Amendment__1_-_FA8601-15-R-0001.pdf

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

15A. NAME AND TITLE OF SIGNER (Type or print)

30-105-04EXCEPTION TO SF 30

APPROVED BY OIRM 11-84

STANDARD FORM 30 (Rev. 10-83)

Prescribed by GSA

FAR (48 CFR) 53.243

The purpose of this amendment is to change para 1.18 "ON CALL/AFTER DUTY HOURS AND RESPONSE TIME" of the Performance Work

Statement (PWS).

1. CONTRACT ID CODE PAGE OF PAGES

J 1 2

16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)

16C. DATE SIGNED

BY 23-Oct-2014

16B. UNITED STATES OF AMERICA15C. DATE SIGNED15B. CONTRACTOR/OFFEROR

(Signature of Contracting Officer)(Signature of person authorized to sign)

8. NAME AND ADDRESS OF CONTRACTOR (No., Street, County, State and Zip Code) X

FA8601-15-R-0001

X 9B. DATED (SEE ITEM 11)

15-Oct-2014

10B. DATED (SEE ITEM 13)

9A. AMENDMENT OF SOLICITATION NO.

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

X The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offer is extended, X is not extended.

Offer must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended by one of the following methods:

(a) By completing Items 8 and 15, and returning 1 copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted;

or (c) By separate letter or telegram which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE

RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN

REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by telegram or letter, provided each telegram or letter makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

12. ACCOUNTING AND APPROPRIATION DATA (If required)

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS.

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE

CONTRACT ORDER NO. IN ITEM 10A.

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, appropriation date, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(B).

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority)

E. IMPORTANT: Contractor is not, is required to sign this document and return copies to the issuing office.

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

10A. MOD. OF CONTRACT/ORDER NO.

2. AMENDMENT/MODIFICATION NO. 5. PROJECT NO.(If applicable)

6. ISSUED BY

3. EFFECTIVE DATE

23-Oct-2014

CODE

AFLCMC/PZIOA - TECHNOLOGY SUPPORT SECTIO

POC: KELLI R. VAUGHN

1940 ALLBROOK DRIVE, ROOM 109

WRIGHT-PATTERSON AFB OH 45433-5309

FA8601 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

FA8601-15-R-0001

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

(End of Summary of Changes)

PERFORMANCE WORK STATEMENT

FOR CLINICAL RADIATION ONCOLOGY,

WRIGHT-PATTERSON AFB

PERSONAL SERVICE

23 OCTOBER 2014

TABLE OF CONTENTS

SECTION TITLE PAGE

1 DESCRIPTION OF SERVICES 2

2 SERVICES SUMMARY 17

3 GOVERNMENT FURNISHED PROPERTY

AND SERVICES 18

4 CONTRACTOR FULL-TIME EQUIVALENT

REPORTING 19

1. DESCRIPTION OF SERVICES.

1.1. SCOPE OF WORK. The Contractor shall provide personnel to provide Radiation Therapy services required for

Government beneficiaries, at Wright-Patterson AFB Medical Center, also referred to as the "medical treatment facility" (MTF) herein. Contractor care shall cover the range of services provided in a civilian medical treatment facility. Care shall be as comprehensive as Government supplied facilities, equipment, and support services permit, including all aspects of the delivery of external beam radiation therapy and brachytherapy. Performance shall be according to the requirements contained in this Performance Work Statement. In the event of non-availability of radiation therapy equipment at the MTF due to maintenance or temporary equipment failure, contract workers may be required to render services at an alternate facility. Contractor shall comply with all federal, state, and local laws and regulation.

1.2. PERSONNEL

1.2.1. POINT OF CONTACT. The Contractor shall designate a point of contact, the contractor point of contact (CPC), that shall be responsible for the performance of the work. The CPC shall have full authority to act for the Contractor on all matters relating to the daily operation of this contract. The Contractor shall designate this individual, in writing, to the Contracting Officer (CO) before the contract start date. An alternate may be designated, but the Contractor shall identify those times when the alternate shall be the primary point of contact.

1.2.1.1. AVAILABILITY. The Contractor point of contact shall be available via e-mail and local or toll free telephone (i.e., 800 number) Monday through Friday, 8:00 A.M. until 4:30 P.M. excluding federal holidays.

1.2.1.2. WORK ROSTER. The CPC shall provide a list by date and time with individual personnel names for those days the Contractor shall be providing services. This list shall be provided to the department chief and Contracting Officer Representative (COR), by the 20th of each month for the next month. The CPC shall submit work schedule changes in writing to the COR at least forty-eight(48)hours in advance of the proposed change.

1.2.2. PERSONNEL REQUIREMENTS.

1.2.2.1. RADIATION ONCOLOGY NURSE REQUIREMENTS.

1.2.2.1.1. FORMAL EDUCATION. The Radiation Oncology Nurse shall have graduated from an accredited school of nursing.

1.2.2.1.2. LICENSURE. The Radiation Oncology Nurse shall have a valid current license to provide registered nursing services from a United States (US) jurisdiction.

1.2.2.1.3. EXPERIENCE. The Radiation Oncology Nurse must have a minimum of twelve (12)months experience as a clinical radiation oncology nurse and a total of three (3) years of combined oncology clinic experience within five

(5) years of assuming employment at the Wright Patterson Cancer Center. The radiation oncology nurse must have successfully completed the ONS (Oncology Nursing Society) Radiation Oncology Certificate Program Course before assuming duties as radiation oncology nurse at the Wright Patterson Cancer Center.

