Solicitation_-_FA286019RA020_(2).pdf

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

1. REQUISITION NUMBER PAGE 1 OF

2. CONTRACT NO. 3. AWARD/EFFECTIVE

DATE

4. ORDER NUMBER 5. SOLICITATION NUMBER 6. SOLICITATION ISSUE

DATE

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME b. TELEPHONE NUMBER (No collect calls)

8. OFFER DUE DATE/

LOCAL TIME

9. ISSUED BY

13b. RATING

14. METHOD OF SOLICITATION

CODE

15. DELIVER TO 16. ADMINISTERED BY CODE

18a. PAYMENT WILL BE MADE BY CODE17a. CONTRACTOR/

OFFEROR

CODE

FACILITY

CODE

CODE

TELEPHONE NO.

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN

OFFER

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK

BELOW IS CHECKED

RFQ IFB RFP

SEE ADDENDUM

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

(Use Reverse and/or Attach Additional Sheets as Necessary)

25. ACCOUNTING AND APPROPRIATION DATA 26. TOTAL AWARD AMOUNT (For Govt. Use Only)

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED

29. AWARD OF CONTRACT: REF. OFFER

DATED . . YOUR OFFER ON SOLICITATION

(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR

30b. NAME AND TITLE OF SIGNER (Type or print) 30c. DATE SIGNED

31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

31b. NAME OF CONTRACTING OFFICER (Type or print) 31c. DATE SIGNED

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA - FAR (48 CFR) 53.212

10. THIS ACQUISITION IS UNRESTRICTED OR

NAICS:

SIZE STANDARD:

13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

SET ASIDE: % FOR:

11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

ARE ARE NOT ATTACHED

ARE ARE NOT ATTACHED

27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA

8 (A)

EDWOSB

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

SMALL BUSINESS

FA286019RA020

Solicitation/Contract Form

Supplies or Services and Prices/Cost

Additional Information/Notes

Item Supplies/Service Quantity Unit Unit Price Amount

0001 CRITICAL CARE - AMBULANCE

SUPPORT Requirements Description-

CRITICAL CARE - AMBULANCE

SUPPORT

Manufacturer's Part Number: Null Federal Supply Classification Code:

V225 Firm Fixed Price

CIN: 00000000000003970190

10.0 Each

0002 ADVANCE LIFE SUPPORT -

AMBULANCE SUPPORT Requirements Description- ADVANCE LIFE

SUPPORT - AMBULANCE SUPPORT

Manufacturer's Part Number: Null Federal Supply Classification Code:

V225 Firm Fixed Price

CIN: 00000000000003970191

100.0 Each

0003 ALS UNDER 30 MINUTES -

AMBULANCE SUPPORT Requirements Description- ALS UNDER 30 MINUTES

- AMBULANCE SUPPORT

Manufacturer's Part Number: Null Federal Supply Classification Code:

V225 Firm Fixed Price

CIN: 00000000000003970192

125.0 Each

0004 ALS 31 - 60 MINUTES - AMBULANCE

SUPPORT Requirements Description-

ALS 31 - 60 MINUTES - AMBULANCE

SUPPORT

Manufacturer's Part Number: Null Federal Supply Classification Code:

V225 Firm Fixed Price

CIN: 00000000000003970193

125.0 Each

0005 BLS - AMBULANCE SUPPORT

Requirements Description- BLS -

AMBULANCE SUPPORT

Manufacturer's Part Number: Null Federal Supply Classification Code:

V225 Firm Fixed Price

CIN: 00000000000003970194

150.0 Each

0006 MILEAGE OVER 50 MILES

Requirements Description- MILEAGE

OVER 50 MILES

Manufacturer's Part Number: Null Federal Supply Classification Code:

V225 Firm Fixed Price

CIN: 00000000000003970195

25.0 Double-time

Hours

Option Line Item

CRITICAL CARE - AMBULANCE

SUPPORT Requirements Description-

10.0 Each

CRITICAL CARE - AMBULANCE

SUPPORT

Manufacturer's Part Number: Null Federal Supply Classification Code:

V225 Firm Fixed Price

Option Line Item

ADVANCE LIFE SUPPORT -

AMBULANCE SUPPORT Requirements Description- ADVANCE LIFE

SUPPORT - AMBULANCE SUPPORT

Manufacturer's Part Number: Null Federal Supply Classification Code:

V225 Firm Fixed Price

100.0 Each

Option Line Item

ALS UNDER 30 MINUTES -

AMBULANCE SUPPORT Requirements Description- ALS UNDER 30 MINUTES

- AMBULANCE SUPPORT

Manufacturer's Part Number: Null Federal Supply Classification Code:

