4_Atch_2_-_PWS_21Jun19.pdf

PERFORMANCE WORK STATEMENT

For

Yokota Air Force Base

Infection Preventionist

374 MDG/SGH

21 Jun 2019

INFECTION PREVENSIONIST

AT 374TH MEDICAL GROUP AT YOKOTA AIR BASE, JAPAN

1. DESCRIPTION OF SERVICES

1.1. Background:

1.1.1. Infection prevention and control (IPC) is a priority of all major agencies, including The Joint Commission (TJC), the Institute of Medicine (IOM), the Centers for Medicare and Medicaid Service (CMS), the Agency for Healthcare Research and Quality (AHRQ), and Institute for Healthcare Improvement (IHI). IPC is also reflected in numerous standards, guidelines and recommendations from the Centers for Disease Control and Prevention (CDC), Occupational Safety and Health Agency (OSHA), Food and Drug Administration (FDA), Association for the Advancement of Medical Instrumentation (AAMI), Association for Professionals in Infection Control and Epidemiology (APIC), Association of periOperative Registered Nurses (AORN), American College of Surgeons (ACS), Infectious Diseases Society of America (IDSA), Society for Healthcare Epidemiology of America (SHEA), Society of Gastroenterology Nurses and Associates, Inc. (SGNA) and Facility Guidelines Institute (FGI).

1.1.2. The current staffing model of using nursing, dental and laboratory staff part-time to run IPC programs is insufficient to meet current accreditation and regulatory demands. The requirements for monitoring and reporting trends/compliance and driving improvement to reduce healthcare-associated infections (HAI) is too significant for Infection Preventionists to be assigned as a collateral duty to any existing position.

1.2. Scope: The Contractor shall provide one (1) Infection Preventionist (IP) services in support of the Military Treatment Facility (MTF) at Yokota Air Base, Japan to administer and guide all elements of the MTF’s Infection Prevention and Control Program (IPCP) to include all buildings and geographically separated units (GSU) associated with the MTF. In accordance with (IAW) Air Force Instruction (AFI) 44-108, Infection Prevention and Control Program and in consultation with the AF Surgeon General (SG) IP Consultant and Headquarters (HQ) IP (Air Force Medical Operations Agency (AFMOA)), the Contractor shall provide professional IP and technical authority to oversee the MTF’s IPCP. The Contractor shall advise senior leadership about program status and any IPC concerns. The IPCP focuses on preventing and controlling infections in patients, staff, visitors and the MTF environment. The IPCP involves all MTF personnel, assigned Air Guard and Reserve personnel, personnel assigned in training and residency programs, vendors, visitors and volunteers.

1.2.1. Non-Personal Services. The services to be performed shall be non-personal services and are not inherently governmental. The Contractor is solely liable for the actions of their employees.

2. GENERAL INFORMATION

2.1. Contractor Identification. All Contractor employees shall identify themselves as Government Contractor employees during all forms of communication such as business meetings, telephone conversations, electronic mail, attendance sheets, coordination documentations, reports, and the signature blocks utilized in all correspondence. If a contract requires Government workspace, the Contractor’s employees shall wear a picture identification badge and identify their workspace area with their name and company affiliation.

2.2. Contractor Training.

2.2.1. Government-Furnished Training. Contractor employees shall attend all such Government provided training in a paid status as part of normal services required and billed under the contract. Contractor employees may be required to complete additional training other than the web-based training listed below:

2.2.1.1. Department of Defense (DoD) IAA Cyber Awareness Challenge (ADLS Course).

2.2.1.2. Environmental Management Systems (EMS) – General Awareness Training.

2.2.1.3. Security Administration (ADLS Course).

2.2.1.4. HIPAA and Privacy Act Training (JKO Course).

2.2.1.5. Operation OPSEC Awareness Training (ADLS Course).

2.2.1.6. Derivative Classification and Marking Classified Information.

2.2.2. Contractor-Furnished Training. The Contractor shall ensure their employees complete a minimum of ten (10) continuing education units (CEUs) annually on IPC-relevant training in the areas of sterile processing/reprocessing reusable medical devices and are certified in Basic Life Support (BLS) training. The Contractor shall provide evidence of this training to the Contracting Officer Representative (COR) or Functional Requirements Evaluator Designees

(FRED).

2.2.2.1. The Contractor shall attend training for Association for Professionals in Infection Control and Epidemiology (APIC) within twelve (12) month being hired. This training will be conducted at a military facility within the continental U.S. Scheduling and location of this training will be coordinated by the MDG and provided to the Contractor. All course content will be provided by the Government to the contractor employees upon arrival at the location of the training.

2.2.2.2. The training course, along with any training materials associated with this course, will be provided by the Government at no additional costs to the Contractor. The Contractor is responsible for all travel, transportation, lodging, per diem, and any other costs associated with this training, which are not specified as being paid for by the Government. The Contractor shall assume that lodging and transportation on a military installation will not be provided.

2.2.2.3. Information on installation access for contractor employees will be provided to the Contractor by the FRED/COR or authorized Government representative.

2.2.2.4. The Contractor shall be responsible for ensuring that contractor employees become aware of and abide by all policies, rules, and laws for the training location(s) to included, but not limited to, personnel and vehicle installation access, security, and safety.

2.3. Contractor/Government Communication. The Contractor shall designate a Focal Point to be the single point of contact for all Contractor and Government correspondence. The Focal Point shall provide clear and consistent written and verbal response to Government within twenty-four (24) hours of Government initiated communication (e.g., return phone calls, emails or other communication). The Contractor’s Focal Point shall meet with the Government team at least monthly, and additional meetings may be requested by the Government or the Contractor as necessary. The Contracting Officer (CO), Contractor Focal Point, CORs and FRED will provide monthly performance feedback to the Contractor. The Contractor shall provide a meeting agenda and minutes.

