Public_Health_Officer_PWS-4.pdf

PERFORMANCE WORK STATEMENT

FOR

PUBLIC HEALTH OFFICER

(NON-PERSONAL SERVICES)

14TH MEDICAL GROUP

COLUMBUS AFB MS

23 FEBRUARY 2017

1. DESCRIPTION OF SERVICES

The Contractor shall provide one (1) Full-time Employee (FTE) Public Health Officer for Columbus Air Force Base, Mississippi, hereafter referred to as the Medical Treatment Facility (MTF) in accordance with all federal, state, local laws and regulations, commercial professional standards of the Accreditation Association for Ambulatory Healthcare (AAAHC) and this Performance-based Work Statement (PWS).

The Contractor shall provide outpatient family medicine services required for Government beneficiaries.

Contractor will see all types of medical conditions to include mild trauma, internal medicine, wellness and prevention.

1.1. Organizational Objectives. To ensure military and civilian personnel assigned to the 14 FTW are free from any work related injuries/illnesses or medical problems related to potential exposures within an industrial environment. Promoting job safety ensures maximum wartime readiness and maintains health and morale of Air Force members and DOD civilian employees.

1.2. Relationship of the Parties. This is a non-personal services contract. Contractor personnel are not subject to the supervision and control of the Government. Rather, contractor personnel perform their duties in accordance with specific tasks outlined in the PWS. Supervisory functions such as hiring, directing, counseling, and firing of contractor personnel are not performed by the Government. The healthcare worker who furnishes services under this contract is subject to Government technical oversight by the Contracting Officer’s Representative (COR) regarding the services provided.

1.3. Contractor Staffing Plan. The Contractor shall establish and maintain a staffing plan for staffing vacant positions with fully qualified Public Health Officer from outside of the Government. A copy of the plan shall be forwarded to the Contracting Officer (CO) prior to contract start date. The plan shall include a timeframe for hiring, credentialing, and if the employee is terminated or quits a re-hiring proposal as part of the evaluation criteria prior to contract award.

1.4. Primary Purpose. To perform duties as a Public Health Officer with responsibilities in the Force Health Management and Community Health Elements at 14 MDOS, caring for military members, dependents, retirees, civilian employees, and non-empaneled patients on Columbus AFB, Mississippi.

Applies public health and preventative medicine and medical entomology knowledge, techniques and skills to promote health and reduce the incidence of communicable/zoonotic/vector borne diseases occupational and environmental illnesses and injuries food borne diseases, and disease and non-battle injuries while in garrison as well as in field conditions. Promotes public health through epidemiological surveillance of health and disease trends in populations as well as monitoring food safety practices, and sanitation levels in public and food service facilities.

1.5. Primary Duties. The Contractor shall provide the following services:

1.5.1. Administer and perform, as directed by the Chief of Aerospace Medicine (SGP). duties related to the execution of a variety of public health programs under Aerospace Medicine (to include Medical Standards, Epidemiology, Sexually Transmitted Disease Control and Prevention, Tuberculosis Control and Prevention, Rabies Exposure Surveillance, Deployment Medicine, Deployment Health Surveillance, Immunization policies, Blood borne Pathogen Exposure Control, Occupational Safety and Health Administration (OSHA) compliance, Disaster Response, Reproductive Hazard Assessment, Illness and Injury Investigation and Remediation Programs, Food Safety, and Facility Sanitation programs), and Infection Control Program as referenced in 1.2.1.15

1.5.2. Plan, develop and administer comprehensive programs for the customers served by the Medical Treatment Facility (MTF).

1.5.3.

1.5.4. Provide services to manage and enter data into Preventive Health Assessment and Individual Medical Readiness (PIMR), Air Force Reportable Surveillance System (AFRESS), Composite Health Care System (CHCS), Complete Immunization Tracking Application (CITA) and other computer applications in performance of duties.

1.5.5. Provide advice of significant issues and problems related to work accomplishment. Establish metrics and analysis systems to ensure actions are timely and reviewed at critical points. Performs self-inspection and presents detailed and comprehensive report with any corrective action taken. Follows-up to ensure complete and quality resolution of discrepancies. Conducts and/or ensures applicable training is given. Assesses and revises policies and procedures as needed to find ways to improve quality, timeliness, and efficiency of work.