V225 Firm Fixed Price

125.0 Each

Option Line Item

ALS 31 - 60 MINUTES - AMBULANCE

SUPPORT Requirements Description-

ALS 31 - 60 MINUTES - AMBULANCE

SUPPORT

Manufacturer's Part Number: Null Federal Supply Classification Code:

V225 Firm Fixed Price

125.0 Each

Option Line Item

BLS - AMBULANCE SUPPORT

Requirements Description- BLS -

AMBULANCE SUPPORT

Manufacturer's Part Number: Null Federal Supply Classification Code:

V225 Firm Fixed Price

150.0 Each

Option Line Item

MILEAGE OVER 50 MILES

Requirements Description- MILEAGE

OVER 50 MILES

Manufacturer's Part Number: Null Federal Supply Classification Code:

V225 Firm Fixed Price

25.0 Double-time

Hours

Option Line Item

CRITICAL CARE - AMBULANCE

SUPPORT Requirements Description-

CRITICAL CARE - AMBULANCE

SUPPORT

Manufacturer's Part Number: Null Federal Supply Classification Code:

V225 Firm Fixed Price

10.0 Each

Option Line Item

ADVANCE LIFE SUPPORT -

AMBULANCE SUPPORT Requirements Description- ADVANCE LIFE

SUPPORT - AMBULANCE SUPPORT

Manufacturer's Part Number: Null Federal Supply Classification Code:

V225 Firm Fixed Price

100.0 Each

Option Line Item

ALS UNDER 30 MINUTES -

AMBULANCE SUPPORT Requirements Description- ALS UNDER 30 MINUTES

- AMBULANCE SUPPORT

Manufacturer's Part Number: Null Federal Supply Classification Code:

V225 Firm Fixed Price

125.0 Each

Option Line Item

ALS 31 - 60 MINUTES - AMBULANCE

SUPPORT Requirements Description-

ALS 31 - 60 MINUTES - AMBULANCE

SUPPORT

Manufacturer's Part Number: Null Federal Supply Classification Code:

V225 Firm Fixed Price

125.0 Each

Option Line Item

BLS - AMBULANCE SUPPORT

Requirements Description- BLS -

AMBULANCE SUPPORT

Manufacturer's Part Number: Null Federal Supply Classification Code:

V225 Firm Fixed Price

150.0 Each

Option Line Item

MILEAGE OVER 50 MILES

Requirements Description- MILEAGE

OVER 50 MILES

Manufacturer's Part Number: Null Federal Supply Classification Code:

V225 Firm Fixed Price

25.0 Double-time

Hours

Option Line Item

CRITICAL CARE - AMBULANCE

SUPPORT Requirements Description-

CRITICAL CARE - AMBULANCE

SUPPORT

Manufacturer's Part Number: Null Federal Supply Classification Code:

V225 Firm Fixed Price

10.0 Each

Option Line Item

ADVANCE LIFE SUPPORT -

AMBULANCE SUPPORT Requirements Description- ADVANCE LIFE

SUPPORT - AMBULANCE SUPPORT

Manufacturer's Part Number: Null Federal Supply Classification Code:

V225 Firm Fixed Price

100.0 Each

Option Line Item

ALS UNDER 30 MINUTES -

AMBULANCE SUPPORT Requirements Description- ALS UNDER 30 MINUTES

- AMBULANCE SUPPORT

Manufacturer's Part Number: Null Federal Supply Classification Code:

V225 Firm Fixed Price

125.0 Each

Option Line Item

ALS 31 - 60 MINUTES - AMBULANCE

SUPPORT Requirements Description-

ALS 31 - 60 MINUTES - AMBULANCE

SUPPORT

Manufacturer's Part Number: Null Federal Supply Classification Code:

V225

125.0 Each

Firm Fixed Price

Option Line Item

BLS - AMBULANCE SUPPORT

Requirements Description- BLS -

AMBULANCE SUPPORT

Manufacturer's Part Number: Null Federal Supply Classification Code:

V225 Firm Fixed Price

150.0 Each

Option Line Item

MILEAGE OVER 50 MILES

Requirements Description- MILEAGE

OVER 50 MILES

Manufacturer's Part Number: Null Federal Supply Classification Code:

V225 Firm Fixed Price

25.0 Double-time

Hours

Option Line Item

CRITICAL CARE - AMBULANCE

SUPPORT Requirements Description-

CRITICAL CARE - AMBULANCE

SUPPORT

Manufacturer's Part Number: Null Federal Supply Classification Code:

