MRI_PWS_13_May_16.doc

PERFORMANCE WORK STATEMENT

For

MOBILE MAGNETIC RESONANCE IMAGING SERVICES

NONPERSONAL SERVICES

13 May 2016

TABLE OF CONTENTS

Section

Title

Description of Services/General Definitions

Service Summary

Government Furnished Property

Appendices

Appendix 1 Specifications

Appendix 2 Privacy Act Notifications

Appendix 3 Applicable Publications and Forms

Appendix 4 Workload Estimate

Section 1

DESCRIPTION OF SERVICES/GENERAL INFORMATION

1.0. Objective: The Air Force Medical Service has a requirement for high quality, modern mobile magnetic resonance imaging services at the 55th Medical Group, Offutt AFB, NE. The contractor shall provide services in accordance with the terms and conditions of this contract. The services provided under this contract are nonpersonal services. The contractor shall provide all tools, labor, equipment and materials required for the health care workers who they employ to provide the services at the MTF in accordance with the terms and conditions of this contract.

1.1. Recruit. Recruiting is the process by which health care workers from outside of the Government are located, contacted and hired for specific positions. The contractor shall recruit health care workers to fulfill the duties, qualifications and requirements of the position descriptions listed in Appendix 1. The two (2) positions to be staffed by the contractor include a MRI technologist and a medical assistant to assist the technologist.

1.2. Qualify. Qualifying is the process by which the contractor screens potential applicants to ensure all health care workers possess the qualifications listed in Appendix 1, and meet any additional qualification requirements specified in the position descriptions.

1.3. Retain. The continuity of high quality health care workers is a vitally important component in maintaining quality of care to Air Force beneficiaries. The Contractor shall design and manage a retention program that ensures low turnover and customer satisfaction with performance of health care workers.

1.4. 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 contracting officer and COR upon contract award. The POC shall be available via telephone Monday - Friday, 7:30 AM until 4:30 PM, excluding Federal Holidays (defined herein as ”duty day”).

1.5. Arrange for Replacement Staff. The contractor shall arrange for coverage when MRI technicians will be unable to provide services for 1 (one) or more consecutive scheduled shifts. Replacement Staff must meet the same requirements as defined in Appendix 1 sections 1.2- 1.2.7.17.

1.6. General Definitions. The following terms shall have the meaning set forth in accordance with the terms of this PWS.

1.6.1. Commander. MTF Commander, Flight Commander or Functional Director of the activity designated for this service.

1.6.2. Contracting Officer Representative (COR). Individuals designated to perform quality assessment functions. They serve as on-site technical managers assessing contractor performance in accordance with the Quality Assurance Surveillance Plan.

1.6.3. Contractor. The offeror identified in block 30A of Standard Form 1449. The Contractor is an independent contractor and responsible for its own liability.

1.6.4. Health Care Provider. Any health care provider recruited by the Contractor, who, under regulations of a Military Department, is granted privileges in a military MTF and/or who is licensed or certified to perform the required services by a Governmental board or Agency or professional health care society or organization.

1.6.5. Medical Treatment Facility (MTF). Air Force hospitals or clinics, including all activities providing outpatient and/or in-patient healthcare services for authorized personnel.

1.6.6. Quality Assurance Surveillance Plan (QASP). A systematic program designed to provide insight into the service provider’s processes. The program focuses on existing data/systems to obtain process improvement and enhance performance.

1.6.7. Quality Control Plan (QCP). Those actions taken by a Contractor to control the quality of output and to ensure that they conform to contract requirements and reasonable standards of medical care.

1.6.8. Service Summary (SS). Prescribes how the Government plans to (1) assess contractor performance and, (2) manage the contract to obtain efficiencies, improved performance, and cost savings throughout its life cycle.

1.7. Health Requirements

1.7.1. Guidance. In accordance with AFI 48-105, all health care workers shall follow the methods for controlling and preventing disease as described in 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 (MMWR), and its supplements. Where applicable, the most recent guidelines from these publications are utilized as the standard.