2.4. SOFA Status. SOFA article I(b) will be provided to United States National(s), who is/are not ordinarily a resident in Japan and solely for the purpose of executing this contract as an Infection Preventionist.

2.5. Mission/Emergency Essential. In the event of a biohazard or hazmat event (Ebola virus, emerging infectious disease or potential outbreak, i.e., Influenza epidemic/pandemic) the Contractor IP would be designated mission/emergency essential (see PWS 3.1.37). The Contractor shall furnish a listing of all of the Contractor’s employees fulfilling mission/emergency essential tasks to the FRED/COR and CO. Contractor employees performing mission/emergency essential tasks will be considered mission/emergency essential personnel.

Should the Government plan to assume or supplement the Contractor–supplied essential services during crisis situations, the Government will make the Contractor aware of such replacement and transitioning plans.

2.5.1. The Contractor shall develop contingency plans for those tasks that have been identified as mission essential to provide reasonable assurance of continuation during crisis conditions.

2.5.2. The Government will establish administrative controls to ensure that all information on mission essential Contractor employees is handled as sensitive data and released only to authorized personnel.

2.6. Duty Hours. Normal duty hours are Monday through Friday (excluding Federal Holidays) from 7:30 am to 4:30 p.m. Japan Standard time (JST). Due to mission need or due to unforeseen acts of nature or emergency, the FRED/COR or CO and Contractor may agree to different duty hours/work days/duty locations. No overtime is authorized.

2.6.1. Scheduled and Unscheduled Absences. Contractor employees are allowed to take up to fifteen (15) work days of leave annually. Leave is classified as both annual, vacation or sick leave. Leave shall be taken in one (1) day increments and shall not exceed ten (10) consecutive work days. All leave shall be considered non-paid days and shall be deducted from the Contractor’s monthly invoice. Timing and details shall be coordinated with the FRED/COR.

Scheduled absences shall be scheduled at least thirty (30) calendar days in advance and mutually agreed upon by the FRED/COR and individual. Unscheduled absences shall be called into the FRED/COR by the contract provider within the first two (2) hours of each duty day that he/she is unable to report to work.

2.7. Federal Holidays. Federal Holidays are paid days. Contractor employees may be required to perform duties during the PACAF family days as well as during monthly SRTD (Samurai Readiness Training Days).

Federal Holidays listed below:

New Year’s Day 01 January Martin Luther King’s Birthday Third Monday in January President’s Day Third Monday in February Memorial Day Last Monday in May Independence Day 04 July Labor Day First Monday in September Columbus Day Second Monday in October Veteran’s Day 11 November Thanksgiving Day Fourth Thursday in November Christmas Day 25 December

2.7.1. Non-Duty Days. Contractor employees may not be required to perform on Government non-duty days or other times when the MTF may be closed such as Pacific Air Forces (PACAF) family days (approximately 7 - 9 days per year). The FRED/COR at each location shall notify the Contractor five (5) work days prior to the family day if performance will be required. Non-duty days shall be considered non-paid days and shall be deducted from the Contractor’s monthly invoice.

Contract Line Item Number (CLIN) Monthly amount divided by two hundred and forty (240) hours (30 calendar days) = Hourly Rate

**Thirty (30) calendar days shall be used for calculation purposes regardless of the total number of days within the month. (e.g., February) **

2.7.2. Arrange for Replacement Staff. The Contractor’s Management Staff shall replace permanent Contractor employees at the earliest possible moment. Contractor employees must notify to the Contractor and the Government staff (FRED, COR, CA or CO) of the intention to vacate the job at least thirty (30) calendar days prior to the last duty day at the requesting location. (e.g. send resignation form/document to the Contractor). The Contractor must provide candidate package to the Government staff no later than thirty (30) calendar days prior to the date of resignation. The Contractor’s Management Staff shall ensure that all temporary or permanent replacement staff are fully qualified, meet all pre-placement requirements and are ready to perform within the required timeframe.

2.8. Conduct of Contractor Employee. The FRED/COR may require the Contractor to remove Contractor employees working under this contract from the job site. Removal from the job site or dismissal from the premises shall not relieve the Contractor of the contract requirements.

2.8.1. Contractor employees shall be required to observe Government facility parking, safety and traffic regulations that apply to all facility employees.

2.8.2. Alcoholic beverages are prohibited on the job.

2.8.3. There shall be no loud, profane or abusive language used on the job.

2.8.4. Contractor employees shall present a neat well-groomed appearance. Neat, clean, casual business attire shall be worn.

2.8.5. Contractor employees must portray a professional demeanor in the office environment.

2.9. U.S. Government and/or Master Labor contract Employees. The Contractor shall not hire employees of the U.S. Government and/or Government of Japan Master Labor Contract employees in violation of the Procurement Integrity Act. See FAR 3.104. Furthermore, the Contractor shall not employ any Department of Defense employee, either military or civilian, unless such person seeks and receives approval in accordance with Department of Defense 5500.7-R, Joint Ethics Regulation.

3. CONTRACT REQUIREMENTS

3.1. Infection Preventionist Services. The Contractor shall provide on-site labor and management resources not otherwise furnished by the Government to perform the following advisory and assistance services associated with the scope and desired capabilities described in the tasks described below.