V225 Firm Fixed Price

10.0 Each

Option Line Item

ADVANCE LIFE SUPPORT -

AMBULANCE SUPPORT Requirements Description- ADVANCE LIFE

SUPPORT - AMBULANCE SUPPORT

Manufacturer's Part Number: Null Federal Supply Classification Code:

V225 Firm Fixed Price

100.0 Each

Option Line Item

ALS UNDER 30 MINUTES -

AMBULANCE SUPPORT Requirements Description- ALS UNDER 30 MINUTES

- AMBULANCE SUPPORT

Manufacturer's Part Number: Null Federal Supply Classification Code:

V225 Firm Fixed Price

125.0 Each

Option Line Item

ALS 31 - 60 MINUTES - AMBULANCE

SUPPORT Requirements Description-

ALS 31 - 60 MINUTES - AMBULANCE

SUPPORT

Manufacturer's Part Number: Null Federal Supply Classification Code:

V225 Firm Fixed Price

125.0 Each

Option Line Item

BLS - AMBULANCE SUPPORT

Requirements Description- BLS -

AMBULANCE SUPPORT

Manufacturer's Part Number: Null Federal Supply Classification Code:

V225 Firm Fixed Price

150.0 Each

Option Line Item

MILEAGE OVER 50 MILES

Requirements Description- MILEAGE

OVER 50 MILES

Manufacturer's Part Number: Null Federal Supply Classification Code:

V225 Firm Fixed Price

25.0 Double-time

Hours

Option Line Item

CRITICAL CARE - AMBULANCE

SUPPORT Requirements Description-

CRITICAL CARE - AMBULANCE

SUPPORT

Manufacturer's Part Number: Null Federal Supply Classification Code:

V225 Firm Fixed Price

10.0 Each

Option Line Item

ADVANCE LIFE SUPPORT -

AMBULANCE SUPPORT Requirements Description- ADVANCE LIFE

SUPPORT - AMBULANCE SUPPORT

Manufacturer's Part Number: Null Federal Supply Classification Code:

V225 Firm Fixed Price

100.0 Each

Option Line Item

ALS UNDER 30 MINUTES -

AMBULANCE SUPPORT Requirements Description- ALS UNDER 30 MINUTES

- AMBULANCE SUPPORT

Manufacturer's Part Number: Null Federal Supply Classification Code:

V225 Firm Fixed Price

125.0 Each

Option Line Item

ALS 31 - 60 MINUTES - AMBULANCE

SUPPORT Requirements Description-

ALS 31 - 60 MINUTES - AMBULANCE

SUPPORT

Manufacturer's Part Number: Null Federal Supply Classification Code:

V225 Firm Fixed Price

125.0 Each

Option Line Item

BLS - AMBULANCE SUPPORT

Requirements Description- BLS -

AMBULANCE SUPPORT

Manufacturer's Part Number: Null Federal Supply Classification Code:

V225 Firm Fixed Price

150.0 Each

Option Line Item

MILEAGE OVER 50 MILES

Requirements Description- MILEAGE

OVER 50 MILES

Manufacturer's Part Number: Null Federal Supply Classification Code:

V225 Firm Fixed Price

25.0 Double-time

Hours

Description/Specifications/Statement of Work

PERFORMANCE WORK STATEMENT

AMBULANCE AND PATIENT TRANSPORT SERVICES

1. DESCRIPTION OF SERVICES

The contractor shall provide 24-hour supplemental ambulance and patient transport services for the 11th Medical Group (MDG), Malcolm Grow Medical Clinics and Surgery Center (MGMCSC), Joint Base Andrews (JBA), MD and 11 Medical Squadron (MDS) Joint Base Anacostia - Bolling, DC; also referred to as the "Medical Treatment Facility" (MTF) herein.

Contractor shall furnish all labor, management, consultation, training, vehicles, supplies, equipment, transportation, and reports. Contractor care shall cover the full range of Emergency Medical Technician (EMT), paramedic and ambulance services provided in the local community. Performance shall be according to the requirements contained in this performance work statement (PWS), and professional standards of the TJC, AFI 44-119-Medical Quality Operations, the Department of Transportation (DOT) and individual scope of practice according to current licensure/certifications attained. The scope of practice is limited to what is legal, solely within the state of Maryland and is outlined by the Maryland Office of EMS and Trauma Form R-P11A.

The service area for the contractor is anticipated to be within a fifty-mile radius of JBA and JBAB for patient transport missions located in the State of Maryland, the Commonwealth of Virginia and the District of Columbia. All services shall be in accordance to the requirements of professional standards of the Maryland Department of Transportation and any applicable Federal standards or requirements. Services shall be paid for by the government, the contractor shall not bill patients.

