DRAFT PWS TNARNG DENTAL READINESS EVENT SUPPORT SERVICES.docx

PERFORMANCE WORK STATEMENT (PWS)

Mobile Dental Support Services for Tenn Army National Guard Readiness Events

1. General:

1.1 Scope: The contractor must provide all personnel, equipment, tools, materials, supervision, and quality control necessary, except as specified in Paragraph 3.0 as Government Furnished, to perform Mobile Dental Support Services for Readiness Events for TNARNG soldiers as defined in this PWS. Dental Readiness Management for TNARNG Soldiers. Services include dental exams, treatment and classification under ASDRS policy. The contractor Must accomplish the required goals of NGB by providing dental screening examinations and remediation to be accomplished and documented on 90% of service members on an annual basis.

1.1.1 Objectives: The primary objective of this contract is to secure professional, on-demand, and mobile dental services to rapidly assess, track, and treat Tennessee Army National Guard (TNARNG) personnel to maximize individual deployability and unit combat readiness. Specifically, the contractor Must deliver high-quality, comprehensive dental screenings, panoramic X-rays, and Class 3 (non-deployable) restorative dental treatments during scheduled drill weekends and designated weekdays. Through these services, the contractor will directly support the TNARNG in meeting and sustaining Department of Defense (DoD) mandated Individual Medical Readiness (IMR) standards, with the ultimate goal of transitioning Soldiers into Dental Readiness Category (DRC) 1 or 2 to maintain an overall force deployability rate of 90% or higher.

1.2 Background: Individual Medical Readiness (IMR) is a critical component of force health protection and a direct commander's tool used to determine the deployability and mission-readiness of the force. As mandated by Department of Defense Instructions (DoDI 6025.19), the Army National Guard Must maintain aggressive medical metrics, with a target of keeping at least 90% of its personnel Fully Medically Ready (FMR). Dental readiness (retaining Dental Readiness Category 1 or 2) is a primary driver of this overall FMR status, as untreated dental issues (Category 3 or 4) are a leading cause of non-deployability and can lead to severe operational medical evacuations.

1.3 Period of Performance (PoP) is a 12-month contract.

1.4 General Information:

1.4.1 Place and Performance of Services: Operating Hours and Schedule The contractor must provide services between the hours of 0800 to 1700 on drill weekends (Saturday and Sunday). However, the contractor must remain flexible and be prepared to provide services on any day of the week, with specific days and hours of operation determined by the Contracting Officer’s Representative (COR) or the State Surgeon Appointed Contact.

Exceptions to Operations Services are not required on recognized US holidays or when the Government facility/installation is closed due to local or national emergencies, administrative closings, or similar Government-directed facility/installation closings.

Locations of Performance Performance must take place at government facilities throughout the state of Tennessee. While exact locations may dictate varying requirements based on the shifting operational needs of the Tennessee Army National Guard, the primary locations for events are listed below. Note: This list identifies primary hubs but does not limit performance solely to these locations.

1.4.1.1 Telework: The Government does not permit the contractor to telework in support of this requirement

1.4.1.2 Unscheduled gate closures by the Security Police may occur at any time causing all personnel entering or exiting a closed installation to experience a delay. This cannot be predicted or prevented. Contractors are not compensated for unexpected closures or delays. Vehicles operated by contractor personnel are subject to search pursuant to applicable regulations. Any moving violation of any applicable motor vehicle regulation may result in the termination of the contractor employee’s installation driving privileges.

1.4.1.3 The contractor’s employees Must become familiar with and obey the regulations of the installation, including fire, traffic, safety, and security regulations while on the installation. Contractor employees Must only enter restricted areas when required to do so and only upon prior approval. All contractor employees Must carry proper identification with them at all times and Must be subject to such checks as may be deemed necessary. The contractor Must ensure compliance with all regulations and orders of the installation which may affect performance. The Government reserves the right to direct the removal of an employee from Government property or revoke access to Government systems for misconduct, security reasons, or any overt evidence of communicable disease. Removal of contractor employees for reasons stated above does not relieve the Contractor from responsibility for total performance of this contract..

