Attachment_1_PWS_Child_Health.pdf

Attachment 1

Reference Solicitation: FA3010-15-R-0018

9 June 2015

PERFORMANCE WORK STATEMENT

For

CHILD HEALTH SERVICES

Personal Services

1. DESCRIPTION OF SERVICES AND GENERAL INFORMATION. The Government requires one full time equivalent (FTE) Clinical Psychiatrist (Child Health), one FTE Clinical

Psychologist (Child Health), and one FTE Mental Health Technician (Child Health) for this

Performance Work Statement (PWS). Contractor personnel shall work in one or more of the clinics servicing beneficiaries in the age group typically cared for by Child Health providers for

Government beneficiaries at the Keesler Medical Center, Keesler Air Force Base (KAFB), Mississippi (MS), also referred to as the "medical treatment facility" (MTF) herein. Performance shall be in accordance with (IAW) the requirements contained in this PWS and the professional standards of the Joint Commission (JC).

1.1. CONTRACTOR MANAGMEMENT STAFF RESPONSIBILITIES.

1.1.1. Verification and Validation of Candidate Qualifications. The Contractor shall verify and validate candidate qualifications against Government minimum requirements prior to submission of qualifying documents.

1.1.2. Placement of Contractor Personnel. The Contractor shall recruit and place contractor personnel in a timely manner:

a.) Non-credentialed Contractor Personnel. The non-credentialed contractor personnel shall physically start work no later than 30 calendar days from the initial date on the period of performance.

b.) Credentialed Contractor Personnel. The credentialed contractor personnel shall physically start work no later than 60 calendar days from the initial date on the period of performance. The contractor shall submit complete and accurate credentialing packages no later than 30 calendar days from the initial date on the period of performance.

1.1.3. Replacement of Contractor Personnel. The Contractor shall replace permanent contractor personnel such that vacancies will not exceed 30 consecutive calendar days for non-credentialed positions and/or 60 calendar days for credentialed positions. When replacing a contractor personnel, the consecutive calendar days begin when the contractor personnel terminates employment. For non-credentialed positions, the replacement contractor personnel must begin work within 30 consecutive calendar days after the previous non-credentialed contractor personnel departed the position. For credentialed positions, the replacement contractor personnel must begin work within 60 consecutive calendar days after the previous credentialed contractor personnel departed the position; however, the contractor shall submit complete and accurate credentials packages on all credentialed contractor personnel no later than 30 calendar days after the previous contractor personnel departed.

1.1.4. Substitute or Temporary Coverage. The Contractor shall substitute permanent contractor personnel whenever a temporary absence is expected to exceed 30 consecutive calendar days.

The Contractor shall promptly notify the COR and Government supervisor of any projected absences exceeding 30 consecutive calendar days and ensure no temporary absence exceeds 30 consecutive calendar days through the use of a qualified substitute.

1.1.5. Resolve Performance Issues. The Contractor shall adequately resolve MTF and patient complaints regarding contractor personnel which satisfy Government concerns.

1.2. SPECIFIC PROCEDURES FOR WHICH THE CONTRACTOR SHALL BE

RESPONSIBLE.

1.2.1. The Contractor personnel shall provide Clinical Psychologist (Child Health) for patients as scheduled by the Government.

1.2.1.1. Attend and participate in meetings during normal duty hours and professional staff conferences and other appropriate professional activities such as, but not limited to the following:

Quality Improvement meeting, professional staff meetings, Commander's staff meetings, Mental

Health Flight meetings, and others required by applicable regulations, MTF guidance, or as directed by the Mental Health Flight Commander or his/her designated representative.

1.2.1.2. Conduct applied research and clinical investigations in clinical/behavioral health psychology.

1.2.1.3. Clinical/Counseling Psychology. Responsible for and applies psychological procedures and techniques, including interviewing, behavioral assessment, evidenced-based therapies, and psychological testing/psychodiagnostic testing, in the evaluation, diagnosis, and treatment of psychological and neuropsychological disorders.

1.2.1.4. Individual, family and group psychotherapy, and couples therapy, alcohol and drug treatment evaluations.

1.2.1.5. Consults with medical personnel, legal authorities, military commanders and school districts, as required.

1.2.1.6. Maintain accurate and current notes in both the Mental Health records and inpatient medical records of all patients seen, as appropriate, and produces reports of evaluation and/or treatment, as required.

1.2.1.7. Participates in military specific training (e.g., training to perform Command Directed

Evaluations, security clearances, Military Training Instructor clearances, pre-post deployment screening, PTSD, and combat stress)

1.2.1.8. Knowledge of computer operations and proficiency in the sue of basic word processing, data entry, and electronic medical records.

1.2.1.9. Producing a monthly average of patient visits and Relevant Value Units (RVUs) consistent with department norms.

1.2.2. The Contractor personnel shall provide Clinical Psychiatrist (Child Health) for patients as scheduled by the Government.

