Solicitation Number / Contract Number TBD

Insert Date, Mod #

PERFORMANCE WORK STATEMENT

for

AIR FORCE MEDICAL COMMAND

(AFMEDCOM)

PARAMEDIC TRAINING EXPANSION

Solicitation/Contract Number TBD

24 MARCH 2026

(Version Control Date: 4 Feb 2025)

Section Table of Contents

Page Number

1. DESCRIPTION OF SERVICES

1.1. Background

1.2. Scope

2. GENERAL INFORMATION

2.1. Contractor/Government Communication

2.3. Place of Performance

2.4. Duty Hours

2.5. Telecommuting

2.6. Federal Holidays

2.7. Facility and Schedule Management

2.7.1. Contractor-Provided Facilities. All services required by this PWS shall be performed at the contractor’s facilities

3. CONTRACT REQUIREMENTS

3.1. Support Services

3.2 Mimum Provider Qualifications.

3.2.1 NRP Initial Certification Course.

3.3. Personnel Qualifications

3.4. Contract and Program Review Meeting

3.4.1. Post-Award Conference

3.4.2 Initial Performance Review

3.4.3 Quarterly Program Reviews (QPR)

3.5. Data Management and Privacy

3.5.1. Compliance with FERPA

3.5.2. Release of Information

3.5.3. Government Ownership of Data

3.5.4. End of Contract Data Transfer

3.5.5. End of Contract Data Transfer

4. PERFORMANCE OBJECTIVES

4.1. Services Summary (SS)

5. DELIVERABLES

Appendix A

ACRONYMS

PERFORMANCE WORK STATEMENT (PWS)

PARAMEDIC TRAINING EXPANSION

1. DESCRIPTION OF SERVICES

1.1. Background.

The Air Force Medical Command (AFMEDCOM) is responsible for oversight of the Emergency Medical Services (EMS) programs for the U.S. Air Force Medical Services (AFMS).

Its mission covers a broad range of programs including Paramedic, first emergency responders who provide Advanced Life Support (ALS) and Basic Life Support (BLS) medical care to patients at the scene and en-route to the Medical Treatment Facility (MTF). Most of AFMED’s Emergency Medical Technician (EMTs) are BLS certified and AFMS has a shortage of ALS certified Paramedics. AFMEDCOM has approximately 877 EMTs that need to be trained and certified to the ALS level. With new and existing readiness requirements, an additional 50 to 125 National Registry Paramedics (NRPs) need to be certified annually to ensure sustainment for the pipeline. Based on the above, contracted services are required to assist with the sustained training of AFMS Paramedics.

1.2. Scope.

This is a non-personal services contract to provide National Registry Paramedic (NRP) Certification courses. EMT Paramedic Certification course shall certify up to one hundred and twenty-five (125) AFMS Emergency Medical Technicians (EMTs) annually to the NRP level in accordance with (IAW) the established standards set by the National Registry of Emergency Medical Technicians (NREMT) Paramedic certification guidelines and the National EMS Education Standards and Paramedic Instructional Guidelines. Course length for each student shall not exceed 139 calendar days.

2. GENERAL INFORMATION

2.1. Contractor/Government Communication.

The Contractor shall designate a Focal Point to be the single point of contact for all Contractor and Government correspondence. The Focal Point shall provide clear and consistent written and verbal response to Government within twenty-four (24) hours of Government initiated communication (e.g., return phone calls, emails, or other communication).

2.2. Contractor’s Progress, Status, and Management Report

2.2.1. The contractor shall provide a monthly Progress, Status and Management Report IAW CDRL A001. The report shall be delivered in a non-proprietary, electronic format such as Microsoft Word or Adobe PDF. The purpose of this report is to provide the Government with all data necessary to validate the performance standards listed in the Service Summary (Section 4.0).

At a minimum, the report must include:

- NREMT pass/fail rates for the reporting period.

- Student attendance records and any disciplinary issues.

- Clinical hour completion data for each student.

- Status of any COR-generated action items from previous reports.

A single electronic copy of this report shall be submitted to the Contracting Officer (CO) and the Contracting Officer Representative (COR) no later than the 10th calendar day of the month following the reporting period.

2.3. Place of Performance.

The primary place of performance will be at the Contractor’s training facilities

2.4. Duty Hours.

Normal classroom training hours are eight (8) hours a day between the hours of 7:00 AM and 5:00 PM, local time Monday through Friday. Saturdays may be used for didactic training and/or field internship. Ride-along (field internship)/clinical program hours may be flexible outside of the above stated hours to meet course requirements.

