Draft RFP All Sections Combined.pdf

CODE

(Hour)

PAGE(S)

until local time

A

X B

C

D

EX

X

G

F 22 - 36

37 - 38

H 39

RATING PAGE OF PAGES

7. ISSUED BY

(Date)

IMPORTANT - Award will be made on this Form, or on Standard Form 26, or by other authorized official written notice.

Previous Edition is Unusable 33-134 STANDARD FORM 33 (REV. 9-97)

Prescribed by GSA

FAR (48 CFR) 53.214(c)

1 39

(If other than Item 7)

15A. NAME 16. NAME AND TITLE OF PERSON AUTHORIZED TO

AND

ADDRESS

SIGN OFFER (Type or print)

OF

OFFEROR

AMENDMENT NO. DATE

15B. TELEPHONE NO (Include area code) 17. SIGNATURE15C. CHECK IF REMITTANCE ADDRESS

IS DIFFERENT FROM ABOVE - ENTER

SUCH ADDRESS IN SCHEDULE.

18. OFFER DATE

1. THIS CONTRACT IS A RATED ORDER

UNDER DPAS (15 CFR 700)

2. CONTRACT NO.

FA8053 8. ADDRESS OFFER TO

See Item 7

9. Sealed offers in original and copies for furnishing the supplies or services in the Schedule will be received at the place specified in Item 8, or if handcarried, in the depository located in

CAUTION - LATE Submissions, Modifications, and Withdrawals: See Section L, Provision No. 52.214-7 or 52.215-1. All offers are subject to all terms and conditions contained in this solicitation.

10. FOR INFORMATION

CALL:

A. NAME (NO COLLECT CALLS)

11. TABLE OF CONTENTS

SOLICITATION/ CONTRACT FORM

SUPPLIES OR SERVICES AND PRICES/ COSTS

2 - 3

X I CONTRACT CLAUSES

DESCRIPTION/ SPECS./ WORK STATEMENT

PACKAGING AND MARKING

J LIST OF ATTACHMENTS

INSPECTION AND ACCEPTANCE

DELIVERIES OR PERFORMANCE

X K

REPRESENTATIONS, CERTIFICATIONS AND

OTHER STATEMENTS OF OFFERORS

CONTRACT ADMINISTRATION DATA X

SPECIAL CONTRACT REQUIREMENTS

OFFER (Must be fully completed by offeror)

X M

L INSTRS., CONDS., AND NOTICES TO OFFERORS

EVALUATION FACTORS FOR AWARD

NOTE: Item 12 does not apply if the solicitation includes the provisions at 52.214-16, Minimum Bid Acceptance Period.

is inserted by the offeror) from the date for receipt of offers specified above, to furnish any or all items upon which prices are offered at the price set opposite each item, delivered at the designated point(s), within the time specified in the schedule.

13. DISCOUNT FOR PROMPT PAYMENT

(See Section I, Clause No. 52.232-8)

14. ACKNOWLEDGMENT OF AMENDMENTS

(The offeror acknowledges receipt of amendments

AMENDMENT NO. DATE

to the SOLICITATION for offerors and related documents numbered and dated):

FACILITY

12. In compliance with the above, the undersigned agrees, if this offer is accepted within calendar days (60 calendar days unless a different period

SOLICITATION, OFFER AND AWARD

X

(X) SEC. DESCRIPTION (X) SEC. DESCRIPTION PAGE(S)

PART I - THE SCHEDULE

26. NAME OF CONTRACTING OFFICER (Type or print) 27. UNITED STATES OF AMERICA 28. AWARD DATE

EMAIL:TEL: (Signature of Contracting Officer)

CODE CODE

B. TELEPHONE (Include area code) C. E-MAIL ADDRESS

AWARD (To be completed by Government)

19. ACCEPTED AS TO ITEMS NUMBERED 20. AMOUNT 21. ACCOUNTING AND APPROPRIATION

22. AUTHORITY FOR USING OTHER THAN FULL AND OPEN COMPETITION:

10 U.S.C. 2304(c)( ) 41 U.S.C. 253(c)( ) (4 copies unless otherwise specified)

23. SUBMIT INVOICES TO ADDRESS SHOWN IN ITEM

24. ADMINISTERED BY (If other than Item 7) CODE 25. PAYMENT WILL BE MADE BY CODE

PART IV - REPRESENTATIO NS AND INSTRUCTIO NS

PART III - LIST O F DO CUMENTS, EXHIBITS AND O THER ATTACHMENTS

6 - 21

PART II - CO NTRACT CLAUSES

773 ESS/PKJ - ESG MEDICAL OL, WPAFB

POC: ANITA BAILEY

2776 C SUITE 200

BLDG 6 AREA B

WRIGHT-PATTERSON AFB OH 45433-7401

937-656-0319

937-656-0919FAX:

TEL:

FAX:

TEL:

NOTE: In sealed bid solicitations "offer" and "offeror" mean "bid" and "bidder".

SOLICITATION

6. REQUISITION/PURCHASE NO.5. DATE ISSUED4. TYPE OF SOLICITATION

SEALED BID (IFB)

NEGOTIATED (RFP)

[ X ]

3. SOLICITATION NO.

FA8053-11-R-0002

Draft RFP: FA8053-11-R-0002

Section B - Supplies or Services and Prices

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0001 1 Each Post Award Conference

FFP

FOB: Destination

NET AMT

0002 1 Each Clinical Services

0003 1 Each Travel

Section C – Performance Work Statement

1 DESCRIPTION OF SERVICES

1.1 Background

1.1.1 The Air Force Medical Service has a requirement for qualified Health Care Workers (HCWs) to provide direct patient care services in the treatment of military health system (MHS) beneficiaries inside Military

Treatment Facilities (MTFs), as well as logical extensions of the MTFs (e.g., Health and Wellness Centers) within the 50 United States (U.S.) and Guam. The contractor shall provide qualified HCWs in accordance with the terms and conditions of the contract and each task order issued under the contract.