1.2.2.1. Examines, evaluates, diagnoses, and treats psychiatric disorders.

1.2.2.2. Prepares and reviews case histories and obtains and evaluates data through interview techniques.

1.2.2.3. Diagnoses psychiatric disorders.

1.2.2.4. Prescribes and evaluates effectiveness of a wide range of therapeutic measures.

1.2.2.5. Recommends disposition of psychiatric cases.

1.2.2.6. Advises on problems related to mental health and prevention of mental disorders.

1.2.2.7. Serves as medical and psychiatric consultant to clinical psychologists and clinical social workers.

1.2.2.8. Advises on kind and quantity of psychiatric supplies and equipment.

1.2.2.9. Coordinates psychiatric services with other medical activities.

1.2.2.10. Instructs interns and residents in psychiatric principles and procedures.

1.2.2.11. Producing at least 1.5 times the number of normally scheduled visits during any

UrgiCare time worked. (For example, 13 visits are normally scheduled. Therefore, a Contractor personnel working afternoon UrgiCare is expected to produce at least 20 visits.)

1.2.2.12. Producing a monthly average of patient visits and Relevant Value Units (RVUs) consistent with department norms.

1.2.3. The Contractor personnel shall provide Mental Health Technician (Child Health) for patients as scheduled by the Government.

1.2.3.1. Conducts or assists in treatment and rehabilitation of mental health patients. Performs initial basic assessment procedures including standardized psychological testing, clinical interviewing, mental status examinations, substance abuse evaluations, and psychological and nursing assessment.

1.2.3.2. Assists in identifying mental health and nursing diagnoses, treatments, patient education, and disposition planning.

1.2.3.3. Participates in patient care conferences and substance abuse intervention.

1.2.3.4. Observes, monitors, records, and reports patient's progress.

1.2.3.5. Conducts or assists in conducting group and individual counseling, therapeutic community, and other related milieu activities.

1.2.3.6. Institutes precautionary measures to prevent patient injury or suicide.

1.2.3.7. Provides mental health and substance abuse prevention education.

1.2.3.8. Performs general and special clinical procedures.

1.2.3.9. Assists patients with nutritional, hygiene, and comfort measures.

1.2.3.10. Obtains and records vital signs.

1.2.3.11. Performs chaperone and escort duties.

1.2.3.12. Maintains therapeutic relationships.

1.2.3.13. Coordinates with other agencies regarding specified care, treatment, prevention, rehabilitation, and administrative functions. Contacts military and community agencies to obtain collateral information. Explains and interprets mental health services to patients or others.

1.2.3.14. Assists in, or arranges patient referral to public, private, and military community agencies.

1.2.3.15. Prepares and maintains records and reports pertaining to specialty services.

1.2.3.16. Conducts in-service training.

1.2.3.17. Assists with care of individuals experiencing acute and post-traumatic stress reactions.

1.2.3.18. Prepares, maintains, and disposes of mental health, family advocacy, and substance abuse treatment records.

1.2.3.19. Receives patients and schedules appointment. Evaluates mental health service activities.

1.2.3.20. Collects and updates administrative and statistical data.

1.2.3.21. Conducts unit self-assessments.

1.2.3.22 Compiles and prepares medical and administrative reports.

1.2.3.23 Briefs patients on safety and evacuation procedures.

1.2.4. The Flight Commander/Medical Director will make specific duties/patient care assignments. All inpatients will be admitted to the medicine residency service at the MTF.

1.2.5. Contractor personnel shall be productive and perform with minimal supervisory direction.

1.2.6. Contractor personnel shall be in the work area and available for work at the appointed times.

1.2.7. Contractor personnel shall ensure all equipment is properly cleaned and stored at the end of each work shift and ensure preventive maintenance and routine cleaning are performed as directed.

1.2.8. Contractor personnel shall ensure a safe work environment and employee safe work habits.

1.2.9. Contractor personnel shall complete all job specific data training as required by the MTF.

1.2.10. Contractor personnel shall complete all in-processing and out-processing within MTF requirements (e.g., badges, e-mail accounts, Privacy Act, etc.).

1.2.11. All patient charting is included as part of the patient visit and must be completed within department standards. There is an adequate amount of administrative time scheduled for each

Contractor personnel, with the expectation that patient charting be completed during the normal duty day.

1.2.12. See Section 2, Services Summary (SS), for Performance Objectives and Performance

Thresholds.

1.2.13. Referrals and Consults. Contractor personnel shall follow DOD, Air Force, and MTF regulations and policies when arranging for a referral or consult. Contractor personnel shall inform patients of the required referral or consult by indicating the specialty involved. All consults and referrals will adhere to the MTF approved Consult Management process.

1.2.14. Prescriptions. Contractor personnel shall use and follow the MTF formulary for prescriptions for all patients that received care at the MTF. The formulary list is approved and maintained by the MTF Pharmacy and Therapeutics Committee. Any drug not listed on the formulary must be approved by the Pharmacy and Therapeutics Committee.

1.2.15. Depending on the experience level of contractor personnel they may be asked by the

Medical Director of the clinic to serve in an advisory/second opinion role to less experienced

Health Care Workers. This will only be for limited amounts of time, and agreed upon by the contractor personnel and Medical Director prior to assuming this role. To accommodate the extra time required to fulfill this role, the patient load will be decreased to levels equitable to active duty fulfilling the same role.

1.3. PROCEDURE GUIDANCE. Contractor personnel shall perform procedures compatible with the MTF’s operating capacity and equipment. New medical procedures/services shall not be introduced without prior recommendation to, and approval of, the MTF Commander or authorized representative.

1.4. PATIENT SENSITIVITY. Contractor personnel shall provide patients with the utmost care and attention. All patients shall be assured of their privacy and personal dignity.

