ATTACHMENT__1_-_NREMT_Paramedic_Certification_PWS_dated_07_Jan_14.pdf

AIR FORCE MEDICAL OPERATIONS AGENCY

PERFORMANCE WORK STATEMENT

National Registry of Emergency Medical Technician (NREMT) Paramedic Certification Course

7 JANUARY 2014

TABLE OF CONTENTS

Page

1.0 DESCRIPTION OF SERVICES 3

1.1 Background 3

1.2 Scope 3

1.3 Acronyms 3

2.0 SUMMARY OF REQUIREMENTS 4

2.1 Description of Requirements 4

2.2 General Contractor Personnel Requirements 6

2.3 Services Summary 7

2.4 Government Furnished Support 8

2.5 Security 8

2.6 Travel 8

2.7 Deliverables 8

2.8 Data Reporting Requirements 9

3.0 QUALITY CONTROL PLAN 9

4.0 NON PERSONAL SERVICES 10

5.0 CONTRACTOR IDENTIFICATION 10

6.0 HOURS OF OPERATION 10

7.0 APPENDICES 10

7.1 APPENDIX A: National EMS Education Standards 11

7.2 APPENDIX B: Paramedic Instructional Guidelines 12

7.3 APPENDIX C: Customer Complaint Record 13

7.4 APPENDIX D: Customer Feedback Form 17

1.0 UDESCRIPTION of SERVICES

1.1 Background: The Air Force Medical Operations Agency (AFMOA) is responsible for oversight of the Emergency Medical Services programs for the U.S. Air Force Medical Services (AFMS). Its mission covers a broad range of programs including Paramedic, first emergency responders who provide Advanced Life Support (ALS) and Basic Life Support (BLS) medical care to patients at the scene and en-route to the Medical Treatment Facility (MTF). Most of AFMOA’s EMTs are BLS certified and AFMOA has a shortage of ALS certified Paramedics. AFMOA has approximately 700 EMTs that need to be trained and certified to the ALS level. Based on the above, contracted services are required to assist with the training and certification of AFMS Paramedics.

1.2 Scope: This contracted service will provide training required to certify up to 60 AFMS EMTs annually to the Paramedic level in accordance with the established standards set by the National Registry of Emergency Medical Technicians (NREMT) Paramedic certification guidelines and the National EMS Education Standards and Paramedic Instructional Guidelines. Training shall be conducted in two overlapping five month classes of no less than 5 students and no more than 35 students each, for a total of approximately 50-60 students trained annually. Course length, including travel time for each student shall not exceed 150 calendar days. In order to provide HQ AFMOA leadership oversight of this training, the training facility must be located within a 350 mile radius of Joint Base San Antonio (JBSA), Texas.

1.3 Acronyms

ACRONYMS

ACRONYM DEFINITIONS

ACLS Advanced Cardiac Life Support AETC Air Education and Training Command AF Air Force AFMS Air Force Medical Service AFMOA Air Force Medical Operations Agency ALS Advanced Life Support (paramedic level) BLS Basic Life Support (EMT level) also CPR training CAAHEP Commission on Accreditation of Allied Health Education Programs CE Continuing Education CMRA 34TContractor Manpower Reporting Application

CoAEMSP 34TCommittee on Accreditation of Educational Programs for the Emergency Medical Services Professions

COR Contracting Officer’s Representative DoD Department of Defense DoDI Department of Defense Instruction EMS Emergency Medical Services

2.0 SUMMARY of REQUIREMENTS:

2.1 Description of Requirements: The contractor shall:

2.1.1 Be fully certified and accredited by the Committee on Accreditation of Educational Programs for the Emergency Medical Services Professions (CoAEMSP), as granted by the Commission on Accreditation of Allied Health Education Programs (CAAHEP), as an approved program for paramedic training and certification; a CoAEMSP Letter of Review (LOR) is acceptable. Provide curricula of training that results in certification of Air Force EMTs to the Paramedic Level in accordance with the established standards set forth by NREMT, National EMS Education Standards and Paramedic Instructional Guidelines.

