18R5035_-_Attach_2_PWS.pdf

FA4890-18-R-5035 PWS

Headquarters Air Combat Command (HQ ACC)

Operations Directorate (ACC/A3)

Performance Work Statement (PWS) for

Combat Air Forces (CAF)

Optimizing the Human Weapon System (OHWS) Services

FA4890-18-R-5035

19 December 2018

Table of Contents

Paragraph Title Page

1.0 Description of Services 3

2.0 Objective 4

3.0 Reference 4

4.0 Task Requirements 4

4.2 Task—Physical Therapist 5

4.3 Task—Athletic Trainer 7

4.4 Task— Certified Strength and Conditioning Specialist 8

4.5 Task—Message Therapist 10

4.6 Task—Chiropractor 11

5.0 CDRL and Other Deliverables 12

6.0 Government Furnished Property 15

7.0 Data 15

8.0 Other Direct Costs 15

9.0 Security 15

10.0 Transition 19

11.0 Administration Considerations 19

12.0 COR Designation 21

13.0 Environmental Safety and Health 21

14.0 Human Resource Management 22

Attachment A Services Summary 23

Attachment B Level of Effort Requirements 24

Attachment C CDRL and Deliverables 27

Attachment D Acronyms 28

Attachment E Additional References 30

Attachment F Personal Services Option 31

1.0 DESCRIPTION OF SERVICES.

1.1 Introduction/Background. This Task Order is a new requirement which supports Combat Air Forces

(CAF) fighter squadrons at locations in Air Combat Command (ACC), Pacific Air Forces (PACAF), and United

States Air Forces Europe (USAFE). The Chief of Staff of the Air Force, noting a shortage of fighter aircrew due to suboptimal retention, directed a task force to look into the reasons behind the premature departure of fighter aircrew.

One of the retention issues noted by fighter aircrew is pain and disability from neck and back issues resulting from the extremely challenging physical demands of flight in Air Force fighters. Surveys indicate up to 85% of fighter aircrew have some type of spine discomfort during their career. This includes issues in the neck, upper back, and lower back (cervical, thoracic, and lumbar spine. The OHWS program is intended to address this pressing concern and better prepare fighter aircrew to meet the unique physical needs of fighter operations.

Previous efforts in some fighter units have demonstrated success in decreasing pain and disability while improving performance of fighter crew through a comprehensive program to prepare aircrew for the extremely challenging demands of fighter maneuvering. This OHWS program is intended to reproduce this success on a system-wide basis and is described as prehabilitation. Prehabilitation involves prevention of disability and pain experienced as a result of fighter operations through a program specifically designed to train and otherwise prepare aircrew for the rigorous demands of fighters. This program will target specific neck and back strength and conditioning training which will best prepare the aircrew. In addition, overall conditioning and health education, designed to bring aircrew to the peak of fitness, will further decrease the incidence and severity of neck and back problems. Further, through a program of data collection, to include objective and subjective information the program will evolve as needed to ensure all efforts at improving the quality of life for aircrew are flexible and continue to be optimized.

1.2 Scope. The mission is accomplished by increasing the physical capacity of fighter aircrew, decreasing the rate of injuries, and accelerating return to duty. Contractor personnel will work with individuals to optimize physical performance while monitoring, analyzing, and resolving physical readiness concerns.

1.2.1 Place and Performance of Services. The contractor shall provide services between the hours set forth by the host unit. On scheduled weeks involving late take-off/land times for aircrew (e.g. “night flying”), the standard times will fluctuate based on the schedule of the population served, but will not be in excess of a 9-hour day. Other non-standard hours may include recognized US holidays, or when the Government facility/installation is closed due to local or national emergencies, administrative closings, or similar Government-directed facility/installation closings. The Unit will provide at least two weeks’ notice when there will be a change to the standard operating hours. Performance shall be at the squadron building and/or designated facilities on the base. The contractor shall at all times maintain an adequate work force for the uninterrupted performance of all tasks defined within this PWS when the Government facility/installation is not closed for the above reasons. When hiring personnel, the contractor shall keep in mind that the stability and continuity of the work force are essential. Licensed contracted personnel will accommodate a ratio of one OHWS professional per 30 aircrew (1:30 ratio) with the positioning of contract staff as directed in this document and as per the OHWS Program Manager.

This is a non-personal services contract. The Government shall neither supervise contractor employees nor control the method by which the contractor performs the required tasks. The contractor shall manage its employees and guard against any actions that are of the nature of personal services, or give the perception of personal services. The contractor shall notify the Contracting Officer (CO) immediately if they perceive any actions that constitute personal services. These services shall not be used to perform any Inherently Governmental Functions.

1.2.2 Full Time Equivalents (FTEs). The Contractor shall provide qualified FTEs to support the tasks in this

PWS. The number and type of FTEs for each location, as well as their required performance start dates, are referenced in Attachment B of this PWS. Optional FTEs may be exercised, at any time during contract performance and in any quantity, at the Government’s discretion.

1.2.3 Period of Performance. The Period of Performance shall be one Base Year of 12 months and four 12-month option periods, with one option period of 6 months as defined in FAR 52.217-8.

1.2.4 Licensure and Credentialing. For all tasks under this PWS which require licensure and credentials for the position, the Contractor shall provide the COR and MTF an electronic copy of all license and credentialing documents for each employee with all primary sources verification (PSV) having been completed by the contractor.

