4. PWS Laboratory Assistant - Amendend.pdf

PERFORMANCE BASED WORK STATEMENT

FOR

LABORATORY ASSISTANT SERVICES

18 Medical Support Squadron

Kadena Air Base, Japan (23 February 2021)

PERFORMANCE WORK STATEMENT

TABLE OF CONTENTS

CONTENTS:

Description of Services

1 Scope

1.2 Place of Performance

1.3 Mission Essential Status

1.4 Education and Experience Requirements

1.5 Pharmacy Technician Services Task

1.6 Mandatory Knowledge and Skills:

1.7 Orientation and Training:

1.8 Hours of Operation:

2 Facility and Equipment

3 General Information

3.1 Quality Assurance/Control

3.2 Security Requirements:

3.3 Privacy and Confidentiality:

3.4 Status of Force Agreement (SOFA)

3.5 Contractor Personnel

3.6 Contractor Manpower reporting

3.7 Administrative Checks and Requirements

3.8 Conservation of Utilities

3.9 Environmental Control

4 Service Summary

5 Publications……………………………………………………………………………19

6 Appendices

5.1 Appendix A –Acronyms/ Definitions

5.2 Appendix B – Publications………………

DESCRIPTION OF SERVICES.

1. SCOPE:

1.1 The contractor will provide all management, tools, supplies, equipment, and labor necessary to operate and maintain two (2) Laboratory Assistant full time equivalents (FTEs). The technician will be responsible for assisting in collecting, processing, and performed waived testing of patient samples that are related to scheduled, walk-ins, referrals and emergencies when required by the Flight Commander, to ensure access standards are met during personnel deployments, unscheduled absences, or when limited technician staffing dictates.

1.2 Place of Performance:

1.2.1 The contractor will provide services at the18th Medical Group (MDG), Kadena AB, Japan.

1.3 Mission Essential Status:

1.3.1 This service is determined to be non-essential for performance during crisis according to Department of Defense Instruction (DODI) 3020.41, Operational Contract Support, paragraph 2.c. (See Appendix C, Applicable Forms and Publications), in the event of crisis, the contractor will be notified by the Contracting Officer (CO) of the need to discontinue services due to contingency, base closure or other causes. If notification to discontinue services is not received, the contractor will be expected to continue performance in according with the Performance Work Statement (PWS).

1.3.2 Performance of Services during a Crisis Declared by the National Command Authority of Overseas Combatant Commander. The laboratory assistant is required to perform mission critical services in accordance with this PWS in emergency or limited force protection conditions such as natural disaster, pandemic, epidemic; however DODI 1100.22 does not apply to this contract for crisis situations where continuation of essential services by the Contractor is unfeasible.

1.4 Education and Experience Requirements:

1.4.1 High school diploma or equivalent

1.4.2 Phlebotomy Certification or Certified Nurse Aide (CNA) Certificate through a nationally accredited agency. The Laboratory Assistant will possess basic knowledge through required certification(s) to perform phlebotomy on children (1 year of age and older), Adults, and Geriatric patients.

1.4.3 Current certification in Basic Life Support (BLS). Maintained at no expense to the government.

1.4.4 Language Requirements. The Contractor and all employees performing services shall be proficient in understanding (reading, speaking, listening, and writing) English. They shall be capable of effectively communicating with patients and MTF staff. Knowledge of medical terminology is required.

1.5 Laboratory Assistant Service Tasks:

1.5.1 Login/order patient lab tests

1.5.2 Issue collection kits

1.5.3 Perform phlebotomy of patients

1.5.4 Perform sample processing which includes:

1.5.5 Centrifugation

1.5.6 Pouring off of samples into shipping tubes.

1.5.7 Plating microbiology samples.

1.5.8 Preparing sample shipments.

1.5.9 Perform/review waived clinical laboratory testing in accordance with established operating instructions (OI), ensuring reporting of accurate results within established turnaround time.

1.5.10 Manage administrative aspects of waived testing by ensuring compliance with routine quality control and preventative maintenance requirements.

1.5.11 Track the status and progress of work, making day-to-day adjustments in work assignments in accordance with established priorities, and obtaining assistance from the supervisory on irresolvable issues as necessary.

