Attachment_1_PWS_ICU_RN.pdf

Attachment 1

PR# F2J4PC7072AW01

27 Mar 2017

PERFORMANCE WORK STATEMENT

For

INTENSIVE CARE UNIT (ICU) REGISTERED NURSE (RN)

Personal Services

1. DESCRIPTION OF SERVICES AND GENERAL INFORMATION. The Contractor shall provide Five Full Time Equivalent (FTE) non-credentialed Intensive Care Unit (ICU) Registered Nurses (RN) for intensive care unit services at the Keesler Medical Center (KMC), 81st Medical Group (81 MDG), Keesler Air Force Base (KAFB), Mississippi (MS), also referred to as the “medical treatment facility” (MTF) herein. Performance shall be in accordance with (IAW) the requirements contained in this PWS and the professional standards of The Joint Commission (JC).

1.1. CONTRACTOR MANAGMEMENT STAFF RESPONSIBILITIES.

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

1.1.2. Placement of Contractor Personnel. The contractor shall recruit and place permanent contractor personnel. Personnel shall be available to begin work within thirty (30) calendar days of the start of 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. The consecutive calendar days begin when the contractor personnel terminates employment.

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.

1.2. SPECIFIC PROCEDURES FOR WHICH THE CONTRACTOR SHALL BE

RESPONSIBLE

1.2.1. Provide Intensive Care Unit nursing care for patients coming to the 81 MDG Critical Care

Department.

1.2.1.1. Assess, plan, and evaluate nursing care for a wide variety of patients, to include newborns, children, adolescents, adults, elderly, and disabled, to include visually and hearing impaired; and individuals of varying ethnic and religious backgrounds, to include those who do not speak or understand English. Implement the Nursing process (assessment, planning, diagnosis, intervention and evaluation) to include holistic approach.

1.2.1.2. Possess knowledge of a variety of pharmacological agents used in patient treatment, the desired effects, side effects, and complications of their use, to include knowledge of the administrative requirements for proper documentation of patients’ conditions including disease progress, acknowledgement of teaching, and follow-up care. Possess knowledge of critical care medications usage and administration. Possess knowledge of a variety of pharmacological agents used in treatment of critically ill patients, the desired effects, side effects, complications and usual dosage of their use as well as the accurate administration of the pharmacologic agent, including dosage calculations as required.

1.2.1.3. Assume full responsibility for assigned patients and ancillary personnel. Delegate tasks, direct critical care and specialty technicians, and provide counseling, guidance, and patient education.

1.2.1.4. Recognize medical emergencies and respond appropriately. Be able to initiate life saving measures in the absence of a physician. Initiate Cardio-Pulmonary Resuscitation (CPR), if required. Assist medical team in administering advanced cardiac life support measures, when necessary.

1.2.1.5. Assist with orientation and training of newly assigned and inexperienced personnel.

1.2.1.6. Participate in in-service and continuing education programs.

1.2.1.7. Establish and maintain good interpersonal relationships with co-workers, families, peers, and other health team members.

1.2.1.8. Become oriented/trained on the use of all MTF equipment available for patient care.

1.2.1.9. Possess excellent oral communication skills.

1.2.1.10. Be productive and perform with minimal supervisory direction.

1.2.1.11. Ensure all equipment is properly cleaned and stored at the end of each work shift.

Ensure preventive maintenance and routine cleaning are performed as directed. Ensures properly cleaned and stored equipment and work area.

1.2.1.12. Ensure a safe work environment and employees safe work habits.

1.2.1.13. 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.

1.2.1.14. Contractor personnel shall be in the work area and available for work at the appointed times in accordance with paragraph 1.8.2, Availability.

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

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

1.2.1.17. 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. Maintain accurate and current notes in both the patient hard copy chart records and electronic inpatient medical records of all patients seen, as appropriate, and produces reports of evaluation and/or treatment, as required.