1.4.2 Recognized Holidays: The contractor Must not perform services on these holidays. The following are recognized United States (US) holidays. The contractor Must not perform services on these days:

· 1.4.2.1 New Year’s Day: January 1st

· 1.4.2.2 Martin Luther King, Jr.’s Birthday

· 1.4.2.3 President’s Day

· 1.4.2.4 Memorial Day

· 1.4.2.5 Juneteenth National Independence Day: June 19th

· 1.4.2.6 Independence Day: July 4th

· 1.4.2.7 Labor Day

· 1.4.2.8 Columbus Day

· 1.4.2.9 Veteran’s Day: November 11th

· 1.4.2.10 Thanksgiving Day

· 1.4.2.11 Christmas Day: December 25th

1.4.3 Quality Control (QC): The contractor Must develop and maintain an effective QC Plan (QCP) to ensure services are performed in accordance with this PWS. The contractor Must develop and implement procedures to identify, prevent, and ensure non-recurrence of defective services. The contractor’s QCP is the means by which it assures itself that its work complies with the requirements of the contract. As a minimum, the contractor Must develop QC procedures that address the areas identified in Technical Exhibit 1, Performance Requirements Summary (PRS). A final QCP Must be submitted to the Contracting Officer Representative (COR) and State Surgeon Office representative NLT 10 days after contract award to be reviewed and approved by the Tennessee Army National Guard (TNARNG). After acceptance of the QCP, the contractor Must obtain the Contracting Officer’s (KO’s) acceptance in writing of any proposed changes to its QCP.

1.4.4 Quality Assurance (QA): The Government will evaluate the contractor’s performance under this contract in accordance with the Quality Assurance Surveillance Plan (QASP). This plan is primarily focused on what the Government will do to ensure that the contractor has performed in accordance with the performance standards. It defines how the performance standards will be applied, the frequency of surveillance, and acceptable quality level(s) or defect rate(s).

1.4.5 Installation Access and Security Requirements. The contractor Must comply with all applicable installation/facility access and local security policies and procedures, which may be obtained from the COR. The contractor and all associated subcontractor employees Must provide all information required for background checks to meet installation access requirements to be accomplished by installation Provost Marshal Office, Director of Emergency Services, or Security Office. The contractor Must ensure compliance with all personal identity verification requirements as directed by Department of Defense (DoD), Headquarters Department of Army (HQDA) and/or local policy (see PWS 6.0). Should the Force Protection Condition (FPCON) change, the Government may require changes in contractor security matters or processes.

1.4.5.3 Awareness Training (AT) Level 1: All contractor employees, including subcontractor employees, requiring access to Army installations, facilities, and controlled access areas Must complete AT Level 1 training within 30 calendar days after contract start date and within 30 calendar days of new employees commencing performance. The contractor Must submit certificates of completion for each affected contractor and subcontractor employee to the COR within 15 calendar days after completion of training by each employee or subcontractor personnel. AT Level 1 awareness training is available at the following website: https://jko.jten.mil/courses/atl1/launch.html.

1.4.5.4 ) iWATCH Training: The contractor and all associated subcontractors with an area of performance within an Army-controlled installation, facilities or area Must brief all employees on the local iWATCH program (training standards provided by the requiring activity Antiterrorism Officer (ATO)). This local developed training Must be used to inform employees of the types of behavior to watch for and instruct employees to report suspicious activity to the COR or the KO. This training Must be completed within 30 calendar days of contract award and within 30 calendar days of new employees commencing performance. The contractor Must report completion for each contractor employee and subcontractor employee to the COR, within 15 calendar days after completion of training.

1.4.5.4 Reserved

1.4.5.5 Communications Security/Information Technology (COMSEC/IT) Security. All communications with DoD organizations are subject to COMSEC review. All telephone communications networks are continually subject to intercept by unfriendly intelligence organizations. DoD has authorized the military departments to conduct COMSEC monitoring and recording of telephone calls originating from, or terminating at, DoD organizations. Therefore, the contractor is advised that any time contractor personnel place or receive a call they are subject to COMSEC procedures. The contractor Must ensure wide and frequent dissemination of the above information to all employees dealing with DoD information. The contractor Must abide by all Government regulations concerning the authorized use of the Government's computer network, including the restriction against using the network to recruit Government personnel or advertise job openings

1.4.5.6 Information Systems (IS) and access to Government networks is a revocable privilege, not a right. Users are the foundation of the DoD strategy and their actions affect the most vulnerable portion of the Army Enterprise Infostructure (AEI). Contractor employees Must have a favorable background investigation or hold a security clearance and access approvals commensurate with the level of information processed or available on the system. Contractor employees Must:

1.4.5.6.1 Comply with the command's Acceptable Use Policy (AUP) for Government owned IS and sign an AUP prior to or upon account activation.