PSV is the responsibility of the Contractor and must be complete before the Contract employee begins services under the contract.

1.2.5 The Contractor, at no cost to the Government, shall ensure that Contractor personnel complete any mandatory annual training requirements required as part of licensure or credentialing renewal.

2.0 OBJECTIVE. The purpose of the OHWS program is to reduce the frequency and severity of neck and back pain injuries, reduce duty time lost, improve quality of life, enhance readiness, and support fighter aircrew retention. The contract services must, at a minimum, deliver the services identified in Section 4.0 of this PWS and use available facilities so personnel will have convenient access to the Contract specialists. The Contractor goal is to reduce injury rates and to increase the rate of fighter aircrew fully mission capable status.

3.0 REFERENCE. N/A.

4.0 TASK REQUIREMENTS. Services provided by the Contractor have the primary purpose of preventing the incidence and severity of neck and back pain. The services begin with an assessment of each aircrew member to assess current level of conditioning with regards to neck and back strength. Then the Contractor shall devise a program individualized for the aircrew member to increase conditioning to prevent neck and back pain. This assessment, training, and conditioning to prevent neck and back pain is referred to as pre-habilitation. Also, the

Contractor shall educate each aircrew member on injury prevention and assist in injury recovery through a modified program based on the assessment of the injury and through working with privileged providers who will oversee any program for injured aircrew. Ongoing assessment will be provided with formal assessments quarterly and as needed with remedial training as needed. The Contractor shall provide the functional support required to fulfill this PWS as described in the following tasks. The Period of Performance (PoP) is detailed in Paragraph 11. The level of effort required is detailed in Attachment B. The government reserves the unilateral right to exercise optional FTEs, as needed, in any given quantity, at any time during the performance period. The Contractor shall identify a single point of contact (POC) who has full authority to act for the Contractor on all matters relating to daily operations of the contract; has full authority to remove/replace personnel at the request of the CO at ACC AMIC; ensure completion of all in-processing and indoctrination actions for all newly-hired personnel; ensure all personnel receive and maintain documentation of their duties and responsibilities and orientation in these duties and responsibilities prior to performance start. This Contractor POC will communicate directly with the CO/COR on matters pertaining to the execution of this PWS.

4.1 The Contractor shall develop and provide a strength and conditioning program for neck and back as well as an overall fitness program (NBFP). The NBFP will enhance human performance and resistance to injury through a tailored program of strength and conditioning and overall fitness designed for the members being served with the goal of preventing neck and back pain. The NBFP will specifically target neck and back injury but will also strive to assist the member toward overall health and fitness. The NBFP will include physical training and conditioning utilizing all available assets for fighter aircrew.

4.1.1 The Contractor shall collect, analyze, resolve, disseminate, and archive information resulting from products created under this support and provide to the Government. This support is as follows:

4.1.2 Collect. The Contractor shall execute and collect information through direct observations, interviews, surveys, and strength and conditioning testing for individuals in the unit. The Contractor shall then perform the initial analysis of the collected data and provide direct feedback to the COR and OHWS PM. This requires strength and conditioning testing, evaluating, identifying physical performance trends, and providing feedback for physical performance improvement, injury avoidance, and injury recovery. Other data will be required as the program evolves, such data may include injury rates, duration of recovery period, impact of neck and back pain on flying operations, and other data as needs are realized.

4.1.3 Analyze. The Contractor shall analyze collected information and research current professional references in order to facilitate in-depth analyses to determine trends, determine additional materiel or support requirements, determine future performance concerns, and other information observations as appropriate. Data collection and analyses shall be conducted on an ongoing basis with quarterly reporting to the COR, OHWS PM, and other reporting as requested. Analysis and reporting will be performed during the training cycle and during pre and post deployment training evolutions. Where applicable, the results of these analyses should identify and prioritize physical training and rehabilitation gaps across the unit with recommendations so that the final product will be able to be disseminated to the correct audience for resolution in accordance with the Government’s guidance. This includes providing any recommended performance training guidance necessary to enhance the operators’ capabilities.

4.1.4 Resolve. The Contractor shall recommend corrective actions and report findings characterized as issues or deficiencies that negatively impact the unit’s performance, readiness, training or procedures to the unit commander in weekly or quarterly report as requested. The report will include recommendations on future mitigation techniques and preventative measures for each deficiency.

4.1.5 Disseminate. The Contractor shall release findings based on approved recommendations in the form of reports, summaries, publications, entries into systems of record. The Contractor shall prepare a weekly report to be included in the staff meeting highlighting the status and progress of the unit; the specific content of the report can be tailored at the site COR’s request. Additionally, findings will be packaged to be incorporated into training, exercises, and operational planning.

4.1.6 Archive. All work products, whether electronic, hard copy, or notes, including any information, reports, and products, are the property of the Government. All equipment that is Government furnished will be accounted for using Government procedures.

4.2 Task: Physical Therapist (PT). PTs must possess and maintain an active, current, and unrestricted license from a US jurisdiction. PTs provide pre-habilitation of musculoskeletal conditions in fighter aircrew. As such, the

Contractor shall evaluate and provide pre-habilitative assessment and maintenance to fighter aircrew personnel. Pre-habilitation is intended to strengthen the core musculoskeletal system to enhance resistance to neck and back injury.