1.2.1.18. Attend and participate in meetings during normal duty hours and professional staff conferences and other appropriate professional activities such as, but not limited to the following: Quality Improvement meeting, professional staff meetings, Commander's staff meetings, Critical Care Flight meetings, and others required by applicable regulations, MTF guidance, or as directed by the Critical Care Flight Commander or his/her designated representative.

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

1.2.1.20. Knowledge of interpersonal relationships and the ability to maintain composure and react appropriately while relating to patients, families; manage distraught, irritable, unreasonable or angry individuals; and, maintain positive rapport with all individuals involved in patient care.

1.2.1.21. Knowledge of professional care theories, principles, practices, and procedures to perform nursing assignments of critically ill patients. Demonstrates knowledge of growth and development, and pathophysiology of disease processes specific to the critical care unit population to include all ages from adult to geriatrics.

1.2.1.22. Assess patients' conditions for potential or life-threatening crises. Distinguish between normal and abnormal physical findings (from physical assessment and vital sign assessment). Plan appropriate nursing care. Notify physician if needed and carry out appropriate interventions as ordered.

1.2.1.23. Ability to react with alertness and skill in any emergency situation, (e.g., cardiac or respiratory arrest, hemorrhage, shock, severe physical trauma and psychiatric reaction).

Serves as member of the Rapid Response Team (RRT) and Code Blue resuscitation/response team.

1.2.1.24. Reassess patient's condition and revise plan of care based on identified nursing problems.

1.2.1.25. Adheres to all HIPAA requirements.

1.2.1.26. Assess patient/family knowledge level, implement plan of instructions and record patient/family demonstrated level of understanding.

1.2.1.27. Effectively communicates and collaborates with a diverse group of people for the purpose of informing the healthcare team of plans/actions, for teaching/education to benefit the patient/family and organization. Effectively uses appropriate communication format in addressing professional issues.

1.2.1.28. Obtain patient history, pertinent family history, and document in patient’s medical record.

1.2.1.29. Utilize appropriate nursing personnel to assist in delivery of care when indicated (LPN's/paraprofessionals).

1.2.1.30. Transcribe or verify transcription of physician orders.

1.2.1.31. Communicate pertinent patient data to charge nurse and/or physician as appropriate.

1.2.1.32. Administer prescribed critical care medications to include multiple critical care medication drips and intravenous push drugs (e.g., sedatives, narcotics, vasoactive medications, neuromuscular blockades, antidysrythmics, antihypertensives, thrombolytics, and emergency drugs). Administration consideration based on protocols, policy and recommendations by medical references. Administration of blood products.

1.2.1.33. Assess and document patient response to medications administered and intervene if desired response is not achieved.

1.2.1.34. Instruct patient/family regarding prescribed medications/therapies and surgical/diagnostic procedures that must be accomplished

1.2.1.35. Administer inhalation therapy treatments, with knowledge of medications utilized in this treatment and reactions.

1.2.1.36. Properly apply cardiac monitor leads and 12 lead EKG machine, analyze rhythm strips and notify Physician of any abnormal results (e.g., dysrhythmias for patient situation).

Be able to interpret cardiac rhythms and their implications, intervene on emergent changes.

1.2.1.37. Care for patients with a variety of hemodynamic monitors to include pressure lines/transducers, Swan-Ganz catheters, balloon pumps, and arterial lines. Obtain hemodynamic parameters and interpret results. Notify physician of any parameters outside of expected results.

1.2.1.38. Participate in Discharge Planning as appropriate.

1.2.1.39. Demonstrate use and operation of defibrillator to include emergency defibrillator.

1.2.1.40. Obtain Arterial Blood Gas via arterial puncture or drawing from arterial line. Interpret results, notify physician of abnormal results and anticipate intervention as appropriate.

1.2.1.41. Perform the Postoperative Recovery and discharge within established criteria, IAW department protocols.

1.2.1.42. Draw blood from invasive monitoring lines, lab value interpretation and intervene as appropriate (follow hospital protocols) when applicable and/or notify physician.