2. PERFORMANCE REQUIREMENTS

2.1 Patient Transport

The contract shall provide patient transport in support of three (3) categories of patients: Critical Care (CC), Advanced Life Support (ALS) and Basic Life Support (BLS). Patients shall be transferred from identified patient pick-up location to the designated transport location as identified by JBA and JBAB. The Government will identify to the contractor the category for each requested service at the time the contractor is notified service are needed. The contractor shall travel to incident locations in an appropriate medical response vehicle with the appropriate personnel and equipment per information received primarily from the Emergent Care Center (ECC) on JBA, JBAB and surrounding clinics in the Washington DC area (military and civilian).

i. Ambulance shall arrive at the provided designated location per run within 45 minutes for all CC and ALS patients from the time initial request is received.

ii. Ambulance shall arrive at the provided designated location per run within 90 minutes for all BLS patients from the time initial request is received.

The Government will allow a grace period of 15 minutes depending on traffic; however transport of patients delayed beyond the times established in this paragraph will result in negative feedback. Two instances of negative feedback in terms of delays can result in immediate termination for default. Government cancellation of transport request after ambulance crew arrival at patient pick up destination shall result in the MTF being charged half of the expected cost.

The contractor shall ALS units 24 hours per day seven (7) days a week for 365 day a year to include all holidays. The contractor shall establish and maintain a system to ensure that backup support is provided in the event of simultaneous responses, equipment failures or other unforeseen circumstances. The contract shall provide medical care and treatment appropriate to patient's condition. The contractor shall respect and maintain the basic rights of patients, demonstrating concern for personal dignity and human relationships.

The government anticipates an estimated yearly workload as follows:

CATEGORY APPROX YEARLY VOLUME

Critical Care 10 Transports Advanced Life Support 350 Transports Basic Life Support 150 Transports

2.2 Ambulance Services

All Ambulance Services shall provide a minimum level of care and have fully licensed EMTs. There shall be at least two

(2) EMTs accompanying each transport. All ALS runs shall be accompanied by one (1) paramedic. This person shall be designated the Lead Technician on the run. Personnel shall only administer medications within their scope of practice and level of training. Personnel shall perform accurate patient vital signs and have an understanding of patient symptoms, laboratory values, etc. in order to independently assess and provide the correct treatments or care as required during transport.

Contractor agrees that whenever government medical personnel deem it necessary, Government medical personnel trained to care for a particular medical condition may accompany the patient on the transport. The contractor agrees to permit those Government medical personnel to accompany and treat if necessary in the transport vehicle. The presence of Government medical personnel on the transport does not relieve the contractor from any of its responsibilities under the contract.

If Government personnel accompany a patient during transport, they shall be transported back to the facility of origin by the contractor at no additional charge.

2.3 Point Of Contact

The Contractor shall provide a list of point of contact(s) (POC) that shall have full authority to act on behalf of the Contractor on all matters relating to the daily operation of this contract. The contractor shall designate these individual(s), in writing, to the Contracting Officer (CO) and the COR on the contract start date.

2.4 Patient Information

Patient information, no matter how developed, shall be treated as privileged information. Contract personnel must comply with guidelines set forth in the Privacy Act and the Health Insurance Portability Accountability Act (HIPAA). Lists and/or names of patient shall not be disclosed to or revealed in any way for any use outside the MTF without prior written permission by the COR, and/or CO.

2.5 Education and Certification Requirements

All personnel performing under this contract shall have and maintain current certifications in compliance with the state of Maryland and as outlined by the Maryland Office of EMS and Trauma. The contractor shall produce documents within 24 hours of request by the COR, or CO. Each licensure must maintain current American-Heart Association Basic Life Support (BLS), Advanced Cardiac Life Support (ACLS), and Pediatric Advanced Life Support (PALS) certifications.

Contractor personnel shall have current certification and training with Health Insurance Portability Accountability Act (HIPAA) involving handling of patient information. Additionally, the contractor shall provide continuing medical education (CME) to all employees.

Contractor personnel shall possess and maintain a valid state driver's license (driver's license can be from any U.S. state or territory assuming that particular state or territory issues a driver's license).

