Attachment 5 - Monthly Activity Report.xlsx

XLSX spreadsheet 53 KB Posted Apr 8, 2011

Attached to: Clinical Acquisition for Support Services (CLASS) Program Federal contract opportunity
Solicitation number: FA8053-11-R-0002
Issued by: Department of the Air Force Materiel Command Installation and Mission Support Center Installation Contracting Agency

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Attachment 5-Monthly Activity Report

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Other files for this federal contract opportunity

Other files attached to Clinical Acquisition for Support Services (CLASS) Program, newest first.
File	Type	Posted
RFP Question Set 3.doc	DOC document	May 17, 2011
FA8053-11-R-0002 0003 Released.pdf	PDF	May 16, 2011
FA8053-11-R-0002 0002 Released.doc	DOC document	May 11, 2011
FA8053-11-R-0002 U0001 Released.pdf	PDF	May 4, 2011
RFP Question Set 2.doc	DOC document	Apr 29, 2011
Final RFP Question Set1.doc	DOC document	Apr 20, 2011
L-2 Past Performance Questionnaire.docx	DOCX document	Apr 20, 2011
Attachment 6 - CPSR.xlsx	XLSX spreadsheet	Apr 8, 2011
Attachment 8 - Table B-1 Representative Task Order.xlsx	XLSX spreadsheet	Apr 8, 2011
Exhibit A DD1423-2 CDRL	—	Apr 8, 2011
Attachment 9 - Table B-2 Sample TOPR and Sample LOIA.pdf	PDF	Apr 8, 2011
Attachment 4 - Approved Position Descriptions.pdf	PDF	Apr 8, 2011
Attachment 10 - Contractor Team Organization Modification.docx	DOCX document	Apr 8, 2011
FA8053-11-R-0002 Final.pdf	PDF	Apr 8, 2011
Attachment 7 - Wage Determinatons.docx	DOCX document	Apr 8, 2011
Exhibit A DD1423-2 CDRL	—	Apr 8, 2011
Supplemental Question Set Part 2_7Apr11.doc	DOC document	Apr 7, 2011
Supplemental Question Set.docx	DOCX document	Mar 31, 2011
Supplemental RFIv1.docx	DOCX document	Feb 3, 2011
Industry Day Charts.pdf	PDF	Jan 25, 2011
CLASS Industry Day Sign-In Sheet.pdf	PDF	Jan 25, 2011
CLASS Draft RFP and Industry Day Question Set.pdf	PDF	Jan 25, 2011
CLASS Industry Day Notice.pdf	PDF	Nov 24, 2010
Draft RFP All Sections Combined.pdf	PDF	Nov 19, 2010
Attachment 5- Monthly Activity Report.xlsx	XLSX spreadsheet	Nov 19, 2010
Attachment 4- Position Descriptions.docx	DOCX document	Nov 19, 2010
Attachment 8- Table B-1 Representative Task Order.xlsx	XLSX spreadsheet	Nov 19, 2010
Attachment 6- CPSR.xlsx	XLSX spreadsheet	Nov 19, 2010

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Task Order Data

Monthly Activity Report (MAR)

(Task Orders Awarded in the Month Only)

Instructions: Fill in the yellow highlighted sections and the monthly activity beginning on line 8 and submit IAW CDRL
		Contractor:			Data carried forward
		Month:		FY:
Task Order #	Award Date	Place of Performance (Click in the cell to select from a drop down list)	Number of Full-Time Equivalents	Task Order Value (With Options)

Attachment 5

HCW Data

Monthly Activity Report (MAR)
(Health Care Worker changes within the Month Only)
Instructions: Fill in the monthly activity beginning on line 8
Contractor:	0		Data carried forward				Use the Previous Health Care Worker Columns when you replaced a Health Care Worker during the month
Month:	0	FY:	0
Task Order #	Place of Performance (Click in the cell to select from drop down list)	Position/Job Type (Click in the cell to select from a drop down list)	Credentialed Position (Click in the cell to select from a drop down list)	New Health Care Worker			Exiting/Previous Health Care Worker			Days Delayed	Days Delayed	Government Delay	Explanation	Non-Credentialed Days Delayed
Mandatory Entries				Name	FTE (Use 0 for backfill)	Start Date	Name	FTE (Use 0 for backfill)	End Date
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							Monthly Days Delay Total			0	0
							Non-Credentialed Days Delay Total			0	0
							Credentialed Days Delay Total			0	0

