FA3047-14-R-0010_Amendment_1.pdf

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

15A. NAME AND TITLE OF SIGNER (Type or print)

30-105-04EXCEPTION TO SF 30

APPROVED BY OIRM 11-84

STANDARD FORM 30 (Rev. 10-83)

Prescribed by GSA

FAR (48 CFR) 53.243

The purpose of this amendment is to correct minor errors and extend the closing date from 3 April 2014 to 8 April 2014. See Summary of

Amendment 1 Changes for a complete list of items Changed.

POCs:

Scott R. Thomas, Contract Specialist, 210-671-1741, scott.thomas.25@us.af.mil

Shaw na L. Kettell, COntracting OFficer, 210-671-0551, shaw na.kettell@us.af.mil

1. CONTRACT ID CODE PAGE OF PAGES

J 1 31

16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)

16C. DATE SIGNED

BY 28-Mar-2014

16B. UNITED STATES OF AMERICA15C. DATE SIGNED15B. CONTRACTOR/OFFEROR

(Signature of Contracting Officer)(Signature of person authorized to sign)

8. NAME AND ADDRESS OF CONTRACTOR (No., Street, County, State and Zip Code) X FA3047-14-R-0010

X 9B. DATED (SEE ITEM 11)

20-Mar-2014

10B. DATED (SEE ITEM 13)

9A. AMENDMENT OF SOLICITATION NO.

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

X The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offer X is extended, is not extended.

Offer must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended by one of the following methods:

(a) By completing Items 8 and 15, and returning copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted;

or (c) By separate letter or telegram which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE

RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN

REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by telegram or letter, provided each telegram or letter makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

12. ACCOUNTING AND APPROPRIATION DATA (If required)

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS.

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE

CONTRACT ORDER NO. IN ITEM 10A.

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, appropriation date, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(B).

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority)

E. IMPORTANT: Contractor is not, is required to sign this document and return copies to the issuing office.

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

10A. MOD. OF CONTRACT/ORDER NO.

2. AMENDMENT/MODIFICATION NO. 5. PROJECT NO.(If applicable)

6. ISSUED BY

3. EFFECTIVE DATE

28-Mar-2014

CODE

502D CONTRACTING SQUADRON

1655 SELFRIDGE AVE

JBSA LACKLAND TX 78236-5253

FA3047 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

FA3047-14-R-0010

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 30 - BLOCK 14 CONTINUATION PAGE

The following have been added by full text:

SUMMARY OF AMENDMENT 1 CHANGES

- Remove Service Contract Coordinator and Lead from the PWS 1.3.6.2.1 and clause 252.232-7 (f) (3)

- Add language for Tricare Benefits Coordinator

- Change General Medical Education Admin Tech to Graduated Medical Eduaction Admin Tech

- Update Addenda to 52.212-1 Section 5.2 Volume III – Factor 2: Price to replace “Section B (Bid Schedule) to SF 1449 (Bid Schedule)

- Update 52.212-2 to remove the Texas limitation in Paragraph d

- Update PWS 1.3 to remove the submission of a Quality Control Plan

- Remove the 8(a) limitation from clause 52.219-18 and Addenda to 52.212-1 and 52.212-2 Paragraph d

- Remove language on the electronic submission of proposals in Addenda to 52.212-1 Section 5.2 Volume

III – Factor 2

- Extend the closing date from 3 April 2014 to 8 April 2014

SECTION SF 1449 - CONTINUATION SHEET

SOLICITATION/CONTRACT FORM

The required response date/time has changed from 03-Apr-2014 03:00 PM to 08-Apr-2014 03:00 PM.

SUPPLIES OR SERVICES AND PRICES

CLIN 0004

The CLIN description has changed from General Medical Education Admin Tech to Graduated Medical Education

Admin Tech.

CLIN 0009

The CLIN extended description has changed from Period of Performance 1 May 14 - 30 Apr 15 Quantities are

Estimated to TRICARE Beneficiary Counselor and Debt Collection Assistance Officer Period of Performance 1

May 14 - 30 Apr 15 Quantities are Estimated.

CLIN 1004

The CLIN description has changed from General Medical Education Admin Tech to Graduated Medical Education

CLIN 1009

The CLIN extended description has changed from Period of Performance 1 May 15 - 30 Apr 16 Quantities are

Estimated to TRICARE Beneficiary Counselor and Debt Collection Assistance Officer Period of Performance 1

May 15 - 30 Apr 16 Quantities are Estimated.

CLIN 2004

The CLIN description has changed from General Medical Education Admin Tech to Graduated Medical Education

CLIN 2009

The CLIN extended description has changed from Period of Performance 1 May 16 - 30 Apr 17 Quantities are

Estimated to TRICARE Beneficiary Counselor and Debt Collection Assistance Officer Period of Performance 1

May 16 - 30 Apr 17 Quantities are Estimated.

CLIN 3004

The CLIN description has changed from General Medical Education Admin Tech to Graduated Medical Education

CLIN 3009

The CLIN extended description has changed from Period of Performance 1 May 17 - 30 Apr 18 Quantities are

Estimated to TRICARE Beneficiary Counselor and Debt Collection Assistance Officer Period of Performance 1

May 17 - 30 Apr 18 Quantities are Estimated.

The following have been added by reference:

52.203-16 Preventing Personal Conflicts of Interest DEC 2011

The following have been added by full text:

52.219-18 NOTIFICATION OF COMPETITION LIMITED TO ELIGIBLE 8(A) CONCERNS (JUN 2003)

(a) Offers are solicited only from small business concerns expressly certified by the Small Business Administration

(SBA) for participation in the SBA's 8(a) Program and which meet the following criteria at the time of submission of offer--

(1) The Offeror is in conformance with the 8(a) support limitation set forth in its approved business plan; and

(2) The Offeror is in conformance with the Business Activity Targets set forth in its approved business plan or any remedial action directed by the SBA.