2.6 Experience

All contract personnel performing under this contract shall have experience in their respective positions as follows:

i. Technician EMT:

a. Successfully completed an Emergency Medical Technician Basic Program and has a current license to practice within the area covered by this PWS.

b. Must be currently certified in Cardiopulmonary Resuscitation (CPR) Training.

c. Meet legal and statutory requirements to perform as EMT's in the state of Maryland

ii. Lead Paramedic or National Registered Emergency Medical Technician - Paramedic (NREMT-P):

a. Fully qualified Paramedic with above experience requirements and has a current ACLS certification.

iii. Driver Minimum:

a. Must have successfully completed an accredited program.

b. Possess a valid unrestricted license to drive to and from the MTF.

c. Must be currently certified in Cardiopulmonary Resuscitation (CPR) Training.

The contractor shall ensure that qualified backup providers are available to provide coverage during scheduled and unscheduled absences to primary contract providers. Absences without backup coverage provided would be subject to liquidated damages.

2.7 Ambulance Operation Service License

Contractor personnel shall have a valid active Ambulance Service license issued by a U.S. State or territory. The contractor shall provide a copy of their valid Ambulance Service license prior to exercising option periods.

3. DELIVERABLES

3.1 Documentation

The contractor shall prepare all documentation to meet or exceed established standards of the MTF such as timeliness, legibility, accuracy, content and signature. The contractor shall keep a copy of all documentation and comply with ECC standards in maintaining and disposing of records, files, documents, and work papers. All records, files, documents, and related work papers provided by the Government remain Government property.

3.1.1 Run Sheet: The Paramedic or EMT (BLS calls) shall provide the accepting facility a copy of the run sheet upon arrival at the facility. The run sheet shall include a statement that the patient arrived safely at the destination, and shall fully describe any problems that were encountered enroute, any medications administered, etc.

The contractor shall ensure complete patient identifying information is on all documentation to be provided to the MTF relating to the transport. All documentation and records shall remain property of the Government.

Patient information shall be collected to include the following information:

a. Date of Transport

b. Patient's Name

c. Call Location

d. Destination

e. Nature of Call

f. Response Time

g. Run Report/Dispatch #

h. Notes

i. Branch (Active Duty/Civilian/Dependent/Retired Military)

j. Sponsor's Name

k. Sponsor's Phone Number#

Patient information, no matter how developed shall be treated as privileged information under the privacy act and applicable release of information guidelines. Lists and/or names of patients shall not be disclosed or revealed in any way for any use outside the MTF without prior written permission by the Chief of Medical Staff. The EMT/AEMT/Paramedic shall only release medical information obtained during the course of this contract to other MTF staff involved in the care and treatment of that individual patient.

Contractor personnel shall respect and maintain the basic rights of patients, demonstrating concern for personal dignity and human relationships. Paramedics receiving complaints validated by the COR and Chief of the Medical Staff shall be subject to counseling and depending on the nature and severity of the complaint, separation from performing services under this contract. Contractor shall ensure all personnel maintain an open and professional communication with members of the MTF.

Complaints validated by the COR and Chief of the Medical Staff shall be reported in writing to the contracting officer (CO) for action. Failure to correct valid complaints identified by the CO will be considered a failure to perform.

3.2 Orientation

The contractor shall be responsible for providing an orientation on the equipment to the military personnel in instances when military personnel are accompanying the patient on the run, on any equipment procedures for contractor supplied equipment and supplies.

3.3 Management of equipment and vehicles

The contractor shall provide ambulances and equipment; such as communication and medical equipment to provide full support and services as stated in Section 2 of this PWS. Vehicles provided as ambulances under this contract for CC, ALS, and BLS patients shall accommodate a minimum of two (2) EMT's positioned so that patient can be provided intensive life support during transport.

3.4 Quality Control Plan (QCP)

The contractor shall provide a Quality Control Plan (QCP) at time of proposal and any updates, after contract award. Prior to acceptance or implementation of QCP updates, the revised QCP shall be accepted by the COR. The QCP shall document how the contractor shall meet and comply with the quality standards established in this PWS. At a minimum, the QCP must include a self-inspection plan, an internal staffing plan, and an outline of the procedures that the contractor shall use to maintain quality, timeliness, responsiveness, customer satisfaction, and any other requirements set forth in this PWS. Positive incentives as a result of performance that continually exceeds the performance objectives as outlined in the PWS may result in reduced surveillance and favorable Contractor Performance Assessment Reporting (CPARS). Negative performance incentives include re-performance of the defective service in accordance with the Inspection of Services clause, reduction of fee/price, negative CPAR and/or increased surveillance.

3.5. eCRMA The contractor shall report ALL contractor labor hours (including subcontractor labor hours) required for performance of services provided under this contract for the [NAMED COMPONENT] via a secure data collection site. The contractor is required to completely fill in all required data fields at http://www.ecmra.mil.