1.7.2. Vaccination Requirements. Before start of work, health care workers shall provide proof of immunization from the following diseases according to CDC guidelines: Hepatitis B, measles, mumps, rubella, varicella, and influenza. The health care worker shall also provide proof of a negative TB skin test within 12 months (if positive, proof of negative chest X-ray within 12 months) prior to start of work. After start of work, the Government will provide post bloodborne exposure protocols according to applicable AFIs.

1.7.2.1. In those areas where there is a higher risk of transmission of tuberculosis, health care workers will be tested as frequently as directed by the MTF policy. This test will be provided by the MTF.

1.7.2.2. Immunization information will be tracked in DoD computer systems for all health care workers.

1.7.2.3. Health care workers must be immunized annually with the influenza vaccine. This vaccine will be provided by the Government, if available as determined by the MTF. Although this vaccine may be provided by the Government, it may be obtained at other facilities with the cost being borne by the health care worker or the Contractor. Unless vaccinated by the Government, the health care worker shall be required to show proof of the vaccination.

1.7.3. Medical Tests. No medical tests or procedures required by the contract may be performed at the MTF (with the exception of Tuberculosis testing after start of work). Expenses for all required tests and/or procedures (e.g., respirator fit testing where required) shall be borne by the health care workers at no additional expense to the Government.

1.7.4. Pregnant Employees. Health care workers should report their pregnancy to the Contractor. The Contractor will provide information concerning any work hazards in her work area inherent to gestational females. It will be the Contractor, and health care worker’s joint decision whether she continues work in the environment.

1.7.5. Grooming and Hygiene. Contractor personnel shall present a clean, neat appearance and be easily recognized as contractor employees. Contractor personnel will not be allowed to wear fake nails due to infection control guidelines.

1.8. Life Support Certification. At a minimum, all health care workers must maintain current certification in either the American Heart Association Basic Life Support (BLS) (Course C) or the American Red Cross CPR/BLS Course. In addition, Advanced Cardiac Life Support (ACLS), Pediatric Advanced Life Support (PALS) and Neonatal Resuscitation Course (NRC) certifications may be needed as required by AFI 44-102, Community Health Management, Tables 1.1 through 1.6.

1.9. Health Insurance Portability and Accountability Act (HIPAA) of 1996. All individuals performing services at an Air Force MTF are required to complete initial and annual refresher HIPAA Privacy and Security Rule training as provided by the MTF for its personnel and will be held accountable for complying with health information privacy and security policies and procedures.

1.10. Procedure Guidance. Health care workers shall perform procedures compatible with the medical facility’s operating capacity and equipment. New medical procedures/services shall not be introduced without prior recommendation to, and approval of, the MTF Commander or authorized representative.

1.11. Work Schedules. The point of contact shall provide a list by name, start date and social security number of individual personnel the Contractor shall use to provide services (information subject to the Privacy Act of 1974). This list shall be provided to the Flight Commander forty-five (45) days in advance to prepare personnel templates and schedules. The Contractor shall submit changes in writing to the Flight Commander at least fifteen (15) days in advance of the proposed change.

1.12. MTF Requirements. The Contractor shall ensure that all contract personnel participate in the MTF orientation, training, and service/clinic specific orientation to include any MTF required computer training, this must occur within 30 days of employment. The contractor shall ensure that contract HCWs are knowledgeable of the policies and procedures of their specific place of duty and of the medical activity. Training to be conducted will include, but will not be limited to, safety training, information awareness and local HIPPA training.

1.13. Hours and Location of Operation. Services are required to be operational during normal duty hours and/or between 0630 to 1530 hours Monday through Friday. Contractor shall schedule their employees to ensure appropriate staffing is available to operate the MRI service. Contract personnel should follow command public announcements for reporting to work as it relates to inclement weather or base closures. Services will not be required if the MTF is closed due to inclement weather. Patients will be rescheduled.

1.14. Federal Holidays. Contract personnel will not be required to provide service on recognized Federal Holidays. (New Years Day, Martin Luther King, JR’s Birthday, Presidents’ Day, Memorial Day, Independence Day, Labor Day, Columbus Day, Veterans Day, Thanksgiving Day, Christmas Day), to include 55th Wing and ACC down days unless deemed necessary by their respective sections or the MTF .

1.15. English Language Requirement. The health care workers(s) shall read, understand, speak, and write English fluently.

1.16. ADP III Security Requirements. Since the health care workers under this contract have access to and/or process information requiring protection under the Privacy Act of 1974, these positions are considered “ADP III” positions. Compliance with DoD Directive 8500.1, DoD Directive 5200.2, AFI 31-501 and AFI 33-202 is mandatory for ADP III positions. Therefore, a National Agency Check with Inquiries (NACI) is required for each health care worker under this contract. The Contractor shall fully adhere with the provisions of referenced publications by having each of their employees who are performing under this contract make an appointment (through the COR) with the appropriate security organization at the installation where service is provided. Each individual will be fingerprinted and required to complete the appropriate forms, usually an e-QIP, Standardized Investigative Request Form. The contractor shall advise their employees that a positive report is needed as a condition of employment under this contract. The Contractor shall apply for the NACI prior to the start of performance for each health care worker.

1.16.1. Privacy System Notices. The medical information systems identified in Appendix 2 are identified for the purposes of privacy system notices. These systems may be accessed by health care workers during contract performance.

1.17. Continuing Medical Education (CME) Requirements. Health care workers, licensed, registered or certified by national/medical associations shall continue to meet the minimum standards for CME to remain current as prescribed in AFI 41-117, Medical Service Officer Education. CME shall be obtained at no additional cost to the Government and shall be reported to the COR and MTF Credentials Committee annually on the first normal duty day in January for the previous calendar year. Periodic CME may be conducted at the MTF and will be available, at no cost, to any healthcare provider desiring to attend.

1.18. Work Roster. The contractor’s point of contact shall provide a list by name, start date, and social security # of individual personnel the Contractor shall use to provide services. This list shall be provided to the COR upon contract award and 15 days in advance for replacement personnel to prepare personnel templates and schedules which are made available 30 days out. The Contractor shall submit changes in writing to the COR at least 15 days in advance of the proposed change. The Contractor will make schedules available 15 days in advance complete with employee name and work hours.

1.19. Criminal History Background Check. The contractor will conduct criminal background checks on all health care workers involved in the delivery of healthcare to children, under the age of 18 on a frequent and regular basis, as stated in DODI 1402.5, Enclosure 5. The Contractor is responsible for ensuring the completed SF 86 (Security Clearance Application) is submitted for non-privileged health care workers prior to providing services at the MTF. The contractor shall ensure that the health care worker follows local MTF policy to provide fingerprints on a properly completed SF87 (FBI US Department of Justice Fingerprint Card). The procedures for completing the required background check are outlined in the Department of Defense Instruction (DODI) 1402.5.

1.19.1. Criminal History Background checks: The name and address of the MTF Security Manager or the COR shall be included in the request as the recipient of the results in accordance with MTF procedures.

1.19.2. If the health care worker has previously received a background check, proof of the check shall be provided or a new one obtained. A new investigation is required if a break in service to the Department of Defense results in a time lapse of more than 2 years. Re-verification shall be accomplished every 5 years.

1.19.3. Payment of fees incurred in the conduct of any criminal history background check is the responsibility of the Contractor.

1.20. Confidentiality of Information. Unless otherwise specified, all financial, statistical, personnel, and/or technical data which is furnished, produced or otherwise available to the contractor or health care worker during the performance of this contract are considered Government confidential business information and shall not be used for purposes other than performance of work under this contract. The contractor and/or the health care worker shall not release any of the above information without prior written consent of the Contracting Officer. All medical records and reports remain the property of the Government.

