FY17_PRK_Staffing__20Jul16_-_Solicitation_Copy.pdf

Attachment 1

FA3010-16-R-0016

20 July 2016

PERFORMANCE WORK STATEMENT

For

PRK Services Non-Personal Services

1. DESCRIPTION OF SERVICES AND GENERAL INFORMATION. The Contractor shall provide the Government the services of one Full Time Equivalent (FTE) Refractive Surgery Optometrist(credentialed), four FTE Ophthalmic Technicians (non-credentialed), one FTE Clinic Manager (non-credentialed), and two FTE Medical Records Clerk (non-credentialed) to support a special Photo-Refractive Keratectomy/Laser-In-Situ-Keratomileusis/ Implantable Collamer Lens (PRK, LASIK, and ICL) program, also known as the Refractive Surgery Clinic (RSC) for eligible beneficiaries at the 81st Medical Group (81 MDG), Keesler Medical Center (KMC), Keesler Air Force Base (KAFB), Mississippi (MS), also referred to as the "medical treatment facility" (MTF) herein. The Contractor shall perform services in accordance with (IAW) the ethical, professional, and technical standards of the health care industry and the Air Force (AF) medical department.

Performance shall be according to the requirements contained in this Performance Work Statement (PWS) and professional standards of practice of the Joint Commission , the American Society of Health System Optometrists , the Air Force Inspection Agency Office of the Health Service Inspector, and applicable AF Optometry regulations. The Contractor care shall cover the range of services provided in a civilian MTF.

BACKGROUND. IAW Air Force Policy Letter #03-002, dated 21 May 2007, referencing "The USAF Refractive Surgery (USAF-RS) Program (includes both PRK and LASIK)," active duty service members, are authorized to receive PRK/LASIK (any DoD), and additionally, ICL surgery for Army/Navy personnel, if medically indicated and approved by the member's squadron commander. This letter supersedes Air Force Policy Letter #01-004, "The USAF ‘Warfighter’ PRK Program," dated 11 Dec 01.

PURPOSE. This contract will offer diagnostic services for refractive surgery to active duty service members.

OBJECTIVES. The objectives established to meet the purpose of this contract are: (1) to continue the USAF-RS program clinic operations at KMC manned by qualified RSC staff, (2) to provide refractive surgery and follow-up services to active duty service members IAW AF policy, (3) to provide care for surgical patients in the operating room (OR) to allow continued expansion of the ICL program within the USAF-RS program to be performed on active duty Army and Navy personnel, as well as indicated medical treatments on other active duty, dependents, and retiree beneficiaries; and (4) to provide sufficient staffing to monitor and maintain the Warfighter Refractive Surgery database, as well as to support research initiatives conducted by Warfighter Refractive Surgery staff.

1.1. CONTRACTOR MANAGEMENT STAFF RESPONSIBILITIES.

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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 Contracting Officer and Contracting Officer Representative (COR) 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.

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1.2.1. Specific processes outlined in the AF Surgeon General Policy Letter #03-002 include clinical criteria, refractive surgery referral and treatment processes, and return-to-duty processes.

Specific processes that Contractor personnel working in KMC Laser Center must follow are outlined below.

1.2.1.1. Upon receipt of a RSC referral, Contractor personnel shall create a unique patient record with the following documentation included: 1) active duty service member’s squadron commander’s written authorization; 2) certificate of retainability, and, 3) patient’s commander designation of priority category. The Refractive Surgery staff shall establish the active duty member’s appointment with the Optometrist.

1.2.1.2. The Contractor personnel shall conduct screening during the appointment to verify the active duty service member meets clinical criteria. If refractive surgery is indicated, the Contractor personnel shall proceed with pre-op, surgery, and post-op requirements.

1.2.1.3. The Contractor personnel shall determine clinical eligibility for return-to-duty after refractive surgery.

1.2.1.5. The Chief of Cornea and Refractive Surgery will perform a quality review of all files upon completion of the surgery and follow-up care.

1.2.2. OPTOMETRIST. The Contractor shall provide one FTE for this PWS. The Contractor personnel shall:

1.2.2.1. Evaluate, diagnose and treat patients, take timely and appropriate referrals, and be well versed in preventive medicine guidelines pertaining to postoperative corneal haze, infections, and basic eye care.

1.2.2.2. Examine, diagnose and treat conditions of the visual system with ophthalmic lenses, ophthalmic prisms, contact lenses, and low vision aids.

1.2.2.3. Participate in the examination, diagnosis, treatment, and management of diseases, injuries, and refractive surgery of the eye and ocular adnexa.