3.1.1. Implement the MTF IPCP IAW AFI 44-108, Infection Prevention and Control Program.

3.1.2. Perform an annual self-inspection to determine if there is sufficient evidence of MTF’s compliance or noncompliance with regulatory standards below. Provides assessment of IPC program to the Infection Prevention and Control Function (IPCF) Chair and shares with IPCF at quarterly meetings. Standards and guidelines used to determine compliance include, but are not limited to:

3.1.2.1. AFI 44-108, Infection Prevention and Control Program. The applicable IPC references are:

3.1.2.1.1. American Society for Gastrointestinal Endoscopy. Multisociety guideline on reprocessing flexible GI endoscopes: 2016 update. (Unless superseded by more recent guidance) Available at: https://www.sgna.org/Portals/0/MS_guideline_reprocessing_GI_endoscopes.pdf

3.1.2.1.2. Association for Professionals in Infection Control and Epidemiology (APIC). APIC Text Online: Text of Infection Control (IC) and Epidemiology. Available at: https://apic.org/ (Note: call AFMOA/SGHQ Infection Preventionist for access code) https://www.sgna.org/Portals/0/MS_guideline_reprocessing_GI_endoscopes.pdf https://apic.org/

3.1.2.1.3. Association for Professionals in Infection Control and Epidemiology (APIC). APIC Text Online: Text of Infection Control and Epidemiology. Available at: https://apic.org/ (Note:

call AFMOA/SGHQ Infection Preventionist for access code)

3.1.2.1.4. Association for the Advancement of Medical Instrumentation (AAMI). Sterilization, Part 1: Sterilization in Health Care Facilities, 2015 Edition, Arlington, VA. (Unless superseded by more recent guidance) Available at: http://esubscription.aami.org/Login.aspx (Note: call AFMOA/SGHQ Infection Preventionist for access code)

3.1.2.1.5. Association of perioOperative Registered Nurses (AORN), Inc. Guidelines for Perioperative Practice. 2018 Edition. Denver, CO. (Unless superseded by more recent guidance) Available on the Air Force Medical Service (AFMS) Virtual Library, Stat!Ref at:

https://kx2.afms.mil/kj/kx8/VirtualLibrary/Pages/home.aspx

3.1.2.1.6. Centers for Disease Control and Prevention (CDC). Note: the following guidelines are available at this link: https://www.cdc.gov/infectioncontrol/guidelines/index.html

3.1.2.1.7. 2007 Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcare Settings. (Unless superseded by more recent guidance)

3.1.2.1.8. Guidance for Evaluating Health-Care Personnel for Hepatitis B Virus Protection and for Administering Postexposure Management, 2013 (Unless superseded by more recent guidance)

3.1.2.1.9. Guideline for Disinfection and Sterilization in Healthcare Facilities, 2008. (Unless superseded by more recent guidance)

3.1.2.1.10. Guideline for Hand Hygiene in Healthcare Settings, 2002. (Unless superseded by more recent guidance)

3.1.2.1.11. Guideline for Prevention of Catheter-Associated Urinary Tract Infections, 2009.

(Unless superseded by more recent guidance)

3.1.2.1.12. Guideline for Prevention of Surgical Site Infection, 2017. (Unless superseded by more recent guidance)

3.1.2.1.13. Guideline for the Prevention and Control of Norovirus Gastroenteritis Outbreaks in Healthcare Settings, 2011. (Unless superseded by more recent guidance)

3.1.2.1.14. Guideline for Infection Control in Health Care Personnel, 1998. (Unless superseded by more recent guidance).

3.1.2.1.15. Guidelines for Environmental Infection Control in Health-Care Facilities, 2003.

(Unless superseded by more recent guidance)

3.1.2.1.16. Guideline for Hand Hygiene in Healthcare Settings, 2002. (Unless superseded by more recent guidance) http://esubscription.aami.org/Login.aspx https://www.cdc.gov/infectioncontrol/guidelines/index.html

3.1.2.1.17. Guidelines for Infection Control in Dental Health-Care Settings, 2003. (Unless superseded by more recent guidance)

3.1.2.1.18. Guidelines for Preventing Health-Care-Associated Pneumonia, 2003. (Unless superseded by more recent guidance)

3.1.2.1.19. Guidelines for the Prevention of Intravascular Catheter-Related Infections, 2011.

(Unless superseded by more recent guidance)

3.1.2.1.20. Guidelines for Preventing the Transmission of Mycobacterium tuberculosis in Health-Care Settings, 2005. (Unless superseded by more recent guidance)

3.1.2.1.21. Immunization of Health-Care Personnel, Recommendations of the Advisory Committee on Immunization Practices (ACIP), 2011. (Unless superseded by more recent guidance).

3.1.2.1.22. Management of Multidrug-Resistant Organisms in Healthcare Settings, 2006.

(Unless superseded by more recent guidance)

3.1.2.1.23. Summary of Infection Prevention Practices in Dental Settings, 2016. (Unless superseded by more recent guidance)

3.1.2.1.24. International Association of Healthcare Central Services Material Management (IAHCSMM): Central Service Technical Manual, 8th Edition, 2016. Available at:

http://www.iahcsmm.org/

3.1.2.1.25. Society of Healthcare Epidemiology of America/Infectious Disease Society of America. Compendium of Strategies to Prevent Healthcare-Associated Infections in Acute Care Hospitals: 2014 Updates. Available at: https://www.shea-online.org/index.php/practice-resources/priority-topics/compendium-of-strategies-to-prevent-hais/

3.1.2.1.26. The Joint Commission. Comprehensive Accreditation Manual for Hospitals (use latest edition). https://www.jcrinc.com/store/publications/

3.1.2.1.27. Unified Facilities Criteria (UFC) 4-510-01, Design: Military Medicals Facilities. 1 May 2016, Change 2, November 2017. Available at:

https://www.wbdg.org/FFC/DOD/UFC/ufc_4_510_01_2016_c2.pdf

3.1.2.1.28. United States Air Force Dental Service. USAF Guidelines for Infection Prevention and Control in Dentistry. Available at:

https://kx2.afms.mil/kj/kx2/DECS/Documents/Infection%20Prevention%20and%20Control/Res ources/USAF%20Guidelines%20for%20Infection%20Prevention_Control%20in%20Dentistry% 202017.pdf