1.1.2 The Clinical Acquisition for Support Services (CLASS) contract is designed to supplement the medical staff at Air Force MTFs with a wide range of qualified clinical HCWs on a nationwide scale. A list of possible locations is included in Section J, Attachment 1. Qualified HCWs will provide services in full-time equivalent (FTE) and part-time equivalent (PTE) positions based on the number of annual billable hours established in the task order work schedule for each labor category. The requesting location will determine FTE and PTE hours based on the need. Job sharing will only be allowed if approved by the

MTF.

1.1.3 The CLASS contract uses task order competition and a two-step task order process (See Figure C-1). The task order competition process is outlined in H.3 for subsequent task orders. The task order process includes a candidate approval component and a task order award component. The candidate approval component of the task order process starts with a Letter of Intent to Award (LOIA) and ends with the

Government’s approval of the candidate. The task order award component starts with task order award and ends when contractor performance ends on the task order.

Figure C- 1 CLASS Task Order Competition and Task Order Process

1.1.4 During the two-step task order process, the CLASS contract requires the Contractor to accomplish the following activities from issuance of a Letter of Intent to Award (LOIA) through contractor performance:

recruit, place, manage, and resolve performance issues as follows (see Figure C-2):

1.1.4.1 Recruit: In response to a LOIA or during contractor performance when replacing and substituting HCWs, the Contractor shall recruit qualified HCWs from outside of the Government to fulfill the duties, qualifications, and requirements in the performance work statement, appropriate position description, and addendum (when provided). The Contractor shall find, conduct competency-based screening against preliminary Government minimum requirements (see definition at 1.4.35), obtain initial background checks, and submit qualifying documentation on HCWs as part of the recruiting requirement.

1.1.4.2 Place: In response to a task order award or during contractor performance when replacing or substituting

HCWs, the Contractor shall place qualified HCWs in Air Force MTFs to provide clinical services. The

Contractor shall: verify HCW qualifications against subsequent Government minimum requirements

(see definition at 1.4.49); submit complete and accurate credentials packages on all credentialed HCWs requiring privileges in the MTF; establish appointments with the MTF Unit Security Managers on the first duty day; ensure HCWs complete the necessary security investigation package (see definition at 1.4.47) on the first duty day; and ensure HCWs remain in place for a minimum of 180 consecutive calendar days

(see ―right fit‖ definition at 1.4.46).

Figure C- 2 Contractor Activities

1.1.4.3 Manage: During contractor performance, the Contractor shall manage the workforce by maintaining fill and retention rates, maintaining continual HCW qualifications without Government involvement within the timeframes specified in the services summary, managing replacements and substitution requirements that ensure no vacancy exceeds 30 calendar days, and retaining HCWs.

1.1.4.4 Resolve performance issues: During contractor performance, the Contractor shall resolve all performance and behavioral issues identified by the Government within the timeframes specified in the services summary.

1.2 Scope

The Air Force Medical Service Commodity Council (AFMSCC) CLASS contracts shall serve as a vehicle to provide qualified clinical personnel at Air Force MTFs in the U.S. and Guam. CLASS shall be used to supplement the MTF’s clinical staff (e.g., Air Force military personnel, Department of Defense (DoD) civilian employees or other contracted staff) in accomplishing its mission of providing direct health care services to eligible beneficiaries. Direct health care services may take the form of treatment, movement of patients, advice, clinical evaluations, recommendations, area and equipment preparation, and other clinical services to supplement the MTF’s clinical staff. All Air Force MTFs in the U.S. and Guam are authorized primary using activities of this contract.

1.3 Personal Services

The contracted HCWs provided under this contract shall be rendering personal services as described in

Defense Federal Acquisition Regulation Supplement (DFARS) 237.104 and shall be subject to day-to-day supervision and control by Government Qualify Assurance Personnel (QAP)/Supervisors. Supervision and control is the process by which the contracted HCW receives technical guidance, direction, and approval with regard to tasks within the requirements of the contract. The Contractor shall provide all tools, labor, equipment and materials required to place the HCWs within the MTFs, in accordance with the terms and conditions of this contract and all related task orders.

1.4 Definitions

The following terms shall have the meaning set forth in this contract:

1.4.1 ACCEPTABLE QUALITY LEVEL (AQL): The minimum acceptable level of performance a contractor must meet to be satisfactory on this contract.

1.4.2 ADDENDUM: A Program Management Office approved attachment to the standard position description and task order proposal request that supplements the minimum qualifications (e.g., experience, certification) and/performance requirements (e.g., mission-essential status) of the position providing services. An addendum can only further restrict the minimum requirements found in the approved position description.

1.4.3 AIR FORCE MEDICAL SERVICE COMMODITY COUNCIL (AFMSCC): A cross-functional group of individuals responsible for the development of Air Force-wide sourcing strategies for medical services.

The AFMSCC functions as the program management office for each medical service strategy.

1.4.4 BENEFICIARY: An individual eligible for medical care in a Uniform Services Military Treatment Facility

(MTF) as outlined in 10 U.S.C. 55 and section 1.3 of AFI 41-115.

1.4.5 BILLABLE HOUR: An hour scheduled by the Government supervisor. A billable hour is identified as a duty hour, an on-call hour or an overage hour. A billable hour can only be billed to the Government if the

HCW provides services at the place of performance as required in the work schedule.

