FA8053-11-R-0002 Final.pdf

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PAGE(S)

until 03:00 PM local time 25 May 2011

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X H 157 - 175 anita.bailey@wpafb.af.mil

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)

1 175

(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 2 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)

ANITA BAILEY 937-255-0466

11. TABLE OF CONTENTS

SOLICITATION/ CONTRACT FORM

SUPPLIES OR SERVICES AND PRICES/ COSTS

2 - 5

X I CONTRACT CLAUSES

DESCRIPTION/ SPECS./ WORK STATEMENT X

PACKAGING AND MARKING

6 - 40 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)

43 - 71 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

72 - 88

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

937-255-0466

937-255-0466FAX:

TEL:

FAX:

TEL:

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

SOLICITATION

89 - 102

6. REQUISITION/PURCHASE NO.5. DATE ISSUED

08 Apr 2011

4. TYPE OF SOLICITATION

SEALED BID (IFB)

NEGOTIATED (RFP)

[ X ]

3. SOLICITATION NO.

FA8053-11-R-0002

Section B - Supplies or Services and Prices

ITEM NO SUPPLIES/SERVICES MAX

QUANTITY

UNIT UNIT PRICE MAX AMOUNT

0001 1 Each Clinical Services

FFP

Provide clinical personnel to support Air Force Treatment Facilities (MTFs) organizations throughout the United States and Guam in accordance with the

Performance Work Statement included in Section C and the performance requirements included in Section J. Task orders will be issued under this contract as outlined in clause H.3. The contract ordering period is four (4) years from the date of contract award. The labor categories included in the contract can be found in Section J, Attachment 4, Approved Position Descriptions.

FOB: Destination

SIGNAL CODE: A

MAX

NET AMT

UNIT UNIT PRICE MAX AMOUNT

0002 UNDEFINED Each Travel

COST

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

Contracting Officer (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.

MAX COST

UNIT UNIT PRICE MAX AMOUNT

0003 1 Each Post Award Conference

FFP

The post award conference will be conducted approximately 30 days following contract award and will be held at Wright-Patterson AFB, Ohio. The Government will establish two (2) eight-hour days between the hours of 8 a.m. and 5 p.m. for the post award conference. The Government will provide the post award conference dates, format, and agenda within approximately two (2) weeks of contract award. The Government will not pay any additional costs incurred above this amount.

MAX

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Contract Data Requirements List

FFP

Contract Data Requirements List: IAW with DD Form 1423-2, Data Item

Numbers A001 A002, and A003. Costs associated with this CLIN are included in

CLIN 0001 or 0002. CLIN 0004 is not separately priced.

CONTRACT MINIMUM/MAXIMUM QUANTITY AND CONTRACT VALUE

The minimum quantity and contract value for all orders issued against this contract shall not be less than the minimum quantity and contract value stated in the following table. The maximum quantity and contract value for all orders issued against this contract shall not exceed the maximum quantity and contract value stated in the following table.

MINIMUM

MINIMUM

AMOUNT

MAXIMUM

QUANTITY

MAXIMUM

AMOUNT

$5,000.00 $991,922,710.00

CLIN DELIVERY/TASK ORDER MINIMUM/MAXIMUM QUANTITY AND CLIN ORDER VALUE

The minimum quantity and order value for the given Delivery/Task Order issued for this CLIN shall not be less than the minimum quantity and order value stated in the following table. The maximum quantity and order value for the given Delivery/Task Order issued for this CLIN shall not exceed the maximum quantity and order value stated in the following table.

CLIN

MINIMUM

QUANTITY

MINIMUM

AMOUNT

MAXIMUM

QUANTITY

MAXIMUM

AMOUNT

Section C - Descriptions and Specifications

PERFORMANCE STATEMENT OF WORK

1 DESCRIPTION OF SERVICES

1.1 Background

1.1.1 The Air Force Medical Service (AFMS) 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 and satellite clinics) 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 the number of billable hours based on the need. Job sharing will only be allowed if approved by the MTF.