1.20.1. Patient lists, no matter how developed, shall be treated as confidential information in accordance with the Privacy Act and the Health Insurance Portability and Accountability Act (HIPAA). Lists and/or names of patients shall not be disclosed to or revealed in any way for any use outside the MTF, except through MTF-specified processes.

1.21. Medical Liability Insurance. The Contractor shall provide and maintain adequate liability coverage consistent with the risks associated with the performance of all services required by this PWS. A certificate of insurance evidencing the required coverage shall be provided to the Contracting Officer prior to the commencement of services under this contract. If this is a task order issued under the Federal Supply System (FSS), the contractor does not have to provide the certificate if they have already provided a copy to the Veteran’s Administration FSS Contracting Officer, or the General Services Administration (GSA) Contracting Officer.

1.22 IMPLEMENTATION OF NDAA SECTION 8108, CONTRACTOR INVENTORY

**NOTE** The below Section 8108 is only applicable for service acquisitions valued greater than or equal to the Simplified Acquisition Threshold (SAT), acquired with appropriated funds, and where the Department of Defense is the requiring activity. This includes supply contracts with embedded service elements, Architect and Engineering (A&E), and Research and Development (R&D).

FY11 NDAA Section 8108, Contractor Inventory

“The contractor shall report ALL contractor labor hours (including subcontractor labor hours) required for performance of services provided under this contract to include all task orders for the designated period 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 CMRA help desk.”

*Reporting Period: Contractors are required to input data by 31 October of each year, beginning with 2013.

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.

Applicability: The reporting requirement applies to all contracted services, provided the organization that is receiving or benefiting from the contracted services is a Department of Defense organization, including reimbursable appropriated funding sources from non-DoD executive agencies where the Defense Component requiring activity is executive agent for the function performed. The reporting requirement does not apply to situations where a Defense Component is merely a contracting agent for another executive agency. In general, the only contracted services excluded from reporting are construction and utilities

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.

SECTION 2

SERVICE SUMMARY

1. Ensures all equipment is properly cleaned and stored at the end of each work shift. Ensures preventive maintenance and routine cleaning are performed as required. Ensures medication/supplies are replenished.

1.2.7.8.

5. Provide all maintenance and repairs of MRI equipment.

SECTION 3

GOVERNMENT/CONTRACTOR FURNISHED EQUIPMENT

3.0. The Government will provide the following equipment, supplies, and services listed below:

3.0.1. Personal Protective Equipment (PPE). The Government will furnish the health care workers with appropriate PPE. The Government will be responsible for any repair, cleaning, and inventory required for the PPE. This does not include any type of uniform, laboratory coat, or respirator devices.

3.0.2. Supplies. The MTF will provide medical and non-medical supplies commonly used in the facility for the care and management of patients. Commonly used supplies are those routinely stocked by the MTF.

3.0.3. Computer Equipment. The MTF will provide computer equipment required to schedule, check in, document, order ancillary services, and maintain appropriate electronic medical information that support the hard copy medical record. The MTF will provide required training for these systems. The health care workers will be required to use the computer systems that are standard for the support of health care delivery at the MTF.

3.0.4. Identification Badges. IAW 55th Medical Group Instruction 36-102, the wear of a government provided photo identification badge is required by all contract personnel.

3.0.5. Telephone Lines. The MTF will provide the necessary lines to connect the MRI unit with the MTF.

3.0.6. Electrical. The MTF will provide the necessary power to run the MRI unit

3.1. Contractor Furnished Items. Except for those items or services specifically stated in Section 3 to be Government furnished, the Contractor shall furnish everything required to perform this contract in accordance with all of its terms.

3.1.1. Equipment and Technical Capabilities. The contractor will provide a mobile MRI unit IAW the specifications in Appendix 1. The unit must be kept clean and orderly.

3.1.2. Back-up System. The contractor shall provide a replacement system whenever the primary unit will be unavailable for longer than two (2) duty days. The replacement system must be of equal or better specifications than those listed in Appendix 1.

