Atch_1._Performance_Work_Statement,_HAMS_21_March_2017.pdf

AIR FORCE MEDICAL SUPPORT AGENCY (AFMSA)

PERFORMANCE WORK STATEMENT

FOR

HEALTHCARE ASEPTIC MANAGEMENT SERVICES (HAMS)

21 March 2017

Table of Contents

1.0 DESCRIPTION OF SERVICES:

1.1 BACKGROUND

1.2 SCOPE

1.3 NON PERSONAL SERVICES

2.0 SUMMARY OF REQUIREMENTS

2.1 HOUSEKEEPING REQUIREMENTS SUMMARY (RS) LEVELS & CLEANING

2.2 CYCLE TASKS

2.3 RECYCLABLE MATERIALS COLLECTION

2.4 REGULATED MEDICAL WASTE (RMW)

2.5 LINEN SERVICES

2.6 KEY PERSONNEL & QUALIFICATIONS

2.7 TRAINING

2.8 MEDICAL FACILITY ADAPTED MANUAL (MFAM)

2.9 OTHER COMPLIANCE STANDARDS

2.10 EMPLOYEE STANDARDS

2.11 TRANSITION PLAN:

2.12 GENERAL

2.13 SECURITY REQUIREMENTS

3.0 SERVICES SUMMARY

4.0 DELIVERABLES

5.0 GOVERNMENT FURNISHED SUPPORT AND CONTRACTOR FURNISHED

PROPERTY & SERVICES

5.1 GOVERNMENT FURNISHED SUPPORT

5.2 CONTRACTOR FURNISHED PROPERTY AND SERVICES

6.0 QUALITY CONTROL

APPENDIX A. ACRONYMS & DEFINITIONS

APPENDIX B. PUBLICATIONS AND REGULATIONS

APPENDIX C. CONTRACTOR FULL-TIME EQUIVALENT REPORTING

EXHIBIT A. INDIVIDUAL MEDICAL FACILTY EXHIBIT (IMFE)

1.0 DESCRIPTION OF SERVICES:

1.1 BACKGROUND. The purpose of this effort is to acquire non-personal medical housekeeping services for Air Force Medical Treatment Facilities (MTF) to include Medical

Centers, Ambulatory Surgical Centers, Hospitals, Medical and Veterinary Clinics based throughout the Continental United States (CONUS), including Alaska.

1.2 SCOPE. This contract covers centrally procured non-personal services for all management, labor, supervision, transportation, equipment and materials, etc., to provide complete medical housekeeping services for medical, dental, veterinary and other patient care facilities in the Air

Force. This program provides for the aseptic cleaning, protection, and beautification of all rooms and areas identified for coverage at a particular installation to maintain a level of asepsis commensurate with the use of the facility, rooms, and areas. This program also has provisions for management of linen service and all categories of Regulated Medical Waste (RMW) per the

National Institute for Occupational Safety and Health (NIOSH) as identified in the PWS.

Housekeeping services may be considered a mission essential function and an essential contractor service consistent with the Individual Medical Facility Exhibit (IMFE).

1.3 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. 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 Contracting Officer immediately. HAMS services shall not include inherently governmental functions as defined in Office of Federal

Procurement Policy (OFPP) Policy Letter 11-01, Inherently Governmental Functions, and FAR

Subpart 7.5, Inherently Governmental Functions.

2.0 SUMMARY OF REQUIREMENTS

2.1 HOUSEKEEPING REQUIREMENTS SUMMARY (RS) LEVELS & CLEANING

AREA CLASSIFICATIONS

Critical Care Areas

Outpatient/Clinical

Support Administrative Areas Common Areas

Operating Rooms Exam Rooms

Offices (Outside of

Clinical Areas) Entrances/Vestibules

Labor & Delivery Occupational Therapy Storage Rooms Conference Rooms

Sterile Processing Dept Laboratory Supply Rooms Lobby Areas

Emergency Rooms Radiology Elevators

Inpatient Rooms Pharmacy Stairwells

Intensive Care Units Soiled Utility Rooms Chapel

AREA CLASSIFICATIONS (Cont.)

Critical Care Areas

Outpatient/Clinical

Support Administrative Areas Common Areas

Nursery Treatment Rooms Locker Rooms

Recovery Rooms Physical Therapy Dining Facility

Veterinary Clinic Fitness Center

Clean Utility Room Medication Rooms

Nourishment Rooms

Provider Offices Audio Booths On Call Rooms

* Bathroom, Corridors and Patient Waiting Rooms/Areas shall be cleaned to the RS level of the area they support. This above listing is not all inclusive.

2.1.1 Healthcare Aseptic Housekeeping-Requirement Summary (RS) Levels

2.1.1.1 Requirement Summary Level #0: Identifies existing square footage at the MTF that is under renovation or does not require cleaning. Site specific requirements will be listed as RS #0 in the IMFE.

2.1.1.2 Requirement Summary Level #1: Services of this type are generally non-case driven and rendered in critical care areas 7 day per week. Due to the nature of the work, the work schedule may be interrupted and/or changed many times during the day. Site specific requirements will be listed at RS #1 in the IMFE.

2.1.1.3 Requirement Summary Level #2: Services of this type are generally case driven and rendered in critical care areas 7 days per week. Due to the nature of the work, the work schedule may be interrupted and/or changed many times during the day. Site specific requirements will be listed as RS #2 in the IMFE.

2.1.1.4 Requirement Summary Level #3: Services of this type are generally rendered in outpatient/clinical support areas and serviced 7 days per week. Outpatient and support service areas may require after-hours services and terminal cleaning in some clinical spaces. Site specific requirements will be listed as RS #3 in the IMFE.