1.5. COMMUNICATION. Contractor personnel shall maintain open and professional communication with members of the MTF staff. Complaints validated by the Flight

Commander/Medical Director shall be reported in writing to the Contract Administrator and the

Contractor for action. Failure of the Contractor to correct validated complaints raised by the

MTF staff and the Contracting Officer (CO) will be considered a failure to perform.

1.6. DOCUMENTATION. Contractor personnel shall prepare all documentation (to include patient records) to meet or exceed established standards of the MTF, to include but not limited to, timeliness, accuracy, content, and signature. Only MTF and Air Force-approved abbreviations shall be used for documentation of the patient health record.

1.7. CONTINUING HEALTH EDUCATION (CHE)/ CERTIFIED EDUCATION UNITS

(CEU) REQUIREMENTS. Contractor personnel registered or certified by national/medical associations shall continue to meet the minimum standards for CHE to remain current as prescribed in Chapter 5, AFI 41-117, Medical Service Officer Education, 25 Mar 15. CHE hours will be reported to the Medical Director, annually on the first normal duty day in January for the previous calendar year. Periodic CHE may be conducted at the MTF and will be available, at no cost, should the Contractor personnel desire to attend. Attendance will be at the discretion of the

Flight Commander/Medical Director and will not be billable.

1.8. PERSONNEL.

1.8.1. POINT OF CONTACT (POC). The Contractor shall provide a POC who shall be responsible for the performance of the work. The POC shall have full authority to act for the

Contractor on all matters relating to the daily operation of this contract. The POC may be

Contractor personnel providing care IAW this PWS. The Contractor shall designate this individual, in writing, to the CO before the contract start date. An alternate may be designated, but the Contractor shall identify those times when the alternate shall be the primary POC.

1.8.2. AVAILABILITY. The Contractor’s designated project manager shall notify the Flight

Commander/Medical Director, as early as possible of programmed absences of the Contractor personnel to allow for planning of service coverage and workload distribution.

1.8.2.1. Hours of Operation. KAFB and the MTF operates on a 24/7 basis. The subject positions will utilize a Compressed Work Schedule (CWS). The first week of the CWS consists of four 9 hour work days and an 8 hour Friday, and the second week consists of four 9 hour work days with Friday off. One week consists of a 44 hour work schedule and the other week consists of a 36 hour work schedule, but regular duty hours will not exceed 80 hours in two weeks.

1.8.2.2. Work Schedule/Duty Hours. Duty hours will be 0700-1700 flexible schedules, Monday through Friday, using the Compressed Work Schedule (CWS). Typical duty hours will be M-T

0700-1700 and alternate Fridays 0700-1600. Work hours will be scheduled by the Flight

Commander/Medical Director to correspond to the needs of the department, not to exceed 80 hours per two-week period.

1.8.2.3. Contractor staff shall be required to log in time worked in both the Defense Medical

Human Resource System – internet (DMHRSi), as well as any locally established duty tracking system as established by the duty section.

1.8.2.4. Holidays. The Contractor shall not be required to provide services on the following

Federal holidays (or the actual day set aside for observation): New Year’s Day, Martin Luther

King Jr. Day, Presidents’ Day, Memorial Day, Independence Day, Labor Day, Columbus Day, Veterans’ Day, Thanksgiving Day, and/or Christmas Day.

1.8.2.5. Air Education and Training Command (AETC) Family Days. Services will not be required on the following AETC Family Days:

2015: 2 Jan 15, 22 May 15, 2 Jul 15, 4 Sep 15, 27 Nov 15, 24 Dec 15, 31 Dec 15

2016: 27 May 16, 5 Jul 16, 2 Sep 16, 25 Nov 16, 27 Dec 16

2017: 26 May 17, 3 July 17, 1 Sep 17, 24 Nov 17, 26 Dec 17

2018: 25 May 18, 5 July 18, 31 Aug 18, 23 Nov 18, 24 Dec 18, 31 Dec 18

The Contractor shall be given prior notice for Family Days of subsequent years.

1.8.2.6. Vacation/Absences. Contractor personnel are authorized excused absences for vacation, sick leave, CHE, and miscellaneous reasons. Absences are to be coordinated at a minimum two weeks in advance with, and at the discretion of, the Flight Commander/Medical

Director.

1.8.2.7. Overage. An overage hour is an hour scheduled for the contractor personnel to perform services beyond the normal duty hours outlined in the contract for continuity of care purposes, or to perform services when called into the MTF while in an on-call status. Overage hours are billable to the Government whenever the contractor personnel performs duties outlined in the work schedule to include continuity of care purposes beyond the contractor personnel's normal duty hours. Overage hours on the work schedule are established by the MTF and are clearly stated in the contract. Any variation of overage hours on the work schedule must be authorized by the Government supervisor in advance to the extent practicable. The total number of overage hours worked cannot exceed the number identified in the contract. The contractor personnel shall record and report time worked IAW MTF policy. The Contractor shall establish a process for contractor personnel to accurately record and report overage hours worked without relying on the

Government.

1.8.2.8. Unplanned Closures. In the event of an unplanned closure of the facility due to natural disasters, military emergency, or severe weather, Contractor personnel shall be allowed to account for those hours as billable to the Government if the following two conditions exist: (1) local base policy and base access procedures prevented the Contractor personnel from performing duties at the place of performance; and, (2) the Contractor personnel was scheduled to work, but unable to work because of the unplanned closure. If any of these conditions do not exist (e.g., the

Contractor personnel was on leave), the Contractor cannot bill the Government for hours during the unplanned closure.

