Attachment 1 - PWS NRP 18 April 2024.pdf

FA805224R0005 / Contract Number TBD

18 April 2024

PERFORMANCE WORK STATEMENT

for

Air Force Medical Agency

(AFMED)

Nationally Registered Paramedic Certification

Courses

FA805224R0005/Contract Number TBD

Date: 18 April 2024

Table of Contents

Section Page Number

1. DESCRIPTION OF SERVICES

1.1. Background

1.2. Scope

2. GENERAL INFORMATION

2.1. Contractor Identification

2.2. Contractor Training

2.3. Contractor/Government Communication

2.4. Monthly Status/Financial Report

2.5. Place of Performance

2.6. Travel Requirements

2.7. Mission/Emergency Essential

2.8. Duty Hours

2.9. Telecommuting

2.10. Federal Holidays

2.11. Facility Closures

2.12. Conduct of Contractor Personnel

2.13. Controlled Unclassified Information (CUI)

2.14. Personnel Staffing

3. CONTRACT REQUIREMENTS

3.1. Support Services

3.2. Minimum Qualifications

3.3. Security Requirements

3.4. Service Contract Reporting (SCR)

3.5. Quality Control Plan (QCP)

3.6. Post-Award and Initial Contract Performance Meeting

4. PERFORMANCE OBJECTIVES

4.1. Services Summary (SS)

5. GOVERNMENT FURNISHED PROPERTY (GFP)

6. DELIVERABLES

APPENDIX A Acronyms

1. DESCRIPTION OF SERVICES

1.1. Background. The Air Force Medical Agency (AFMED) is responsible for oversight of the Emergency

Medical Services (EMS) 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 AFMED’s Emergency Medical Technician (EMTs) are BLS certified and AFMS has a shortage of ALS certified Paramedics. AFMED 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 sustained training of AFMS Paramedics.

1.2. Scope. This is a non-personal services contract to provide National Registry Paramedic (NRP)

Certification courses.

1.2.1. EMT Paramedic Certification course shall certify up to 50 AFMS EMTs annually to the NRP level in accordance with (IAW) 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 no more than two (2) 4 ½ month classes of no less than 20 students and no more than 35 students, for a total of approximately 40-70 students trained annually. Course length for each student shall not exceed 134 calendar days.

2. GENERAL INFORMATION

2.1. Contractor Identification. N/A.

2.2. Contractor Training. There is no Government required Contractor training.

2.3. Contractor/Government Communication.

2.3.1. The Contractor shall designate a Focal Point to be the single point of contact for all Contractor and

Government correspondence. The Focal Point shall provide clear and consistent written and verbal response to Government within 12 hours of Government initiated communication (e.g., return phone calls, emails or other communication).

2.3.2. The Contractor’s Focal Point shall meet with the Government team at least quarterly. Additional meetings may be requested by the Government or the Contractor as necessary. The Contractor shall provide an agenda and minutes IAW Contract Data Requirements List (CDRL) A001, A002 and corresponding

Data Item Description (DID)s.

2.4. Monthly Status/Financial Report. The Contractor shall prepare and submit a monthly status/financial report identifying all tasks performed, status, issues, and anticipated actions consistent with the PWS. The

Contractor shall provide the Monthly Status/Financial Report IAW CDRL A003 and associated DID.

2.5. Place of Performance. The primary place of performance will be at the Contractor’s training facilities.

2.6. Travel Requirements. No travel requirements under this contract.

2.7. Mission/Emergency Essential. None of the services listed in this PWS are mission/emergency essential.

2.8. Duty Hours. Normal classroom training hours are eight (8) hours a day between the hours of 7:00 AM and 5:00 PM, local time Monday through Friday; Saturdays may be used for didactic training and/or field internship. Ride-along (field internship)/clinical program hours may be flexible outside of the above stated hours to meet course requirements.

2.9. Telecommuting. Telecommuting may be authorized on a situational basis with written authorization by the COR.

2.10. Federal Holidays. Federal offices are closed on federal holidays as established by Federal law (5

U.S.C. 6103) and any other holidays declared by executive order. Holidays are documented by year on the Office of Personnel Management website for Federal employees located at:

https://www.opm.gov/policy-data-oversight/pay-leave/federal-holidays/#url=Overview.