1.2.1.43. Care of patients on ventilators to include knowledge of the modes of ventilation, Ventilator Associated Pneumonia Bundle.

1.2.1.44. Operate infusion pumps, enteral feeding pumps, and Patient Controlled Analgesia pumps, epidural pumps, electronic thermometers, and wound vacs.

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

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, attention, and personal dignity. All patients shall be assured of their privacy.

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 MEDICAL EDUCATION (CME)/ CERTIFIED EDUCATION

UNITS (CEU) REQUIREMENTS. Contractor personnel registered or certified by national/medical associations shall continue to meet the minimum standards for CME to remain current as prescribed in Chapter 4, AFI 41-117, Medical Service Officer Education, 25 Mar 15. CME hours will be reported to the Medical Director, annually on the first normal duty day in January for the previous calendar year. Periodic CME 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.

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 or within 10 calendar days of the beginning of performance. 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.

Overtime hours will be pre-authorized.

1.8.2.1. HOURS OF OPERATION. KAFB Intensive Care Unit Services is open 24 hours 7 days a week.

1.8.2.2. WORK SCHEDULE/DUTY HOURS. Contractor personnel shall work up to 84 hours during each two (2) week period. Routine work hours may be a combination of 8 hour or 12 hour shifts that rotate day, evening and night shifts. Shifts will occur between, 0545 to 1745 hours (5:45 a.m. to 5:45 p.m.), or 1745-0545 hours (5:45 p.m.

to 5:45a.m.). Routine work hours will be scheduled by the Flight Commander or designee to correspond to the needs of the department. Work hours may include federally mandated holidays, as well as weekends, evenings, and night shifts. When required in order to ensure completion of services that extend beyond the normal close of business, the Contractor personnel may be required to remain on duty in excess of the scheduled shift when approved IAW 1.8.2.9.

1.8.2.2.1. SHIFT WORK. Contractor personnel shall be scheduled for 14 to 16 shifts per month, which will be scheduled on a fair and equitable rotating basis with military and civilian personnel. Shift times will be a combination of 8 or 12 hours to equal up to 84 hours in a 2 week period as described in para 1.8.2.2.

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

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

1.8.2.4. HOLIDAYS. The Contractor may be required to provide services if scheduled 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 if scheduled.

1.8.2.5. AIR EDUCATION AND TRAINING COMMAND (AETC) FAMILY DAYS.

Services may be required if scheduled on the following AETC Family Days if scheduled:

2017: 26 May; 3 Jul; 1 Sep; 24 Nov; 26 Dec 2018: 25 May; 5 Jul; 31 Aug; 23 Nov; 24 Dec; 31 Dec 2019: 24 May, 5 Jul, 30 Aug, 29 Nov, 26 Dec 2020: 2 Jan, 22 May, 6 Jul, 4 Sep, 27 Nov, 28 Dec

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

1.8.2.6. VACATION/ABSENCES. Contractor personnel are authorized excused absences for vacation, anticipated sick leave (i.e. surgery), CME, 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. Unanticipated sick leave should be coordinated as soon as the Contractor personnel know they will be unable to report for their shift.

1.8.2.7. 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.

1.8.2.8. Overage. An overage hour is an hour directed by the Government Supervisor for the contractor personnel to perform services beyond the normal duty hours as outlined in the contract for the purpose of continuity of care or for emergency situations. Overage hours are billable to the Government whenever the contractor personnel are directed by the Government Supervisor. 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.

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

1.8.3. CONTRACTOR MANPOWER REPORTING. The Contractor shall report ALL

Contractor labor hours (including subcontractor labor hours) for performance of services under this contract via a secure data collection site. The Contractor is required to completely fill in all required data fields at http://www.ecmra.mil. Reporting inputs will be for all labor executed during the performance for each Government fiscal year (FY), which runs 1 October through 30 September. While inputs may be reported at any time during the FY, all data shall be reported no later than 31 October of each calendar year.