Also, overall musculoskeletal strengthening and healthy lifestyle education is addressed as part of an overall health maintenance program to enhance injury resistance. Such overall strength and conditioning, focusing on neck and back, will improve the overall quality of life for fighter aircrew.

4.2.1 Subtasks. The Contractor shall:

4.2.1.1 Initial Evaluation: Evaluate and provide pre-habilitation for all assigned fighter aircrew. Fully communicate with medical provider in the MTF (when appropriate). Perform initial evaluation, design individual training program, and establish records for all fighter aircrew personnel within 90 days of contract start. Follow-up appointments will be based on need, pre-habilitation plans, and any potential coordination with members’ healthcare team.

4.2.1.2 Develop Individualized Program (IP) for each member served: The PT, working with any other team members, to include strength and conditioning coach, athletic trainer, or members of the local MTF medical team when appropriate, will develop an IP for each assigned aircrew member. The goals of this IP are to increase neck and back conditioning and overall health to minimize the risk of neck and back injury and to minimize the severity of any injury experienced by the member.

4.2.1.3 Program Implementation Phase: After an IP has been developed the PT, as part of the OHWS team, will guide ongoing implementation of the IP. The OHWS team will encourage regular participation of the member working on the IP. The OHWS team will monitor progress and continually reassess and adjust the IP to ensure the member is making the best progress possible.

4.2.1.4 Advise unit commanders on matters related to injury prevention and rehabilitation. Identify opportunities for improvement. Develop protocols and standard operating procedures (SOP) for fitness programs.

4.2.1.5 Advise unit commanders of administrative matters, purchasing of supplies and equipment, and supplemental fiscal requests related to interventions and professional services provided.

4.2.1.6 Conduct equipment, product, and literature reviews to ensure that the OHWS program continues to improve as our understanding of injury prevention evolves.

4.2.1.7 Communicate with the servicing MTF when an aircrew member has a medical condition or injury requiring medical care.

4.2.1.8 Refer fighter aircrew personnel with a new duty-limiting condition to the servicing MTF.

4.2.1.9 Ensure safe and effective operation of equipment and contribute to a safe working environment.

4.2.2 Attend annual required training IAW guiding instructions. Unit leadership will allow for attendance at necessary conferences or courses to complete continuing education units required to maintain certification.

4.2.2.1 Provide Human Performance and Pre-habilitative trending metrics report to include: musculoskeletal pain, duration of pain, origin of pain, types of pain, conditions which may require surgery, and trends of musculoskeletal pain over periods of time. Metrics will also capture lost duty time due to aeromedical disposition of DNIF as well as personnel removed from training status/duties (i.e. # days out of training), aircrew perceptions of neck and back pain, aircrew perceptions of overall effectiveness of the OHWS program, duty and deployment limiting profiles, flying waiver information related to neck and back pain, and Medical Evaluation Board (MEB) information related to neck and back pain. Human Performance metrics shall also be gathered to assess fighter aircrew compliance with the OHWS program. Relevant factors for the human performance metrics will include low back and neck strength and range of motion. Other metrics may be requested as the program matures and new information is available to guide new measures to improve aircrew performance and to improve the OHWS program.

4.2.3 Knowledge, Skills, and Abilities (KSAs).

4.2.3.1 Physical Therapists will hold a doctorate degree from an American Physical Therapy Association (APTA) accredited institution specifically for Physical Therapy. No other degree will be accepted for this position. Possess certification through the American Board of Physical Therapy Specialties (ABPTS) as either an orthopedic clinical specialist (OCS) or sports certified specialist (SCS), or certification through the National Athletic Trainers

Association (NATA) as a certified athletic trainer is required.

4.2.3.2 The Physical Therapist must have experience working with professional and/or collegiate athletes, or equivalent. A minimum of four (4) years’ experience is desired. The Physical Therapist must have experience working in an orthopedic out-patient physical therapy clinic or sports medicine clinic.

4.2.3.3 Possess oral and written communication skills in order to meaningfully interact with peers, outside agencies, vendors, providers, and Military Health System (MHS) stakeholders to exchange information, provide briefings and presentations, participate in research, and develop metrics to advance effective and efficient aircrew neck and back pain prevention.

4.2.3.4 Skill in effective team dynamics in order to facilitate the exchange of information/education, enhance goal achievement, and identify change in system or policy at any level.

4.2.3.5 Knowledge of local, state, federal laws, Air Force guidance, DoD guidance, and professional code of ethics and practice standards in order to ensure adherence within legal and professional parameters.

4.2.3.6 Knowledge and skill in using quality and risk management programs to identify issues to improve practice and ensure compliance.

4.2.3.7 Skill in use of research tools in order to critically evaluate existing practices, opportunities, and outcomes.

4.2.3.8 Knowledge of computers and software applications in order to conduct data collection, tracking, trending, and analysis.

4.2.3.9 Ability to design and present computer-generated outcome analysis information in order to provide timely, effective peer and higher level educational programs or project briefings.

4.2.3.10 Possess current certification in basic Cardiopulmonary Resuscitation (CPR) to include Automated External

Defibrillator (AED) training.