2.11. Facility Closures. Government facilities will not be utilized for this contract. The Contractor shall notify the Government of anticipated closure of their facility, (i.e., training, holidays, administrative leave granted to the entire staff, or other closure including down days) five (5) business days in advance or as soon as possible. In the event of unplanned closure of the facility due to natural disasters, severe weather, or unforeseen emergencies the Contractor will notify the Government in the same manner as civilian trainees.

2.12. Conduct of Contractor Personnel. N/A

2.13. Controlled Unclassified Information (CUI). N/A

2.14. Personnel Staffing.

2.14.1. The Contractor shall accomplish, at a minimum, the following personnel staffing performance management outcomes:

2.14.1.1. Ensure positions are filled 100% and are present for duty within 15 days after the start of the period of performance (PoP) in the contract.

2.14.1.2. Ensure continuation of services during personnel absences due to sickness, leave, and voluntary or involuntary termination from employment such that impact to the

Government is minimal and position vacancies do not exceed 10 calendar days. The

Contractors shall maintain an overall filled rate of 95%.

2.14.1.3. The substitute/replacement personnel shall begin work no later than 10 calendar days after notification or immediately after departure of the incumbent personnel, whichever is earlier. The Contractors shall promptly notify the Contracting Officer

(CO) and Contracting Officer Representatives (COR) within five (5) calendar days of a projected vacancy exceeding 10 calendar days.

2.14.1.4. Provide a stable workforce with less than 30% turnover across all contracted positions. A turnover is recorded when a worker leaves a position for any reason and the Government still has a requirement for that position.

2.14.1.5. The Government will not pay for services not rendered if a vacancy exceeds 10 business days.

3. CONTRACT REQUIREMENTS

3.1. Support Services.

3.1.1. NRP Initial Certification Course. The Contractor shall provide NRP Certification Course to support AFMS NRP training requirements as described in this PWS.

https://www.opm.gov/policy-data-oversight/pay-leave/federal-holidays/#url%3DOverview

3.1.1.1. Provide curricula of training that results in certification of Air Force EMTs to the NRP

Level IAW the established standards set forth by NREMT, National EMS Education

Standards and Paramedic Instructional Guidelines.

3.1.1.2. Required training shall include real world, objective-based, clinical program (field internship) for all Paramedic students.

3.1.1.3. 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.

3.1.1.4. Shall maintain a medical oversight relationship with a large urban EMS system with an

ALS call rate of greater than 35%.

3.1.1.5. Provide training for EMTs that does not exceed 134 calendar days. Training will include nationally recognized courses in:

3.1.1.5.1. Advanced Cardiac Life Support (ACLS)

3.1.1.5.2. Pediatric Advanced Life Support (PALS)

3.1.1.5.3. Basic Life Support (BLS)

3.1.1.6. Provide all textbooks and afford for each student who successfully completes the program to sit for the NRP psychomotor and cognitive examinations.

3.1.1.6.1. The Contractor shall order and ship or provide digital access to the textbook listed below to the students’ addresses provided by AFMED in the Student Address List within 10 calendar days after the PoP start date. The textbook should be either the below ISBN number or an updated version of that textbook. The Contractor shall provide tracking numbers of the shipments to the AFMED/SGN CORs no later than two (2) calendar days after the shipment has been made. Contractor shall provide textbooks IAW CDRL A004.

3.1.1.6.2. Anatomy and Physiology for Emergency Care, 3rd ed. (Navigate 2 Advantage

Access) ISBN #9781284151978

3.1.1.7. The contract shall afford each student a single NRP testing opportunity after graduation of the course, but prior to student’s departure back to home station.

3.1.1.8. Pass/Fail Rate. The Contractor shall demonstrate a 90% first time pass rate over the past

3-year period, 90% of the time with students completing the training for certification to the

NRP level with NREMT and maintain throughout duration of contract period.

3.1.1.8.1. Provide remedial training for 100% of students following their first-time failure of the NRP Exam. Remedial training days will be in addition to the 134 calendar days allowed for initial training.