Contractors may direct questions to the Contractor Manpower Reporting Application (CMRA) help desk.

1.9. PERSONNEL REQUIREMENTS.

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

1.9.2. APPEARANCE AND CONDUCT. Contractor personnel shall present a professional, conservative, and neat appearance. Contractor personnel shall report for duty in appropriate attire befitting a health care setting and having complied with socially acceptable standards of personal 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. Contractor personnel must have at least an Associate's Degree in Nursing or have graduated from an accredited nursing program recognized by the national nursing accreditation agencies of the Commission on Collegiate Nursing Education (CCNE) or the National League of Nursing (NLN), as delineated by Headquarters United States Air Force Surgeon General. A Baccalaureate Degree (BS/BSN) from an accredited college or university is strongly desired. Contractor must at all times maintain at his/her own expense a minimum of: Basic Life Support (BLS), Advanced Cardiac Life Support (ACLS), and Pediatric Advanced Life Support (PALS).

1.9.3.2. 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. The licensure requirement for contract personnel is determined by the type of contract--personal services vs. non-personal services.

1.9.3.2.1. Personal services Contractor personnel must maintain an active license or authorizing document from any U.S. jurisdiction.

1.9.3.2.2. The best way to differentiate between these types of contracts is to consider the relationship between the MTF and the individual. Personal services Contractor personnel are managed as if they are Civil Service or active duty. 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).

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

1.9.4. EXPERIENCE.

1.9.4.1. Minimum two years’ experience as an ICU nurse. Two years of full-time ICU experience must have occurred within the last 48 months.

1.9.5. CRIMINAL HISTORY BACKGROUND CHECKS. Contractors shall perform criminal history background checks IAW Chapter 4, Addendum B, DoDI 1402.5, Criminal History Background Checks on Individuals in Child Care Services, 19 Jan 93, for resource sharing and clinical support agreement personnel working in an MTF involved on a frequent and regular basis in the provision of care and services to children under the age 18. The background checks are required by Criminal Control Act, P.L. 101- 647, Section 231 (CC Act 1990, 42 U.S.C. Section 13041). The Contractor shall assemble all necessary documentation required by Chapter 4, Addendum B for the background checks and forward the documentation to the office designated by the Administrative CO (ACO) or to the office designated in the Memorandum of Understanding (see Chapter 16, Addendum A).

1.9.5.1. Background checks will be based on fingerprints of individuals obtained by a Government law enforcement officer and inquiries conducted through the Federal Bureau of Investigation (FBI) and state criminal history repositories.

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

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

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

1.9.6. CONFLICT OF INTEREST. The Contractor shall not employ any person who is an employee of the United States Government if the employment of that person would create a conflict of interest. The Contractor shall not employ any person who is an employee of the Department of the Air Force, either military or civilian, unless such person seeks and receives approval IAW DoD Directive (DoDD) 5500.7, Standards of Conduct, 29 Nov 07, and AF policy.

1.10. HEALTH REQUIREMENTS.

1.10.1. Contractor personnel shall receive a pre-employment physical examination prior to commencement of work and annually thereafter. The Contractor personnel shall report to a civilian physician to receive a pre-employment examination and immunizations prescribed by the MTF, IAW CDC guidelines. Physicals an Immunizations are not provided by the Government (with the exception of employees that are also beneficiaries).

1.10.2. Not later than five working days prior to beginning work under this PWS, certification shall be provided to the Functional Commander/Director (FC/D) that the Contractor personnel has completed the medical evaluation required above. This certification shall state the date on which the examination was completed, the name of the doctor who performed the examination, and a statement concerning the physical health of the individual. The certification shall also contain the following statement: “(Name of

Contractor personnel) is suffering from no contagious diseases to include, but not limited to, Tuberculosis, Hepatitis, and Venereal Disease.”