Reporting inputs will be for the labor executed during the period of performance for each Government fiscal year (FY), which runs 1 October through 30 September. While inputs may be reported any time during the FY, all data shall be reported no later than 31 October* of each calendar year. Contractors may direct questions to the CMRA help desk."

4. SERVICES SUMMARY

PERFORMANCE OBJECTIVES PWS REFERENCE PERFORMANCE THRESHOLDS

Response Time 2.1 Meet criteria for transport time 95% of the time. Maximum time between initial requests to arrival for ALS/ CC is 45 minutes. Maximum time between initial request to arrival for BLS patients is 90 Minutes Run Sheets 3.1.1 Deliver to the accepting facility at time of arrival. Meet criteria for transport report 95% of the time.

5. GENERAL INFORMATION

5.1 Hours of Operation

The contractor shall provide patient transportation services 24 hours a day, 7 days a week.

5.2 Inclement Weather

Contract performance is vital to the Government and must be continued without interruption unless instructed otherwise by the Maryland State Police. The contractor shall provide coverage as stated within this PWS unless notified by the Government Representative.

5.3 Health Requirements

All health care workers shall follow the methods for controlling and preventing disease as described in the American Public Health Association publication, Control of Communicable Diseases Manual, and the Centers for Disease Control and Prevention (CDC) publication, Morbidity and Mortality Weekly Report (MMWR), and its supplements. Where applicable, the most recent guidelines from these publications are utilized as the standard. The contractor shall adhere to the Medical Group MDGI 48-10, Employee Health, Bloodborne Pathogens, and Tuberculosis Exposure Control Plan, Chapter 2, "Employee Health Plan," and AFI 44-108, Infection Prevention and Control Program, Section 3.2, "Employee Health Program Elements."

It is the contractor's responsibility to ensure all employees supporting this requirement are in compliance with the State of Maryland, Occupations Safety and Health Association (OSHA) and Centers for Disease Control (CDC) health requirements.

The contractor will not employ any personnel under this contract who is suspected, or known to be exposed or diagnosed as having any highly contagious or communicable disease. The contractor's employees shall comply with the MGMCSC Ambulance Section infection control procedures or a similar protocol, to be submitted and approved by contract POC.

5.4 Security Requirements

All personnel employed by the contractor in the performance of this contract, or any representative of the contractor entering the Government installation, shall abide by all security regulations of the installation.

5.4.1 Security Clearance: The contractor shall ensure contractor personnel have a valid security clearance appropriate to the access required for proper accomplishment of requirements. Contractor personnel shall not be authorized access to classified and/or sensitive, but unclassified, information and/or materials or be permitted to work on classified and/or sensitive, but unclassified, projects and/or programs without a proper security clearance and a need-to-know. Contractor personnel whose clearances have been suspended or revoked shall immediately be denied access to classified and/or sensitive, but unclassified, information.

5.4.2 Communications Security (COMSEC): The contractor shall use only secure communications methods and/or equipment to transmit or otherwise transfer classified and/or sensitive, but unclassified, information IAW DoD 5220.22-M.

5.4.3 Criminal Background Check Requirement

The contractor shall conduct criminal background checks on individuals providing child care services under this contract, using the procedures set forth in Department of Defense Instruction 1402.5 dated 11 September 2015. Background checks will be based on fingerprints of individuals obtained by a Government law enforcement officer and inquiries conducted through the Federal Bureau of Investigation (FBI) and state criminal history repositories. Background checks must be current within one month of employment.

Individuals who have previously received a satisfactory background check shall provide to the Government Representative proof of the check or obtain a new one. Documents required for proof of a recently received satisfactory background check includes a FBI fingerprint check and State criminal history check. Employee packages shall include resume, proof of qualifications, health assessment, immunization records, and background check verification.

5.4.4 Access to Government Facilities

The contractor shall ensure Contractor personnel who require access to JBA or other Government facilities comply with the security procedures of the facility.

5.4.5 Appearance

Contractor personnel shall present a professional appearance and be easily recognized as contractor paramedic employees.

Contract employees shall not wear clothing items deemed offensive.

5.5. HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT (HIPAA) OF 1996

HIPPA is comprised of several different sections, each to be implemented by the Dept. of Health and Human Services.

The AFMS and its components are specifically listed as covered entities (CE) under HIPAA. Currently, HIPAA Privacy and Security Rules, as set forth in the Code of Federal Regulations, are in effect for all AFMS CEs. The specific implementation of HIPAA Privacy for DOD medical facilities is set forth in DOD 6025.18-R, and for HIPAA Security, the requirements for the AFMS are contained in DOD 8580.02-R and AFI 41-217, which also contains additional Information Assurance requirements.