(b) By submission of its offer, the Offeror represents that it meets all of the criteria set forth in paragraph (a) of this clause.

(c) Any award resulting from this solicitation will be made to the Small Business Administration, which will subcontract performance to the successful 8(a) offeror selected through the evaluation criteria set forth in this solicitation.

(d)(1) Agreement. A small business concern submitting an offer in its own name shall furnish, in performing the contract, only end items manufactured or produced by small business concerns in the United States or its outlying areas. If this procurement is processed under simplified acquisition procedures and the total amount of this contract does not exceed $25,000, a small business concern may furnish the product of any domestic firm. This paragraph does not apply to construction or service contracts.

(2) The Awarded Contractor will notify the 502d Contracting Squadron Contracting Officer in writing immediately upon entering an agreement (either oral or written) to transfer all or part of its stock or other ownership interest to any other party.

(End of clause)

The following have been modified:

ADDENDA TO 52.212-1

52.212-1(b)(4) This paragraph is deleted in its entirety.

52.212-1(b)(10) This paragraph is deleted in its entirety.

52.212-1(d), Product Samples. This paragraph is deleted in its entirety.

52.212-1(e), Multiple Offers. This paragraph is deleted in its entirety.

52.212-1(f), Late submission, modifications, revisions, and withdrawals of offers. This paragraph is deleted in its entirety.

52.212-1(g), Contract award. This paragraph is deleted in its entirety.

52.212-1(h), Multiple Awards. This paragraph is deleted in its entirety.

52.212-1(i), Availability of requirements documents cited in the solicitation. This paragraph is deleted in its entirety.

REMOVED

INSTRUCTIONS TO OFFERORS

PROPOSAL PREPARATION INSTRUCTIONS

1.0. To assure timely and equitable evaluation of proposals, offerors must follow the instructions contained herein.

Offerors are required to meet all solicitation requirements, including terms and conditions, representations and certifications, and technical requirements, in addition to those identified as evaluation factors or sub factors. Failure to meet a requirement may result in an offer being ineligible for award. Taking exception to any provision in the solicitation may render the proposal ineligible for award. The proposal in response to this solicitation shall consist of three (3) separate parts; Vol I - Contracting, Vol II – Technical Proposal and Vol III - Price Proposal. All documents submitted in response to this RFP must be fully responsive to and consistent with the requirements of the

RFP. The maximum of allowable pages for the technical proposal, including attachments, is 15 pages. If technical proposal exceeds 15 pages, the Government will only evaluate the first 15 pages. Contractor shall submit 2 copies of their proposal in hard copy in separate binders / folders.

2.0 General Information

2.1 Proposal Format

2.1.1 Sufficient Detail

(a) The proposal shall be clear, concise, and shall include sufficient detail for effective evaluation and for substantiating the validity of stated claims.

(b) The proposal should not simply rephrase or restate the Government's requirements, but rather shall provide convincing rationale to address how the Offeror intends to meet these requirements.

(c) Offeror(s) shall assume that the Government has no prior knowledge of their capabilities and experience, and will base its evaluation solely on the information presented in the Offerors proposal.

http://farsite.hill.af.mil/reghtml/regs/far2afmcfars/fardfars/far/52_000.htm

2.1.2 Page Format Restrictions and Limitations

2.1.2.1 Page Format

(a) All pages shall be printed double-sided on recycled paper as much as practical. For example, original letters are exempted from the double-sided requirement.

(b) Pages shall be 8.5 x 11 inches, not including foldouts.

(c) Text pages shall be portrait oriented. Graphics and tables may be landscape oriented if required to properly present the information.

(d) Pages shall be typed with single line spacing.

(e) No condensed fonts allowed. Times New Roman, Arial, or similar font preferred. The font size shall be no less than 10 point.

(f) Margins on all four edges of each sheet will be at least one inch.

(g) Proprietary statements, security markings, and page numbers can fall within the defined margin area.

(h) Except for the Pricing Volume, each required section within a volume shall be numbered consecutively

(i) These page format restrictions shall also apply to responses to Evaluation Notices (EN).

2.1.2.2 Page Limitations

(a) Page limitations shall be treated as maximums.

2.1.2.3 Pages Counted

Each page shall be counted except the following.

(a) Cover pages

(b) Table of contents

(c) List of figures

(d) Glossaries

(e) Tabs

(f) Dividers

(g) Blank pages

3. VOLUME I - CONTRACTING

3.0 Volume Organization

(a) Table of Contents

(b) List of Tables and Figures

(c) Exceptions to Terms and Conditions

(d) Representations and Certifications

(e) Removed

3.1 Exceptions to Solicitation Requirements

(a) Offerors are required to meet all solicitation requirements, such as terms and conditions, representations and certifications, and technical requirements, in addition to those identified as evaluation factors or sub factor. Failure to meet a requirement may result in an offer being ineligible for award. Offerors shall clearly identify any exceptions to Terms and Conditions of the model contract. Exceptions are strongly discouraged. Failure to comply with the terms and conditions of the solicitation may result in the Offeror being removed from consideration for award.

4. VOLUME II – FACTOR 1: TECHNICAL

4.0 Volume Organization

(a) Table of Contents

(b) List of Tables and Figures

(c) Technical/Management Approach

4.1 General

(a) The Technical Volume shall be specific and complete. In the Technical Volume, address your proposed approach to meeting the minimum performance or capability requirements of each technical Sub factor.