1.8.2.9. Emergency Situations. In the instance where the Government Supervisor directs the

Contractor personnel to remain on duty in excess of the scheduled shift due to an unforeseen emergency or to complete patient treatment where lack of continuity of care would otherwise jeopardize patient health, the Contractor personnel shall remain on duty. This provision is not intended to apply to the time required to complete routine tasks (e.g., completion of paperwork or routine administrative tasks at the end of a shift) which are to be completed as part of the shift. If the contract includes overage hours, the Government Supervisor may use those overage hours. If the contract does not include overage hours, the Government Supervisor shall adjust the

Contractor personnel’s work schedule for the additional hours such that the number of duty hours on the contract is not exceeded.

1.8.3. CONTRACTOR MANPOWER REPORTING. The Contractor shall report ALL

Contractor labor hours (including subcontractor labor hours) for performance of services under this contract 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 all labor executed during the performance for each Government fiscal year (FY), which runs 1 October through 30

September. While inputs may be reported at 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 Contractor

Manpower Reporting Application (CMRA) help desk.

1.9. PERSONNEL REQUIREMENTS.

1.9.1. ENGLISH LANGUAGE REQUIREMENT. Contractor personnel shall read, understand, speak, and write English fluently.

1.9.2. APPEARANCE AND CONDUCT. Contractor personnel shall present a professional, conservative, and neat appearance. Contractor personnel shall report for duty in appropriate attire befitting a health care setting and having complied with socially acceptable standards of personal http://www.ecmra.mil/ hygiene expected of health care workers. The Contractor personnel shall display a professional, positive, and cooperative attitude while in the workplace.

1.9.2.1. While on duty, the Contractor personnel shall be neat and clean, free from visible dirt and stains, well groomed, and appropriately dressed. The Contractor personnel’s clothing shall fit correctly to provide a professional, modest appearance, in keeping with normally accepted community standards of dress for the work being performed.

1.9.2.2. Facial hair (including beards, mustaches, and sideburns) shall be controlled (restrained) or trimmed. It shall not interfere with safe work practices, look unkempt, or be unclean. Facial hair shall not interfere with the face seal if a tight-fitting respirator (e.g., N95) is required to be worn for normal duties.

1.9.2.3. The Contractor personnel shall display legible MTF-provided identification media on his/her outer clothing.

1.9.2.4. Protective Clothing. When required and supplied by the Government, Contractor personnel shall wear special protective clothing and shoe covers. When duties will be performed in specified areas, a disposable protective suit with other appropriate personal protective equipment (PPE) (e.g., gloves, boots, etc.) shall be worn to ensure universal precautions are observed. The Government will provide all PPE. These items shall remain the property of the

Government and shall not be removed from the MTF. After use, protective clothing shall be turned in or destroyed as directed by the Chief of Service.

1.9.3. FORMAL EDUCATION.

1.9.3.1. Behavioral Health professions shall have:

1.9.3.1. Physician:

Graduated from an approved medical school and completed a residency or fellowship acceptable to the U.S. Air Force Surgeon General as a:

Doctor of Medicine (M.D.) or Osteopathy (D.O.) from a school in the United States or Canada approved by a recognized accrediting body in the year of the applicant’s graduation or, A Doctor of Medicine or equivalent degree from a foreign medical school that provided education and medical knowledge substantially equivalent to accredited schools in the United

States. This accreditation may be demonstrated by permanent certification by the Educational

Commission for Foreign Medical Graduates (ECFMG) (or a fifth pathway certificate for

Americans who completed premedical education in the United States and graduate education in a foreign country).

Successfully completed an internship and approved residency in a medical training program accredited by the Accreditation Council for Graduate Medical Education (ACGME).

Satisfied the board eligible or board certification requirements in the specialty certification agency outlined in AFI 41-104, Professional Board and National Certification Examination.

Maintained an active license corresponding to a Drug Enforcement Agency (DEA) registration number.

1.9.3.2. Psychologist:

Graduated from an APA approved graduate program in Clinical Psychology with a Ph.D. or

PsyD. APA accredited internship in clinical psychology also required.

1.9.3.3. Mental Health Technician:

The Contractor shall meet the following core requirements for non-credentialed HCWs.

Licensure. All non-credentialed HCWs who require a license to practice shall have and maintain an active, valid unrestricted, current medical license (with no limitations, stipulations or pending adverse actions) in a U.S. jurisdiction. All licenses and/or certifications must be unencumbered and remain in effect during contract employment. High School Diploma or GED, and completion of at least 270 hours of some type of formal education in one of the following behavioral sciences: psychology, counseling, sociology, social work, or addiction studies. Education is defined as formal classroom education, technical schools, workshops, seminars, institutes, in-services, internship and college/university course work.

1.9.3.3. Licensure/Registration. IAW paragraph 3.1, AFI 44-119, Medical Quality Operations, 16 Aug 11, military, civil service, and personal services Contractor personnel who require a license, certification, or registration to perform their duties must maintain a license or other authorizing document such as certification or registration from any U.S. jurisdiction. (NOTE:

Dietitians, physician assistants, and substance abuse counselors are exempt from the requirement for an authorizing document from a U.S. jurisdiction. For these professional groups, national registration/certification meets the requirement). Managed care support contract (MCSC) resource-sharing providers, and other non-personal services contract personnel providing care in the MTF must be licensed in the jurisdiction in which the MTF is located. Assignment to a position not involving direct patient care within or outside an MTF does not eliminate the requirement for license or authorizing document. The licensure requirement for contract personnel is determined by the type of contract--personal services vs. non-personal services.