2.1.1.5 Requirement Summary Level #4: Services of this type are generally rendered in the administrative offices innon-clinical areas 5 days per week. Some administrative areas/non-clinical areas may require after hours cleaning. Site specific requirements will be listed as RS #4 in the IMFE.

2.1.1.6 Requirement Summary Level #5: Services of this type are generally non-case driven and rendered in critical care areas 5 day per week. Due to the nature of the work, the work schedule may be interrupted and/or changed many times during the day. Site specific requirements will be listed at RS #5 in the IMFE.

2.1.1.7 Requirement Summary Level #6: Services of this type are generally case driven and rendered in critical care areas 5 days per week. Due to the nature of the work, the work schedule may be interrupted and/or changed many times during the day. Site specific requirements will be listed as RS #6 in the IMFE.

2.1.1.8 Requirement Summary Level #7: Services of this type are generally rendered in outpatient/clinical support areas and serviced 5 days per week. This may include administrative offices in clinical support areas. Outpatient and support service areas may require after-hours services and terminal cleaning in some clinical spaces. Site specific requirements will be listed as

RS #7 in the IMFE.

2.1.1.9 Requirement Summary Level #8: Services of this type are generally rendered in common/high traffic areas, elevators, stairs, corridors, vestibules, lobbies, and conference rooms, and serviced 7 days per week. Site specific requirements will be listed as RS #8 in the IMFE.

2.1.1.10 Requirement Summary Level #9: Services of this type are generally rendered in common/high traffic areas, elevators, stairs, , corridors, vestibules, lobbies, and conference rooms, and serviced 5 days per week. Site specific requirements will be listed as RS #9 in the

IMFE.

2.1.1.11 Requirement Summary Level #10: Services provided in response to any emerging

CAT A disease. Specific cleaning procedures will be performed in accordance with applicable

Centers for Disease Control (CDC) requirements. Site specific requirements will be listed as RS

#10 in the IMFE. Should and emerging CAT A disease outbreak occur, the CEH will consult with the Facility Manager and Infection Control Officer to determine the specific cleaning methods required by the CDC, OSHA, and other government guides to limit the spread of infection.

2.1.2 Requirement Summary (RS) Level Cleaning

2.1.2.1 The contractor shall perform total disinfection cleaning of Critical Care Areas, RS level

1, 2, 5, & 6 as outlined in the IMFE. The contractor shall respond to service calls within 10 minutes or less from notification. Cleaning shall consist of pre-cleaning each day (before cases), between-case cleaning, and transfer/terminal (end-of-day) cleaning and weekly cleaning.

Transfer/terminal discharge cleaning includes making of beds in all patient rooms, isolation rooms, intensive care unit, recovery rooms, and ER trauma rooms. The contractor shall maintain cleaning equipment and designated them as sole use for surgical spaces.

2.1.2.2 The contractor shall provide lock-in housekeeping personnel to perform housekeeping services in areas as outlined in the IMFE. The contractor shall respond to service calls within 5 minutes of notification during operating hours. Lock-in housekeeping personnel are required during normal operational hours. After the last surgical case, end of day cleaning will commence. Housekeeping personnel may also be locked-in 24 hours per day in Labor &

Delivery areas.

2.1.2.3 The contractor shall respond to service calls within 15 minutes of notification if there are emergency medical cases after normal operating hours. If there are emergency cases after normal operating hours, the contractor shall perform Pre-Cleaning, Between-Case Cleaning when necessary, and End of Day Cleaning.

2.1.2.4 The contractor shall respond to service calls in RS 3, 7, 8 and 9 within 15 minutes or less from notification.

2.1.2.5 The contractor shall respond to service calls in RS 4 areas within 30 minutes or less from notification.

2.1.3 Miscellaneous Cleaning

2.1.3.1 The contractor shall perform steadfast policing of all common area spaces.

2.1.3.2 The contractor shall provide continuous necessary cleaning services to exterior entrances and platforms (areas outside the buildings). Entrances and entrance platforms shall be cleaned once daily as a minimum (per contractor schedule) prior to the start of heavy traffic hours. These items shall be included as part of this service: Clean foot scrapers, exterior entrance mats, and individual trash. Wash down the area (except during freezing weather) and remove any standing water from the entrance and adjacent sidewalks. Police and clean up within 15 feet of each direction from the bulk refuse containers and entrance walkways. Clean entrance windows, storm windows and doors, as required, maintaining a clean appearance. Patios shall be cleaned except during inclement weather.

2.1.3.3 The contractor shall clean on-call rooms to include pick-up/changing bed linens, and deposit all soiled linen in the soiled linen hamper as outlined in the IMFE.

2.1.3.4 The contractor shall clean all interior surfaces of passenger and service elevators.

2.1.3.5 The contractor shall clean dining areas after each meal time to include floors, entrances, tables, chairs, trash removal, etc. in food consumption areas. The contractor will not clean areas located behind the food serving line or in the kitchen/preparation areas. The contractor shall perform tiled floor and carpet care during non-meal hours. The contractor shall perform steadfast policing of hallways, table and chairs, and outside tabled seating areas as required during the dining area operating hours. The contractor shall respond to service calls within 15 minutes or less from notification.

2.1.3.6 The contractor shall perform pre-move in cleaning prior to re-opening areas previously under construction or before occupancy of a new or temporary facility. Cleaning shall be to a level commensurate with the RS level for the area.