(b) Marketing presentations are not wanted and will not be evaluated. Hard and compelling evidence of capabilities is required to receive credit for evaluation factors.

(c) Legibility, clarity, and coherence are very important.

(d) Your responses will be evaluated against Evaluation Factors.

(e) Provide as specifically as possible, the actual methodology you would use for accomplishing and satisfying the requirements.

(f) All the requirements specified in the solicitation are mandatory. By your proposal submission, you are representing that you will perform all the requirements specified in the solicitation. It is not necessary or desirable for you to tell us so in your proposal. Do not merely reiterate the objectives or reformulate the requirements specified in the solicitation.

4.2 Technical Sub factor 1.1 – Technical/Management Approach

The Offeror shall submit: a management plan that shall include all of the following:

(a) The Offerors corporate structure/organizational chart showing direct relationships between senior leadership and critical personnel assigned to this contract to ensure consistent, effective and efficient operations. Describe any efficiency that will be applied toward meeting the PWS objectives to include existing business relationships. Show lines of authority and chain of command to include subcontractors and their respective roles and functions regarding contract performance.

(b) Plan for hiring and retaining qualified and certified personnel to accomplish the mission for the entire scope of the PWS for the period of performance of this contract.

(c) Demonstrate a low-risk transition approach that supports becoming fully capable of accomplishing the mission within 10 business days of contract award.

5.0 Volume III – Factor 2: Price

5.1 General Instructions. The contracting officer has determined there is a high probability of adequate price competition in this acquisition. Upon examination of the initial offers, the contracting officer will review this determination and if, in the contracting officer's opinion, adequate price competition exists no additional cost information will be requested. However, if at any time during this competition the contracting officer determines that adequate price competition no longer exists; offerors may be required to submit other than certified cost or pricing data to the extent necessary for the contracting officer to determine the reasonableness of the price.

Note that unrealistically low or high proposed costs or prices, initially or subsequently, may be grounds for eliminating a proposal from competition either on the basis that the Offeror does not understand the requirement or has submitted an unrealistic proposal. Additionally, unbalanced pricing poses an unacceptable risk to the Government and may be a reason to reject an Offerors proposal. Compliance with these instructions is mandatory and failure to comply may render your proposal ineligible for award. Offers shall be sufficiently detailed to demonstrate their reasonableness and balance. The burden of proof for credibility of proposed costs/prices rests with the Offeror.

5.2 SF 1449 (Bid Schedule). The offeror shall complete the SF 1449 (Bid Schedule) of the RFP and submit with the

Volume III Price Proposal in accordance with these instructions. A unit price shall be proposed and inserted for each Firm Fixed Price (FFP) Contract Line Item Number (CLIN) for each performance period and shall be rounded up to two decimal places. Pricing on the reimbursable “not to exceed” Travel CLINs for each performance period are provided by the Government in the Quantity Cell. The extended amount must equal the unit price multiplied by the number/quantity of units. REMOVED. The proposed prices shall be based on the offerors own technical approach submitted in the Technical Proposal (Volume II) and the Government’s Performance Work Statement

(PWS) requirements as set forth herein.

PERFORMANCE WORK STATEMENT

PERFORMANCE WORK STATEMENT

FOR

ADMINISTRATIVE SUPPORT

25 February 2014

1. DESCRIPTION OF SERVICES / GENERAL INFORMATION. The Contractor shall provide non-personal services for Administrative Support, referred to as Contractor Personnel (CP) at San Antonio, Texas Department of

Defense Military Treatment Facilities (MTF). The CP shall perform services and support compatible with the medical facility’s operating capacity and equipment.

1.1. DESCRIPTION OF SERVICES. CP shall perform organizational tasks in support of the medical facility to include, but not limited to:

1.1.2. Credential Technician:

1.1.2.1. Maintain and update current electronic record Centralized Credentials and

Quality Assurance System (CCQAS) database and Provider Credentials Files (PCF) database.

1.1.2.2. Obtain information requested from the PCF, CCQAS, Flight, Squadron, Group

Commanders or Risk Management Office, prepare and dispatch responses to the requesting agency.

1.1.2.3. Coordinate, assist and process new providers with privilege paperwork and electronically.

1.1.2.4. CP is the primary source to verify all documents.

1.1.2.5. Download, upload and scan photos and input all other data into CCQAS and input into Composite Health Care System and into other computer sources. Compare primary source documents with providers PCF and CCQAS.

1.1.2.6. Request National Practitioner Data Bank/Healthcare Integrity and Protection

Data Bank (NPDB/HIPDB) query, Defense Practitioner Data Bank-DPDB query, Tri-

Care Sanctions list and all types of verifications to support documentation in the PCF.

Type Drug Enforcement Agency (DEA) application forms, obtain providers and

Credentials Manager’s signatures, and forward application to DEA.

1.1.2.7. Process packages for provider PCSing to another MTF and obtain appropriate documents from providers when separating/retiring.

1.1.2.8. Review and coordinate packages (paper and electronically) for re-credentialing and re-appointment (annual/biennial) of privileges. Forward appointment letters to

Privileging Authority for signature, Operating Room and providers for acknowledgement.

1.1.2.9. Coordinate reference letters with Risk Management, Chief of the Medical Staff, Flight, Squadron, Group Commanders. Once references are complete, forward requested information back to the requesting agency.

1.1.2.10. Assist with the training of inward bound credentialing staff.

1.1.3. Forms and Publications Administrative Technician:

1.1.3.1. Maintain forms, publications and technical orders. Conduct inventories, research, ordering and stocking of forms. Post publications for the office.