1.9.3.3.1. Personal services Contractor personnel must maintain an active license or authorizing document from any U.S. jurisdiction while non-personal services Contractor personnel must maintain an active license or authorizing document from the state in which they are practicing.

1.9.3.3.2. In a personal services contract, the Government is more directly involved in the hiring process and, importantly, indemnifies the Contractor personnel for malpractice (i.e., they are covered by the Federal Tort Claims Act). In a non-personal service contract, personnel are hired by an outside Contractor who manages the individual and handles problems with performance, etc. Specifically, this individual is not covered by the Federal Tort Claims Act; rather, the

Contractor is responsible to ensure that the individual has malpractice coverage and, in fact, often indemnifies its employee.

1.9.3.3.3. Copies of required certification for each Contractor personnel shall be furnished to the

CO prior to performance on this contract.

1.9.3.4. Certification. The Contractor personnel shall have national and/or state (required) approved and current board certification or board eligible certification in the specialty area in which he/she provides clinical services. The Contractor personnel shall have a current Drug

Enforcement Agency (DEA) certificate, if applicable.

1.9.4. EXPERIENCE.

1.9.4.1. Mental Health Technician. 12 months experience within the last 36 months in the same specialty outlined

1.9.4.2. Psychologist 24 months experience within the last 60 months in the same specialty outlined

1.9.4.3. Psychiatrist. 24 months experience within the last 36 months in the same specialty outlined

1.9.5. CRIMINAL HISTORY BACKGROUND CHECKS. Contractors shall perform criminal history background checks IAW Chapter 4, Addendum B, DoDI 1402.5, Criminal

History Background Checks on Individuals in Child Care Services, 19 Jan 93, for resource sharing and clinical support agreement personnel working in an MTF involved on a frequent and regular basis in the provision of care and services to children under the age 18. The background checks are required by Criminal Control Act, P.L. 101-647, Section 231 (CC Act 1990, 42 U.S.C.

Section 13041). The Contractor shall assemble all necessary documentation required by Chapter

4, Addendum B for the background checks and forward the documentation to the office designated by the Administrative CO (ACO) or to the office designated in the Memorandum of

Understanding (see Chapter 16, Addendum A).

1.9.5.1. 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.

1.9.5.2. With the consent of the CO, the Contractor personnel may provide contract services prior to completion of background checks. However, at all times while children are in the care of that individual, the Contractor personnel shall be within sight and continuous supervision of a staff person whose background check has been completed.

1.9.5.3. Individuals shall have the right to obtain a copy of any background check pertaining to themselves and to challenge the accuracy and completeness of the information contained in the report.

1.9.5.4. Individuals who have previously received a background check shall provide proof of the check to the Chief of Service or obtain a new one.

1.9.6. CONFLICT OF INTEREST. The Contractor shall not employ any person who is an employee of the United States Government if the employment of that person would create a conflict of interest. The Contractor shall not employ any person who is an employee of the

Department of the Air Force, either military or civilian, unless such person seeks and receives approval IAW DoD Directive (DoDD) 5500.7, Standards of Conduct, 29 Nov 07, and AF policy.

1.9.7. PRIVILEGING/CREDENTIALING REQUIREMENTS. See Appendix B, CONTRACT EMPLOYEE CREDENTIALING REQUIREMENTS.

1.10. HEALTH REQUIREMENTS.

1.10.1. Contractor personnel shall receive a pre-employment physical examination prior to commencement of work and annually thereafter. The Contractor personnel shall report to a civilian physician to receive a pre-employment examination and immunizations prescribed by the

MTF, IAW CDC guidelines.

1.10.2. Not later than five working days prior to commencement of work, certification shall be provided to the Functional Commander/Director (FC/D) that the Contractor personnel has completed the medical evaluation required above. This certification shall state the date on which the examination was completed, the name of the doctor who performed the examination, and a statement concerning the physical health of the individual. The certification shall also contain the following statement: “(Name of Contractor personnel) is suffering from no contagious diseases to include, but not limited to, Tuberculosis, Hepatitis, and Venereal Disease.”

1.10.3. The Occupational Safety & Health Administration (OSHA) requires that all Contractor personnel who will have occupational exposure to blood or body fluids, or other potentially infectious materials, shall receive Hepatitis B vaccine, sign a voluntary declination, or have documented proof of immunity to Hepatitis B infection. Contractor personnel who sign declinations may change their minds at any time and receive the Hepatitis B vaccine without penalty.

1.10.4. The Contractor is responsible for reporting to the Flight Commander/Medical Director, all information necessary to assure hospital records can be maintained correctly, and therefore comply with the JC, OSHA, and Centers for Disease Control (CDC) health record requirements.

1.11. EMERGENCY HEALTH CARE. The MTF will provide emergency health care for the

Contractor personnel for injuries incurred while on duty in the MTF. These services will be billed to the Contractor at the current full reimbursement rate.