1.2.2.1.4. WORK OR HEALTH RESTRICTIONS. The Radiation Oncology Nurse shall not have any work or health restrictions, which interfere with the performance of clinical radiation oncology services. Verified by written documentation submitted to government.

1.2.2.2. DOSIMETRIST REQUIREMENTS.

1.2.2.2.1. CERTIFICATION. The Dosimetrist shall be a Certified Medical Dosimetrist (CMD), certified by Medical

Dosimetrist Certification Board (MDCB), adhering to MDCB standards and promoting the provision of safe, competent medical care for all patients requiring medical dosimetry services.

1.2.2.2.2. EXPERIENCE. The Medical Dosimetrist shall have a minimum of twelve (12) months full time experience as a

Certified Medical Dosimetrist (CMD) under the supervision of a board certified radiation oncologist or radiation therapy physicist and have two (2) years combined experience in clinical dosimetry within the past sixty (60) months. The Dosimetrist shall also have a working knowledge of the Varian Eclipse and Aria software applications. The Dosimetrist must have experience with RadCalc and BrainLab software applications. The Dosimetrist shall be proficient with the Varian Trilogy Silhouette accelerator, Acuity simulator (training is acceptable in lieu of experience), CT machine, and have twenty-four (24)months experience with Intensity Modulated Radiation Therapy planning (IMRT) and Image Guided Radiation Therapy (IGRT). Additionally, the CMD must have twelve (12) months of RapidArc and stereotactic body radiation therapy (SBRT) planning experience. The Dosimetrist will be required to cut blocks for electron therapy.

1.2.2.2.3. WORK OR HEALTH RESTRICTIONS. The Dosimetrist shall not have any work or health restrictions, which interfere with the performance of clinical radiation oncology services. Verified by written documentation submitted to government.

1.2.2.3. RADIATION THERAPY TECHNOLOGIST REQUIREMENTS.

1.2.2.3.1. FORMAL EDUCATION. The Radiation Therapy Technologist(s) shall be a graduate of an accredited Radiation

Therapy program.

1.2.2.3.2. REGISTRATION. The Radiation Therapy Technologist(s) shall be registered, by the American Registry of Radiologic Technologists, having passed the registry exam for Radiation Therapy Technologists and have at least twelve (12) months experience as a fully licensed RTT during the last two (2) years.

1.2.2.3.3. EXPERIENCE. Radiation Therapy Technologist(s) shall have a minimum of twenty- four (24) months of treatment experience, and shall be proficient in the use of a Varian Trilogy linear accelerator; Millenium Mult-Leaf Collimator; Acuity simulator (training is acceptable in lieu of experience); CT machine operation and simulation techniques, Aria Record and Verify System, to include on-line review; electronic portal imaging; portal dosimetry techniques; stereotactic radiotherapy; image-guided radiation therapy to include fiducial alignment and cone-beam CT imaging; high dose rate delivery devices; and related safety procedures.

1.2.2.3.4.WORK OR HEALTH RESTRICTIONS. The Radiation Therapy Technologist(s) shall not have any work or health restrictions, which interfere with the performance of clinical radiation oncology services. This attestation should be verified by written documentation submitted to the government.

1.2.2.4. LEAD RADIATION THERAPY TECHNOLOGIST REQUIREMENTS. (one position). In addition to requirements in 1.2.2.3, this individual shall possess at least five (5) years of RTT experience, have been employed as a fully credentialed RTT for the last three (3) years, and have one (1)year of management experience in a radiation therapy center.

1.2.2.5. REPLACEMENT STAFF REQUIREMENTS

1.2.2.5.1. When a position is unfilled the contractor shall arrange for a permanent replacement within three (3) consecutive work days. The replacement staff shall possess the same qualifications (outlined in this PWS) as the permanent staff.

1.2.2.5.2. The contractor shall provide an orientation to new permanent contract employees to cover daily operations and duties at no expense to the government.

1.2.2.5.3. In the event that a permanent replacement is not available, the contractor shall provide for a temporary replacement with approval by the COR.

1.2.2.5.4. If a contract employee has a scheduled absence the CPC shall coordinate with the COR and shall arrange for a temporary replacement if requested.

1.2.2.6. VALIDATION OF QUALIFICATIONS. Within ten (10) work days after contract award, and/or two (2) weeks prior to a proposed change in staffing the Contractor shall provide to COR written verification (in form of resumes and photocopies of licensure/certifications) of contract personnel qualifications, to include: education, training, experience, licensure, registration, certification, and current Basic Life Support (BLS) certification. The COR will have seven (7) work days to review qualifications and notify Contractor of acceptable candidates.

1.2.2.6.1. The Contractor shall ensure all proposed staff deemed acceptable by COR is available for personal or phone interviews with the chief of radiation oncology at Wright Patterson Medical Center during the screening process at contractor expense.

1.3. SPECIFIC TASKS.

1.3.1. RADIATION ONCOLOGY NURSE DUTIES.

1.3.1.1. Perform nursing and clinic procedures according to accepted national standards of care for radiation oncology departments (e.g. American Society For Radiation Oncology/ASTRO guidelines).