1.1.3.2. Greet customers and provides direct customer service.

1.1.3.3. Respond to visitor and telephone inquiries on forms, publications, and records actions or documents the reasons for delay.

1.1.3.4. Sign print request form. This includes inventories, ordering, receiving, posting and filing instructions and changes.

1.1.3.5. Notify operating official of the availability of new or revised items and obtains products. Research the cost of printing job and prepare report on weekly basis.

1.1.3.6. Perform general clerical support to include establishing, maintaining and annotating files providing for easy and timely retrieval/location of material.

1.1.3.7. Maintain files and post updates to manuals on policies, directives, and memoranda.

1.1.3.8. Index materials.

1.1.3.9. Locate items in file and search for missing or incorrectly filed item.

1.1.3.10. Assist the supervisor with all copier liaison functions.

1.1.4. Mail Distribution Center Technician:

1.1.4.1. Provide assistance to customers on proper procedures for incoming and outgoing distribution.

1.1.4.2. Receive 1st through 4th class mail, bulk rate mailers, accountable mail, message traffic and MTF Distribution.

1.1.4.3. Ensure that mail is picked up by its office destination prior to the end of the duty day.

1.1.4.4. Properly secure sensitive material in accordance with AFI 31-401.

1.1.4.5. Verify proper security clearances before distributing mail to members.

1.1.4.6. Maintain a log of all designated members authorized to retrieve mail.

1.1.4.7. Ensure contact is made with all sections/offices of incoming mail via phone/email.

1.1.4.8. Conduct daily inventory of all accountable mail.

1.1.4.9. Keep Non-Commissioned Officer in Charge (NCOIC) advised of workflow, and tracks inner office suspense’s.

1.1.5. Graduated Medical Education (GME) Medical Administrative Technician:

11.5.1. Create and maintain provider credential files and 6-part training folders for interns/residents/fellows.

11.5.2. Download, scan and upload, documents, and input all required data into CCQAS.

Compare primary source documents with providers PCF and CCQAS. Ensure all information entered into CCQAS is current and up-to-date for all medical licenses, certifications, and other pertinent information.

1.1.5.3. Coordinate with appropriate program coordinators in obtaining required documents as needed.

11.5.4. Primary source to verify all required documents for provider training files.

11.5.5. Type DEA applications (initial and renewal), obtain signatures and forwards applications to the DEA.

11.5.6. Input assigned National Provider Identifier (NPI) numbers into the Defense

Medical Human Resources Internet (DMHRSi) on new incoming residents.

11.5.7. Provide verification of training for all graduation certificates upon completion of the program.

11.5.8. Forward/mail provider training/credential files and Electronic CCQAS upon PCS to their gaining MTF.

11.5.9. Scan documents contained in training folders after completion of program into paper store.

11.5.10. Respond to visitor and telephone inquiries from credentialing offices, program coordinators and trainees.

1.1.5.11. Perform general clerical support to include establishing, maintaining and annotating files providing for easy and timely retrieval/location of material.

1.1.6. Keys/MTF Identification Badge Administrative Technician:

1.1.6.1. Issue and receive all facility keys.

1.1.6.2. Input, validate and maintain the computerized key management database.

1.1.6.3. Send any broken or worn keys to be re-cut. Maintain adequate amount of keys for inventory.

1.1.6.4. Conduct annual key inventories of the key cabinet and key holders and report findings to Facility Management.

1.1.6.5. Issue all facility personnel badges.

1.1.6.5.1. Input and maintains all badges into computerized identification badge management system.

1.1.6.5.2. Create temporary badges for non-staff members.

1.1.6.5.3. Destroy badges for personnel that no longer require identification at the MTF.

1.1.7. MUSE Editor:

1.1.7.1. Log into MUSE domain and select a patient’s electrocardiogram from the edit list by use of the retrieval screen.

1.1.7.2. Retrieve patient’s electrocardiogram ( EKG) by using patient identification (ID) number, a barcode system, patient’s name or date of test.

1.1.7.3. Enter reports/edits by means of free-text and/or acronyms.

1.1.7.4 Confirm the EKG based on changes identified by the physician over-reader.

1.1.7.5. Resolve patient name-ID mismatches and discard invalid EKG entries to ensure integrity of database.

1.1.7.6. Establish, update, and maintain office procedures and records of the EKG laboratory.

1.1.7.7. Create, format, modify, edit, and print a variety of reports on EKG, Holter and

Treadmill data.

1.1.7.8. Provide overall administrative management of MUSE database by developing and/or modifying databases to automate administrative reports, logs, and systems.

1.1.7.9. Enter and update informational data in an electronic database.

1.1.7.10. Assign privileges and maintain system access accounts for Cardiology office personnel, technicians, and providers.

1.1.7.11. Interface with MTF Information Technology (IT) support staff to identify and remedy MUSE server issues.

1.1.7.12. Prepare daily incoming EKGs for physician evaluation.

1.1.7.13. Distinguish EKGs for online versus offline physician over-reading.

1.1.714. Electronically scan completed EKG’s to enter copy into Armed Forces Health

Longitudinal Technology Application (AHLTA).

1.1.8. Procurement Technician (Acquisitions):

1.1.8.1. Ensure completeness of prepared local purchase requests (WHMC Form 3030) and automated New Item Requests (NIR).

1.1.8.2. Research item availability and availability of substitutes against the Medical

Master Catalog, Medical Logistics Standards Support (DMLSS), Electronic Catalogs

(ECAT), Prime Vendor Databases and other mandatory sources.