4.3 Task: Athletic Trainer (AT). The AT provides performance enhancement (pre-habilitation), tailored strength and conditioning, preventive maintenance, and referrals to the MTF if needed. The Contractor shall evaluate and provide pre-habilitative services to individual fighter aircrew. Pre-habilitation is intended to strengthen the core musculoskeletal (MSK) system to enhance resistance to neck and back injury. Also, overall MSK strengthening and healthy lifestyle education is addressed as part of an overall health maintenance program to enhance injury resistance. Such overall strength and conditioning, focusing on neck and back, will improve the overall quality of life for fighter aircrew.

4.3.1 Subtasks. The Contractor shall:

4.3.1.1 Initial Evaluation: Evaluate and provide pre-habilitation for all assigned fighter aircrew. Fully communicate with medical provider in the MTF (when appropriate). Perform initial evaluation, design individual training program, and establish records for all fighter aircrew personnel within 90 days of contract start. Follow-up appointments will be based on need, pre-habilitation plans, and any potential coordination with members’ healthcare

4.3.1.2 Develop Individualized Program (IP) for each member served: The AT, working with other team members will develop an IP for each member being trained. The goals of this IP are to increase physical conditioning and overall health to minimize the risk of neck and back injury and to minimize the severity of any injury experienced by the member.

4.3.1.3 Program Implementation Phase: After an IP has been developed the AT, as part of the OHWS Team, will guide ongoing implementation of the IP. The OHWS team will encourage regular participation of the member. The

OHWS team will monitor progress and continually reassess and adjust the IP to ensure the member is making the best progress possible

4.3.1.4 Advise unit commanders on matters related to injury prevention. Identify opportunities for improvement.

Develop protocols and standard operating procedures (SOP) for fitness programs.

4.3.1.5 Advise unit commanders of administrative matters, purchasing of supplies and equipment, and

4.3.1.6 Conduct equipment, product, and literature reviews to ensure that the OHWS program continues to

4.3.1.7 Communicate with the servicing MTF when an aircrew member has a medical condition or injury requiring medical care.

4.3.1.8 Refer fighter aircrew personnel with a new duty-limiting condition to the servicing MTF.

4.3.1.9 Ensure safe and effective operation of equipment and contribute to a safe working environment.

4.3.1.10 Attend annual required training IAW guiding instructions. Unit leadership will allow for attendance at necessary conferences or courses to complete continuing education units required to maintain certification.

4.3.1.11 Provide Human Performance and Pre-habilitative trending metrics report to include: musculoskeletal pain, duration of pain, origin of pain, types of pain, conditions which may require surgery, and trends of musculoskeletal pain over periods of time. Metrics will also capture lost duty time due to aeromedical disposition of DNIF as well as personnel removed from training status/duties (i.e. # days out of training), aircrew perceptions of neck and back pain, aircrew perceptions of overall effectiveness of the OHWS program, duty and deployment limiting profiles, flying waiver information related to neck and back pain, and Medical Evaluation Board (MEB) information related to neck and back pain. Human Performance metrics shall also be gathered to assess fighter aircrew compliance with the OHWS program. Relevant factors for the human performance metrics will include low back and neck strength and range of motion. Other metrics may be requested as the program matures and new information is available to

4.3.2 Knowledge, Skills, and Abilities (KSAs).

4.3.2.1 Possess a master’s degree in Athletic Training and must be a current licensed Athletic Trainer by the

OATA process. No other degree will be accepted for this position

4.3.2.2 Possess at least four (4) years’ of demonstrated experience as an Athletic Trainer.

4.3.2.3 Possess a certification through the National Athletic Trainers Association as a certified Athletic Trainer.

4.3.2.4 Demonstrate experience working with professional and/or elite level athletes.

4.3.2.5 Possess experience and certification in the field of strength and conditioning through the National Strength and Conditioning Association (NSCA) (or equivalent) is strongly recommended, but not required.

4.3.2.6 Possess oral and written communication skills in order to meaningfully interact with peers, outside agencies, vendors, providers, and Military Health System (MHS) stakeholders to exchange information, provide briefings, presentations, research, and develop metrics to demonstrate or advance effective and efficient case aircrew neck and back pain prevention.

4.3.2.7 Skill in effective team dynamics in order to facilitate the exchange of information/education, enhance goal

4.3.2.8 Knowledge of local, state, and federal laws and regulations, professional code of ethics, AF guidance, DoD guidance, and practice standards in order to ensure adherence within legal and professional parameters.

4.3.2.9 Knowledge and skill in using quality and risk management programs and processes to identify issues to improve practice and ensure compliance.

4.3.2.10 Skill in use of research tools in order to critically evaluate existing practices, opportunities, and outcomes.

4.3.2.11 Knowledge of computers and software applications in order to conduct data collection, tracking, trending,

4.3.2.12 Ability to design and present computer-generated outcome analysis information in order to provide timely and effective peer and higher level educational programs or project briefings.

4.3.2.13 Possess current certification in basic Cardiopulmonary Resuscitation (CPR) to include Automated

External Defibrillator (AED) training.

4.4 Task: Certified Strength and Conditioning Specialist (CSCS). CSCSs provide pre-habilitation of musculoskeletal conditions in fighter aircrew. As such, the Contractor shall evaluate and provide pre-habilitative assessment and maintenance to fighter aircrew personnel. Pre-habilitation is intended to strengthen core musculoskeletal (MSK) system to enhance resistance to neck and back injury. Also, overall MSK strengthening and health lifestyle education is addressed as part of an overall health maintenance program to enhance injury resistance.