2.5. Telecommuting.

Telecommuting is authorized on an ad-hoc or situational basis for this contract upon the written approval of the COR.

2.6. Federal Holidays.

Federal offices are closed on federal holidays as established by Federal law (5 U.S.C. 6103) and any other holidays declared by executive order. Holidays are documented by year on the Office of Personnel Management website for Federal employees located at: https://www.opm.gov/policy-data-oversight/pay-leave/federal-holidays/#url=Overview.

2.7. Facility and Schedule Management.

2.7.1. Contractor-Provided Facilities. All services required by this PWS shall be performed at the contractor’s facilities. Government facilities will not be provided.

2.7.2. Planned Closures. The Contractor shall provide the Contracting Officer’s Representative (COR) with a written notification at least five (5) business days prior to any planned facility closure that affects the training schedule, including holidays and administrative closures.

2.7.3. Unplanned and Emergency Closures. In the event of unplanned facility closure due to natural disasters, severe weather, or other emergencies, the Contractor shall notify the COR of the closure and any impact to the training schedule as soon as possible. This notification must occur prior to the scheduled start of training.

3. CONTRACT REQUIREMENTS

3.1. Support Services.

3.1.1. NRP Initial Certification Course. The Contractor shall deliver a comprehensive NRP Initial Certification Course that fulfills all requirements outlined in this PWS.

3.1.1.1. Curriculum Standards. The contractor shall ensure the training curriculum meets or exceeds the current standards for paramedic education as set forth by National Registry of Emergency Medical Technicians (NREMT), the National EMS Education Standards, and Paramedic Instructional Guidelines.

3.1.1.2. Clinical Program. The contractor shall conduct and manage a real world, objective-based, clinical program (field internship) for all students.

3.1.1.3. Facility Location. The contractor shall operate its primary training facility located within fifty (50) miles of a Level 1 Trauma Center, as defined by the American College of Surgeons.

3.1.1.4. EMS Affiliation. The contractor shall establish and maintain a medical oversight relationship with an urban Emergency Medical Services (EMS) system that has a documented Advanced Life Support (ALS) call volume greater than 35%.

3.1.1.5. Training Duration and Included Certifications. The contractor shall deliver the NRP course within a period not to exceed 139 calendar days. The curriculum shall include all training necessary to ensure student certification in the following:

3.1.1.5.1. Advanced Cardiac Life Support (ACLS)

3.1.1.5.2. Pediatric Advanced Life Support (PALS)

3.1.1.5.3. Basic Life Support (BLS)

3.1.1.6. The contractor shall provide all required course textbooks and shall fund and schedule one

(1) attempt for each student to complete the NRP psychomotor and cognitive examinations.

3.1.1.6.1. The Contractor shall deliver all required textbooks, in either physical or digital format, to the student addresses provided by the Government no later than five (5) business days after the Period of Performance (PoP) start date. The list of textbooks shall be provided IAW CDRL A002, Course Textbooks.

3.1.1.6.2. The contractor shall schedule this single NRP testing opportunity to occur after the student has successfully graduated from the course but prior to student’s scheduled departure to their home station.

3.1.1.7. Pass Rate and Remedial Training.

3.1.1.7.1 Past Performance. As part of its technical proposal, the Contractor shall provide verifiable proof of achieving a 90% or greater first-time pass rate on the NREMT Paramedic examination, averaged over the preceding three (3) years.

3.1.1.7.2 Performance Standard. The contractor shall maintain a minimum 90% first-time pass rate for all students who complete the course, measured annually for the duration of the contract period. This performance standard will be measured IAW the Services Summary (Section 4.0).

3.1.1.7.3 Remedial Training. The contractor shall conduct remedial training for any student who does not pass the NREMT examination on their first attempt. This remedial period shall be in addition to the 139 calendar days allowed for initial training.

3.1.1.7.4 Re-testing. The contractor shall schedule and fund one (1) re-test opportunity for students who have completed remedial training. The re-test must be accomplished prior to the student’s departure. The total period of performance for any student, including initial training, remediation, and re-testing, shall not exceed 148 calendar days under any circumstances. In the event of a second examination failure, the student will be released from the program and returned to their home station.

