Attachment_5-_Monthly_Activity_Report_(MAR).xlsx

XLSX spreadsheet 58 KB Posted

Attached to
ESG Temporary Medical Staffing (TMS) Federal contract opportunity
Solicitation number
FA8053-13-R-0001
Issued by
Department of the Air Force Materiel Command Installation and Mission Support Center Installation Contracting Agency

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Attachment 5

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Text version

Task Order Data

Attachment 5, Monthly Activity Report (MAR)
(Task Orders Awarded in the Month Only)
Instructions: Fill in the yellow highlighted sections and the monthly activity beginning on line 8 and submit IAW CDRL
Version 1.1Contractor:Data carried forward
Released 3 Apr 13Month:FY:
Task Order #Award DatePlace of Performance (Click on cell to select from drop down menu)Number of Basic HoursTask Order Value

FA8053-13-R-0001 Attachment 5

&P

HCW Data

Attachment 5, Monthly Activity Report (MAR)
(Health Care Worker changes within the Month Only)
Instructions: Fill in the monthly activity beginning on line 8
Contractor:0Data carried forward
Month:0FY:0
Task Order #Place of Performance (Click on cell to select from drop down menu)Position/Job Type (Click on cell to select from drop down menu)Credentialed Position (Click on cell to select from drop down menu)Health Care WorkerDays DelayedGovernment DelayExplanationNon-Credentialed Days Delayed
Mandatory EntriesNameTotal Basic HoursHourly Rate (Bare Rate without any Overhead)Start Date
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Attachment 5

