FHE PWS 08292022.docx

PERFORMANCE WORK STATEMENT (PWS)

Keller Army Community Hospital West Point, New York Forensic Health Examiner Services

TABLE OF CONTENTS

TITLE

1.0. Introduction

1.1. General

1.2. Standard of Performance

1.3. Schedules/Period of Performance

1.4. Personal Appearance

1.5. Health and Immunization Requirements

1.6. Credentialed Personnel

1.7. Mobilization and Other Contingency Planning

1.8. Contractor Furnished Supplies/Services

1.9. Government Furnished Services / Supplies

1.10. Government Furnished Services

1.11. Description of Work. (See Attachment 1)

1.12. Deliverables

2.0. Definitions/Acronyms

2.1. Definitions

2.2. Acronyms

3.0. Applicable Technical Orders, Manuals, Regulations, Directives and Forms

1. 0. INTRODUCTION.

1.0.1. The Contractor shall provide Forensic Health Examiner (FHE) on call support for Keller Army Community Hospital, West Point, NY. The services will be of a nature and scope described in the paragraphs below. The contract FHE will work in conjunction with other health care providers, professionals, and non-contract personnel. The Contractor FHE shall provide the personal services of FHE to perform services of the nature and scope described in this Performance Work Statement (PWS).

1.0.1.1. Forensic Health Examiner (FHE)

1.0.1.2. The quality of care provided by the Contractor FHE shall be of a quality meeting or exceeding currently recognized national standards as established by the Joint Commission (JC) or any required governing regulatory organization. Contractor FHE shall give the highest regard to patient dignity and observe the precepts of the American Hospital Association’s Bill of Rights for Patients. The Contractor FHE shall abide by the Medical Treatment Facility (MTF) rules, regulations and by laws, including Medical Staff By laws, as well as applicable Army regulations governing such things as medical records.

1.1. GENERAL.

1.1.1. This contract is a personal services contract and is intended to create an employer-employee relationship between the Government and the individual contract health care providers only to the extent necessary for providing the healthcare services required under this contract. The performance of healthcare services by the individual contract health care providers under a personal services contract are subject to day-to-day supervision and control by healthcare facility personnel comparable to that exercised over military and civil service health care providers engaged in comparable healthcare services. Any personal injury claims alleging negligence by the individual contract health care providers within the scope of the health care provider’s performance of the personal services contract shall be processed by Department of Defense (DoD) in the same manner as claims alleging negligence by DoD military or civil service health care providers. The contract does not create an employer-employee relationship between the Government and any corporation, partnership, business association or other party or legal entity with which the contract health care provider may be associated. The authority for this contract is 10 United States Code 1089 and 10 United States Code 1091.

1.1.2. Professional Liability. Pursuant to 10 USC 1089(a), DoD shall process any personal injury claim alleging negligence by the FHE within the scope of the FHE ’s performance under this contract as claims alleging negligence by DoD military or civil service FHE . The contractor or FHE is not required to maintain medical malpractice liability insurance, and the Government will not reimburse or otherwise pay for such insurance should any be purchased.

1.1.3. Responsibility and Procedures. If any suit or action is filed or any claim is made against the Contractor FHE, which occurred as a result of work performed by the FHE under this contract, the FHE shall immediately notify the contractor, the contracting officer and the chief of the appropriate services and promptly furnish them copies of all pertinent documents received.

1.1.4. The contractor and Contractor FHE shall cooperate with the government, without further compensation, in the processing, review, settlement, or defense of the suit, action, or claim; and authorize government representatives to settle or defend the claim and to represent the FHE in, or take charge of, any litigation involved in such an action. The Contractor FHE may, at the Contractor FHE’s own expense, participate in defense of such claim or litigation.

1.1.5. Confidentiality / HIPAA. The Contractor FHE shall abide by AR 40-3 and AR 40-66 concerning the nature of limited privileged communication between patient and health care provider for security and personnel reliability programs. The Contractor FHE shall abide by AR 40-66 concerning the confidentiality of patient records, as embodied in federal statutes including the Privacy Act of 1974 and the Drug and Alcohol Act, Public Law 92-129 and HIPAA. The Contractor FHE shall direct all requests for medical information on patients to the Chief, Patient Administration Division. The Contractor FHE shall not release any medical or personal information on a patient without first receiving written approval from the government. Government will provide the regulations upon request by the Contractor FHE.

1.1.6. Removal of Contractor FHEs. At any time during the performance of this contract, the Contracting Officer or COR may direct the contractor to immediately remove any Contractor FHE whose actions or impaired state raises reasonable suspicion that clear and present danger of physical harm exists to a patient, other Contractor FHEs, government personnel or to the impaired individual. This provision will be used in emergency situations only and not for the purpose of bringing performance issues or other non-urgent concerns to the attention of the contractor.