1.4.5.6.2 Complete initial and/or annual Information Assurance (IA) training as defined in the IA Best Business Practices (BBP) training (https://atc.us.army.mil/iastar/docs/Training_BBP.pdf).

1.4.5.6.3 Mark and safeguard files, output products, and storage media per classification level and disseminate them only to individuals authorized to receive them with a valid need to know.

1.4.5.6.4 Protect IS and IS peripherals located in their respective areas in accordance with physical security and data protection requirements.

1.4.5.6.5 Practice safe network and Internet operating principles and take no actions that threaten the integrity of the system or network.

1.4.5.7 Army Training Certification Tracking System (ATCTS): All contractor employees with access to a Government information system Must be registered in ATCTS (https://atc.us.army.mil/iastar/index.php) at commencement of services, and Must successfully complete the DoD Information Assurance awareness training prior to access to the IS and then annually thereafter. (https://iatraining.us.army.mil/).

1.4.5.8 Information Assurance (IA) Training. All contractor employees and associated subcontractor employees Must complete the DoD IA Awareness Training before issuance of network access and annually thereafter.

1.4.5.9: Reserved

1.4.5.10 Protection of Personally Identifiable Information (PII). The contractor Must protect all PII encountered in the performance of services in accordance with Defense Federal Acquisition Regulation Supplement (DFARS) 224.103 Personally Identifiable Information and Department of Defense Directive (DoDD) 5400.11, Department of Defense Privacy Program, and DoD 5400.11-R. If a PII breach results from the contractor’s violation of the aforementioned policies, the contractor Must bear all notification costs, call-center support costs, and credit monitoring service costs for all individuals whose PII has been compromised

1.4.5.11 OPSEC Training: In accordance with AR 530-1, Operations Security, new contractor employees Must complete Level I OPSEC training within 30 calendar days of their reporting for duty and annually thereafter. The contractor Must submit certificates of completion for each contractor employee to the COR within 15 calendar days after completion of training. Level 1 OPSEC training is available at https://securityawareness.usalearning.gov/opsec/index.htm.

1.4.5.12 Reserved

1.4.5.13 Reserved

1.4.5.14 Reserved

1.4.6 Physical Security. The contractor Must safeguard all Government property provided for contractor use. At the close of each work period, Government facilities, equipment and materials Must be secured.

1.4.7 Special Qualifications: The contractor Must ensure all employees possess all required licenses for operating diagnostic imaging, dental radiology, and medical/dental treatment equipment, as well as active State of Tennessee licenses/certifications for Dentists, Dental Assistants, and Dental X-ray Technicians used in the performance of this contract. This does not include education or other qualifications for the position in which the contractor employee is performing, dress codes, or other information. (NOTE: The Government does not provide training to contractors. Contractors Must ensure that any personnel performing under a contract are fully trained, licensed, certified, and otherwise qualified to provide services.)

1.4.7.1 Dentists: Must possess and maintain an active, unrestricted license to practice dentistry in the State of Tennessee, a current Drug Enforcement Administration (DEA) registration, and up-to-date Cardiopulmonary Resuscitation (CPR) / Basic Life Support (BLS) certification.

1.4.7.2 Dental Assistants: Must possess and maintain current national or State of Tennessee registration/certification, and up-to-date CPR/BLS certification.

1.4.7.3 Dental X-ray Technicians: Must possess and maintain current State of Tennessee radiation safety and dental radiology certification/licensure required to legally operate diagnostic imaging equipment.

(NOTE: The Government does not provide training to contractors. Contractors Must ensure that any personnel performing under a contract are fully trained, licensed, certified, and otherwise qualified to provide services.)

1.4.8 Post Award Conference/Periodic Progress Meetings: The contractor agrees to attend any post award conference convened by the contracting activity or contract administration office in accordance with Federal Acquisition Regulation Subpart 42.5. The Contracting Officer (KO), Contracting Officer’s Representative (COR), and other Government personnel, as appropriate, may meet periodically with the contractor to review the contractor's performance. At these meetings, the KO will apprise the contractor of how the Government views the contractor's performance and the contractor Must apprise the Government of problems, if any, being experienced. Appropriate action Must be taken to resolve outstanding issues. These meetings Must be at no additional cost to the Government.