Corrective Action Data

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

Attachment 5

List

Contractors
ABC Company
XYZ Company
123 Company
Locations
Altus AFB, OK
Andersen AFB, Guam
Andrews AFB, MD
Barksdale AFB, LA
Beale AFB, CA
Bolling AFB, DC
Brooks City Base, TX
Buckley AFB, CO
Cannon AFB, NM
Charleston AFB, SC
Columbus AFB, MS
Davis-Monthan AFB, AZ
Dover AFB, DE
Dyess AFB, TX
Edwards AFB, CA
Eglin AFB, FL
Eielson AFB, AK
Ellsworth AFB, SD
Elmendorf AFB, AK
Fairchild AFB, WA
FE Warren AFB, WY
Goodfellow AFB, TX
Grand Forks AFB, ND
Hanscom AFB, MA
Hickam AFB, HI
Hill AFB, UT
Holloman AFB, NM
Hulbert Field AFB, FL
Keesler AFB, MS
Kirtland AFB, NM
Lackland AFB, TX
Langley AFB, VA
Laughlin AFB, TX
Little Rock AFB, AR
Los Angeles AFB, CA
Luke AFB, AZ
MacDill AFB, FL
Malmstrom AFB, MT
Maxwell AFB, AL
McChord AFB, WA
McConnell AFB, KS
McGuire AFB, NJ
Minot AFB, ND
Moody AFB, GA
Mountain Home AFB, ID
Nellis AFB, NV
Offutt AFB, NE
Patrick AFB, FL
Peterson AFB, CO
Pope AFB, NC
Randolph AFB, TX
Robins AFB, GA
Scott AFB, IL
Seymour-Johnson AFB, NC
Shaw AFB, SC
Sheppard AFB, TX
Tinker AFB, OK
Travis AFB, CA
Tyndall AFB, FL
USAF Academy, CO
Vance AFB, OK
Vandenberg AFB, CA
Whiteman AFB, MO
Wright-Patterson AFB, OH
Jobs
Allergist
Anesthesia Technician or Technologist
Anesthesiologist
Audiologist
Bone Densitometrist
Breast Health Educator
Cardiac Catheterization Technician
Cardiac Monitoring (Telemetry) Technician
Cardiac Surgery Technician
Certified Medical Dosimetrist
Cardiopulmonary Lab Technician
Cardiac Sonographer (Ultrasound) Technologist
Certified Medical Technician - Hemodialysis/Nephrology
Certified Medical Technician (Inpatient)
Certified Medical Technician (Outpatient)
Certified Medical Technician - Pediatrics
Certified Nurse Midwife
Certified Registered Nurse Anesthetist (CRNA)
Chiropractor
Clinical Nurse Case Manager
Clinical Dietitian
Clinical Geneticist
Clinical Nurse - Adult Critical and Intensive Care
Clinical Nurse - Discharge Planner
Clinical Nurse – Disease Manager
Clinical Nurse - Emergency Room
Clinical Nurse - Endoscopy
Clinical Nurse - Family Practice
Clinical Nurse - General Surgery Ward
Clinical Nurse - General Ward Nurse
Clinical Nurse - Hemodialysis/Nephrology
Clinical Nurse - Inpatient Pediatrics
Clinical Nurse - Internal Medicine
Clinical Nurse - Labor & Delivery Post Partum
Clinical Nurse - Medical Surgery Unit
Clinical Nurse - Neonatal Intensive Care
Clinical Nurse - Obstetrics
Clinical Nurse - Operating Room
Clinical Nurse - PACU (Post Anesthesia Care Unit)
Clinical Nurse - Pediatric Intensive Care Unit
Clinical Nurse - Pediatric Clinic
Clinical Nurse - Radiology
Clinical Nurse - Special Care Unit
Clinical Nurse - Utilization Management
Clinical Nurse - Women's Health
Clinical Perfusionist
Clinical Pharmacist
Clinical Psychologist
Clinical Social Worker
Dental Assistant
Dental Hygienist
Dental Lab Technician
Dentist
Dentist - General Clinical
Dentist - Oral & Maxillofacial Surgeon
Dermatologist
Diagnostic Imaging Technician
Diagnostic Imaging Technician - Computed Tomography
Diagnostic Imaging Technician - Magnetic Resonance
Diagnostic Imaging Technician - Mammography
Diagnostic Imaging Technician - Nuclear Medicine
Diagnostic Imaging Technician - Ultrasound
Diagnostic Radiologist
Diagnostic Radiologist - Interventionalist
Diet Therapy Technician
Echocardiogram Technician
Electroencephalographic Technologist
Emergency Services Physician - Emergency Medicine Specialist
Emergency Medical Technician - Basic (EMT-B)
Family Practice Physician – Board Certified
Family Practice Physician – Board Eligible
Family Nurse Practitioner
Flight Medicine Physician
Gastroenterology Technician
HAWC Clinical Nurse
HAWC Health and Fitness Specialist
Health Promotion Educator
Health Promotion Dietitian
HAWC Exercise Physiologist
HAWC Clinical Nurse
Internist – Board Certified
Internist – Board Eligible
Internist - Cardiology
Internist - Gastroenterology
Internist - Oncology
Internist – Pulmonology
Internist - Rheumatology
Lactation Consultant
Licensed Practical Nurse (LPN)
Licensed Clinical Social Worker Case Manager
Licensed Vocational Nurse (LVN)
Medical Lab Technician
Medical Laboratory Technologist
Medical Physicist
Mental Health Services Technician
Molecular Genetics / Diagnostic Technologist
Neurologist
Neurosurgeon
Neurology Technician
Obstetrician and Gynecologist
Obstetrician and Gynecologist - Endocrinology
Obstetrician and Gynecologist - Maternal-Fetal Medicine
Obstetrician and Gynecologist - Oncology
Obstetrician and Gynecologist – Urogynecology/Pelvic Reconstructive Surgery
Occupational Environmental Medicine Physician - MTF Location Only
Occupational Therapist
Ophthalmologist
Ophthalmology Technician
Optometrist
Optometry Technician
Orthodontist
Orthopedic Surgeon
Orthopedic Surgeon - Oncology
Orthopedic Technician
Otorhinolaryngologist
Paramedic/EMT
Pathologist
Pediatric Intensive Care Unit Physician
Pediatric Polysomnographic Technician
Pediatric Polysomnographic Technologist
Pediatrician – Board Certified
Pediatrician – Board Eligible
Pediatrician - Neonatology
Pediatric Nurse Practitioner
Perianatology Ultrasound Technician
Periodontist
Pharmacist
Pharmacy Technician
Phlebotomist
Physical Therapist
Physical Therapist Assistant
Physician Assistant
Physician Assistant - Cardiac Perfusion (Residency Required)
Physician Assistant - Emergency Medicine
Physician Assistant - General Surgery
Physician Assistant - Orthopedics
Podiatrist
Polysomnographic Technician
Prosthodontist
Psychiatrist
Psychiatric Nurse Practitioner
Radiation Therapist
Radiation Oncologist
Registered Vascular Technologist
Respiratory Therapist
Respiratory Therapist Technician
Speech Pathologist
Surgeon
Surgeon - Oncology
Surgical Service Technician
Surgical Service Technician, Orthopedic
Surgical Service Technician, Otorhinolaryngology
Surgical Service Technician, Urology
Urgent Care Center Physician
Urologist
Women's Health Nurse Practitioner
Month
January
February
March
April
May
June
July
August
September
October
November
December
FY
2011
2012
2013
2014
2015
2016
Corrective_Action
Letter of Concern
Cure Notice
Show Cause Notice
Termination for Convenience
Termination for Default
MTF Complaint
Patient Complaint
Credentialed Position
Yes
No

File details come from the government source that posted it. Updated .