1.1.6.1. If the need for a removal occurs, the COR will contact the contractor's point of contact and direct the contractor to remove that individual from the military facility and to not use that individual to perform any healthcare services required under this contract until the issue has been resolved by the Contracting Officer. The contractor shall formally meet with the COR to discuss further action in accordance with the MTF Quality Assurance and Inspection (QA&I) Plan and AR 40-68. A review of the basis for removal will be made by the Contracting Officer within 3 working days after the COR directed the removal.

1.1.6.2. If, after any investigation deemed necessary by the Contracting Officer and discussions with the contractor's representative, the Contracting Officer concludes that the Contractor FHE’s impairment requires permanent removal from performance under the contract, the Contracting Officer will notify the contractor that permanent removal is required. In the event of disagreements between the government and the contractor's representative concerning matters of impaired Contractor FHEs, the decision of the Contracting Officer will be final. During the period of time between the removal and the final decision of the Contracting Officer, the contractor shall provide a backup/replacement Contractor FHE in accordance with the terms and conditions of this contract.

1.1.6.3. The Commander has the prerogative to hold in abeyance, to deny, or to summarily suspend clinical privileges/practice when there is a reasonable cause to doubt the health care provider’s competence to practice or for any cause affecting the safety of patients or others. AR 40-68 outlines the adverse clinical privileging and practice actions for privileged personnel and adverse practice actions and peer review for non-privileged personnel.

1.1.7. Conflict of Interest.

1.1.7.1. Contractor FHE shall not use patient care rendered pursuant to this agreement as a part of a study, research grant, or publication without the prior written consent of the MTF Commander.

1.1.7.2. Contractor FHE shall not bill the patient, an insurer, or anyone else for services rendered. The Contractor FHE is prohibited from receiving compensation of any kind for eligible patients treated, procedures performed, or any other actions performed, except under the terms and conditions of this contract, at the rate specified in the contract.

1.1.7.3. Contractor FHE shall not refer any patients to any company or service to which they have a direct or indirect involvement (including partnership programs and ancillary services not offered by the MTF).

1.1.7.4. Contractor FHEE shall not introduce new medical procedures or changes in standing operating procedures without first coordinating with the Deputy Commander for Clinical Services (DCCS).

1.1.7.5. Contractor FHE is not prohibited by reason of their employment under this contract from conducting private practice, if there is no conflict with the performance of services under this contract.

1.1.7.6. Contractor FHE shall not use Government facilities or other Government property in connection with conducting a private practice.

1.1.7.7. Contractor FHE shall not be an employee of the United States Government if the employment would create a conflict of interest. The Contractor FHE who is an employee of the Department of Defense, either military or civilian, shall not be employed unless such person seeks and receives approval in accordance with DoD 5500.7-R and MEDCOM Reg 600-3.

1.1.8. SCOPE OF WORK: The Contractor shall provide qualified personnel to provide services necessary to perform Sexual Assault Exams to support the US Army Medical Department Activity (USA MEDDAC), KELLER ARMY COMMUNITY HOSPITAL, WEST POINT (KACH), New York.

1.1.8.1. The performance hours of the MTF are as follows:

Keller Army Community Hospital covers a 24 hour mission 7 days a week and 365 days a year to include Federal Holidays.

1.1.8.2. Contract FHEs may be required to provide Sexual Assault Forensic Exams during performance hours.

1.1.9. SAFETY REQUIREMENTS: The Contractor FHE shall maintain safety and health standards compliant with requirements of the Occupational safety and Health Administration (OSHA).

1.1.9.1. CRIME CONTROL ACT OF 1990. No performance under this contract will be allowed without full compliance with the Crime Control Act of 1990 and Department of Defense Instruction 1402.5 dated 19 January 1993. All contract providers having access to Government computer systems and/or providing care to children (17 years of age and under) must be subject of a favorable background investigation of a favorable background investigation. Background checks will be based on fingerprints of individuals obtained by a law enforcement officer and inquiries will be made, based on the Standard Form 85-P completed by the contract provider through the Federal bureau of Investigation (FBI) and state criminal history repositories. All individuals who are required to complete the Standard Form 85-P Questionnaire for Public Trust Position (including individuals who will access CHCS) shall provide the SF85-P documentation in secured, approved format or as otherwise required by the MTF.

1.1.10. Security Investigative Requirements: The Contractor shall ensure FHEs comply with the following security requirements. FHEs shall be subject to the following additional security investigative processes, to include appointments with Security Managers:

