Attach_1_PWS_Urology_PA-RN.pdf

Attachment 1 Solicitation # FA3010-17-R-0019

19 Jul 2017

PERFORMANCE WORK STATEMENT

PHYSICIAN ASSISTANT AND CLINICAL NURSE

For

UROLOGY CLINIC

Personal Services

1. DESCRIPTION OF SERVICES AND GENERAL INFORMATION. The Contractor shall provide one Full Time Equivalent (FTE) Physician Assistant (PA) (credentialed) and one Full Time Clinical Nurse (RN) (Non-credentialed) required for Government beneficiaries on a personal service basis including labor, management, supervision, consultations, and reports required at the 81st Medical Group (81 MDG), Keesler Air Force Base (KAFB), Mississippi (MS), also referred to as the “Medical Treatment Facility” (MTF) herein. The PA and RN shall perform urologic treatment and care to support to the Urology clinic. The Contractor shall provide accredited and licensed member with excellent communication and customer service skills in a clinical setting. The Contractor shall perform services in accordance with (IAW) the ethical, professional, and technical standards of the healthcare industry and the Air Force (AF) medical department. Performance shall be in accordance with (IAW) the requirements contained in this Performance Work Statement (PWS) and the professional standards of The Joint Commission (JC).

1.1. CONTRACTOR MANAGMENT STAFF RESPONSIBILITIES.

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

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

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

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. When replacing a contractor personnel, the consecutive calendar days begin when the

19 Jul 2017 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.

Replacement of Contractor Personnel. The Contractor shall replace permanent contractor personnel such that vacancies will not exceed 60 calendar days for credentialed positions. When replacing a contractor personnel, the consecutive calendar days begin when the contractor personnel terminates employment. 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 Representative (COR) and Government supervisor of any projected absences exceeding 30 consecutive calendar days and ensure no temporary absence exceeds 30 consecutive calendar days through the use of a qualified substitute.

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

1.2. SPECIFIC PROCEDURES FOR WHICH THE CONTRACTOR SHALL BE

RESPONSIBLE.

1.2.1. PHYSICIAN ASSISANT

1.2.1.1. Provides urologic medical care with the cognizance or supervision of a physician.

1.2.1.2. Responsible for a regular clinic appointments compatible with workload and, in addition, provide immediate evaluation and management of emergent problems as they occur. Shall have the capability to:

1.2.1.3. Collect and record, in proper format, medical and social historical data appropriate to the patient's condition.

1.2.1.4. Perform a general physical examination.

1.2.1.5. May become the primary care manager (PCM) for a panel of patients. As a PCM, will be the primary person responsible for the management of the health and wellness of assigned patients. Duties include:

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1.2.1.6. Examination of patients, formulation of differential diagnostic plans, defines and orders required diagnostic testing.

1.2.1.7. Interpretation of examination findings and test results, and implementation of treatment plans.

1.2.1.8. Determines need for consultation and assists in medical care and treatment provided at the direction of other specialists.

1.2.1.9. Approving/disapproving subspecialty referrals.

1.2.1.10. Answering patient telephone consults with the assistance of clinic staff.

1.2.1.11. Providing primary and secondary preventive maintenance care.

1.2.1.12. Admit inpatients as per the local MTF instructions.

1.2.1.13. Recognize those more complicated cases, initiate treatment (if appropriate), and refer to a higher level of medical expertise for diagnosis and/or treatment.

1.2.1.14. Plan and initiate proper treatment within defined privileges and the scope of practice of the facility.

1.2.1.15. Identify and report those situations and individual cases which have public health significance and carry out effective control measures.

1.2.1.16. Clearly communicate to other health personnel either orally or in writing the findings, diagnosis, and planned treatment regimen.

1.2.1.17. Stabilize and manage a patient in a medical or surgical emergency and/or transfer to physician care.

1.2.1.18. Determine appropriate means of evacuation of emergency patients, prepare patients for evacuation, and arrange for evacuation support.