EMT Emergency Medical Technician HQ USAF/SG Headquarters United States Air Force Surgeon General IAW In Accordance With JBSA Joint Base San Antonio MAJCOM Major Command MD Medical Degree/Medical Doctor MTF Medical Treatment Facility NLT No Later Than NMT No More Than NREMT National Registry of Emergency Medical Technician PA Privacy Act PD Program Director (Manages Initial Courses) PALS Pediatric Advanced Life Support PM Program Manager POC Point of Contact POP Period of Performance PWS Performance Work Statement QAP Quality Assurance Person (Personnel) QCP Quality Control Plan SAF Secretary of the Air Force SG Surgeon General SGH Chief of Medical Staff

SI Sensitive Information SME Subject Matter Expert TO Training Officer (Manages Refresher Programs)

2.1.2 Required training shall include real world, objective-based, “ride along” (field internship) clinical program for all Paramedic students.

2.1.3 Provide a training facility located within 50 miles of a Level 1 Trauma Center;

a hospital equipped to handle any level of severity of trauma, and has a trauma surgeon on-site 24/7 and an Operating Room ready at all times for trauma cases as defined by the American College of Surgeons.

2.1.4 Shall maintain a medical oversight relationship with a large urban EMS system with an Advanced Life Support (ALS) call rate of greater than 50%.

2.1.5 Shall be a post-secondary educational institution.

2.1.6 Provide training for EMTs that does not exceed 150 calendar days, including student travel. Training will consist of ALS courses for Paramedic certification with NREMT to include:

2.1.6.1 Advanced Cardiac Life Support (ACLS)

2.1.6.2 Pediatric Advanced Life Support (PALS)

2.1.6.3 Basic Life Support (BLS)

2.1.7 Provide all textbooks and an opportunity for each student who successfully completes the program to sit for the National Registry Paramedic psychomotor and cognitive examinations.

2.1.8 Provide, at no cost, 1 NREMT Paramedic testing opportunity after graduation of the course but prior to student’s departure back to home station.

2.1.9 Provide, at no cost, remedial training for students following their first time failure of the NREMT Paramedic Exam. Remedial training days will be in addition to the 150 calendar days allowed for initial training.

2.1.9.1 Re-testing must be scheduled and accomplished prior to the student departing; but will not exceed, under any circumstances, 179 calendar days. In the event of a 2P nd P time failure, student will be released to return to home station.

2.1.10 Provide all course material and any special uniform requirements to each student, (i.e., cargo pants, polo or tee-shirts required for clinical or ride-alongs). And provide all equipment, (i.e., stethoscope, trauma shears or utility scissors), and personal protective equipment for training, excluding pens, pencils, and writing paper.

2.1.11 Provide certificates of completion to students upon successful completion of training. (Deliverable 1)

2.1.12 Provide students earned credit/semester hours with an official transcript at no additional cost or fee. (Deliverable 2)

2.2 GENERAL CONTRACTOR REQUIREMENTS.

2.2.1 The Contractor shall meet the following standards:

2.2.1.1 Program Director/Training Officer

2.2.1.1.2 Currently certified as a Paramedic

2.2.1.1.3 At least 25% of previous two years of employment must have been in direct patient care or serving in an executive position such as Paramedic Training director or training officer. Recent clinical practice may be waived if incumbent was previously a paramedic program director at a university or other educational program.

2.2.1.1.4 Read, understand, speak fluently, and write in the English language, and be a United States Citizen.

2.2.1.2 Paramedic Instructor

2.2.1.2.2 Currently certified as a Paramedic

2.2.1.2.3 In-depth knowledge of emergency medical operations, instructor methodology, and associated performance improvement programs.

2.2.1.2.4 Possess a minimum of two years’ experience in developing, writing and presenting EMS documents, briefings and papers.

2.2.1.2.5 Possess a minimum of two years’ experience in EMS

operations.

2.2.1.2.6 Guest lecturers must possess current NREMT Paramedic Certification, Registered Nurse Licensure or Physician Licensure.

2.2.1.2.7 Knowledge of and ability to work with standard software programs used by Air Force Medical Services (AFMS) such as the latest version of Microsoft Office Professional Suite.