1.4.6 CANDIDATE APPROVAL: The first component in the two-step task order process, which is initiated by a Letter of Intent to Award.

1.4.7 CERTIFICATION: Official recognition by a national agency or association that the HCW has successfully completed an approved education program or evaluation process. This includes formal processes designed to assess the knowledge, experience, skills, and abilities required to provide quality patient care.

1.4.8 CLINICAL PRIVILEGES: The delineation of a scope of practice granted by the Commander to practice independently or dependently within the MTF.

1.4.9 CLINICAL SERVICE CATEGORIES: The general classification under which all the individual HCW labor categories perform. There are eight (8) clinical service categories on the CLASS contract: allied health services; ancillary health services; behavioral health services; dental services; nursing services;

primary care providers; specialty care providers; and technician services.

1.4.10 COMMANDER: MTF Commander, Flight Commander, or designated representative (e.g., Quality

Assurance Personnel), or Department Head of the activity designated in a particular task order.

1.4.11 CONTRACT TRACKING AND REPORTING (CTAR) SYSTEM: The electronic surveillance and performance system used by the Government to track performance at the contract and individual HCW levels.

1.4.12 CONTRACTING OFFICER (CO): The individual with authority to enter into, administer, or terminate contracts ( FAR 1.603-1).

1.4.13 CONTRACTOR: The offeror identified in block 15A of Standard Form 33. The Contractor is an independent contractor and responsible for its own liability. Contractor refers to the prime contractor. The prime Contractor retains responsibility for any teaming partner or subcontractor and shall be accountable for their performance.

1.4.14 CONTRACTOR MANAGEMENT STAFF: The contractor’s internal staff, including all teaming partners, subcontractors, and their staff at corporate level involved in the company’s or team’s administration of this contract.

1.4.15 CREDENTIALING: The process of obtaining, verifying, and assessing the qualifications of HCWs to provide quality, safe patient care.

1.4.16 CREDENTIALED HEALTH CARE WORKER: The HCW who is granted clinical practice privileges in an MTF through a defined credentials process, to treat military beneficiaries dependently or independently.

1.4.17 DEFENSE MEDICAL HUMAN RESOURCE SYSTEM-INTERNET (DMHRSi): A multi-service

Human Resource tracking tool for manpower, human resource management, labor cost accounting, education and training, and readiness.

1.4.18 DIRECT PATIENT CARE: Involves the treatment, counseling, education, medication, tests, and procedures provided directly for a patient.

1.4.19 DOWN DAYS: Any day the Air Force leadership designates as a minimal manning/liberal leave day for

Government employees.

1.4.20 DUTY DAY: A day in which the HCW is scheduled to be present for work on the work schedule (see work schedule).

1.4.21 DUTY HOURS: The number of billable hours in a duty day on the work schedule (see work schedule). A duty hour is billable to the Government whenever the HCW is required to and performs work IAW the work schedule at the place of performance.

1.4.22 FULL-TIME EQUIVALENT: The measure of a HCW’s annual billable hours on a task order in relation to the annual billable hour standard on the CLASS contract of 1920 hours for both credentialed and non-credentialed HCWs. An FTE is calculated by dividing the annual billable hours on a task order by the contract standard of 1920 billable hours (see Section H.24).

1.4.23 HEALTH CARE WORKER (HCW): An individual employed by the Contractor to provide healthcare services in an MTF. HCWs are either credentialed or non-credentialed. HCWs have a personal services relationship with the government.

1.4.24 INITIAL FILL: The first HCW filling a task order position.

1.4.25 JOB SHARE: The use of more than one HCW to fill one FTE position. Job sharing must be approved by the Government.

1.4.26 LETTER OF INTENT TO AWARD (LOIA): Initiates the candidate approval component in the two-step task order process, which requires the contractor to recruit qualified candidates and submit qualifying documentation for candidate approval.

1.4.27 MILITARY TREATMENT FACILITY (MTF): Air Force hospitals, clinics or logical extensions such as

Health and Wellness Centers, to include all activities providing outpatient and/or in-patient healthcare services for authorized personnel.

1.4.28 MEDICAL EXPENSE & PERFORMANCE REPORTING SYSTEM (MEPRS): The DoD accounting system for financial, personnel and workload within MTFs (also see DMHRSi).

1.4.29 NATIONAL AGENCY CHECK WITH INQUIRES (NACI): A personnel security investigation that is conducted by the Government for the HCWs performing under this contract. HCWs in public trust positions must receive a favorable suitability determination on the NACI in order to perform on this

1.4.30 NON-CREDENTIALED HEALTH CARE WORKER: A HCW who meets the education, certification, experience, licensure and/or registration requirements, as applicable, to carry out the treatment of military beneficiaries.

1.4.31 ON-CALL HOUR: An hour billable to the Government when a HCW must carry a communication device

(e.g., cell phone, pager) to respond to calls when away from the MTF.

1.4.32 ORDERING CONTRACTING OFFICER: The Contracting Officer executing task orders.

1.4.33 OVERAGE HOUR: An hour billable to the Government when the HCW is required to perform services

IAW the work schedule, for continuity of care purposes, or when the HCW is called into the MTF while in an on-call status.

1.4.34 PERFORMANCE WORK STATEMENT (PWS): The standard of work found in Section C of the CLASS contract that describes the core requirements in clear, specific, and objective terms with measurable outcomes.

1.4.35 PRELIMINARY GOVERNMENT MINIMUM REQUIREMENTS: The minimum HCW requirements for education, experience, certification, licensure and initial background checks the Government uses to approve or disapprove potential candidates recruited by the contractor.