1.5.12 Maintain records of work accomplished, time expended, and prepare/review reports as required.

1.5.13 Consult with other medical staff members to determine their requirements for effective patient care.

1.5.14 Review OI annually/within 30 days of new procedures being implements.

1.5.15 Conduct/Document clinical laboratory training through on-the job training.

1.5.16 Comply with College of American Pathologist (CAP) standards.

1.6 Orientation and Training:

1.6.1 Orientation. The contractor will ensure that all contractor personnel participate in the Government provided Military treatment Facility (MTF) orientation program for newly assigned personnel within 30 business days of performance start. Orientation training will be conducted during normal hours of operation, and will be coordinated with the assigned Functional Representative Evaluator Designee (FRED). Orientation will include training on regulations specific to the professional specialty, hospital, Air Force policy and procedures, instructions on automation processing, quality assurance policies, and other information systems as they apply to the position.

1.6.2 General Training. The Contractor shall be responsible for ensuring personnel comply with health information privacy and security policies and procedures. The Government will provide training on Government provided forms and equipment, Air Force directives, and MTF policies and procedures. Contractor personnel shall participate in continuing education programs to update and/or maintain skills and knowledge to meet annual requirements.

1.6.3 Computer Training. Contractor personnel who have any interaction with the MTF computer systems must receive training for the applicable system(s). The FRED will coordinate the necessary computer training. The training will be on-site and during normal hours of operation. This training will be at no cost to the Contractor. Access to patient data systems is an "Automated Data Processing Sensitive" position requiring compliance with AFI 31-501, Personnel Security Program Management.

1.6.4 The Government will provide training on the following:

1. CHCS (Composite Health Care System)

2. Administrative & Compliance

3. Internal Laboratory processes

4. Laboratory waived testing methods

5. Customer Service (Trusted Care)

6. Use of medical & non-medical equipment

Note: The Contractor shall be required to sign and submit a Request for Functional Automated Information Systems Access memorandum for system access.

1.6.5 The Government will provide the following 18 MDG initial and ongoing training:

1. Newcomers Orientation (Initial)

2. Medical Facility/Air Force Unique Training (Ongoing)

3. Security Training (Ongoing)

4. Military Health System (MHS) Access to Care standards (Ongoing)

5. Section Specific Safety Briefings (Ongoing)

6. Clinic Specific Training (Ongoing)

1.6.6 The Government will provide initial and ongoing training on 18 MDG appointing protocol changes to the Contract personnel. These trainings will be given on an as needed basis.

1.6.6.1 When in-processing the MTF, contractors are required to provide proof of immunizations including, but not limited to: Hepatitis B; Measles, Mumps, and Rubella (MMR); Tetanus, Diphtheria, Pertussis (Tdap); Tuberculosis; Varicella; and Influenza (annual requirement). Any missing immunizations will be required in order to finalize in-processing and will be obtained at the Contractor’s expense.

1.7 Hours of Operations:

1.7.1 The contractor will maintain the following service hours to conduct normal day-to-day business: 7:30 a.m. to 4:30 p.m., Monday-Friday with a maximum of 40 hours per week. When necessary for contractor personnel to work hours other than 7:30 a.m. to 4:30 p.m., Monday through Friday, contractor must coordinate with the FRED. The contractor will coordinate with FRED on MDG training days/family if their services will be required. A lunch period is not a payable period, but will be coordinated with the FRED. Commuting time to and from required place of performance is not compensable by the Government. There will be no overtime paid on this contract.

1.7.2 Non-paid days. The government will not be required to pay for scheduled/unscheduled absences or days where the contractor does not perform services (i.e. waiting for replacement contractor personnel to arrive).

1.7.3 Recognized Holidays. The contractor will not provide services and will not be paid on the following days:

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

1.7.4 Scheduled and Unscheduled Absences. Contractor personnel are allowed to take up to twenty (20) 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 is considered non-paid days. Timing and details shall be coordinated with the FRED. Scheduled absences shall be scheduled at least thirty (30) calendar days and coordinated with the FRED. Unscheduled absences shall be called into the FRED by the contractor within the first two (2) hours of each duty day that he/she is unable to report to work.

1.7.4.1 In case of absences or illness exceeding two weeks, the Contractor will replace the absent employee with another of equal qualifications. The Contractor personnel shall advise the COR of absences due to illness or incapacitation.

1.7.4.2 If the Contractor is absent for more than two consecutive days due to illness, the Contractor will provide the Government with a statement that the employee is free from communicable illness before/as the employee returns to work. The Government’s intent is to ensure that illnesses will not be passed to others in the workplace. The Government reserves the right to examine and or re-examine any worker who meets this criterion.