1.3.1.2. Provide individual patient education on radiation therapy and cancer and organize the clinical exam area.

1.3.1.3. Complete the Nursing Assessment form (intake form) on each new patient. Obtain interval history, medication list, symptoms, radiology results, laboratory results, and vital signs for follow-up and under treatment patients.

1.3.1.4. Manage medical emergencies until relieved by other appropriate medical staff.

1.3.1.5. Administer injections, start Foley catheters, and assist with pelvic exams.

1.3.1.6. Ensure clinic supplies are appropriately stocked and maintained.

1.3.1.7. Stock the crash cart.

1.3.1.8. The nurse shall not administer chemotherapy.

1.3.1.9. Participate in continuing education and shall demonstrate familiarity with modern radiation oncology nursing techniques and practices.

1.3.10. Assist in additional duties as required for patient care (e.g. obtaining vital signs, requesting outside records).

1.3.2. DOSIMETRIST DUTIES.

1.3.2.1. Perform treatment planning for external beam radiation therapy and brachytherapy.

1.3.2.2. Generate documentation (paper and or electronic) of treatment plans as required by radiation oncologist.

1.3.2.3. Perform clinical dosimetry measurements.

1.3.2.4. Check charts of patients under treatment for completeness and accuracy and verify treatment parameters; this verification shall be documented by dosimetrist in patient’s chart and/or electronic radiation record

1.3.2.5. Participate in research and development activities involving formulation of new treatment aids, devices, techniques, and procedures.

1.3.2.6. Direct and assist the staff therapists in new and difficult procedures. Ensure appropriate patient set-up instructions are recorded and followed.

1.3.2.7. Maintain patient database and modify/change patient treatment records/parameters as necessary.

1.3.2.8. Assist in source preparation and handling of brachytherapy.

1.3.2.9. Assist in patient simulation, computerized tomography (CT) simulation, and setup.

1.3.2.10. Assist in fabrication of treatment blocks and patient positioning devices.

1.3.2.11 Maintain familiarity with the proper use of radiation therapy equipment and operate the required equipment.

1.3.2.12. Assist in additional duties as required for patient care (block cutting; patient transport to simulation; facilitating patient treatment record transfer to other radiation facilities).

1.3.2.13. Shall participate in continuing education to maintain certification and familiarity with modern radiation oncology

1.3.3. RADIATION THERAPY TECHNOLOGIST DUTIES.

1.3.3.1. Perform all aspects of radiation therapy and properly administer prescribed dose accurately.

1.3.3.2. Ensure patient's privacy, safety, and dignity. Ensure a professional courteous environment during each treatment.

Ensure patient is under constant supervision while in the therapy room.

1.3.3.3. Perform required quality control and safety procedures in the therapy rooms and other locations.

1.3.3.4. Obtain proper patient identification and ensure therapy is administered to the proper patient.

1.3.3.5. Properly position patients and monitor patients during the radiation therapy. Notify radiation oncologist or radiation oncology nurse of patients in need of medical attention.

1.3.3.6. Maintain and operate radiation therapy equipment and notify the lead therapist, physics, and the physician staff of improperly operating equipment.

1.3.3.7. Perform simulation procedures, including, but not limited to, fabrication of patient positioning devices and administration of gastrointestinal and/or bladder contrast.

1.3.3.8. Perform basic monitor unit calculations.

1.3.3.9. Perform CT treatment planning scans.

1.3.3.10. Perform block cutting/pouring and related procedures.

1.3.3.11. Perform electronic image acquisition and analysis for patient alignment/treatment.

1.3.3.12. Rotate with the Lead Radiation Therapy Technologist, between the simulation room and treatment rooms on a daily basis at the discretion of the Chief of Radiation Oncology or their designee.

1.3.3.13. Properly apply radiation therapy equipment and demonstrate capability andoperate required equipment.

1.3.3.14. Participate in continuing education in order to maintain certification and ability to utilize current radiation oncology

1.3.3.15. Assist in additional duties as required for patient care (block cutting/measurements, patient transport, calling inpatient hospital areas for transport of inpatients, appointment scheduling for simulations and radiation therapy sessions).

1.3.4. LEAD RADIATION THERAPY TECHNOLOGIST DUTIES.

1.3.4.1. Perform all tasks outlined in 1.3.3 in addition to overseeing and assisting the Radiation Therapy Technologist team.

1.3.4.2. Implement new treatment protocols as directed by radiation oncologist and manage the radiation therapy electronic platform.

1.3.4.3. May be the designated CPC on all matters relating to the daily operation of this contract. (see1.2.1).

1.3.4.4. Shall coordinate, with the approval of the physician staff, patient scheduling for radiation therapy treatments as well as simulations.

1.3.4.5. Shall assess radiation clinic supply stock and order replacement supplies as necessary.

1.3.5. DUTIES FOR ALL CONTRACT PERSONNEL.

1.3.5.1. All contract personnel shall attend and participate in assigned meetings to include chart rounds, staff meetings, and any other meetings as designated by the Chief of Radiation Oncology.

1.3.5.2. All contract personnel shall attend Government provided initial training for procedures and use of Government provided equipment, supplies, and forms; safety, infection control, and quality assurance (QA) procedures and policies; patient sensitivity training; sensitive duties program; and facility orientation.