1.4.36 PRIMARY SOURCE VERIFICATION: Verification is a direct contact with the sources of credentials.

For example, this may include residency programs, licensing agencies, and specialty boards to guarantee that statements about training, experience and other qualifications are legitimate and appropriate.

1.4.37 PROGRAM MANAGEMENT OFFICE: The permanent staff concerned with the implementation and proper use of a centralized contract. The AFMSCC functions as the program management office (PMO) for the CLASS contract.

1.4.38 QUALIFIED: Refers to a HCW meeting the minimum requirements on the contract including, but not limited to, preliminary Government minimum requirements and subsequent Government minimum requirements.

1.4.39 QUALIFYING DOCUMENTATION: The documents required by the Government to ensure the HCW meets the preliminary Government minimum requirements (i.e., education, experience, certification, licensure, and initial background check) and subsequent Government minimum requirements (i.e., health, immunizations, credentialing, complete background check, drug screen, and security) established in the performance work statement and the task order.

1.4.40 QUALITY ASSURANCE PERSONNEL (QAP): Individuals designated to perform quality assessment functions. They serve as on-site technical managers assessing contractor performance against contract performance standards.

1.4.41 QUALITY CONTROL (QC): Those actions taken by a Contractor to control the quality of output and to ensure they conform to contract requirements and reasonable standards of medical care.

1.4.42 RECRUIT: The contractor’s process to find, conduct preliminary screening, and obtain initial background checks to submit qualifying documentation on HCWs willing to provide services for specific positions at the required place of performance.

1.4.43 REPLACEMENT: The permanent change of a qualified HCW with another qualified HCW.

1.4.44 REPLACEMENT FILL: Any subsequent fill on a task order after the initial fill.

1.4.45 REPORTING PERIOD: A period of time with 12 consecutive month intervals, with the exception of the first year of the CLASS contract which uses reporting periods from 6 to 12 months. During the first contract year, the reporting period will begin in month 6, which will be for a 6–month reporting period.

Subsequent months in the first contract year will increase until the full 12-month reporting period is met.

For example, in month 7 of the first contract year, the reporting period will be for 7 months.

1.4.46 RIGHT FIT: The metric used by the Government to ensure HCWs remain in place for a minimum of 180 calendar days.

1.4.47 SECURITY INVESTIGATION PACKAGE: The package includes a complete and accurate SF-85P, Questionnaire for Public Trust Positions, an FD-258, Fingerprint Card, and a local base background check.

1.4.48 SERVICES SUMMARY (SS): Sets the critical performance objectives in the contract and prescribes how the Government plans to assess contractor performance.

1.4.49 SUBSEQUENT GOVERMENT MINIMUM REQUIREMENTS: The minimum HCW requirements to fully qualify HCWs for their placement in an MTF include, but not limited to, health; immunizations; drug screening; complete background checks; credentialing; and security. The Government uses the subsequent

Government minimum requirements to ensure HCWs are fully qualified to perform in an MTF.

1.4.50 SUBSTITUTION: The temporary placement of a qualified HCW for a defined period of time when the permanent HCW will return to work.

1.4.51 TASK ORDER: An order for services placed against an established contract.

1.4.52 TASK ORDER AWARD: The second step in the two-step task order process, which is initiated by the

Government’s approval of a candidate from the qualifying documentation submitted by a contractor.

1.4.53 TASK ORDER PROCESS: A two-step method to award a task order which includes: candidate approval and task order award.

1.4.54 TEAMING: The process the contractor uses to: select key suppliers and business partners; form mutually beneficial relationships; and, integrate business operations into an organizational structure designed to meet all contract requirements.

1.4.55 TASK ORDER PROPOSAL REQUEST (TOPR): The complete package of requirements requesting a proposal from a contractor.

1.4.56 UNPLANNED CLOSURE: The closure of a federal facility due to natural disasters, military emergency, severe weather, or any other reason that is not planned.

1.4.57 WORK SCHEDULE: The weekly schedule of hours the HCW is expected to work. The work schedule may include shift work such as an evening shift or 12-hour shifts, which is normally scheduled in a hospital. The work schedule includes duty hours, on-call hours (when required), and overage hours (when required).

1.5 Acronyms

AF Air Force

AFMS Air Force Medical Service

AFMSCC Air Force Medical Service Commodity Council

CLASS Clinical Acquisition for Support Services

CME Continuing Medical Education

CO Contracting Officer

CPSR Contractor Performance Status Report

CTAR Contract Tracing and Reporting System

DoD Department of Defense

FAR Federal Acquisition Regulation

HCW Health Care Worker

JPAS Joint Personnel Adjudication System

MAJCOM Major Command

LOIA Letter of Intent to Award

MAR Monthly Activity Report

MTF Military Treatment Facility

NLT No later than

PAR Performance Assessment Report

POC Point of Contact

PMO Program Management Office

PWS Performance Work Statement

QAP Quality Assurance Personnel

RTO Representative Task Order

STO Subsequent Task Order

STOPR Sample Task Order Proposal Request

TDAP

TMA

Tetanus, Diphtheria, and Pertussis vaccine

TRICARE Management Activity

TOPR Task Order Proposal Request

2 SUMMARY OF REQUIREMENTS

2.1 Clinical Service Categories

The Contractor shall provide qualified credentialed and non-credentialed HCWs in the following eight clinical service categories (see Section J, Attachment 3 for a detailed list):

2.1.1 Allied Health Services: Identifies a number of professional health care services provided by licensed professionals who assist with the treatment of patients including, but not limited to, physical therapy, occupational therapy, speech pathology, audiology, dietetics, optometry, respiratory therapy, and podiatry.