2.1.3.7 Laundering of mop heads/cleaning cloths: The contractor shall clean reusable mop heads, dust mops, and cleaning cloths at a facility other than the MTF; items designated as single day use shall not be re-used.

2.1.3.8 Cell Carts. Contractor shall pick up, disassemble, clean, reassemble, and deliver linen, surgical instrument, and medical supply cell carts in accordance with the pick-up location and schedule outlined on the IMFE. This shall include mobile and stationary cell carts. Cell carts shall be cleaned when visibly soiled or as scheduled in the IMFE.

2.1.3.9 Service Calls. The contractor shall establish a means to receive telephonic and/ or electronic requests for services. The contractor shall provide emergency and service call response when requested by the COR. The contractor shall create and maintain a service/problem call-log which records the date and time the call was received, the time contractor responded to the call, location of the service/problem, description of the service/problem, and the name of the individual who called the contractor about the service/problem. The log will be made available to the COR upon request.

2.1.3.10 Total Clean. Any item or surface that can be touched from the room interior shall be part of the total clean requirement. (artificial plants, walls, floors, etc).

2.1.3.11 Emergency/Contingency Services. Contractor shall provide cleaning services for emergencies and contingencies that may occur within a facility.

2.2 CYCLE TASKS. In addition to routine daily aseptic cleaning, the items identified below, shall be cleaned at the frequencies specified in the IMFE. The exact month the cycle task is to be started and completed is specified in the IMFE.

2.2.1 Exterior windows, screens, and interior windows over seven (7) feet shall be cleaned, as outlined in the IMFE.

2.2.2 Blinds, curtains, and shades, including their cords, tapes, and corniced housings shall be free of all dust, soil, lint, stains, and cobwebs. Blinds and coverings that are not operating properly shall be reported to the COR for repair.

2.2.3 Cubicle curtains (patient privacy curtains) shall be removed and replaced when visibly soiled, exposed to active isolation patient, or as scheduled in the IMFE. Curtains should be clearly marked or labeled as to when they were last replaced/cleaned per MTF requirements.

Cubical Curtains are cleaned by the linen contractor.

2.2.4 Light Fixtures. Light covers shall be removed and the light fixtures are to be cleaned inside and out. This includes cleaning inside ceiling lights, emergency exit lights, patio lights, outside entrance and loading dock lights, interior lighted signs, canopy lights, delivery, operating room lights, and all other lights (except desk, table, bed, floor). This cleaning is in addition to the cleaning of the outside of the light fixtures performed as part of daily scheduled inspection and cleaning.

2.2.5 Limited Interior Duct Cleaning. Removable portions of registers, diffusers, and grills shall be removed and cleaned as scheduled in the IMFE. The entire removable portion shall be cleaned. The inside of the ducts behind the registers, diffusers, and grills shall be vacuumed (as far as the vacuum hose shall reach), and then washed and sprayed with a germicidal detergent, and the removable portions replaced.

2.2.6 Storage Rooms. Depending on usage, storage rooms at MTFs can either be cleaned as a cycle task or as an RS level as outlined in the IMFE. If a storage room is to be cleaned to a specific RS level it will be included in the room inventory tab of the IMFE, otherwise it will be identified as a cycle task as scheduled in the IMFE. Cleaning as a cycle task shall include:

Survey area and pick up trash. Damp wipe counters, ledges, sills, shelving, cabinets and vents.

Sweep and mop floor with general purpose solution or neutral cleaner.

2.2.7 High Dusting of Stair wells. High dusting of stairwells areas/surfaces over seven feet shall be cleaned as outlined on the IMFE.

2.2.8 The contractor shall determine and provide to the COR a copy of the schedule for the exact day-by-day performance of cycle task duties 30 days prior to accomplishment. (Deliverable #1)

The cycle task schedule shall indicate the rooms/areas to be completed on a given date.

2.2.8.1 The contractor shall submit schedule changes in writing to the COR at least 24 hours in advance of the initially scheduled time for beginning the output. Should any unforeseen circumstance arise during the 24 hour notification period in the area of the cycle task, adjustments in the schedule shall be made to ensure cycle task completion. (Deliverable #1)

2.2.8.2 The contractor shall submit other than certified cost and pricing data for the following areas upon completion of the second year of contract performance; Square footage, quanity, and total cost per year for cleaning of light fixtures, window washing, window blinds, and duct cleaning. The data shall be submitted to the COR/CO, 30 days after the completion of the second year.

2.3 RECYCLABLE MATERIALS COLLECTION. The contractor shall collect recyclable materials from the designated recycle receptacle locations and transport to the designated recycle waste collection point as outlined in the IMFE. MTF staff will break down boxes as an indication that they are ready for recycle.

2.4 REGULATED MEDICAL WASTE (RMW).

2.4.1 The contractor shall handle, collect, and transport all waste to assigned storage area in accordance with OSHA, Federal, State, and Local regulations. RMW storage area will be locked at all times unless in use. Waste shall be stored in this area until destroyed, treated or picked up by a licensed contractor. RMW may include CAT A hazardous waste as defined by 49 Code of

Federal Regulations (CFR) Parts 100-185.

2.4.2 The contractor shall collect RMW from all pick up locations as specified in the IMFE and place the containers in the designated RMW storage room. If an MTF has an incinerator or autoclave, as outlined in the IMFE, the contractor shall be responsible for operating and disposal of the RMW. The Facility Manager will provide orientation on the use of incinerators and/or autoclaves if applicable. The contractor shall perform additional collections within one hour of notification by MTF staff if RMW containers become filled after the normal collection period.