Corrective Action Data

Monthly Activity Report (MAR)
(Performance Issues within the the Month only)
Instructions: Fill in the monthly discrepancies beginning on line 7
Contractor:	0		Data carried forward
Month:	0	FY:	0
Task Order	Place of Performance (Click in the cell to select from a drop down list)	Position/Job Decription (Click in the cell to select from a drop down list)	Type of Discrepancy	Date of Letter/Notice	Resolution Status

List

Contractors

ABC Company

XYZ Company

123 Company

Locations

Altus AFB, OK

Andersen AFB, Guam

Andrews AFB, MD

Barksdale AFB, LA

Beale AFB, CA

Bolling AFB, DC

Brooks City Base, TX

Buckley AFB, CO

Cannon AFB, NM

Charleston AFB, SC

Columbus AFB, MS

Davis-Monthan AFB, AZ

Dover AFB, DE

Dyess AFB, TX

Edwards AFB, CA

Eglin AFB, FL

Eielson AFB, AK

Ellsworth AFB, SD

Elmendorf AFB, AK

Fairchild AFB, WA

FE Warren AFB, WY

Goodfellow AFB, TX

Grand Forks AFB, ND

Hanscom AFB, MA

Hickam AFB, HI

Hill AFB, UT

Holloman AFB, NM

Hulbert Field AFB, FL

Keesler AFB, MS

Kirtland AFB, NM

Lackland AFB, TX

Langley AFB, VA

Laughlin AFB, TX

Little Rock AFB, AR

Los Angeles AFB, CA

Luke AFB, AZ

MacDill AFB, FL

Malmstrom AFB, MT

Maxwell AFB, AL

McChord AFB, WA

McConnell AFB, KS

McGuire AFB, NJ

Minot AFB, ND

Moody AFB, GA

Mountain Home AFB, ID

Nellis AFB, NV

Offutt AFB, NE

Patrick AFB, FL

Peterson AFB, CO

Pope AFB, NC

Randolph AFB, TX

Robins AFB, GA

Scott AFB, IL

Seymour-Johnson AFB, NC

Shaw AFB, SC

Sheppard AFB, TX

Tinker AFB, OK

Travis AFB, CA

Tyndall AFB, FL

USAF Academy, CO

Vance AFB, OK

Vandenberg AFB, CA

Whiteman AFB, MO

Wright-Patterson AFB, OH

Jobs

Allergist

Anesthesia Technician or Technologist

Anesthesiologist

Audiologist

Bone Densitometrist

Breast Health Educator

Cardiac Catheterization Technician

Cardiac Monitoring (Telemetry) Technician

Cardiac Surgery Technician

Certified Medical Dosimetrist

Cardiopulmonary Lab Technician

Cardiac Sonographer (Ultrasound) Technologist

Certified Medical Technician - Hemodialysis/Nephrology

Certified Medical Technician (Inpatient)

Certified Medical Technician (Outpatient)

Certified Medical Technician - Pediatrics

Certified Nurse Midwife

Certified Registered Nurse Anesthetist (CRNA)

Chiropractor

Clinical Nurse Case Manager

Clinical Dietitian

Clinical Geneticist

Clinical Nurse - Adult Critical and Intensive Care

Clinical Nurse - Discharge Planner

Clinical Nurse – Disease Manager

Clinical Nurse - Emergency Room

Clinical Nurse - Endoscopy

Clinical Nurse - Family Practice

Clinical Nurse - General Surgery Ward

Clinical Nurse - General Ward Nurse

Clinical Nurse - Hemodialysis/Nephrology

Clinical Nurse - Inpatient Pediatrics

Clinical Nurse - Internal Medicine

Clinical Nurse - Labor & Delivery Post Partum

Clinical Nurse - Medical Surgery Unit

Clinical Nurse - Neonatal Intensive Care

Clinical Nurse - Obstetrics

Clinical Nurse - Operating Room

Clinical Nurse - PACU (Post Anesthesia Care Unit)

