Exhibit I - PERFORMANCE REQUIREMENTS AND QUALITY ASSURANCE SURVEILLANCE PLAN MATRIX.xlsx

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Health Unit Services
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95476723R3500
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Working Doc EXHIBIT I: PERFORMANCE REQUIREMENTS AND QUALITY ASSURANCE SURVEILLANCE PLAN MATRIX

Offerors shall complete and submit the following:

Performance Reference #Performance Indicator (Desired Outcome)Performance Standard (Acceptable Quality Level)Methods of Surveillance
HEALTH UNIT
C.2.1Contractor shall maintain the Health Unit with staffing, equipment, and medical supplies (including on-hand inventory of needed vaccines and prescription and over the counter pharmaceuticals) sufficient to meet both the emergency services needs of the general public and Museum's occupational health needs for staff and designated personnel during Operating Hours
NOTE: Contractor shall not provide preventive care services, walk-in treatment, or oral medication to the general public absent Museum's prior request or written approval.Subject to Museum-approved QCP; Offerors are encouraged to propose threshhold performance parameters for maximum patient wait time, average and/or average durations of patient consultation (may be procedurally-dependent), inventory stock levels, customer satisfaction levels, and other QA measures as Offerors may propose and describe
C.2.1.1Contractor shall accommodate Operating Hour extensions for all Museum special events100% operational commitment given at least forty-eight hours prior notice, otherwise best efforts operational commitment
C.2.2Emergency service needs to Museum staff, designated personnel, and visitors, including:
C.2.2.1Emergency response within the Museum complex
C.2.2.2Coordination with the Museum's Security Control Center to request Emergency Medical Services (i.e. 911), whenever medically necessary for the following conditions:

(a) chest pain;

(b) numbness in face, arm or leg;

(c) difficulty speaking;

(d) coughing up or vomiting blood;

(e) heart attack;

(f) high fever (e.g., 105+F) with stiff neck;

(g) major injury;

(h) severe shortness of breath;

(i) stroke;

(j) sudden or unexplained loss of consciousness;

(k) wound that will not stop bleeding; and

(l) any other condition that requires treatment at a hospital

C.2.2.3Acute care treatment of minor illnesses, burns, and rashes
C.2.2.4Acute care treatment of lacerations and wounds
C.2.2.5AED Oversight and Guidance (10 Units)
C.2.3Occupational Health Care for Museum staff and designated personnel, including:
C.2.3.01Individual employee health counseling
C.2.3.02Medical guidance and assistance to staff assigned to foreign travel
C.2.3.03Limited health screenings (vision, diabetes, blood pressure)
C.2.3.04Weight – use of scale
C.2.3.05Illness testing and vaccinations on demand, for diseases including:

(a) Hep A / Hep B;

(b) Influenza, cold, and other common viruses;

(c) Measles, Mumps, Rubella;

(d) Meningococcus;

(e) Pneumococcus;

(f) Polio;

(g) Rabies;

(h) Tetanus Diphtheria;

(i) Typhus;

(j) Varicella (chickenpox);

(k) Yellow Fever;

(l) Tuberculosis (e.g., skin test, chest x-ray)

(m) Lung disease, pneumonia, asthma, and severe allergy (e.g., Spirometry, chest x-ray); and

(n) Others as USHMM may require

C.2.3.06Interventions directed by a personal physician (injections, screenings, etc.)
C.2.3.07Health education programsAt least three (3) 30-minute programs per year
C.2.3.08Special functions as USHMM may request (e.g., blood drives, health fairs)
C.2.3.09Participation in Museum safety and/or wellness committee meetings100% attendance commitment given at least forty-eight hours Museum prior notice, otherwise as mutually arranged
C.2.3.10Electrocardiogram
C.2.3.11Glucose Stick Test
C.2.3.12Respirator Medical Clearance Program
C.2.3.13Management of Museum's Nursing Mother’s Lactation Room (in accordance with the Fairness for Breastfeeding Mothers Act of 2019, Public Law No. 116-30)
C.2.4Operational Constraints - Contractor shall:
C.2.4.1Adhere to USHMM Safety and Environment standards regarding the disposal of any medical or hazardous waste100% compliance
C.2.4.2Adhere to all HIPAA guidelines and policies regarding the privacy and safekeeping of protected health information PHI) and personally identifiable information (PII)100% compliance
C.2.4.3Establish and maintain an Electronic Health Recordkeeping (EHR) technology system that demonstrates the technological capability, functionality, and security requirements for medical recordkeeping (including patient medical and immunization records) established by the Secretary of Health and Human Services (HHS). This system must appear on the Certified Health IT Product List (CHPL), a comprehensive and authoritative listing of all certified Health Information Technology which has been successfully tested and certified by the ONC Health IT Certification Program as tested by an ONC-Authorized Testing Laboratory (ONC-ATL) and certified by an ONC-Authorized Certification Body (ONC-ACB) to meet criteria adopted by the Secretary of the Department of Health and Human Services (HHS), based on the certification criteria standards set forth by the Centers for Medicare & Medicaid Services (CMS) and the Office of the National Coordinator for Health Information Technology (ONC) for electronic health recordkeeping. Contractor may, but need not use the system as a secure online check-in and patient information portal accessible 24/7 for patient communications and appointments100% compliance
C.2.4.4Operate the EHR system within a Federal Risk and Authorization Management Program (FedRAMP)-certified environment (FedRAMP empowers agencies to use modern cloud technologies, with emphasis on security and protection of federal information)100% compliance
C.2.4.5If not integrated in Contrator's EHR, establish and maintain a secure, FedRAMP-compliant online check-in and patient information portal accessible 24/7 for patient communications and appointments100% compliance
C.2.4.6Maintain valid health care facility licenses, permits, and certifications in compliance with all state and federal health and safety regulations, which set forth minimum standards for the delivery of care100% compliance
C.2.4.7Maintain insurance coverage adequate to cover Contractor liability for operation of a health care unitCoverage levels meeting the threshholds established in RFP paragraph H.4 and which otherwise meet or exceed industry standards for licensed health clinics, HMOs, and health care service providers

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