Attachment_1_-_PWS_05_23_17.pdf

RFP HSCG23-17-R-P1C000 ATTACHMENT 1

PERFORMANCE WORK STATEMENT (PWS) FOR MULTIDISCIPLINE PERSONAL

HEALTHCARE SERVICES AT UNITED STATES COAST GUARD (USCG) CLINICS THROUGHOUT THE

UNITED STATES AND PUERTO RICO IN NORTH, SOUTH, AND WEST REGIONS

1.0. INTRODUCTION

a. The United States Coast Guard (USCG), Headquarters Multidiscipline Personal Healthcare Services as required by the USCG Health, Safety and Work-Life Services Center (HSWL SC) to support USCG Clinics in Alabama, Alaska, California, Connecticut, District of Columbia, Florida, Hawaii, Louisiana, Maryland, Massachusetts, Michigan, New Jersey, New York, North Carolina, Ohio, Oregon, Puerto Rico, Texas, Virginia, and Washington.

b. The Multidiscipline Personal Healthcare Service requirements include, but may not be limited to, the following healthcare related positions: Dental Assistants, Dental Hygienists, Flight Surgeons, General Dentists, General Physicians, Medical Assistants, Medical Laboratory Technician, Mid-Level Providers (Physician Assistants/Family Nurse Practitioners), Optometrists, Oral Surgeons, Paramedics, Pharmacists, Pharmacy Technicians, Physical Therapists, Psychiatric Social Workers, Psychiatrists, Registered Nurses, and Clinical Psychologists. The standards for each discipline are provided as attachments.

2.0. BACKGROUND

2.1. Mission.

a. The mission of the USCG Health Services Program is to provide health care to active duty and reserve members in support of USCG missions, to ensure the medical and dental readiness of all USCG members to maintain ability for world-wide deployment and to ensure the availability of quality, cost-effective health care for all eligible beneficiaries. The USCG Clinics provide a full range of healthcare services to active duty, and their dependents in limited circumstances, or to others that are eligible for direct medical care as set forth in the USCG Medical Manual.

2.2. Places of Performance.

North Region (13): Baltimore, MD; Boston, MA; Cape Cod, MA; Cape May, NJ; Egg Harbor Township, NJ; Elizabeth City, NC; New London, CT; Norfolk, VA; Portsmouth, VA; Selfridge, MI; Staten Island, NY; Washington, DC; and Yorktown, VA

South Region (9): Borinquen, PR; Clearwater, FL; Galveston, TX; Miami Beach, FL; Mobile, AL; New Orleans, LA; Opa Locka, FL; San Juan, PR; and St. Petersburg, FL

West Region (10): Alameda, CA; Juneau, AK; Ketchikan, AK; Kodiak, AK; North Bend, OR; Port Angeles, WA; Petaluma, CA; San Pedro, CA; Seattle, WA; and Warrenton (Astoria), OR.

2.3. Hours of Operation.

a. