PWS_Blood_Donor_9_Sep_15_Final.pdf

Attachment 1

PR# F2J4PC5146AW05

9 Sep 15

PERFORMANCE WORK STATEMENT

MEDICAL TECHNOLOGIST/MEDICAL LABORATORY SCIENTIST, MEDICAL

LABORATORY TECHNICIAN, AND PHLEBOTOMIST

Personal Services

1. DESCRIPTION OF SERVICES AND GENERAL INFORMATION. The Contractor shall provide one Full Time Equivalent (FTE) Medical Laboratory Scientist (MLS)/Medical

Technologist (MT) for donor center, seven FTE Medical Laboratory Technicians (MLT), two

FTE Phlebotomists to provide services in the Medical Laboratory (Core Lab or Blood Donor

Center) required for Government beneficiaries on a personal service basis including labor, management, supervision, consultations, and reports required at the 81st Medical Group (81

MDG), Keesler Air Force Base (KAFB), Mississippi (MS), also referred to as the “Medical

Treatment Facility” (MTF) herein. The MLT/MLS, or board certified MLT, shall perform a wide range of procedures involved in the collection, processing, testing, and shipment of whole blood and blood components (cellular and plasma) of donors and patients, as well as tracking and documenting donor procedures. The Phlebotomists shall perform collection of whole blood from donors and patients as appropriate. The Contractor shall perform services in accordance with

(IAW) the ethical, professional, and technical standards of the healthcare industry and the Air

Force (AF) medical department. Performance shall be according to the requirements contained in this Performance Work Statement (PWS), the regulations of the Food and Drug Administration

(FDA), Center for Biologics Evaluation and Research (CBER), the standards of practice of the

American Association of Blood Banks (AABB), the American Society of Clinical Pathology

(ASCP), the College of American Pathologist (CAP), the professional standards of practice of

The Joint Commission (TJC), the Air Force Inspection Agency Office of the Health Service

Inspector (HSI), current Good Manufacturing Practices (cGMPs) and applicable AF regulations.

1.1. CONTRACTOR MANAGMENT 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:

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.

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. 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.

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 Contracting Officer Representative (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 shall provide all labor, management, supervision, consultations, and reports necessary to ensure all tasks meet the requirements in this PWS and Services Summary

(SS) (section 2). All MLS/MT, MLT, and Phlebotomist positions in this PWS are considered

FTEs; furthermore, the Contractor may use no more than two qualified individuals to satisfy each

FTE position requirement. Specific duties and qualifications are outlined below.

Personnel assigned to the Core Laboratory shall perform the following duties with minimal

Officer in Charge (OIC) oversight:

1.2.1.1. Adhere to and maintain a system of supply inventory management with unit supply custodian to ensure adequate stock levels of consumable supplies are available within the work center and clinical laboratory to minimize waste and ensure uninterrupted services.

1.2.1.2. Practice general hospital safety, infection control, aseptic and sterile techniques for safe handling of sharps, electrical equipment, and blood or blood products, to include cleaning of work areas and equipment.

1.2.1.3. Participate in the orientation, training, and evaluation of duty performance of newly assigned personnel MLS/MT, MLTs, and phlebotomists, ensuring compliance with standards of care and practice.

1.2.1.4. Ensure a safe work environment and safe employee work habits.

1.2.1.5. Possess/maintain proper certification and skills to perform required duties within regulatory compliance and with minimal oversight.

1.2.1.6. Perform assigned test procedures within the clinical laboratory.

1.2.1.7. Complete applicable documentation to include manual and computer methods.

1.2.1.8. Personnel assigned to the blood donor center shall perform the following duties with minimal OIC oversight:

1.2.1.9. Assist in recruitment of blood donors.

1.2.1.10. Take immediate care of donors and patients by recognizing adverse reactions to the procedure and instituting immediate corrective measures.

1.2.1.11. Review Blood Donation Record for completeness and identify discrepancies.

1.2.11.12. Complete applicable documentation to include manual and computer methods.

1.2.1.13. Assist in set-up and breakdown of mobile blood drives to include lifting and moving of equipment and supplies.

1.2.1.14. Adhere to and maintain a system of supply inventory management with unit supply custodian to ensure adequate stock levels of consumable supplies are available within the blood donor center to minimize waste and ensure uninterrupted services.