1.1.10.1. INVESTIGATION REQUIREMENTS. Contractor Employees will need a Suitability/Fitness Determination IAW DODI 1400.25, Volume 731 Suitability and Fitness Adjudication for Employees, 5 CFR Part 731 Executive Order (EO) 10450 (Security Requirements for Government Employment), EO 13467 Reforming Processes Related to Suitability for Government Employment and Fitness for contractor Employees, Homeland Security Presidential Directive - 12 (HSPD-12) Policy for issue of a Common Access Card. Suitability and fitness refers to character and behavior of the individual to work for the government. It does not include a person’s qualifications, such as experience or ability. All employees and contractors must meet the suitability/fitness standard and criteria described in 5 CFR Part 731, Subpart B., to determine if persons satisfy the suitability criteria. Risk levels are assigned to positions and investigations are requested under 5 CFR Part 731. The Security Office will adjudicate the results on all employees, applicants, appointees, and contractor’s using the criteria outlined in 5 CFR Part 731.202 and appendix B. The Security Office reviews the OF 306, SF 85, SF85P, SF86 and any supporting documentation and will make a suitability and or fitness decision. Federal laws and Department of Defense Instruction (DODI) 1402.5, Criminal History Background Checks on Individuals in Child Care Services, requires that contractors who will be dealing with children undergo specific federal and state background checks. During the period when the background checks are in progress, specific arrangements may have to be implemented by the Hospital Commander. Once submitted for the background investigation the individual will receive instruction through e-QIP and will have 30 days to complete this process, if the individual does not complete this process within the time frame they will be removed from the work schedule until it is completed and accepted by PSIS-COE and open investigation.

1.1.10.2. FHEs shall be subject to the following security processes for fingerprints:

Fingerprinting will be performed by Keller Army Community Hospital Security Office or West Point Installation Security Office. Fingerprints will be taken on a properly completed FD Form 258, SF87 or the Livescan Electronic Fingerprint machine. The COR shall coordinate with the Keller Army Community Hospital Security Office for finger printing of contract personnel. The fingerprint check requests are then sent by Keller Army Community Hospital Security Office to the Personnel Security Investigative Service-Center of Excellence (PSIS-COE) or OPM-NBIB who will conduct a National Agency Check (SAC). Before the TA approves the Common Access Card (CAC) issuance, the TA must verify that a favorable finger print check is completed and locally adjudicated. The contractor will ensure that his/her employees present themselves to the location designated by the COR for their completion of the fingerprint card.

1.1.10.3. All contractor employees, to include subcontractor employees, requiring access to Army installations, facilities and controlled access areas shall complete AT Level I awareness training within 30 calendar days after contract start date or effective date of incorporation of this requirement into the contract, whichever is applicable and annually thereafter. The contractor shall submit certificates of completion for each affected contractor employee and subcontractor employee, to the COR or to the contracting officer, if a COR is not assigned, within 05 calendar days after completion of training by all employees and subcontractor personnel. AT level I awareness training is available at the following website: http://jko.jten.mil

1.1.10.4. Contractor and all associated sub-contractors employees shall provide all information required for background checks to meet installation access requirements to be accomplished by installation Provost Marshall Office, Director of Emergency Services or Security Office. Contractor workforce must comply with all Personal Identity verification requirements (FAR clause 52.204-9, Personal Identity Verification of Contractor Personnel) as directed by DoD, HQDA and/or local policy. In addition to the changes otherwise authorized by the change clause of this contract, should the Force Protection Condition (FPCON) at any individual facility or installation change, the Government may require changes in contractor security matters or processes.

1.1.10.5. The contractor and all associated sub-contractors shall brief all employees on the local iWATCH program (training standards provided by the requiring activity ATO). This locally developed training will be used to inform employees of the types of behavior to watch for and instruct employees to report suspicious activity to the COR. This training shall be completed within 30 calendar days of contract award and within 05 calendar days of new employees commencing performance with the results reported to the COR NLT 30 calendar days after contract award. https://www.mepcom.army.mil/Home/Contractors/

1.1.10.6. Reserved

1.1.10.7. Per AR 530-1 Operations Security, the contractor employees must complete Level I OPSEC Awareness training. New employees must be trained within 30 calendar days of their reporting for duty and annually thereafter. OPSEC Awareness for Military Members, DoD Employees and Contractors is available at the following website: http://cdsetrain.dtic.mil/opsec/index.htm

1.1.10.8. Per AR318-12 Threat Awareness and Reporting Program (TARP) Contractor employees must receive annual TARP training by a CIA agent or other trainer as specified in 2-4b of AR381-12, if required.

1.1.10.9. Reserved

1.1.10.10. The contract FHE under this contract shall have access to and/or process information requiring protection under the Privacy Act of 1974. These positions are considered “Automated Data Processing (ADP) Sensitive” positions. Compliance with DoD Directive 5200.2, DoD 5200.2-R, AR 25-2 and AR 380-67 (for Army), and applicable regulations for other services, is mandatory for ADP sensitive positions.

1.1.10.11. Unless otherwise specified, all financial, statistical, personnel, and/or technical data which is furnished, produced, or otherwise available to the contractor during the performance of this contract are considered confidential business information and shall not be used for purposes other than performance of health care services under this contract. The contractor shall not release any of the above information without prior written consent of the KO. The contractor and contract FHEs shall prepare medical records forms and documents as required, in accordance with the regulations and established guidelines listed in the contract and those established by the MTF commander.

1.1.10.12. The contractor and contract FHEs shall abide by federal and local MTF regulations and requirements concerning the nature of personnel reliability programs. They shall also abide by federal and local MTF regulations concerning the confidentiality of patient records, to include but not limited to the Privacy Act of 1974 and the Health Insurance Portability & Accountability Act (HIPAA) of 1996. All regulations referenced are available for review from the COR, MTF, or the KO. All medical records and reports will remain property of the Government.