3.1.2.1.29. United States Department of Labor, Occupational Safety and Health Administration, Title 29 Code of Federal Regulations, Standard 1910.1030, Bloodborne Pathogens. Available at:

https://www.ecfr.gov/cgi-http://www.iahcsmm.org/ https://www.shea-online.org/index.php/practice-resources/priority-topics/compendium-of-strategies-to-prevent-hais https://www.shea-online.org/index.php/practice-resources/priority-topics/compendium-of-strategies-to-prevent-hais https://www.jcrinc.com/store/publications/ https://kx2.afms.mil/kj/kx2/DECS/Documents/Infection%20Prevention%20and%20Control/Resources/USAF%20Guidelines%20for%20Infection%20Prevention_Control%20in%20Dentistry%202017.pdf https://kx2.afms.mil/kj/kx2/DECS/Documents/Infection%20Prevention%20and%20Control/Resources/USAF%20Guidelines%20for%20Infection%20Prevention_Control%20in%20Dentistry%202017.pdf https://kx2.afms.mil/kj/kx2/DECS/Documents/Infection%20Prevention%20and%20Control/Resources/USAF%20Guidelines%20for%20Infection%20Prevention_Control%20in%20Dentistry%202017.pdf https://www.ecfr.gov/cgi-bin/retrieveECFR?gp=&SID=59079c1fe9b3d1c4c8059166c3ae6d5d&mc=true&r=PART&n=pt29.6.1910#se29.6.1910_11030 bin/retrieveECFR?gp=&SID=59079c1fe9b3d1c4c8059166c3ae6d5d&mc=true&r=PART&n=pt2 9.6.1910#se29.6.1910_11030

3.1.2.1.30. United States Department of Labor, Occupational Safety and Health Administration, Code of Federal Regulations, Title 29, Standard 1910.134, Respiratory Protection. Available at:

https://www.ecfr.gov/cgi-bin/retrieveECFR?gp=&SID=59079c1fe9b3d1c4c8059166c3ae6d5d&mc=true&r=PART&n=pt2 9.5.1910#se29.5.1910_1134

3.1.2.1.31. United States Environmental Protection Agency (EPA). Selected EPA-registered Disinfectants. Available at: https://www.epa.gov/pesticide-registration/selected-epa-registered-disinfectants

3.1.2.1.32. United States Food and Drug Administration. Topical Antiseptic Products: Hand Sanitizers and Antibacterial Soaps. Available at:

https://www.fda.gov/Drugs/DrugSafety/InformationbyDrugClass/ucm444681.htm

3.1.2.1.33. United States Pharmacopeia. References available at: http://www.usp.org/reference-standards/reference-standards-catalog

3.1.2.1.34. United States Public Health Service, Updated U.S. Public Health Service Guidelines for the Management of Occupational Exposures to HIV and Recommendations for Postexposure Prophylaxis, 2013. Available at: https://stacks.cdc.gov/view/cdc/20711

3.1.2.1.35. World Health Organization. Hand Hygiene in Health Care: a Summary. Available at: http://www.who.int/en/

3.1.2.2. AFI 90-201, The Air Force Inspection System

3.1.2.3. AFI 44-119, Medical Quality Operations

3.1.2.4. Most current The Joint Commission (TJC) standards appropriate for facility type (e.g., hospital environments, outpatient clinics)

3.1.2.5. The Air Force Inspection Agency (AFIA) Unit Effectiveness Inspection (UEI) evaluation criteria (e.g., Management Internal Control Toolset (MICT), and Accreditation Manager Plus (AMP).

3.1.3. Guides the MTF on IPC-related accreditation preparation activities and regulatory readiness. Formulates corrective actions IAW current standards and guidelines.

3.1.4. Develops the annual Infection Control Risk Assessment (ICRA); prioritizes according to the level of probability and potential for harm. Coordinates ICRA development with other team members, including the IPCF Chair, IPCF members, Public Health (PH) and others as needed.

3.1.5. Develops and coordinates the annual Infection Prevention and Control Program Plan (IPCPP) based upon the approved ICRA prioritized list. Updates the IPCPP as needed throughout the year.

https://www.ecfr.gov/cgi-bin/retrieveECFR?gp=&SID=59079c1fe9b3d1c4c8059166c3ae6d5d&mc=true&r=PART&n=pt29.6.1910#se29.6.1910_11030 https://www.ecfr.gov/cgi-bin/retrieveECFR?gp=&SID=59079c1fe9b3d1c4c8059166c3ae6d5d&mc=true&r=PART&n=pt29.6.1910#se29.6.1910_11030 https://www.ecfr.gov/cgi-bin/retrieveECFR?gp=&SID=59079c1fe9b3d1c4c8059166c3ae6d5d&mc=true&r=PART&n=pt29.5.1910#se29.5.1910_1134 https://www.ecfr.gov/cgi-bin/retrieveECFR?gp=&SID=59079c1fe9b3d1c4c8059166c3ae6d5d&mc=true&r=PART&n=pt29.5.1910#se29.5.1910_1134 https://www.ecfr.gov/cgi-bin/retrieveECFR?gp=&SID=59079c1fe9b3d1c4c8059166c3ae6d5d&mc=true&r=PART&n=pt29.5.1910#se29.5.1910_1134 https://www.epa.gov/pesticide-registration/selected-epa-registered-disinfectants https://www.epa.gov/pesticide-registration/selected-epa-registered-disinfectants https://www.fda.gov/Drugs/DrugSafety/InformationbyDrugClass/ucm444681.htm http://www.usp.org/reference-standards/reference-standards-catalog http://www.usp.org/reference-standards/reference-standards-catalog https://stacks.cdc.gov/view/cdc/20711 http://www.who.int/en/

3.1.6. Develops and coordinates the IPCP Annual Summary that describes all activities in the IPCPP. The summary shall include a general discussion, actions taken and resolution.