1.2.1.15. Practice general hospital safety, infection control, aseptic, and sterile techniques for safe handling of sharps, electrical equipment, and blood or blood products, to include cleaning of work areas and equipment.

1.2.1.16. Participate in the orientation, training, and evaluation of duty performance of newly assigned personnel MLS/MT, MLTs, and phlebotomists, ensuring compliance with standards of care and practice.

1.2.1.17. Ensure a safe work environment and safe employee work habits.

1.2.1.18. Possess/maintain proper certification and skills to perform required duties within regulatory compliance and cGMPs with minimal oversight.

1.3. MEDICAL LABORATORY SCIENTIST (MLS)/ MEDICAL TECHNOLOGIST

(MT). Contractor personnel shall manage, direct, supervise, and perform analyses of biologic and related materials in hospital, environmental, occupational, epidemiological, toxicological, or research and development laboratories; and teach medical laboratory sciences.

1.3.1. QUALIFICATIONS. Contractor personnel shall possess a baccalaureate degree in

Medical Technology/Medical Laboratory Science or a baccalaureate degree in a related scientific field, with an internship in Medical Laboratory Science. Must be certified by the ASCP, National

Credentialing Agency for Laboratory Personnel (NCA), or American Medical Technologists

(AMT) as an MT or MLS.

1.3.2. SPECIFIC TASKS. Contractor personnel shall:

1.3.2.1. Perform donor registration in the Laboratory Information System (LIS) and donor care for allogeneic, autologous, and therapeutic collections. Perform physical exam and evaluate medical history to determine donor eligibility.

1.3.2.2. Understand all immunohematologic procedures required for appropriate donor ABO/Rh

(blood grouping and Rh factor) testing. Comprehend and interpret all donor screening test results to maintain quality of products and their effectiveness. Enter and verify results accurately in LIS.

1.3.2.3. Perform records review, labeling, and lot release of all manufacturing records. Review documentation for completion and compliance with accreditation and licensure requirements;

verify suitability of products released based upon review.

1.3.2.4. Perform component collection, processing and manufacturing to include the preparation of red blood cells, fresh frozen plasma, recovered plasma, and apheresis platelets and plasma.

1.3.2.5. Store blood and manufactured products under appropriate conditions; quarantine blood components, if applicable.

1.3.2.6. Process donor units for transport to 81 MDG Blood Donor Center, as appropriate.

Prepare, receive, and distribute blood product shipments to required destinations.

1.3.2.7. Plan and monitor the day-to-day workflow within the unit. Consult with the OIC to establish daily requirements for blood and components.

1.3.2.8. Troubleshoot equipment and schedule preventative maintenance through Medical

Equipment Repair Custodian (MERC), as needed or recommended by the equipment manufacturer and national regulating agencies and perform appropriate equipment maintenance.

1.3.2.9. Adhere to and maintain a system of supply inventory management with unit supply custodian to ensure adequate stock levels of consumable supplies are available within the blood donor center to minimize waste and ensure uninterrupted services.

1.3.2.10. Assist in the follow-up of positive donor notifications IAW regulatory requirements.

1.3.2.11. Ensure appropriate weekly blood component quota compliance is met and shipped within the requisite time frame.

1.3.2.12. Coordinate with supervisor in planning work flow and duty schedules for assigned section(s). Anticipate problems with tests to be performed and discuss possible solutions with the technicians.

1.3.2.13. Maintain records as required by regulatory agencies. Prepare/review reports.

1.3.2.14. Consult with other medical staff members to determine requirements for effective donor care.

1.3.2.15. Participate in research, evaluation, validation, and implementation of new instrumentation or methodology applicable to the blood donor center.

1.4. MEDICAL LABORATORY TECHNICIAN (MLT). Contractor personnel shall perform analyses of biologic and related materials in hospital, environmental, occupational, epidemiological, toxicological, or research and development laboratories; and teach medical laboratory sciences.

1.4.1. QUALIFICATIONS. Contractor personnel shall graduate from a medical laboratory technician training program accredited by the National Accrediting Agency for Clinical

Laboratory Sciences (NAACLS). Certification as a Medical Laboratory Technician by the

ASCP, NCA, AMT, or state licensure as a Medical Laboratory Technician required.