1.2.2.4. Be familiar with the administration and interpretation of automated corneal topography, lensometry, and autorefractometry, be knowledgeable in both direct and indirect ophthalmoscopy through dilated and un-dilated pupils, and be familiar with refractive surgery basics in order to screen/recommend patients for refractive procedures in conjunction with the Ophthalmologist.

1.2.2.5. Provide outpatient optometric evaluations/services for acute and routine eye exam patients, to include walk-in patients. The RSC staff will be responsible for examining, treating, and diagnosing all patients referred to the laser surgery center.

1.2.2.6. Identify and use available medical and non-medical supplies and equipment commonly used in ophthalmology/optometry clinics for the care and management of patients in meeting the health care and educational needs of patients and families.

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1.2.2.7. Provide immediate evaluation and management of emergency problems as they occur.

1.2.2.8. Follow Department of Defense (DoD), AF, and KMC regulations and policies when arranging for a referral or consult. The Contractor personnel shall inform the patient of the required referral or consult and the mechanism used to obtain such services. The Contractor personnel shall not recommend to the patient that he/she consult a specific practitioner or use a specific practice. Referrals should be coordinated with the Chief of Cornea and Refractive Surgery before the referral process begins.

1.2.2.9. Ensure that drugs not on the KMC formulary or specific Optometrist-prescribing list are approved by the Pharmacy and Therapeutics Committee.

1.2.2.10. Provide training to the MTF staff on the performance of ophthalmology examinations/procedures.

1.2.2.11. Assist Optometry and Ophthalmology with providing care for acute walk-in patients who are either post-refractive surgery, active duty, dependents, or retiree beneficiaries as time permits to ensure timely care of all patients without adversely impacting refractive surgery clinic flow.

1.2.3. OPHTHALMIC TECHNICIANS. The Contractor shall provide four FTEs for this PWS. A maximum of four Contractor personnel may be proposed to meet the Government’s requirement. The Contractor personnel shall provide outpatient ophthalmology services for patients as directed by the healthcare provider. The Refractive Surgery staff shall:

1.2.3.1. Receive patients, examine records and forms, and prepare patients for current exam and/or treatment. Prepare ophthalmology patients for and assist Contractor Optometrist personnel with examination and treatment. Schedule and retrieve various reports through the Composite Health Care System (CHCS) computer system. Prepares clinical reports, records, and data entry.

1.2.3.2. Assist the healthcare provider by performing technical tests and record results for procedures for the healthcare provider’s analysis and interpretation. Plan, implement, and supervise vision screening tests such as visual acuity, color vision, tonometry, visual fields, pupil exams, and other technical tests required by the Optometrist. Record test data and determine need for further evaluation.

1.2.3.3. Assist in a wide range of refractive/diagnostic procedures, to include manual manifest refractions, corneal topography, auto-refractometry, pachymetry, keratometry, ocular photography, and visual fields/pupillary reflex testing.

1.2.3.4. Prepare appropriate equipment and instruments for surgery and follow-up care. Directly assist surgeons in performing refractive laser surgery.

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1.2.3.5. Assist the healthcare provider with clinical procedures and perform as special assistant, using procedures pertaining to all types of laser ophthalmologic surgeries. Prepare patients for and perform general preparation of pre-operative patients. Provide postoperative instructions as directed by the physician.

1.2.3.6. Prepare anesthetics and antibiotics. Administer eye drops and ointments, apply ocular dressings, and obtain eye cultures as required.

1.2.3.7. Assist with contact lens cleaning, dispensing, insertion/removal, and patient instruction.

Prepare and fit patients with special optometric devices as instructed by the healthcare provider.

Instruct patients in correct care and hygiene post-procedurally.

1.2.3.8. Prepare, clean, sterilize, and maintain proper stock of surgical equipment, instrumentation, and medications.

1.2.3.9. Perform user maintenance checks on specialized clinic/surgical equipment and calibration checks on clinical diagnostic equipment daily, using prescribed methods outlined in the manufacturers’ manuals. All calibrations must be performed and logged in to verify calibration was successful.

1.2.3.10. Respond to emergencies, to include recognizing emergency situations, calling for help, evacuating patients and staff during a fire, providing life support consistent with MTF policies and procedures as well as the individual’s education and training, and functioning calmly and efficiently in assisting other personnel.

1.2.3.11. Assist active duty co-workers with screening of both acute walk-in active duty, dependent, and retiree ophthalmology patients, as well as routine scheduled ophthalmology clinic patients as time/clinical volume permits so that patient flow in the refractive surgery clinic will not be impacted. The determination of availability of Contractor personnel for assistance will be made by the Clinic Manager and/or Chief of Cornea and Refractive Surgery.