1.2.1.19. If not already trained, learn to perform basic urological procedures such as cystoscopy, catheter insertion, bladder irrigation under the guidance of a trained practitioner and eventually perform these tasks autonomously.

1.2.1.20. Maintain inpatient and outpatient medical records in accordance with MTF procedures.

1.2.1.21. Evaluate emergency room consults and inpatient floor consults.

1.2.1.22. Assist in the operating room with attending providers.

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1.2.1.23. Take primary call with physician as back-up provider.

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

1.2.1.25. Duties performed with minimal direct supervision

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

1.2.2. CLINICAL NURSE (RN)

1.2.2.1. Evaluate, educate, and advise complex urology patients throughout the entire pre-operative and surgical process according to Air Force and The Joint Commission standards.

1.2.2.2. Monitor oversight of multidisciplinary teams and act as the liaison between the hospital and ancillary services.

1.2.2.3. Develop a comprehensive process for tracking urology patients along the care continuum and work closely with other departments to ensure close observation and monitoring of treatment.

1.2.2.4. Review and manage urology surgical candidates from other MTFs and provide treatment recommendations or other non-surgical management options.

1.2.2.5. Assemble the type and quantity of material and special equipment needed for daily procedures in the urology clinic and Operating Room.

1.2.2.6. Submit third party insurance claims and medical justifications needed for authorizations when necessary.

1.2.2.7. Oversee and facilitate educational sessions for new and established patients and their family members.

1.2.2.8.. Serve as clinical expert routinely advising and educating of medical and nursing staff on local, regional, and global resources for urology patients.

1.2.2.9.. Stay closely involved in the development of policies, procedures, and protocols relating to the care and treatment of the urology patients based upon research and current literature.

1.2.2.10. Establish realistic goals for each patient problem-need identified. Promptly anticipate needs and implement appropriate nursing interventions to facilitate the physiological, psychosocial, and emotional adjustments as required by patients and significant others.

1.2.2.11. Coordinates patient care through a continuum and facilitates the achievement of optimal outcomes in relation to clinical care, quality and cost effectiveness.

1.2.2.12. Ensures compliance with standards of care and practice in accordance with all established policies, procedures, and guidelines used in the medical treatment facility. Provides care within ethical and legal boundaries.

1.2.2.13. Accountable for making patient care assignments based on the scope of practice and skill level of assigned personnel.

1.2.2.14. Makes referral appointments and arranges specialty care as appropriate.

1.2.2.15. Performs/assists with procedures such as bladder catheterizations, cystoscopies, BCG’s/mytomycin instillations, urinalysis testing, bladder scans, erectile dysfunction teaching and treatment, vasectomies and vasectomy briefings, urgent pc neuromodulation, hormone injections, urodynamics administration of oxygen, visual acuity tests, EKGs, irrigation of eyes and ears, tympanograms, splinting, phlebotomy and other clinic specific procedures, in accordance with established protocols.

1.2.2.16. Ensures for proper documentation of procedures and treatments.

1.2.2.17. Ensures all equipment is properly cleaned and stored at the end of each work shift.

Ensures preventive maintenance and routine cleaning are performed as directed. Ensures medication/supplies are replenished.

1.2.2.18. Completes orientation and competency verification programs in accordance with (IAW) unit guidelines.

1.2.2.19. Participates in the orientation, training, and evaluation of duty performance of newly assigned personnel, as appropriate.

1.2.2.20. May be required to work various shifts or augment clinical nursing support during the absence of other team nurses due to illness, leave or deployment.

1.2.2.21. Ensures a safe work environment, employee safe work habits and patient safety IAW regulatory agencies, infection control policies, and process improvement initiatives.

1.2.2.22. Duties performed with minimal direct supervision.

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

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

1.4. 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

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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.

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

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

(CEU) REQUIREMENTS. Contractor personnel registered or certified by national/medical associations shall continue to meet the minimum standards for CHE to remain current as prescribed in Chapter 5, AFI 41-117, Medical Service Officer Education, 25 Mar 15. CHE hours will be reported to the Medical Director, annually on the first normal duty day in January for the previous calendar year. Periodic CHE may be conducted at the MTF and will be available, at no cost, should the Contractor personnel desire to attend. Attendance will be at the discretion of the Flight Commander/Medical Director and will not be billable.