1.5.6. Represent MTF with a variety of installation and functional area organizations. Establishes, develops, and maintains effective working relationships with AETC/SGPM representatives, Wing and MTF units and local community and state public health officials. Meets with key customer and coordinating officials to assess customer satisfaction, explain organization policy and procedures, and resolve problems that arise. Provides customer guidance and training.

1.5.6. Evaluates reports by analyzing facts and performing appropriate research and prepares detailed responses. Determines appropriate recommendations for unresolved or questionable problems and performs follow-up. Researches and determines or recommends appropriate actions or interpretation of issues that impact organization, installation, command, or agency.

1.5.7. Performs a variety of functions to assure the work of the organization is carried out. Ensures that the organization’s strategic plan, mission, vision and values are communicated to the team and integrated into the team’s strategies, goals, objectives, work plans and work products and services. Develops goals and objectives that integrate organization and Public Health objectives.

1.5.8. Researches, interprets, analyzes and applies proper Department of Defense (DoD), Air Force, Accreditation Association for Ambulatory Health Care, Inc. (AAAHC), Federal, state and local guidelines, regulations, and instructions. Understands the assignment, project, problem to be solved, actionable events, milestones, and/or program issues under review, and deadlines and time frames for completion. Applies appropriate problem solving methods and techniques, provides advice on work methods, practices and procedures as appropriate, and assists in identifying the parameters of a viable solution.

1.5.9. Participates in training of Public Health Technicians as deemed necessary by Government COR or COR management.

1.5.10. Assists with Occupational Health Programs consistent with the vision as developed by, and in coordination with, the Occupational Health Program Specialist (Occupational Health Physician). Assists with review of new OSHA standards and coordinates with the Program Specialist on training development.

Reviews local implementation plan including identifying affected workplaces, scheduling and conducting worksite visits, educating supervisors on training and documentation requirements, and conducting follow-ups to ensure compliance with program objectives. Assists the Occupational Health Program Technician, commanders and senior staff on the interpretation, implementation and status of base compliance with occupational and environmental health regulations and laws. In the Occupational Health Physician’s absence, coordinates with flight medicine physicians, bioenvironmental engineers, other health professionals, and the Occupational Health Program Technician.

1.5.11. Applies Air Force Medical Service (AFMS) Customer Satisfaction Priorities to make a positive “IMPRESSION”. Demonstrates sensitivity and responsiveness in supporting and working with employees, superiors, and peers to establish and maintain a positive customer service environment to achieve AFMS Customer Satisfaction Priorities. Demonstrates sensitivity and responsiveness to the need and requirements of external customers and works cooperatively to achieve AFMS Customer Satisfaction Priorities.

1.5.12. Assists with the management and coordination of the Infection Control Program for the Medical Treatment Facility (MTF) within the guidance of the Infection Control Review Function (ICFR) as SGP deems necessary. Plans, directs and evaluates the surveillance activities, compiles and analyzes data and reports significant trend(s). Conducts training on various aspects of Infection Control, provides initial and annual updates regarding mandatory requirements related to the program. Provides consultation and training for aseptic technique and environmental sanitation.

1.6. Safety Practices. The contractor shall utilize safety practices and procedures following established safety rules, regulations, and maintain a safe and clean work environment.

1.7. Contractor Requirements

1.7.1. Point Of Contact. The Contractor shall provide a point of contact that shall be responsible for the performance of the work. The point of contact shall have full authority to act for the Contractor on all matters relating to the operation of this contract. The Contractor shall designate this individual, in writing, to the COR before the contract start date.

1.7.2. Availability. The Contractor shall provide a personnel that shall be available for duty five days a week, Monday through Friday, 7:30 a.m. until 4:30 p.m. (defined herein as a ”duty day”), excluding Federal Holidays. The contractor must provide projection of anticipated vacation days or days out of the clinic for personal reasons at least six months in advance. Any late requests made after the clinic schedule has been published must be routed and approved through the Flight Commander GPM and or/SGH, unless it’s for an acute illness, or a personal or family emergency.

1.7.3. Availability. The contractor POC shall be available via telephone Monday through Friday during duty hours.

1.7.4. Arrange for Replacement Staff. The Contractor shall arrange for pre-credentialed locum tenens coverage when the Contractor will be unable to provide services for two or more consecutive weeks. Locum tenens personnel will have all credentialed accepted through the 14th Medical Group before any service is performed within the MTF.