2.4.3 The contractor shall collect and transport RMW in a contractor provided, enclosed vehicle from outlying buildings according to the collection schedule and collection locations as outlined in the IMFE. The collected RMW bags are to be placed in a suitable container provided by the government, and closed prior to removal from building. Upon return to the MTF, the contractor shall place the containers in the designated RMW storage room. The contractor shall perform additional collections within one hour of notification by MTF staff if RMW containers become filled after the normal collection period. The contractor shall clean and disinfect the vehicle used after each RMW transport run.

Note: Collection of RMW at outlying areas is not required on federal holidays or training holidays when clinics are closed.

2.4.4 The contractor shall collect yellow cytotoxic waste containers and take to a designated central collection point within the MTF. Cytotoxic waste is only collected after the generator has certified the cytotoxic container contains only residual waste of less than 3% per container.

2.5 LINEN SERVICES. The contractor shall provide all necessary phases of linen operations to include pick up, transportation, and distribution. Linen services require processing government or contractor owned linen for authorized hospital wards, clinics, and other customers. Linen distribution and pickup points are subject to change due to mission requirements. Linen handling will comply with American National Standards Institute/Association for the

Advancement of Medical Instrumentation publication (ANSI/AAMI ST 65:2008.

2.5.1 The contractor shall inventory linen at each user/activity location and restock with clean linen equal to the par levels established for that site location. Par levels are established by the using activity. Distribution of clean linen to the using activity shall be done via covered containers as indicated by the schedule in the IMFE. If emergencies deplete linen levels, linen shall be restocked to regular levels within 1 hour of notification. The contractor shall rotate all clean linen on a first in, first out rotation basis when restocking clean linen storage areas.

2.5.2 Bags used for linen shall not be of the same type and color as those used for regulated medical waste.

2.5.3 The contractor shall collect soiled linen from areas as indicated by the schedule in IMFE and transport to a designated linen area.

2.5.4 Clean and soiled linen shall not be handled at the same time by one person. Personnel who handle soiled linen shall change all Personal Protective Equipment (PPE) and wash their hands before handling clean linen.

2.5.5 Monthly Linen Laundering Report. The contractor shall meet the COR at the designated soiled linen room/area to receive the clean linen carts, and remove soiled linen carts. Contractor shall weigh each linen cart at the time of pickup and delivery by the COR and record each weight. The contractor shall provide a monthly linen laundering report to the COR by the fifth

(5th) business day of the month following the month of service. The report shall list by day the weight of soiled linen sent to the laundry and weight of clean linen received from the laundry.

(Deliverable #2)

2.5.6 Monthly Linen Report. The contractor shall record all issues of linen to users/activities by-piece-by-day. The contractor shall provide a monthly linen report to the COR of all issues to users/activities by-piece-by-day with daily totals and monthly grand totals no later than the fifth

(5th day) of the month following the month of service. (Deliverable #3)

2.5.7 The contractor shall open all linen bundles marked as salvage by the Laundry Service

Contractor following delivery of clean linen from laundry. Designated salvage linen shall be segregated from serviceable linen and placed by type on specified shelves in the clean linen room for inspection and disposition by the government.

2.5.8 The contractor shall mark all new linen with government furnished labels prior to being placed into the circulating inventory. Linen items in the circulating inventory with illegible identifying marks shall be remarked.

2.5.9 Annual/Semi-annual Linen Inventory. An initial and semi-annual linen inventory shall be conducted by the contractor with the COR within 7 days of performance start and semi-annually thereafter. The linen inventory report shall be provided to the COR within 7 calendar days after completion. (Deliverable #4)

2.5.10 Soiled-for-Clean Uniform Exchange Service shall be operated during the hours specified by the MTF as outlined in the IMFE.

2.6 KEY PERSONNEL & QUALIFICATIONS.

2.6.1 Key Personnel. The following personnel are considered key onsite personnel by the

Government: Executive Housekeeper, Associate Executive Housekeeper, and Shift Leader. The contractor shall provide an onsite Certified Executive Housekeeper (CEH) or Associate

Executive Housekeeper (AEH) who shall be responsible for the performance of the work. The

Executive Housekeeper or Associate Executive Housekeeper shall have full authority to act for the contractor on all contract matters relating to daily operation of this contract. Changes to key personnel shall be submitted in writing to the COR as soon as identified by the contractor but not later than three (3) days prior to performance. Notification shall also include qualifications of incoming key personnel. (Deliverable #5)

2.6.1.1 Certified Executive Housekeeper (CEH). Contractor shall provide onsite manager services to ensure compliance with all provisions of this contract.

2.6.1.1.1 Meetings. The CEH shall be a member of the Infection Control Committee/Function and Environment of Care (EOC) Committee (at least on a consultative basis) and shall attend the meetings when necessary. The CEH shall also be a member, as required, of other committees formed to manage the cleanliness of the MTF.

2.6.1.1.2 The contractor shall ensure that in the event of an absence by the CEH that an alternate representative is available and the COR is notified as soon as possible. Alternate CEHs shall be fully qualified to support the position.

2.6.1.1.3 CEH Minimum Qualifications:

Experience: Minimum of three (3) years of prior healthcare housekeeping senior management experience, within the last seven (7) years is required. Three (3) years of direct management and performance as the CEH in a medical treatment facility of comparable size and services, and accredited by a recognized accreditation authority.