3.1.3. Communication Equipment. Contractor shall ensure communication equipment is in the MRI unit and necessary instructions are made available to the MTF. Communication equipment will be able to accurately reproduce patient work lists through the Hospital Information System /Radiology Information System (HIS/RIS).

SECTION 4

APPENDIX 1 – SPECIFICATIONS

MOBILE MAGNETIC RESONANCE IMAGING (mri) UNIT, MRI TECHNOLOGIST, AND Medical Assistant

1.0. MRI REQUIRED EQUIPMENT SPECIFICATIONS.

Field Strength:

1.5 Tesla

RF Receiving Capability:

Must be able to receive/process 16 or more RF channels for Multi-Channel imaging with appropriate software Gradient Subsystem:

Strength: at least 33 mT/m

Ramp rate (slew):

at least 120 T/M/s

Variable FOV from 2 cm to 48 cm Wide patient opening – at least 60 cm DICOM 3.0 compatible

Couch patient weight tolerance:

up to 350 lbs

MRI unit must be capable of performing a comprehensive set of imaging pulse sequences to include ability to perform EPI (Echo Planar Imaging) and advanced brain and full body MRA (Magnetic Resonance Angiography) protocols, including, but not limited to, all of the following sequences:

Fluoro-triggered MRA 2D Fiesta

2D FatSat Fiesta

3D Fiesta

3D FatSat Fiesta

FT MRA

3D Dual Echo

Lava XV Spin Echo

Fast Spin Echo (or Turbo Spin Echo)

2D and 3D volume acquisitions 2D and 3D Time of Flight Angiography (TOF) IR - Inversion Recovery

STIR - Short Tau Inversion Recovery

FLAIR

TOF – Time of Flight, 2D and 3D

DWI – Diffusion weighted imaging

EPI – single and multi-shot Echo Planar Imaging

SSFSE – Single Shot fast spin echo

Phase contrast

Phase contrast angiography, 2D and volume phase contrast techniques

2D/3D Fast Gradient Echo

CINE

T1 and T2 breath hold

SSFSE MRCP

The MRI unit must be capable of Cardiac and Respiratory Gating to provide gating triggers for scan synchronization.

MRI surface coils to be included in the MRI unit for usage shall contain multiple elements/channels if available in that coil type for use with the 16 or more channel MRI scanner. The coils to be included, but are not limited to, are the following (or more technologically advanced/equivalent coils):

Phased array Cervical/Thoracic/Lumbar coil

Phased array volume neck coil

Phased array torso/body coil (flexible)

Phased array shoulder coil Phased array lower extremity coil (with chimney)

Phased array dedicated wrist/hand coil

General purpose phased array extremity coil (flexible)

Body coil (flexible) – large phased array flexible coil for use in abdomen/pelvis/thorax/renal arteries imaging.

Neurovascular phased array coil Phased array head coil Breast coil The MRI must have the ability to burn patient exams in a compatible format to a CD-ROM for transfer to the Picture Archiving and Communication System (PACS) in the event of network failure. If the scanner is unable to do this, a dry laser camera will be located within the mobile MRI unit for purpose of printing MRI images to film. The MTF will keep necessary film on hand and provide to MRI if needed.

1.1. Contractor is responsible for all maintenance and repairs of equipment as required by the manufacturer and will reimburse the Government for any damage to Government facilities due to failure to properly maintain equipment. The contractor shall provide evidence of required preventative maintenance, repairs, and calibrations of equipment to the Contracting Officer (CO). The CO can require proof of the above at any time throughout the life of the contract.

1.2. MAGNETIC RESONANCE IMAGING TECHNOLOGIST REQUIREMENTS:

1.2.1. Certification. The MRI technician shall have a minimum of a high school diploma with additional training in biology and physics specializing in radiology and magnetic resonance imaging and shall be certified by the American Registry of Radiological Technician (ARRT). The contractor/employee is responsible for maintaining/renewing all licensure and certifications.