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

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

1.11. EMERGENCY HEALTH CARE. The MTF will provide emergency health care for the Contractor personnel for injuries incurred while on duty in the MTF. These services will be billed to the Contractor at the current full reimbursement rate based on service and national billing standards.

1.12. 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 only to occupational radiation workers who require personnel radiation dosimetry monitoring as identified by the Installation Radiation Safety Officer (IRSO). 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.

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

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

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

1.13.2. The Government will evaluate the Contractor personnel’s professional, as differentiated from administrative, performance under this contract using Quality Improvement standards specified in paragraphs 2.12. and 2.13., AFI 44-119. Nothing in this paragraph precludes the Government from also conducting inspections under the Inspection/Acceptance requirement of FAR clause 52.212-4.

1.14. PERFORMANCE EVALUATION MEETINGS. The CO may 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. Meetings will be documented in the contract file with written minutes signed by the Contractor and the CO, or Contract Administrator. Should the Contractor not concur with the minutes, such non-concurrence shall be provided in writing to the CO within ten (10) calendar days of receipt of the minutes.

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

1.16. SECURITY REQUIREMENTS. All Contractor Personnel employed by the Contractor in the performance of this contract, or any representative of the Contractor entering the Government installation, shall abide by all security regulations of the installation (i.e., Keesler, AFI 31-101, Integrated Defense). The Contractor shall sign an agreement stipulating the security requirements of this contract.

1.16.1. Base Access. The Contractor shall obtain personal identification passes for all Contractor

Personnel and vehicle passes for all Contractor Personnel’s personal vehicles, to include prospective Contractor Personnel, requiring entry onto KAFB. Additionally, the Contractor shall keep current, for Government inspection, a list of the names of Contractor Personnel employed on this contract. Contractor Personnel shall complete Keesler AFB Form 299, Application for KAFB Identification Card, and submit it through the CO to the Security Forces and Pass and Registration. Vehicle registration, proof of insurance, and a valid driver’s license must be presented for all vehicles to be registered.

1.16.2. Pass and Identification Requirements. Contractor Personnel whose duties require access to KAFB computer system are required to obtain a Common Access Card (CAC).

To obtain a CAC, Contractor Personnel shall coordinate with their gaining unit’s security manager or the 81st Communications Squadron Consolidated Client Support Activity (CSA) at 228-376-4335.

1.16.2.1. Applicability.

a. These requirements apply to Contractor Personnel requiring entry/access to

KAFB for service contracts with periods of performance (POP) exceeding 60 days when a CAC is not issued.

(1) Contract POP begins at performance start date. The POP end date is based on the contract completion date.

(2) These requirements shall be included (flow down) to subcontracts at every tier.

b. These requirements do not apply to Contractor Personnel requiring entry/access to KAFB with a POP of 60 days or less. Entry/Access to KAFB for Contractor Personnel with a POP of 60 days or less will be coordinated between the Contractor and the 81st Security Forces Squadron (81 SFS).

c. When work under this contract requires unescorted entry to controlled or restricted areas, the Contractor shall comply with AFI 31-101, Integrated

Defense, 8 Oct 09, and AFI 31-501, Personnel Security Program Management, 27 Jan 05, as applicable.

d. Contractor Personnel are not covered by Federal Acquisition Regulation (FAR)

52.222-3, Convict Labor, for the purposes of entry/access to installations/locations.

1.16.2.2. Badging System Data Requirements.

a. The Contractor shall provide the following to the Contracting Office:

(1) “Listing of personnel requiring access/entry.” The list shall contain the following:

(a) Contract number.

(b) Contract award date.

(c) POP dates.

(d) Work site(s) or location(s).

(e) Each employee’s full name and Social Security Number (SSN).

For those without SSNs, a working visa or Permanent Resident Card with a Resident Alien number must be provided, or base entry will be denied.

(f) Identify up to two (2) Contractor Personnel for designation as “sponsor” authorities. Badges will identify the Contractor Personnel with sponsorship privileges.

