Draft SOW nationwide OHC BPA Outside Atlanta.docx

Draft Performance Work Statement Title: Nationwide Occupational Health Clinic Services

The period of performance of this contract consists of a base year and four option years, beginning on April 1, 2025, with four twelve-month option years. Award terms for option years will be contingent upon how successful the contractor is in meeting the essential performance requirements for this effort.

Period of performance of this contract is: April 1, 2025, to March 31, 2030 Base Period: April 1, 2025, to March 31, 2026 Option Period One: April 1, 2026, to March 31, 2027 Option Period Two: April 1, 2027, to March 31, 2028 Option Period Three: April 1, 2028, to March 31, 2029 Option Period Four: April 1, 2029, to March 31, 2030

SECTION 1 – BACKGROUND

The Centers for Disease Control and Prevention (CDC), serves as the national leader for developing and applying disease prevention and control, environmental health, and health education that is designed to improve the health of the people of the United States.

The Office of the Chief Operating Officer (OCOO) provides leadership, direction, support, and assistance to CDC’s programs and activities to optimize operational effectiveness of business services and institutionalize accountability for achieving management initiatives. Under the OCOO, the Office of Safety, Security and Asset Management (OSSAM) directs the operations and management of the CDC Occupational Health Clinic which provides work-related services to staff.

The CDC Office of Safety, Security and Asset Management (OSSAM) and the CDC Occupational Health Clinic (OHC) work to ensure a safe and healthy work environment for CDC staff. The CDC hosts two Occupational Health Clinics in Atlanta, GA (Roybal & Chamblee campuses) and a location in Fort Collins, Colorado. Each location is required to carry out this mission by delivering services to reduce occupationally related health risks; treating occupational illnesses, exposures and injuries; providing first aid for non-occupational illnesses and injuries; preparing staff for deployments and travel abroad; and providing occupational health expertise to internal and external partners. The CDC Occupational Health Clinic also supports the occupational health needs of CDC staff stationed in San Juan, Puerto Rico and Anchorage, Alaska, on a periodic basis.

A large part of CDC’s mission is focused on emergency response and readiness. The CDC Emergency Response Team and the PHS (Public Health Service) Commissioned Corps Readiness Team are at the forefront of the mission. These teams are involved in incident management activities to include the prevention of, preparedness for, response to, and recovery from terrorism, major natural disasters, and other major emergencies. Depending on the type and magnitude of the emergency, an array of CDC and partnering agency employees may be called to respond to an emergency. This would require immediate medical services and include a responder readiness (general fit for duty) medical clearance and may also include immunizations and/or respiratory medical clearance. It is essential that the contractor can administer these services within the vicinity of the deploying staff member within twenty-four (24) hours (including nights, weekends and holidays) of request for services.

SECTION 2 – PURPOSE/OBJECTIVE

Specifically, the purpose of this procurement is to obtain travel medicine and immunization health service resources to meet the occupational health needs of the agency’s field staff. The CDC has key field staff located at CDC quarantine stations and under remote designations throughout the United States of America, including full-time employees (FTEs) and contractors who are eligible for occupational health services.

SECTION 3 – SCOPE OF WORK

The contractor shall be responsible for providing quality occupational health services for CDC staff nationwide and throughout varying States, and CDC field assignees who are geographically located outside of Atlanta, Georgia.

1. The contractor shall work collaboratively with CDC Occupational Health Clinic (OHC) staff.

2. The contractor shall provide all labor, supplies, materials, pharmaceuticals, and equipment to meet the outcomes and objectives of this effort unless otherwise stated.

3. Personnel should be trained and licensed in accordance with state practice standards and licensure rules, if applicable, and have the expertise to meet the outcomes and objectives of this effort.

4. Personnel should be experienced in providing occupational health services: medical and respiratory exams, hearing tests, immunizations, first aid for occupational and non- occupational injuries, infectious diseases exposure management, treatment of work-related illnesses, medical referrals, tuberculosis surveillance, and pre- and post-travel consultations.