3.1.1.8.2. Re-testing must be scheduled and accomplished prior to the student departing; but will not exceed, under any circumstances, 148 calendar days. In the event of a 2nd failure, the student will be released from the program to return to their home station.

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

3.1.1.10. Upon successful completion of training, each student shall receive a Certificate of

Completion and an official transcript reflecting earned credit/semester hours.

3.1.1.11. Knowledge of and ability to work with standard software programs used by AFMS such as the latest version of Microsoft Office Professional Suite.

3.2. Minimum Qualifications.

3.2.1. NRP Initial Certification Course. The course provider shall 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.

3.3. Security Requirements. N/A.

3.4. Service Contract Reporting (SCR). The Contractor shall report manpower data IAW the current

Guidebook for Service Contract Reporting in the SAM. User Manuals: Additional guidance can be found in the Guidebook for Service Contract Reporting in the System for Award Management.

3.5. Quality Control Plan (QCP). N/A

3.6. Post-Award and Initial Contract Performance Meeting. The Government will host a post-award meeting with the Contractor within 10 business days after contract award. The CO shall contact the

Program Manager/ Contracting Officer Representative (PM/COR) and the Contractor to schedule this meeting. Telecon/teleconference is permissible for the post-award meeting. The purpose of the post-award meeting is to introduce the Contractor to the Government representatives (PM/COR) the

Contractor will support; provide the Contractor the opportunity to explain in more detail their proposal’s technical approach; and entertain questions from either party. Take-aways from the meeting should be an exchange of contact information; a timeline of when direct support will start, if not yet started; and an understanding by all parties of all the requirements.

https://dodprocurementtoolbox.com/cms/sites/default/files/resources/2020-10/SCR%20Guidebook%2021%20October%202020.pdf

4. PERFORMANCE OBJECTIVES

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

4.2. Table 2 SS

SS#

PERFORMANCE

OBJECTIVE

PWS Para PERFORMANCE THRESHOLD

Provide curricula of training which results in certification of Air Force

EMTs to the NRP level

National EMS Education

Standards and Paramedic

Instructional Guidelines

3.1.1.1.

Must obtain 90% first time pass rate, 90% of the time.

Provide real world, objective based Ride-alongs (field internship)

3.1.1.9.

All students shall participate in the objective-based “ride along” program.

Provide remedial training following a first-time failure of the

NRP Exam.

3.1.1.8.1.

100% of first-time failures on the prior to the next scheduled testing opportunity.

5. GOVERNMENT FURNISHED PROPERTY (GFP).

There will be no GFP provided to the Contractor.

6. DELIVERABLES

6.1. The Contractor shall submit all deliverables as specified in this PWS and contract Exhibit A, CDRL.

6.2. All deliverables shall be submitted electronically to the COR(s) unless otherwise directed.

6.3. The Contractor shall provide informal reports by e-mail as requested by the COR.

6.4. Post-course Quality Control Survey Results. The Contractor shall provide post course survey results obtained from students following course completion and from employers on student performance in the work center within a year of course completion.

APPENDIX A Acronyms

ACLS Advanced Cardiac Life Support

AF Air Force

AFMS Air Force Medical Service

AFMED Air Force Medical Agency

ALS Advanced Life Support

BLS Basic Life Support

CAAHEP Commission on Accreditation of Allied Health Education Programs

CAPCE Commission on Accreditation for Pre-Hospital Continuing Education

CoAEMSP Committee on Accreditation of Educational Programs for the

Emergency Medical Services Professions CDRL Contract Data Requirements List

CO Contracting Officer

COR Contracting Officer’s Representative

CUI Controlled Unclassified Information

DID Data Item Description

EMS Emergency Medical Services

EMT Emergency Medical Technician

GFP Government Furnished Property

IAW In Accordance With

MTF Medical Treatment Facility

NREMT National Registry of Emergency Medical Technician

NRP Nationally Registered Paramedic

PALS Pediatric Advanced Life Support

PHTLS Pre-hospital Trauma Life Support

PM Program Manager

PoP Period of Performance

PWS Performance Work Statement

QCP Quality Control Plan

SCR Service Contract Reporting

SS Services Summary