1.12. MEDICAL TESTS. No medical tests or procedures required by the contract will be performed by the Government, with the exception of Tuberculosis testing; post blood borne exposure protocols after start of work or exposure; and occupational exposure programs, such as the Thermoluminescent Dosimetry (TLD) monitoring program. Expenses for all required tests and/or procedures identified in the contract (e.g., N95 particulate respirator duckbill mask fitting) shall be borne by the Contractor or Contractor personnel at no additional expense to the

1.13. MEDICAL QUALITY IMPROVEMENT/RISK MANAGEMENT (QI/RM).

1.13.1. Contractor personnel shall participate in QI/RM activities to the extent required by

Section 2C, AFI 44-119, and the individual MTF QI/RM plan or regulation.

1.13.2. The Government will evaluate the Contractor personnel’s professional, as differentiated from administrative, performance under this contract using Quality Improvement standards specified in paragraphs 2.12 and 2.13, AFI 44-119. Nothing in this paragraph precludes the

Government from also conducting inspections under the Inspection/Acceptance requirement of

FAR clause 52.212-4.

1.14. PERFORMANCE EVALUATION MEETINGS. The CO will require the Contractor to meet with the CO, Contract Administrator, FC/D, and other Government personnel as often as deemed necessary to discuss performance discrepancies. The contractor may request a meeting with the CO when deemed necessary.

1.15. ORIENTATION. The Contractor shall ensure that all Contractor personnel participate in the MTF orientation procedures for newly assigned personnel to include regulations specific to their professional specialty and hospital and Air Force policy and procedures.

1.16. RECORDS. The Contractor shall create, maintain, and provide Government-owned/Contractor-held records, regardless of media, in performance of this contract IAW the following directives:

AFI 33-322, Records Management Program, 4 Jun 12

AFMAN 33-363, Management of Records, 1 Mar 08; Change 1, 28 Jan 15, and Keesler

Supplement, 23 Apr 14

AFI 33-364, Records Disposition—Procedures and Responsibilities, 22 Dec 06 and

AFGM2014-01, 28 May 14

Air Force Information Management System database (AFRIMS) (access through the Air

Force Portal at https://www.my.af.mil/afrims/afrims/afrims/rims.cfm

Air Force Electronic Records Management Solution

1.16.1. The Contractor shall segregate the Government-owned records from the Contractor-owned records and identify all records required to be created by the PWS on the AFRIMS file plans. The Contractor shall create and maintain paper and electronic records (\\52mahg-fs-106) as appropriate. The Contractor shall maintain the software and background data to retrieve official electronic Government records throughout the lifecycle of the records.

1.16.2. The Contractor maintains and disposes of records IAW the AF records disposition schedules.

1.16.3. Electronically Stored Information (ESI). The Contractor shall maintain Government owned electronic non-official records on the organizational shared network drive according the subjective categories (example: template, common, reference material, and working files). Grant the base records manager access to all files located on the organizational shared network drive.

The Contractor shall maintain the official electronic records on the base designated shared network http://www.e-publishing.af.mil/shared/media/epubs/AFI33-322.pdf http://www.e-publishing.af.mil/shared/media/epubs/AFMAN33-363.pdf http://www.e-publishing.af.mil/shared/media/epubs/AFMAN33-363.pdf https://www.my.af.mil/afrims/afrims/afrims/rims.cfm drive (\\52mahg-fs-106) IAW the Air Force Electronic Records Management System and AFMAN

33-363, Chapter 6.

1.16.4. Upon completion of this contract, all Government-owned/Contractor-held records

(regardless of media) received, created, maintained, or provided in the performance of the PWS shall be turned over to the Government. Background electronic data and records specified for delivery to the contracting agency must be accompanied by sufficient technical documentation and software to permit the Air Force to use the data. In the event of default or non-performance, the

Government will have access to all records in order to ensure mission support is not interrupted.

1.16.5. Contractor-Owned Records. Maintain records that relate exclusively to the Contractor’s internal business or are of a general nature not specifically related the performance of work under the contract separately from the Government-owned records.

1.16.6. Freedom of Information Act (FOIA) Program. The Contractor shall comply with the requirements of DOD 5400.7-R/AFMAN 33-302, Freedom of Information Act Program, 21 Oct

10, and incorporating through Change 2, 22 January 2015.. If the Contractor receives a FOIA request, the Contractor shall ensure it is delivered immediately to the base FOIA manager (81

CS/SCOK) for processing. The FOIA manager will task a Government official who, as the authorized official, will make the decision on releasing Government records.

1.16.7. Privacy Act Program. The Contractor shall create, maintain, and destroy Privacy Act data IAW AFI 33-332, The Air Force Privacy and Civil Liberties Program, 12 Jan 15; and

Privacy Act systems of records notice(s) (http://dpcld.defense.gov/Privacy/SORNs.aspxl). The

Contractor shall not create or maintain a Privacy Act system of records prior to public notice. If the Contractor receives a Privacy Act request, the Contractor shall be responsible for searching for the records and providing those records to a Government official who, as the authorized official, will make the decision on releasing the Government records.

1.16.8. Functional Requests. A functional request is a written request for DOD records received from any person (including a member of the public), or a business that does not cite either the FOIA or Privacy Act. The Contractor shall be responsible for searching for the records and providing those records to a Government official who, as the authorized official, will make the decision on releasing the Government records.

1.17. SECURITY.

1.17.1. Security Clearance: National Agency Check with Written Inquiries (NACI). As a minimum, Contractor personnel shall successfully complete a NACI before operating

Government-furnished workstations that have access to AF automated information systems.

