PWS_Tactical Combat Casualty Care Training Course for Tier III v2.docx

Performance Work Statement for Tactical Combat Casualty Care Training Course for Tier III

1.0 Background: The Defense Health Agency (DHA) TCCC curriculum for Combat Medics, Hospital Corpsmen, and Aerospace Medicine Technicians was developed by subject matter experts from across the Department of Defense serving on a work group chartered under the Office of the Assistant Secretary of Defense for Health Affairs (OASD(HA)). It complies with the DoD requirement for all Service members to receive role based TCCC training and certification in accordance with their skill-level, as outlined in DoD Instruction 1322.24, “Medical Readiness Training,” dated March 16, 2018. Effective immediately, this memorandum establishes Tactical Combat Casualty Care (TCCC) policy and training guidance for the Air Force Medical Service (AFMS).

2.0 Scope/Objective: Headquarters Air Force Reserve Command (AFRC) requires contracted support to provide Air Force reserve medical personnel with the necessary advanced medical training for future deployment. TCCC/Tier III standardizes instruction across the services to establish minimum training standards for the Tier III aspect of DHA TCCC training. It is vital that Medical Treatment Facilities (MTF) (to include Reserve and Guard Medical Units) and Line-units (Special Operations Forces (SOF), Squadron Medical Elements (SMEs), etc.) develop training and sustainment plans, which will allow Combat Medic Corpsman/Aerospace Medicine Technician (CMC-AMT) personnel to develop proficiency and mastery of Combat skills which, through evidence-based data, will reduce battlefield morbidity and mortality.

3.0 General Requirement: The contractor shall provide TCCC Tier III training services for the Combat Medic Corpsman – Aerospace Medicine Technician in accordance with Defense Health Agency (DHA) approved “Tier” curriculum. The contractor will be responsible for the overall execution of the CMC-AMT course. To include the following duties but are not limited to:

3.2 The contactor shall provide the following:

3.2.1 Training:

3.2.1.1 The contractor will follow DHA’s TCCC CMC-AMT (Tier 3) course and instructional material (course plans, train- the-trainer course, etc.) are available at https://www.deployedmedicine.com.

3.2.1.2 A dedicated project manager that is TCCC Tier III certified to facilitate coordination between HQ AFRC and DHA.

3.2.1.3 Certified TCCC DHA/NAEMT Tier III trainers will maintain a ratio of 1 instructor per 6 students in accordance with the DHA standards to support 5 simultaneous classes for the practical application of TCCC.

3.2.1.4 A staggered start or rotating course schedule to accommodate 5 classes simultaneously ensuring each class does not exceed 30 participants.

3.2.1.5 Full access to the standardized curriculum and electronic test via Deployed Medicine.

3.2.1.6 TCCC Tier III Medical Training equipment consisting of all items listed in the equipment list in the DHA standard for up to 150 students.

3.2.1.7 Develop and follow DHA required 64 hours of didactics, lesson plans, and hands-on-curriculum training schedule to include opposing forces, pyrotechnics, and training weapons as needed.

3.2.1.8 Develop 24-hour schedule over an 8-day period for participants. Provide course information to all participants at least one week prior to course start.

3.2.1.9 Ability to video record training scenarios for debrief and review.

3.2.1.10 Communicate with the HQ AFRC point of contact with any information pertaining to any/all information on how to register for Deployed Medicine and access course materials to students prior to course.

3.2.1.11 Incorporate training scenarios for each module/testable skill in multiple environments in preparation for culminating event/FTX.

3.2.1.12 Execute culminating event/FTX maximizing stress inoculation by utilizing live patient actors and moulage/part task trainers amenable to hands-on treatment of massive hemorrhage, fractures, burns, and sucking chest wounds in an environment that simulates current potential deployed environments.

3.2.2 Logistics:

3.2.2.1 The contractor shall have the ability to accommodate the below items for up to 150 students:

3.2.3 Transportation: The contractor shall arrange for dependable transportation to/from the nearest airport, no more than 150 miles (from venue to airport), for all students to/from the approved venue for up to 150 personnel.

3.2.3.1 The contractor shall be required to provide for travel needs of its personnel and sub-contractors to fulfill the requirements of this PWS IAW to include travel to/from/around all the TCCC training venue locations.

3.2.3.1.1 Lodging: The contractor shall provide gender-specific accommodations with indoor hard billeted lodging with beds/cots for up to 150 personnel.

3.2.3.1.2 Laundry facilities: The contractor shall ensure the availability of laundry services or facilities to support to up to 150 personnel.

3.2.3.1.3 Sanitation Facilities: The contractor shall ensure adequate sanitation facilities, including one toilet for every 10 personnel and one shower for every 8 personnel, for a total of 150 members.

3.2.3.1.4 Meal Provision: The contractor shall provide and serve three adult daily meals (breakfast, lunch, and dinner) to adequately feed up to 150 personnel for each day of training.

3.2.3.1.4.1 The contractor shall ensure adult meals and refreshment are served according to the hours and location applicable to the training venue.