1.7.4.3 Replacement of contractor personnel. The contractor management staff will provide name of qualified replacement of contractor personnel no later than two (2) weeks of resignation date. Contractor personnel must notify to the Contractor and the Government staff (FRED, COR, Contracting Administrator (CA) or CO) of the intention to vacate the job at least thirty (30) calendar days prior to the last duty day. (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 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.

1.7.5 The Defense Medical Human Resources System Internet (DMHRSi) is the DoD accounting system for financial, personnel, education and training, and workload within the MDG. The Contractor staff is responsible to provide all required information monthly (for example:

personal data, work schedule, worked hours, work center, etc.) for all contractor personnel to the Medical Expense and Performance Reporting System (MEPRS) manager or clinic MEPRS monitor for entry into the system by the Air Force.

1.7.6 Contractor will only be allowed to invoice for hours rendered.

1.7.7 Emergency Services. On occasion, services may be required to support an activation or exercise of contingency plans outside the normal duty hours described above.

2. FACILITIES AND EQUIPMENT:

2.1 The Government will provide a workstation within MTF Laboratory for the Laboratory Assistants. No alterations to the facilities shall be made without specific written permission and approval. In case of alterations necessary for compliance with OSHA, such permission shall not be unreasonably withheld. The Contractor shall return the facilities to the Government in the same condition as received, except for fair wear and tear and approved modifications. These facilities shall only be used in performance of this contract.

2.1.2 The Government will furnish utilities to include heating, electricity, water, and sewer.

2.1.3 The Government will provide all equipment necessary to accomplish the appointing procedures including telephony equipment, computers, and general office supplies.

2.1.4 The Contractor shall notify COR, in writing, of any equipment that is broken, damaged, or in any way inoperable. The MDG will be responsible for the maintenance and replacement of any damaged or broken equipment.

2.2 Safety Requirements:

2.2.1 In performing work under this contract, the contractor shall:

2.2.2 Conform to the safety requirements contained in the contract for all activities related to the accomplishment of the work.

2.2.3 Perform work in a safe manner as required by OSHA 2206, General Industry, Occupational Safety and Health Standards (29 CFR 1910) and Japan Environmental Governing Standards (JEGS) by US Force Japan.

2.2.4 Develop and provide at the start of the orientation period or the start of the first operational performance period (if there is no orientation period) a safety plan for the protection of government facilities and property and to provide a safe work environment for contractor personnel.

2.2.5 Provide protection to government property to prevent damage during the period of time the property is under the control or in possession of the contractor.

2.2.6 Include a clause in all subcontracts to require subcontractors to comply with the safety provisions of this contract as applicable.

2.2.7 Record and report promptly (within one hour) to the contracting officer or designated government representative, all available facts relating to each instance of damage to government property or injury to either contractor or government personnel.

2.2.8 In the event of an accident/mishap, take reasonable and prudent action to establish control of the accident/mishap scene, prevent further damage to persons or property, and preserve evidence until released by the accident/mishap investigative authority through the contracting officer.

2.2.9 If the government elects to conduct an investigation of the accident/mishap, the contractor shall cooperate fully and assist government personnel in the conduct of investigation until the investigation is completed.

2.2.10 Include a clause in each applicable subcontract requiring the subcontractor's cooperation and assistance in accident reporting and investigation.

2.2.11 Ensure personnel have the following on-base emergency services phone numbers programmed into their cell phones:

2.2.12 While working on Kadena, Okuma, Camp Shields, or Torii Station, call Kadena Dispatch at 098-934-5911 or 098-962-9445.

2.2.13 While working on Camp Foster, Camp Courtney, Camp Hansen, Camp Schwab, or Camp Kinser, call Foster Dispatch at 098-911-1911.

3. GENERAL INFORMATION:

3.1 Quality Assurance/Control:

3.1.1 The Government will periodically evaluate the contractor’s performance by appointing a FRED to monitor performance to ensure services are received. The COR will complete a monthly surveillance report and submit to the CO. The COR may evaluate the Contractor’s performance through intermittent on-site inspections of the Contractor’s performance and receipt of validated complaints. The Government may increase or decrease the number of inspection based on performance. The COR shall make determination of the validity of customer complaint(s). In the event there is a dispute, the Contracting Officer will make the final determination. Government personnel will record all surveillance observations. The preferred method, when possible, of correcting contract defects is re-performance at no additional contract cost. At a minimum, contractor shall provide documentation of their efforts to preclude repeat deficiencies.

3.1.2 The COR is the authorized government representative who will perform assessments of the contractor’s performance. Subsequent to contract award, the identity of the COR, with a letter defining their duties and authority will be promptly furnished to the successful bidder/offeror.