1.3.5.3. All contract personnel shall participate in orientations for new equipment, procedures, as determined by the Chief of

Radiation Oncology.

1.3.5.4. All contract personnel shall attend annual training, which includes, but is not limited to: safety, QA, risk management, infection control, fire protection, security, and patient sensitivity training. The classes may be scheduled individually throughout the year or scheduled at one time.

1.3.5.5. All contract personnel shall conduct themselves in a manner consistent with the professional environment of the department. Failure to function effectively shall be grounds for dismissal from employment in the radiation therapy clinic.

1.4. GENERAL INFORMATION.

1.5. Continuation of Contractor Services During Base Exercises, Local Emergencies or Contingencies, and Implementation of Local Contingency Plans.

1.5.1.1. It has been determined that all services specified in this PWS shall be performed during (and/or in support of, whichever is appropriate) base exercises, local emergencies or contingencies and implementation of local contingency plans. However, the Contracting Officer will notify the contractor in the event that the contractor is relieved from performing any of the services specified in the PWS during base exercises, local emergencies or contingencies or implementation of local contingency plans.

1.5.1.2. The Government establishes contingency plans and training missions to support mobilization and national emergencies, and to augment local Governments in the event of natural disasters. The Government must be able to react to such events without undue delay. These sudden or unusual events may impact the Contractor’s operations.

The Contractor shall provide the tasks as required by this PWS to support a contingency operation or exercise of contingency plans 7 days a week, 24 hours a day, for the duration of the contingency or exercise (4-5 times per year).

Examples of such events include natural disasters (e.g., tornados, major storms, flash floods); exercises, mobilizations, deployments, or sudden buildup of forces (e.g., war, police action, international crisis, and civil disturbance), including backfill of Contractor personnel in the event of activation, draft or recall to active duty;

terrorism or other threats to personnel or property; utility outages; and local Government emergencies (e.g., accidents and fires).

1.6. CONTINUITY OF SERVICES. If services are disrupted for more than three (3) consecutive scheduled shifts, the

Government reserves the right to procure required services from an alternate replacement source until Contractor-provided services are restored. When the Government exercises its right to procure these services from another source, the Government will reduce the Contractor's invoice by an amount not to exceed the burdened rates established in the contract.

1.7. ENGLISH LANGUAGE REQUIREMENT. Contractor personnel engaged in performance of this contract shall read, understand, speak, and write English.

1.8. CARDIOPULMONARY RESUSCITATION (CPR) CERTIFICATION. As required by AFI 44-12, all contract employees shall be certified and remain current in Basic Life Support (BLS). Recertification classes may be available at the MTF at no charge to the Contractor, on a space available basis.If not available at MTF, Contractor is responsible for ensuring certification/recertification elsewhere at Contractor’s expense. Contractor shall provide this required documentation to the government before employees can assume duties at MTF.

1.9. CRIMINAL BACKGROUND CHECK REQUIREMENT. (RESERVED: Due to rarity of pediatric patients seen in this clinic, if an instance would occur chaperone would accompany patient)

1.10. CONFLICT OF INTEREST. The Contractor shall not employ any person who is an employee of the United States

Government if the employment of that person would create a conflict of interest nor shall the Contractor employ any person who is an employee of the Department of the Air Force, either military or civilian, unless such person seeks and receives approval in accordance with DOD Directive 5500.7 and Air Force policy.

1.11. CONFIDENTIALITY. The contractor shall strictly observe the confidentiality of Air Force information and records and shall comply with all laws and regulations governing disclosure, including Federal Privacy Act 5 U.S.C. 552A, the Drug and Alcohol Rehabilitation Records Statues, 21 U.S.C. 1175 and 42 U.S.C. 4582 and AFI 41-210, Patient Administration Functions. The contractor shall be held liable in the event of breach of confidentiality.

1.12. NOTIFICATION OF ENVIRONMENTAL/RADIOACTIVE SPILLS. If contract personnel spill or release any toxic/hazardous/radioactive substance into the environmental, contract personnel shall within five (5) minutes report the incident to the Base Fire Department, Bioenvironmental Engineering, and Radiation Safety Officer.

1.13. HEALTH REQUIREMENTS.

1. All health care workers shall follow the methods for controlling and preventing disease as described in the American Public Health Association publication, Control of Communicable Disease Manual, the Centers for Disease Control and Prevention (CDC) publications, Morbidity and Mortality Weekly Report (MMWR) and it’s supplements, Occupational Safety and Health (OSHA) and The Joint Commission requirements, Department of Defense, Air Force Instructions and 88th Medical Group Instructions, whether currently implemented or hereafter updated consistent with developing legal and medical standards. The vaccinations and labs listed below are the minimum for beginning work at 88 Medical Center. New requirements that may be added to the list per the resources listed above after the start of the contract shall be made known to Contractor by the COR and the Contractor shall meet these additional requirements within 30 calendar days of notification.