1.1.8.3. Coordinate with customers to validate questionable quantities or unrealistic required delivery dates.

1.1.8.4. Inform customers of available substitutes.

1.1.8.5. Inform Acquisitions NCOIC when new items are being requested to purposely avoid standardized products.

1.1.8.6. Ascertain for the government use the most economical or best value for acquisition mechanism.

1.1.8.7. Coordinate with customer and purchasing agents to ensure product availability.

1.1.8.8. Maintain and follows-up on Blanket Purchase Agreements to ensure compliance with Air Force, Federal Acquisition Regulations, and local contracting directives.

1.1.8.9. Process and edit ECAT orders for dental and laboratory accounts through

DMLSS.

1.1.8.10. Process requirements for all medical materiel obtained through the Prime

Vendor Pharmacy and Medical-Surgical contracts.

1.1.8.11. Maintain catalog records and leveling data.

1.1.8.12. Process all receipt and summary receipt transactions to ensure prompt payment through Defense Finance and Accounting Service.

1.1.8.13. Performs counts during annual inventory.

1.1.8.14. Validate and reconciles on hand balances to determine accurate requirements.

1.1.9. Risk Management Specialist:

1.1.9.1. Review/route medical files/documents in accordance with Department of

Defense Directive 6000.6 Medical Malpractice ClaimsS Against Military and Civilian

Personnel of the Armed Forces and Air Force Instruction (AFI) 41-210, Tricare

Operations and Patient Administration Functions, paragraphs 4.5.3., 5.8.7., 5.8.8., &

5.8.9. pertaining to the malpractice claims process. Research and gather essential medical data for responding to Inspector General (IG) complaints, Congressional

Inquiries, and Wing Patient Advocate responses.

1.1.9.2. Advise and assist the clinical leadership, the medical and nursing staff, and other paraprofessional and administrative healthcare staff in developing responses to allegations of medical malpractice.

1.1.9.1. Work in cooperation with the Medical Legal Counsel and Air Force Medical

Operations Risk Management for ongoing review and closure of all medical malpractice claims and litigation.

1.1.9.3. Use critical thinking skills to prompt and participate in the investigation of medical malpractice claims, Potential Compensatory Events (PCE); Sentinel Events (SE) and Medical Incident Investigation (MII).

1.1.9.3.1. Ensure a Quality of Care review (QOC) with standard of care (SOC) determination is made for all significantly involved providers of care.

1.1.9.3.2. Coordinate all QOC reviews with the appropriate medical departments for specialty reviews and return all documentation to the Director, Risk

Management upon completion for the final review process.

1.1.9.4. Coordinate, assemble, and manage risk management case files. Create claims files and gather clinical records for QOC reviews. Ensure the original medical record is sequestered.

1.1.9.4.1. Maintain a certified copy (hardcopy and/or e-copy) of any/all required outpatient, Urgent Care Center (UCC) and same day surgery medical records, diagnostic studies (to include but not limited to: radiograms, laboratory studies, pathology, autopsy reports), and external healthcare records if/when needed.

1.1.9.4.2. Retrieve, as needed, information from Composite Health Care System

(CHCS), AHLTA, ESSENTRIS (inpatient EMR), or Integrated Clinical

Database (ICDB) dictation or narrative summaries.

1.1.9.5. Process and enter all Standard Form (SF) 95, Medical Malpractice claims requests received from the Air Force Legal Operations Agency/Tort Litigation Division

(AFLOA/JACC) Office into the Risk Management claims module in the Centralized

Credentials Quality Assurance System (CCQAS) secure database.

1.1.9.5.1. All QOC reviews will be entered into CCQAS within the suspense of ninety (90) days from receipt of the SF 95.

1.1.9.6. Prepare official certified mail to notify significantly involved providers in medical malpractice claims; QOC/SOC review results.

1.1.9.6.1. Coordinate provider’s Memorandum for Record (MFR), rebuttal

MFR, and references, staying within the guidelines of the Department of

Defense and Air Force Policy for healthcare risk management activities.

1.1.9.7. Forward all the MTF level QOC reviews and documents to the AFLOA/JACC

Office for further investigation and provide additional documentation support if necessary.

1.1.9.8. Update all CCQAS entries on each malpractice claim and enter Significantly

Involved Providers (SIP) determinations and claim assessments from the MTF and

Expert Level QOC reviews.

1.1.9.8.1. Send out the second letter of notification and release the CCQAS malpractice claim to the Air Force Medical Operating Agency/Risk

Management Operations Office (AFMOA/SGHQ) for final review, litigation and SOC determination.

1.1.9.9. Contact the AFLOA/JACC Office for monthly and quarterly qualitative and quantitative Risk Management analysis on malpractice claims for the Executive

Committee of the Medical Staff (ECOMS).

1.1.9.10. Independently perform statistical analysis of outstanding malpractice claims, PCEs, SEs, and MIIs.

1.1.9.11. Maintain a list of all sequestered medical records secured in the Release of

Health Information Office on all malpractice claims and PCEs. Maintain a log of all correspondence sent out by certified mail or Federal Express.

1.1.9.12. Send out final letters of notification by certified mail to all privileged and non-privileged providers with the final SOC determination.

1.1.9.13. Manage the Risk Management (RM) spreadsheet of all QOC reviews out for specialty review, pending QOC reviews to be reviewed by the RMF.

1.1.9.14. Forward all verification requests for provider information on medical malpractice claim history or adverse privilege/practice actions (clinical and administrative-HIPDB) to AFMOA/SGHQ, Chief, Risk Management Operations.

1.1.9.15. Prepare PowerPoint slides to present current RM information (Lessons Learned, claims managements status updates, etc.) for the Risk Management Function (RMF).

1.1.9.15.1. Assist with managing the audio-visual presentations from the secure drive on all QOC reviews and SIP determinations for review by the RMF.