3.2.3.1.4.2 The contractor shall provide all dishes, flatware, cups, saucers, bowls, glasses, napkins, buffet/service tables, linens, and other such implement and/or supplies necessary to serve all meals and refreshments.

3.2.3.1.4.3 The contractor shall 100% serve the meals and refreshments IAW the start time of the TCCC course.

3.2.3.1.4.4 The contractor shall provide and serve adult meals IAW United States Department of Agriculture (USDA) Child and Adult Care Food Programs (CACFP) website (https://www.fns.usda.gov/cnpp) and Dietary guidelines, Adult Meal Pattern, and standard hotel practices for a selection of each menu item and a selection of beverages, such as salad items, protein, vegetable, starches, fruits, breads, desserts, a variety of beverages (hot and cold) and appropriate selection of condiments for food and beverage selections, such as salad dressing, catsup, hot sauce, mustard, jellies, brown sugar, salt and pepper, sweeteners, cream, milk, honey, and lemons.

3.2.3.1.4.5 The contractor shall ensure that adult meals served do not contain nuts, nut butters or poppy seeds.

3.2.3.1.4.6 The contractor shall submit 100% of the time the proposed adult meal menu to HQ AFRC contact personnel for review and approval three weeks prior to the event start date.

3.2.3.1.5 Vehicles for transportation: “The contractor shall provide the necessary vehicles to support movement of personnel, as required, for up to 150 personnel.”

3.2.3.1.6 Internet Capabilities: The contractor shall ensure the provision of internet capabilities to support Medical UTC patient movement operations.

3.2.3.1.7 Audio/Video Assets and Printed Materials: The contractor shall supply audio and video assets along with all necessary printed materials.

4.0 Tasks:

4.1 The contractor shall provide two (2) eight-day periods of instruction for up to 150 students. The required ratio of instructor to student: 1:6.

4.2 In accordance with the Air Force Medical Service (AFMS) letter dated 09 September 2024, Tactical Combat Casualty Care Policy and Guidance, the contractor shall be currently approved in writing by Defense Health Agency (DHA) to conduct TCCC Tier III. The DHA certification must be received and current upon submission of proposal.

4.3 The contractor shall provide all required training resources (i.e. personnel, materials, facilities, training areas, supplies, and equipment necessary to execute and complete the training DHA TCCC Tier III requirements).

4.4 The contractor shall assist AFRC personnel with establishing a DHA account to the member to obtain a certificate of completion for everyone that successfully completes the training course. The certificate will state the course is a Defense Health Agency Tier III course and date of completion.

4.5 The contractor shall submit an after-action report and testing data to Headquarters Air Force Reserve Surgeon General (HQ AFRC/SG) each TCCC course provided.

5.0 Government Requirements:

5.1 AFRC units are responsible for coordination of transportation to/from HOR to airport.

5.2 AFRC Unit specific requirements will be provided by the unit to include but not limited to:

6.0 Period of Performance:

6.1 TCCC Tier III training dates for 2025/2026

1) July 23rd, 2025, 8 days of didactics, TCCC ends on July 31st, 2025 – 150 students

2) May 27th, 2026, 8 days of didactics, TCCC ends on June 5th, 2026 – 150 students

7.0 Place of Performance:

7.1 TCCC Tier III training will be conducted at the contractor-owned facility that has locations for practical application scenarios to replicate the current challenges of near peer enemies.

7.2 The TCCC Tier III training facility will be a secured training area that prevents unauthorized access and observation.

7.3 Privacy Act of 1974. The contractor personnel shall have access to Privacy Act information that requires adherence with the Privacy Act of 1974, Title 5 of the U.S. Code, Section 552a, AFI 33-332, Air Force Privacy and Civil Liberties Program, 10 Mar 2020 and other applicable agency rules and regulations. All contractor personnel and sub-contractor personnel shall follow Government procedures to identify and safeguard reports and data accordingly. The contractor shall ensure the contractor personnel and sub-contractor personnel assigned to this requirement are briefed annually on proper identification and handling of Privacy Act information IAW FAR 52.224-3, Privacy Training.

7.4 Fire Protection and Prevention Program. All activities within the scope of this PWS are to be held at contracted facilities. The contractor shall ensure all event venue locations meet National Fire Protection Association (NFPA) guidelines(https://www.nfpa.org/). The contractor shall ensure each event venue location is current with local fire and elevator inspections.

8.0 Government Points of Contact: The Government Points of Contact are not warranted Contracting Officers and do not have the authority to take any action, either directly or indirectly, that would change the pricing, quantity, place of performance, delivery schedule, or any other terms and conditions of the contract.

8.1 Contract POCs:

8.1.1 Ms. Jacqueline Anthes, Contracting Office, 478-222-5835; Jacqueline.anthes.3@us.af.mil

8.2 Government Technical Representative: Provided at time of award.

9.0 Applicable Documents and References:

9.1 Air Force Medical Service (AFMS) Tactical Combat Casualty Care (TCCC) Policy and Guidance 2024

9.2 AFMS Corps Chief TCCC Tier Guidance for Deploying Personnel

9.3 Revised AFMS TCCC Tier 3 Implementation Guidance

(End of Performance Work Statement)