Atch_4_-_18R5035_-_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

14 August 2019

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—Athletic Trainer 5

4.3 Task— Certified Strength and Conditioning Specialist 7

4.4 Task—Message Therapist 8

5.0 CDRL and Other Deliverables 10

6.0 Government Furnished Property 13

7.0 Data 13

8.0 Other Direct Costs 13

9.0 Security 14

10.0 Transition 17

11.0 Administration Considerations 17

12.0 COR Designation 19

13.0 Environmental Safety and Health 20

14.0 Human Resource Management 20

Attachment A Services Summary 22 Attachment B Level of Effort Requirements 23 Attachment C CDRL and Deliverables 26 Attachment D Acronyms 27 Attachment E Additional References 29

1.0 DESCRIPTION OF SERVICES.

1.1 Introduction/Background. This 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 will be designed to decrease the incidence and severity of neck and back problems, enhancing aircrew fitness and operational readiness Further, through a program of data collection, to include objective and subjective information, the program will evolve as needed in support of the OHWS program.

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 active duty (AD), Air National Guard (ANG), Air Force Reserve Component (AFRC) fighter aircrew to optimize physical performance targeting neck and back pain prevention 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. Contracted personnel will accommodate a ratio of about 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. State licenses and certification for each Contractor must be from the state in which the services are provided.

1.2.1.1 Alternate Performance Schedule. The alternate performance schedule represents and extended work week for this contract. Contractor personnel can expect normal operation to occur 5 days a week, but the contractor shall retain capability to support 7 day operations if required. The government will give 2 week advance notice to the contractor when the government will require 7 day operation and for how long those operations will be required.

Any rate changes associated with 7 day operations shall be distinct from normal operations.

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, illustrated in Table 8, 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 Period 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 Military Treatment Facility (MTF) an electronic copy of all license and credentialing documents for each employee with all primary source 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.

2.0 The contractor is responsible for all training requirements, and all other requirements needed for the individual contract employees to maintain state licensure and as needed to maintain any needed certifications.

3.0 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 to the Athletic Trainer (AT), Strength and Conditioning Coaches (SCSC), or Massage Therapist (MT). The Contractor’s requirement is to implement Tasks 5.2, 5.3, and 5.4 as defined in this document, including providing collection and analysis of data and enhancing reduction of injury rates thereby increasing the rate of fighter aircrew fully mission capable status.

4.0 TASK REQUIREMENTS. Services provided by the Contractor are prehabilitative, with the primary purpose of preventing the incidence and severity of neck and back pain. The services begin with an assessment of each aircrew member, fighter pilots and fighter weapon’s systems officers, to determine the current level of conditioning with regards to neck and back strength. Fighter aircrew include both fighter pilots and weapon system’s officer. 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 prehabilitation. Also, the Contractor shall educate each aircrew member on injury prevention and assist in injury recovery through a modified program based on the injury and through working with privileged providers, flight surgeons, who will oversee any program for injured aircrew. Ongoing assessment will be provided as frequent and appropriate to ensure prehabilitative services to each individual, 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 make decisions regarding personnel ; 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.

The basing of Air Force aircraft and aircrew change on occasion and the level of support required for this program will change occasionally. When an increase in staffing, from the levels as noted in Attachment B, is made the contractor will meet the same hiring requirement timeline as with other hiring actions as noted in Table 7 of this document. Also, changes in manning and changes in the designation may require repositioning assigned contractors from one unit to another at the same location. This repositioning of contracted services within the same level of effort required, within the same Air Force base, may be requested by the Government at no additional contractor charge to the Government However, where the repositioning may require more than the current level of effort, a modification may result in the effort.

4.1 The Contractor shall develop and provide a strength and conditioning program for neck and back 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, with the additional benefit of assisting the member toward overall health and fitness. The NBFP will include physical training and conditioning utilizing all available assets for fighter aircrew. The NBFP will contain personally identifiable information (PII). The contractor shall safeguard and maintain PII in accordance with AFI 33-332 and Section

10.21 below.

4.1.1 The Contractor shall collect, analyze, resolve, disseminate, and archive information resulting from products created under this support program. These products and information will be provided to the Government. Not simply a single cycle, this requirement involves on-going, continuous processes, tailored to the evolving prehabilitative needs of each individual. 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 fighter aircrew in the unit. The contractor shall be responsible for providing contractor-furnished equipment (including any equipment, supplies, software) as needed to collect and analyze data. 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. Continued periodic data collection and monitoring are required. 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. Any additional data required throughout the performance of the contract will be accomplished via contract modification.