1.7.5. Continuity of Services. The contractor shall ensure that qualified backup service is available to provide coverage during scheduled and unscheduled absences to primary service. If routine services are disrupted for more than three (3) consecutive scheduled shifts, the Government reserves the right to procure such services from another source, until routine contract employee services are restored by the contractor.

When the Government exercises its right to procure these services from another source, the Government shall reduce the contractor’s invoice at an equivalent amount to that incurred. A copy of the other source’s service ticket shall be used as the basis for this reduction. The Government shall furnish the contractor a copy of this ticket upon the contractor’s request.

1.7.5. Orientation.

1.7.5.1. Prior to working, contract employee shall be provided an orientation to familiarize contract employees with the policies and procedures of the MTF. This Orientation shall be provided by the Government; contractor employee attendance is required and shall be scheduled by the COR during normal duty hours.

1.7.5.2. The contractor shall ensure that its employee is informed and aware of the policies and procedures regarding his/her specific place of duty. The contractor shall ensure the contract employee receives any staff training required by the MTF conditional to performance of duties. Such training may include instruction on automation processing, quality assurance policies, and local in-service and safety briefings.

This training shall be conducted during the scheduled shift of the contract employee.

1.7.6. Education and Experience. The Public Health Officer must have one of the following: a Doctorate in Veterinary Medicine, doctorate in Public Health (PhD or DrPH) or healthcare-related field, a Registered Nurse with a Masters of Public Health, or Masters of Public Health with relevant experience in health care settings, as well as documented successful completion of the “Infection Control and Epidemiology Course” (ICE) or comparable basic infection control surveillance course equivalent.

1.8. Personnel Requirements

1.8.1. English Language Requirement. Personnel shall read, understand, speak, and write English.

1.8.2. Contractor personnel shall present a neat appearance and be easily recognized as contractor employees. A hospital issued nametag will be provided designating “contractor”. Contractor employee shall identify themselves as contractor personnel by introducing themselves or being introduced as contractor personnel and displaying distinguishing badges or other visible identification for meetings with Government personnel. Contractor shall appropriately identify himself as a contractor employee in telephone conversations and in formal and informal written correspondence

1.8.3. Conflict of Interest. The Contractor shall not be an employee of the United States Government if the employment would create a conflict of interest. The Contractor shall not be a person who is an employee of the Department of the Air Force, either military or civilian, unless such person seeks and receives approval in accordance with DoD Directive 5500.7-R, Joint Ethics Regulation, and Air Force policy.

1.8.4. Performance Evaluation Meetings. The CO may require the contractor POC and/or contractor employee to meet with the CO, Contract Administrator (CA), COR and other Government personnel as deemed necessary regarding reported contract performance problems. Any formal meetings shall be documented in the contract file as appropriate. Contractor POC may address any questions to the assigned CA in Contracting as necessary.

1.8.5. Communication. The contractor shall ensure contract employees maintain professional communication with members of the MTF. Complaints validated by the COR and Chief of the Medical Staff shall be reported in writing to the CO (via the CA) and the contractor for action. Failure of the contractor to correct complaints validated by the Government COR shall be considered a failure to perform.

1.8.6. Medical Quality Assurance/Risk Management (QA/RM)

1.8.6.1. Contract employees shall participate in QA/RM activities to the extent required by Section 2.C of Air Force Instruction (AFI) 44-119 (24 September 2007) and the individual MTF QA/RM plan or regulation.

1.8.6.2. The Government shall evaluate the contractor’s professional, as differentiated from administrative, performance under this contract using quality assurance standards specified in Paragraphs 2.12 and 2.13 of AFI 44-119 (24 September 2007).

1.8.7. Continuing Medical Education (CME) Requirements. Contract employees registered or certified by national/medical associations shall continue to meet the minimum standards for CME to remain current. CME shall be obtained at no additional cost to the Government.

1.8.8. Annual Training Requirements. All contract employees shall complete annual training required IAW Health Information Portability Accountability Act (HIPAA), AAAHC and others required by the MTF.

1.8.9. Documentation. All contract employees shall prepare all documentation to meet or exceed established standards of the MTF to include, though not limited to: timeliness, legibility, accuracy, content and signature. Only MTF and Air Force approved abbreviations shall be used for documentation of health care records. The contract employee shall ensure complete patient identifying information is on all documentation that is to become part of a health care record.