1.4.2. SPECIFIC TASKS. Contractor personnel shall:

1.4.2.1. Perform donor registration in the LIS and donor care for allogeneic, autologous, and therapeutic collections. Perform physical exam and evaluate medical history to determine donor eligibility.

1.4.2.2. Understand all immunohematologic procedures required for appropriate donor ABO/Rh

(blood grouping and Rh factor) testing. Comprehend all donor screening test results to maintain quality of products and their effectiveness. Enter results accurately in LIS.

1.4.2.3. Perform component collection, processing, manufacturing, and labeling to include the preparation of red blood cells, fresh frozen plasma, recovered plasma and apheresis platelets, and plasma.

1.4.2.4. Store blood and manufactured products under appropriate conditions and quarantine blood components, if applicable.

1.4.2.5. Process donor units for transport to 81 MDG Blood Donor Center, as appropriate.

Prepare, receive, and distribute blood product shipments to required destinations.

1.4.2.6. Consult with the OIC or Technical Supervisor to establish daily requirements for blood and components.

1.4.2.7. Troubleshoot equipment and schedule preventative maintenance through the Medical

Equipment Repair Center (MERC) as needed or recommended by the equipment manufacturer and national regulating agencies. Perform appropriate equipment maintenance.

1.4.2.8. Adhere to inventory management with unit supply custodian to ensure adequate stock levels of consumable supplies are available within the blood donor center to minimize waste and ensure uninterrupted services.

1.4.2.9. Assist in the follow-up of positive donor notifications IAW regulatory requirements.

1.4.2.10. Ensure appropriate weekly blood component quota compliance is met and shipped within the requisite time frame.

1.4.2.11. Coordinate with supervisor in planning work flow and duty schedules for assigned section(s).

1.4.2.12. Maintain records as required by regulatory agencies. Prepare/review reports.

1.4.2.13. Consult with other medical staff members to verify requirements for effective patient care.

1.4.2.14. Perform and interpret clinical laboratory tests in any one or a combination of areas as described in the following sections of the laboratory: hematology, chemistry, urinalysis, serology, shipping, microbiology, and blood bank. Calculate test results and notice pertinent details of specimens under microscopic study.

1.4.2.15. Obtain lab specimens and blood donor units directly from patients/donors by venipuncture/phlebotomy.

1.4.2.16. Prepare slides for microscopic analysis, as necessary.

1.4.2.17. Record test results and file reports in the CHCS and LIS.

1.4.2.18. Perform records review, labeling, and lot release of all manufacturing records.

Review documentation for completion and compliance with accreditation and licensure requirements; verify suitability of products released based upon review.

1.4.2.19. Communicate with the section supervisor, pathologist, or general laboratory supervisor regarding unusual or abnormal test results.

1.5. PHLEBOTOMIST. Contractor personnel shall perform a wide range of procedures involved in the collection of blood. These procedures involve assembling required equipment, locating an accessible vein, disinfecting the area, performing venipuncture, treating the puncture site, labeling blood containers, and managing patient or donor reactions.

1.5.1. QUALIFICATIONS. Contractor personnel shall have a minimum of a high school diploma or equivalent (GED) and have completed a phlebotomy course or equivalent on-the-job-training (OJT). Contractor personnel shall be certified by the ASCP, NCA, AMT, or equivalent.

1.5.2. SPECIFIC TASKS. Contractor personnel shall:

1.5.2.1. Provide immediate care to donors and patients by recognizing adverse reactions to procedures and instituting immediate corrective measures.

1.5.2.2. Receive and interpret laboratory request slips, review request slips for required information, and determine the fitness of the patient for tests requested by the healthcare provider/physician (i.e., fasting state, liquid intake, medication, dietary instruction). Ensure specimens are collected in the amount and type of specimen required (e.g., with or without a particular anticoagulant) for each laboratory test. Enter test requests into the CHCS.

1.5.2.3. Perform timed blood collection procedures, such as glucose and lactose tolerance tests.

Instruct patients on collection of timed urine collections. The purpose of this procedure is to determine if the patient is hyperglycemic or hypoglycemic before administering the glucose load.