1.2.4. CLINIC MANAGER. The Contractor shall provide one FTE for this PWS. The Contractor personnel shall provide outpatient ophthalmology support services for patients as directed by the healthcare provider. The Contractor personnel shall:

1.2.4.1. Receive patients, examine records and forms, and prepare patients for current exam and/or treatment. Prepare ophthalmology patients for and assist healthcare provider with examination and treatment. Schedule and retrieve various reports through CHCS, receive telephone calls, visitors and messages from the patient call system, prepare clinical reports, records and data entry, and provide administrative support for appointments, discharges, and transfers.

1.2.4.2. Organize and maintain various records systems and prepare reports. This includes, but is not limited to, accurately retrieving and filing patient charts IAW procedures; preparing blank medical packages for new patients; operating CHCS to register patients, updating and retrieving data; entering data via alphanumeric keyboard and visual display terminal to produce and

20 July 2016 maintain desired products; selecting appropriate input/output format and assisting with administrative input of patient data; preparing patient charts, ensuring all forms and information are complete and accurate; correctly filing information in medical records; preparing and finalizing outpatient records; and assisting staff with outpatient administrative duties.

1.2.4.3. Manage staff scheduling and production, implement training and certification, and supervise day-to-day clinic operations and the work of the technicians and clerks. Responsible for maintenance and upkeep of the RSC cost center and the annual budget.

1.2.4.4. Order and maintain ophthalmologic medications, supplies, and equipment for use by the healthcare provider. Perform routine checks of medications and sterile instrument packs for expiration dates.

1.2.4.5. Assist in preparing computer templates and schedules for clinical/surgical procedures.

Set up and maintain monthly (recurring) and master schedules through CHCS. Prepare clinical reports, records, and data entry.

1.2.4.6. Create, track, and maintain required clinic and group reports, collecting and collating monthly statistical data as it relates to productivity and utilization, projected workload, healthcare provider time, and projected leaves, TDY, and training. Ensure records are available for quality assurance peer review. Assist nurse to ensure the database is maintained to measure clinical outcomes and is available for review.

1.2.4.7. Orient newly assigned Contractor personnel in OR, laser suite, and clinic policies and procedures.

1.2.4.8. Provide training to MTF staff in the performance of ophthalmology examinations/ procedures as required. The training topics shall be jointly decided between the Chief of Cornea and Refractive Surgery and/or the NCOIC, as well as the NCOIC of Refractive Surgery.

1.2.4.9. Recommend policies, procedures, and other improvements to increase organizational effectiveness.

1.2.4.10. Perform reception duties, receive telephone calls and visitors, and coordinate/ assist/handle various requests and inquiries from patients, visitors, and staff. This includes receiving telephone calls, visitors, and messages from the patient call system.

1.2.4.11. Assist the healthcare provider by performing technical tests and record results for procedures for the healthcare provider’s analysis and interpretation. Plan, implement, and supervise vision screening tests, such as visual acuity, color vision, tonometry, visual fields, pupil exams, and other technical tests required by the Optometrist. Record test data and determine need for further evaluation.

1.2.4.12. Assist in a wide range of refractive/diagnostic procedures, to include manual manifest refractions, corneal topography, auto-refractometry, pachymetry, keratometry, ocular photography, and visual fields/pupillary reflex testing.

1.2.4.13. Prepare appropriate equipment and instruments for surgery and follow-up care.

Directly assist surgeons in performing refractive laser surgery

1.2.4.14. Assist the healthcare provider with clinical procedures and perform as special assistant using procedures pertaining to all types of laser ophthalmologic surgeries. Prepare patients for and perform general preparation of pre-operative patients. Provide postoperative instructions as directed by the physician.

1.2.4.15. Prepare anesthetics and antibiotics. Administer eye drops and ointments, apply ocular dressings, and obtain eye cultures as required.

1.2.4.16. Assist with contact lens cleaning, dispensing, insertion/removal, and patient instruction. Prepare and fit patients with special optometric devices as instructed by the healthcare provider. Instruct patients in correct care and hygiene post-procedurally.

1.2.4.17. Prepare, clean, sterilize, and maintain proper stock of surgical equipment, instrumentation, and medications.

1.2.4.18. Perform user maintenance checks on specialized clinic/surgical equipment and calibration checks on clinical diagnostic equipment daily using prescribed methods outlined in the manufacturers’ manuals. All calibrations must be performed and logged in to verify calibration was successful.