3.1.3 The COR(s) will inform the contract manager when discrepancies occur and will request corrective action. The COR(s) will make a notation of the discrepancy on their surveillance checklist with the date and time the discrepancy was noted and will request the contract manager (or authorized representative) to initial the entry on the checklist.

3.1.4 Any matter concerning a change to the scope, prices, terms or conditions of this contract shall be referred to the Contracting Officer and not to the COR(s).

3.1.5 The services to be performed by the contractor during the period of this contract shall at all times and places be subject to review by the Contracting Officer or authorized representative(s).

3.1.6 The Contractor shall develop, submit for CO acceptance, and maintain a quality control plan to ensure appointing services are performed in accordance with this statement of work and specifically address the Service Summary (SS) items. The Contractor shall develop and implement procedures to identify, prevent, and ensure non-recurrence of defective services.

3.1.7 The Contractor’s shall include, as a minimum:

3.1.8 Inspection System. A description of the inspection methodology used to cover all tasks and services. The description shall include specifics as to the areas to be inspected on a scheduled and unscheduled basis, frequency of inspections, submission of quality control inspection schedule, and the title and organizational placement of the inspectors.

3.1.9 Identification/Prevention Methods. A description of the methods to be used for identifying and preventing defects in the quality of service performed.

3.1.10 Documentation. The Contractor shall document inspections and corrective or preventive actions taken. The record of inspections shall be kept and made available to the Government 10 throughout the contract performance period and for the period after contract completion until final settlement of any claims under this contract.

3.1.11 The Contractor shall establish and implement methods of making sure all keys/combinations issued to the Contractor by the Government are not lost or misplaced and are not used by unauthorized persons. The Contractor shall not duplicate any keys issued by the Government. The Contractor shall immediately report to the COR any occurrences of lost or duplicated keys. In the event keys, other than master keys, are lost or duplicated, the Contractor may be required, upon written direction of the COR, to re-key or replace the affected lock or locks without cost to the Government. The Government may, however, at its option, replace the affected lock or locks or perform re-keying and deduct the cost of such from the monthly payment due the Contractor. In the event a master key is lost or duplicated, the Government shall replace all locks and keys for that system, and deduct total cost from the monthly payment due the Contractor.

3.2 Security Requirements:

3.2.1 All personnel employed by the Contractor in the performance of this contract, or any representative of the Contractor entering the Government installation, shall abide by all security regulations of the installation. All employees shall possess base provided identification cards and Vehicle Registration Certificates for personal vehicles requiring access to Kadena AB. When any employee no longer works for the Contractor at the installation, the Contract Manager shall return any Government-furnished identification to the Government. These passes are at no cost to the contractor. The 18th Contracting Squadron shall coordinate assistance in attaining the proper installation identification.

3.2.2 Contractor employees shall wear visible identification badges on the front of outer clothing, between the neck and waist.

3.2.3 The Contractor’s employees shall have, a background check completed in order to have access to Government systems. Contractor is responsible for completing SF85P Worksheet and providing fingerprint cards for each employee prior to access to the installation. The Contractor shall comply with regulations, DoDM 5200.02 Procedures for the DoD Personnel Security Program, (See Appendix C, Applicable Forms and Publications). Note: the Contractor may request an interim clearance for access to government systems when the clearance has not been finalized at the time of employment. However, the 18 MDG Commander must approve this interim access, and evidence must be presented that shows the clearance has been initiated, pending favorable final approval. The POC for this will be the 18 MDG Security Officer.

3.2.4 The Contractor shall be responsible for safeguarding all government property provided for contractor use. At the end of each work shift, all government facilities, equipment, and materials shall be secured. The Contractor shall designate a custodian and alternate(s) to receipt for and account for government-provided facilities and equipment.

3.2.5 The contractor shall prohibit the use of badge issued by the Government any persons other than the contractor’s employees. The contractor shall prohibit the opening of locked areas by 11 contractor employees to permit entrance of persons other than contractor’s employees engaged in the performance of assigned work in those areas, or personnel authorized entrance by the Contracting Officer.

3.2.6 Lock Combinations. The contractor shall establish and implement methods of ensuring that all lock combinations are not revealed to unauthorized persons. The contractor shall ensure that lock combinations are changed when personnel having access to the combinations no longer have a need to know such.

3.2.7 Conduct. The contracting officer may request that any contractor management staff or contractor personnel whose conduct, in the opinion of the Contracting Officer, interferes with proper order or professionalism at the installation where services are performed, be removed from such installation and the contractor will comply with such request.