Unresolved items must be carried over to the next IPCP Annual Summary. All program documents shall be accomplished in a timely manner; clear suspense for the completion of each document IPCPP—shall be signed by the Commander or designee and shall be in place thirty

(30) days following the close out of the reporting year.

3.1.7. Plans and develops the IPCF agenda with the IPCF Chair based on activities outlined in the IPCPP; standard agenda items are included at least quarterly. Completes and files meeting minutes per MTF policy.

3.1.8. Contractor employees shall maintain active memberships in the following groups: Safety or Environment of Care Committee, Product Evaluation Committee, Patient Safety Committee, Space Utilization Committee, Medical Readiness Staff Function, Nursing Executive Function, and Executive Committee of the Medical Staff (ECOMS).

3.1.9. Performs IPC-related surveillance as defined by the annual ICRA and IPCPP as approved by MTF senior leadership (e.g. ECOMS). Assists in reviewing and revising IPC relevant MTF Operating Instructions (OIs) as required. Shares surveillance activities and findings with the IPC Chair, IPC Function and other related stakeholders, as applicable.

3.1.10. Verifies current standards are implemented throughout the MTF (e.g., reprocessing of reusable medical devices (RMD), high level disinfection (HLD), instrument processing, environmental hygiene, hand hygiene, transmission-based precautions, etc.).

3.1.11. Participates in quality/performance improvement (PI) and patient safety (PS) activities related to IPC.

3.1.12. Advises and collaborates on IPC-related issues with many various staff/groups that include, but are not limited to, IPCF, ECOMS, TJC Environment of Care program (EOC) Committee, Nurse Executive Council (NEC), and Performance Improvement Council.

3.1.13. Liaises with installation Air Reserve Component (ARC) Medical Units on IPCP management and serves as a conduit to elevate IPC-related issues to MTF leadership. Assists ARC IPC monitor in development of a Memorandum of Understanding or Memorandum of Agreement (MOU/MOA), or Host Tenant Agreement.

3.1.14. Consults with other MTF IPs, SG IP Consultant and HQ IP (AFMOA) on a regular basis regarding data, trends, and activities.

3.1.15. Collaborates with AFMS and local area peers to advance awareness of current IPC news and trends.

3.1.16. Participates in AF and Defense Health Agency (DHA) IPC forums, teleconferences, and meetings.

3.1.17. Applies epidemiologic principles and statistical methods to break the chain of infection and improve IPC efforts.

3.1.18. Utilizes databases, graphs, and reports to track, trend, and monitor infectious processes and facilitate evidence-based practices.

3.1.19. Uses Government-provided Information Technology (IT) systems; e.g., Electronic Healthcare Record (EHR), Composite Healthcare Systems (CHCS), etc., to identify infection occurrences, reservoirs, incubation periods, periods of communicability, modes of transmission, signs and symptoms, and susceptibility associated with the disease process.

3.1.20. Interprets diagnostic and laboratory reports and advises clinicians on limitations and advantages of types of tests used to diagnose infectious processes.

3.1.21. Identifies epidemiologically significant organisms for immediate review and investigation and collaborates with multidisciplinary teams, county/state public health departments, and when necessary, in consultation with the AF/SG IP Consultant, AFMOA IP and the CDC.

3.1.22. Identifies indications for environmental and microbiological monitoring.

3.1.23. Collects and compiles surveillance data from patient care areas and applies current nationally recognized definitions and methodologies to interpret and explain Healthcare Acquired Infection (HAI) data (e.g., Surgical Site Infections (SSIs), Standardized Infection Ratio (SIR), etc.).

3.1.24. Collaborates with multidisciplinary teams on risk reduction and error prevention strategies to reduce HAIs.

3.1.25. Interprets and translates data from antibiograms and antibiotic utilization.

3.1.26. Educates staff on Multi-Drug Resistant Organisms (MDROs) and on optimal and prudent use of antimicrobials. Coordinates interprofessional effort to improve antimicrobial stewardship through education, surveillance, and evidence-based practices.

3.1.27. Consults on facility renovations, construction and repair projects, facility modifications, and facility relocations impacting patient care areas.

3.1.27.1. Develops a focused ICRA to preplan IPC efforts requiring coordination before any new construction or renovation begins.

3.1.27.2. Conducts a walk-through of renovated areas prior to any unit occupying a new space or changes the existing functional use prior to the start of any construction project.

3.1.28. Coordinates and consults on service contracts and plans that have IPC implications, to include the Hospital Aseptic Management System (HAMS) or equivalent housekeeping contract, linen/laundry contract, and waste management contract.

3.1.29. Consults with Aerospace Medicine on development of exposure control plans.

3.1.30. Collaborates with PS and Risk Management (RM) on tracking and trending of IPC near misses, events and/or issues relating to PS and the TJC National Patient Safety Goals (NPSGs) pertaining to IPC.

3.1.30.1. Engages in proactive and reactive analyses in regards to IPC related events; e.g., Root Cause Analysis (RCA), Failure Mode and Effect Analysis (FMEA), or other PS initiatives.

3.1.30.2. Advises leadership and staff on identifying relevant improvement opportunities and utilizes Performance Improvement (PI) tools; e.g., Plan, Do, Study, Act (PDSA), Lean Six Sigma, to improve performance and outcomes.

3.1.31. Develops and implements MTF-wide IPC education and training. Facilitates training for professional and ancillary support staff on IPC topics.