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, as frequent and appropriate to ensure prehabilitative services to each individual, with quarterly reporting to the COR, OHWS PM, and other reporting as requested. The Contractor will immediately notify the command of information which may impact safety of flight. Where applicable, the results of these analyses should identify and prioritize physical training and rehabilitation gaps with recommendations (to individuals and the Government) 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 aircrew member’s 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 Contractor will immediately notify the command of information which may impact safety of flight. The report will include recommendations on future mitigation techniques and preventative measures for each deficiency.

4.1.5 Disseminate. . The Contractor shall provide prehabilitative guidance, individualized plans (IPs), and recommendations to the individuals. The Contractor shall also 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 future training.

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 (See para 7.0) will be accounted for using Government procedures.

4.2 Task: Athletic Trainer (AT). The AT provides performance enhancement (prehabilitation), tailored strength and conditioning, preventive maintenance, and referrals to the MTF if needed. The Contractor shall evaluate and provide prehabilitative services to individual fighter aircrew. Prehabilitation 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.

4.2.1 Subtasks. The Contractor shall:

4.2.1.1 Initial Evaluation: Evaluate and provide prehabilitation for all assigned fighter aircrew. Fully communicate with the fighter aircrew member and the Unit commander. The Unit commander in turn may also submit and require fighter aircrew member to work with the medical provider in the MTF. The Contractor, at the request of the aircrew member and unit commander, shall assist the aircrew member explaining the circumstances to the medical provider, when appropriate. Perform initial evaluation, design individual training program, and establish records for all fighter aircrew personnel within 90 days of contract start. The Government will provide the contractor a list of aircrew members at each location. Follow-up appointments will be based on need, prehabilitation plans, and any potential coordination with members’ healthcare team at the request of the fighter aircrew member and unit commander.

4.2.1.2 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.

4.2.1.3 Program Implementation Phase: After an IP has been developed the AT will guide ongoing implementation of the program. .

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

4.2.1.5 Advise unit commanders of administrative matters, including providing recommendations on additional tools and resources to enhance the OHWS prehabilitative program.

4.2.1.6 Advise unit commanders of injury prevention new developments, including review of equipment, products, regiments, and literature to ensure that the OHWS program continues to improve.

4.2.1.7 Communicate with the command and servicing MTF when an aircrew member has a medical condition or injury requiring medical care or affecting mission performance.

4.2.1.8 Refer fighter aircrew personnel with a new duty-limiting condition to the Unit Commander who may also provide to the servicing MTF.

4.2.1.9 Ensure safe and effective operation of equipment and contribute to a safe working environment. . Report potential safety concerns/risks to the command immediately.

4.2.1.10 Attend annual required training IAW guiding instructions

4.2.1.11 Provide Human Performance and Prehabilitative trending metrics report to include the following information from the Flight Medicine Office which will be provided in a de-identified format: . Metrics will also capture aircrew perceptions of neck and back pain, aircrew perceptions of overall effectiveness of the OHWS program. Human Performance metrics shall also be gathered to assess 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.

4.2.2 Knowledge, Skills, and Abilities (KSAs).

4.2.2.1 Possess a master’s degree in Athletic Training and must be a current licensed Athletic Trainer by the National Athletic Trainers Association (NATA) process. No other degree will be accepted for this position.

4.2.2.2 Possess at least two (2) years’ of demonstrated experience as an Athletic Trainer.

4.2.2.3 Possess a certification through the NATA as a certified Athletic Trainer.

4.2.2.4 Demonstrate experience working with professional and/or collegiate sports.

4.2.2.5 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.

4.2.2.6 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.

4.2.2.7 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.

4.2.2.8 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.

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

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

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

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

4.2.2.13 Possess current certification in basic Cardiopulmonary Resuscitation (CPR) to include Automated External Defibrillator (AED) training.

4.3 Task: Certified Strength and Conditioning Specialist (CSCS). CSCSs provide prehabilitation of musculoskeletal conditions in fighter aircrew. As such, the Contractor shall evaluate and provide prehabilitative assessment and maintenance to fighter aircrew personnel. Prehabilitation 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.

4.3.1 Subtasks. The Contractor shall:

4.3.1.1 Initial Evaluation: Evaluate and provide prehabilitation for all assigned fighter aircrew. Fully communicate with the fighter aircrew member and the Unit commander. The Unit commander in turn may also submit and require fighter aircrew member to work with the medical provider in the MTF. The Contractor, at the request of the aircrew member and unit commander, shall assist the aircrew member explaining the circumstances to the medical provider, 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, prehabilitation plans, and any potential coordination with members’ healthcare team at the request of the fighter aircrew member and unit commander.