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

1.1.3 The CLASS contract consists of a four-year ordering period with no option periods. Task orders issued under the CLASS contract may include the following number of option periods: up to three 1-year option periods if awarded in the first year of the contract; up to two 1-year option periods if awarded in the second year of the contract; one 1-year option period if awarded in the third year of the contact; and no option periods if awarded in the fourth year of the contract.

1.1.4 The CLASS contract uses task order competition and a two-step task order process (See Figure C-1). The task order competition process includes the issuance of a task order proposal request (TOPR), receipt of proposals, proposal evaluation, legal review, and contract clearance. The task order competition process is outlined in Section 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 candidates. The task order award component starts with task order award and ends when contractor performance is completed for each individual task order. Ordering Contracting Officers shall not deviate from this two-step task order process for subsequent task orders (see H.3) without prior written approval from the Contracting Officer (CO) at the Program Management Office (PMO).

1.1.5 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 and manage HCWs as well as resolve HCW performance issues as follows (see Figure C-2):

1.1.5.1 Recruit: In response to an 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 1.4.42), obtain initial background checks (see definition 1.4.28), and submit qualifying documentation (see definition 1.4.46) on HCWs as part of the recruiting requirement.

1.1.5.2 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 1.4.56); 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 1.4.54);

and ensure HCWs for initial and replacement fills remain in place for a minimum of 180 consecutive calendar days (see ―right fit‖ definition at 1.4.53).

Figure C- 2 Contractor Activities

1.1.5.3 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, and managing replacements and substitution requirements that ensure no vacancy exceeds 30 consecutive calendar days.

1.1.5.4 Resolve performance issues: During contractor performance, the Contractor shall resolve all performance 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 Quality 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 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/or 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 Medical 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 and worked by the health care worker. 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 process by which the Government approves a candidate‘s qualifications against the preliminary Government minimum requirements. Candidate approval is 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 to a credentialed health care worker to practice 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 COMPETENCY-BASED INTERVIEW: An option the Government QAP has to contact a potential candidate via telephone to determine if the candidate meets the preliminary Government minimum requirements (i.e., ready), desires the job (i.e., willing), and is capable (i.e., able) to work at the place of performance (see paragraph 2.4.18).

1.4.12 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.

1.4.13 CONTRACT YEAR: A period of twelve (12) consecutive months commencing with the award of the

CLASS contract and each anniversary date thereafter. There are four (4) contract years on the CLASS contract.

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

1.4.15 CONTRACTOR: The company 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.

1.4.16 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

1.4.17 CONTRACTOR PERFORMANCE ASSESSMENT REPORTING SYSTEM: The web-enabled application that collects Government assessments on contractor performance, both positive and negative, based on objective facts captured during a specific period of time.

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

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

1.4.20 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.

1.4.21 DIRECT PATIENT CARE: The treatment, counseling, education, medication, tests, and procedures provided directly to a patient.

1.4.22 DISCREPANCY NOTICE: A written document, signed by a warranted Contracting Officer, identifying a delinquency or difference between contractor performance and contract requirements. There are three types of discrepancy notices in the CLASS contract: Letter of Concern; Cure Notice, and Show Cause

Notice.

1.4.23 DUTY DAY: A day in which the HCW is scheduled to be present for work on the work schedule (see definition 1.4.65 for work schedule).

1.4.24 DUTY HOURS: The number of scheduled hours in a duty day on the work schedule (see definition 1.4.65 for 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.