2. Before the start of work, healthcare workers (HCW) shall provide proof of immunizations to the MTF Public Health from the following diseases according to the CDC Guidelines:

• Hepatitis B (required for all that have potential for exposure to blood and body fluid substances) o Provide documentation of 3 Hep B vaccinations or combinations of Hep B/A vaccinations o If the series was completed after Sep 02 then they must have a HbsAb lab test accomplished o If the individual is an “exposure prone” (example: surgeon, dentist, PA etc) meaning that their hands are in contact with sharp objects where they can’t be visualized they need to have a + HbsAb or a negative HbsAg

• MMR: HCW born after 1956:

o Must have proof of immunity (lab test) o History of 2 MMR o HCW born prior to 1957 do not require vaccination

• Varicella:

o Lab test positive for disease o Documentation of vaccination o Dr documentation of chicken pox o If born prior to 1966-no vaccination required o Provider documentation of herpes zoster- no vaccination required

• Tdap:

o Required when it has been at least two years since last Td vaccination

• TB Skin Test:

o Required within 30 days of beginning work o If a prior positive must have a chest x-ray within 30 days of beginning work. Provide a statement from a provider that the individual is free of pulmonary disease

1.13.1. It is the Contractor’s responsibility to report to the COR all information necessary to assure hospital records can be maintained correctly, and therefore comply with the JCAHO, OSHA, and CDC health records requirements. This information is to be provided to employee health office to keep the employees’ health database up to date.

1.13.2. MEDICAL EVALUATION: All contract employees performing health care services under this contract shall complete any medical evaluations required by the MTF hospital employee health program. The contractor shall provide to the COR a certificate, as described above, documenting the results of this evaluation. The Contractor shall maintain and update records as changes occur.

1.13.3. PREVENTATIVE, PROPHYLACTIC, AND FOLLOW-UP PROCEDURES: The contractor shall ensure that his/her employees are in compliance with preventive, prophylactic and follow-up procedures, as well as infection control and employee health program procedures, as established by the MTF. Contractor shall provide a name and phone number of contractor representative for employee health or infection control employee to call on any health related issues.

1.13.4. PREGNANT EMPLOYEES. All contractor pregnant employees should report the pregnancy to the contractor. It is the responsibility of the contractor to notify the COR of the pregnancy. MTF employee health office will provide information concerning any work hazards in that area. The contractor is to notify their pregnant employee of any work hazards. It will be the employee and the contractor’s joint decision whether the contracted employee works in the environment.

1.13.5. COMMUNICABLE DISEASES. All communicable diseases in contract employees must be reported to the COR.

COR will make notification to the MTF Public Health Dept. The contractor shall comply with all MTF work restrictions and return to work requirements.

1.14. PERSONAL APPEARANCE.

1.14.1. IDENTIFICATION. All contract personnel shall be clearly identifiable while on duty. All contract personnel shall wear a Contractor provided nametag with the company name or phrase “CONTRACT PROVIDER” or “CONTRACTOR”, individual’s name, and specialty displayed. This nametag shall be worn on the outermost garment, i.e., shirt/blouse, or sweater.

1.14.2. CLOTHING. While on duty, contract personnel shall be neat and clean, well groomed, and dressed appropriately in keeping with the normally accepted community standards of dress for the work being performed. Athletic footwear (e.g., aerobic, running, and tennis shoes) may be worn provided it is neat and clean.

1.14.3. FACIAL HAIR. Facial hair shall be controlled (restrained) or trimmed. It shall not interfere with safe work practices, or look unkempt or unclean.

1.14.4. PROTECTIVE CLOTHING. When required and supplied by the MTF, contract personnel shall wear special protective clothing and shoe covers. These items shall remain the property of the Government and shall not be removed from the MTF. Special protective clothing shall be used, then turned in or destroyed as directed by the COR.

1.14.5. OFFICE/WORK AREA APPEARANCE. Those areas (office, examination rooms, etc.) provided for contract personnel use shall present an orderly appearance. The contract personnel shall ensure these areas are tidy, professional, and in keeping with accepted community/MTF standards.

1.15. EMERGENCY HEALTH CARE. The MTF will provide emergency health care for contract personnel for injuries occurring while on duty in the MTF. These services will be billed to the Contractor at the current full reimbursement rate.

1.16. CONTINUING HEALTH EDUCATION AND TRAINING. All contract personnel registered or certified by national/medical/nursing associations shall continue to meet adequate and appropriate standards for Continuing Health Education CHE to remain licensure as required by this PWS. CHE shall be obtained at no additional cost to the Government. Periodic CHE may be conducted at the MTF and will be available, at no cost, to any health care provider desiring to attend. The Contractor shall ensure that a minimum of $2,500 (to pay for travel, per diem, registration, lodging) per registered or certified contract staff member per fiscal year is available for attending meetings/conferences.

Time spent by the contract staff attending meetings/conferences will not be considered as leave, but must be approved by the CPC and COR. Copies of certifications shall be provided annually to the COR.

1.17. REGULAR HOURS OF OPERATION.

1.17.1. Regular services shall be provided Monday through Friday (excluding federally observed holidays), 0730 to 1630.

1.17.2. FEDERALLY OBSERVED HOLIDAYS. There are ten (10) federally observed holidays each year. They are:

New Year's Day (observed 1 January), Martin Luther King's Birthday (observed the third Monday in January), President's Day (observed the third Monday in February), Memorial Day (observed the last Monday in May), Independence Day (observed 4 July), Labor Day (observed the first Monday in September), Columbus Day (observed the second Monday in October), Veterans Day (observed 11 November), Thanksgiving Day (observed the fourth Thursday in November), and Christmas Day (observed 25 December). Emergency services by the on-call staff may be required on these days.