4.3.1.2 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.

4.3.1.3 Program Implementation Phase: After an IP has been developed the CSCS will guide ongoing implementation of the program.

4.3.1.4 Advise unit commanders and individuals 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, including providing recommendations on additional tools and resources to enhance the OHWS prehabilitative program.

4.3.1.6 Advise unit commanders of injury prevention new developments, including review of equipment, products, regiments and literature to ensure that the OHWS program continues to improve.

4.3.1.7 Communicate with the command and the aircrew member who in turn will notify the servicing MTF when an aircrew member has a medical condition or injury requiring medical care or affecting mission performance.

4.3.1.8 Refer fighter aircrew personnel with a new duty-limiting condition to the Unit Commander who may also

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

Report potential safety concerns/risks to the command immediately.

4.3.1.10 Attend annual required training IAW guiding instructions..

4.3.1.11 Provide Human Performance and Prehabilitative trending metrics report to include: aircrew perceptions of neck and back pain, aircrew perceptions of limitations due to neck and back pain, aircrew perceptions of overall fitness, and aircrew perceptions of the effectiveness of the OHWS program. OHWS contractors will also collect human performance metrics to 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.

4.3.2 Knowledge, Skills, and Abilities (KSAs).

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

4.3.2.2 Possess a minimum of two (2) years’ of experience.

4.3.2.3 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).

4.3.2.4 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.

4.3.2.5 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.

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

4.3.2.7 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.

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

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

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

4.3.2.11 Ability to create and present computer-generated outcome analysis information in order to provide timely

4.3.2.12 Possess current certification in basic Cardiopulmonary Resuscitation (CPR) to include Automated External Defibrillator (AED) training.

4.4 Task: Massage Therapist (MT). MTs must possess and maintain an active, current, and unrestricted license or certification from the US jurisdiction where the service is to be provided. In regards to the OCONUS locations, license from any state or US territory will be acceptable. MTs provide prehabilitation of musculoskeletal conditions in fighter aircrew. As such, the Contractor shall evaluate and provide massage therapy to fighter aircrew personnel as part of a prehabilitation program. Prehabilitation is intended to strengthen core musculoskeletal (MSK) system to enhance resistance to neck and back injury. Also, healthy lifestyle education is addressed as part of an overall health maintenance program to enhance injury resistance. Such massage therapy as part of an overall program, focusing on neck and back pain, will improve the overall quality of life for fighter aircrew.

4.4.1 Subtasks. The Contractor shall:

4.4.1.1 Provide initial evaluation. Evaluate and provide prehabilitation for all assigned fighter aircrew. Follow-up appointments will be based on need, prehabilitative plans, and any potential coordination with members’ military and healthcare team at the request of the fighter aircrew member and unit commander.

4.4.1.2 Develop Individualized Program (IP) for each member served. The MT, working with other team members will develop an IP for each assigned aircrew member requesting services of the MT. 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.

4.4.1.3 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 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.

4.4.1.4 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 supplemental fiscal requests related to interventions and professional services provided.

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

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

4.4.1.8 Refer fighter aircrew personnel with a new duty-limiting condition to the Unit Commander who may also

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

4.4.1.10 Attend annual required training IAW guiding instructions.

4.4.1.11 Assist in providing Human Performance and Prehabilitative 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 the daily flying schedule but not requiring medical treatment, limitations of 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 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.

4.4.2 Knowledge, Skills, and Abilities (KSAs).

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

4.4.2.2 The MT must have experience working with professional and/or collegiate athletes, or equivalent. A minimum of two (2) years’ experience is desired.

4.4.2.3 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.

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

4.4.2.5 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.

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

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

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

4.4.2.9 Possess current certification in basic Cardiopulmonary Resuscitation (CPR) to include Automated External Defibrillator (AED) training.

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

Technical Issues Papers/ Point Papers/Briefings

5.1.5 COR Within 5 work days

after request

Contractor Management Plan 5.1.6 COR Within 30 calendar days of award

Quality Control Plan 5.1.7 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 5.1.9 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, see also AFI 33-332 and Section 10.21 below

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. N/A.

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). 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. State licenses and certification for each Contractor must be from the state in which the services are provided.

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 Athletic Trainer Deliverables.