1.2.1.1. Experience. The contract personnel must have a minimum of three (3) years of MRI experience within the last six (6) years.

1.2.2. Initial Applications. Initial applications must include completed copies of the below listed documents and shall be submitted to the CO within 30 calendar days from receipt of notice of contract award. The Contractor is required to complete primary source verification of MRI technicians.

a. Copy of valid, current, ARRT certification.

b. Personnel education and training.

c. Current Basic Life Support (BLS) certification.

d. A signed consent for release of information.

e. A copy of the proposed contract personnel’s professional resume, accompanied by that individual’s sworn affidavit of the truthfulness of same, indicating experience, training, and technical expertise in the type of care to be rendered.

f. Certification of current physical examination for each employee. The certification shall contain a signed statement by the examining physician stating that the employee is free of any contagious diseases. Physical examination must be current and within the 12 months prior to the application for privileges.

1.2.2.1. Applications for privileges will be screened through the National Practitioners Data Bank.

1.2.2.2. Professional staff appointments and clinical privilege actions will be based on review of documents listed in paragraph 1.2.2, in accordance with AFI 44-119. Reappointment shall occur not less than every two years, in accordance with AFI 44-119.

1.2.3. Replacement Staff. Applications for replacement contract personnel shall be submitted to the CO where services are to be provided not later than 30 calendar days prior to the personnel assuming duty. The credentials requirements are the same as those identified for the primary personnel in para 1.2.2.

1.2.4. Privileging. The Contractor is required to begin full performance of the contract requirements by the commencement date of the contract. It is absolutely critical that privileges be granted to a sufficient number of contract personnel to meet the contract requirements by the commencement date.

1.2.4.1. The Contractor must submit only complete applications for processing. Incomplete applications (those that do not fully comply with the requirements) will not be accepted by the Government and will be returned without action.

1.2.4.2. The Contractor must take specific action, including Primary Source Verification, to ensure that contract personnel applications have the required prerequisites and do not have disqualifying impediments for the MTF. This is a non-delegable responsibility of the Contractor.

1.2.4.3. The Contractor will submit applications for only those contract personnel who can reasonably be anticipated to render the actual, substantial performance on the contract. The submission of primary contract personnel for credentialing who lack the requisite qualifications, or who will not work at all, is unacceptable and will be considered a failure to perform.

1.2.5 SPECIFIC TASKS. The specific tasks include, but are not limited to:

1.2.5.1. Prepare each patient for the scan, i.e., gowning, scanning for metals, etc. If sedation is needed, it will be on a conscious sedation level only. The MTF will be responsible for providing the sedation orders and dosage, instructions for pre and post sedation and recovery and the sedation drug. The contractors’ employee is responsible for the safety of each patient while in their care, throughout the exam.

1.2.5.2. Maintain the radiologist’s requested protocols; make proper adjustment and changes to the exams in order to assure the highest quality images possible.

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

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

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

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

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

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

1.2.5.9. Ensures all equipment is properly cleaned and stored at the end of each work shift. Ensures preventive maintenance and routine cleaning are performed as required. Ensures medication/supplies are replenished.

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

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

1.2.5.12. Ensures a safe work environment, employee safe work habits and patient safety IAW OSHA regulations.

1.2.5.13. Comply with MTF infection control and safety procedures, practices, and standards. These are outlined in Medical Group Instructions available on the MTF shared network drive.

1.2.5.14. Meet or exceed all applicable Joint Commission standards during the performance of this contract. Participate in one annual Disaster Team Exercise with Ehrling Berquist Clinic.

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

1.2.5.16. Contract personnel will assist in patient scheduling. Complete administrative control of the patient shall remain with the Government.

1.2.5.17. All contract personnel shall prepare all documentation to meet or exceed established standards in Medical Group Instruction 11-01, Medical Records Management, to include but not limited to: timeliness, legibility, accuracy, content and signature. Only MTF and Air Force approved abbreviations may be used to document care in the health care record. Reference Medical Group Instruction 41-30, Approved Abbreviations. Medical Group Instructions are available on the MTF shared network drive. Contract personnel shall ensure complete patient identifying information is on all documentation that is to become part of the health care record.