Requests for Contractor personnel hired at the beginning of the contract shall be submitted to the

Government not later than 45 workdays from the contract start date. Requests for Contractor personnel hired subsequent to contract start date shall be submitted to the Government not later than ten (10) workdays from the Contractor personnel’s first duty day. Contractor personnel receiving unfavorable NACIs shall not be employed. The Government will submit requests for investigations on AF IMT 2583, Request for Personnel Security Action, at no additional cost to the Contractor. Any personnel with access to classified material will be submitted by the

Contractor’s Facility Security Officer (FSO) for a Secret security clearance. The Contractor shall comply with the requirements of DOD 5200.2-R, Personnel Security Program; AFI 31-501, Personnel Security Program Management, 25 Jan 05; and AFMAN 33-152, User Responsibilities and Guidance for Information Systems, 1 Jun 12.

1.17.2. Contractor personnel shall comply with the requirements of AFI 71-101, Volume 1, Criminal Investigations, 8 Apr 11, and AFI 71-101, Volume 2, Protective Service Matters, 17

May 11. These regulations require Contractor personnel to report any information or circumstances of which they are aware that may pose a threat to the security of DOD personnel, Contractor personnel, resources, and classified or unclassified Defense information to their immediate supervisor. The immediate supervisor of Contractor personnel will brief on this requirement during initial on-base assignment and as required thereafter.

1.17.3. The Unit Security Manager will assist the Contractor with any Joint Personnel

Adjudication System (JPAS) Joint Clearance and Access Verification System (JCAVS) and eQIP by Design information for inputting NACIs with assistance from 81 SFS/IP.

1.17.4. Security Monitoring. The Contractor shall comply with all security requirements.

Submit reports, classified if appropriate, of any information coming to their attention concerning any of their employees who have been cleared or are in the process of being cleared for access to classified information, which indicates that such access or determination may not be clearly consistent with the national interest. Reports shall be submitted to the Defense Industrial Security

Clearance Office (DISCO) immediately upon notification of any adverse information, change in employee’s status, official investigation, or any other reason. In addition, a copy of this report shall be furnished to the Contracting Officer’s Representative(s) (COR(s)) and 81 TRW

Installation Commander (81 TRW/CC).

1.17.5. Listing of Employees. The Contractor shall maintain a current listing of all Contractor personnel. The list shall include Contractor personnel’s names, Social Security numbers, and level of security clearance. The list will be validated and signed by the FSO and provided to the

CO, COR, Base Visual Information Manager (BVIM), 81 SFS/IP, Unit Security Manager, and

FSO prior to the contract start date. Updated listings shall be provided when a Contractor personnel’s status or information changes. Documents will be marked as FOUO as a minimum.

1.18. PHYSICAL SECURITY. The Contractor shall safeguard all Government property, including controlled forms provided for Contractor use. At the close of each work period, Government equipment, facilities, and other valuable materials shall be secured.

1.18.1. Entry Procedures to Controlled/Restricted Areas. The Contractor shall implement local base procedures for entry to AF controlled/restricted areas where Contractor will work.

1.19. Operational Security (OPSEC).

1.19.1. OPSEC Training.

1.19.1.1. Contractor personnel shall complete unit OPSEC in-processing training provided by the 81 st Medical Group OPSEC Coordinator within 30 calendar days of reporting for duty.

1.19.1.2. All Contractor personnel shall complete annual refresher OPSEC awareness training provided by the Unit OPSEC Coordinator.

1.19.2. Disclosure of Information.

1.19.2.1. The Contractor shall not release to anyone outside the Contractor’s organization any unclassified information, regardless of medium (e.g., film, tape, document, etc.), pertaining to or execution of any part of this contract or any program related to this contract, unless:

1.19.2.1.1. The CO, the squadron Commander, or OPSEC Coordinator has given prior written approval; or

1.19.2.1.2. The information is otherwise in the public domain before the date of release.

1.19.2.2. Requests for approval shall identify the specific information to be released, the medium to be used, and the purpose for the release. The Contractor shall submit the request to the CO, the squadron Commander, or OPSEC Coordinator at least 45 days before the proposed date for release.

1.19.2.3. The Contractor agrees to include a similar requirement in each subcontract under this contract. Subcontractors shall submit requests for authorization to release through the prime Contractor to the CO, the squadron Commander, or OPSEC Coordinator.

1.20. LEVEL I ANTI-TERRORISM (AT) AWARENESS. Level I Anti-Terrorism (AT)

Awareness Training is available upon request and will be conducted by the Installation

Anti-Terrorism Officer (ATO). Contact the 81st Security Forces Squadron (81 SFS/S5X), at 228-376-6623.

1.21. SAFETY.

1.21.1. Obligations. Contractors shall comply with the Occupational Safety and Health Act

(OSHA, Public Law 91-596) and the resulting standards, OSHA Standards 29 CFR

1910 and 1926. The detailed provisions of the act for accident prevention are directly applicable to all Contractor operations. Prime Contractors are also responsible for ensuring any sub-contractors also adhere to OSHA Guidance. OSHA compliance officers visit Contractor worksites on the installation.

1.21.2. Responsibilities. Following is a list of responsibilities for Contracting, Contractor, and

Wing Safety personnel.

a. Contractor Responsibilities.

(1) Contractors are responsible for ensuring all industrial safety provisions are followed.