DOD 6025.18-R, DOD 8580.02-R and AFI 41-217 are incorporated herein by reference. AFMS organizations are responsible to insure overall compliance with HIPAA requirements, which includes incorporation of certain requirements in contracts entered into or amended after the respective implementation dates.

IAW these regulations, the Contractor and its employees meet the definition of Business Associate. Therefore, a Business Associate Agreement is required by law to comply with both the HIPAA Privacy and Security regulations. This clause serves as that agreement for this contract, whereby the Contractor and its employees agree to abide by all HIPAA Privacy and Security requirements regarding health information as defined in this clause, DOD 6025.18-R, DOD 8580.02-R, and AFI 41-217. Additional HIPAA requirements will be addressed when implemented.

5.5.1 Introduction

(a) Definitions. As used in this clause generally refer to the Code of Federal Regulations (CFR) definition unless a more specific provision exists in DOD 6025.18-R, DOD 8580.02-R or AFI 41-217.

Individual has the same meaning as the term "individual" in 45 CFR 164.50 1 and 164.103 and shall include a person who qualifies as a personal representative in accordance with 45 CFR I 64.502(g).

Privacy Rule means the Standards for Privacy of Individually Identifiable Health Information at 45 CFR part 160 and part 164, subparts A and E.

Protected Health Information has the same meaning as the term "protected Health information" in 45 CFR 164.501, limited to the information created or received by The Contractor from or on behalf of the Government.

Electronic Protected Health Information has the same meaning as the term "electronic protected health information" in 45

CFR 160.103.

Required by Law has the same meaning as the term ''required by law" in 45 CFR 164.501 and 164.103.

Secretary means the Secretary of the Department of Health and Human Services or his/her designee.

Security Rule means the Health Insurance Reform: Security Standards at 45 CFR part 160,162 and part 164 subpart C.

Terms used, but not otherwise defined, in this Agreement shall have the same meaning as those terms in 45 CFR 160.103, 160.502, 164.103, 164.304 and 164.501.

(b) The contractor agrees to not use or further disclose Protected Health Information other than as permitted or required by the contract or as Required by Law.

(c) The contractor agrees to use appropriate safeguards to prevent use or disclosure of the Protected Health Information other that as provided for by this contract.

(d) The contractor agrees to use administrative, physical, and technical safeguards that reasonably and appropriately protect the confidentiality, integrity, and availability of the electronic protected health information that it creates, receives, maintains, or transmits in the execution of this contract.

(e) The contractor agrees to mitigate, to the extent practicable, any harmful effect that is known to the contractor of a use or disclosure of Protected Health Information by the contractor in violation of the requirements of this contract.

(f) The contractor agrees to report to the Government any security incident involving protected health information of which it becomes aware.

(g) The contractor agrees to report to the Government any use or disclosure of the Protected Health Information not provided for by this contract of which the contractor becomes aware of.

(h) The contractor agrees to ensure that any agent, including a subcontractor, to whom it provides Protected Health Information received from, or created or received by the contractor on behalf of the Government, agrees to the same restrictions and conditions that apply through this contract to the Contractor with respect to such information.

(i) The contractor agrees to ensure that any agent, including a subcontractor, to whom it provides electronic Protected Health Information, agrees to implement reasonable and appropriate safeguards to protect it.

(j) The contractor agrees to provide access, at the request of the Government, and in the time and manner designated by the Government to Protected Health Information in a Designated Record Set, to the Government or, as directed by the Government, to an Individual in order to meet the requirements under 45 CFR 164.524.

(k) The contractor agrees to make any amendment(s) to Protected Health Information in a Designated Record Set that the Government directs or agrees to pursuant to 45 CFR 164.526 at the request of the Government or an Individual, and in the time and manner designated by the Government.

(1) The contractor agrees to make internal practices, books, and records relating to the use and disclosure of Protected Health Information received from, or created or received by the contractor on behalf of, the Government, available to the

Government, or at the request of the Government to the Secretary, in a time and manner designated by the 'Government or the Secretary, for purposes of the Secretary determining the Government's compliance with the Privacy Rule.

(m) The contractor agrees to document such disclosures of Protected Health Information and information related to such disclosures as would be required for the Government to respond to a request by an Individual for an accounting of disclosures of Protected Health Information in accordance with 45 CPR 164.528.

(n) The contractor agrees to provide to the Government or an Individual, in time and manner designated by the Government, information collected in accordance with this Clause of the contract, to permit the Government to respond to a request by an Individual for an accounting of disclosures of Protected Health Information in accordance with 45 CFR 164.528.