1.1.10.13. Contractor FHE shall turn in the MTF badge and Civilian ID card to the MEDDAC Security Office or the COR upon termination of their services under this contract.

1.1.11. Vehicle Requirements

1.1.11.1.2. Vehicles, with or without a DoD decal, are subject to search. Contractor FHE may encounter long delays for vehicle inspection and identification checks upon entering and exiting the installation. The government will not reimburse the Contractor for time spent at installation checkpoints. Contractor FHE should plan accordingly and report to work at their scheduled duty time, at their appointed place of duty within the MTF.

1.1.13. MEDIA INQUIRIES. The contractor shall not respond to any media inquiries. Any inquiries from the media shall be immediately relayed to the COR who will relay them to the MTF Commander. There shall be no interviews, comments, or any other response without the knowledge and approval of the MTF commander. Other than routine inquiries for external agencies, all other inquiries and complaints shall be brought to the attention of the contractor and contractor employee.

1.1.14. Sexual Harassment/Assault Response and Prevention (SHARP)

1.1.14.1. The contractor shall comply with OTSG/MEDCOM Policy Memo 13-062, Policy for Reporting Incidents of Sexual Assault and Sexual Harassment under the Sexual Assault Prevention and Response Program (SHARP), 12 Nov 2013. The SHARP reporting requirements apply only to knowledge obtained by contractor personnel while performing services under this contract.

1.1.14.2. The contractor shall require all Contract Service Providers (CSP) with knowledge of an incident of sexual assault occurring on a Government facility, to include a Government leased facility, where the contractor is providing services under this contract, to report the incident to the contractor who shall immediately (within 24 hours) report the incident in writing to the government’s COR. All incidents shall be reported whether they involve contractor personnel or Government personnel, or other individuals.

1.1.14.3. The contractor shall require all CSPs with knowledge of an incident of sexual harassment occurring on a Government facility, to include a Government leased facility, where the contractor is providing services under this contract, to report the incident to the contractor who shall immediately (within 24 hours) report the incident in writing to the government's COR. All incidents shall be reported whether they involve contractor personnel or Government personnel, or other individuals.

1.2. STANDARDS OF PERFORMANCE.

1.2.1. The government requires that the contractor shall provide technically competent Forensic Health Examiners who will provide services at a standard enabling the MTF to provide a high level of quality health care.

1.2.2. Joint Commission (JC) Standards. Contractor shall take part in Department or MTF programs as required to meet JC standards and the Army Patient Caring Touch program.

1.2.3. Other performance evaluation factors will be monitored that are not quantified by numerical measurements which include: contractor providing personnel exceeding the minimum qualification standards; patient customer service comments; provider and contractor relationship with hospital staff/government contracting personnel; compliance with hospital policy and procedures.

1.2.4. Performance Reports, will be provided by the COR annually to ensure acceptable performance of the contract; annual reports provided by COR to Contracting Officer after completion of each performance period will be reported to the DOD Past Performance Information Management System (PPIMS).

1.2.5. The Contractor shall be responsible for the security of all patient information.

1.2.6. Neither the Contractor nor any of its contract service providers shall disclose or cause to disseminate any information concerning operations of military activities. Such action(s) could result in violation of the contract and possible legal actions.

1.2.7. All inquiries, comments or complaints arising from any matter observed, experienced, or learned of as a result of or in connection with the performance of this contract, the resolution of which may require the dissemination of official information, shall be directed to the contracting officer representative (COR) and the contracting officer.

1.2.8. The Contractor shall only conduct business with designated government personnel listed as points of contact (POCs). Names of authorized personnel shall be provided to the Contractor by the Government, in writing, and updated as necessary throughout the contract period.

1.2.9. U.S. Government records, copies of original results and reports, verified original data, corrected data, and corrected supporting final reports are maintained by the Contractor, but remain the property of the U.S. Government. These files/results must be surrendered to the COR.

1.2.10. The Contractor shall comply with agency personal identity verification procedures identified in the contract that implement Homeland Security Presidential Directive-12 (HSPD-12), Office of Management and Budget (OMB) guidance M-05-24, and Federal Information Processing Standards Publication (FIPS PUB) Number 201, if required

1.2.11. Trusted Associate Sponsorship System (TASS) for contractors at Army Facility

1.2.12. The Contractor shall comply with agency personal identity verification procedures in all subcontracts when the subcontractor is required to have physical access to a federally-controlled facility or access to a Federal information system.

1.2.13. The contractor shall ensure compliance with the provisions set forth below. For purposes of FAR Clause 52.204-9, the Government will designate a Trusted Agent (TA), and the contractor shall designate a Facility Security Officer (FSO), for this contract. The Government reserves the right to amend or supplement these provisions pursuant to the Changes clause in the contract.

1.2.14. In-processing Requirements. Contractor personnel are prohibited from performing services under this contract absent compliance with the in-processing requirements set forth below.