1.17.3. If New Year’s Day, Independence Day, Veterans Day or Christmas fall on a Saturday, it is observed on Friday; if it falls on Sunday, it is observed on Monday.

1.17.4. NOTE: these are the ten (10) Government recognized holidays. The Department of Labor Wage Determination allows for eleven (11) holidays for Service Contract (SCA) covered employees. Because certain SCA recognized holidays (such as Good Friday) are not recognized as Government holidays, it is expected that facilities requiring service of the contractor on that day receive such services. As all of the positions in this contract fall under the SCA, the contractor will substitute another day (e.g. birthday, anniversary, or other day of preference) for that SCA recognized holiday for those employees required to perform clinical duties on Good Friday (at radiation oncologist’s clinical discretion).

1.17.5. OFFICIAL HOSPITAL DOWN DAYS. During these days, at the discretion of the Chief of Radiation Oncology, the radiation oncology clinic may either close early or close for the day. If clinical necessity (at discretion of Chief of Radiation Oncology) requires clinic to be open, then the Contractor shall ensure contract employees are available and reimbursed for time-on-duty at their regular hourly rate.

1.17.6. BASE CLOSURE/DELAY NOTIFICATION PROCEDURES. The authority to close/delay the base rests with the

WPAFB Commander or his designated representative. After an official decision to close or delay work reporting times has been made by the WPAFB Commander, the local radio or television stations will be notified of the closure/delay.

The contractor will not receive any other form of notification of base closure from the government. The contractor is responsible for the notification of his or her employees. The contractor shall still be responsible for 24-hour operations and emergency work.

1.18. ON CALL/AFTER DUTY HOURS AND RESPONSE TIME. The Contractor shall provide on-call/after duty radiation therapy emergency services on Friday evenings and weekends (Fridays from 4:30 pm to Mondays 7:30 AM).

The on-call provider shall not be simultaneously on-call at the MTF and other local facilities. The provider shall respond for emergency support within one (1) hour after notification. The contractor shall provide a means to contact the on –call personnel.

1.19. QUALITY CONTROL. The Contractor shall establish and maintain a complete Quality Control Plan (QCP) which contains, as a minimum, the items listed in section 2(Services Summary). This QCP shall be provided to the COR for review within ten (10) calendar days of contract award. The Contractor shall assure the requirements of the contract are provided and are consistent with reasonable standards of medical care. The COR will notify the Contractor of the acceptance or rejection of the plan. The contractor shall receive acceptance of the plan by a letter from the CO. The revisions and updates shall be provided by contractor within five (5) working days of CO feedback receipt at no additional cost to the Government.

1.19.1. The Contractor Quality Control Plan (QCP) shall include:

1.19.1.1 The inspection system shall cover the services in the PWS, including compliance with regulations referenced in the contract. Inspection system shall specify areas to be inspected and recorded on a schedule or unscheduled basis, how often inspections will be accomplished, and titles of individuals who shall perform the inspections. Records shall be made available to the COR upon Government request throughout the contract performance period and for the period after contract completion until final settlement of any claims under this contract.

1.19.1.2 A method of identifying and preventing deficiencies and their causes in the quality of service before the level of performance deteriorates to an unacceptable level. This method shall include, but not necessarily be limited to, a recorded audit (or self-audit) to determine compliance with the contract. Audit results and necessary corrective action(s) taken shall be made available to the Government during the term of this contract. A sample of inspection records for all inspections conducted by contractor shall be submitted as part of the QCP. Inspection record shall include the following.

A. Date, time, and location (building number) of the inspection.

B. Title and signature block for the person who performed the inspection.

C. Ratings of acceptable or unacceptable for all work performance inspected.

D. Deficiency and corrective action taken.

E. Total number of observations and defects.

F. Type of inspections (100%, random, periodic, etc.)

G. Frequency (weekly, monthly, daily) of inspection.

1.19.2. RELATIONSHIP OF THE PARTIES. This is a personal services contract as defined in Federal Acquisition

Regulation (FAR) 37.104 and is intended to create an employee-employer relationship between the contract personnel and the Government. The contract providers who furnish services under this contract are subject to the supervision and control of the COR with assistance from the Chief of Radiation Oncology. The on-site day-to-day supervision and control of the lead radiation therapist (1FTE), radiation therapists (3FTEs), the dosimetrist (1FTE), and the radiation oncology nurse (1FTE) will be provided by the Chief Radiation Oncologist with assistance from the COR.

1.19.3. PROFESSIONAL LIABILITY RESPONSIBILITY. Any personal injury claims alleging negligence by the health care provider (DoD military, civil service, or Veteran Affairs (VA) health care providers), which occur within the scope of work performed by the health care provider under this contract, shall be processed by the Department of Defense (DoD) as claims alleging negligence by DoD military, civil service, or VA health care providers.

1.19.3.1 Any personal injury claims alleging negligence by the contract personnel, which occur within the scope of work performed by the contract personnel, shall be processed by the Department of Defense (DoD) as claims alleging negligence by the contractor. The contractor shall indemnify the Government for any liability producing act or omission by the contractor, its employees and agents occurring during contract performance. The contractor shall maintain liability insurance.