1.1.9.16. Provide some administrative support for activities within the Risk Management

Program to include medical malpractice/litigation claim processes, PCEs, and clinical and nonclinical adverse actions.

1.1.10. TRICARE Beneficiary Counselor and Debt Collection Assistance Officer (TRICARE

Benefits Coordinator):

1.1.10.1. Perform administrative and clerical work in support of the office/organization.

1.1.10.2. Function as primary beneficiary counselor and debt collection assistance officer for the military treatment facility.

1.1.10.3. Acts as a beneficiary advocate and problem solver (via walk-in, written, telephone, and e-mail) to beneficiaries and staff requiring assistance with healthcare programs, TRICARE Plus, TRICARE for Life, and TRICARE Young Adult.

1.1.10.4 Assist beneficiaries and compile information for use in response to beneficiary issues relating to healthcare programs and claims processing.

1.1.10.5 Document all beneficiary encounters and input case work in the Assistance

Reporting Tool and other applicable computer systems.

1.1.10.6. Provide briefings (in and outside WHASC) on benefit programs such as

TRICARE, TRICARE Plus, TRICARE for Life, the direct care system, and other 59

MDW services.

1.1.10.7. Maintain marketing materials relating to TRICARE Plus/TFL/Medicare for distribution and use at briefings and special education events.

1.1.10.8. Support functions include but are not limited to: maintenance of the National

Enrollment Database provider groups, provider profiles, and enrollment capacity by beneficiary category within medical data system, provides updates (within one duty day) to Humana enrollment web-tool and resolution of patient registration issues.

1.1.10.9. Resolve patient registration issues and corrects duplicate patient and other administrative corrections regarding enrollment and/or registration.

1.1.10.10. Refer patient requiring only TRICARE Prime information to the TRICARE

Service Center for assistance.

1.1.10.11. Prepare and send out TRICARE Prime age-out letters and logs the process.

1.1.10.12. Collect and coordinate all TRICARE Plus applications for approval through the Internal Medicine Commander or authorized representative.

1.1.10.13. Forward approved patient forms to TRICARE headquarters for enrollment in the TRICARE Plus program and track to completion.

1.1.10.14. Coordinate TRICARE for Life for civilian benefits with other health insurance.

1.1.10.15. Act as a Transplant Coordinator, as prescribed by the TRICARE Regional

Office, where applicable.

1.1.10.16. When needed, act as overflow support for the Wing Patient Advocate’s Office.

1.1.11. Transcription Cut and Paste, Scanning Technician:

1.1.11.1. Copy, paste and scan all transcribed notes into the appropriate electronic media.

1.1.11.2. Research missing or misfiled documentation.

1.1.11.3. Notify providers when documentation is ready for review and signature by email, taskers or creating telephone consults.

1.1.11.4. Perform administrative and clerical duties in support of the medical staff at

WHASC.

1.1.11.5. Utilize office automation software to create, copy, edit, store, retrieve, and print forms, memos and letters.

1.1.11.5.1. Use existing database or spreadsheet software to create, enter, revise, sort or calculate, and retrieve data for reports.

1.1.13.5.2. Use graphic software to provide graphs and charts for reports and presentations in miscellaneous clerical support.

1.1.12. Orthopeadics and Otolaryngology Medical Administrative Technician:

1.1.12.1. Record in medical records a variety of physician’s orders involving patient activities.

1.1.12.2. Organize patient records to research, extract medical information, and reviews records for completeness, accuracy and consistency with medical facility requirements.

1.1.12.3. Arrange and schedule medical appointments and determines patient eligibility for service while performing clerical, office receptionist, and clinical check-in receptionist duties.

1.1.12.3.1. Perform clerical, office receptionist, clinical check-in receptionist and record keeping duties.

1.1.12.3.2. Coordinate, arrange, schedule and check in through personal contact, telephone calls and written request appointments for follow-up visits and/or new patients coming in on consultations.

1.1.12.3.2.1. Book appointments in medical data system.

1.1.12.3.3. Verify incoming patient records to determine that necessary materials are present for appointment.

1.1.12.3.4. Perform clerical and administrative duties for the clinic in accordance with procedures and guidelines relevant to the MTF.

1.1.12.3.5. Request and obtain patient charts (records) for appointments.

1.1.12.3.6. Answer routine questions on the services of the clinic and procedures for obtaining services, eligibility for care and eligibility for TRICARE.

1.1.12.3.7. Prepare all documentation to meet or exceed established standards of the MTF to include but not limited to: timeliness, legibility, accuracy, content, and signature. Responsible for the accountability of all medical records, the creating and maintaining of records.

1.2. GENERAL INFORMATION.

1.2.1. Contractor Representative. The Contractor shall identify the name and telephone number of the

Contractor’s point of contact to the Contracting Officer (CO) in writing prior to beginning performance.

The Contractor shall identify in the designation letter any limitations on its representative's authority to act on behalf of the Contractor. The Contractor shall provide an updated designation letter whenever any changes occur. The Contractor representative may be required to meet with the Government during the performance of this contract at the request of the CO.

1.2.1.1. The Contractor Representative shall respond to a request to meet with the CO within twenty-four (24) hours of notification under routine circumstances.

1.2.2. The CP shall comply with all applicable Air Force Instructions (AFI), Department of Defense (DoD)

Regulations, and Medical Wing Instructions (MDWI) as outlined in Appendix A. NOTE: Copies of referenced MDWI will be furnished to prospective contractors electronically upon their request through the

CO.

1.2.3. MTF Orientation. The CP shall attend the MTF Orientation at the outset of their working at MTF.

The MTF Orientation will familiarize the CP with the policies and procedures of the MTF and will be scheduled by the COR within two months of employment. Orientation attendance shall be required of the

CP during Government paid duty hours.