2.2.1.2.6 Read, understand, speak English fluently, and write in the English language, and be a United States Citizen.

2.2.1.3 Pass/Fail Rate

2.2.1.3.1 Contractor shall have as a minimum a 90% first time pass rate 90% of the time with students completing the training for certification to the Paramedic level with NREMT.

2.2.2 Contractor Manpower Reporting Requirements Application

(CMRA):

2.2.2.1 The contractor shall report all contractor labor hours (including subcontractor labor hours) required for performance of services provided under this PWS via a secure data collection site. The contractor is required to completely fill in all required data fields at http://www.ecmra.mil.

2.2.2.2 Reporting Period: 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.

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

2.2.2.4 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 at 24TUhttp://www.ecmra.milU24T.

2.2.3 Customer Feedback: Negative feedback on contractor performance can be accomplished filling out the Customer Complaint Record at Appendix C. Positive feedback on contractor performance can be accomplished by filling out the Customer Feedback Form at Appendix D of the PWS.

2.3 SERVICES SUMMARY (SS). Below are matrix tables listing a summary of performance objectives and performance thresholds required by the government in contractor performance for each of the specific categories of services required by this contract.

2.3.1 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 COR http://www.ecmra.mil/ within thirty (30) days after the Contractor assumes full performance responsibilities, but no later than 45 days after contract award.

2.3.2 Services Summary

Performance Requirements PWS Paragraph Reference

Performance Threshold/Standard

Be fully certified and accredited by the Committee on Accreditation of Educational Programs for the Emergency Medical Services Professions (CoAEMSP) as an approved source for paramedic training and certification. Provide curricula of training that results in certification of Air Force EMTs to the Paramedic Level in accordance with the established standards set forth by NREMT, National EMS Education Standards and Paramedic Instructional Guidelines

2.1.1 Must obtain 90% first time pass rate

90% of the time.

Required training includes real world, objective based ride along (field internship)/Clinical program for all students

2.1.2 100% of students shall participate in the objective-based “ride along” program.

Provide, at no cost, remedial training for students following their first time failure of the NREMT Paramedic Exam. Remedial training days will be in addition to the 150 calendar days allowed for initial training

2.1.9 All students that require remedial

training shall receive it prior to next testing opportunity.

2.4 GOVERNMENT FURNISHED SUPPORT N/A

2.5 SECURITY REQUIREMENTS. N/A

2.6 TRAVEL. N/A

2.7 DELIVERABLES. Any papers, recommendations, etc. that the contractor submits are drafts, not final copies. Government reserves the right to make changes on delivery dates

2.7.1 Deliverables

NO. DELIVERABLE PWS PARAGRAPH Delivery Date/Description 1 Certificates of

Completion

2.1.11 Upon successful completion of training

2 Student transcripts of credit/semester hours at no additional cost or fee

2.1.12 Upon successful completion of training

3 Monthly Status Report 2.8.1 The tenth work day of each month 4 Quality Control Plan 3.0 At time of proposal and any updates after contract award

2.7.2 Criteria for Acceptance. All deliverables shall be submitted in a draft format mutually agreed upon by the contractor and the Government.

2.8 DATA REPORTING REQUIREMENTS

2.8.1 Monthly Status Report. (Deliverable 3)

2.8.1.1 The contractor shall prepare and submit a monthly status identifying all tasks performed, status, issues, and anticipated actions consistent with performance work statement (PWS).

2.8.1.2 One hard copy of this report shall be submitted to the AFMOA/EMS PM and an electronic copy to the COR and program manager by the tenth working day of the month following the end of the reporting period.

2.8.1.3 Specific content of the report shall be coordinated with the AFMOA/EMS PM/COR and delivered in an electronic format mutually agreed by the contractor and the Government.

2.8.1.4 The report shall include the following items:

• Contract number

• Contractor name

• Period covered by report

• Management Issues

• Summary description of activities and accomplishments during the report period

• Status updates of AF student training progress

• Description of problems and issues encountered during the report period

• Work to be accomplished during the following reporting period

• Status of open problems or issues identified in previous monthly report(s). Problem solutions/recommendations

• Any additional information the contractor deems beneficial in assisting the AFMOA/EMS PM/COR.