1.4.25 FULL-TIME EQUIVALENT: The measure of a HCW‘s annual billable hours on a task order in relation to the standard annual billable hours on the CLASS contract. The requirement for a single FTE on the

CLASS contract can range from 1880 to 2000 total annual billable hours for credentialed and non-credentialed HCWs; therefore, total annual billable hours from 1880 to 2000 will be the standard range for an FTE of 1.0 on the CLASS contract. HCW positions with annual billable hours on task orders less than

1880 will be calculated by dividing the number of hours by 1880. For example, a credentialed HCW position with 1504 billable hours would be considered a 0.80 FTE position (1504 hours /1880 hours rounded to the 1/100th decimal point). The number of FTEs for each labor category will be established in the task order and is calculated by dividing the annual billable hours on the task order by the CLASS contract standard range from 1880 to 2000 hours (see Section H.24). HCW positions with annual billable hours within this range will be considered an FTE of 1.0.

1.4.26 FULLY BURDENED HOURLY RATE: The bill rate covering direct labor, indirect costs (e.g., overhead, General and Administrative expenses, and fringe benefits), and profit.

1.4.27 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.

1.4.28 INITIAL BACKGROUND CHECK: A pre-employment screening consisting of reference and records checks, credit checks, and telephone or in-person competency-based reviews.

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

1.4.30 JOB SHARE: The use of more than one HCW to fill a single FTE position. Job sharing must be approved by the MTF.

1.4.31 LETTER OF INTENT TO AWARD (LOIA): A letter from the ordering CO to the Contractor determined to be the most advantageous to the Government during the proposal evaluation process and selected for award of a task order pending the recruitment of qualified candidates and submission of qualifying documentation against preliminary Government minimum requirements for candidate approval. Initiates the candidate approval component in the two-step task order process

1.4.32 MEDICAL EXPENSE & PERFORMANCE REPORTING SYSTEM (MEPRS): The DoD accounting system for financial, personnel and workload within MTFs (see definition 1.4.20 for DMHRSi).

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

Health and Wellness Centers and satellite clinics, to include all activities providing outpatient and/or in-patient healthcare services for authorized personnel. MTF is also referred to as Military Treatment Facility.

1.4.34 NATIONAL AGENCY CHECK WITH WRITTEN 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 contract.

1.4.35 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 but is not granted clinical practice privileges through a defined credentials process.

1.4.36 ON-CALL HOUR: An hour scheduled for the HCW to carry a communication device (e.g., cell phone, pager) to respond to calls when away from the MTF.

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

1.4.38 OVERAGE HOUR: An hour scheduled for the HCW to perform services beyond the duty hours for continuity of care purposes, or to perform services when called into the MTF while in an on-call status.

1.4.39 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.

1.4.40 PLANNED CLOSURE: Any closure of the place of performance that is designated in advance on the task order. Planned closures include federal holidays, family days or goal days. Planned closures are not billable to the Government unless the HCW is scheduled to work during the planned closure (e.g., scheduled to work on an inpatient ward during a federal holiday).

1.4.41 POSITION DESCRIPTION: A document outlining the minimum qualifications for a specific labor category. Position descriptions are approved by the appropriate Surgeon General‘s consultant and the

Program Management Office before use on the contract.

1.4.42 PRELIMINARY GOVERNMENT MINIMUM REQUIREMENTS: The minimum HCW requirements for education, experience, certification, and licensure listed in the performance work statement, position description, addendum (when applicable), and initial background checks the Government uses to approve or disapprove potential candidates recruited by the Contractor.

1.4.43 PRIMARY SOURCE VERIFICATION: The verification of documents directly with the issuing agency or source of credentials (e.g., residency programs, licensing agencies, specialty boards). Primary source verification ensures statements about training, experience and other qualifications are legitimate and appropriate.

1.4.44 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.

1.4.45 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.

1.4.46 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.

1.4.47 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.

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

1.4.49 RECRUIT: The Contractor‘s process to find, conduct preliminary screening, and obtain initial background checks to submit qualifying documentation against preliminary Government minimum requirements on

HCWs willing to provide services for specific positions at the required place of performance.

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

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

1.4.52 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 less than 12 months. The reporting period will become effective at month 6 during the first contract year and cover the preceding 6 months.