Certifications: The CEH shall meet or exceed the following: Association for Healthcare

Environment (AHE) Certified Healthcare Environmental Services Professional (CHESP), or

International Executive Housekeeper’s Association (IEHA) Certified Executive Housekeeper

(CEH). The contractor shall provide one of the following certifications for the CEH: AHE

CHESP or IEHA CEH to the CO/COR as a deliverable during the 45 day transition period, but not later than 10 days prior to performance start. Should a CEH position become vacant, the contractor shall notify the CO/COR immediately in writing, and submit a replacement CEH who has a current certification. Should a new CEH need to acquire a certification, they shall submit it to the COR no later than six (6) months after the position becomes vacant. (Deliverable #6).

2.6.1.2 Associate Executive Housekeeper (AEH) Responsibilities: Serve as the onsite manager representative of the contractor at the individual MTF during absence of the CEH.

2.6.1.2.1 AEH Minimum Qualifications:

Experience: Minimum of three (3) years of prior housekeeping management experience, within the last five (5) years in a MTF of comparable size and services, accredited by a recognized accreditation authority is required.

Certifications: Minimum of one year certification as an AEH or CHESP through the AHE or

IEHA. All certifications shall be active throughout the term of the contract. The contractor shall provide the following certifications for the AEH: AHE CHESP to the CO/COR as a deliverable during the 45 day transition period, but not later than 10 days prior to performance start. Should an AEH position become vacant, the contractor shall notify the CO/COR immediately in writing, and submit a replacement AEH who has a current certification. Should a new AEH need to acquire a certification, they shall submit it to the COR no later than six (6) months after the position becomes vacant. (Deliverable #6).

2.6.1.3 Shift Supervisors/Leaders. If the scheduled work hours are outside of the normal duty hours of the CEH/AEH, then a Shift Supervisor will be designated and on site. Senior Shift

Supervisor(s) should be fully capable of temporarily (8 hours or less) assuming AEH duties during AEH absence.

2.6.2 General Personnel Requirements. The contractor shall provide personnel who are able to communicate clearly in English, both written and orally. The contractor shall provide personnel who meet the requirements of this PWS.

2.6.3 Personnel Roster. The contractor shall have a written personnel roster that shall be maintained current and that includes at a minimum the name of the employee, hire date and job assignment. The contractor shall submit the original personnel roster to the COR, 10 days prior to performance start and three (3) days prior to any personnel changes thereafter. Employees not listed shall not be allowed to work in the MTF. (Deliverable #7)

2.7 TRAINING

2.7.1 Government Provided Training. The Contractor’s housekeeping employees shall attend the

MTF's required orientation within 60 days of being hired. If an employee has not attended or is not scheduled within 60 days, the employee will not report to work until orientation training is complete/documented. After start of work, the Government will provide education regarding exposure control plan protocols for blood borne pathogens and tuberculosis according to applicable military instructions. Documented training shall be made available to the COR upon request. In addition, contractor employees will be required to attend annual/other training as determined by MTF leadership.

2.7.1.1 Cardiopulmonary Resuscitation Training. All contract employees working in an AF

MTF must be trained and certified in CPR. Training will be provided by the Government and scheduled by the MTF Education & Training office during normal duty hours.

2.7.1.2 Health Insurance Portability & Accountability Training (HIPAA)/Patient Privacy. All contract employees working in an AF MTF must be trained in HIPAA/Patient Privacy. Training will be provided by the government during normal duty hours.

2.7.2 Contractor Provided Training. The contractor shall provide initial training of all employees prior to start of work. The following topics shall be included:

2.7.2.1 Orientation/overview on fire prevention, ground safety, smoking, security, employee health, standard or universal precautions, exposure control plan, handling of regulated medical waste, , utilities plan, and PPE.

2.7.2.2 Familiarization with all technical and procedural manuals provided as part of the MFAM.

2.7.2.3 Hazard Communications Plan, including location and access to Safety Data Sheets (SDS) for products used by the contractor and government personnel, a work area hazardous chemical inventory, and standard operating procedures (SOPs) or Operating Instructions (OI) governing tasks involving hazardous materials.

2.7.2.4 The contractor shall document and maintain an individual record of all employees training. The training records are to be maintained locally and shall be made available to the

COR upon request.

2.7.2.5 The contractor shall coordinate with COR 30 days prior for scheduling conference room space. Training/conference rooms for conducting training will be dependent upon space availability.

2.8 MEDICAL FACILITY ADAPTED MANUAL (MFAM)

2.8.1 Medical Facility Adapted Manuel (MFAM) (Deliverable #8).The contractor shall develop a

MFAM and provide to the CO as a deliverable during the 45 day transition period, but not later than 10 days prior to performance start. Changes to MFAM shall be submitted to the CO/COR no later than 14 days of the change. The MFAM shall include as a minimum the following:

2.8.2 Work instructions/procedures, processes and product description to fulfill contractual obligations. The preparation and maintenance of, and compliance with, these instructions shall be audited as a function of the contractor’s Quality Control Plan to assure compliance with or timely changes to the instructions.

2.9 OTHER COMPLIANCE STANDARDS

2.9.1 Voluntary Consensus Standards. This PWS is consistent with Office of Management and

Budget (OMB) Circular No. A-119, Federal Participation in the Development and Use of

Voluntary Standards dated 10 Feb 1998. This Circular directs agencies to use voluntary consensus standards (VCS) in lieu of government-unique standards except where inconsistent with law or otherwise impractical. For purposes of this PWS, "voluntary consensus standards" are applicable to hospital/healthcare facility cleaning, green cleaning, Occupational Safety and

Health Administration (OSHA), and International Organization for Standardization (ISO) standards developed or adopted by voluntary consensus standards bodies. The following are

VCSs applicable to this effort:

2.9.2 Association for Healthcare Environment (AHE) Practice Guidance for Healthcare

Environmental Cleaning Standards. The contractor shall perform all cleaning in accordance with the AHE. The AHE Practice Guidance cleaning techniques and procedures are based on guidelines by the CDC, OSHA, and other government agencies.