3.1.1.8. Student Uniforms, Equipment, and Materials . The contractor shall provide all students with supplementary course materials (e.g., handouts, workbooks) not covered under

Section 3.1.1.6. The contractor shall also issue the following items to each student for use during clinical and field portions of the course:

a. Uniforms, consisting of [e.g., 2x polo shirts, 2x cargo pants].

b. Personal Protective Equipment (PPE) required for training. The contractor shall provide the Government with a list of required personal equipment (e.g., stethoscope, trauma shears) that students must bring.

3.1.1.9. Completion Documents . Upon successful completion of training, the contractor shall issue each student a Certificate of Completion and an official transcript reflecting any earned academic credit.

3.2. Minimum Provider Qualifications.

3.2.1.NRP Initial Certification Course. The course provider shall be fully certified and accredited by the Committee on Accreditation of Educational Programs for the Emergency Medical Services Professions (CoAEMSP), as granted by the Commission on Accreditation of Allied Health Education Programs (CAAHEP), as an approved program for paramedic training and certification; a CoAEMSP Letter of Review (LOR) is acceptable.

3.3. Personnel Qualifications.

Contractor Personnel shall be proficient with Microsoft Office Professional Suite to facilitate effective communication and reporting with Government personnel.

3.4. Contract and Program Review Meetings.

3.4.1. Post-Award Conference.

The Government will host a Post-Award Conference with the Contractor within 10 business days after contract award. Acting on behalf of the Contracting Officer (CO), the Contracting Officer Representative (COR) will coordinate with all parties to schedule this meeting. The purpose of the meeting is to establish a common understanding of the contract requirements and to introduce key Contractor personnel. At a minimum, the conference agenda shall address the Contractor’s technical approach, the contractor’s period of performance, communication protocols, and all reporting and deliverable requirements.

3.4.2 Initial Performance Review. The Contractor shall also attend an Initial Contract Performance Review thirty (30) calendar days after the start of full performance. The purpose of this meeting is to verify that the Contractor is fully operational and is performing within the cost, schedule, and performance parameters of the contract.

3.4.3 Quarterly Program Reviews (QPR). Beginning ninety (90) calendar days after contract award, the Contractor shall attend Quarterly Program Reviews with Government personnel for the duration of the contract. The purpose of these meetings is to formally assess contractor performance against the Services Summary (Section 4.0), address any issues or risks, and discuss upcoming training schedules. The COR will schedule these meetings.

3.5. Data Management and Privacy

3.5.1. Compliance with FERPA. The contractor shall comply with the Family Educational Rights and Privacy Act (FERPA) and shall be responsible for establishing and maintaining procedures to protect the confidentiality of all student education records.

3.5.2. Release of Information.

The contractor shall not disclose any student education records (including but not limited to grades, academic progress, or attendance) to any party other than the student or authorized Air Force personnel, IAW FERPA guidelines and as directed by the Contracting Officer.

3.5.3. Government Ownership of Data. All student records, test results, course completion certificates, and other data generated in the performance of this contract are the property of the U.S. Government. The contractor shall not use, sell, or distribute this data for any purpose other than performance of this contract.

3.5.4. End of Contract Data Transfer. Upon contract completion, all data shall be transferred to the Government IAW CDRL A001. All student records, test results, course completion certificates, and other data generated in the performance of this contract are the property of the U.S. Government. The contractor shall not use, sell, or distribute this data for any purpose other than performance of this contract.

3.5.5. End of Contract Data Transfer. Upon contract completion, all data shall be transferred to the Government IAW CDRL A003, End of Contract Data Transfer. The data shall be delivered in a non-proprietary, machine-readable format such as comma-separated values (CSV) or Microsoft Excel (XLSX).

4. PERFORMANCE OBJECTIVES

4.1. Services Summary (SS).

The Contractor services requirements are summarized into performance objectives that relate directly to mission essential items. The performance threshold briefly describes the minimum acceptable levels of service for each requirement. These thresholds are critical to mission success.

Services Summary Table

Performance Objective

PWS

Paragraph

Performance Standard

AQL/Performance Threshold

(This is the maximum error rate.)

Method of Surveillance

1. First-Time NREMT Pass Rate

3.1.1.7.2

Must maintain a minimum 90% first-time pass rate on the

NREMT

exams

Exceptional: >= 95% pass rate per class.

Very Good: 92% to 94% pass rate per class.

Satisfactory: 90% to 91% pass rate per class.