1.4.9 Contract Manager (CM): The contractor Must designate a CM who Must ensure performance under this contract. The name of this person, and an alternate who Must act for the contractor when the CM is absent, Must be designated in writing to the KO. The CM or alternate Must have full authority to act for the contractor on all contract matters relating to daily operation of this contract. The CM Must work through the COR to resolve issues, receive technical instructions, and ensure adequate performance of services. The CM Must ensure that contractor employees do not perform any services outside the scope of the contract without an official modification issued by the KO. The CM Must ensure contractor employees understand that services performed outside the scope of the contract are performed wholly at the expense of the contractor.

1.4.10 Identification of Contractor Employees: All contractor personnel attending meetings, answering Government telephones and working in other situations where their contractor status is not obvious to third parties are required to identify themselves as such to avoid creating an impression that they are Government employees. The contractor Must ensure that all documents or reports produced by contractor personnel are suitably marked as contractor products or that contractor participation is appropriately disclosed. The contractor’s status as a “contractor” Must be predominantly displayed in all correspondence types (to include signature blocks on e-mail) and dealings with Government or non-Government entities. Contractor personnel Must wear identification badges distinguishing themselves as such. The badges Must have the company name, employee name and the word “contractor” displayed.

1.4.10.1 The contractor Must retrieve all identification media (including vehicle passes) from its employees who depart employment for any reason. The contractor Must return all identification media (i.e., badges and vehicles passes) to the KO within 14 days of an employee’s departure.

1.4.11. Combating Trafficking in Persons: The United States Government has adopted a zero tolerance policy regarding trafficking in persons. Contractors and contractor employees Must not engage in severe forms of trafficking in persons during the period of performance of the contract; procure commercial sex acts during the period of performance of the contract; or use forced labor in the performance of the contract. The Contractor Must notify its employees of the United States Government’s zero tolerance policy, the actions that will be taken against employees for violations of this policy. The contractor Must take appropriate action, up to and including termination, against employees or subcontractors that violate the US Government policy as described at FAR 22.17.

1.4.12 Contractor Travel NOT APPLICABLE

1.4.13 Data

1.4.14 Organizational Conflicts of Interest (OCI): The contractor and subcontractor personnel performing services under this contract may receive, have access to or participate in the development of proprietary or source selection information (e.g., cost or pricing information, budget information or analyses, specifications or work statements, etc.) or perform evaluation services which may create a current or subsequent OCIs, as defined in FAR Subpart 9.5. The contractor Must notify the KO immediately whenever it becomes aware that such access or participation may result in any actual or potential OCI and Must promptly submit a plan to the KO to avoid or mitigate any such OCI. The contractor’s mitigation plan will be determined to be acceptable solely at the discretion of the KO. In the event the KO unilaterally determines that any such OCI cannot be satisfactorily avoided or mitigated, the KO may impose other remedies as he or she deems necessary, including prohibiting the contractor from participation in subsequent contracted requirements which may be affected by the OCI.

1.4.15 Phase In / Phase Out Periods: NOT APPLICABLE

2.0 DEFINITIONS AND ACRONYMS

2.1 Definitions:

2.1.1 Contractor: A supplier or vendor awarded a contract to provide specific supplies or service to the Government. The term used in this contract refers to the prime.

2.1.2 Defactive Service: A service output that does not meet the standard of performance associated with the PWS.

2.1.3 Deliverable: Anything that can be physically delivered and includes non-manufactured things such as meeting minutes or reports.

2.1.4 Key Personnel: Contractor personnel that are evaluated in a source selection process and that may be required to be used in the performance of a contract by the PWS. When key personnel are used as an evaluation factor in best value procurement, an offer can be rejected if it does not have a firm commitment from the persons that are listed in the proposal.

2.1.5 Physical Security: Actions that prevent the loss or damage of Government property.

2.1.6 Quality Assurance: The Government procedures to verify that services being performed by the Contractor are performed according to acceptable standards.

2.1.7 Quality Assurance Surveillance Plan (QASP): An organized written document specifying the surveillance methodology to be used for surveillance of contractor performance.