Table 2 – AT Deliverables

Deliverables PWS

Deliver To Due Date

Data Collection and Analyses Report 5.5.1 Unit COR and Primary COR Quarterly

Weekly Staff Report 5.5.2 Unit CC Weekly Human Performance and Prehabilitative Trending metrics 5.5.3 Unit COR and Primary COR NLT the last business day of each month

Individualized Physical Training Program 5.5.4 Fighter Aircrew As needed

5.3 Certified Strength and Conditioning Specialist Deliverables.

Table 3 – CSCS Deliverables

Data Collection and Analyses report 5.5.1 Unit COR and Primary COR Quarterly

Weekly Staff Report 5.5.2 Unit CC Weekly Human Performance and Prehabilitative Trending metrics

5.5.3 Unit COR and Primary COR NLT the last business day of each

Individualized Physical Training Program 5.5.4 Fighter Aircrew As needed

5.4 Massage Therapist Deliverables.

Table 4 – MT Deliverables

Data Collection and Analyses Report 5.5.1 Unit COR and Primary COR Quarterly

Weekly Staff Report 5.5.2 Unit CC Weekly Human Performance and Prehabilitative Trending metrics

5.5.3 Unit COR and Primary COR NLT the last business day of each

5.5 Task/FTE Deliverable Descriptions.

5.5.1 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.

5.5.2 Weekly Staff Report. Squadron leadership will be informed on readiness issues within the scope of the OHWS program and as directed by the commander.

5.5.3 Human Performance and Prehabilitative 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 key data including, but not limited to lost duty time due to aeromedical status of DNIF as well as removal from the daily flying schedule but not requiring medical treatment, limitations of training status/duties (i.e. # days). Human Performance metrics shall also be gathered to assess the preventative maintenance program. The factors for the Human Performance metrics will be low back strength, neck strength, and spine strength. These metrics 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.

5.5.4 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, strength development, and cardiovascular health.

5.6 Services Summary. See Attachment A.

6.0 GOVERNMENT FURNISHED PROPERTY.

6.1 Government Provided Equipment / Office. There is no designated 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.

6.2 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 Office if contract performance is on base for 90 days or more. This agreement shall outline how the Contractor integrates security requirements for contract operations with the Air Force to ensure effective and economical operation on the installation. The agreement should address:

9.1.1 Security support provided by the Air Force to the Contractor to include storage containers for classified information/material, use of base destruction facilities, classified reproduction facilities, use of base classified mail services, security badging, base visitor control, investigation of security incidents, base traffic regulations, the use of security forms, and conducting inspections required by DoD 5220.22-R, Industrial Security Regulation, and Air Force Instruction 16-1406, Air Force Industrial Security Program.

9.1.2 Security support requiring joint Air Force and Contractor coordination includes packaging classified information, mailing and receiving classified materials, implementing emergency procedures for protection of classified information, security checks, and internal security controls for protection of classified material and high value pilferable property.

9.1.3 On base, the long term visitor group security agreement may take the place of a Standard Practice Procedure (SPP).

9.2 Security Clearances. All tasks in this PWS will be conducted at the UNCLASSIFIED level.

9.2.1 Investigation. As a minimum, Contractor personnel shall complete application for a T1 Investigation as soon as practical and before work is started. As soon as the T1 applications is complete the Contractor will provide this information to the unit Security Manager, or assistant, and request interim approval for issuance of a CAC. A valid CAC is required before operating government-furnished computers that have access to Air Force networks.

Requests for personnel hired at the beginning of the contract shall be submitted to the government not later than (15) working days before the contract start date. Requests for Contractor personnel found acceptable at the time of contract award shall be submitted to the government not later than five (5) workdays before date of contract award notification. The Government will submit requests for investigations on AF Form 2583, Request for Personnel Security Action, at no additional cost to the Contractor. The Contractor shall comply with the requirements of DoD 5200.2-R, Personnel Security Program, and Air Force Instruction (AFI) 33-119, Electronic Mail (E-Mail) Management and Use. When the investigation is completed, a suitability determination is rendered and a final decision will be made regarding contract employee functioning as part of the contract. If unfavorable, the contract employee will be removed from AF systems access and removed from the facility. Contractor personnel receiving unfavorable T1 Investigations shall not be employed under this contract.

9.2.2 CAC Requirements. The Common Access Card (CAC) is the DoD Federal Personal Identity Verification (PIV) credential. In accordance with Directive Type Memorandum (DTM) 08-003, December 1, 2008, incorporating Change 5, October 8, 2013, Initial issuance of a CAC requires at a minimum, the completion of FBI fingerprint check with favorable results reflecting "No Record" and submission of a T1 Investigation to the Office of Personnel Management (OPM), or a DoD-determined equivalent investigation.