1.7. PERSONNEL.

1.7.1. 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.

1.7.2. AVAILABILITY. The Contractor’s designated project manager shall notify Government Supervisor, as early as possible, of programmed absences of the Contractor personnel to allow for planning of service coverage and workload distribution.

1.7.2.1. Hours of Operation. KAFB and the MTF operates on a 24/7 basis.

1.7.2.2. The normal duty schedule for the Urology Clinic will be 0730-1630 Monday through Friday. Personnel will be allotted a one hour lunch each day.

1.7.2.3. OVERTIME. The Physician’s Assistant may be required to work overtime to meet military contingency/health care needs. The Physician’s Assistant (PA) may work overtime to support the urology clinic at the direction of the clinic OIC.

1.7.2.3.1. ON CALL. The Physician’s Assistant will be expected to provide on call services for up to 10 days according to the call schedule. The PA will be on call with one provider for five days and the other provider for the remaining five. This will include two weekends starting Friday PM and ending Monday AM. The call schedule will be provided monthly by the OIC.

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1.7.2.4. 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.

1.7.2.5. 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. Unless the contractor is on call.

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

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 2019: 24 May 19, 5 July 19, 30 Aug 19, 29 Nov 19, 26 Dec 19 2020: 2 Jan 20, 22 May 20, 6 Jul 20, 4 Sep 20, 27 Nov 20, 28 Dec 20 The Contractor shall be given prior notice for Family Days of subsequent years.

1.7.2.7. Vacation/Absences. Contractor personnel are authorized excused absences for vacation, sick leave, CHE, and miscellaneous reasons. Absences are to be coordinated at a minimum two weeks in advance with, and at the discretion of the Government Supervisor. Three months’ notice is requested for the purposes of scheduling.

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

1.7.2.9. 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.

1.7.2.10. 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.

1.7.3. 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.

1.8. PERSONNEL REQUIREMENTS.

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

1.8.2. 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.

1.8.2.1. 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.

1.8.2.2. 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.

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

1.8.2.4. 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.

1.8.3. FORMAL EDUCATION AND QUALIFICATIONS (PA).

http://www.ecmra.mil/

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1.8.3.1 Education. Contractor personnel must be a graduate Physician Assistant qualified by academic and practical education to provide patient services as a physician extender under supervision of a physician.

Be a graduate of a Physician Assistant Training Program accredited by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA), or its predecessors, and acceptable to the Surgeon General, USAF, is mandatory.

Certification as a Physician Assistant by the National Committee on Certification Physician Assistants (NCCPA) is required.

Contractor personnel must provide documentation of degree completion prior to providing services at the 81 MDG.

1.8.3.2. Qualifications. Must be registered PA with a state board.

1.8.3.2.1. Licensure/Registration. Maintain an active, valid, current and unrestricted license (with no limitations, stipulations or pending adverse actions) to practice care as a physician assistant in any US state/jurisdiction. Contractor personnel must provide proof of licensure prior to providing services to the 81 MDG and maintain their certification throughout their employment

1.8.3.2.2. Certification. Contractor personnel must provide proof of board certification prior to providing services to the 81 MDG and maintain their certification throughout their employment.

1.8.3.2.3. Contractor personnel shall possess and provide proof of, and maintain certification in, Basic Life Support (BLS) or Advanced Cardiac Life Support (ACLS). Contractor must provide proof of this.

1.8.4. FORMAL EDUCATION (RN). Requires a professional knowledge of the theories, principles, practices, and procedures of nursing. Requires completion of a baccalaureate nursing program from a school approved by a legally designated state approving agency.

Requires clinical knowledge in implementing the nursing process (assess, plan, implement, evaluate) to provide nursing care, health teaching, and to meet requirements to document conditions, assessments, findings and plans. Knowledge/ability to utilize specialized equipment, including computer systems as required by the specific work area.