1.8.10. Privacy and Confidentiality

1.8.10.1. Patient Lists. Patient lists, no matter how developed, shall be treated as privileged information.

Lists and/or names of patients shall not be disclosed to or revealed in any way for any use outside the MTF without prior written permission from the Chief of Medical Services.

1.8.10.2. Patient Sensitivity. Contract employees shall respect and maintain the basic rights of patients, demonstrating concern for personal dignity and human relationships. Contractor employees receiving complaints validated by the QAP and Chief of the Medical Staff shall be subject to counseling and, depending on the nature and severity of the complaint, separation from performing services under this contract.

1.8.10.3. Release of Medical Information. The contract employee shall only release medical information obtained during the course of this contract to other MTF staff involved in the care and treatment of that individual patient.

1.8.11. Contractor Furnished Property and Services. Except for those items or services specifically stated in Section 3 as Government-furnished, the contractor shall furnish all items or services required for performance under this contract.

1.9. General Information

1.9.1. Hours of Operation. Normal duty hours are eight (8) hour shifts between the hours of 7:00 a.m.

and 5:00 p.m., Monday through Friday. The contractor will not be required to work on either AF/AETC designated “Down Days” or any Federal Holidays, which include the following: New Year’s Day, Martin Luther King, Jr. Day, Presidents Day, Memorial Day, Independence Day, Labor Day, Columbus Day, Veterans Day, Thanksgiving Day, and Christmas Day or any other holidays as determined by Executive Order.

1.9.2. Duty Hour Extensions. The contractor employee shall be required, when requested by the Government, to accommodate an occasional and limited duty hour extension when it is necessary to professionally complete a patient study. This extension of duty shall be performed at no additional monetary cost to the Government. The Government shall provide compensatory time off which can be applied to other duty days/shifts as approved by the QAP, provided that any necessary duty hour extension is not related to contractor employee negligence.

1.9.3. Health Requirements

1.9.3.1. The contractor employee providing services under this contract shall receive a pre-employment physical examination (provided by the Government) prior to start of work and annually thereafter. Selected potential employee shall furnish report stating that he/she has received such examinations and immunizations/shots prescribed by the MTF or delegated representative.

1.9.3.2. Not later than five (5) working days prior to beginning of work, certification shall be provided to the QAP that contractor employee has completed medical evaluation required above. This certification shall state the date on which the examination was completed, the doctor's name that performed the examination, and a statement concerning the physical health of the individual. The certification shall also contain the following statement: (name of contract employee) is suffering from no contagious diseases to include but not limited to “Tuberculosis, Hepatitis, and Venereal Disease."

1.9.3.3. As a condition of employment, Occupational Safety and Health Administration (OSHA) requires that all contract employees who will have occupational exposure to blood or body fluids, or other potentially infectious materials, shall receive Hepatitis B vaccine, or have documented proof of immunity to Hepatitis B infection.

1.9.3.4. It is the contractor's responsibility to report (to the appropriate MTF staff member via the QAP) all information necessary to ensure contractor employee’s hospital records can be maintained correctly, and therefore comply with the AAAHC, OSHA, and Center for Disease Control (CDC) health records requirements.

1.9.4. reventive, Prophylactic and Follow-up Procedures. The contractor shall ensure that his/her employees are in compliance with preventive, prophylactic and follow-up procedures, as well as infection control and employee health program procedures, as established by the MTF. Required preventive, prophylactic and follow-up procedures shall be provided by the Government to contractor employee in the military MTF if desired by the contractor, in which case the contractor shall reimburse the MTF for these services. Otherwise, if care is received elsewhere, the contractor shall provide written verification of treatment.

1.10. Security Requirements

1.10.1. Must possess, or be eligible to obtain, a SECRET security clearance.

1.10.2. Security Requirements for Unclassified Services. The Contractor shall fully adhere with the provisions of referenced publications by submitting the appropriate forms to obtain and maintain a suitability determination to perform under this contract. The Contractor shall ensure the following is accomplished prior to the required or planned start date in the MTF:

1.10.2.1. Schedule an appointment with the Unit Security Manager at the MTF where services are provided.

The appointment shall be scheduled at least 14 calendar days before the required start date and arranged for the contractor’s first day of work at the MTF. The contractor cannot start work earlier than the scheduled appointment date with the Unit Security Manager.