Such overall strength and conditioning, focusing on neck and back, will improve the overall quality of life for fighter aircrew.

4.4.1 Subtasks. The Contractor shall:

4.4.1.1 Initial Evaluation: Evaluate and provide pre-habilitation for all assigned fighter aircrew. Fully communicate with medical provider in the MTF (when appropriate). Perform initial evaluation, design individual training program, and establish records for all fighter aircrew personnel within 90 days of contract start. Follow-up appointments will be based on need, pre-habilitation plans, and any potential coordination with members’ healthcare

4.4.1.2 Develop Individualized Program (IP) for each member served: The CSCS, working with other team members will develop an IP for each assigned aircrew member. The goals of this IP are to increase neck and back conditioning and overall health to minimize the risk of neck and back injury and to minimize the severity of any injury experienced by the member.

4.4.1.3 Program Implementation Phase: After an IP has been developed the PT, as part of the OHWS team, will guide ongoing implementation of the IP. The OHWS team will encourage regular participation of the member. The

OHWS team will monitor progress and continually reassess and adjust the IP to ensure the member is making the best progress possible.

4.4.1.4 Advise unit commanders on matters related to injury prevention. Identify opportunities for improvement.

4.4.1.5 Advise unit commanders of administrative matters, purchasing of supplies and equipment, and

4.4.1.6 Conduct equipment, product, and literature reviews to ensure that the OHWS program continues to

4.4.1.7 Communicate with the servicing MTF when an aircrew member has a medical condition or injury requiring

4.4.1.8 Refer fighter aircrew personnel with a new duty-limiting condition to the servicing MTF.

4.4.1.9 Ensure safe and effective operation of equipment used and contribute to a safe working environment.

4.4.1.10 Attend annual required training IAW guiding instructions. Unit leadership will allow for attendance at necessary conferences or courses to complete continuing education units required to maintain certification.

4.4.1.11 Provide Human Performance and Pre-habilitative trending metrics report to include: musculoskeletal pain, duration of pain, origin of pain, types of pain, conditions which may require surgery, and trends of musculoskeletal pain over periods of time. Metrics will also capture lost duty time due to aeromedical disposition of DNIF as well as personnel removed from training status/duties (i.e. # days out of training), aircrew perceptions of neck and back pain, aircrew perceptions of overall effectiveness of the OHWS program, duty and deployment limiting profiles, flying waiver information related to neck and back pain, and Medical Evaluation Board (MEB) information related to neck and back pain. Human Performance metrics shall also be gathered to assess fighter aircrew compliance with the OHWS program. Relevant factors for the human performance metrics will include low back and neck strength and range of motion. Other metrics may be requested as the program matures and new information is available to

4.4.2 Knowledge, Skills, and Abilities (KSAs).

4.4.2.1 Possess a Master’s degree in an accredited exercise science, health science, or physical education-related discipline.

4.4.2.2 Possess a minimum of four (4) years’ of experience.

4.4.2.3 Demonstrate sustained experience working with elite athlete populations is highly desired. Preferred experience includes: working with Special Operation Forces (SOF) specific performance programs and developing sport/mission specific performance programs resulting in attributable results with elite athletes (i.e. Division I collegiate, Olympic, professional level athletes or military combat professionals).

4.4.2.4 Possess and maintain current certification by the National Strength and Conditioning Association (NSCA) as a Certified Strength and Conditioning Specialist (CSCS). Maintenance of this certification shall be an enduring element of the requirement.

4.4.2.5 Possess oral and written communication skills in order to meaningfully interact with peers, outside agencies, vendors, providers, and Military Health System (MHS) stakeholders to exchange information, provide briefings, presentations, participate in research, and develop metrics to demonstrate or advance effective and efficient aircrew neck and back pain prevention.

4.4.2.6 Skill in effective team dynamics in order to facilitate the exchange of information/education, enhance goal

4.4.2.7 Knowledge of local, state, and federal laws and regulations, professional code of ethics, AF guidance, DoD guidance, and practice standards in order to ensure adherence within legal and professional parameters.

4.4.2.8 Knowledge and skills in using quality and risk management programs to identify issues to improve practice and ensure compliance.

4.4.2.9 Skill in use of research tools in order to critically evaluate existing practices, opportunities, and outcomes.

4.4.2.10 Knowledge of computers and software applications in order to conduct data collection, tracking, trending,

4.4.2.11 Ability to design and present computer-generated outcome analysis information in order to provide timely

4.4.2.12 Possess current certification in basic Cardiopulmonary Resuscitation (CPR) to include Automated External

4.5 Task: Massage Therapist (MT). MTs must possess and maintain an active, current, and unrestricted license from a US jurisdiction. MTs provide pre-habilitation of musculoskeletal conditions in fighter aircrew. As such, the Contractor shall evaluate and provide massage therapy to fighter aircrew personnel as part of a pre-habilitation program. Pre-habilitation is intended to strengthen core musculoskeletal (MSK) system to enhance resistance to neck and back injury. Also, health lifestyle education is addressed as part of an overall health maintenance program to enhance injury resistance. Such massage therapy as part of an overall strength and conditioning program, focusing on neck and back pain, will improve the overall quality of life for fighter aircrew.

