualifications:

a. Bachelor’s degree in information technology, computer science, health informatics, or related field.

b. Minimum of 5 years of experience managing or supporting health IT systems (e.g., EHRs, occupational health systems) for multi-site or enterprise clients.

c. Demonstrated experience with data integration and interoperability (e.g., HL7, FHIR, APIs, secure file exchange) and supporting federal clients or systems of record.

d. Familiarity with FedRAMP, DHS 4300A, and federal information security and privacy requirements.

e. Experience implementing role-based access controls, audit logging, and records management practices consistent with GRS 2.7 – Employee Health and Safety Records.

8.5 Quality & Credentialing Lead

The Quality & Credentialing Lead shall oversee implementation of the Contractor’s Medical Quality Management (MQM) framework and provider credentialing processes in alignment with DHS MQM Directive 248-01 and Instruction 248-01-001.

Minimum qualifications:

a. Bachelor’s degree in nursing, healthcare administration, quality management, or related field (clinical degree preferred).

b. Minimum of 5 years of experience in healthcare quality management, credentialing, or medical staff services for multi-site or enterprise programs.

c. Demonstrated experience with provider credentialing, Primary Source Verification, and use of the National Practitioner Data Bank (NPDB) for initial and ongoing monitoring.

d. Experience developing and implementing quality assurance activities (e.g., chart/documentation audits, clinical competency assessments, incident review, corrective action plans).

e. Familiarity with occupational health and regulatory requirements relevant to this

SSV.

8.6 Personnel Availability and Substitution

The Contractor shall ensure that Key Personnel are available and engaged at the level proposed and necessary to meet SSV requirements.

The Contractor shall not remove, replace, or divert any Key Personnel without prior written approval from the SSV CO. Requests for substitution shall include:

a. Reason for the proposed change;

b. Résumé of the proposed replacement demonstrating equal or greater qualifications;

and

c. Proposed transition plan and effective date.

In the event of unexpected departure of a Key Person (e.g., resignation, illness), the Contractor shall:

d. Notify the SSV CO and COR within 5 business days; and

e. Provide a qualified interim and a proposed permanent replacement within 30 calendar days, unless otherwise approved by the Government.

9.0 Administrative and Security Requirements

9.1 Security and Privacy

• All Contractor personnel requiring access to DHS facilities, systems, or sensitive information must undergo background investigations and obtain a favorable fitness determination under DHS Instruction 121-01-007-001 (Personnel Security, Suitability and Fitness Program), prior to such access.

• Contractor personnel must comply with DHS security, privacy, and data protection policies, including but not limited to:

o DHS Management Directive 11042.1 – Safeguarding Sensitive But Unclassified Information o DHS 4300A Sensitive Systems Policy and Handbook o DHS Handbook for Safeguarding Sensitive PII o HIPAA Privacy and Security Rules o Applicable OHS and Component privacy/security guidance

• All electronic systems used for recordkeeping must:

o Be FedRAMP Moderate (or higher) for cloud solutions o Maintain a current DHS ATO o Implement required controls for confidentiality, integrity, and availability

• No SSNs may be collected or stored by the Contractor unless explicitly authorized in writing by DHS and reflected in applicable privacy documentation.

9.2 Training

• Contractor personnel must complete all required DHS/OHS training (e.g., IT security awareness, privacy, records management, safety, and any OHS-specific clinical policy training) within 15 days of assignment and annually thereafter.

• Training completion must be documented and made available to OHS and Component CORs upon request.

9.3 Reporting and Deliverables

At a minimum, the Contractor shall provide:

• Quarterly Reports (to OHS and relevant Component CORs):

o Aggregate metrics (e.g., services rendered, types of exams and tests, outcomes, utilization by program and Component) o Trends, issues, and recommended corrective or improvement actions

• Annual Reports:

o Year-end summary of services, performance against key metrics, regulatory compliance status, and recommendations for program enhancement

• Incident Reports:

o Immediate notification (within required DHS timelines) of any security, privacy, quality, or clinical adverse events related to this SSV, with timely root cause analysis and mitigation plans

• Other Deliverables:

o As specified in individual task orders or by the COR (e.g., customized data reports, ad hoc metrics, policy/protocol updates)

9.4 Travel

• Travel to support on-site services must be pre-approved by the applicable COR and reimbursed in accordance with the Federal Travel Regulation (FTR) and task order terms.

• Local travel (within 50 miles of the Contractor’s permanent duty station) will generally not be reimbursable unless specifically authorized.

9.5 Subcontractor Approval

• The Contractor must obtain written approval from the SSV Contracting Officer prior to engaging any subcontractor that will require access to DHS facilities, systems, or sensitive information.

• Subcontractors must meet all applicable personnel, security, privacy, and credentialing requirements.

10.0 Government-Furnished Resources

• Provision of Government-furnished property (e.g., equipment, workspace, system access) will be defined at the task order level.

11.0 Points of Contact

• The Contractor shall designate a Program Manager as the primary point of contact for this contract and all enterprise-level issues.

• The Government will designate a Contracting Officer (CO) and Contracting Officer’s

Representative (COR) at the contract level, as well as a CO and COR at the task order level.

12.0 List of Acronyms

• CO: Contracting Officer

• COR: Contracting Officer’s Representative

• DHS: Department of Homeland Security

• HIPAA: Health Insurance Portability and Accountability Act

• MS: Medical Surveillance

• OHS: Office of Health Security

• OSHA: Occupational Safety and Health Administration

• PII: Personally Identifiable Information

• SIMS: Safety Incident Management System

13.0 Attachments

• General Records Schedule 2.7: Employee Health and Safety Records

• DHS Medical Quality Management Directive 248-01 and Instruction 248-01-001

(reference)

• DHS Credentialing Requirements (including DHS Form 5207)

• DHS Security and Privacy Policy References

• Requirements Traceability Matrix (RTM) (to be completed at the task order level)

End of PWS https://www.bing.com/ck/a?!&&p=e57b144e1e6013c1c661ce56749a0e794b2d75df1cb957fb70f986c25fda24b1JmltdHM9MTc3MDE2MzIwMA&ptn=3&ver=2&hsh=4&fclid=292290bc-d515-6a86-3e77-864ad47e6bd0&psq=General+Records+Schedule+2.7%3a+Employee+Health+and+Safety+Records&u=a1aHR0cHM6Ly93d3cuYXJjaGl2ZXMuZ292L2ZpbGVzL3JlY29yZHMtbWdtdC9ncnMvZ3JzMDItNy5wZGY https://www.bing.com/ck/a?!&&p=6d653e7d7a6f05acf7b16c8dcf680db18aa63077b9a877f68b548fb34bf969c4JmltdHM9MTc3MDE2MzIwMA&ptn=3&ver=2&hsh=4&fclid=292290bc-d515-6a86-3e77-864ad47e6bd0&psq=DHS+Medical+Quality+Management+Directive+248+01+2020&u=a1aHR0cHM6Ly9hcmNoaXZlLm9yZy9kb3dubG9hZC82MDI1NTM2LURIUy1EaXJlY3RpdmUtTWVkaWNhbC1RdWFsaXR5LU1hbmFnZW1lbnQvNjAyNTUzNi1ESFMtRGlyZWN0aXZlLU1lZGljYWwtUXVhbGl0eS1NYW5hZ2VtZW50X3RleHQucGRm https://usdhs.sharepoint.com/sites/dhsconnect/org/comp/mgmt/policies/Directives/248-02.pdf#search=5207 https://www.dhs.gov/publication/policy