1.3. MEDICAL ASSISTANT REQUIREMENTS/DESCRIPTION:

1.3.1. Certification: All medical assistants shall be certified or registered.

1.3.2. Medical assistants shall meet all health, administrative and training requirements required by the MTF for employment as discussed above.

1.3.3 SPECIFIC TASKS: The medical assistant shall assist the MRI technologist in all aspects of performing the MRI studies including, but not limited to, assisting the MRI technologist with the studies and equipment, assisting the MRI patients as needed, assisting in the monitoring of the patients (to include providing support and help if a contrast reaction or other emergency occurs), assisting with the administrative tasks involved with escorting patients to and from the radiology department to the MRI scanner.

APPENDIX 2: PRIVACY ACT NOTIFICATIONS

System Identifier

PREAMBLE

APPENDIX 3 - APPLICABLE PUBLICATIONS

1.1. Publications applicable to the PWS are listed below. The Contractor is obligated to follow these publications. These publications are available online and are maintained by the Government. Supplements or amendments to listed publications may be issued during the life of the contract. Changes will not be allotted until the CO is notified. Prior to implementing any change the Contractor shall submit to the CO a price proposal. The CO and the Contractor shall negotiate the change into the contract under the provisions of the contract clause entitled "Changes".

1.1.1. Publications and forms are also available electronically through the internet. For example, http://www.e-publishing.af.mil/ is the Air Force’s e-Publishing site and one way to obtain Air Force Instructions. DoD Directives can be found at http://www.dtic.mil/whs/directives/. Regulations are followed by a “-R” (e.g., DoD 6025.18-R) and can be located on the website by clicking on “Publications” instead of “Directives.”

PUB NO.

TITLE

DATE

CHANGES

DEPARTMENT OF DEFENSE (DoD) REGULATIONS/MANUALS

INSTRUCTIONS/DIRECTIVES

DoDD 5200.2 DoD Personnel Security Program

4/9/1999

DoDD 5400.11 DoD Privacy Program

5/14/2007 Ch.1, 9/1/2011 DoDD 5500.7 DoD Standards of Conduct

11/29/2007 DoD 6025.18-R Health Information Privacy Regulation

1/24/2003

DoDD 8570.01 Information Assurance, Training, Certification, and Workforce Management

8/15/2004

DoDI 1402.5 Criminal History Background Checks on

Individuals in Child Care Services

1/19/1993

AIR FORCE INSTRUCTIONS/MANUALS

AFI 31-501 Personal Security Program Management

1/27/2005 AFI 33-129 Web Management and Internet Use

2/3/2005 AFI 33-200 Network and Computer Security

10/15/2010 AFI 33-322 Records Management Program

6/4/2012 AFI 40-102 Tobacco Use in the USAF

3/26/2012 AFI 41-117 Medical Service Officer Education

10/19/2011

AFI 44-102 Medical Care Management

1/20/2012 AFI 44-119 Medical Quality Operations

8/16/2011 AFI 48-105 Surveillance, Prevention, and Control of Diseases 7/15/2014 and Conditions of Public Health or Military Significance

AFI 48-123 Medical Examinations and Standards

11/5/2013

OTHER REFERENCES

Medical Group Instruction 11-01, Medical Records Management Medical Group Instruction 41-30, Approved Abbreviations

HIPAA

http://www.tricare.mil/tma/privacy/hipaa.aspx Nebraska Health & Human Services System/Statues, Rules and Regulations http://dhhs.ne.gov/Pages/reg_regs.aspx

JCAHO SAC

http://www.jcrinc.com

FORMS

As applicable IAW governing regulations.

APPENDIX 4-WORKLOAD ESTIMATE

1.0. Daily expected workload is approximately, but not limited to 12 patients with a minimum of 10 patients.