In the CLASS contract, Behavioral Health and Dental Services are not considered in the Allied Health

Services categories.

2.1.2 Ancillary Services: Relates to supplemental professional services provided in an MTF including, but not limited to, radiology, pharmacy, and clinical laboratory.

2.1.3 Behavioral Health Services: An allied health service focusing on a branch of medicine that deals with the achievement and maintenance of psychological well-being including, but not limited to, clinical psychology, psychiatry, social work, and psychiatric practitioners.

2.1.4 Dental Services: An allied health service involved in the evaluation, diagnosis, prevention, and surgical or non-surgical treatment of disease, disorders and conditions of the mouth, maxillofacial area and the adjacent and associated structures including, but not limited to, dentistry and dental support.

2.1.5 Nursing Services: Services provided by registered and/or licensed nursing personnel including all types of registered and advanced practice nurses as well as practical and vocational nurses.

2.1.6 Primary Care Providers: Relates to the level of care that encompasses routine care of individuals with common health problems or chronic illnesses including, but not limited to, primary care practitioners and physician extenders.

2.1.7 Specialty Providers: Relates to a wide range of health care services in virtually every medical specialty and subspecialty.

2.1.8 Technician Services: Relates to the certified or registered HCWs who perform administrative and clinical tasks in carrying out the treatment plan including, but not limited to, technologists, technicians, and assistants.

2.2 Services

Task orders will define the scope of the requirement and the schedule of the deliverables. Section J, Attachment 4 includes the approved position descriptions on the CLASS contracts. Additional position descriptions may be added during the contract ordering period. There are two general types of HCW positions on the CLASS contract: Credentialed HCWs and Non-Credentialed HCWs.

2.2.1 Credentialed HCWs: Credentialed HCWs must obtain clinical privileges at the MTF. The contractor shall meet the following core requirements for credentialed HCWs. Additional requirements will also be established in the position description and addendum (if required) in the task order.

2.2.1.1 Licensure. All credentialed HCWs shall have and maintain an active, valid unrestricted, current medical license (with no limitations, stipulations or pending adverse actions) in a U.S. jurisdiction. All licenses must be unencumbered and remain in effect during contract employment.

2.2.1.2 Credentialing/Privileging.

2.2.1.2.1 Credentialed HCWs will be subject to the credentialing and privileging requirements of AFI 44-119, Clinical Performance Improvement, to include adverse actions.

2.2.1.2.2 The chief of the medical staff, or his/her representative, will define the clinical privileges for all credentialed HCWs during the credentialing process. All credentialed HCWs shall be able to obtain privileges through the applicable MTF Credentials Committee.

2.2.1.2.3 The Contractor shall provide a complete, current, and accurate credentialing package for each credentialed

HCW as required in Chapter 4 of AFI 44-119 within the timeframes established in Section H.2h of this

2.2.1.2.4 The Contractor shall obtain all paperwork, reference letters, work history and application forms IAW AFI

44-119 as required by the MTF credentialing process. The MTF staff will not assist the Contractor in obtaining any information necessary to credential the HCW.

2.2.1.2.5 The Contractor shall make all proposed credentialed HCWs available for interview (via telephone) by the

MTF during the recruiting and credentialing process. Requests for site visits during the recruiting process shall be submitted to the CO in writing within three (3) business days of the TOPR issuance date. Site visits will be at the contractor’s expense.

2.2.1.2.6 The MTF Credentials Committee will review the credentials of all credentialed health care workers and recommend the granting of privileges as outlined in AFI 44-119, Clinical Performance Improvement.

2.2.1.2.7 In the event of an adverse action, the CO will notify the Contractor as soon as possible when the necessity to exercise such authority becomes apparent. The CO will provide a written statement advising the

Contractor of any adverse action involving a credentialed HCW, a brief statement of the basis for the action to provide the Contractor sufficient information in order to make employment/substitution decisions (as necessary), and if required, the final outcome of the adverse action process. The written notice(s) will be marked by the Government as covered by 10 USC 1102. No other information pertaining to the adverse action will be released without MTF/CC permission.

2.2.1.3 Prescriptions. Credentialed HCWs authorized to prescribe pharmaceuticals shall become familiar with the hospital formulary and prescribe pharmaceuticals according to the drugs listed. The MTF Pharmacy

Service will provide instruction to all prescribing HCWs on substitutions of generic drugs. Credentialed

HCWs shall follow the MTF procedures when prescribing drugs.

2.2.1.4 Referrals and Consults. Credentialed HCWs shall follow DoD, Air Force and MTF regulations and policies when arranging for a referral or consult.

2.2.1.5 Drug Enforcement Agency (DEA) Number. Credentialed HCWs shall possess a controlled substances registration certificate from the Drug Enforcement Agency (DEA) IAW the laws of the state in which licensed.

2.2.1.6 Minimum Requirements. Unless otherwise stated in the position description, the following are the minimum requirements for credentialed HCWs.

2.2.1.6.1 Physicians shall have:

2.2.1.6.1.1 Graduated from an approved medical school and completed a residency or fellowship acceptable to the U.S. Air Force Surgeon General as a:

2.2.1.6.1.1.1 Doctor of Medicine (M.D.) or Osteopathy (D.O.) from a school in the United States or Canada approved by a recognized accrediting body in the year of the applicant's graduation or,

2.2.1.6.1.1.2 A Doctor of Medicine or equivalent degree from a foreign medical school that provided education and medical knowledge substantially equivalent to accredited schools in the United States. This accreditation may be demonstrated by permanent certification by the Educational Commission for

Foreign Medical Graduates (ECFMG) (or a fifth pathway certificate for Americans who completed premedical education in the United States and graduate education in a foreign country).