1.20. SECURITY REQUIREMENTS.

1.20.1. Contractor Notification Responsibilities. The contractor shall notify the Servicing Security Forces Organization (SSFO) at each operating location thirty (30) calendar days before start of contract performance. The notification shall include:

1.20.1.1. Name, address, and telephone number of company representatives.

1.20.1.2. The contract number and contracting agency.

1.20.1.3. The reason for the contract (i.e., work to be performed).

1.20.1.4. The location(s) of contract performance and future performance, if known.

1.20.1.5. The date contract performance begins.

1.20.1.6. Any change to information previously provided under this paragraph.

1.20.2. PASS AND IDENTIFICATION. The contractor shall ensure the following pass and identification item required for contract performance is obtained for employees and non-government owned vehicles:

1.20.2.1. DD Form 1172-2, Application for Uniformed Services Common Access Card (CAC)

1.20.3. GOVERNMENT COMPUTER ACCESS: The contractor will ensure that all contract employees comply with the requirement to obtain the minimum personnel security investigations as prescribed by DoD 5200.2-R and AFI 31-501.

The contractor will work with the MTF to ensure that the pre-employment screening process for each employee classified as ADPI< II< III (as defined in DoD 5200-R) includes the appropriate investigations and that each contract employees have the appropriate questionnaires and forms to be completed. All completed forms will be reviewed by the contractor and forwarded to the MTF for processing. The contractor understands that, while the MTF commander may allow contractor personnel to temporarily occupy non-critical sensitive positions pending National Agency Check (NAC), employees will be immediately removed from the position if at any time the NAC receives unfavorable adjudication, or, if other unfavorable information that would affect the NAC becomes known.

1.20.4. SUITABILITY INVESTIGATIONS. Contractor personnel shall successfully complete, as a minimum, a National

Agency Check (NAC), before operating government furnished workstations that have access to Air Force e-mail systems. These investigations will be submitted by the government at no additional cost to the contractor. The contractor shall comply with the requirements of DoD 5200.2R, Personnel Security Program, and AFI 33-119, Electronic Mail (E-Mail) Management and Use.

1.20.5. UNESCORTED ENTRY TO RESTRICTED AREAS. When contractor employees require unescorted entry to restricted areas, the Air Force shall submit NAC investigations for contractor employees at no additional cost to the contractor. Contractor personnel shall successfully complete a NAC investigation to obtain unescorted entry to a restricted area. The contractor shall comply with the requirements of DoD 5200.2-R, and AFI 31-501, Personnel Security Program Management.

1.20.6. RETRIEVING IDENTIFICATION MEDIA. The contractor shall retrieve all identification media, including identification cards, CAC cards, and vehicle decals, from employees who are no longer employed by the contractor.

1.20.7. LISTING OF EMPLOYEES. The contractor shall maintain a current listing of employees which includes employee's name, social security number, and date of investigation if contract work involves unescorted entry to Air Force restricted or other sensitive areas designated by the installation commander. The list shall be validated and signed by the company Facility Security Officer (FSO) and provided to the contracting officer and SSFO prior to the contract start date. Updated listings shall be provided to the COR when an employee's status or information changes.

1.20.8. PHYSICAL SECURITY. Areas controlled by contractor employees shall comply with base Operations

Plans/instructions for THREATCON procedures, Random Antiterrorism Measures (RAMS) and local search/identification requirements. The contractor shall safeguard all government property, including controlled forms, provided for contractor use. At the close of each work period, government equipment, ground aerospace vehicles, facilities, support equipment, and other valuable materials shall be secured.

1.20.9. KEY CONTROL. The Contractor shall establish and implement key control procedures to provide keys issued to the contractor by the government are properly safeguarded and not used by unauthorized personnel. The Contractor shall not duplicate keys issued by the Government.

1.20.10. LOST KEYS. Lost keys shall be reported within 24 hours to the contracting officer. The government will replace lost keys or perform re-keying. The total cost of lost keys, re-keying or lock replacement shall be deducted from the monthly payment due the contractor.

1.20.11. GOVERNMENT AUTHORIZATION. The contractor shall ensure its employees do not allow government issued keys to be used by personnel other than current authorized contractor employees. Contractor employees shall not use keys to open work areas for personnel other than contractor employees engaged in performance of their duties, unless authorized by the government functional area chief.

1.20.12. TRAFFIC LAWS. The contractor and its employees shall comply with base traffic regulations / laws.

1.21. ADMINISTRATIVE QUALITY ASSURANCE (QA). In accordance with the Inspection of Services clause, the

Government will evaluate the Contractor's performance under this contract. All surveillance observations will be recorded by the Government. When an observation indicates defective performance, the COR will request the Contractor's representative to initial the observation documentation. The Contractor’s representative initialing the observation documentation does not necessarily constitute concurrence with the observation, only acknowledgment.

Government surveillance of tasks may occur at any time during the performance period of this contract.

1.22. PRIVACY OF PROTECTED HEALTH INFORMATION.

(a) Definitions.

Individual has the same meaning as the term ``individual'' in 45 CFR 164.501 and shall include a person who qualifies as a personal representative in accordance with 45 CFR 164.502(g).

Privacy Rule means the Standards for Privacy of Individually Identifiable Health Information at 45 CFR part 160 and part 164, subparts A and E.