1.5.2.4. Collect blood specimens from ambulatory or bed patients or donors via venipuncture, finger, heel, or toe stick, as appropriate, using standardized procedures. For most specimens, this entails the application of a tourniquet, selection of the proper vein, disinfection of the puncture site, and entering the vein using a sterile blood collection and vacutainer. The blood collection may require the use of a lancet, capillary tube, pipette, or glass slide for blood smears.

1.5.2.5. Perform blood donor vital sign screening prior to blood donation.

1.5.2.6. Dress the skin puncture site after blood collection. Carefully observe the patient for any sign or symptoms of physiological reactions after blood collection and take appropriate first aid measures to prevent injury and stabilize the patient.

1.5.2.7. Review specimen labels, properly label collected blood specimens with appropriate patient identification information, and deliver specimens to the Laboratory’s Central Operations section within the established specified time frame.

1.5.2.8. Maintain blood collection tray in a clean, hygienic state and replenish blood collection supplies as needed. Maintain supply levels for drawing stations and shelves on a daily basis.

1.5.2.9. Answer telephones, look up test results in the laboratory computer, and give test results to requesting healthcare providers/physicians.

1.5.2.10. Process patient and donor demographic data into the laboratory automated data system or manual system. Identify and correct patient or donor data errors. Verify physician, patient care, and records location identifiers, such as Medical Expense and Performance Reporting

System (MEPRS) codes, ward and clinic locations, and provider codes for entering accession information into the computer terminal. Work with wards, clinics, and other medical personnel to resolve missing or incorrect data.

1.5.2.11. Receive telephone calls and visitors to the laboratory or blood donor center.

Determine nature of call or visit. Direct callers or visitors to appropriate personnel. Personally provide the information requested when routine or procedural matters of the laboratory are involved. Apply established guidelines concerning the release of information on test results, adhering to the provision to the Privacy Act and Freedom of Information Act (FOIA).

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

Thresholds.

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

1.7. 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.

1.8. 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/donor health records.

1.9. 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 4, 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.

1.10. TRAVEL REQUIREMENTS. All medical technologists, medical laboratory technicians, and phlebotomists assigned to the Donor Center will be required to travel to blood drives on a regular basis.

1.10.1. There will be approximately two to four blood drives per week, with at least one of those blood drives located on base. At least twice per month, contractor personnel will be required to travel outside the local area for blood drives.

1.10.2. In addition to the above mentioned drives, when the need arises, contractor personnel may be required to travel to blood drives outside the local area and stay overnight. This is expected to occur once per quarter, or four times per year.

1.11. PERSONNEL.

1.11.1. 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.

1.11.2. AVAILABILITY. The Contractor’s designated project manager shall notify

Government Supervisor, as early as possible of programmed absences of the Contractor personnel to allow for planning of service coverage and workload distribution.

1.11.2.1. 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.

1.11.2.2. Personnel may be assigned to either the Core Laboratory or Blood Donor Center depending on department needs. The normal duty schedule for blood donor center and Core Lab personnel will be 0700-1700 Monday through Thursday. Every other Friday will be off. The duty Friday will be 0700 -1600. Personnel will be allotted a one hour lunch each day.

1.11.2.3. During blood drives the duty schedule will vary. Contract personnel will be scheduled between the hours of 0400-2359 on blood drive days. There will be approximately two drives per week. Depending on blood donor turnout (during blood drives), lunches may be delayed, to meet military contingency needs.

1.11.2.4. Overtime hours may be required to meet military contingency/health care needs.

1.11.2.5. 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.

1.11.2.6. 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.

1.11.2.7. 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.

1.11.2.8. 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 Government Supervisor.

1.11.2.9. Overage. When required to ensure completion of services that extend beyond the normal close of business, Contractor personnel shall remain on duty in excess of the scheduled shift when directed by government.

1.11.2.10. 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.

1.11.2.11. 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.

1.11.3. 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.

1.12. PERSONNEL REQUIREMENTS.

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

1.12.2. 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 hygiene expected of health care workers. The Contractor personnel shall display a professional, positive, and cooperative attitude while in the workplace.

1.12.2.1. 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.

http://www.ecmra.mil/

1.12.2.2. 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.

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

1.12.2.4. 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 hood shall be worn to ensure infection control standards are met. The Government will provide this hood. 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.