1.10.2.2. Complete the Standard form 85P (SF-85P), Questionnaire for Public Trust Positions, in a secure website called Electronic Questionnaires for Investigations Processing (e-QIP) or (in some cases) completes the SF-85P from a downloadable form on the Office of Personnel Management (OPM) website when the Unit Security Manager establishes an account in e-QIP or provides other directions to the contractor before the scheduled appointment date. The Unit Security Manager may provide instructions with regard to faxing or emailing signature forms for the SF-85P as well as information on completing the FD-258, Applicant Fingerprint Card, before the appointment date.

1.10.2.3. Contractor performing for the Government under this contract are in non-sensitive public trust positions designated as Automated Information Systems III positions IAW DOD Directive 5200.2-R. In compliance with DoD Directive 5200.2 and AFI 31-501, a National Agency Check with written Inquiries (NACI), is required for all AIS III positions.

1.10.3. The Contractor shall have a favorable investigation, verified through the Joint Personnel Adjudicating System (JPAS) as a condition of employment under this contract. The Contractor understands that, while the MTF commander may allow him/her temporary or interim access to Government systems in non-sensitive positions pending the outcome of the NACI (usually through a 90-day waiver), this contract requires the immediate removal of a contractor from the position if the NACI returns with unfavorable or denied adjudication. In addition, the Government will immediately suspend the contractor computer access if the NACI is returned with an adjudication of “no determination made”. The MTF Commander will determine whether to allow the contractor to continue in the public trust position or deny computer access, which requires the contractor to be removed from the position

1.10.4. The contractor shall comply with all requirements and procedures in accordance with Air Force Federal Acquisition Regulation Supplement (AFFARS) Clause 5353.242-9000, Contractor Access to Air Force Installations, and local clause CAFB 00006, Columbus AFB Installation Security Requirements and Information; these will be incorporated into the contract.

1.11. Privacy of Individually Identifiable Health Information (HIPAA) Definitions

1.11.1. Individual has the same meaning as the term “individual”' in 45 CFR 164.501 and shall include a person who qualifies as a personal representative in accordance with 45 CFR 164.502(g).

1.11.2. Privacy Rule means the Standards for Privacy of Individually Identifiable Health Information at 45 CFR part 160 and part 164, subparts A and E.

1.11.3. Protected Health Information has the same meaning as the term "protected health information'' in 45 CFR 164.501, limited to the information created or received by the contractor from or on behalf of the Government.

1.11.4. Required by Law has the same meaning as the term "required by law'' in 45 CFR 164.501.

1.11.5. Secretary means the Secretary of the Department of Health and Human Services or his/her designee.

1.11.6. Terms used, but not otherwise defined, in this Agreement shall have the same meaning as those terms in 45 CFR 160.103 and 164.501.

1.11.6.1. The contractor agrees to not use or further disclose Protected Health Information other than as permitted or required by the contract or as required by law.

1.11.6.2. The contractor agrees to use appropriate safeguards to prevent use or disclosure of the Protected Health Information other than as provided for by this contract.

1.11.6.3. The contractor agrees to mitigate, to the extent practicable, any harmful effect that is known to the contractor of a use or disclosure of Protected Health Information by the contractor in violation of the requirements of this contract.

1.11.6.4. The contractor agrees to report to the Government any use or disclosure of the Protected Health Information not otherwise expressly provided for herein.

1.11.6.5. The contractor agrees to ensure that any agent, including a subcontractor, to whom it provides Protected Health Information received from, or created or received by the contractor on behalf of the Government, agrees to the same restrictions and conditions that apply with respect to such information.

1.11.6.6. The contractor agrees to provide access, at the request of the Government, and in the time and manner designated by the Government to Protected Health Information in a Designated Record Set, to the Government or, as directed by the Government, to an Individual in order to meet the requirements under

45 CFR 164.524.

1.11.6.7. The contractor agrees to make any amendment(s) to Protected Health Information in a Designated Record Set that the Government directs or agrees to pursuant to 45 CFR 164.526 at the request of the Government or an Individual, and in the time and manner designated by the Government.

1.11.6.8. The contractor agrees to make internal practices, books, and records relating to the use and disclosure of Protected Health Information received from, or created or received by the contractor on behalf of, the Government available to the Government or at the request of the Government to the Secretary, in a time and manner designated by the Government or the Secretary, for purposes of the Secretary determining the Government’s compliance with the Privacy Rule.