4.5.1 Subtasks. The Contractor shall:

4.5.1.1 Provide initial evaluation. Evaluate and provide pre-habilitation for all assigned fighter aircrew. Follow-up appointments will be based on need, pre-habilitative plans, and any potential coordination with members’ military and/or civilian healthcare team.

4.5.1.2 Develop Individualized Program (IP) for each member served. The MT, working with other team members will develop an IP for each assigned aircrew member. The goals of this IP are to increase neck and back conditioning and overall health to minimize the risk of neck and back injury and to minimize the severity of any injury experienced by the member by addressing neck and back strain encountered by aircrew members.

4.5.1.3 Provide ongoing massage therapy. Every fighter crewmember will have varying degrees of need with regard to massage therapy. The MT will optimize scheduling to maximize the benefit to the fighter aircrew involved. The MT will determine the optimal time for each therapy visit and ensure as many of the fighter crew as practical may receive therapy. This will involve assessing the greatest needs and implementing a schedule strategy to best meet the needs for massage therapy focusing on neck and back pain.

4.5.1.4 Advise unit commanders on matters related to injury prevention. Identify opportunities for improvement.

4.5.1.5 Advise unit commanders of administrative matters, purchasing of supplies and equipment, and

4.5.1.6 Conduct equipment, product, and literature reviews to ensure that the OHWS program continues to

4.5.1.7 Communicate with the servicing MTF when an aircrew member has a medical condition or injury requiring

4.5.1.8 Refer fighter aircrew personnel with a new duty-limiting condition to the servicing MTF.

4.5.1.9 Ensure safe and effective operation of equipment and contribute to a safe working environment.

4.5.1.10 Attend annual required training IAW guiding instructions. Unit leadership will allow for attendance at necessary conferences or courses to complete continuing education units required to maintain certification.

4.5.1.11 Provide Human Performance and Pre-habilitative trending metrics report to include: musculoskeletal pain, duration of pain, origin of pain, types of pain, and trends of musculoskeletal pain over periods of time. Metrics will also capture lost duty time due to aeromedical disposition of DNIF as well as personnel removed from training status/duties (i.e. # days out of training), aircrew perceptions of neck and back pain, aircrew perceptions of overall effectiveness of the OHWS program, duty and deployment limiting profiles, flying waiver information related to neck and back pain, and Medical Evaluation Board (MEB) information related to neck and back pain. Human

Performance metrics shall also be gathered to assess fighter aircrew compliance with the OHWS program. Other metrics may be requested as the program matures and new information is available to guide new measures to improve aircrew performance and to improve the OHWS program.

4.5.2 Knowledge, Skills, and Abilities (KSAs).

4.5.2.1 MT will have graduated from a MT certification program. The MT will maintain a license in the state in which the service is to be provided.

4.5.2.2 The MT must have experience working with professional and/or collegiate athletes, or equivalent. A minimum of four (4) years’ experience is desired.

4.5.2.3 Possess oral and written communication skills in order to meaningfully interact with peers, outside agencies, vendors, providers, and Military Health System (MHS) stakeholders to exchange information, provide briefings and presentations, participate in research, and develop metrics to demonstrate or advance effective and efficient aircrew neck and back pain prevention.

4.5.2.4 Skill in effective team dynamics in order to facilitate the exchange of information/education, enhance goal

4.5.2.5 Knowledge of local, state, and federal laws and regulations, professional code of ethics, AF guidance, DoD guidance, and practice standards in order to ensure adherence within legal and professional parameters.

4.5.2.6 Skill in use of research tools in order to critically evaluate existing practices, opportunities, and outcomes.

4.5.2.7 Knowledge of computers and software applications in order to conduct data collection, tracking, trending,

4.5.2.8 Ability to design and present computer-generated outcome analysis information in order to provide timely

4.5.2.9 Possess current certification in basic Cardiopulmonary Resuscitation (CPR) to include Automated External

4.6 Task: Chiropractor. Reference Attachment F.

5.0 Contract Data Requirements Lists (CDRL) and Other Deliverables.

5.1 General Deliverables. The Contractor shall provide PWS deliverable(s) in a format mutually agreed upon by the Government and the Contractor. All deliverables will be reviewed for timeliness, accuracy, and format. If a deliverable due date falls on a weekend or holiday, the Contractor shall submit the deliverable on the last work day prior to the due date. See Attachment C for CDRL and Deliverable examples.