Contractor personnel must provide documentation of degree completion prior to providing services at the 81 MDG.

1.8.4.1. Qualifications. Must be a registered nurse with a state board of nursing.

1.8.4.1.1. Professional knowledge of medical disorders/conditions common to the assigned work area, the normal cause of disease/disorder, anticipated complications, to include pathophysiology, and indicated therapeutic interventions, including pharmaceuticals, their effects, interactions, and complications. As well as knowledge to educate the patient and their family members on the

19 Jul 2017 various options for urology surgical and non-surgical interventions and guide them throughout the surgical process.

1.8.4.1.2. Professional knowledge of the conscious sedation process and required nursing support/intervention and recognition of adverse signs/symptoms as well as the ability to react swiftly in emergency situations.

1.8.4.1.3. Knowledge of the military health care system including TRICARE health benefits or a working knowledge of the principles of fee-for-services, preferred provider network and managed care/HMO organizations is highly desirable.

1.8.4.1.4. Ability to synthesize data from a variety of sources and make appropriate clinical decisions.

1.8.4.1.5. Excellent patient assessment skills, including the ability to asses/evaluate need telephonically.

1.8.4.1.6. Ability to recognize adverse signs and symptoms and quickly react in emergency situations.

1.8.4.1.7. Ability to effectively communicate and collaborate 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.

1.8.4.1.8. Excellent oral communication skills for patient/family education and telephone triage of patients. Telephone and in-person assessment/evaluation includes the determination of optimal time and location for patient management (ER, clinic, homecare) and follow-up care as required.

Prescribes and communicates treatment plans and patient teaching in accordance with established protocols. Collects and assesses significant patient history information and performs all necessary patient teaching.

1.8.4.1.9. Excellent written communication skills to perform accurate documentation, both written and electronic, of all activity, including telephone contacts, in accordance with requirements.

1.8.4.1.10. Skill in setting up, operating and monitoring specialized medical equipment such as cardiac monitoring devices, EKG units, oxygen analyzers, nebulizers, and other clinic specific equipment.

1.8.4.2. Licensure/Registration. Maintain an active, valid, current and unrestricted license (with no limitations, stipulations or pending adverse actions) to practice care as a registered nurse in any US state/jurisdiction. Contractor personnel must provide proof of licensure prior to providing services to the 81 MDG and maintain their certification throughout their employment.

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1.8.4.3. Certification. Contractor personnel must provide proof of board certification prior to providing services to the 81 MDG and maintain their certification throughout their employment.

1.8.4.4. Contractor personnel shall possess and provide proof of, and maintain certification in Basic Life Support (BLS) or Advanced Cardiac Life Support (ACLS). Contractor must provide proof of this.

1.8.5. EXPERIENCE (PA). Have at least 24 months of experience as a Physician Assistant within the last 36 months.

1.8.6. EXPERIENCE (NURSE). The nurse shall have at least 24 months of experience within the last 48 months. This experience shall have been in a primary care clinic setting and/or urology clinic setting

1.8.7. 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).

1.8.7.1. 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.

1.8.7.2. 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.

1.8.7.3. 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.

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

1.8.8. 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.

1.8.9. PRIVILEGING/CREDENTIALING REQUIREMENTS.

See Appendix B, CONTRACT EMPLOYEE CREDENTIALING REQUIREMENTS.

1.9. HEALTH REQUIREMENTS.

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

1.10. 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. 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.

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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, Medical Quality Operations, 16 Aug 11, 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 specified in AFI 44-119 paragraphs 2.12 and 2.13. Nothing in this paragraph precludes the Government from also conducting inspections under the Inspection/Acceptance requirement of FAR clause 52.212-4.

1.13. 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. Contractor personnel 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. 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.

1.15.1. 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.

1.15.2. 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.

1.15.2.1. Applicability.

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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.

1.15.2.2. 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: 81 sfs.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 228-377-1845 or 228-377-3844.

1.15.2.3. Background Checks.

1.15.2.3.1. 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.