1.2.4.19. Respond to emergencies, to include recognizing emergency situations, calling for help, evacuating patients and staff during a fire, providing life support consistent with MTF policies and procedures as well as the individual’s education and training; functioning calmly and efficiently in assisting other personnel.

1.2.5. MEDICAL RECORD CLERK. The Contractor shall provide two FTE for this PWS.

A maximum of two Contractor personnel may be proposed to meet the Government’s requirement. The Contractor personnel shall use fundamental knowledge of medical terminology to provide clerical, reception, and administrative duties in support of the care and treatment of patients in an outpatient clinic of KMC. The Contractor personnel shall:

1.2.5.1. Perform reception duties, receive telephone calls and visitors, and coordinate/assist/handle various requests and inquiries from patients, visitors, and staff, to include receiving telephone calls, visitors, and messages from the patient call system.

1.2.5.2. Provide administrative support for appointments, discharges, and transfers. The Contractor personnel shall administratively process patients throughout patient and observation status, to include, but is not limited to, courteously receiving patients; interviewing patients to obtain necessary information to complete appointment paperwork; assisting the technicians in directing patient flow through the clinic; promptly notifying clinic staff of messages; entering appointments and telephone consults into CHCS; faxing paperwork; and preparing necessary paperwork related to movement or transfer of patients, to include air evacuation. The Contractor

20 July 2016 personnel shall transport requests and contained specimens or medications between the clinic and ancillary service.

1.2.5.3. Organize and maintain various records systems and prepare reports, to include, but is not limited to, accurately retrieving and filing patient charts IAW procedures; preparing blank medical packages for new patients; operating CHCS to register patients, updating and retrieving data; entering data via alphanumeric keyboard and visual display terminal to produce and maintain desired products; selecting appropriate input/output format and assisting with administrative input of patient data; preparing patient charts, ensuring all forms and information are complete and accurate; correctly filing information in medical records; preparing and finalizing outpatient records; and assisting staff with outpatient administrative duties.

1.2.5.4. Order and stock forms and office supplies for the clinic as needed. The Contractor personnel may be called upon to assist in preparing and maintaining an adequate supply of pre-admit packs and procedures packs; collecting data on specific activities and entering the data into databases/spreadsheets; and helping maintain the duty section in a neat and organized manner, to include shredding forms and placing the shredded materials in the recycling receptacle.

1.2.5.5. Notify the Clinic Manager of malfunctioning equipment after removing the equipment from service and describing the apparent malfunction.

1.2.5.6. Assist Optometry and Ophthalmology Clinic administrative staff with front desk duties as time permits so that patient flow in the refractive surgery clinic will not be adversely affected.

Availability of Contractor personnel for this assistance will be determined by the Clinic Manager.

1.2.6. 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.

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

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

1.2.9. 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.

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

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

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

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1.2.13. 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.

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

1.2.15. 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.

1.2.16. 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.

1.2.17. 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

20 July 2016 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 operate on a 24/7 basis

1.8.2.2. Work Schedule/Duty Hours. Work hours will be scheduled between 0530-1730 and will be flexible schedules based on clinic needs, Monday through Friday. Routine duty hours will be M-F 0700-1600. Actual work hours will be scheduled by the Flight Commander/Operations Officer to correspond to the needs of the department, duty days will not exceed 8 hours per day and will not 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, 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:

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.

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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 Clinic Manager 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 Clinic Manager 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 may use those overage hours. If the contract does not include overage hours, the Government 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 help desk.

http://www.ecmra.mil/

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 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) (for example, 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 OPTOMETRIST. The Contractor personnel shall have graduated from an accredited school of Optometry with a Doctor of Optometry (OD) degree.

1.9.3.2. OPHTHALMIC TECHNICIAN. Completion of two years of college and an ophthalmic technician course. The Joint Commission on Allied Health Personnel in Ophthalmology (JCAHPO) certification as a Certified Ophthalmic Technician (COT) or Certified Ophthalmic Assistant (COA).

In lieu of two years of college or a formal course, certification as a COT, COA, and one year of experience in the ophthalmology field will be considered an acceptable minimum alternative for this position.

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1.9.3.3. CLINIC MANAGER. As a minimum, this position requires a high school diploma or equivalent with completion of two years of college. Completion of an ophthalmic technician course would be highly desirable. The Contractor personnel shall hold a current certification or be eligible for certification as a COA or higher from JCAHPO. Certification will be obtained within one year of start of employment and currency continued thereafter. The Contractor personnel shall also possess current CPR certification.