Table 1 – General Deliverables

Deliverables

PWS

Reference Deliver To Due Date

CDRL A01 Atch C CAASProgramOffice@us.af.mil See Atch C, DD Form 1423-1

Organizational Conflict of

Interest Mitigation Plan

5.1.1 COR

Within 30 calendar days of award

Hiring Status Report/

Personnel Roster

5.1.2 COR

1st Friday after award then every Friday until all positions are filled, or as requested by the CO

Monthly Status Reports 5.1.3 COR First work day after the 10th day of each month

Trip Reports 5.1.4 COR Within 5 work days of trip return

Technical Issues Papers/

Point Papers/Briefings 5.1.5

COR Within 5 work days after request

Contractor Management

Plan

5.1.5 COR

Within 30 calendar days of award

Quality Control Plan 5.1.5 COR NLT 30 days after contract award

Continuity Folders 5.1.8 COR

Within 60 calendar days after contract start; Final version 10 calendar days prior to contract end date

Meeting Reports 5.1.59 COR or designated representative

Within 5 days of meeting conclusion when tasked

Licenses/Credentials 5.1.10 COR and MTF Prior to FTE start

OHWS Program Report 5.1.11 COR Quarterly or as requested by the COR

5.1.1 Organizational Conflict of Interest (OCI) Mitigation Plan. The Contractor shall provide a plan that describes the processes and procedures they will implement to avoid or mitigate any actual or perceived OCI. The plan shall outline how the Contractor evaluates, mitigates (where necessary), and reevaluates any potential or perceived conflicts between this PWS and other work performed by the Contractor or team members.

5.1.2 Hiring Status Report (HSR)/Personnel Roster. The Contractor shall provide an HSR every Friday, starting with the first Friday after contract award, until all positions are filled, or as requested by the CO. The HSR shall contain, as a minimum, the name and licenses/credentials for each new hire. After performance start, the HSR will become the Personnel Roster.

5.1.2.1 Personnel Roster. The Contractor shall maintain a current listing of employees. The list shall include the employee's name, location, and licenses/credentials for each employee. An updated listing shall be provided when an employee's status or information changes. Note: the government may require a Contractor’s DoD Electronic

Data Interchange (EDI) number or social security number for some transactions (i.e. verifying clearances in JPAS, processing visitor requests, etc.).

5.1.2.2 The Contractor shall utilize encrypted email or password protected files to protect Personally Identifiable

Information (PII) in accordance with the Privacy Act.

5.1.3 Monthly Status Report (MSR). The Contractor shall provide status reports for the duration of the effort.

The report shall summarize accomplishments during the reporting period. The report shall also include planned versus actual task completion, anticipated activity (including anticipated Contract Data Requirements List (CDRL) deliveries) for the next reporting period, lessons learned, risks, significant accomplishments, training completed, licenses/certifications expiring, pending, or lapsed (including a mitigation plan), and outstanding issues and recommendations.

5.1.4 Trip Report. Following official travel, the Contractor shall prepare a trip report detailing the purpose of the trip, the individuals contacted, any agreements that were reached during the trip, or any other significant issues that were identified during the travel. The Contractor shall provide this trip report to the COR within five (5) days after the completion of travel.

5.1.5 Technical Issues Papers/Point Papers/Briefings. The Contractor shall prepare, coordinate, and distribute

Technical Issue Papers, Point Papers, and/or Briefings as tasked by the COR (or his designated representative) in support of this PWS. These products will be completed in accordance with government guidelines and formats which will be provided by the COR as applicable.

5.1.6 Contractor Management Plan (CMP). The Contractor shall develop and maintain an effective management plan to ensure the services of this PWS are being met. Management Plan shall include job descriptions and required minimum qualifications for all positions, organizational structure with defined lines of authority, site manning levels, work scheduling methods, and any other key management processes affecting contract operations/mission accomplishment. The CMP shall be submitted to the CO for acceptance no later than 30 calendar days after award. Updated versions of CMP shall be submitted to the CO for acceptance no later than 10 calendar days of implementation by the Contractor.

5.1.7 Quality Control Plan (QCP). The Contractor shall develop and maintain an effective quality control program to ensure the services of this PWS are being met. The Contractor shall develop a QCP that includes quality control processes and procedures and apply them to meet this requirement. The QCP shall be submitted to the CO for acceptance no later than 30 calendar days after award. Updated versions of QCP shall be submitted to the CO for acceptance no later than 10 calendar days of implementation by the Contractor.

5.1.8 Continuity Folders. The Contractor shall develop and maintain continuity folders IAW task requirements defined in this PWS (Section 4.0). Continuity folders will be made available to CORs upon request. Final versions of continuity folders shall be submitted to the COR for acceptance no later than 10 calendar days before the contract end date.

5.1.9 Meeting Reports. Meeting Reports (Contractor format) shall be submitted within five (5) working days of the meeting when tasked by the COR (or designated representative) in support of this PWS. These reports must include, at a minimum, the purpose of the meeting, attendees, date, issues discussed, decisions/recommendations made, and a list of action items with associated assignments.

5.1.10 Licenses/Credentials. The Contractor shall provide the COR an electronic copy of all license and credentialing documents, to include documentation of the Contractor accomplished primary source verification of all licenses and credentials, for each employee prior to the employee starting performance. The Contractor shall notify the COR and CO immediately for any issues related to the licenses.

5.1.11 OHWS Program Report. The Contractor shall provide the Government with quarterly reports identifying progress. Reports shall include DNIF rates, profile rates, retention rates, and MEBs.