(2) Completed KAFB Form 299 shall authorize Security Forces to fingerprint Contractor Personnel and conduct additional background checks. The consent form will outline the following:

(a) The Contractor Personnel for the purpose of the KAFB Form 299.

(b) The information on the form is collected IAW 18 U.S.C. 1382 and

DoD Directive 5200.8, both of which permit installation commanders to limit access to installations for security reasons.

(c) Completion of the form is voluntary.

(d) Agreement to provide a specimen of fingerprints.

(e) Awareness of a list of “disqualifying factors.”

(f) Consent and authorization for Security Forces to conduct background screening and to compare fingerprints against State and Federal criminal databases.

(g) Knowing and willful false statements on the form can be punished by a fine, imprisonment, or both (10 U.S.C. 1001).

(h) The consent form shall remain valid for 24 months after the end of the contract.

b. The Contractor Personnel list and consent form(s) shall be submitted as follows:

(1) 81 SFS/PASS & ID e-mail account: 81sfs.pass.id@us.af.mil. Personnel list must be submitted IAW the PWS. The signed KAFB Form 299 must be submitted in person to the 81 SFS/PASS & ID office.

(2) Refer questions regarding the Contractor Personnel list and KAFB Form 299 to 81 SFS/PASS & ID at 228-377-3844 or 228-377-2143.

1.16.2.3. Background Checks.

1.16.2.3.1. Upon receipt of the KAFB Form 299 with a copy of Driver’s License and Social Security card, a background check will be accomplished.

Background checks will be categorized as favorable or unfavorable.

Unfavorable background checks contain any one of the “disqualifying factors.” Any person with an unfavorable background check will be denied entry/access to the installation.

1.16.2.3.2. “Disqualifying factors” include:

a. You are or have been known to be or reasonably suspected of being a terrorist or belong to an organization with known terrorism links/support.

b. This installation is unable to verify your claimed identity.

c. You have previously been barred from access to a federal installation or stand-alone facility.

d. You are wanted by federal, state, local or civil law enforcement authorities regardless of the offense/violation.

e. You have been convicted of espionage, sabotage, treason, terrorism or murder.

f. Your name appears on federal agencies "watch list' or "hit list' for criminal/terrorist activity.

g. You have been convicted of a firearm or explosive violation.

h. You have been convicted of sexual assault, armed robbery, rape, child molestation, child pornography, trafficking in humans, drug possession with intent to sell, or drug distribution.

i. You have knowingly and willfully engaged in acts or activities designed to overthrow the U.S. Government by force.

j. You present a threat to the good order, discipline and morale of the installation.

1.16.2.3.3. An unfavorable background check/denial may be appealed through the

81 SFS/PASS & ID. The appeal shall include a signed letter of rebuttal and any associated supporting documentation to the 81 SFS/PASS &

ID.

1.16.2.3.4. Given a reasonable cause, condition, or reason, these requirements do not circumvent the installation/location commander’s unilateral authority to deny or withdraw any individual’s entry/access to an installation/location.

1.16.2.3.5. Badge and Fingerprint Schedule. 81 SFS/Pass & ID will notify the

Contractor upon completion of background checks. Badging and fingerprinting shall be scheduled by contacting the Contractor by phone. Contractor Personnel shall report to the 81 SFS/Pass & ID with a photo ID issued by a federal/state organization (i.e. Driver’s License, State ID card, U.S. Passport, etc.). IAW the Real ID Act, Individuals will no longer be able to access Air Force installations with a state-issued identification card or driver's license from Minnesota, Missouri, Washington or American Samoa beginning 15 Aug 2016. If no approved photo ID is shown, a badge will not be issued.

1.16.2.3.6. Change in Employee Entry/Access Status (Deletions).

a.No later than five (5) workdays after a change in status for Contractor Personnel requiring entry/access, the Contractor shall return identified badges to the 81 SFS/Pass & ID.

b.The Contractor shall notify the Contractor Personnel of their change in status for entry/access.

c.Unfavorable fingerprints shall constitute immediate deactivation of the issued badge(s) to the disqualified Contractor Personnel.