3.3 Privacy and Confidentiality:

3.3.1 Patient Health Information (PHI). The Contractor shall comply with all Health Insurance Portability and Accountability Act (HIPAA) guidelines. Patient information, lists and/or names of patients shall not be disclosed or revealed in any way for any use outside the MTF without prior written permission by the 18 MDG Commander. Any unauthorized disclosures shall be immediately documented and forwarded to the COR. The Contractor shall maintain, transmit, retain in strictest confidence, and prevent the unauthorized duplication, use, and disclosure of PHI in accordance with Standards for Privacy of Individually Identifiable Health Information, DoD Health Information Privacy Regulation (DoDM 6025.18), the Privacy Act (See Appendix C, Applicable Forms and Publications). The Contractor shall provide patient information only to employees, contractors, subcontractors, and government personnel having a need to know requirement for such information in the performance of their duties for this tasking. The 18 MDG shall approve the release of any patient information prior to the release.

3.4 Status of Force Agreement (SOFA):

3.4.1 Contract to be performed in Japan. The Status of Forces Agreement between the United States and Japan (SOFA) governs the rights and obligations of the United States armed forces in Japan. Unless a contractor is present in Japan solely to perform under a contract with the United States for the sole benefit of the United States armed forces in Japan and is accorded privileges under SOFA Article XIV, it and its employees shall be subject to all the laws and regulations of Japan. Certain contractor employees and their dependents not accorded privileges under SOFA Article XIV may be accorded privileges under SOFA Article l(b).

3.4.2 The Contractor shall comply with the instruction of the Contracting Officer concerning the entry of its employees, equipment, and supplies into Japan, and shall comply with all applicable Japanese laws and regulations as well as United States Forces Japan (USFJ) and USFJ component policies and regulations during the performance of this contract.

3.4.3 SOFA Article l(b) Status:

(A) SOFA Article l(b) status. Contractor employees performing under contracts with the United States for the provision of services in support of U.S. armed forces in Japan, and whose presence is required in Japan to provide such services, may be determined eligible to acquire l(b) does not create a lawful status in Japan for any entity other than individuals (e.g., the company employing the individual does not acquire SOFA status under Article l(b)). To qualify for SOFA status under SOFA Article l(b), such individuals must be:

1. United States nationals

2. Not ordinarily resident in Japan

3. Present in Japan at the invitation of, and solely for the purpose of executing contracts with, the United States for the benefit of the United States armed forces, and (iv) not contractors or employees of a contractor whose presence in Japan is solely for the purpose of executing contracts within the definition of SOFA Article XIV

(B) The contracting officer may determine a proposed contractor employee's eligibility for recognition as a Member of the Civilian Component under Article l(b) of the SOFA by documenting on a Letter of Authorization (LOA) that the contractor employee is essential to the mission of the United States armed forces and has a high degree of skill of knowledge for the accomplishment of mission requirements by fulfilling one of the following:

1. Acquiring the skill and knowledge through a process of higher education or specialized training and experience; or

2. Possessing a security clearance recognized by the United States to perform his or her duties;

3. Possessing a license or certification issued by a U.S. Federal Department or Agency, U.S. State, U.S. Territory, or the District of Columbia to perform his or her duties; or

4. Identified by the United States armed forces as necessary in an emergent situation and will remain in Japan for less than 91 days to fulfill specialized duties; or

5. Specifically authorized by the Joint Committee.

(C) Contractor employees shall present a valid LOA, signed by the Contracting Officer, to Japanese immigration officials upon entry into Japan to receive GOJ recognition as a Member of the Civilian Component under Article l(b) of the SOFA.

(D) SOFA Article 1(b) privileges and benefits. Persons granted authority to enter Japan under SOFA Article l(b) and their dependents (defined as spouse, children under 21 , and, if dependent for over half their support upon an individual having SOFA Article l(b) status, parents and children over 21) may be accorded the following benefits of the SOFA. These privileges are personal to the employee/dependent and do not inure to the employer.