3.1.31.1. Assesses needs, develops goals and measurable objectives, and prepares lesson plans, power point slides, handouts and other materials for IPC educational in-services and briefings as needed.

3.1.31.2. Prepares and provides briefings including, but not limited to, Newcomers’ Orientation, annual training, executive staff meetings, in-services, unit-based training and other programs as requested.

3.1.31.3. Utilizes principles of adult learning to educational strategies and delivery of in-services and briefings. Prepares, presents, and coordinates educational workshops, lectures, discussion, simulation or one-on-one instruction on a variety of IPC topics.

3.1.31.4. Evaluates the effectiveness of education and learner outcomes.

3.1.31.5. Instructs patients, families, and visitors about methods to prevent and control infections.

3.1.32. Maintains knowledge of IPC issues occurring world-wide as provided through valid communication sources (e.g. DHA, CDC, World Health Organization (WHO), APIC).

3.1.33. Advocates, influences, motivates, and persuades leadership and staff to consistently incorporate IPC guidelines and standards throughout the MTF.

3.1.34. Maintains IPC-related files IAW Air Force Manual (AFMAN) 33-363, Management of Records.

3.1.35. Utilizes the APIC Text of Infection Control and Epidemiology on-line (http://text.apic.org/) and other IPC references located on the AFMS Virtual Library (i.e.

https://kx2.afms.mil/kj/kx8/VirtualLibrary/Pages/home.aspx). APIC Text online access is granted by contacting the HQ IP (AFMOA).

3.1.36. Mission/Emergency/Disaster Management Essential Duties.

3.1.36.1. Include emergency preparation and management in the annual ICRA and IPCPP.

3.1.36.2. Identify how an influx of infectious patients will be triaged and quarantined.

3.1.36.3. Include emergency preparedness in Newcomers’ Orientation and Annual IPC Training.

Identify required isolation and personal protective equipment (PPE) use.

3.1.36.4. Participate in community-based and/or DoD exercises relevant to IPC disasters/emergencies.

3.1.37. Minimum Qualification Requirements: The Contractor shall provide qualified personnel capable of performing the tasks described in PWS Section 3 and also meet the minimum specialized requirements below:

3.1.37.1. Education: Minimum of a Bachelor’s degree in Nursing, Public Health, Epidemiology or Microbiology from a nationally recognized accredited college program.

3.1.37.2. Experience: Prefer three (3) years of current experience in infection prevention and control performed within the past four (4) years.

3.1.38. Workload Estimates by Task.

3.1.38.1. The quantities, as stated herein, are estimates and, as such, are subject to variations.

These estimates are not conclusive. These estimates are provided for the Contractor to understand the full scope of workload to be performed; complete requirement descriptions are outlined further throughout this PWS.

3.1.38.2. The column titled “Number of Events” represents the number of occurrences of that event within a month. The Contractor shall be responsible for providing feedback to the Government if these workload estimates are found to have a range variation of greater than 15%.

Negotiations for an equitable estimated cost adjustment may be initiated by either party if a variation over 15% is found to exist. These figures are based on historical data and are not intended to alter the firm fixed priced nature of performing this work.

Table 1 – Workload Estimates by Task

PWS

Para

Reference Description of Events

Hours per week/ quarter/ year

3.1.2. Performs an annual self-inspection of the IPCP. 40 hours/ year

3.1.2.

Provides an assessment of the IPCP at the IPCF meetings. 4 hours/ quarter

3.1.4. Develops the annual ICRA with coordination from the IPCF. 40 hours/ year

3.1.5. Develops the annual IPCPP with coordination from the IPCF. 40 hours/ year

3.1.6. Develops the IPCP Annual Summary with coordination from the IPCF.

40 hours/ year

3.1.7. Develops the IPCF meeting agenda and minutes with

coordination from the IPCF Chairperson.

2 hours/ quarter

3.1.8. Attends and provides consultation at various meetings (Daily Huddle, Unit staff meetings, Safety or Environment of Care Committee, Product Evaluation Committee, Patient Safety Committee, Space Utilization Committee, Medical Readiness Staff Function, Nursing Executive Function, and Executive Committee of the Medical Staff [ECOMS].)

4 hours/ week

3.1.9.;

3.1.23.

Conducts surveillance as defined in the annual ICRA and IPCPP. Collects and compiles surveillance data and applies current nationally recognized definitions and methodologies to interpret and explain HAI data (e.g., SSIs, SIR, etc.).

20 hours/ week

3.1.14. Consults with other MTF IPs, SG IP Consultant and HQ IP (AFMOA) regarding data, trends, and activities.

2 hours/ quarter

3.1.18. Uses Government-provided IT systems; e.g., EHR, CHCS, etc., to identify infection occurrences, reservoirs, incubation periods, periods of communicability, modes of transmission, signs and symptoms, and susceptibility associated with the disease process.

18 hours/ week

3.1.27. Coordinates and consults on service contracts and plans that have IPC implications, to include the HAMS or equivalent housekeeping contract, linen/laundry contract, and waste management contract.

10 hours/ month

3.1.30.;

3.1.30.5. Educates personnel, visitors and patients on IPC-related topics. 4 hours/ month

3.2. Security Requirements: Contractor employees will have access to and/or process information requiring protection under the Privacy Act of 1974 and the Health Insurance Portability and Accountability Act (HIPAA) of 1996 on unclassified automated information systems (AIS) under this contract. Therefore, Contractor employee working for the Government under this contract are in non-sensitive public trust positions designated as AIS III (formally ADP) positions in accordance with DoD Directive 5200.2-R. In compliance with DoD Directive 5200.2-R a National Agency Check (NAC) is required for all AIS III positions. The Contractor’s Management Staff shall fully adhere to the provisions in these referenced publications by ensuring all Contractor employee who are performing under this contract are prepared to complete the security requirements in accordance with requesting installation policy and procedures. Contractor employees shall, for example, submit appropriate security forms that are complete and accurate or schedule and attend scheduled appointments

3.2.1. Security Clearance Requirements: All Contractor employees shall have/obtain an active favorable Tier 1 (T1) – National Agency Check with Inquiries/National Agency Check (NACI/NAC) or meet the requirements of DoDM 1000.13-M-VI, DoD Identification (ID) Cards.