2.9.3 The contractor shall submit a certified copy of a current International Sanitary Supply

Association Cleaning Industry Management Standard for Green Buildings (ISSA CIMS-GB) certification with the proposal. The contractor shall maintain ISSA CIMS-GB certification throughout the contract period. The contractor shall submit certification to the CO/COR upon notice from the contracting office of exercising the option period.

2.9.4 Environmental Protection Agency (EPA) Comprehensive Procurement Guidelines (CPG).

The contractor shall comply with the EPA CPG program. The CPG program is authorized by

Congress under Section 6002 of the Resource Conservation and Recovery Act (RCRA). The contractor shall purchase designated products with the highest recovered material content practicable (http://www.epa.gov/cpg).

2.9.5 Bio-based Products. The contractor shall comply with the United States Department of

Agriculture Bio-Preferred program. Federal acquisition of bio-based products is required by the

Farm Security and Rural Investment Act of 2002, Section 9002. The contractor shall purchase bio-based products with the minimum bio-based content practicable

(http://www.biopreferred.gov).

2.9.6 Green Seal (GS) Product Standards. The contractor shall provide bio-based products that meet Green Seal Product Standards (http://www.greenseal.org) in the performance of this PWS.

2.9.7 Sustainable Earth Green Cleaning (SEGC) Product Standards. The contractor shall provide cleaning products that meet the Sustainable Earth Green Cleaning (SEGC) products standard

104-E.

2.9.8 Environmentally-Preferable Products. The contractor shall purchase and implement environmentally preferable cleaning products or equivalent as identified in the AHE.

CLEANER TYPE REFERENCE STANDARDS

General Purpose Cleaners /Hard Surface

Cleaners

Environmental Choice CCD-146 for Hard

Surface Cleaners

Green Seal GS-37 for general purpose, bathroom, glass, and carpet cleaners used for industrial and institutional purposes

Glass Cleaners Environmental Choice CCD-146 for Hard

Surface Cleaners

Green Seal GS-37 for general purpose, bathroom, glass, and carpet cleaners used for industrial and institutional purposes

Carpet & Upholstery Cleaners Environmental Choice CCD-148 for Carpet and upholstery care

Green Seal GS-37 for general purpose, bathroom, glass, and carpet cleaners. Used for industrial and institutional purposes

Cleaning & Degreasing Compounds Environmental Choice CCd-110 for cleaning and degreasing compounds

Green seal GS-34 for cleaning and degreasing agents http://www.epa.gov/cpg http://www.biopreferred.gov/ http://www.greenseal.org/

Floor Cleaners/Strippers/Waxes Environmental choice CCD-147 for hard floor care

Green seal GS-40 for industrial and institutional floor-care products

Drain /Grease Trap Additives Environmental choice CCD-113 for Drain or

Grease trap additives

Fragrances/Odor Control Additives Environmental choice CCD-112 for digestion additives for cleaning and odor control

Environmental choice CCD-115 for odor control additives

Laundry Soaps/Cleaners Non-phosphate (NP) detergents, and detergents formulated without nonylphenol ethoxylate (NPL)i

Also review Design for the Environments

(DfE) Key Characteristics of Laundry

Detergent Ingredients

Green Seal GC-11 Environmental Criteria for

Powdered Laundry Bleach

2.9.9 Disposable Products. The contractor shall purchase and implement disposable products or equivalent listed below. In addition, all disposable products or equivalent shall be certified

Processed Chlorine-Free® (PCF), in accordance with the AEH.

DISPOSABLE PRODUCT REFERENCE STANDARDS

Toilet tissue Green Seal GS-01 for Tissue Paper

Paper hand towels Green Seal GS 09 for Paper Towels and Napkins

Industrial wipes Most current EPA Comprehensive Purchasing

Guidelines

2.10 EMPLOYEE STANDARDS

2.10.1 Uniforms. The contractor shall provide all of its housekeeping employees, other than the

Executive Housekeeper, uniforms of distinctive color and design distinguishable from all other

MTF uniforms. The uniform must display the company name. The contractor shall have a uniform dress code that requires contract personnel to maintain a clean, neat, and professional appearance appropriate for a health care setting. The contractor staff shall wear enclosed rubber sole work shoes to prevent slips and falls while on duty. Sandals, slippers, or open shoes are prohibited. Excessive or inappropriate jewelry or body piercing is not permitted. Jewelry or body piercing shall be kept to a minimum. Use of cologne, perfume, perfume products

(hand/body lotion, etc.) or aftershave is discouraged and if worn should he minimal and not noticeable by others. Smoke odors are prohibited. Only PPE headgear will be authorized inside the MTF.

2.10.2 Hygiene. All contractor employees shall wear contractor provided approved uniforms at all times. Contractor personnel shall wear a clean uniform each day, be neatly groomed, and free of body odor and conform to acceptable standards of personal hygiene for an MTF. Hair is to be clean, neat, and well groomed. Shoulder length hair or longer must he pulled back behind the ears and off the neck. Fingernails (not longer than 1/4") shall be clean and free of dirt. Artificial nails and natural nails longer than 1/4” inch shall not be permitted per Infection Prevention and

Control Standards. Contractor’s staff shall follow CDC Hand Hygiene Standards.