1. Access to and movement between facilities and areas in use by the United States armed forces and between such facilities and areas and the ports or airports of Japan as provided for in SOFA Article V, paragraph 2;

2. Entry into Japan and exemption from Japanese laws and regulations on the registration and control of aliens as provided for in SOFA Article IX;

3. Acceptance as valid by Japan, without a driving test or fee, a U.S. Forces, Japan Operator's Permit for Civilian Vehicle as provided for in SOFA Article X. Issuance of such permit shall be subject to applicable military regulation;

4. Exemption from customs duties and other such charges on materials, supplies, and equipment which are to be incorporated into articles or facilities used by the United States armed forces furniture, household goods for private use imported by person when they first arrive to work in Japan, vehicles and parts imported for private use, and reasonable quantities of clothing and household goods for everyday private use which are mailed into Japan through United States military post offices as provided for in SOFA Article XI, paragraphs 2 and 3;

5. Exemption from the laws and regulations of Japan with respect to terms and conditions of employment as provided for in SOFA Article XII, paragraph 7, except that such exemption shall not apply to the employment of local nationals in Japan;

6. Exemption from Japanese taxes to the Government of Japan or to any other taxing agency in Japan on income received as a result of their service with the United States armed forces as provided for in SOFA Article XIII. The provisions of Article XIII do not exempt such persons from payment of Japanese taxes on income derived from Japanese sources;

7. If authorized by the installation commander or designee, the right to use exchanges, commissaries, messes, social clubs, theaters, newspapers and other non-appropriated fund organizations regulated by United States military authorities as provided for in SOFA Article XV;

8. The transmission into or outside of Japan of United States dollar or dollar instruments realized as a result of contract performance as provided for in SOFA Article XIX, paragraph 2;

9. The use of postal facilities as provided for in SOFA Article XXI;

10. Exemption from taxation in Japan on the holding, use transfer by death, or transfer to person or agencies entitled to tax exemption under the SOFA, of movable property, tangible or intangible, the presence of which in Japan is due solely to the temporary presence of these persons in Japan, provided such exemption shall not apply to property held for the purpose of investment or the conduct of other business in Japan or to any intangible property registered in

11. Logistic Support. Contractor, contractor personnel, and in the case of personnel granted SOFA Article l(b) status, dependents, shall, subject to availability as determined by the installation commander or designee, be provided logistic support including, but not limited to, the items below.

a. Base Exchange, including exchange service stations, theaters, and commissary (Article l.b personnel/dependents and Article XIV personnel only);

b. Laundry and dry cleaning;

c. Military banking facilities (Article l(b) personnel/dependents and Article XIV personnel only);

d. Transient billeting facilities;

e. Open mess (club) membership, as determined by each respective club;

f. Casualty assistance (mortuary services) on a reimbursable basis;

g. Routine medical care on a reimbursable basis for U.S. citizens and emergency medical care on a reimbursable basis for non-U.S. citizens;

h. Dental care, limited to relief of emergencies on a reimbursable basis;

i. Department of Defense Dependent Schools on a space-available and tuition-paying basis;

j. Postal support, as authorized by military postal regulations

k. Local recreation services on a space-available basis;

l. Issuance of U.S. Forces, Japan Operator's Permit;

m. Issuance of vehicle license plates.

n. Conduct. Civilian personnel supporting the U.S. armed forces in Japan are guests in a foreign country and must at all times conduct themselves in an honorable and credible manner. Criminal conduct and dishonorable personal behavior committed either on or off duty adversely impacts U.S. and Japanese relations, tarnishes the image of the DoD and USFJ, and hampers the Force's military readiness.

3.5 Contractor Personnel:

3.5.1 Contract Manager: the contractor shall provide a contract manager and alternate contract manager (responsible in the absence of the contract manager) who shall be responsible for the performance of the services. The names of the contract manager and alternate(s) shall be provided to the CO in writing prior to the beginning of the first performance period. The contract manager and alternate(s) must be able to read, write, speak, and understand English.

3.5.2 The contract manager and alternate shall have full authority to act for the contractor on all contract matters relating to daily operations of this contract.

3.5.3 The contract manager or alternate shall be available for correspondence during normal duty hours (0730-1630, Mon-Fri) to discuss problems with government personnel (designated by the FRED). If unavailable at the time of contact or after normal duty hours the manager or alternate shall respond within 24 hours to resolve issues.

3.5.4 Contractor Employees: the contractor shall not employ persons for work on this contract if such employee is identified to the contractor by the CO as a potential threat to the health, safety, security, general well-being or operational mission of the installation and its population.

3.5.5 Contractor personnel shall present a neat appearance and be easily recognized as contractor employees. This may be accomplished by wearing distinctive clothing bearing the name of the company or by wearing appropriate badges, which contain the company name and employee name in English.