Unsatisfactory:

100% Inspection of Contractor- Test Result Reports

(CDRL

A001).

<90% pass rate per class.

2. Clinical Program Management & Completion

3.1.1.2.

The contractor shall ensure all students complete 100% of required clinical/field hours and shall report all disciplinary actions or removals from a clinical site to the COR within one business day.

Exceptional: 100% completion of all scheduled hours AND zero student removals from any clinical site for the entire graduating class.

Satisfactory: 100% of all scheduled hours are completed by all students who were not removed for disciplinary reasons.

Unsatisfactory:

The contractor fails to provide opportunities for students to complete <100% of hours OR there are two or more student removals from a clinical site OR the contractor fails to report a student removal within three business days.

100% Inspection of Contractor Status Reports

(CDRL A001)

and any submitted incident reports.

3. Remedial Training Delivery and Execution

3.1.1.7.3

Conduct documented, formal remedial training for 100% of students who fail the NREMT exam on their first attempt, prior to scheduling a re-test.

Satisfactory: 100% of first-time failures are provided with a documented remedial training plan and complete all scheduled remedial instruction.

Unsatisfactory:

<100% of first-time failures are provided with a documented

100% Inspection of Contractor Status Reports

(CDRL

A001) and individual student training records.

remedial training plan.

4. Administrative Reporting

2.2 Submit a

complete and accurate Monthly Progress, Status, and Management Report by the 10th calendar day of each month

Exceptional: Report submitted on time with no errors.

Very Good: Report submitted on time with minor errors requiring no more than one revision.

Satisfactory: Report submitted on time, but requires multiple revisions due to errors or omissions.

Marginal: Report is submitted 1-2 days late.

Unsatisfactory: Repo rt is submitted more than 2 days late OR is not submitted at all

100% Inspection of

CDRL A001

submission date and content.

5. Student In- Processing & Logistics

3.1.1.6.1 & 3.1.1.8

Provide all students with required textbooks and issued uniforms/equipm ent within the timeframe specified in the PWS (e.g., within 5 business days of PoP start).

Satisfactory: 100% of students receive all required materials within the specified timeframe.

Unsatisfactory: < 100% of students receive all materials within the specified timeframe.

100% inspection of contractor receiving/dis tribution records and student acknowledge ments (submitted via CDRL A001).

5. DELIVERABLES

5.1. Submission: The Contractor shall submit all deliverables as specified in this PWS and as formally detailed on the Contract Data Requirements List (CDRLs), DD Form 1423, attached to this contract. All submissions shall be in a non-proprietary, electronic format (such as Microsoft Office or Adobe PDF) and delivered to the Contracting Officer (CO) and the Contracting Officer Representative (COR).

5.2. Acceptance. The Government requires a 5-business day period for the review of all draft deliverables. The COR will provide the Contractor with a notice of acceptance or a request for revision within this period.

5.3. Deliverables Summary Table.

CDRL

Number

Title PWS Refernce

Frequency Submission/Remarks

A001 Contractor’s Progress, Status, and Management Report

Section 2.2

Monthly Due no later than the 10th calendar day of the month following the reporting period.

A002 Course Textbooks List Section 3.1.1.6.1

One-Time Due no later than 10 days after contract award.

A003 End of Contract Data Transfer

Section 3.5.4

One-Time Due no later than 30 days after the end of the contract’s period of performance.

Appendix A

ACRONYMS

ACRONYM DEFINITIONS

ACLS Advanced Cardiac Life Support

AFMEDCOM Air Force Medical Command

AFMS Air Force Medical Service

ALS Advanced Life Support

BLS Basic Life Support

CAAHEP Commission on Accreditation of Allied Health Education Programs

CDRL Contract Data Requirements List

CoAEMSP Accreditation of Educational Programs for the Emergency Medical Services Professions

CO Contracting Officer

COR Contracting Officer Representative

DID Data Item Description

EMS Emergency Medical Services

EMT Emergency Medical Technician

FERPA Family Educational Rights and Privacy Act

GFP Government Furnished Property

IAW In Accordance With

LOR Letter of Review

MTF Medical Treatment Facility

NREMT National Registry of Emergency Medical Technicians

NRP National Registry Paramedic

PALS Pediatric Advanced Life Support (PALS)

PM Program Manager

POC Point of Contact

PoP Period of Performance

PWS Performance Work Statement

SS Service Summary