2.2.1.6.1.2 Successfully completed an internship and approved residency in a medical training program accredited by the Accreditation Council for Graduate Medical Education (ACGME).

2.2.1.6.1.3 Satisfied the board eligible or board certification requirements in the specialty certification agency outlined in AFI 41-104, Professional Board and National Certification Examination. Board eligibility or certification is established in the approved position description.

2.2.1.6.1.4 Maintained an active license corresponding to a Drug Enforcement Agency (DEA) registration number.

2.2.1.6.1.5 24 months experience within the last 36 months in the same specialty outlined in the task order.

2.2.1.6.2 Nurse Practitioners shall have:

2.2.1.6.2.1 A Master of Science in Nursing or Advance Certification (Certificate of Authority).

2.2.1.6.2.2 An active certification by the certifying agency outlined in AFI 41-104, Professional Board and

National Certification Examination.

2.2.1.6.2.3 Maintained an active license corresponding to a Drug Enforcement Agency (DEA) registration number.

2.2.1.6.2.4 24 months experience within the last 36 months in the same specialty outlined in the task order.

2.2.1.6.3 Physician Assistants shall have:

2.2.1.6.3.1 A current National Commission on Certification of Physician Assistants (NCCPA) certification.

2.2.1.6.3.2 Successfully completed a full four-year program for physician assistants leading to a bachelor's degree. The course of study or training must be approved by a nationally-recognized professional body such as the Committee on Allied Health Education and Accreditation or the Accrediting

Bureau of Health Education Schools, or by a panel of physicians established by a Federal agency for this purpose.

2.2.1.6.3.3 24 months experience within the last 36 months in the same specialty outlined in the task order.

2.2.1.6.4 Allied/Ancillary Health Professions shall have:

2.2.1.6.4.1 24 months experience within the last 36 months in the same specialty outlined in the task order.

2.2.2 Non-Credentialed Health Care Workers: The contractor shall meet the following core requirements for non-credentialed HCWs. Additional requirements will also be established in the position description and addendum (if required) in the task order.

2.2.2.1 Licensure. All non-credentialed HCWs who require a license to practice shall have and maintain an active, valid unrestricted, current medical license (with no limitations, stipulations or pending adverse actions) in a

U.S. jurisdiction. All licenses and/or certifications must be unencumbered and remain in effect during contract employment.

2.2.2.2 Minimum Requirements. Unless otherwise stated in the position description, the following are the minimum requirements for non-credentialed HCWs.

2.2.2.3 Clinical Nurses shall have:

2.2.2.3.1 Successfully graduated from a nationally accredited associate’s degree, diploma or baccalaureate degree program in nursing and hold current certification as a registered nurse (RN).

2.2.2.3.2 24 months of experience within the last 60 months in the same specialty outlined in the task order.

2.2.2.4 Medical Technicians/Assistants shall have:

2.2.2.4.1 Current certification recognized by the U.S. Department of Education accreditation programs in medical assisting. Degrees from an accredited college or university recognized by the Department of Education are acceptable to meet education requirements.

2.2.2.4.2 Graduated from a formal program in medical assisting, or

2.2.2.4.3 Graduated from vocational-technical training in high school, post-secondary vocational schools, community and junior colleges, or

2.2.2.4.4 Equivalent combinations of successfully completed post-high school education and experience to qualify without a certification from a formal education program such as previous military training. If education is used to meet specialized experience requirements, then such education must include courses directly related to the work of the position as be approved during the candidate approval process.

2.2.2.4.5 12 months of experience within the last 36 months. Experience shall be in the same clinical specialty.

2.2.2.5 Allied/Ancillary Health professions shall have:

2.2.2.5.1 24 months experience within the last 36 months in the same specialty outlined in the task order.

2.3 Contractor Management Staff Responsibilities

2.3.1 The Contractor Management Staff shall not use Government staff members to record arrival or departure times, report absenteeism, sign payroll timesheets or complete corporate appraisal reports for HCWs. The

Contractor shall have an internal management process in place to confirm HCW hours worked and conduct

HCW performance assessments.

2.3.2 The Contractor Management Staff shall maintain the following plans as part of their business operations on the CLASS contract: Business Plan; Human Resources Management Plan; and Performance Management

Plan. These plans are aligned with the two-step task order process shown in Figure C-3 and defined below:

2.3.2.1 The Contractor shall have a business plan with a clear organizational structure to perform the full spectrum of clinical services on a nationwide scale; a business approach to submit qualified offers; a recruitment methodology; and, internal controls on all aspects of the contract that demonstrates the following outcomes:

2.3.2.1.1 Teaming Organization Structure: The offeror shall submit an organizational structure in the business plan using Attachment L-1, Contractor Team Organization (Section J, Attachment 10) for all teaming partners and subcontractors that demonstrates the clinical service categories and locations the prime contractor and each teaming partner and subcontractor will provide under this contract.

2.3.2.1.2 Business Approach: The offeror shall submit a business approach in the business plan that describes the methodology for submitting qualified offers on new Task Order Proposal Requests and managing contract performance.

2.3.2.1.3 Recruitment of HCWs: The offeror shall submit a recruiting methodology in the business plan that demonstrates a process for finding, pre-screening, and submitting qualifying documentation against preliminary Government minimum requirements for both credentialed and non-credentialed HCWs.

2.3.2.1.4 Contractor Level of Effort: The offeror shall submit a business plan that ensures at least 50 percent of the cost of contract performance incurred for personnel shall be expended for employees of the prime contractor (FAR 52.219-14, Limitations on Subcontracting).