1.15.2.3.2. “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.

mailto:81%20sfs.pass.id@us.af.mil

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.

1.15.2.3.3. 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.

1.15.2.3.4. 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.

1.15.2.3.5. 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.

1.15.2.3.6. 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.

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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).

1.15.2.3.7. Badge Loss/Replacement.

a. Contractor Personnel requiring a replacement badge shall contact the 81 SFS/Pass &ID at 228-377-3844 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.

1.15.2.3.8. 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.

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

AFI 33-322, Records Management Program, 4 Jun 12, Incorporating Change 2, 25 May 17, and Keesler AFB Sup 1, 29 Oct 12 AFMAN 33-363, Management of Records, 1 Mar 08; Incorporating Change 2, 9 Jun 16, AFGM2017-01, 2 Jun 17, and Keesler Supplement, 23 Apr 15 AFI 33-364, Records Disposition—Procedures and Responsibilities, 22 Dec 06, Incorporating Change 1, 6 Nov 14 and AFGM2017-01, 30 Mar 17 Air Force Information Management System database (AFRIMS) (access through the Air Force Portal at https://www.my.af.mil/afrims/afrims/afrims/rims.cfm)

Air Force Electronic Records Management Solution

1.16.1. The Contractor shall segregate the Government-owned records from the Contractor-owned records and identify all records required to be created by the PWS on the AFRIMS records inventory. The Contractor shall create and maintain paper and electronic records (\\52mahg-fs-

106) as appropriate. The Contractor shall maintain the software and background data to retrieve Official electronic Government records throughout the lifecycle of the records.

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

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

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

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

1.16.5. Contractor-Owned Records. 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.

1.16.6. Freedom of Information Act (FOIA) Program. The Contractor shall comply with the requirements of DoD 5400.7-R/AFMAN 33-302, Freedom of Information Act Program, 21 Oct 10, incorporating through Change 3, 16 May 2016, and AFGM2017-01, 15 Mar 17. If the Contractor receives a FOIA request, the Contractor shall ensure it is delivered immediately to the base FOIA manager (81 CS/SCOK) for processing. The FOIA manager will task a Government official who, as the authorized official, will make the decision on releasing Government records.

1.16.7. Privacy Act Program. The Contractor shall create, maintain, and destroy Privacy Act data IAW AFI 33-332, The Air Force Privacy and Civil Liberties Program, 12 Jan 15, Incorporating change 1, 17 Nov 16; 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.

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

1.17. SECURITY.

1.17.1. Security Clearance: National Agency Check with Written Inquiries (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.

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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.

1.17.2. 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.

1.17.3. The Unit Security Manager will assist the Contractor with any Joint Personnel Adjudication System (JPAS) Joint Clearance and Access Verification System (JCAVS) and eQIP by Design information for inputting Tier 1’s with assistance from 81 TRW/IP.

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

Submit reports, classified if appropriate, of any information coming to their attention concerning any of their employees who have been cleared or are in the process of being cleared for access to classified information, which indicates that such access or determination may not be clearly consistent with the national interest. Reports shall be submitted to the Defense Industrial Security Clearance Office (DISCO) immediately upon notification of any adverse information, change in employee’s status, official investigation, or any other reason. In addition, a copy of this report shall be furnished to the Contracting Officer’s Representative(s) (COR(s)) and 81 TRW Installation Commander (81 TRW/CC).

1.17.5. Listing of Employees. The Contractor shall maintain a current listing of all Contractor personnel. The list shall include Contractor personnel’s names, Social Security numbers, and level of security clearance. The list will be validated and signed by the FSO and provided to the CO, COR, Base Visual Information Manager (BVIM), 81 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.

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

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

1.19. Operational Security (OPSEC).

1.19.1. OPSEC Training.

1.19.1.1. All OPSEC training shall be provided by the 81st Medical Group OPSEC

Coordinator.

1.19.1.2. All Contractor personnel and Contractor Management Staff shall complete initial

OPSEC training within 30 calendar…