1.11.6.9. The contractor agrees to document such disclosures of Protected Health Information and information related to such disclosures as would be required for the Government to respond to a request by an Individual for an accounting of disclosures of Protected Health Information in accordance with 45 CFR 164.528.

1.11.6.10. The contractor agrees to provide to the Government or an Individual, in time and manner designated by the Government, information collected to permit the Government to respond to a request by an Individual for an accounting of disclosures of Protected Health Information in accordance with 45 CFR 164.528.

1.11.7. General Use and Disclosure Provisions: Except as otherwise limited in this PWS, the contractor may use or disclose Protected Health Information on behalf of, or to provide services to, the Government for the following purposes, if such use or disclosure of Protected Health Information would not violate the Privacy Rule or the Department of Defense Health Information Privacy Regulation if done by the Government:

1.11.8. Specific Use and Disclosure Provisions:

1.11.8.1. Except as otherwise limited in this PWS, the contractor may use Protected Health Information for the proper management and administration of services performed under this contract.

1.11.8.2. Except as otherwise limited in this PWS, the contractor may disclose Protected Health Information for the proper management and administration, provided that disclosures are required by law, or the contractor obtains reasonable assurances from the person to whom the information is disclosed that it will remain confidential and used or further disclosed only as required by law or for the purpose for which it was disclosed to the person, and the person notifies the contractor of any instances of which it is aware in which the confidentiality of the information has been breached.

1.11.8.3. Except as otherwise limited in this PWS, the contractor may use Protected Health Information to provide Data Aggregation services to the Government as permitted by 45 CFR 164.504(e)(2)(i)(B). The contractor may use Protected Health Information to report violations of law to appropriate Federal and state authorities, consistent with 45 CFR 164.502(j)(1).

1.11.9. Obligations of the Government. Provisions for the Government to Inform the Contractor of Privacy Practices and Restrictions:

1.11.9.1. Upon request the Government shall provide the contractor with the notice of privacy practices that the Government produces in accordance with 45 CFR 164.520, as well as any changes to such notice.

1.11.9.2. The Government shall provide the contractor with any changes in, or revocation of, permission by Individual to use or disclose Protected Health Information, if such changes affect the contractor's permitted or required uses and disclosures.

1.11.9.3. The Government shall notify the contractor of any restriction to the use or disclosure of Protected Health Information that the Government has agreed to in accordance with 45 CFR 164.522.

1.11.10. Permissible Requests by the Government: The Government shall not request the contractor to use or disclose Protected Health Information in any manner that would not be permissible under the Privacy Rule if done by the Government, except for providing Data Aggregation services to the Government and for management and administrative activities of the contractor as otherwise permitted by this clause.

1.12. Procedure Guidance. The contractor shall perform procedures compatible within the MTF guidelines regarding 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.

2.0. Services Summary (SS)

The contract service requirements are summarized in the objectives that relate to mission essential items.

The performance thresholds describe the minimum acceptable levels of service for each requirement. The COR will provide surveillances to inspect delivery of services on a Satisfactory or Unsatisfactory basis.

These thresholds are critical to mission success.

SERVICE DELIVERY SUMMARY

Objectives

PWS

Performance Thresholds

Assessment Method

1. Attendance for Duty:

1a.- On-time and present for duty as scheduled (no earlier than 7:00 a.m. and no later than 5:00 p.m. unless otherwise approved by CO.

1.9.1 No more than 2 instances of work

shifts less than eight (8) hours (except compensatory time usage as approved by QAP)

Monthly Periodic

Assessment

2. Duty and Clerical Competence:

2a.- Demonstrates acceptable level of competence in required duty tasks

1.2. No more than 2 validated complaint

per month

Customer Complaint

2b.- Demonstrates acceptable level of competence in required clerical tasks

1.2. No more than 2 validated complaint

per month

Customer Complaint

3. Patient Matters:

3a.- Demonstrates concern and respect for customer and patients

1.8.10.2 No more than 2 validated complaint

per month

Customer Complaint

3b.- Adheres to all HIPAA requirements

1.8.8 No more than 2 validated complaint

per month

Customer Complaint

4. Contractor Compliance:

4a.- Compliance with Appearance 3.1.2 & 1.8.2

No more than 2 validated complaint per month

Customer Complaint

3.1. Government Furnished Property, Services and Services. The Government shall provide the following equipment, supplies, and services:

3.1.1. Property. The contractor shall have the use of the following facility for performance under this contract only: Bldg 1100, 201 Independence Drive, 14MDG, and Public Health Offices.