1.2.4. In-Process. The CP performing service under this Contract shall be required to in-process through the 59 th

MDW Medical Logistics Contract Personnel Office upon reporting. At this time, the CP shall initiate the process to receive Common Access Card (CAC), Base Identification Passes, Restricted Area

Badges, and keys.

1.2.5. Out-Process. Upon termination or expiration of the Contract, the CP shall be required to out-process through the same office. Upon completion of performance, termination of the Contract, or termination of performance, the CP shall out-process to turn in Common Access Card (CAC), Base Identification Passes, Restricted Area Badges, and keys.

1.2.6. Conduct Requirements.

1.2.6.1. The Government reserves the right to restrict the performance on this contract by any individual who is identified as a potential threat to the health, safety, security, general well-being, or operational mission of the MTF and its population.

1.2.6..2. The CP shall not advise, recommend, or suggest to persons eligible to receive medical care at Government expense that such person should receive care at an outside agency or provider at any place other than as designated under this contract.

1.2.6.3. The CP shall not use Government facilities or other Government property for personal or other business not related to this contract.

1.2.6.4. The CP/Contractor shall not respond to any media inquiries nor provide interviews, comments, or any other responses to the media. All inquiries or complaints from the media or other sources shall be immediately relayed to the COR.

1.2.7. Health Requirements and Immunizations.

1.2.7.1. All CP shall control and prevent disease in accordance with AFI 48-105 Surveillance

Prevention and Control of Diseases and Conditions of Public Health or Military Significance, and the American Public Health Association Publication, Control of Communicable Diseases Manual, and the Centers for Disease Control and Prevention (CDC) publication, Morbidity and Mortality

Weekly Report, Air Force Policy (as applicable) and its supplements. The Contractor/CP shall provide proof of immunization or immunity from or screening for the following diseases according to Air Force guidelines equivalent to that provided to active duty armed forces:

Hepatitis B, MMR (Measles, Mumps, and Rubella), Varicella, Tdap (Tetanus, Diphtheria, and

Pertussis), Tuberculosis (TB), HIV (CP who have direct patient care) and influenza for all personnel prior to contract performance. For the TB screening, the Contractor/CP shall provide proof of negative TB 2-step skin testing. If an individual has a past positive TB skin test, the

Contractor/CP shall provide proof of a negative chest X-ray within twelve (12) months prior to personnel performing. The Government reserves the right to require more frequent TB testing of personnel based on the facility annual TB risk assessment. Additional vaccines as they are made mandatory for health care workers may also be required in unusual circumstances. In summary, CP should have and maintain all requirements as though they were an active duty member filling the same position.

1.2.7.2. Medical Tests. The Contractor/CP shall not obtain medical tests or procedures at the

MTF, unless identified in Section three (3). The Contractor/CP shall be responsible for the cost of any emergency medical services received.

1.2.7.3. Influenza Immunization. CP shall receive the current influenza immunization, at

Contractor’s/CP’s expense, equivalent to that provided to active duty armed forces personnel unless contraindicated by allergy; as an example, to eggs as evidenced by hives, difficulty breathing, itching, and other symptoms of anaphylactic hypersensitivity, this exemption requires a

Physicians diagnosis. Proof of vaccination will be required.

1.2.8. Hazardous Materials. This PWS does not call for any hazardous material to be provided by the

Contractor or CP.

1.2.9. Reports. The Contractor shall submit reports to the COR and/or credentials office (as applicable) for use in monitoring performance. Such reports may include, but are not limited to:

Initial – Effective date of award

Quarterly – 1 st Qtr (October 1), 2 nd Qtr (January 1), 3 rd Qtr (April 1), and 4 th Qtr (July 1)

Annual – Anniversary date of award

Report Timeline

Health and Immunization requirements Initially

Personnel Changes Quarterly

Basic Life Support (BLS) As accepted by American

Heart Association (AHA)

(Heart Savers, Admin) (Providers course) or

American Red Cross Initially and upon expiration date *

Security requirements Initially

Timesheets submitted in WAWF Monthly

*Note: In accordance with Military Training Bulletin NO. 07-003 (7 Feb 07), this training will not be provide by the Government.

1.3. QUALITY CONTROL. The Contractor shall be responsible for quality control for all work accomplished during the performance of the task. The Contractor shall provide and maintain a Quality Control Plan (QCP) which ensures the requirements in this PWS are met. The QCP will be considered acceptable and approved unless the

Contractor is notified by the CO prior to award. REMOVED. As a minimum, the Contractor shall develop quality control procedures that address the areas identified in section 2, Service Delivery Summary.

1.3.1. QUALITY ASSURANCE. The government will periodically evaluate the Contractor’s performance by appointing a Contracting Officer Representative (COR)(s) to monitor performance to ensure services are received. The COR will evaluate the Contractor’s performance in accordance with the Quality Assurance

Surveillance Plan (QASP) for this requirement.