Costs and documentation required for security certification will be the responsibility of the Contractor. The Contractor shall provide documentation received from the appropriate Government agency as to the verification of contract personnel’s Tier 1 certification. In case the certification has been requested, but not received, the Contractor may provide documentation on any contractor employee where certification has been requested. In the instance, contractor employees will be able to begin work in areas that would not conflict with Government security issues. The COR will be kept abreast of issues dealing with the Tier 1 certification. The Contractor’s security officer shall ensure timely notification of all hires to the AF SG’s Security Office located at the Yokota Air Base, Japan.

3.2.1.1. The Contractor shall ensure that, as a condition of employment, the contractor employees providing patient care services under this contract meet the requirements of the Crime Control Act of 1990, as amended. This will be accomplished by successfully completing a Criminal Background Check consisting of a Federal Bureau of Investigation (FBI) fingerprint check and State Criminal History Repository check. The procedures for completing the required background checks are outlined within Department of Defense Regulation 5200.1, The DoD Information Security Program and DoD Instruction 1402.5, Criminal History Background Checks on Individuals in Child Care Services, 19 Jan 93.

3.2.1.2. The MTF Security Manager will assist and process the security investigation forms in conjunction with the base Information Protection Office.

3.2.1.3. Individuals shall have the right to obtain a copy of any background check pertaining to them and to challenge the accuracy and completeness of the information contained in the report.

3.2.1.4. Individuals who have previously received a background check shall provide proof of the check to the MTF security manager and submitted with the credentialing package, or obtain a new one. A new investigation is required if a break in service to the Department of Defense results in a time lapse of more than two (2) years.

3.2.1.5. National Agency Check. The Contractor must submit a SF-85P (Application for Public Trust Position) to designated MTF Security Manager to begin the National Agency Check (NAC). When contract personnel arrives Applicant will be fingerprinted using SF-87/FD258 (Fingerprint Card). The documentation will be submitted to the US Office of Personnel Management. Any person who receives an unfavorable NAC or is determined disloyal, untrustworthy, or unreliable shall be removed from employment by the Contractor.

3.2.1.6. Contractor employees shall submit security investigation forms per base requirements to the COR at least thirty (30) business days prior to the employee’s required start date in the MTF.

Contractor employees shall complete the Electronic Questionnaires for Investigations Processing (e-QIP) process in accordance with requesting base or MTF policy and procedure. Failure to submit the e-QIP prior to starting performance may result in a “stop work” on the contract until the e-QIP is completed.

3.2.1.7. Contractor employees shall coordinate submission of fingerprints with the responsible base agency (i.e. MTF Security Office, Information Protection Office (IPO), etc.) and in accordance with applicable base procedure. Fingerprints shall be coordinated immediately following the successful submission of the security investigation forms as verified by the MTF Security Manager.

3.2.1.8. Contractor employees shall produce proof of citizenship (e.g., original Birth Certificate, passport, Naturalization Certificate) upon request.

3.2.1.9. The Contractor’s Management Staff shall advise Contractor employees that a favorable Joint Personnel Adjudication System report is needed as a condition of employment under this contract. The Contractor’s Management Staff understands the MTF Commander may allow Contractor employees temporary or interim access to government systems in non-sensitive positions pending final adjudication of the NACI. Any contractor employee receiving an “Unfavorable” determination will be immediately removed from the position.

3.2.2. List of Contractor Employees: The Contractor shall maintain a current listing of Contractor employees. The list shall include Contractor employees’ name, social security number, and level of security clearance. The list shall be validated and signed by the company Facility Security Officer (FSO) and provided to the CO and Information Security Program Manager (ISPM) at each performance site thirty (30) calendar days prior to the service start date.

Updated listings shall be provided when Contractor employees’ status or information changes. A Visit Request for all Contractor employees with security clearances is required to be sent through the Joint Personnel Adjudication System (JPAS), and must be updated at least annually. The Contractor shall notify the ISPM at each operating location thirty (30) calendar days before on-base performance of the service. The notification shall include:

3.2.2.1. Name, address, and telephone number of the company key management representatives.

3.2.2.2. The contract number and contracting agency.

3.2.2.3. The highest level of classified information to which employees require access.

3.2.2.4. The location(s) of service performance and future performance, if known.

3.2.2.5. The date service performance begins.

3.2.2.6. Any change to information previously provided under this paragraph.

3.2.3. Local Area Network (LAN). All Contractor employees requiring access to the Government unclassified computer network shall have a valid Tier 1 (T1) verified through JPAS.

No Contractor employee will be provided access to unclassified computer network or its inherent capabilities (i.e., internet access, electronic mail, file and print services, etc.) without a valid Tier 1 (T1). The Contractor shall be aware of and abide by all Government regulations concerning the authorized use of the Government’s computer network including the restriction against using the network to recruit Government personnel or advertise job openings.

3.2.3.1. Government Computer Access. The Contractor shall ensure that all contract employees comply with the requirement to obtain the minimum personnel security investigations as prescribed by DoD 5200.2-R and AFI 31-501, paragraphs 3.27.3.7 to 3.27.3.7.2. The Contractor shall work with the MTF to ensure that the pre-employment screening process for each employee classified as Automated Data Processing (ADP) I, II, III (as defined in DoD 5200.2-R) includes the appropriate investigations and that each contract employee has the appropriate questionnaires and forms to be completed. All completed forms will be reviewed by the Contractor and forwarded to the MTF for processing prior to the employee beginning work.

