Attachment_1_Neuro-Monitoring_PWS.pdf

PERFORMANCE WORK STATEMENT

FOR

Neurophysiological Monitoring Equipment and Operating Technologist Services

1. GENERAL.

1.1. This contract is for the provision of non-personal services in the form of appropriate equipment and trained operator/technologist to perform neurophysiological monitoring on patients of Mike O’Callaghan Military Medical Center (known henceforth as the military treatment facility (MTF)) which is located at 4700 Las Vegas Blvd, Nellis AFB, Nevada 89191. These services will be provided in such a manner that they comply with all standards imposed by Joint Commission and/or any other governing entity.

1.2. Description of Service. Contractor shall provide the necessary equipment, supplies, and a qualified operating technologist who will provide continuous monitoring of the patient’s nerves as they exit the spinal column during certain surgical procedures. The technologist will be responsible for transporting such equipment and supplies to and from the MTF as well as ensuring that the MTF’s BMET office is notified when the equipment is in the MTF and that appropriate equipment checks are accomplished by the MTF’s BMET section prior to each procedure. The need for these services is anticipated to be mostly by orthopedic/spinal surgeons on-site at the MTF but it is possible that other surgeons in different specialties may be scheduled to utilize these services as well.

1.3. Non-Personal Services. This requirement is for non-personal services. Personnel rendering the services are not subject, either by the contract terms or by the manner of its administration, to the supervision and control usually prevailing in relationships between the Government and its direct employees. As a non-personal service contract, contractor shall be solely responsible for any and all liability caused by the acts or omissions of its agents, employees, and/or equipment. The contractor shall not in any manner represent nor infer that it is an instrumentality or agent of the United States Government. Contractor shall recognize that the MTF commanding officer maintains administrative and operational responsibility for all activities within the MTF and may take any action necessary to preserve and maintain the integrity of the command, subject to the limitations prescribed by law and US Air Force regulations.

2. QUALIFICATIONS AND REQUIREMENTS.

2.1. Qualifications. The contractor is responsible for insuring that the contract technologist is appropriately trained to provide these contracted services and possess a minimum of one year of experience in which they were directly responsible for monitoring the exact same equipment as will be used under this contract during the consecutive twelve months where a minimum of 100 monitoring sessions were performed.

2.2. Requirements.

2.2.1. The contract technologist shall:

2.2.1.1. Be certified by ABRET- American Board of Registration of Electroencephalographic and Evoked Potential Technologists

2.2.1.2. Be a U.S. citizen and shall not have been convicted of a felony.

2.2.1.3. Be able to read, write, and speak English well enough and enunciate with sufficient clarity to effectively communicate with patients and other health care providers.

2.2.1.4. Possess sufficient initiative, interpersonal relationship skills and social sensitivity such that the operator/technologist can relate to a variety of patients from diverse backgrounds.

3. CONDUCT.

3.1. The contractor shall ensure that its contractor personnel comply with all MTF policies to include, but not limited to, those regarding personal appearance and conduct.

3.2. The Contractor shall ensure that its personnel abide by federal and local MTF regulations and requirements concerning the nature of limited privileged communication between patients and the contractor personnel as may be necessary for security and personnel reliability programs. The Contractor shall also ensure that its personnel abide by federal and local MTF regulations concerning the confidentiality of patient records, as embodied in federal statutes including the Privacy Act of 1974 and the Health Insurance Portability & Accountability Act of 1996. All regulations referenced are available for review from the COR or MTF. All medical records and reports are and will remain the property of the Government.

4. SPECIFIC TASKS/DUTIES.

4.1. Contractor shall provide a technologist and the transport of neurophysiologic monitoring equipment with all peripheral supplies to and from the facility prior to and after each scheduled procedure. Upon arrival/departure from the MTF, the contract technologist will report to the BMET office where equipment information will be documented. It is recommended that an appointment be scheduled at least 48 hours in advance with the BMET office (MSgt Pagliuca: 702-653-3579. SSgt Blea: 702-653-2460, SSgt Meraz: 702-653-2726).

4.2. Contractor personnel and equipment will then report to the MTF Medical Maintenance Branch for appropriate checks and approval of the system for use in the MTF. The contractor will provide a copy of maintenance records verifying last service has met or exceeded the original equipment manufacturer specifications each time that the system is brought into the facility for use. It is recommended that an appointment be scheduled at least 48 hours in advance with the BMET office (MSgt Pagliuca: 702-653-3579. SSgt Blea: 702-653-2460, SSgt Meraz: 702-653- 2726).

4.3. After obtaining BMET approval, contractor technologist will present themselves and the neurophysiologic monitoring equipment to the location where the surgical procedure will be performed and set up the equipment no later than 30 minutes prior to the start of the procedure. Set up will include, but is not limited to, sterilizing and preparing the system and related peripheral equipment, supplies, etc., in accordance with manufacturer’s instructions; set up and self-testing of equipment and leads; and anatomical and prep direction of pad/myotome placement on patient.

4.4. Contract technologist will actively operate and monitor the neurophysiological monitoring equipment during the entire duration of the procedure to ensure that the equipment is performing optimally and presents no danger to either the patient, the user of the system, or others within close proximity of the equipment. Any concerns will immediately be reported to the medical provider in charge of the procedure.

4.5. During the actual procedure, the contract technologist will continuously monitor the equipment, data, and the patient and will adjust equipment and controls according to the physician’s orders or established protocol.