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

For example, in the 7 th month of the first contract year, the reporting period will include the preceding 7 months.

1.4.53 RIGHT FIT: The metric used by the Government to ensure HCWs for initial or replacement fills remain in place for a minimum of 180 consecutive calendar days. The Right Fit performance measure will not be applicable in cases where the Period of Performance of the Task Order is less than 180 days or where the departure of the HCW is due to sudden illness, injury or death.

1.4.54 SECURITY INVESTIGATION PACKAGE: The paperwork needed to obtain a suitability determination from a NACI on a HCW. The package includes a complete and accurate SF-85P, Questionnaire for Public

Trust Positions and an FD-258, Fingerprint Card. Some locations also use AF Form 2583, Request for

Personnel Security Action.

1.4.55 SERVICES SUMMARY (SS): The critical performance objectives in the contract prescribing how the

Government plans to assess contractor performance. The CLASS Services Summary is provided in Table

C-1.

1.4.56 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.

1.4.57 SUBSTITUTION: The temporary placement of a qualified HCW for a defined period of time until the permanent HCW returns to work.

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

1.4.59 TASK ORDER AWARD: The issuance of a contractually binding task order for work to be performed. A task order award is the second step in the two-step task order process, which is initiated by the Government candidate approval.

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

1.4.61 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.

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

1.4.63 TURNOVER: The permanent replacement of a health care worker.

1.4.64 UNPLANNED CLOSURE: The closure of a federal facility due to natural disasters, military emergency, severe weather, or any other reason that is not planned (see definition 1.4.40 for planned closure).

1.4.65 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

CDRL

CLASS

Contract Data Requirements List

Clinical Acquisition for Support Services

CHBC

CME

Criminal History Background Check

Continuing Medical Education

CO Contracting Officer

CPARS

CPSR

Contractor Performance Assessment Reporting System

Contractor Performance Status Report

CTAR Contract Tracking and Reporting System

DoD Department of Defense

FAR Federal Acquisition Regulation

HCW Health Care Worker

JPAS Joint Personnel Adjudication System

LOIA

MAJCOM

Letter of Intent to Award

Major Command

MAR Monthly Activity Report

MHS

MTF

Military Health System

Medical Treatment Facility or Military Treatment Facility

MTF/CC

NLT

MTF Commander

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

TEP

TLD

TMA

Tetanus, Diphtheria, and Pertussis vaccine

Total Evaluated Price

Thermoluminescent Dosimetry

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: 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: Involves 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. In the CLASS contract, technicians and assistants working in nursing service are considered in the Technician Services categories.

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. With the exception of Air Force bases under a joint basing agreement with the Army such as the 43d Medical Squadron, Pope Army Airfield and the 62d Medical Squadron, Joint Base-Lewis McChord Field, the credentials of all health care providers shall be reviewed and privileges granted as outlined in AFI 44-119, Clinical Performance Improvement.

The credentials of health care providers at performance locations under a joint basing agreement with the

Army such as the 43d Medical Squadron, Pope Army Airfield and the 62d Medical Squadron, Joint Base

Lewis-McChord Field shall be reviewed and privileges granted as outlined in Army Regulation (AR) 40-

68, Clinical Quality Management as part of the joint basing agreements.

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 independent privileges for practice within the scope of care through the applicable MTF Credentials

Committee. Independent privileges allow the health care worker to practice independently within the scope of care without supervision such as required under supervised privileges.

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 (or AR 40-68 where applicable) within the timeframes established in Section H.3i of this contract.

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

44-119 (or AR 40-68 where applicable) 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 credentialing process.

2.2.1.2.6 In the event of an adverse action as identified by AFI 44-119 or AR 40-68 where applicable, the Quality

Assurance Personnel (QAP)/Supervisor shall notify the ordering Contracting Officer (CO) as soon as possible when the necessity to exercise such authority becomes apparent. The QAP/Supervisor will also provide the ordering CO with a written statement advising the Contractor of an adverse action involving a

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 Government will mark the written notice(s) 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 or further supplemented in an addendum, 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 license for the advanced practice level IAW the U.S. jurisdiction requirements of their currently held RN license. Some U.S. jurisdictions provide a separate license for the advanced practice specialty, while others provide only one license which indicates an advanced level of practice.