5.5.2 General Use and Disclosure Provisions

Except as otherwise limited in this Agreement, the contractor may use or disclose Protected Health Information on behalf of, or to provide services to, the Government for treatment, payment, or healthcare operations purposes, in accordance with the specific use and disclosure provisions below, if such use or disclosure of Protected Health Information would not violate the HIPAA Privacy Rule, DOD 6025.18-R, the HIPAA Security Rule, or DOD 8580.02-R if done by the Government.

5.5.3 Specific Use and Disclosure Provisions

(a) Except as otherwise limited in this Agreement, the contractor may use Protected Health Information for the proper management and administration of the contractor or to carry out the legal responsibilities of the contractor.

(b) Except as otherwise limited in this Agreement, the contractor may disclose Protected Health Information for the proper management and administration of the contractor, provided that disclosures are required by law, or the contractor obtains reasonable assurances from the person to whom the information is disclosed that it will remain confidential and used or further disclosed only as required by law or for the purpose for which it was disclosed to the person, and the person notifies the contractor of any instances of which it is aware in which the confidentiality of the information has been breached.

(c) Except as otherwise limited in this Agreement, the contractor may use Protected Health Information to provide Data Aggregation services to the Government as permitted by 45 CFR l 64.504(e)(2)(i)(B).

(d) Contractor may use Protected Health Information to report violations of law to appropriate Federal and State authorities, consistent with 45 CFR 164.502(j)( l).

5.5.4 Obligations of the Government

Provisions for the Government to Inform the Contractor of Privacy Practices and Restrictions

(a) Upon request the Government shall provide the contractor with the notice of privacy practices that the Government produces in accordance with 45 CFR 164.520, as well as any changes to such notice.

(b) The Government shall provide the contractor with any changes in, or revocation of, permission by Individual to use or disclose Protected Health Information, if such changes affect the Contractor's permitted or required uses and disclosures.

(c) The Government shall notify the contractor of any restriction to the use or disclosure of Protected Health Information that the Government has agreed to in accordance with 45 CFR 164.522.

5.5.5 Permissible Requests by the Government

The Government shall not request the contractor to use or disclose Protected Health Information in any manner that would not be permissible under the HIPAA Privacy Rule, DOD 6025.18-R, the HIPAA Security Rule, or DOD 8580.02-R, if done by the Government, except for providing Data Aggregation services to the Government and for management and administrative activities of the contractor as otherwise permitted by this clause.

5.5.6 Termination

(a) Termination. A breach by the contractor of this clause, may subject the contractor to termination under any applicable default or termination provision of this Contract.

(b) Effect of Termination.

(1) If this contract has records management requirements, the records subject to the Clause should be handled in accordance with the records management requirements. If this contract does not have records management requirements, the records should be handled in accordance with paragraphs (2) and (3) below.

(2) If this contract does not have records management requirements, except as provided in paragraph (3) of this section, upon termination of this contract, for any reason, the contractor shall return or destroy all Protected Health Information received from the Government, or created or received by the contractor on behalf of the Government. This provision shall apply to Protected Health Information that is in the possession of subcontractors or agents of the contractor. The contractor shall retain no copies of the Protected Health Information.

(3) If this contract does not have records management provisions and the contractor determines that returning or destroying the Protected Health Information is infeasible, the contractor shall provide to the Government notification of the conditions that make return or destruction infeasible. Upon mutual agreement of the Government and the contractor that return or destruction of Protected Health Information is infeasible, the contractor shall extend the protections of this contract to such Protected Health Information and limit further uses and disclosures of such Protected Health Information to those purposes that make the return or destruction infeasible, for so long as the contractor maintains such Protected Health Information.

5.5.7 Miscellaneous

(a) Regulatory References. A reference in this Clause to a section in DOD 6025.18-R, HIPAA Privacy Regulation or DOD 8580.02-R, HIPAA Security Regulation or any CFR or AFI provisions means the section as currently in effect or as amended, and for which compliance is required.

(b) Survival. The respective rights and obligations of Business Associate under the "Effect of Termination" provision of this Clause shall survive the termination of this contract.

(c) Interpretation. Any ambiguity in this Clause shall be resolved in favor of a meaning that permits the Government to comply with DOD 6025.18-R, the CFR HIPAA Privacy Rule, DOD 8580.02-R, the CFR HIPAA Security Rule and AFI 41-21 7.

Requirements Ambulance and Patient Transport Services

Packaging and Marking

Inspection and Acceptance

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