2.10.3 Health Requirements. The contractor shall be responsible for ensuring its employees meet all health requirements (e.g. vaccinations, physical exams required), required by the MTF, under this contract at no additional cost to the Government. Medical clearances or certificates issued by a source approved by the Local/Regional/State health department shall be maintained by the contractor for each of its contractor personnel and available for government inspection by the

COR at all times. Special immunizations and biological testing may be administered by the

MTF at government expense in the event of unusual risk situations. The contractor shall be responsible for the medical clearance required by OSHA for the High-Efficiency Particulate Air

(HEPA) mask fitting.

2.10.3.1 The following immunizations, to include pre-employment screenings, shall be considered the minimum requirements essential for performance under this contract.

2.10.3.1.1 Tuberculosis. In those areas where there is a higher risk of transmission of tuberculosis, contractor employees may be tested frequently as directed by the MTF. This test will be provided by the MTF. Tuberculosis screening will follow the Local/Regional/State

Health Department, to include intradermal purified protein derivative (IPPD) (Mantoux

Intermediate Strength Purified Protein Derivative 5 Tuberculin units (PPD 5-TU)), or equivalent if necessary.

2.10.3.1.1.1 Intradermal purified protein derivative (IPPD) (Mantoux Intermediate Strength

Purified Protein Derivative 5 Tuberculin units (PPD 5-TU), unless contraindicated, contractor personnel shall have documentation of IPPD test results. Contractor personnel with undocumented or expired IPPD test results shall not be permitted to work within the MTF as determined by the MTF’s Occupational Health Nurse.

2.10.3.1.1.2 Contractor personnel with baseline positive or newly positive tuberculin reactions or documentation of treatment for latent tuberculosis infection or tuberculosis disease shall have documentation of chest-x-ray results not older than 12 months to exclude TB disease. Contractor personnel with undocumented or expired chest x-ray results shall not be permitted to work within the MTF as determined by the MTF Occupational Health Nurse. Chest x-ray retesting of positive tuberculin reactors is not necessary unless symptomatic or signs of TB develop or unless recommended by the MTF Occupational Health Nurse or clinician.

2.10.3.1.2 Mumps, Rubella, Rubeola, and Varicella Screening. Screening tests for the presence of Rubella, Rubeola, Mumps, and Varicella antibodies must be performed, and individuals with non-protective titers shall be immunized.

2.10.3.1.2.1 If a contractor has had screening tests for the presence of Rubella, Rubeola, Mumps and Varicella antibodies and can obtain a statement from a physician or authorized official attesting to the fact that the CSP has a protective Rubella, Rubeola, Mumps and Varicella titers, the immunizations will not be required.

2.10.3.1.3 Diphtheria-Tetanus. All contractor personnel are required to have a Diphtheria-

Tetanus immunization within the past 10 years and a one-time vaccination of the Tetanus-

Diphtheria-Pertussis (Tdap).

2.10.3.1.4 Hepatitis B. Contractor personnel are required to have a completed series of Hepatitis

B vaccines, once as an adult. The contractor shall provide hepatitis B vaccination to be in compliance with 29 CFR 1910.1030, Blood borne Pathogens Regulation to all contract employees.

2.10.3.1.5 Contractor personnel shall be immunized annually with the seasonal influenza vaccine and any other vaccine recommended by the Advisory Committee on Immunization Practices

(ACIP) of the CDC.

2.10.3.2 Any contractor personnel considered by Occupational Health to be infectious (IAW

CDC work restriction guidelines) to patients or to health care facility personnel shall not be permitted within the premises. The contractor shall present a medical release or certification to return to work for the employee to the Occupational Health department prior to their working under the provisions of this contract.

2.10.3.2.1 The Government reserves the right to require examinations or re-examinations of any contractor personnel as determined necessary by the MTF leadership or Occupational Health.

Any such examinations will be performed by the Government at the Government’s expense.

2.10.3.2.2 The contractor shall provide their Occupational Health Plan for contractor personnel to the CO as a deliverable during the 45 day transition period, but not later than 10 days prior to performance start (Deliverable #9). The contractor shall ensure all contractor personnel comply with the MTF’s health policies and regulations.

2.10.3.3 The MTF will provide emergency treatment to prevent loss of life, limb, or to prevent undue suffering to the contractor’s personnel working at the MTF. The contractor shall pay for medical services provided in accordance with current policies regarding civilian emergencies for government/contractor personnel. Required medical examinations and treatment for all job related injuries or illness shall be the responsibility of the contractor.

2.10.3.4 Contractor personnel who have accidental needle sticks, ocular, mucous membrane, or other significant exposure to blood or other body fluids will receive initial assessment and treatment per MTF policy. The contractor shall be responsible for payment of follow-up treatment/monitoring of their employee.

2.10.3.5 The contractor shall follow the methods for controlling and preventing disease as described in the American Public Health Association publication, Control of Communicable

Diseases Manual, current edition, and the Centers for Disease Control and Prevention publication, relevant issues of Morbidity and Mortality Weekly Report (MMWR), and its supplements. The contractor shall maintain workforce health qualifications as published in the most recent guidelines from these publications throughout the life of the contract. For the purposes of this contract CDC recommendations are considered requirements.

2.11 TRANSITION PLAN: The contractor shall provide a transition plan with their proposal

(Deliverable #10). The transition plan will describe contractor processes and procedures for a 45-day transition period. The transition plan shall include the following: key milestones to reflect a ramp-up period of up to 45 days; chronological sequence of events and actions that will be accomplished without disruption of services; activities necessary to transfer contract responsibilities from the incumbent to the contractor and compliance with the existing Collective

Bargaining Agreement (CBA) and the Service Contract Act (SCA) policies, procedures, and regulations concerning transfer of SCA employees to a new contract.