Figure C- 3 Contractor Plans

2.3.2.2 The Contractor shall have a human resources management plan in place that effectively verifies the placement of fully qualified candidates to perform in Air Force MTFs. At a minimum, the plan shall demonstrate the following outcomes:

2.3.2.2.1 Qualification of HCWs: The offeror shall submit a human resources management plan that: ensures the verification and validation of candidate qualifications against subsequent Government minimum requirements for both credentialed and non-credentialed HCWs; demonstrates a process for the submission of complete and accurate credentials packages for credentialed HCWs; and describes a compensation plan that ensures uninterrupted services for recruitment, placement, and retention of HCWs.

2.3.2.2.2 Placement of HCWs: The offeror shall submit a human resources management plan that: demonstrates the placement of fully qualified credentialed and non-credentialed HCWs within the timeframes set in the contract; describes how both credentialed and non-credentialed HCWs complete the security requirements;

and ensures HCWs remain in place for a minimum of 180 consecutive calendar days.

2.3.2.3 The Contractor shall have a performance management plan in place to manage the workforce and contract requirements. This includes, but is not limited to, documenting and notifying the Government of actual or potential contractor management problems, resolving concerns within suspense dates, tracking current performance status, and retaining HCWs. At a minimum, the plan shall demonstrate the following outcomes:

2.3.2.3.1 Manage Workforce: The offeror shall submit a performance management plan that: ensures HCW positions are filled; demonstrates the maintenance of HCW qualifications before expiration without

Government oversight, cost or intervention; describes an approach which ensures the continuity of services during the replacement and substitution of credentialed and non-credentialed HCWs; and describes an approach to minimize the turnover of HCWs.

2.3.2.3.2 Contract Compliance: The offeror shall submit a performance management plan that describes an approach to monitor and maintain an expenditure rate on task orders.

2.3.2.3.3 Resolve Performance Issues: The offeror shall submit a performance management plan that demonstrates the ability to adequately resolve MTF and patient complaints which satisfy Government concerns.

2.4 General Requirements

2.4.1 Travel

2.4.1.1 The Contractor, including both Contractor Management Staff and HCWs, shall be required to perform periodic travel within the Continental United States (CONUS) as directed by the Government and approved in advance by the CO. The Contractor shall be responsible for obtaining all passenger transportation, lodging, and subsistence. Reimbursement of CONUS travel costs will be in accordance with the Federal

Travel Regulations per FAR 31.205-46. The Contractor shall travel using the lowest cost mode transportation commensurate with the mission requirements. When necessary to use air travel, the contractor shall use the tourist class, economy class, or similar accommodations to the extent they are available and commensurate with the mission requirements. Travel will be reimbursed on a cost reimbursable basis; no profit or fee will be paid.

2.4.1.2 The Government will reimburse the Contractor for any Government directed travel requirements to conferences, meetings, and reviews outside of the HCW assigned place of performance.

2.4.2 Certifications

2.4.2.1 All HCWs shall maintain current certification in a basic provider cardio-pulmonary resuscitation (CPR) course such as American Heart Association (AHA) Basic Life Support (BLS) health care provider course or an equivalent course based on published national guidelines for BLS IAW AFI 44-102. Web-based classes do not meet the standards in AFI 44-102. In addition, all HCWs shall maintain current certification in Advanced Cardiac Life Support (ACLS), Pediatric Advanced Life Support (PALS) and Neonatal

Resuscitation Course (NRC) as required by AFI 44-102, Community Health Management, Tables 3.1 through 3.3.

2.4.3 Health Requirements

2.4.3.1 In accordance with AFI 48-105, all contracted HCWs shall follow the methods for controlling and preventing disease as described in the American Public Health Association publication, Control of

Communicable Diseases (CDC) Manual, and the Centers for Disease Control and Prevention publication, 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 CLASS contract. For the purposes of this contract CDC recommendations are considered requirements.

2.4.3.1.1 Before start of work, HCWs shall provide proof of immunization from the following diseases according to

Centers for Disease Control (CDC) guidelines: Hepatitis B, influenza, measles, mumps, rubella, and varicella. HCWs shall also provide proof of a negative TB skin test completed within the past 12 months

(if positive, proof of negative chest X-ray within the past 12 months) prior to the required start date. In addition, HCWs shall provide proof of TDAP immunization prior to start of work, even if the tetanus booster is not yet due according to CDC guidelines. After start of work, the Government will provide post blood borne exposure protocols according to applicable AFIs.

2.4.3.1.2 HCWs 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 for HCWs. This vaccine may be provided by the Government, if available, as determined by the MTF. Although this vaccine may be provided by the Government, it may be obtained at other facilities with the cost being borne by the Contractor or the HCWs. Unless vaccinated by the Government, the health care worker shall be required to show proof of the vaccination.

2.4.3.1.3 Tuberculosis. In those areas where there is a higher risk of transmission of tuberculosis, contracted HCWs may be tested frequently as directed by the MTF policy. This test will be provided by the MTF.

2.4.3.1.4 Tracking of Information. Immunization information will be tracked in DoD computer systems for all contracted HCWs.

2.4.3.1.5 Medical Tests. No medical tests or procedures required by the contract will be performed by the

Government (with the exception of Tuberculosis testing after start of work and/or exposure). Expenses for all required tests and/or procedures (e.g., N95 particulate respirator duckbill mask fitting) shall be borne by the Contractor or HCW at no expense to the Government.