2.1.8 Quality Control: All necessary measures taken by the Contractor to ensure that the quality of an end product or service Must meet contract requirements.

2.1.9 Subcontractor: One that enters into a contract with a prime contractor. The Government does not have privity of contract with the subcontractor.

2.1.10 Work Day: The number of hours per day the Contractor provides services in accordance with the contract.

2.1.11 Work Week: Monday through Friday, unless specified otherwise (Note: PWS Section 1.4.1 specifies drill weekend execution).

2.1.12 Dental Classification (DENCLASS): An approved ARNG web-based module (through MEDCHART) designed to standardize the count of dental classifications, eliminate duplicate data system entry, facilitate the dental exam workflow, standardize the documentation of the health history and record of dental exam, and integrate dental readiness within the Medical Operational Data Systems (MODS) architecture.

2.1.13 Individual Medical Readiness (IMR): Defined as being free of health-related conditions that limit a Soldier’s ability to actively fulfill his/her assigned mission. IMR consists of six elements: Dental Readiness, Immunization Status, Periodic Health Assessment (PHA), No deployment limiting conditions, Medical Readiness Laboratory Tests, and Individual Medical Equipment.

2.1.14 Dental Readiness Categories (DRC): The classification system used to determine a Soldier's dental health and deployment eligibility. The categories are defined as:

2.1.14.1 DRC 1 (Deployable): Soldiers who have had a current dental examination within the last 12 months and require no dental treatment or reevaluation. These Soldiers are fully medically ready.

2.1.14.2 DRC 2 (Deployable): Soldiers who have had a current dental examination but require non-urgent dental treatment or reevaluation for oral conditions that are unlikely to result in a dental emergency within 12 months. These Soldiers have active disease but are considered medically ready.

2.1.14.3 DRC 3 (Non-Deployable): Soldiers who require urgent or emergent dental treatment, or are expected to require urgent treatment within the next year. These Soldiers are not medically ready and Must have all DRC 3 conditions treated and resolved prior to deploying.

2.1.14.4 DRC 4 (Non-Deployable / Indeterminate): Soldiers who require an annual dental examination, whose dental health status is unknown, or who are missing diagnostic quality radiographs in the Army Dental Digital Repository (ADDR). These Soldiers are not medically ready.

2.1.15 End of Event Summary: A summary that includes detailed information from the start of the event listing all numbers, classifications, and types of services provided.

2.1.16 Medical Operational Data System (MODS): An integrated AMEDD automation system (http://www.mods.army.mil) that supports all phases of Human Resource Life-Cycle Management in both peacetime and mobilization.

2.1.17 Medical Protection System (MEDPROS): Developed by the AMEDD (available through MODS) to track all immunization, medical readiness, and deployability data for all Active and Reserve components of the Army.

2.1.18 Periodic Health Assessment (PHA): An annual assessment for changes in health status, especially those that could impact a member’s ability to perform military duties.

2.2 ACRONYMS:

3.0 GOVERNMENT FURNISHED ITEMS AND SERVICES:

3.1. Property/Facilities: The Government will furnish the necessary workspace for the contractor to perform services outlined in this PWS. Specifically, the Government Must provide designated parking spaces suitable to accommodate HIPAA, Privacy Act, OSHA, and Radiological-compliant mobile dental platforms. The contractor Must have the ability to perform all ordered services and operate the event utilizing only the provided parking space, as the contractor will supply the mobile platforms. The Government will not provide dedicated exterior utility hookups (electrical shore-power, pressurized water connections, or gray-water sewage drainage) for mobile dental trailers. The contractor’s mobile platforms Must be fully self-sustaining (e.g., equipped with onboard generators, potable water tanks, and waste-water holding tanks) to operate independently at any designated Tennessee Army National Guard location.

(Note: In accordance with FAR 45.000(b)(5), physical parking space provided at Government facilities remains accountable to the Government and is considered incidental to the place of performance. The Government Must be responsible for the maintenance, repair, and upkeep costs of the physical parking facilities. The contractor Must only be liable for physical damage to the parking facilities resulting from contractor negligence or willful misconduct during operations.)

3.2 Materials: NONE. The Government will not provide any Government Furnished Materials (GFM). The contractor Must provide all materials, dental consumables, and administrative supplies necessary to perform the services defined in this PWS.