Protected Health Information has the same meaning as the term ``protected health information'' in 45 CFR 164.501, limited to the information created or received by The Contractor from or on behalf of The Government.

Required by Law has the same meaning as the term ``required by law'' in 45 CFR 164.501.

Secretary means the Secretary of the Department of Health and Human Services or his/her designee.

Terms used, but not otherwise defined, in this Agreement shall have the same meaning as those terms in 45 CFR 160.103 and 164.501.

(b) The Contractor agrees to not use or further disclose Protected Health Information other than as permitted or required by the Contract or as Required by Law.

(c) The Contractor agrees to use appropriate safeguards to prevent use or disclosure of the Protected Health Information other than as provided for by this Contract.

(d) The Contractor agrees to mitigate, to the extent practicable, any harmful effect that is known to the Contractor of a use or disclosure of Protected Health Information by the Contractor in violation of the requirements of this Contract.

(e) The Contractor agrees to report to the Government any use or disclosure of the Protected Health Information not provided for by this Contract.

(f) The Contractor shall enforce all agents, including Subcontractors, that provides Protected Health Information received from, or created or received by the Contractor on behalf of the Government agree to the same restrictions and conditions that apply through this Contract to the Contractor with respect to such information.

(g) The Contractor agrees to provide access, at the request of the Government, and in the time and manner designated by the Government to Protected Health Information in a Designated Record Set, to the Government or, as directed by the Government, to an Individual in order to meet the requirements under 45 CFR 164.524.

(h) The Contractor agrees to make any amendment(s) to Protected Health Information in a Designated Record Set that the Government directs or agrees to pursuant to 45 CFR 164.526 at the request of the Government or an Individual, and in the time and manner designated by the Government.

(i) The Contractor agrees to make internal practices, books, and records relating to the use and disclosure of Protected Health Information received from, or created or received by the Contractor on behalf of, the Government, available to the Government, or at the request of the Government to the Secretary, in a time and manner designated by the Government or the Secretary, for purposes of the Secretary determining the Government’s compliance with the Privacy Rule.

(j) The Contractor agrees to document such disclosures of Protected Health Information and information related to such disclosures as would be required for the Government to respond to a request by an Individual for an accounting of disclosures of Protected Health Information in accordance with 45 CFR 164.528.

(k) The Contractor agrees to provide to the Government or an Individual, in time and manner designated by the Government, information collected in accordance with this Clause of the Contract, to permit the Government to respond to a request by an Individual for an accounting of disclosures of Protected Health Information in accordance with 45 CFR 164.528.

General Use and Disclosure Provisions: Except as otherwise limited in this Agreement, the Contractor may use or disclose Protected Health Information on behalf of, or to provide services to, the Government for the following purposes, if such use or disclosure of Protected Health Information would not violate the Privacy Rule or the Department of Defense Health Information Privacy Regulation if done by the Government:

Specific Use and Disclosure Provisions:

(a) Except as otherwise limited in this Agreement, the Contractor may use Protected Health Information for the proper management and administration of the Contractor or to carry out the legal responsibilities of the Contractor.

(b) Except as otherwise limited in this Agreement, the Contractor may disclose Protected Health Information for the proper management and administration of the Contractor, provided that disclosures are required by law, or the Contractor obtains reasonable assurances from the person to whom the information is disclosed that it will remain confidential and used or further disclosed only as required by law or for the purpose for which it was disclosed to the person, and the person notifies the Contractor of any instances of which it is aware in which the confidentiality of the information has been breached.

(c) Except as otherwise limited in this Agreement, the Contractor may use Protected Health Information to provide Data Aggregation services to the Government as permitted by 45 CFR 164.504(e)(2)(i)(B).

(d) Contractor may use Protected Health Information to report violations of law to appropriate Federal and State authorities, consistent with 45 CFR 164.502(j)(1).

Obligations of the Government. Provisions for the Government to Inform the Contractor of Privacy Practices and Restrictions:

(a) Upon request the Government shall provide the Contractor with the notice of privacy practices that the Government produces in accordance with 45 CFR 164.520, as well as any changes to such notice.

(b) The Government shall provide the Contractor with any changes in, or revocation of, permission by Individual to use or disclose Protected Health Information, if such changes affect the Contractor's permitted or required uses and disclosures.

(c) The Government shall notify the Contractor of any restriction to the use or disclosure of Protected Health Information that the Government has agreed to in accordance with 45 CFR 164.522.

Permissible Requests by the Government: The Government shall not request the Contractor to use or disclose Protected Health Information in any manner that would not be permissible under the Privacy Rule if done by the Government, except for providing Data Aggregation services to the Government and for management and administrative activities of the Contractor as otherwise permitted by this clause.

Termination:

(a) Termination. A breach by the Contractor of this clause, may subject the Contractor to termination under any applicable default or termination provision of this Contract.

(b) Effect of Termination.

(1) If this contract has records management requirements, the records subject to the Clause should be handled in accordance with the records management requirements. If this contract does not have records management requirements, the records should be handled in accordance with paragraphs (2) and (3) below.

(2) If this contract does not have records management requirements, except as provided in paragraph (3) of this section, upon termination of this Contract, for any reason, the Contractor shall return or destroy all Protected Health Information received from the Government, or created or received by the Contractor on behalf of the Government.

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