3.1.2. Office/Work/Locker Area. Those areas provided for use by the contractor employee shall present an orderly appearance. The contractor employee shall ensure these areas are tidy and any decorative items present a professional, modest appearance in keeping with accepted community standards. Office space shall be shared with other members of the medical team. The Government shall not be responsible for loss or damage of personal items brought into the MTF.

3.1.3. Dining Facilities. None.

3.1.4. Equipment. The contractor employee shall have use of all available equipment for performing services required by this contract.

3.1.4.1. Personal Protective Equipment (PPE). The Government shall furnish provider with appropriate PPE. The Government shall be responsible for any repair, cleaning and inventory required for the PPE.

This does not include any type of uniform or laboratory coat.

3.1.4.2. Forms. The Government shall provide required electronic and/or printed forms used in the performance of services.

3.1.4.3. Supplies. The Government shall provide supplies commonly used in the MTF for the management of programs as appropriate.

3.1.5. Services. Contractor employee shall have the use of the following services for performance under this contract only.

3.1.5.1. Emergency Health Care. The MTF shall provide emergency health care for the contractor employee for injuries occurring while on duty in the MTF. These services shall be billed to the contractor employee at the current full reimbursement rate.

3.1.5.2. Administrative Support. The contractor employee will be authorized to use all administrative support otherwise available to the Government employees. This includes, but is not limited to, copy machines, fax machines, medical library, installation distribution, Class “A” telephone lines and Defense Switching Network (DSN) lines. The contractor employee shall have access to telephone and network services as necessary tocomplete reports, and to provide a means of contacting clinicians for significant findings requiring immediate action. Use of such admin support is limited to contractor employee’s performance of duties in support of official Government business.

3.1.6. Electronic Mail. The contractor is responsible for adhering to all access security requirements of the 14th Medical Group and any other applicable agency, policies, law or other guidance regarding use of electronic mail.

3.1.7. Training

3.1.7.1. The contractor shall receive Level One (1) Anti-Terrorism Awareness Training annually. This training will be provided by the Government, and shall be accomplished during normal duty hours for contractor employee. Proof of this training shall be maintained by the QAP.

3.1.7.2. Medical Treatment Facility (MTF) will compensate required Temporary Duty Travel (TDY) to fulfill work center requirements as appropriate. A separate Contract Line Item (CLIN) will be included for Government reimbursement of contractor employee costs for travel IAW Government policies including, but not limited to, the Joint Travel Regulations (JTR). TDY training requirements will be coordinated with and approved by the QAP in advance of the anticipated travel.

4.1. Contractor labor Hour Reporting

The contractor shall report ALL contractor labor hours (including subcontractor labor hours) required for performance of services provided under this contract for the Columbus AFB Visual Information Service 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 the labor executed during the period of performance for each Government fiscal year (FY), which runs 1 October through 30 September. While inputs may be reported 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.

*Reporting Period: Contractors are required to input data by 31 October of each year.

*Uses and Safeguarding of Information: Information from the secure web site is considered to be proprietary in nature when the contract number and contractor identity are associated with the direct labor hours and direct labor dollars. At no time will any data be released to the public with the contractor name and contract number associated with the data.

User Manuals: Data for Air Force service requirements must be input at the Air Force CMRA link.

However, user manuals for government personnel and contractors are available at the Army CMRA link at http://www.ecmra.mil.

APPENDIX I

Publications and Forms applicable to this Performance Work Statement and Job Description are listed below.

The Contractor/HCW is obligated to follow these publications. These publications are available at http://www.e-publishing.af.mil/and maintained by AF publishing. The government has coded publications as mandatory (M) or advisory (A). The contractor shall follow those publications coded as mandatory. The government may issue supplements or amendments to listed publications from any organizational level during the life of the contract. It is the contractors’ responsibility to use the most current version of all publications. The contractor shall immediately implement those changes in publications that result in a decrease or no change in the contract price. Before implementing any such revision, supplement, or amendment that will result in an increase in contract price, the contractor shall submit to the CO a price proposal for approval. Price proposals shall be submitted within thirty (30) calendar days from the date the contractor receives notice of the revision, supplement, or amendment giving rise to the increase in cost of performance. The government will consider changes in the contract price due to supplements and amendments shall be considered under the FAR 52.212-4, "Contract Terms and Conditions-Commercial Items" clause. The government will continue to supply the government forms needed for daily operations.