3.5.6 The contractor shall not employ any person who is an employee of the U.S. Government if employing that person would create a conflict of interest. Additionally, the contractor shall not employ any person who is an employee of the Department of the Air Force, either military or civilian, unless such person seeks and receives approval according to DOD 5500-7-R Joint Ethics Regulation (See Appendix C, Applicable Forms and Publications). The contractor shall not employ any person who is an employee of the Department of the Air Force if such employment would be contrary to the policies in AFI 64-106, Air Force Industrial Labor Relations Activities (See Appendix C, Applicable Forms and Publications).

3.5.7 The contractor is cautioned that off-duty active military personnel hired under this contract may be subject to permanent change of station, change in duty hours or deployment. Military Reservists and National Guard members may be subject to recall to active duty. The abrupt absence of these personnel could adversely affect the contractor’s ability to perform; however, their absence at any time shall not constitute an excuse for nonperformance under this contract.

3.6 Contractor Manpower Reporting:

3.6.1 The contractor shall report ALL contractor labor hours (including subcontractor labor hours) required for performance of services provided under this contract for the Air Force via a secure data collection site. The contractor is required to completely fill in all required data fields at https://www.sam.gov.

3.6.2 Reporting inputs will be for the labor executed during the period of performance for each Government fiscal year (FY) which runs 1 October through 30 September. While inputs may be reported any time during the FY, all data shall be reported no later than 31 October of each calendar year. Contractors may direct questions to the CMRA help desk.

3.7 Administrative Checks and Requirements:

3.7.1 NATIONAL AGENCY CHECK. The contractor shall comply with DoDM 5200.02, DoD Personnel Security Program and AFMAN 33-363 Preparing Official Communications (See Appendix C, Applicable Forms and Publications), electronic Mail Management and Use requirements for contractor personnel operating Government workstations that have unclassified automated information systems (e-mail, MIS, Internet, CAMS, etc.) Requests for National Agency Checks (NAC) on contractor personnel hired at the beginning of the contract shall be submitted to the Government no later than 14 working days from the contract start date. Requests for NACs on contractor personnel hired subsequent to the contract start date shall be submitted to the Government not later than five (5) workdays prior to the employee’s first duty day.

3.7.2 Contractor personnel shall submit security investigation forms per base requirements to the COR at least fourteen (14) business days prior to the employee’s required start date in the MTF.

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

3.7.3 COMMON ACCESS CARD. Common Access Card (CAC) is a DOD-mandated program affecting military, DOD civilians and eligible Contractors. The Contractor shall comply with the requirements of this program. Visit the website for more information: http://www.cac.mil/.

3.8 Conservation of Utilities:

3.8.1 The contractor shall instruct employees in utilities conservation practices. The contractor shall be responsible for operating under conditions which prevent the waste of utilities which include the following:

3.8.2 Lights shall be used only in areas where and when work is actually being performed.

3.8.3 Mechanical equipment controls for heating, ventilation, and air conditioning systems shall not be adjusted by the contractor or by contractor employees unless authorized.

3.8.4 Water faucets or valves shall be turned off after the required use has been accomplished.

3.8.5 Government telephones shall be used only for official government business.

3.9 Environmental Controls:

3.9.1 Compliance with Laws and Regulations. The contractor shall be knowledgeable of and comply with all applicable Japan Environmental Governing Standards (JEGS), and requirements regarding environmental protection. In the event environmental laws/regulations change during the term of this contract, the contractor is required to comply as such laws come into effect. If there is an increase or decrease in cost as a result of the change, the contractor shall inform the Contracting Officer pursuant to notice requirements and negotiate a modification to the contract.

3.9.2 Notification of Environmental Spills. If the contractor spills or releases any substance contained in 40 CFR 302 into the environment, the contractor or its agent shall immediately report the incident to Kadena AB Fire Dept at 911. The liability for the spill or release of such substances rests solely with the contractor and its agent.

3.9.3. Material Storage and Use. The contractor shall follow manufacturer’s guidelines and professional recommendations for control of humidity, temperature, cleanliness, and materials handling. This includes hazardous materials.

4. SERVICES SUMMARY.

4.1 The Contractor service delivery requirements are summarized into performance objectives that relate directly to standards of performance required to meet mission essential needs. For the Performance Objective to be met, service delivery must be in substantial compliance with applicable performance standards. The Performance Threshold describes the minimum overall levels of service delivery required for acceptable quality control. Failure to meet these Performance Thresholds means that contractor Quality Control is unacceptable. The following is a list of the key performance objectives that will be verified as contractually compliant by government personnel, however, inspection of any contract requirement is authorized.