1.2.15. FHEs will be provided a Government paid orientation to familiarize FHEs with the policies and procedures of the MTF. Orientation attendance will be required of all FHEs and will be scheduled by the COR or Department Chief during normal duty hours for no more than twenty-four (24) hours the first year and sixteen (16) hours annually thereafter.

1.2.16. The Contractor shall ensure that each FHE is knowledgeable of the policies and procedures of his/her specific place of duty and of the medical activity. The Contractor shall ensure FHEs receive any staff training required by the MTF as a precondition/condition to performance. Such training may include instruction on quality assurance policies and local in-service and safety briefings. This training shall be conducted during the MTF’s normal duty hours.

1.2.17. For every contract service provider, the FSO shall provide the following information to the TA for input into the DEERS/RAPIDS System:

(a) Last Name

(b) First Name

(c) Middle Name

(d) Social Security Number

(e) Date of Birth

(f) E-mail Address (may be either the e-mail address of the incoming individual or the FSO).

1.2.18. The DEERS/RAPIDS Systems will send a notice to the e-mail address provided IAW the above requirement, in which the contract service provider’s user ID and password are provided. In the event the e-mail message is sent to the FSO, the FSO shall notify the contractor of the contract service provider’s user ID and password.

1.2.19. The contract service provider shall log into the DEERS/RAPIDS System, and submit an application for acceptance into the System, using the user ID and password provided.

1.2.20. The application will be accepted, returned, or rejected by the TA. Notice as to whether the application has been accepted, returned or rejected will be provided to the individual’s e-mail address provided within 48 hours after submission. If the application is returned or rejected, the contract service provider shall contact the TA and comply with the TA’s guidance to attempt to correct and resolve the issues.

1.2.21. Upon approval of the application, as applicable, the contract service provider shall receive an e-mail sent to the address provided stating the Common Access Card (CAC) application was approved and to proceed to the Verifying Office (VO) with two photo IDs to obtain a CAC. For CAC issuance, the individual must present with two forms of ID, one must be a picture ID. The e-mail will contain a URL to download the form. Acceptable forms of ID to include: Driver’s License, Military ID, Contractor Company ID with picture and expiration date, charge card with picture imprinted, and passport.

1.2.22. Revalidation Requirements. The TA is required to revalidate all contract service providers, in the DEERS/RAPIDS System, every 6 months. In the event revalidation is denied, the CAC credentials shall be revoked and the CAC will not be useable to login.

1.2.23. Out-processing Requirements. When a contract service provider’s performance under this contract ceases, The contractor shall ensure the contract service provider’s MEDDAC badge is turned in to the Government IAW the out-processing procedures and further guidance from the contracting officer.

1.2.24. The contractor is responsible for absences of contract service providers due to expired identification and access documents. Such absences shall not relieve the contractor of its obligation to perform the health care services required under this contract.

1.2.25. The contract health care providers shall immediately report any lost or stolen badges to the COR.

1.2.26. IDENTIFICATION OF PRIVACY ACT. This contract requires the development of a system of records in accordance with the Privacy Act of 1974.

1.3. SCHEDULE/PERIOD OF PERFORMANCE

1.3.1. The Contractor will have available 24-hour on-call staff for the purpose of service accessibility.

1.3.2. Exam Services: The services provided under this contract are considered to be on-call. Once a case is presented to the ED, the ER staff will then contact the FHE to schedule the exam. The FHE will shall report within two (2) hours of notification.

1.3.3. Testimony. Should the HCP be required to testify in court, he or she will be notified by the COR or the JAG office in advance.

1.3.4. The contract employees will be required to be on-call 14 weeknight calls per month and three weekends per month. The contract employees may also be required to be on call during daytime hours, no more than two weeks per year. These hours will be established 6 weeks in advance with the designated official and the COR.

1.3.5. In the event replacement personnel are required, whether temporary or permanent, they shall be in place not later than 14 calendar days of the contractor’s receipt of written notification by the government.

1.3.6. In the event of inability to perform while on call, the Contractor FHE shall advise the Head Nurse, ER or the FHE PM within twenty-four (24) hours of their scheduled on call period.

1.3.7. Absences. When anticipated Contractor FHE has not reported for duty, has become ill, or are unable to work during a scheduled shift they must contact the Contractor who will in turn notify the COR and send an alternate FHE.

1.3.7.1. Emergency Room – 845-938-4004 FHE PM – 845-476-4715

1.3.8. reserved

1.3.9. Contractor FHEs working under this contract shall be paid only for services provided at the rates established in the contract. Payment to the Contractor will not be made for temporary work stoppage due to circumstances beyond the control of the Medical Treatment Facility, such as acts of God, inclement weather, power outages, or temporary closing of facilities.

1.3.10. Interviews- There will be no interviews conducted by government personnel.

1.3.11. Facility Closures. During anticipated closure of the facility due to Command declared training holidays or during unplanned closure of the facility due to natural disasters, military emergencies, severe weather, or otherwise, the contractor shall not invoice the Government for services not performed and the Government will not be liable to the contractors for any such closures.