The Contractor understands that, while the MTF Commander may allow Contractor employees to temporarily occupy non-critical sensitive positions pending National Agency Check (NAC), the employees will be immediately removed from the position if at any time the NAC receives unfavorable adjudication, or if other unfavorable information that would affect the NAC becomes known. This must be completed prior to the start of health care delivery. All documents will be submitted to the designated MTF Security Manager.

3.2.4. Disclosure of Information. In the performance of this contract, the Contractor may have access to data and information proprietary to a Government agency or to another Government Contractor, or of such nature that its dissemination or use, other than as specified in this contract, would be illegal or otherwise adverse to the interests of the Government or others. The Contractor and its personnel shall not divulge or release data or information developed or obtained under performance of this contract, except to authorized Government personnel or upon written approval of the CO. The Contractor and its Contractor employees shall not use, disclose, or reproduce proprietary information bearing a restrictive legend, other than as specified in the contract.

3.2.5. Non-Disclosure Agreement (NDA). All Contractor employees shall sign the non-disclosure statement provided at Appendix D prior to beginning of contract performance. The Contractor must then provide a copy of the signed/dated NDA to the COR prior to beginning work.

3.3. Contractor Manpower Reporting Requirements Application (CMRA). The Contractor shall report ALL Contractor labor hours (including subcontracted labor hours) required for performance of services provided under this contract for the Air Force and Army via a secure data collection site. The Contractor is required to completely fill in all required data fields at http://www.ecmra.mil. Reporting inputs will be for the labor executed during the period of performance for each Government fiscal year (FY), which runs 1 October through 30 September.

While inputs may be reported at any time during the FY, all data shall be reported no later than 31 October of each calendar year. Contractors may direct questions to the CMRA help desk.

3.3.1. Uses and Safeguarding of Information. Information from the secure web site is considered to be proprietary in nature when the contract number and Contractor’s identity are associated with the direct labor hours and direct labor dollars. At no time will any data be released to the public with the Contractor’s name and contract number associated with the data.

3.3.2. User Manuals. Data for Air Force service requirements must be input at the Air Force CMRA link. However, user manuals for Government personnel and Contractors are available at the Army CMRA link http://www.ecmra.mil.

3.3.3. Performance of Services during Crisis Declared by the National Command Authority of Oversees Combatant Commander. The Contractor is required to perform essential services in accordance with this PWS in emergency or limited force protection conditions such as natural disaster; however DoDI 1100.22 does not apply to this contract for crisis situations where continuation of essential services by the Contractor is unfeasible.

3.4. Post-Award Meeting. The Government will host a post-award meeting with the Contractor within ten (10) business days after contract award. The CO will contact the Program Manager (PM)/COR and the Contractor to schedule this meeting. Telecon/teleconference is http://www.ecmra.mil/ http://www.ecmra.mil/ http://www.ecmra.mil/ permissible for the post-award meeting. The purpose of the post-award meeting is introduce the Contractor to the Government representatives (PM/COR) the Contractor shall support; provide the Contractor the opportunity to explain in more detail their proposal’s technical approach; and entertain questions from either party. Take-aways from the meeting should be an exchange of contact information; a timeline of when direct support will start, if not yet started; and an understanding by all parties of all the requirements to be performed by the Contractor and the support the Government will provide the Contractor to perform the requirements, safely and efficiently.

4. PERFORMANCE OBJECTIVES.

4.1. Services Summary (SS). The Contractor services requirements are summarized into performance objectives that relate directly to mission essential items. The performance threshold briefly describes the minimum acceptable levels of service for each requirement. These thresholds are critical to mission success.

4.2. Initial Contract Performance Review. The initial evaluation of Contractor performance is a joint determination by the multi-functional team that the Contractor has successfully started performance, completed transition, is fully operational, and is within the estimated cost, schedule, and performance parameters of the contract. The initial evaluation will be conducted by the Government within thirty (30) days after the Contractor assumes full performance responsibilities (i.e. after completion of transition/mobilization). The Contractor shall also attend a follow-up meeting ninety (90) calendar days after contract award to assess status of performance.

4.3. Services Summary:

Performance Objectives

PWS

Paragraph Performance

Threshold/Standard

Method of Assessment

SS 1: Perform an annual self-inspection to determine if there is sufficient evidence of MTF’s compliance or noncompliance with regulatory standards below. Provides assessment of IPC program to the Infection Prevention and Control Function (IPCF) Chair and shares with IPCF at quarterly meetings. Standards and guidelines used to determine compliance.

3.1.2. 100% Compliance

Completed by the 10th day of the month following the month it is due, as required by the MTF.

Periodic Inspection (Annually)

SS 2: Develops the annual Infection Control Risk Assessment (ICRA);

prioritizes according to the level of probability and potential for harm.

Coordinates ICRA development with other team members, including the IPCF Chair, IPCF members, Public Health (PH) and others as needed.

3.1.4. 100% Compliance

Completed by the last day of the sixth month following completion of the Annual Plan.

Periodic Inspection (Annually)

SS 3: Develops and coordinates the annual Infection Prevention and Control Program Plan (IPCPP) based upon the approved ICRA prioritized list. Updates the IPCPP as needed throughout the year.

3.1.5. 100% Compliance

Completed by the 10th day of the month following the month it is due, as required by the MTF.

SS 4: Develops and coordinates the IPCP Annual Summary that describes all activities in the IPCPP. The summary shall include a general discussion, actions taken and resolution.

Unresolved items must be carried over to the next IPCP Annual Summary. All program documents shall be accomplished in a timely manner; clear suspenses for the completion…