Upon completion of the contract, the contractor shall return to the government all issued publications and unused forms.

M = Mandatory Guidance, A = Advisory or Supplemental Information

The following documentation will provide all needed background to offer insight and direction.

Reference Number

Title (and Website, if applicable) Date M/ A

Applicable Paragraph

AFI 10-203 Duty Limiting Conditions 20 Nov 2014 M ALL AFI 10-245 Antiterrorism (AT) 21 Sep 2012 M ALL AFI 10-701 Operations Security (OPSEC)

Instructions 8 Jun 2011 M ALL

AFI 31-101 Integrated Defense 8 Oct 2009 M ALL AFI 31-401 Information Security Program

Management

1 Nov 2005

M ALL

AFI 31-501 Personnel Security Program Management

27 Jan 2005 M ALL

AFI 31-601 Industrial Security Program Management

29 Jun 2005 M ALL

AFI 33-332 The Air Force Privacy and Civil Liberties Program

12 Jan 2015 M ALL

AFI 36-3026 Identification Cards for Members of the Uniformed Service, Their Eligible Family Members, and Other Eligible Personnel

17 Jun 2009 M ALL

AFI 41-117 Medical Service Officer Education 25 Mar 2015 M ALL AFI 44-102 Medical Care Management 17 Mar 2015 M ALL AFI 44-119 Medical Quality Operations 16 Aug 2011 M ALL AFI 48-123 Medical Examinations and Standards 5 Nov 2013 M ALL AFI 63-138 Acquisition of Services 21 May 2013 M ALL AFI71-101 VOL 1 Criminal Investigations Program 4 Feb 2015 M ALL AFI71-101 VOL 2 Protective Service Matters 23 Jan 2015 M ALL AFSSI 7700 Emission Security (EMSEC) 14 Apr 2009 M ALL DODI 1402.5 Background Checks on Individuals in DOD Child Care Services Nov 2015 M ALL

DODI 5220.22 National Industrial Security Program

(NISP)

18 Mar 2011 M ALL

DODI 5200.02 DOD Personnel Security Program

(PSP)

M ALL

DOD 5400.7-R DOD Freedom of Information Act Program

11 Apr 2006 M ALL

DODD 5500.07 DOD Standards of Conduct 29 Nov 2007 M ALL DOD 5500.07-R The Joint Ethics Regulation (JER) 17 Nov 2011 M ALL AFPD 31-6 Industrial Security 1 Apr 2000 M ALL AFMAN 31-116 Air Force Motor Vehicle Traffic

Supervision 18 Dec 2015 M ALL

AFMAN 33-282 Computer Security (COMPUSEC) 27 Mar 2012 M ALL AFMAN 33-363 Management of Records 1 Mar 2008 M ALL

APPENDIX 2

AAAHC Accreditation Association for Ambulatory Healthcare ACLS Advanced Cardiac Life Support AFFARS Air Force Federal Acquisition Regulation Supplement AFI Air Force Instruction AFMAN Air Force Manual AFPD Air Force Policy Directive AFSSI Air Force Systems Security Instruction AIS Automated Information System BLS Basic Life Support CCR Customer Complaint Record

CME Continuing Medical Education CMRA Contractor Manpower Reporting Application CO Contracting Officer COR Contractor Officer’s Representative DEA Drug Enforcement Agency DOD Department of Defense DODD Department of Defense Directive DODI Department of Defense Instruction e-QIP Electronic Questionnaires for Investigations Processing FAR Federal Acquisition Regulation FBI Federal Bureau of Investigation FTE Full-time Employee HCW Healthcare Worker HIPAA Health Insurance Portability and Accountability Act HSI Health Services Inspection JCAHO Joint Commission on Accreditation of Healthcare Organizations JPAS Joint Personnel Adjudicating System MTF Military Treatment Facility NAC National Agency Check NACI National Agency Check with written Inquiries OPM Office of Personnel Management PALS Pediatrics Advanced Life Support PHA Preventive Health Assessment PPE Personal Protective Equipment PWS Performance-based Work Statement QA Quality Assurance RM Risk Management SF Standard Form SS Services Summary