2.4.3.1.6 Health Notifications: The Contractor should inform the Government quality assurance personnel

(QAP)/Supervisor whenever a HCW will be away from work for an extended period of time for medical reasons (e.g., pregnancy). The Government will notify the Contractor of any work hazards. If work hazards exist, it will be the Government’s decision whether the HCW continues work in the environment.

2.4.4 Procedure Guidance

2.4.4.1 Duties. HCWs shall perform duties in accordance with AFMS and MTF operating instructions as well as higher-level DoD or Air Force directives. Changes or deviations from instructions and directives shall not be made without prior recommendation to, and approval of, the CO or authorized representative.

2.4.5 Work Schedule: The task order will establish the work schedule and the total number of billable hours for each HCW. The work schedule will identify the weekly work schedule for which the HCW is expected to work.

2.4.5.1 Billable Hours. Billable hours are hours established in the task order work schedule as duty hours, on-call hours, or overage hours. In order for an hour to be billed to the Government, the HCW must have performed at the work location as required in the work schedule.

2.4.5.1.1 Duty Hours: Duty hours are billable to the Government whenever the HCW performs as outlined in the work schedule. Duty hours, to include shift work and Federal Holidays (when required), on the work schedule are established by the requesting location and will be clearly stated on each task order. Any variation of the work schedule must be approved by the QAP/Supervisor in advance as long as the total number of duty hours does not exceed the number identified in the task order. The HCW shall record and report time worked IAW MTF policy. The Contractor shall establish a process for HCWs to accurately record and report hours worked without relying on the Government.

2.4.5.1.2 On-Call Hours: On-call hours are billable to the Government whenever the HCW performs as outlined in the work schedule. On-call hours on the work schedule are established by the requesting location and will be clearly stated on each task order. Any variation of on-call hours on the work schedule must be approved by the QAP/Supervisor in advance as long as the total number of on-call hours does not exceed the number identified in the task order. The HCW shall record and report time worked IAW MTF policy. The

Contractor shall establish a process for HCWs to accurately record and report on-call hours worked without relying on the Government.

2.4.5.1.3 Overage Hours: Overage hours are billable to the Government whenever the HCW performs as outlined in the work schedule or for continuity of care purposes. Overage hours on the work schedule are established by the requesting location and will be clearly stated on each task order. Any variation of overage hours on the work schedule must be approved by the QAP/Supervisor in advance as long as the total number of overage hours does not exceed the number identified in the task order. The HCW shall record and report time worked IAW MTF policy. The Contractor shall establish a process for HCWs to accurately record and report overage hours worked without relying on the Government.

2.4.5.2 Non-Duty Days. Government non-duty days, or other times when Government offices may be closed, are not billable to the Government. The Government will only pay for hours worked. Non-Duty days will be designated in the task order.

2.4.5.3 Unplanned Closures. In the event of an unplanned closure of the facility due to natural disasters, military emergency, severe weather, or other issues, the contracted HCW will be allowed to bill the Government if the following two conditions exist:

2.4.5.3.1 Local base policy and base access procedures prevented the HCW from performing duties at the place of performance; and

2.4.5.3.2 The contracted HCW was scheduled to work, but unable to work because of the unplanned closure (e.g., HCW was on leave).

2.4.5.4 Replacement of Healthcare Workers. The Contractor shall replace permanent HCWs such that vacancies will not exceed 30 consecutive calendar days for both credentialed and non-credentialed HCWs except in the case of the sudden loss of a credentialed HCW due to serious injury or death. In the case of serious injury or death of a credentialed HCW, the Contractor shall replace permanent credentialed HCWs such that the vacancy will not exceed 60 calendar days. For all other replacements, the consecutive calendar days begin when the Contractor is notified by the HCW, verbally or in writing, of a resignation or termination date. The replacement HCW must begin work no later than 30 consecutive calendar days after notification for credentialed and non-credentialed HCWs.

2.4.5.5 Substitute or Temporary Coverage. The Contractor will substitute permanent HCWs whenever a temporary absence is expected to exceed 30 consecutive calendar days. The Contractor shall promptly notify the CO and QAP/Supervisor of any projected absences exceeding 30 days and ensure no temporary absence exceeds 30 consecutive calendar days through the use of a qualified substitute. Contractor coverage for shorter term absences will not be required unless specified in the task order proposal request.

2.4.5.6 HCWs will be required to record hours worked in the Defense Medical Human Resources System – internet (DMHRSi) system as required by the MTF.

2.4.5.7 Physical Capability: All HCWs shall be physically capable of standing for extended periods of time, capable of normal ambulation, and any other physical requirements established in the task order. The nature of this work will, at times, demand the contracted HCW be capable of responding to urgent/emergent medical issues. Physical capability will be determined by the MTF.

2.4.5.8 Participation in Emergency Preparedness Plans: All HCWs shall participate in emergency preparedness plans (drills and actual emergencies) as scheduled by the MTF (typically semiannually). HCWs will be required to provide contact information to the QAP/Supervisor upon commencement of services as part of a recall list in advance of an actual emergency. If an emergency occurs, the QAP/Supervisor will contact the health care worker with shift and reporting instructions.

2.4.5.9 Government Endorsement: The Government may not offer the Contractor or HCW signs of recognition or appreciation for exceptional performance. Should HCWs be mentioned in team awards with Government employees, these actions shall not constitute Government acceptance of the Contractor’s performance unless made in writing by the CO. Contractors shall not represent themselves as endorsed by the

Government in any manner, including any marketing or promotional materials.

2.4.6 Conduct: The CO may request that any HCW whose conduct, in the opinion of the CO, interferes with proper order or professionalism at the installation where services are performed be removed from such installation and the Contractor will comply with such requests.