**Intentionally left blank**

Performance Objective PWS Para

Performance Threshold Method of Assessment

Performs administrative, samples processing, and shipping procedures

1.1.2.

1.1.4.

1.2.1.2.

A. Maintains working knowledge of all applicable lab operating instructions for administrative duties, processing, and shipping of samples.

B. Provides customer service, adheres to Trusted Care principles, addresses patient’s needs, appropriately logging in tests ordered by medical providers and providing adequate instructions for samples collection.

C. Performs processing of laboratory samples.

D. Performs packing, labeling, and shipping of patient samples in accordance with reference laboratory and IATA specifications

Variance Reports, ICE/JOES

Comment Cards, Rejection Logs

Performs Phlebotomy through Capillary and Venous collection methods on Pediatric, Adult, and Geriatric patients

1.1.3.

1.2.1.1.

A. Maintains working knowledge of all applicable lab operating instructions for blood collection procedures & proper identification of patient and appropriately labels tubes.

B. Performs timely and appropriate blood collection for tests ordered by the health care provider.

C. Performed blood collection competently without assistance.

Identify test to be collected and the appropriate tube and any special instructions require for adequate testing.

Variance Reports, Turn-Around Time Reports, Patient Recall Reports.

Perform a variety of procedures which includes waived analysis in various sections of the laboratory

1.1.4 1.2.1.5.

1.2.1.6.

1.2.1.7.

A. Maintains working knowledge of all applicable lab operating instructions for waived testing procedures.

B. Performs timely and appropriate analysis of waived testing ordered by the health care provider.

C. Performed waived testing competently without assistance.

D. Reviews, transcribes, and verifies testing result for acceptability before result certification.

Variance Reports, ICE/JOES

Comment cards, Safety Reports, Amended Reports

Provides satisfactory patient care

1.2.1.3.

1.2.1.4.

A. Provides courteous, helpful and positive patient care when interacting with patients in any aspect of the technicians duties.

ICE/JOES

Comment Cards, Patient Advocate, Patient Safety Reports.

5. PUBLICATIONS

5.1 Compliance with all publications, regulations and operating instructions provided by the Government is required when:

5.2 They pertain to the procedures for materials expediting herein and where the contractor is authorized by the performance work statement to accomplish the work specified in the publication, regulation or operating instructions.

5.3 The publications prescribe USAF policies, use of materials, procedures and processes applicable to the work requirements.

5.4 The contractor is required to acquire and work on the latest version of the publication.

6. APPENDICES

A. Acronyms & Abbreviations List

B. Publications

APPENDIX A

ACRONYMS AND ABBREVIATIONS LIST

Acronym/Abbreviation Definition

BLS Basic Life Support

CAP College of American Pathologists

CFR Code Federal Regulation

CHCS Composite Health Care System

CO Contracting Officer

COR Contracting Officer Representative

CNA Certified Nurse Aide

DEPT Department

DOD Department of Defense

DoDI Department of Defense Instruction

FAR Federal Acquisition Regulation

FRED Functional Requirement Evaluator Designee

FTE Full Time Equivalent

HIPAA Health Insurance Portability and Accountability Act

MDG Medical Group

MTF Military Treatment Facility

OI Operating Instruction

OSHA Occupational Safety and Health Act

PHI Patient Health Information

PWS Performance-Based Work Statement

QA Quality Assurance

QCP Quality Control Program

SS Services Summary

SOFA Status of Forces Agreement

TOEFL Test of English as a Foreign Language

TOEIC Test of English for International Communication

TJC The Joint Commission

USAF United States Air Force

APPENDIX B

PUBLICATIONS/INSTRUCTIONS

Applicable PWS Publication/Instruction /Name Date Paragraph/Chapter Paragraph

AFI 64-106, AF Industrial Labor Relations, 25 Mar 1994, Entire Document Applicable, PWS Para 4.17.2.2.

AFMAN 33-326, Preparing Official Communications, 31 Jul 2019, Entire Publication appicable

DoD 5500-7-R Joint Ethics Regulation, Entire document applicable

DoDI 1100.22, Policy and Procedures for Determining Workforce Mix, 12 Apr 2010, Enclosure 4, Manpower Mix Criteria

DoDI 3020.41, Contractor Personnel Authorized to Accompany the U.S. Armed Forces, 3 Oct 2005, Paras 5.6.2 & 6.2

DoDM 5200.02 Procedures for the DoD Personnel Security Program (PSP), Entire document applicable

DoDM 6025-18 Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule in DoD Health Care Programs, Entire document applicable