5. At a minimum, personnel shall include a medical provider (e.g., physician, nurse practitioner, or physician assistant) and a Registered Nurse staff member. Personnel should be experienced in appointment management, clinical documentation, pharmaceutical and non-pharmaceutical (e.g., vaccines, medications, medical supplies) inventory management, vaccine storage and handling, reporting, quality assurance, quality improvement, and quality control.

SECTION 4 – TASKS TO BE PERFORMED

The contractor shall provide occupational health services tasks 1-9 at an established occupational health clinic within 50 miles of the field deploying staff member nationwide and throughout varying United States territories.

The contractor shall conduct the following noncomprehensive list of laboratory testing titers, with the understanding that these requirements may be adjusted by the agency based on changes to the CDC occupational health services mission.

Task 1: Providing Exams

1. The Contractor shall conduct the following Physical exams:

a. Physical Pre-Placement

b. OSHA Respirator questionnaire

c. Pulmonary Function Tests

d. EKG Resting

e. Audiogram,

f. TB Skin Test

g. X-ray Chest-2 Review

2. The Contractor shall conduct the following Respiratory Exams

a. Respirator Physical

b. OSHA Respirator Questionnaire

c. Pulmonary Function Test

d. Respirator Fit Test (Qualitative) Task 2: Lab Tests

1. The Contractor shall conduct the following lab tests:

a. ALT/SGPT

b. AST/SGOT,

c. Complete Blood Count (CBC) w/Diff

d. Comprehensive Metabolic Panel (CMP)

e. Creatinine

f. Serum Lipid Panel

g. Hep A Antibody Total w/flex to IgM

h. Hep B Surface Antibody Quant

i. Hepatitis C Antibody w/flex RNA

j. MMR TB Quantiferon Blood 36970

k. Rabies RFFIT Serology

l. Varicella-Zoster IgG Antibody

Task 3: Department of State Exams

1. The Contractor shall conduct the following Department of State Exams:

a. Complete Blood Count CBC

b. ALT Creatinine-Serum Glucose-Serum HIV ½ AG/AB fourth gen w/reflexes ALT

c. Lipid Panel

d. RPR with reflex to FTA-ABS 36126

e. Hepatitis B Surface Antigen 498SB

f. Hepatitis C Antibody 8472 with reflex RNA

g. B Skin Test

h. TB Quantiferon Blood

i. X-ray Chest-2 Review Task 4: Vaccination

1. The Contractor shall provide and administer the following vaccines

a. Hepatitis A vaccine series

b. Hepatitis B vaccine series

c. Typhoid Vaccine

d. Varicella Vaccine

e. Meningococal Vaccine

f. Yellow Fever

g. Covid

h. Ticovax

i. JEV

j. High Dose Flu Task 5: Medical Clearances

1. The Contractor shall provide a mechanism by which CDC staff can obtain urgent/short notice or same day clinic visits to obtain deployment and response medical clearance exams

a. Provide all appropriate services based on health histories, deployment location, and risks as outlined by OHC.

b. Provide comprehensive pre-travel consultations (see Pre-Travel Consultations below) including provision of travel medications.

c. Notify CDC OHC POC in Atlanta when referrals are necessary for CDC staff to obtain chest x-rays when indicated.

Task 6: Pre-Travel Consultations

1. The Contractor shall provide the following customized pre-travel consultations to CDC travelers and his/her itinerary.

a. Assess subjective and objective data obtained from CDC travelers as well as reference the latest edition of the CDC Yellow Book (Health Information for International Travel) to structure pre-travel consultations focused on illness prevention and health promotion, safety, and security.

b. Customize care utilizing the most up-to-date national and international global health and safety risk data, including vaccine preventable illness and non-vaccine preventable infectious diseases; seasonal, climate and altitude risks; food and waterborne illnesses; transportation accidents; activity risks; sexually transmitted infections; social unrest; crime; disease outbreaks; and access to medical and safety services in country.

c. Utilize appropriate reliable resources to develop and implement an evidence-based plan of risk reduction using pharmaceutical and non-pharmaceutical interventions.

d. Provide CDC-specific information sheets to CDC staff.