(2) Contractors must report all accidents involving Air Force people, property, or equipment damage, and any Contractor personnel injured in the performance of the

Air Force contract to the CO.

(3) Take immediate corrective action to comply with safety regulations if informed of a violation by the CO.

b. Contracting Officer (CO) Responsibilities.

(1) Inform Contractor of non-compliance with safety regulations, which may cause injury to Air Force personnel or property.

(2) Notify Wing Safety of any injuries or damage to AF property reported by the

Contractor, in performance of an Air Force contract.

c. Wing Safety Responsibilities.

(1) 81st Training Wing Safety Personnel will periodically monitor Contractor operations to ensure safety regulation compliance as it applies to Air Force personnel and equipment.

(2) Wing Safety personnel are available to the CO for technical assistance on matters pertaining to accident prevention.

(3) Notify the CO if a safety procedure or condition exists which requires correction by the Contractor.

1.21.3. Safety Rules. Contractors shall pay particular attention to the following safety rules and ensure strict compliance while on the installation.

a. General Safety Rules While on the Installation.

(1) Ensure adequate lighting and barricading is available and used for day and night operations.

(2) Use proper shoring during trenching operations.

(3) Post proper warning signs at indoor and outdoor operations.

(4) Secure materials when doing high work, during high winds, or when high winds are forecasted.

(5) Use warning signs, barricades, or flagmen when operations present a hazard to drivers, pedestrians, or workers.

b. Traffic Rules While on the Installation. All drivers, mobile equipment, and vehicles must comply with applicable federal, state, and local laws.

(1) Seat belts are mandatory for all passengers as well as drivers

(2) An approved bicycle helmet is required to be properly worn while riding bicycles on the installation.

(3) Drive the speed limit:

(a) Base proper speed limit is 25 mph or as posted.

(b) Housing area speed limit is 15 mph.

(c) Parking lot speed limit is 5 mph.

(4) Give full attention to the operation of the vehicle. Avoid operator distractions, such as using cellular phones, text messaging, etc. while operating a vehicle.

(5) Park in designated areas and IAW Keesler AFB Instruction (KAFI) 31-218, Installation Traffic.

(6) No riding in the beds of trucks, buckets of front end loaders, or tandem riding on vehicles designed for one-person operation.

(7) Use safety chains in addition to towing hooks when towing equipment.

(8) Place a light on the rear of equipment being towed during the hours of darkness.

(9) Mark overhanging portions of loads with warning flags or lights.

(10) When driving or using a crane or cherry picker, be cautious around power lines crossing the road and don't position booms closer than 10 feet to overhead high voltage lines.

(11) Ensure electrical work is IAW the National Electric Code.

(12) Upon encountering troop formations on the installation:

(a) Maintain 50-foot distance behind formations until signaled to pass by the troop commander. When signed to pass troop formation, do not exceed 10 mph while passing.

(b) When passing from the front, proceed without stopping, but slow to 10 mph while passing.

1.22. SMOKING IN AETC FACILITIES. Contractors are advised that the Commander has placed restrictions on the smoking of tobacco products in AETC facilities. AFI 40-102, Tobacco

Free Living, 4 Mar 15, outline the procedures used by the commander to control smoking in our facilities. Contractors and visitors are subject to the same restrictions as Government personnel.

Smoking is permitted only in designated smoking areas.

1.23. ENVIRONMENTAL MANAGEMENT SYSTEM (EMS). All Contractor personnel shall complete Environmental Management System (EMS) Awareness training prior to commencement of any activities. Training is available through the Air Force Advanced

Distributed Learning Service (ADLS), the Environmental, Safety and Occupational Health

Training Network (ESOHTN), or through the Environmental Office (KBOS/CEV).

1.24. HAZARDOUS MATERIALS. In the event that hazardous materials will be used in the execution of this contract, the Contractor shall be required to obtain authorization from the

Installation Hazardous Materials Management Program before ordering or purchasing the hazardous product, IAW AFI 32-7086, Hazardous Materials Management, 2 Feb 15. This authorization process may take up to two weeks, which should be considered in the performance period of this contract.

1.25. HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT OF 1996

(HIPAA). HIPAA is comprised of several different sections, each to be implemented by the

Department of Health and Human Services. The medical facilities of the military services and the DOD health plans are specifically listed as covered by HIPAA. Currently, HIPAA Privacy and Security Rules, as set forth in the Code of Federal Regulations, are in effect for all MTF. The specific implementation of HIPAA Privacy for DoD MTFs is set forth in DOD 6025.18-R, DoD

Health Information Privacy Regulation, 24 Jan 03, and for HIPAA Security, the requirements for

AF MTFs are contained in DOD 8580.02-R, DoD Health Information Security Regulation, 12 Jul

07. DOD 6025.18-R and DOD 8580.02-R are incorporated herein by reference. MTFs are responsible to ensure overall compliance with HIPAA requirements, which includes incorporation of certain requirements in contracts entered or amended after the respective implementation dates. IAW these regulations, the Contractor and its employees meet the definition of Business Associates; 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 each MTF, 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 and DoD 8520.02-R. Additional HIPAA requirements will be addressed when implemented.

a. Introduction.

(1) 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 or DOD 8520.02-R.

(a) HITECH Act shall mean the Health Information Technology for Economic and Clinical Health Act included in the American Recovery and Reinvestment Act of 2009.

(b) Individual has the same meaning as the term “individual” in 45…