1.3.12. Federal Holidays. The Contractor will not be paid on federal holidays unless Contractor FHE is scheduled to be on-call on a holiday and will be paid for services provided at the rate established in the contract.

1.3.13. Holidays. The following is a list of legal federal holidays as referred to elsewhere in the contract/task order. Contractor FHE may be required to work on legal holidays as determined by the SAMFE PM.

New Year’s Day, January 1st Martin Luther King’s Birthday, 3rd Monday in January President’s Day, 3rd Monday in February Memorial Day, Last Monday in May Juneteenth, 19th of June Independence Day, July 4th Labor Day, 1st Monday in September Columbus Day, 2nd Monday in October Veteran’s Day, November 11th Thanksgiving Day, 4th Thursday in November Christmas Day, December 25th

Good Friday is also a recognized holiday per the Department of Labor Any of the above holidays falling on a Saturday will be observed on the preceding Friday; holidays falling on a Sunday will be observed on the following Monday. Any holidays that are declared by Presidential Executive Order shall be observed in the same manner as the holidays listed above. Closures of the installation due to inclement weather or other such acts of God shall be handled in the same manner.

1.3.14 Reserved

1.3.15. Mission Essential: Mission essential personnel are those personnel who must be present for duty to continue and sustain essential clinical operations during base and facility unplanned closures. In the instance where there is an unplanned closure of the facility, all mission essential HCPs shall be required to perform services as specified.

The following labor categories are designated as mission essential:

Forensic Health Examiner

1.3.16. PERFORMANCE QUALITY. The Contractor shall establish and maintain a complete Quality Control Plan that shall ensure the requirements of the contract are provided as specified in Section 5 of the PWS. Within thirty calendar days after contract award, three copies of a comprehensive written QCP shall be submitted to the COR and within 5 working days when changes are made thereafter.

1.3.17. PHASE IN /PHASE OUT PERIOD is not applicable for this contract

1.4. PERSONAL APPEARANCE.

1.4.1. The Contractor shall present a neat and clean appearance.

1.4.2. All outer clothing shall be laundered or dry cleaned as appropriate, well-fitting and fresh each workday.

1.4.3. Shoes shall cover the foot to meet sanitation and safety requirements. Open-toe shoes or sandals shall not be worn.

1.4.4. Fingernails shall be clean and not extend one quarter of an inch beyond the flesh tips. Acrylic nails or overlays are prohibited.

1.4.5. Hair shall be neatly groomed. The length and bulk of hair shall not be unkempt.

1.4.6. Contractors shall wear dresses, pants or slacks, shirt or blouses with collar and sleeves, shoes and socks. Tank tops, cut-off pants, shower shoes or similar items of apparel are specifically prohibited. Scrubs will be worn in accordance with the MTF Infection Control policy guidelines. In all cases, contractor employees shall conform to the established personal appearance policy of MTF.

1.5. HEALTH AND IMMUNIZATION REQUIREMENTS.

1.5.1. All contract providers/technicians performing health care services under this contract shall comply with the Health and Immunization requirements identified below at the time of initial request for clinical privileges and annually thereafter (see Attachment 1 for Sample Immunization form).

a. All contractor service performing direct health care services under this contract shall receive a general physical examination prior to commencement of services. The contractor shall provide the Contracting Officer's Representative, 10 calendar days before beginning services under this contract, a physical examination certificate for each individual direct health care provider who will provide services. The certification shall state the date on which the physical examination was completed and the name of the physician who performed the examination. This certification shall be signed by the physician performing the examination. For the purposes of this paragraph, a physical examination administered more than 45 days prior to performance of the contract will not be considered adequate. The physical examination shall include the following:

(1) A history to show that Direct Health Care provider has completed a primary series of immunization with tetanus and diphtheria toxoids and that a booster dose is current (within the past 10 years).

(2) A test for the hepatitis (Type B) virus with documentation of the results. A profile shall be established to show immune status to hepatitis. Nonimmune Health Care Workers (lacking antiHB(c) or antiHB(s)) shall be required to complete an immunization series with a HepatitisB vaccine (e.g., Recombivax, Engerix).

(3) The physical examination shall also document serologic evidence of immunity to measles and rubella or to provide documentation of immunization with measles, mumps and rubella (MMR) vaccine using the following guidelines:

(a) Employees born before 1957 without documentation of previous vaccination with MMR should receive one dose.

(b) Employees born in or after 1957 who have received one dose of MMR previously shall receive one booster dose.

(c) Employees born in or after 1957, without documentation of any previous vaccination with MMR, should receive two doses of vaccine, separated by no less than one month.

(6) Varicella Vaccine- All FHEs shall also document serologic evidence of immunity Varicella or provide documentation of immunization to Varicella.

(a) If all of the immunizations and tests set forth in the preceding paragraphs have not been completed, the contractor shall issue a certificate providing evidence of immunizations and tests that have been completed or started and shall provide a schedule for the completion of unfinished immunizations and lab tests. After the schedule is completed, the contractor must provide an updated and complete certificate.