(1) 81 SFS may confiscate badge(s) of the Contractor Personnel present on base at the time of the unfavorable result notification.

81 SFS may escort the Contractor Personnel from KAFB IAW Security Forces guidelines.

(2) 81 SFS/Pass &ID shall notify Contractor of an unfavorable fingerprint result and request the Contractor to return the badge IAW this PWS (unless already confiscated).

1.16.2.3.7. Badge Loss/Replacement.

a.Contractor Personnel requiring a replacement badge shall contact the 81 SFS/Pass &ID at 228-377-1845 to schedule a badge appointment.

b.Lost badge(s) require a signed letter from the Contractor and Contractor Personnel that lost the badge requesting replacement of badge(s) due to loss or damage.

1.16.2.3.8. Contract Completion, Return of Badges. No later than five workdays after contract completion, the Contractor shall return all badges to 81 SFS/Pass & ID. All badges are returned collectively by the Contractor, not incrementally/individually by the Contractor Personnel. The badge turn-in shall identify the contract name.

1.17. 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 14, and Keesler AFB Sup 1, 29 Oct 12 AFMAN 33-363, Management of Records, 1 Mar 08; Incorporating Change 2, 9 Jun 16, 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

1.17.1. The Contractor shall create, maintain, and destroy Privacy Act data IAW AFI 33-332, The Air Force Privacy and Civil Liberties Program, 12 Jan 15; and Privacy Act systems of records notice(s) (http://dpcld.defense.gov/Privacy/SORNs.aspx). 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.

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

1.17.3. 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). The Contractor shall 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.

1.17.4. Upon completion of this contract, all Government-owned/Contractor-held records (regardless of media) received, created, maintained, or provided in the performance of the PWS shall be turned over to the Government. Background electronic data and records specified for delivery to the contracting agency must be accompanied by sufficient technical documentation and software to permit the Air Force to use the data. In the event of default or non-performance, the Government will have access to all records in order to ensure mission support is not interrupted.

1.17.5. Contractor-Owned Records. The Contractor shall 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.

1.17.6. 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 3, 16 May 2016. 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.

1.17.7. 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.

1.17.8. 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.

1.18. SECURITY.

1.18.1. Security Clearance: National Agency Check with Written Inquiries (TIER 1). As a minimum, Contractor personnel shall successfully complete a Tier 1 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 10 workdays from the Contractor personnel’s first duty day. Contractor personnel receiving unfavorable Tier 1’s shall not be employed.

The Government will submit requests for investigations on AF IMT 2583, Request for Personnel Security Action, at no additional cost to the Contractor. Any personnel with access to classified material will be submitted by the Contractor’s Facility Security Officer (FSO) for a Secret security clearance. The Contractor shall comply with the requirements of DOD 5200.2-R, Personnel Security Program; AFI 31-501, Personnel Security Program Management, 25 Jan 05; and AFMAN 33-152, User Responsibilities and Guidance for Information Systems, 1 Jun 12.

1.18.2. Contractor personnel shall comply with the requirements of AFI 71-101, Volume 1, Criminal Investigations, 4 Feb 15 and AFI 71-101, Volume 2, Protective Service Matters, 23 Jan 15. 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 shall brief on this requirement during initial on-base assignment and as required thereafter.

1.18.3. 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 Tier 1’s with assistance from 81 TRW/IP.

1.18.4. 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).

1.18.5. 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 TRW/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.

1.19. 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.

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

1.20. Operational Security (OPSEC).

1.20.1. OPSEC Training.

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

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

1.20.2. Disclosure of Information.

1.20.2.1. 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:

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

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

1.20.2.2. 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.

1.20.2.3. 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.

1.21. 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.

1.22. SAFETY.

1.22.1. 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.

1.22.2. 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…