1.9.3.4. MEDICAL RECORD CLERK. The Contractor personnel shall have graduated from high school or passed a General Education Development (GED) Test.

1.9.4. 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 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.

All HCWs shall maintain current certification in a basic provider cardio-pulmonary resuscitation (CPR) course such as American Heart Association Basic Life Support (BLS) health care provider course or an equivalent course based on published national guidelines for BLS IAW AFI 44-102. Web-based classes do not meet the standards in AFI 44-102. In addition, all HCWs shall maintain current certification in Advanced Cardiac Life Support (ACLS), Pediatric Advanced Life Support (PALS) and Neonatal Resuscitation Course as required by AFI 44-102, section 2.16.

1.9.4.1. 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.

1.9.4.2. 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.

1.9.4.3. Copies of required certification for each Contractor personnel shall be furnished to the CO prior to performance on this contract.

20 July 2016

1.9.4.4. OPTOMETRIST. The Contractor personnel shall possess a valid unrestricted Mississippi license to practice Optometry.

1.9.4.5. OPHTHALMIC TECHNICIAN. There is no specific licensure or registration required for the position; however, completion of a COT course and a demonstrated ability to work in similar ophthalmic or ophthalmology positions. JCAHPO Certification as COA is required within one year of employment, if the Contractor personnel currently does not have it upon filling the position. After acquiring certification, it shall be kept current.

1.9.4.6. CLINIC MANAGER. COA or higher from the JCAHPO.

1.9.4.7. MEDICAL RECORD CLERK. N/A

1.9.4.8. 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.

1.9.5. EXPERIENCE.

1.9.5.1. OPTOMETRIST. The Contractor personnel shall have provided Optometry services for a minimum of 48 months within the past 60 months.

1.9.5.2. OPHTHALMIC TECHNICIAN. The Contractor personnel shall have provided ophthalmic/medical clinic support services for a minimum of six months within the past 12 months. In addition to the educational and experience requirements, Contractor personnel must possess the following:

1.9.5.2.1. Skills in full range of refractive and ophthalmic surgical instrumentation and equipment and in surgical assisting in refractive laser procedures. Specific ophthalmic skills may be waived at the discretion of the Ophthalmology Clinic supervisor/Clinic Manager, providing there is a reasonable overall successful degree of competency for the remaining skills.

1.9.5.2.2. Knowledge of clinical and surgical appointment scheduling, ophthalmology CPT and ICD-9 coding, and basic computer technology. Contractor personnel will be provided mandatory training on KMC CHCS within 30 days of employment at KMC.

1.9.5.2.3. Skills in cardiopulmonary resuscitation and must be certified in Basic Life Support (BLS) or become certified within 30 days of hire and keep certification current.

1.9.5.3. CLINIC MANAGER. The Contractor personnel shall possess five years previous experience in an Ophthalmology Clinic performing functions as stated and one year as a managerial supervisor. Experience in similar or equivalent supervisor or managerial roles in a clinic or hospital.

20 July 2016

1.9.5.4. MEDICAL RECORD CLERK. The Contractor personnel must possess at least one year previous experience in a medical office setting and be able to demonstrate the following:

1.9.5.4.1. Basic typing skill of 40 to 50 words per minute;

1.9.5.4.2. Knowledge of basic computer technology and proficiency with office software tools (i.e. Excel, Word). The Contractor personnel shall be trained on KMC CHCS within 30 days of employment at KMC. CHCS training is mandatory to maintain employment at KMC.

1.9.6. 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).

1.9.6.1. 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.

1.9.6.2. 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.

1.9.6.3. 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.

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

1.9.7. 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.

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

1.9.9. HEALTH REQUIREMENTS.

1.9.9.1. 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.

1.9.9.2. 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.”

1.9.9.3. 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.

1.9.9.4. 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.

1.10. 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.

1.11. 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.

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

1.12.1. 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.

1.12.2. The Government will evaluate the Contractor personnel’s professional, as differentiated from administrative, performance under this contract using Quality Improvement standards

20 July 2016 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.

1.13. 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.

1.14. 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.

1.15. 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; Incorporating Change 1, 28 Jan 15, and Keesler Supplement, 23 Apr 15 AFI 33-364, Records Disposition—Procedures and Responsibilities, 22 Dec 06 and incorporating Change 1, 6 Nov 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

1.15.1. 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.

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

1.15.3. 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.

1.15.4. 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 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

20 July 2016 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.

1.15.5. 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.

1.15.6. Freedom of Information Act (FOIA) Program.