1.12.3. FORMAL EDUCATION. Contractor personnel shall meet the formal education requirements previously stated in this PWS in paragraphs 1.3.1., 1.4.1., and 1.5.1., depending on the position. Contractor personnel must provide documentation of degree completion prior to providing services at the 81 MDG.

1.12.3.3. Licensure/Registration. Not applicable

1.12.3.4. Certification. Contractor personnel shall be certified (registered) (MLS/MT, MLT or

Phlebotomist) IAW an approved certifying agency (e.g., ASCP, NCA, AMT) (see paragraph

1.3.1, 1.4.1, and 1.5.1.) Contractor personnel must provide proof of board certification prior to providing services to the 81 MDG and maintain their certification throughout their employment.

1.12.3.5. Contractor personnel shall possess and provide proof of, and maintain certification in

Basic Life Support (BLS) or Advanced Cardiac Life Support (ACLS). Contractor must provide proof of this.

1.12.4. EXPERIENCE.

1.12.4.1. MLS/MT a minimum of five years of work experience in a laboratory accredited by a

CMS (Center for Medicare & Medicaid Services) approved accreditation organization (i.e., AABB, CAP, COLA, DNV, TJC, etc.).

1.12.4.2. MLT a minimum of three years of work experience in an accredited laboratory (i.e., AABB, CAP, COLA, DNV, Joint Commission, etc.) Certified entry level MLT with less than three years of laboratory experience would be considered if prior military service National Guard, Reserve or internship at this facility and experience less than 3 years as a MLT. Candidate acceptance will be at the discretion of the Government Supervisor and is not guaranteed.

1.12.4.3. Phlebotomist a minimum of one year of phlebotomy experience within the previous 24 months. Certified phlebotomy technicians with less than one year of laboratory experience would be considered if prior military service National Guard, Reserve or internship at this facility and experience less than 1 year as a Phlebotomist. Candidate acceptance will be at the discretion of the Government Supervisor and is not guaranteed.

1.12.5. 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).

1.12.5.1. 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.

1.12.5.2. 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.

1.12.5.3. 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.

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

1.12.6. 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.

1.12.7. PRIVILEGING/CREDENTIALING REQUIREMENTS. Not applicable.

1.13. HEALTH REQUIREMENTS.

1.13.1. 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.

1.13.2. 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.”

1.13.3. 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.

1.13.4. The Contractor is responsible for reporting to the OIC/Medical Director, all information necessary to assure hospital records can be maintained correctly, and therefore comply with the

TJC, OSHA, and Centers for Disease Control (CDC) health record requirements.

1.14. 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.

1.15. OCCUPATIONAL HEALTH PROGRAM / MEDICAL TESTS. Contractors are solely responsible for compliance with Occupational Safety and Health Administration (OSHA) standards and the protection of their employees unless otherwise provided by law or regulation to be specified in the contract. Thermoluminescent Dosimetry (TLD) monitoring will be provided to contractor personnel who are a part of a clinic enrolled in the TLD program. 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.

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 Government.

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

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

Section 2C, AFI 44-119, Medical Quality Operations, 16 Aug 11, and the individual MTF QI/RM plan or regulation.

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

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

FAR clause 52.212-4.

1.17. 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. Contractor personnel may request a meeting with the CO when deemed necessary.

1.18. 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.

1.19. 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, Incorporating Change 1, 18 Dec

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

1.19.1. 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.

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

1.19.3. 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 drive (\\52mahg-fs-106) IAW the Air Force Electronic Records Management System and AFMAN

33-363, Chapter 6.

1.19.4. 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 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 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.

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

1.19.6. 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, incorporating through Change 2, 12 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.

1.19.7. 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://dpclo.defense.gov/privacy/SORNs/SORNs.html).

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.

1.19.8. 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.

1.20. SECURITY.

1.20.1. 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.

http://dpclo.defense.gov/privacy/SORNs/SORNs.html

1.20.2. 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.

1.20.3. 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.

1.20.4. 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).

1.20.5. 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.

1.21. 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.

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

1.22. Operational Security (OPSEC).

1.22.1. OPSEC Training.

1.22.1.1. 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.

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

1.22.2. Disclosure of Information.

1.22.2.1. 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:

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

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

1.22.2.2. 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.

1.22.2.3. 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.

1.23. 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.

1.24. SAFETY.

1.24.1. 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.

1.24.2. 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.

1.24.3. 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…