3.3 Equipment: NONE. The Government will not provide any Government Furnished Equipment (GFE). The contractor Must provide all diagnostic, radiology, and treatment equipment within their mobile platforms to execute the dental readiness mission.

3.4 Services: NONE. The Government will not provide any Government Furnished Services (GFS) under this contract.

3.5 Utilities: Standard building utilities within the physical Government facility (such as restrooms, standard wall outlets, and indoor water sources) will be available for the contractor’s use in the performance of this contract. However, as stated in Section 3.1, the Government does not guarantee or provide external power or water utility connections for mobile dental trailers. The contractor Must instruct employees in utilities conservation practices. The contractor Must operate under conditions that preclude the waste of utilities, which include turning off the water faucets or valves after using the required amount.

4. CONTRACTOR FURNISHED ITEMS AND RESPONSIBILITIES:

4.1 General:Except for those items specifically stated to be Government-Furnished in Paragraph 3.0, the contractor Must furnish everything required to perform these services as indicated in Paragraph 1.1 (Note: The contractor Must not be directly reimbursed for the purchase of any physical property, materials, or equipment required to perform this contract. All specialized mobile platforms, dental chairs, imaging systems, and diagnostic tools used in the execution of this contract Must remain the sole property of the contractor upon contract expiration or termination.)

4.2 Secret Facility Clearance: Not Applicable. A Secret Facility Clearance is not required for this contract. The contractor Must not be required to have a facility clearance from the Defense Counterintelligence and Security Agency (DCSA) to perform the services outlined in this PWS.

4.3 Contractor Security Clearance: The contractor’s employees performing work in support of this contract Must not require a Secret or Top Secret security clearance. However, all contractor personnel Must undergo required background investigations (BI) and obtain appropriate local installation access credentials prior to performing work on any Tennessee Army National Guard installation.

4.4 Materials:The contractor Must provide all materials, dental consumables, restorative compounds, sterilization chemicals, and administrative supplies necessary to conduct dental services in accordance with this PWS.

4.5 Equipment: When the contractor conducts dental treatment in a mobile dental practice, it Must be equipped with a generator, water and waste removal equipment/supplies, a compressor, and dental suction equipment, with the ability to administer all aspects of general dentistry installed. When the Technical Exhibits indicate additional mobile facilities are required for the contractor to provide services, the contractor Must provide OSHA-compliant Mobile Health Practices. Compliance with OSHA, State, and Federal Regulations is mandatory.

If the contractor conducts dental treatment in a facility furnished by the Government, the contractor Must provide:

5.0 Requirements: The contractor Must:

5.1 Basic Services & Personnel Administration

5.1.1 Provide services for the Tennessee Army National Guard (TNARNG) by providing dental screening examinations, treatment, and remediation coordination.

5.1.2 Assist with reporting and tracking of dental classification.

5.1.3 Provide all personnel, equipment, tools, materials, supervision, and quality control needed to perform the Individual Medical Readiness (IMR) requirements.

5.1.4 Ensure all contracted providers, in all disciplines, are fully licensed by the State of Tennessee in accordance with Army Regulation (AR) 40-68, para. 4-8.

5.1.5 Keep in mind that the stability and continuity of the work force are essential when hiring personnel.

5.1.6 Provide a complete dental team consisting of General Dentist(s), Bite Wing Tech(s), Dental Hygienist(s), Sterilization Tech(s), Dental Assistant(s), Administrative Staff, and a Patient Care/Treatment Coordinator.

5.1.7 Ensure Dentists hold a valid, active, and unrestricted DDS or DMD degree; Dental Hygienists hold a valid RDH license; and Bite Wing Techs, Dental Assistants, and Sterilization Techs hold a valid RDA certification.

5.2 Mobile Dental Platform & Facility Setup

5.2.1 Provide Mobile Dental Platforms in accordance with (IAW) Occupational Safety and Health Act (OSHA) of 1970 (Part 1910), Subpart E Regulations Standards 29 CFR.

5.2.2 Ensure platforms meet all OSHA, American Dental Association (ADA), Privacy Act, and HIPAA standards to ensure a safe, productive, and confidential workspace for medical services. Platforms Must provide protection from weather elements and provide active climate control, acting as fully functional workspaces in the event no interior military building space is provided (e.g., at remote artillery ranges).