(b). All contractor personnel performing direct health care services under this contract, who experience a parenteral (e.g., needlestick or cut) or mucous membrane exposure (e.g., splash to the eye or mouth) to blood or bloody body fluids, shall receive prompt treatment. The medical treatment facility (MTF) will evaluate the source of exposure for risk of HepatitisB, HepatitisC, and Human Immunodeficiency virus (HIV) and will provide a report of the findings to the contractor and the contract provider. It shall be the contractor's responsibility to provide appropriate treatment as needed to possibly include TetanusDiphtheria booster, Immune Globulin, HepatitisB vaccine booster, or HepatitisB Immune Globulin. The contractor shall be responsible for providing the contract employee with initial testing and if the source of exposure was unknown, positive, or considered at high risk for HIV infection, followup testing 3, 6, and 12 months after exposure. In the event of a confirmed or highly suspected parenteral exposure to HIV, the contractor shall insure that the contract provider receives appropriate counseling and is referred immediately to a private infectious disease specialist for consideration of any experimental therapy. The Government may require the contractor to provide evidence of the status of treatment and testing of the individual provider under the contract.

(c). Failure to meet the requirements stated herein, or when test results determine a contract provider has a contagious disease, the Contracting Officer may, upon the advice of the MTF commander or his clinical staff, determine that such provider is not an acceptable individual to perform services under this contract.

1.6. NON-PRIVELEGED PERSONNEL.

1.6.1. The Contractor shall provide a complete package IAW Army Regulation 40-68 Clinical Quality Management and MEDCOM Policy 17-041 MEDCOM Credentialing and Privileging Standardization Policy.

1.6.2. No later than 10 days after award, the Contractor must submit a complete, current, and accurate qualifying package for Forensic Health Examiners to the Credentialing Coordinator and the COR for approval, along with copies of resumes, qualifying degrees, certifications, licenses, and BLS certification and other documentation as specified to the credentialing office. The COR will notify the contractor of acceptance or non-acceptance of proposed employees within 3 working days of the receipt of packets based on the contents evidencing that all qualification requirements are met.

MCUD - QM - Credentials Keller Army Community Hospital 900 Washington Road West Point, NY 10996

PH: 845-938-3470/0153

FAX: 845-938-6660

1.6.3. Clinical Competency: Each HCP shall be required to demonstrate clinical competency in the required clinical discipline as specified in this PWS.

1.6.4. Should the Contractor need to add additional providers during the contract period, the same process as stated in this section shall apply for each additional FHE.

1.6.4.1. FHEs must in-process with the Keller Army Community Hospital Credentials Office prior to seeing patients.

1.6.4.2. FHEs must also out-process with the Credentials Office on leaving employment with the organization.

1.7. MOBILIZATION AND OTHER CONTINGENCY PLANNING.

1.7.1. The Contractor FHE may be expected to fill in for mobilized (deployed) staff. Such demands could require extended work hours and expansion of the contract workforce.

1.7.2. To ensure the Government operations can progress with no or only minimal disruption, the Contractor FHE shall anticipate the possibility of a mobilization or similar emergency and identify the steps it will need to take to rapidly expand its contract capabilities to meet the emergency.

1.8. CONTRACTOR SANE FURNISHED SUPPLIES/SERVICES.

1.8.1. SERVICES.

1.8.1.1. The Contractor SANE shall furnish all personnel and services to comply with the requirements of this contract, except where specifically identified as government-furnished supplies and services.

1.8.1.2. Certificates/licenses/training shall be maintained in a current status at all times while performing services under this contract. If at any time during the contract the Contractor SANE does not renew any of the required certifications/licenses prior to the expiration date, he/she will not be allowed to work at a Military Treatment Facility, Hospital, or Clinic. This expense shall be borne by the Contractor and will not excuse the Contractor from fulfilling the requirements under this contract.

1.8.1.3. Point of Contact. Three calendar days prior to performance of services, the Contractor SANE shall designate, in writing, and provide to the Contracting Officer's Representative [COR] and Contracting Officer, the name, email address, and telephone number of the point of contact for all actions on this requirement.

1.8.2. EQUIPMENT/UNIFORMS.

1.8.2.1 ID Badge. The Contractor FHE shall wear an ID Badge furnished by the MTF. The ID Badge will be in compliance with, and in accordance with, MTF policy.

1.8.2.2. Uniforms/Stethoscopes. The contractor shall provide each contract employee his/her own stethoscope. The MTF will provide scrubs for use within the MTF and the contractor shall ensure that, when worn, the uniform is clean and in good repair. MTF issues scrubs will not be worn outside of the facility and must be returned within the same duty period.

1.9. GOVERNMENT FURNISHED SERVICES / SUPPLIES.

1.9.1. Government Training / Orientation.

1.9.1.1. Staff Orientation - New Employee. Contractor FHE shall participate in all staff orientation and/or training. Contractor FHE will attend a government-sponsored initial orientation to familiarize them with the policies and procedures of the MTF. Orientation attendance will be scheduled by the COR. Such orientation may include instruction on automated processing, standard operating procedures, local in-services, quality improvement policies, communications, and occupational exposure to blood borne pathogens, safety programs, etc.