5.2 Physical Therapist Deliverables.

Table 2 – PT Deliverables

Deliverables PWS

Referen ce

Deliver To Due Date

Data Collection and Analyses Report 5.6.1 Unit COR and Primary

COR

Quarterly

Weekly Staff Report 5.6.2 Unit CC Weekly

Human Performance and Pre-habilitative

Trending metrics

5.6.3 Unit COR and Primary COR

NLT the last business day of each month

5.3 Athletic Trainer Deliverables.

Table 3 – AT Deliverables

Referen ce

Deliver To Due Date

Data Collection and Analyses Report 5.6.1 Unit COR and Primary

COR

Quarterly

Weekly Staff Report 5.6.2 Unit CC Weekly

Human Performance and Pre-habilitative

Trending metrics

5.6.3 Unit COR and Primary COR

5.4 Certified Strength and Conditioning Specialist Deliverables.

Table 4 – CSCS Deliverables

Referen ce

Deliver To Due Date

Data Collection and Analyses report 5.6.1 Unit COR and Primary COR Quarterly

Weekly Staff Report 5.6.2 Unit CC Weekly

Human Performance and Pre-habilitative

Trending metrics

5.6.3 Unit COR and Primary COR

NLT the last business day of each

Individualized Physical Training Program 5.6.4 Fighter Aircrew As needed

5.5 Massage Therapist Deliverables.

Table 5 – MT Deliverables

Referen ce

Deliver To Due Date

Data Collection and Analyses Report 5.6.1 Unit COR and Primary

COR

Quarterly

Weekly Staff Report 5.6.2 Unit CC Weekly

Human Performance and Pre-habilitative

Trending metrics

5.6.3 Unit COR and Primary COR

5.6 Task/FTE Deliverable Descriptions.

5.6.1 Data Collection and Analyses Report. The Contractor will evaluate, test, identify physical performance and provide feedback for physical performance improvement, injury avoidance, and injury recovery. Data collection and analyses will be conducted on an ongoing basis with quarterly reporting as requested. Data collection will include aircrew satisfaction survey information, information obtained from medical personnel, and other information as directed by the OHWS PM.

5.6.2 Weekly Staff Report. Squadron leadership will be informed on readiness issues as directed by the commander.

5.6.3 Human Performance and Pre-habilitative Trending Metrics. The contractor shall produce a written report to include: musculoskeletal pain, duration of pain, origin of pain, types of pain, pain that may require surgery, and trends of musculoskeletal pain over periods of time. Metrics will also capture lost duty time due to aeromedical status of DNIF as well as removal from training status/duties (i.e. # days). Human Performance metrics shall also be gathered to assess fighter aircrew compliance with the preventative maintenance program. The factors for the

Human Performance metrics will be low back strength, neck strength, and spine strength. These will evolve as the program is implemented and different measures of success are found to be beneficial. As long as the level of effort required, for any specific request for data, is consistent with the level of effort for other measures the contractor will provide the requested information. The contractor will work with personnel from the local MTF to help assess

DNIF rates, Individual Medical Readiness (IMR) rates, Medical Evaluation Board (MEB) rates, clinically related flying waiver rates, as well as subjective assessments of pain and disability of fighter aircrew.

5.6.4 Physical Training Program. The Contractor will develop a unit physical training plan that will specifically address the neck and back pain associated with the stresses of flying in high-performance aircraft. The plan will also incorporate training preparation, power development, strength development, cardiovascular development, and recovery and regeneration.

5.7 Services Summary. See Attachment A.

6.0 GOVERNMENT FURNISHED PROPERTY.

6.1 Government Provided Documentation. The Government will provide access to relevant Government organizations’ information, documentation, manuals, texts, briefs and other materials as required and available.

6.2 Government Provided Equipment / Office. There is no Government Provided Equipment. The

Government shall provide office space, Local Area Network (LAN) connections, computer (hardware and software), unclassified e-mail and internet access, and other standard office equipment necessary to support the Contractor.

The contractor shall abide by all Government regulations concerning the authorized use of the Government's equipment.

6.3 Local Area Network (LAN). Unless otherwise stated, the Contractor (with a valid NAC check), shall be provided access to the host base's unclassified computer network and its inherent capabilities including, but not limited to: Internet access, electronic mail, and file and print services. The Contractor shall be aware of and abide by all Government regulations concerning authorized use of the Government's computer network including the restriction against using the network to recruit Government personnel or advertise job openings.

7.0 DATA. The Government has unlimited rights to all deliverables of this PWS to include intellectual property rights.

8.0 OTHER DIRECT COSTS (ODC).

8.1 Travel. This contract does not require travel. All FTEs identified in Attachment B shall perform their duties at the specified locations. The Government reserves the right to authorize personnel in support of the tasks in this PWS to travel. All trips will be in accordance with regulatory requirements and actual travel shall be coordinated and pre-approved by the COR in writing. Local travel to attend meetings within the local city or base of assignment commuting vicinity shall be considered a cost of doing business and shall not be separately reimbursed.

8.2 Defense Base Act Insurance. Defense Base Act Insurance (DBA) coverage is required for employees of all Contractors working outside of the United States, according to the Department of Labor (FAR 28.305). Insurance costs shall not be included in the negotiated fully-loaded labor rates. The Contractor shall include a breakdown of all authorized costs in each applicable invoice. DBA insurance is cost reimbursable and NTE $25,000 annually.

8.3 Materials. N/A.

9.0 SECURITY. The Contractor and all Contractor personnel shall abide by all AF and local rules, procedures, and standards of conduct. The Contractor shall also perform in compliance with National Industrial

Security Program Operating Manual (NISPOM--DoD 5220.22M).

9.1 Visitor Group Security Agreement (VGSA). The Contractor shall enter into a long term visitor group security agreement with the host base Information Protection…