Technologist will keep the surgeon and anesthesiologist informed of the patient’s neurophysiological status at all times during a procedure. Any unusual activity detected will immediately be reported to the surgeon and interpretation will be deferred to a Diplomat of the American Board of Neuro-monitoring as necessary via a high speed connection in the OR.

4.6. A case report will be provided after each monitoring session for inclusion into the patient file.

4.7. Contract technologist will perform all necessary cleaning of the system after the procedure is completed. It is anticipated that this cleaning and removal of the system from the facility will take no more than one hour after completion of the procedure.

4.8. Contractor personnel are responsible for all pre-/post-maintenance of the neurophysiological monitoring equipment. Contractor personnel are responsible for the decontamination/sterilization of the system as well as for performing all scheduled/unscheduled maintenance on the system in accordance with the manufacturer’s specifications. Contractor will maintain record of this maintenance for presentation to MTF’s BMET office each time that the system is brought into the facility for use.

5. HOURS OF PERFORMANCE.

5.1. As a medical center with an in-patient population, this MTF operates 24 hours per day, seven days per week. As such, contractor must be prepared to provide services at any time that the MTF identifies a need for these services including off-shifts, weekends, and holidays. It is, however, anticipated that the majority of these contracted services will be required during normal clinic hours which are commonly between the hours of 7:00 a.m. to 5:00 p.m. on Monday through Friday.

5.2. If, after contracted services are requested, an unplanned partial or full closure of the MTF due to natural disaster, military emergency, or other unforeseen event occurs, the contractor shall not invoice the Government for services not performed and the Government will not be liable to the contractor for any such closure.

5.3. Scheduling of Services. One of the designated MTF points of contact will contact the contractor’s point of contact to schedule these services at least 48 hours in advance of the scheduled surgery/procedure. Contract technologist shall be in place at the MTF and ready to provide the services a minimum of 30 minutes prior to the start of the scheduled procedure/surgery. Timing for presentation of the equipment to the MTF BMET office is the responsibility of the technologist to coordinate in such a manner as to not impede the technologist from being on time and in place for the scheduled surgery.

6. ADMINISTRATIVE.

6.1. Credentials. Contractor shall have a sufficient number of the neurophysiological monitoring equipment and qualified operating technologists so as to ensure availability of these services when required by the MTF. Contractor will provide to the Contracting Officer’s Representative (COR) in writing, the names of all technologist personnel eligible to provide these services within seven (7) days from date of contract award. Contractor is responsible for ensuring that all technologist personnel meet the minimum qualifications described in paragraph 2 above. Contractor shall, upon request of the COR, provide documented evidence that all technologist personnel meet the minimum qualifications. Provision of this information will be accomplished within 24 hours of the COR’s request. Non-compliance could result in termination of this contract for cause.

6.2. Points of Contact. Contractor will provide, in writing, the name of a primary point of contact and at least one alternate point of contact along with their contact information (minimum of phone number and email address) that the MTF is to contact in order to request these services.

6.3. Reports. The contractor shall be prepared to submit reports to the COR as requested for use in monitoring contractor’s performance. Such reports may include, but are not limited to, personnel recruitment, personnel credentials status, projected losses, etc.

6.5. Security and Training

6.5.1. Safeguarding Material. The contractor shall be responsible for safeguarding all Government property provided for contractor use. The contractor shall safeguard information of a confidential or sensitive nature. Neither the contractor nor any of its personnel shall disclose or cause to be disseminated any information concerning the operation of the MTF that could result in or increase the likelihood of the possibility of breach of security or interrupt the continuity of operations or which breach the requirements of the Federal Privacy Act of 1974.

However, the contractor may be required to provide testimony or deposition in lawsuits or other administrative, civil, or criminal proceedings.

6.5.2. Antiterrorism (AT) Level I Training. All contractor employees, to include subcontractor employees, requiring access to Air Force installations, facilities, and controlled access areas shall complete AT Level 1 awareness training within 30 calendar days after contract start date or seven days prior to the date that new contract employee starts providing services via this contract, whichever is applicable. This training is available at the following website:

http://jko.jten.mil. Contractor will turn in the certificate of completion for every technologist providing services via this contract to the COR by no later than 30 days after the contract award or, for new technologists, no later than 14 days prior to that technologist commencing the provision of these contracted services. Training will henceforth be accomplished annually prior to the anniversary date on which they previously completed this training.

6.5.3. Contractor Personnel do not require a common access card (CAC) but do require access to a DoD facility or installation. As such, contractor will insure that all Contractor Personnel (and any associated sub-contractor employees) shall comply with adjudication standards and procedures using the National Crime Information Center Interstate Identification Index (NCIC-III) and Terrorist Screening Database (TSDB).

7. CONTRACOR MANPOWER REPORTING APPLICATION (eCMRA).

The contractor shall report ALL contractor labor hours (including subcontractor labor hours) required for performance of services provided under this contract via the secure data collection site (i.e. eCMRA).

The contractor shall register in eCMRA within 30 days of contract award. The contractor is required to completely fill in all required data fields using the following web address http://www.ecmra.mil.

Reporting inputs will be for the labor executed during the period of performance during 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 above eCMRA help desk.

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.

Data for Air Force service requirements must be input at the Air Force eCMRA link. However, user manuals for government personnel and contractors are available at the eCMRA link at http://www.ecmra.mil.