1.9.1.2. Annual Training Updates. Contractor FHE shall be required to complete an annual training update at the MTF Annual training updates may be accomplished via video or classroom instruction, computer-based instruction, or review of written materials.

1.9.1.3. HIPAA Privacy and Security Training (HIPAA 101). Contractor FHE shall be required to complete the On-Line Web-based Training Modules within the first 30 days of performance.

1.9.1.4. In addition to the specified courses listed above, Contractor FHE are required to attend or complete on-line any Department of Defense, Army, or Federal Government directed courses, which are not available to Contractor FHE outside of the MTF. Contractor FHE will participate in all mandatory training.

1.9.1.5. Government unique training. The government may elect to provide unique government training to Contractor FHEs who are performing services under this contract. If the government elects to provide such training, the government will provide such training at no additional expense to the contractor or to the Contractor FHE. When directed by the contracting officer, Contractor FHEs shall attend all such training in a paid status as part of the normal services required and billed under the contract. Such training shall require a performance commitment by the contractor and the contractor shall reimburse the government (by means of a reduction in an invoice) if a Contractor FHE fails to satisfy the performance commitment after the Contractor FHE receives the unique government training. The amount of the reimbursement shall be the prorated cost of training, calculated based on the total cost of the training and the number of months by which the Contractor FHE fails to complete the performance commitment. The length of the performance commitment shall be 12 months or until the end of all performance under this contract, whichever occurs first.

1.9.1.6. The contractor shall ensure all service providers receive Sexual Harassment/Assault Response and Prevention (SHARP) training not later than 60 calendar days after contractor personnel begins performance under this contract. Training shall be obtained in person. Contractor personnel should check with the contract COR for MTF class date/time and availability.

1.9.1.7. Hours for attending any of the above shall be compensated at the regular hourly rate established in the contract.

1.10. GOVERNMENT FURNISHED SUPPLIES.

1.10.1. The Government will provide the use of all available MTF facilities and support services, materials, publications and forms, and equipment required for contract performance (except as designated). Contractor FHE shall keep Government furnished supplies, equipment and work areas in a FHE, orderly and clean condition. Contractor FHE shall notify the Government whenever maintenance of equipment is required. Contractor FHE shall abide by all MTF and Army requirements for physical security of Army property and equipment.

1.10.2. Telephones, facsimile machines, copiers and computer equipment are authorized for transaction of official Government business only and shall not be used for personal business. Personal long distance calls are not authorized and the cost of all personal long distance calls made may be deducted from the Contractor’s invoice payments. Telephones, facsimile machines and computer equipment are subject to communications security monitoring at all times.

1.10.3. Space used by Contractor FHE in performance of services may be used for other purposes during their absence. Items of clothing, personal effects, or equipment cannot be secured during their absence. The Government will not incur any liability for theft, damage to, or loss of such personal items.

1.10.4. Contractor FHE may be issued keys. The Contractor FHE shall safeguard the keys from loss, theft or destruction, and must display all keys signed for at scheduled or unscheduled key control inspections. The Contractor shall be required to reimburse the Government for lost keys, or lockset (if locksets are required to be replaced) as a result of lost keys. The cost of replacement of keys/locksets may be deducted from payments to the Contractor.

1.10.5. Pagers. If pagers are issued, the Contractor FHE shall safeguard the pagers from loss, theft or destruction, and must display the pager for a scheduled or unscheduled control inspection. The Contractor shall be required to reimburse the Government for lost pagers. The cost of replacement of pagers may be deducted from payments to the Contractor.

1.10.6. Protective Clothing/Linens. The MTF will supply special protective clothing/linens and shoe covers when required. Personal Protective Equipment will be worn in accordance with MTF Infection Control policy regulations. MTF issued scrubs will not be worn outside of the facility and must be returned within the same duty tour.

1.10.7. Items issued will remain the property of the Government and will not be removed from the hospital. They are to be used, turned in, or disposed of as directed.

1.10.8. Emergency Healthcare. The MTF will provide emergency healthcare for injuries occurring while on duty. The Contractor shall reimburse the Government for such services.

1.11. DESCRIPTION OF WORK. [See Attachment 1].

1.12. DELIVERABLES.

1.12.1. The Contractor shall submit reports to the COR and/or the Contracting Officer as requested for use in monitoring Contractor FHE performance. Such reports will include, but are not limited to, current license status, initial and/or monthly/annually immunizations, current BLS status, and Contractor Manpower Reporting.

1.12.2. The Office of the Assistant Secretary of the Army (Manpower & Reserve Affairs) operates and maintains a secure Army data collection site where the Contractor will report ALL Contractor manpower (including subcontractor manpower) required for performance of this contract. The Contractor is required to completely fill in all the information in the format using the following web address https://cmra.army.mil/ .