Clinical Nurse - Pediatric Intensive Care Unit

Clinical Nurse - Pediatric Clinic

Clinical Nurse - Radiology

Clinical Nurse - Special Care Unit

Clinical Nurse - Utilization Management

Clinical Nurse - Women's Health

Clinical Perfusionist

Clinical Pharmacist

Clinical Psychologist

Clinical Social Worker

Dental Assistant

Dental Hygienist

Dental Lab Technician

Dentist

Dentist - General Clinical

Dentist - Oral & Maxillofacial Surgeon

Dermatologist

Diagnostic Imaging Technician

Diagnostic Imaging Technician - Computed Tomography

Diagnostic Imaging Technician - Magnetic Resonance

Diagnostic Imaging Technician - Mammography

Diagnostic Imaging Technician - Nuclear Medicine

Diagnostic Imaging Technician - Ultrasound

Diagnostic Radiologist

Diagnostic Radiologist - Interventionalist

Diet Therapy Technician

Echocardiogram Technician

Electroencephalographic Technologist

Emergency Services Physician - Emergency Medicine Specialist

Emergency Medical Technician - Basic (EMT-B)

Family Practice Physician – Board Certified

Family Practice Physician – Board Eligible

Family Nurse Practitioner

Flight Medicine Physician

Gastroenterology Technician

HAWC Clinical Nurse

HAWC Health and Fitness Specialist

Health Promotion Educator

Health Promotion Dietitian

HAWC Exercise Physiologist

HAWC Clinical Nurse

Internist – Board Certified

Internist – Board Eligible

Internist - Cardiology

Internist - Gastroenterology

Internist - Oncology

Internist – Pulmonology

Internist - Rheumatology

Lactation Consultant

Licensed Practical Nurse (LPN)

Licensed Clinical Social Worker Case Manager

Licensed Vocational Nurse (LVN)

Medical Lab Technician

Medical Laboratory Technologist

Medical Physicist

Mental Health Services Technician

Molecular Genetics / Diagnostic Technologist

Neurologist

Neurosurgeon

Neurology Technician

Obstetrician and Gynecologist

Obstetrician and Gynecologist - Endocrinology

Obstetrician and Gynecologist - Maternal-Fetal Medicine

Obstetrician and Gynecologist - Oncology

Obstetrician and Gynecologist – Urogynecology/Pelvic Reconstructive Surgery

Occupational Environmental Medicine Physician - MTF Location Only

Occupational Therapist

Ophthalmologist

Ophthalmology Technician

Optometrist

Optometry Technician

Orthodontist

Orthopedic Surgeon

Orthopedic Surgeon - Oncology

Orthopedic Technician

Otorhinolaryngologist

Paramedic/EMT

Pathologist

Pediatric Intensive Care Unit Physician

Pediatric Polysomnographic Technician

Pediatric Polysomnographic Technologist

Pediatrician – Board Certified

Pediatrician – Board Eligible

Pediatrician - Neonatology

Pediatric Nurse Practitioner

Perianatology Ultrasound Technician

Periodontist

Pharmacist

Pharmacy Technician

Phlebotomist

Physical Therapist

Physical Therapist Assistant

Physician Assistant

Physician Assistant - Cardiac Perfusion (Residency Required)

Physician Assistant - Emergency Medicine

Physician Assistant - General Surgery

Physician Assistant - Orthopedics

Podiatrist

Polysomnographic Technician

Prosthodontist

Psychiatrist

Psychiatric Nurse Practitioner

Radiation Therapist

Radiation Oncologist

Registered Vascular Technologist

Respiratory Therapist

Respiratory Therapist Technician

Speech Pathologist

Surgeon

Surgeon - Oncology

Surgical Service Technician

Surgical Service Technician, Orthopedic

Surgical Service Technician, Otorhinolaryngology

Surgical Service Technician, Urology

Urgent Care Center Physician

Urologist

Women's Health Nurse Practitioner

Month

January

February

March

April

May

June

July

August

September

October

November

December

2011

2012

2013

2014

2015

2016

Corrective_Action

Letter of Concern

Cure Notice

Show Cause Notice

Termination for Convenience

Termination for Default

MTF Complaint

Patient Complaint

Credentialed Position

Yes

File details come from the government source that posted it. Updated Nov 14, 2017.