2.2.1.6.2.2 A Master‘s degree in the specialty from a program accredited by a national nursing accrediting agency recognized by the U.S. Department of Education.

2.2.1.6.2.3 A certification by a nationally recognized certifying body in the specialty.

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.

2.2.1.6.5 Behavioral Health professions shall have:

2.2.1.6.5.1 12 months experience in the same specialty outlined in the task order.

2.2.1.6.6 Dental Service professions shall have:

2.2.1.6.6.1 12 months experience in the last 18 months in the same specialty outlined in the task order.

2.2.1.6.7 Advanced practice privilege nurses in the specialties of Certified Nurse Midwives (CNM) and

Certified Registered Nurse Anesthetists (CRNA) shall have:

2.2.1.6.7.1 Graduated from an accredited baccalaureate degree program in nursing (BSN)

2.2.1.6.7.2 A license for the advanced practice level IAW the U.S. jurisdiction requirements of their currently held RN license. Some U.S. jurisdictions provide a separate license for the advanced practice specialty, while others provide only one license which indicates an advanced level of practice.

2.2.1.6.7.3 A Master‘s degree in the specialty from a program accredited by a national accrediting agency recognized by the U.S. Department of Education.

2.2.1.6.7.4 A certification by a nationally recognized certifying body in the specialty.

2.2.1.6.7.5 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 or further supplemented in an addendum, 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 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 48 months in the same specialty outlined in the task order.

2.2.2.4 Medical Technicians/Assistants shall have:

2.2.2.4.1 Graduated from an accredited program in medical assisting, or

2.2.2.4.2 Equivalent combinations of successfully completed education and experience from a formal enlisted military medical education program. If education is used to meet requirements, then such education must include courses directly related to the work of the position AND be approved during the candidate approval process.

2.2.2.4.3 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.

2.2.2.6 Behavioral Health professions shall have:

2.2.2.6.1 12 months experience in the same specialty outlined in the task order.

2.2.2.7 Dental Service professions shall have:

2.2.2.7.1 12 months experience 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:

Figure C- 3 Contractor Plans

2.3.2.1.1 Teaming Organization Structure: The Contractor shall maintain an organizational structure in the business plan that demonstrates the clinical service categories and locations the prime Contractor and each teaming partner and subcontractor provides under this contract. Changes to organizational structure, to include adding or removing teaming partners and subcontractors, shall be reported to the Program Management

Office Contracting Officer within 30 calendar days of the change through the submission of Section J, Attachment 10, Contractor Team Organization Modification.

2.3.2.1.2 Business Approach: The Contractor shall maintain 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 Contractor shall maintain 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 Contractor shall maintain 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). The term employee is defined in 13 CFR §

121.106. Further guidance on the use of that term is found in SBA Size Policy Statement No. 1, published in the Federal Register on February 20, 1986, 51 FR 6099.

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 Contractor shall maintain 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 incumbent HCWs.

2.3.2.2.2 Placement of HCWs: The Contractor shall maintain a human resources management plan that:

demonstrates the placement of fully qualified credentialed and non-credentialed HCWs within the timeframes in Section H.3h and H.3i of the contract; describes how both credentialed and non-credentialed

HCWs complete the security requirements; and ensures HCWs for initial and replacement fills 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 Contractor shall maintain 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 Contractor shall maintain a performance management plan that describes an approach to monitor and maintain an obligation rate on task orders.

2.3.2.3.3 Resolve Performance Issues: The Contractor shall maintain a performance management plan that demonstrates the ability to adequately resolve MTF and patient complaints regarding HCWs 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.