5.2.3 Provide radiograph radiation protection, digital bitewing, and panoramic equipment to generate digital radiography files.

5.2.4 Ensure the Mobile Dental Platforms include and are capable of providing:

5.2.4.1 Fully equipped, HIPAA-compliant Private Exam Rooms (no "open-bay" setups).

5.2.4.2 Biohazard-separated work and sterilization areas.

5.2.4.3 A reception area with full office/printing capabilities to accommodate a continuous flow of patient services, health history data processing, and patient education (e.g., Smoking Cessation).

5.2.4.4 Appropriate climate control and ventilation systems to reduce airborne pathogens.

5.2.4.5 Professional-grade dental treatment capabilities comparable to a fixed-site, traditional practice, including ergonomically correct treatment chairs, vacuum systems, and ultra-quiet compressors.

5.2.4.6 Compliance with all state radiological requirements, including the Tennessee Department of Environment and Conservation (TDEC), Division of Radiological Health.

5.2.4.7 Intra-Oral Bitewing Sensors for superior digital image exposure (Kodak preferred).

5.2.4.8 Biohazard waste receptacles, maintaining responsibility to dispose of all medical/gray water waste IAW 42 CFR.

5.2.5 Maintain high-speed broadband, cellular, or satellite internet connectivity on all mobile platforms to allow for real-time, point-of-service military health record uploads to MEDPROS, MEDCHART, and the Active-Duty Dental Repository (ADDR).

5.2.6 Ensure workstations have Bar-Code Scanning capability to ensure high quality standards for data entry.

5.2.7 Complete setup of dental equipment by the day prior to the event commencement.

5.2.8 Remove all vendor property, including mobile platforms, within a 24-hour period upon completion of the event. In the case of a military emergency, the contractor Must have the capability to completely move off the Government site within 5 hours of notice.

5.2.9 Maintain a plan of action for equipment malfunctions, ensuring operational status is restored within 4 hours (including troubleshooting, removal, and replacement).

5.3 Clinical Examinations & Radiography

5.3.1 Perform required dental examinations (including digital bitewings and panoramic radiographs if clinically indicated) in accordance with AR 40-501 and AR 40-35. Adherence to all OSHA/HIPAA/ADA/PRIVACY ACT requirements is mandatory. Film or digitized (scanned hardcopy) radiographs Must not be accepted.

5.3.2 Conduct periodic oral evaluations to assess current oral health, risk for future dental disease, and general health factors. Providers hold a moral and ethical obligation to inform the Soldier if they observe signs/symptoms requiring further evaluation.

5.3.3 Conduct specific clinical assessments during exams, including:

5.3.3.1 Caries risk assessment (Low, Moderate, or High risk IAW 1995 ADA Special Supplement).

5.3.3.2 Periodontal Screening and Recording (PSR) to determine the need for periodontal treatment.

5.3.3.3 Tobacco risk assessment (Smoker, Smokeless, or Both).

5.3.3.4 Thorough oral cancer screening IAW ADA guidelines.

5.3.4 Take diagnostic-quality, properly identified, and dated digital panographs for all service members who do not have a panograph on file in the DENCLASS system, regardless of when any hardcopy panograph is dated.

5.3.5 Provide hardcopy medical documentation review, file, and organization into the Soldier Treatment Record (STR) IAW AR 40-66.

5.3.6 Ensure a throughput capability of processing 8 Soldier exams per hour, immediately notifying the Office of the State Surgeon’s POC if timelines are negatively impacted.

5.3.7 Maintain a Dental Quality Assurance program/consultant with Military Dental Experience.

5.4 Dental Treatment & Restorative Services

5.4.1 Provide approved dental treatment only within an OSHA & ADA Compliant mobile platform Dental Practice.

5.4.2 Convert 90% of Soldiers from Dental Classification 3 (Non-Deployable) to Dental Classification 1 or 2 (Deployable).

5.4.3 Submit all dental treatment plans to the State Dental Officer (or designated representative) for approval prior to treatment in DENCLASS, and subsequently to the COR for approval prior to any offsite dental treatment. (Exceptions coordinated with the State Surgeon).

5.4.4 Provide post-operatory instructions to the treated Soldier and their Supervisor (if necessary), conducting follow-up conversations depending on treatment complexity.