2.8.1.5 This report shall also keep AFMOA/EMS PM/COR informed of any concerns with behavior of students.

2.8.2 OTHER DATA REQUIREMENTS. In addition to the monthly status reports, the contractor shall provide the following data deliverables:

2.8.2.1 Activities log will be submitted monthly with the monthly status report.

3.0 Quality Control Plan: The contractor shall provide to the government, a QCP at time of proposal and any updates after contract award. Any update to the QCP must be reviewed by the COR. Establish and maintain a complete QCP to ensure the requirements of this PWS are provided as specified. (Deliverable 4)

4.0 NON-PERSONAL SERVICES: The Government will neither supervise contractor employees nor control the method by which the contractor performs the required tasks.

Under no circumstances shall the Government assign tasks to, or prepare work schedules for, individual contractor employees. It shall be the responsibility of the contractor to manage its employees and to guard against any actions that are of the nature of personal services, or give the perception of personal services. If the contractor feels that any actions constitute, or are perceived to constitute personal services, it shall be the contractor’s responsibility to notify the CO immediately. These services shall not be used to perform work of a policy/decision making or management nature, i.e., inherently Governmental functions. As defined in FAR 7.5. all decisions relative to programs supported by the contractor shall be the sole responsibility of the Government.

5.0 CONTRACTOR IDENTIFICATION: N/A

6.0 HOURS OF OPERATION: Normal classroom training hours are eight hours a day between the hours of 7:00 AM and 5:00 PM, local time Monday through Friday; Ride-along (field internship)/Clinical program hours flexible to meet course requirements.

6.1 PLACE OF PERFORMANCE. The primary place of performance will be at the contractor’s training facilities.

6.2 SCHEDULED HOLIDAYS. The government trainees will abide by the contractor’s scheduled training classes, which will not exceed 150 days, including travel time.

7.0 APPENDICES

7.1 APPENDIX A. National Medical Emergency Education Standards (EMS)

7.2 APPENDIX B. National Medical Emergency Education Standards Paramedic Instructional Guidelines

7.3 APPENDIX C. Customer Complaint Record

7.4 APPENDIX D. Customer Feedback Form

APPENDIX A. NATIONAL MEDICAL EMERGENCY EDUCATION STANDARDS

National EMS Education Standards.

APPENDIX B. NATIONAL MEDICAL EMERGENCY EDUCATION STANDARDS

PARAMEDIC INSTRUCTIONAL GUIDELINES

National EMS Education Standards_

APPENDIX C. Customer Complaint Record

CUSTOMER COMPLAINT RECORD

DATE/TIME OF COMPLAINT

SOURCE OF COMPLAINT

ORGANIZATION

BUILDING NUMBER

INDIVIDUAL

PHONE NUMBER

NATURE OF COMPLAINT

CONTRACT REFERENCE

VALIDATION

DATE/TIME CONTRACTOR INFORMED OF COMPLAINT

ACTION TAKEN BY CONTRACTOR

RECEIVED/VALIDATED BY

Customer Complaint Record Template, Feb 05 (SAF/AQCP) COMPLAINANT -

Customer Complaint Record Template, Feb 05 (SAF/AQCP)

COR

Customer Complaint Record Template, Feb 05 (SAF/AQCP)

CONTRACTOR

Customer Complaint Record Template, Feb 05 (SAF/AQCP) Contract

Administrator

APPENDIX D: CUSTOMER FEEDBACK FORM

CUSTOMER

FEEDBACK RECORD

DATE/TIME OF FEEDBACK

CONTRACT NUMBER CONTRACTOR

SOURCE OF FEEDBACK

ORGANIZATION ADDRESS INDIVIDUAL PHONE NUMBER

NATURE OF FEEDBACK

VALIDATION ACCOMPLISHED

CONTRACTOR INFORMED OF FEEDBACK

(DATE/TIME/CONTRACT INDIVIDUAL CONTACTED )