1.3.2 HOURS OF OPERATION.

1.3.2.1. Normal duty hours are from 0645 to 1545, but may on occasion start as early as 0600 and end as late as 1800. Provide documentation/ records of units worked through Wide Area Work

Flow (WAWF) as stated in MDWI AFI 41-102 Medical Expense and Performance Reporting

System (MEPRS) paragraph 1.12. All submitted invoices shall reflect actual services received only and shall be identified by specialty that utilizes the following extension codes:

Credentials Technician: F9OCMC

Forms & Publication Technician: F9MSBA

Mail Distribution Center Technician: F9MSBA

Graduated Medical Education Technician: F9MCSG

Keys/Badges Technician: F9MSLF

Muse Editor: F9MCCC

Muse Editor Travel: F9MCCC

Orthopeadic Technician: F9MCSO

Otolaryngology(ENT) Technician: F9MCSR

Procurement Technicians Acquisitions: F9MSLS

Risk Management Technician: F9OCMR

Risk Management Technician Travel F9OCMR

Tricare Benefits Counselor/Debt Collection Assistance F9MSBP

Transcription Cut/Paste/Scanning F9TRAN

1.3.2.2. The Contractor shall ensure that scheduled absences do not interrupt service performance.

Scheduled absences shall be scheduled at least thirty (30) calendar days in advance and mutually agreed upon by the COR. Unscheduled absences shall be reported to COR by the Contractor no later than two (2) hours prior to the start of shift by the Contractor.

1.3.3. HOLIDAYS OBSERVED.

1.3.3.1. Federal Holidays will be observed. They are:

Holiday Projected Date

New Year's Day January 1

Martin Luther King Jr's Birthday 3 rd

Monday in January

President’s Day 3 rd

Monday in February

Memorial Day Last Monday in May

Independence Day July 4

Labor Day 1 st Monday in September

Columbus Day 2 nd

Monday in October

Veterans' Day November 11

Thanksgiving Day 4th Thursday in November

Christmas Day December 25

Should the official holiday fall on Saturday then the observed holiday is the previous Friday.

Should the official holiday fall on Sunday then the observed holiday is the following Monday.

1.3.4. SECURITY REQUIREMENTS.

1.3.4.1. General Security Requirements. The Contractor shall follow all guidelines found in the Security

Requirements for Solicitations and Contracts clause.

1.3.4.2. Internal Operating Instructions (OI). The Contractor/CP shall abide by the MTF’s current OIs for internal circulation control, the protection of resources, and the regulated entry into Air Force controlled areas during normal, simulated, and actual emergency operations.

1.3.4.3. Reporting Requirements. The Contractor shall comply with AFI 71-101, Volume 1, Criminal

Investigations (Chapter 2, paragraph 2.7) and Volume-2, Protective Service Matters, (Paragraph 1.2).

Contractor/CP shall report to Security Forces any information or circumstances which may pose a threat to

DoD or CP, resources, or DoD information.

1.3.4.4. Removal of CP. The Government, through the CO, reserves the right to require immediate removal from contract performance on the installation or any Government facility, any individual whose actions raise reasonable suspicion that patient care or services may be compromised in any way, or that pose a threat of harm to other Contractor/Government personnel or self. Removal under other circumstances will be subsequent to, and at the direction of the CO only.

1.3.4.4.1. If a situation meriting removal occurs as outlined in the previous paragraph, the COR will contact the CO and the Contractor’s representative within twenty-four (24) hours. A meeting may be required with the CO, COR and Contractor representative to discuss further action.

1.3.4.4.2. The CO will notify the Contractor if and when permanent removal is required. In the event of a disagreement between the Government and the Contractor, the decision of the CO will be final. During the period of time between the removal and the final decision of the CO, the

Contractor agrees to provide backup/replacement CP in accordance with the terms of this contract.

1.3.4.4.3. The CP may be required to submit to drug/alcohol testing. The Government reserves the right to require temporary or permanent removal from contract performance any individual who refuses or fails testing.

1.3.4.4.4. The Contractor shall ensure that its employees conduct themselves in a professional manner while on the installation and refrain from disruptive, offensive, or otherwise improper behavior that undermines order and discipline. The contracting officer may direct the Contractor to remove from performance of this contract on this installation any CP engaging in such misconduct.

1.3.5. PERFORMANCE OF SERVICES DURING CRISIS DECLARED BY THE NATIONAL COMMAND

AUTHORITY OR OVERSEAS COMBATANT COMMANDER.

1.3.5.1. The services provided under the terms of this PWS have been determined not to be essential as outlined in the provisions of DoDI 3020.37, Continuation of Essential DoD Contractor Services During

Crises.

1.3.6. SPECIAL QUALIFICATIONS.

1.3.6.1. The CP shall have and maintain a current Basic Life Support (BLS) certification.

1.3.6.2. The CP shall have a high school diploma or General Educational Development (GED) equivalency.

1.3.6.2.1. The CP shall meet the following experience requirements:.

1.3.6.2.1.1. The Risk Management Specialist shall have a minimum of two (2) years of experience within the last forty-eight (48) months in Healthcare Risk Management.

1.3.7. RECORDS MANAGEMENT. The Contractor shall manage all data created for Government use or legally controlled by the Government, in support of the functional activity or required by AF publication, IAW with the AF records management procedures in Air Force Instruction (AFI) 33-322, Records Management Program, paragraph

10, Air Force Manual (AFMAN) 37-123,paragraph 7.4, Air Force Manual (AFMAN) 37-138, paragraph 2.13, and the Air Force Records Disposition Schedule (AF RDS) located at https://afrims.amc.af.mil/rds_series.cfm or http://www.amc.af.mil/shared/media/document/AFD-060803-003.pdf “

1.3.8. AIR FORCE ANTITERRORISM (AT) PROGRAM.

The AT program seeks to deter or limit the effects of terrorist acts against the AF by giving guidance on collecting and disseminating timely threat information, providing training to all AF members, developing comprehensive plans to deter and counter terrorist incidents, allocating funds and personnel and implementing AT measures. In accordance with AFI 10-245 paragraphs 2.18 and paragraph 2.25, DoD Contractors and sub-contracts personnel shall be offered Level 1 – AT Awareness Training. Compliance with the training will be monitored by the CORs.

1.3.9. CONTRACTOR…