Deliverables shall be submitted 10 days prior to performance start include:

Contractor Personnel Roster

CEH Certification

MFAM

Occupational Health Plan

Contractor Furnished Supplies/Equipment List

2.12 GENERAL

2.12.1 Project Management Support. Contractor shall provide a single point of contact for project management oversight with authority to make decisions and executions of the services in accordance with the PWS.

2.12.2 Identification of Contractor Employees: All contract personnel attending meetings, answering government telephones, and working in other situations where their contractor status is not obvious to third parties are required to identify themselves as such to avoid creating an impression in the minds of members of the public that they are government officials. They must also ensure that all documents or reports produced by contractors are suitably marked as contractor products or that contractor participation is appropriately disclosed. Electronic mail signature blocks shall identify their company affiliation.

2.12.2 Work Schedule.

Recognized Holidays.

New Year's Day

Martin Luther King Jr’s Birthday

Presidents’ Day

Memorial Day

Independence Day

Labor Day

Columbus Day

Veterans Day

Thanksgiving Day

Christmas Day

Note: If the president declares an additional holiday it will not be considered a holiday for the contractor.

2.13 SECURITY REQUIREMENTS. All contractor personnel performing under this contract are required to undergo background security investigations to ensure suitability for employment with a Federal agency. All contractor employees shall have a favorable National Agency Check with Inquiries (NACI) application initiated by their company’s point of contact (Security

Officer) and submitted to OPM prior to reporting to duty. The contractor shall be responsible for any cost associated with security clearances.

2.13.1 All contractor employees shall prominently display base identification at all times.

2.13.2 Physical Security. The contractor shall be responsible for securing and safeguarding all government facilities, equipment, materials, information and property provided for contractor use.

2.13.3 Key Control. NOTE: All references to keys include key cards/key fobs. The Government will issue keys to contractor key personnel by name. The contractor shall maintain a key issuance log. The keys shall not be duplicated or used by unauthorized personnel. The contractor shall follow all guidance concerning key control. The contractor shall immediately report any occurrences of lost or duplicated keys to the COR. In the event that keys, other than master keys, are lost or duplicated the contractor shall, upon direction of the CO/COR, re-key or replace the affected lock or locks. In the event a master key is lost or duplicated, all locks and keys for that system shall be replaced by the contractor, at no additional cost to the Government. The contractor shall turn-in all keys upon termination of employment/contract.

2.13.4 Installation Access and General Protection/Security Policy and Procedures. All contractor and subcontractor personnel performing tasks under this PWS shall comply with applicable installation, facility, and area commander installation/facility access and local security policies and procedures which will be provided to the contractor by a government representative within five (5) working days of contract award. The contractor shall also provide all information required for background checks to meet installation access requirements to be accomplished by installation security. Contractor personnel shall comply with all personal identity verification requirements as directed by DOD or local policy. Should the Force Protection Condition

(FPCON) at any individual facility or installation change, the Government may require changes in contractor security matters or processes.

2.13.5 Common Access Card (CAC). Each contractor employee shall have this card in his/her possession at all times while working on any government installation and shall surrender same at the end of his/her employment under this contract or when the form expires, whichever occurs first. All contractor employees shall have a favorable National Agency Check with Inquires

(NACI) application initiated by their company's point of contact (Facility Security Officer), and submitted to OPM prior to reporting for duty.

2.13.6 The loss of any pass and identification items shall be reported as soon thereafter as possible to the issuing activity and the Contract Officer Representative (COR).

2.13.7 Retrieving Identification Media. The contractor shall retrieve all identification media from employees who depart for any reason before the contract expires (e. g., terminated for cause, retirement) and return such media to Pass and Identification section for proper disposition.

2.13.8 Reporting Requirements. Automated Data Processing (ADP) SECURITY

REQUIREMENTS: Contractor personnel shall report to an appropriate authority, any information or circumstances of which they are aware may pose a threat to the security of DoD personnel, contractor personnel and resources. Contractor employees shall be briefed by their immediate supervisor upon initial on-base assignment and as required thereafter.

3.0 SERVICES SUMMARY

The contractor service requirements are summarized into performance objectives that relate directly to mission essential items. The performance threshold briefly describes the minimum acceptable levels of service required for each requirement. The Services Summary outlining these requirements is included as an Attachment to this PWS.

Performance

Objective PWS Paras

Performance Threshold

Provide RS Cleaning

Levels 1, 2, 5, and 6 services

2.1.1.2, 2.1.1.3, 2.1.1.6, 2.1.1.7,

2.1.2.1 -

2.1.2.3, &

2.1.3

Zero significant deficiencies (e.g. blood or body fluids remaining) after clean.

Not more than 3 minor deficiencies, per MTF, per month

(e.g. failing to timely remove RMW, visible dust)

Not more than 2 late responses to services calls per MTF, per month

Provide RS Cleaning

Levels 3 and 7 services

2.1.1.4, 2.1.1.8, 2.1.2.4, &

2.1.3

Zero significant deficiencies (e.g. blood or body fluids remaining) after clean.

Not more than 5 minor deficiencies, per MTF, per month

(e.g. failing to timely remove RMW, visible dust)

Provide RS Cleaning

Levels 4, 8 and 9 services

2.1.1.5, 2.1.1.9, 2.1.1.10, 2.1.2.4, &

2.1.2.5

Not more than 5 minor deficiencies, per MTF, per month

(e.g. failing to timely remove waste, visible dust, restocking)

Performance

Objective PWS…