5.5 Prescription Medication Services

5.5.1 Set up network accounts with local pharmacies near the event locations.

5.5.2 Provide all necessary prescription medication (analgesia and antibiotics) for Soldiers undergoing dental treatment, arranging for fulfillment when recommended by the dentist.

5.5.3 Explain prescription medication instructions to the treated Soldier and verify instructions were provided by the local pharmacy.

5.6 Reporting & Deliverables

5.6.1 Enter each exam into the DENCLASS reporting system and annotate the SF 603 (Health Record – Dental) and SF 5570 (Health Questionnaire for Dental Treatment) in the Soldier’s dental records.

5.6.2 Ensure electronic entry of data into DENCLASS (including upload of all radiographs to ADDR) within 5 days of event completion.

5.6.3 Notify the COR and event POC via e-mail at the conclusion of each day’s event operations with a summary report of the total number of Soldiers scheduled, checked-in, and checked-out for that day.

5.6.4 Submit an End of Event Summary Report to the Office of the State Surgeon within 5 days post-event, containing at a minimum: Date, Location, List of contract employees, Total scheduled, Total examined, Totals by DRC (1, 2, 3), Total bitewings/panographs taken, Verification of entry into DENCLASS/HRR, and a by-name roster of all Soldiers examined (with DRC) and those requiring post-event case management.

5.7 Service Contract Reporting (SCR)-Not Applicable, Medical is excluded from reporting.

6. APPLICABLE PUBLICATIONS (CURRENT EDITIONS)

6.1. The Contractor Must abide by all applicable regulations, publications, manuals, and local policies and procedures.

Publication (Chapter/Page)

DoDM 1000.13-M-V1 DoD Identification (ID) Cards (Enclosure 2, paragraph 3.b) 01/23/2014 (Change 1: 07/28/2020)

Federal Information Processing Standards (FIPS) Publication 201-2 Personal Identity Verification (PIV) of Federal Employees and Contractors (paragraph 9)

DoDI 5200.46 DoD Investigative and Adjudicative Guidance for Issuing the Common Access Card (CAC) 09/09/14 (Change 1: 05/04/2018)

Homeland Security Presidential Directive (HSPD)-12 Policy for a Common Identification Standard for Federal Employees and Contractors

DoDI 5400.11 Department of Defense Privacy and Civil Liberties Programs 01/29/2019

DoD 5400.11-R Department of Defense Privacy Program

DoDD 8140.01 Cyberspace Workforce Management

10/05/2020

DoD 8570.01-M Information Assurance Workforce Improvement Program

DoD 5220.22-M National Industrial Security Program Operating Manual (NISPOM) 02/28/2006 (Change 2: 05/18/2016)

Army Directive 2014-05 Policy and Implementation Procedures for Common Access Card Credentialing and Installation Access for Uncleared Contractors

AR 25-2

Information Assurance 04/04/2019

AR 530-1

Operations Security

AR 525-13

Antiterrorism

AR 381-12

Threat Awareness and Reporting Program (TARP) (Section II, ¶ 2-4.b)

6.2 Applicable Forms: The Contractor Must ensure that all appropriate DA or DD forms (in accordance with references) are utilized for each service supplied. The forms Must be made available through the Tennessee Contracting Office. The Contractor Must provide all documentation concerning dental treatment to the TNARNG State Surgeons Office. Forms applicable to the PWS are listed below:

DD 1172-2

Application for Identification Card/DEERS Enrollment

I-9 Employment Eligibility Verification 10/21/2019 https://www.uscis.gov/sites/default/files/files/form/i-9.pdf

DD 441

Department of Defense Security Agreement Feb 2020 http://www.dtic.mil/whs/directives/forms/dd/ddforms0001-0499.htm

DD 250

Material Inspection and Receiving Report

ATTACHMENT/TECHNICAL EXHIBIT LISTING

TECHNICAL EXHIBIT 1

Performance Requirements Summary (PRS)

The contractor service requirements are summarized into performance objectives that relate directly to mission essential items. The performance threshold (Acceptable Quality Level - AQL) briefly describes the minimum acceptable levels of service required for each requirement. These thresholds are critical to overall contract monitoring and surveillance.

TECHNICAL EXHIBIT 2

Deliverables Schedule All deliverables Must be submitted in the format specified below. Late submissions may result in a negative performance assessment in the contractor's annual evaluation (CPARS).