e. Administer travel vaccinations for pre-trave consultation appointments only

2. The contractor shall provide the following antimalarial drugs, antibiotics, and combination antiretrovirals as appropriate:

a. Malarone (or Atovaquone/Proquanil) 250g/100mg tablet

b. Mefloquine (or Larium) 250mg tablet

c. Doxycycline (or a brand name) 100mg tablet

d. Azithromycin (or Zithromax) 250mg tablet

e. Flagyl (or Metronidazole) 250 mg tablet

f. Diamox (or Acetazolamide) 250mg tablet

g. Isentress (Raltegravir) and Truvada

h. Emtricitabine/Tenofovir tablets

Task 7: Post Exposure Prophylaxis-HIV/SHIV

1. The Contractor shall complete the following evaluations for post exposure Prophylaxis: HIV

a. Perform initial evaluation post exposure to blood borne pathogens or infectious bodily fluid to include baseline testing for exposed person and source person if possible.

b. Post exposure Prophylaxis (PEP) must be started within 72 hours (3 days) after an exposure to HIV to be effective

c. Provide a three-drug PEP regimen which is the recommendation for all exposures for a duration of 28 days

d. Monitor and manage side effects of PEP during course of treatment (renal toxicity)

e. Special consideration for pregnant and breastfeeding employees, i.e. All pregnant people starting (Antiretroviral) ARVs should be entered in the Antiretroviral Pregnancy Registry, a database designed to collect information on the outcomes of ARV-exposed pregnancies regardless of HIV status: http://apregistry.com

f. Follow up testing of exposed person to determine if treatment should be discontinued or not.

SECTION 5 – GOVERNMENT FURNISHED PROPERTY

CDC will provide the contractor with the following:

· OHC protocols.

· Similar Exposure Groups (SEGs), SEG Summaries, and Individual Risk Assessment Worksheets.

· Any medications or vaccines not normally available in the medical community

· Guidance documents, such as documents that describe CDC employees eligible for occupational health services.

· Other guidance documents and handouts as they are developed.

SECTION 6 – PLACE OF PERFORMANCE AND CONTRACT SUPPORT HOURS

SUBSECTION A – PLACE OF PERFORMANCE

The contract may be performed at an established occupational health clinic within 50 miles of the field deploying staff member: nationwide and throughout varying United States Territories.

SUBSECTION B – CONTRACT SUPPORT HOURS

The contractor shall provide support for 8 consecutive hours for Tasks 1-8 starting no later than 9:00am and ending no earlier than 3:30pm in the time zone specified by the contracting officer and /or contracting officer’s representative (COR).

Additional Support nights and/or weekends if needed

SECTION 7 – TRAVEL

There are no travel requirements for this effort.

SECTION 8 – DELIVERABLES/REPORTING SCHEDULE

The contractor shall deliver the below listed reports/deliverables to the Contractor Officer’s Representative (COR) as specified below, within the time frames specified. The contractor shall provide an electronic copy, within the time frames specified, summarizing the number and type of activities as outlined below. Any such reports will be submitted in MS Word format via email. If reports require spreadsheet attachments, such spreadsheets will be provided in MS Excel format via email and will be produced in PC- compatible software that meets CDC standards and is readily available at CDC.

· Reporting

· Monthly Report – The contractor shall provide a monthly detailed report of all services rendered during the month by date of patient contact, price, expense category, and patient.

· Format: Via email in Microsoft word/excel

· Due date: Monthly

· Deliver to: COR

· Patient Paperwork– The contractor shall provide each employee who undergoes a physical a copy of all forms completed, test results, exam reports, post exam counseling, an advisement letter explaining medically significant data with any abnormal findings with written recommendations for addressing any concerns.

· Format: Via email

· Due date: 24 hours of service being rendered

· Deliver to: OHCfield@cdc.gov

SECTION 9 – REFERENCE MATERIALS

N/A

SECTION 10 – MINIMUM VENDOR QUALIFICATIONS

Minimum vendor qualifications include professional licensure for all staff providing services. Any licenses from State or Local Government to provide services, or accreditation from governing body must be included.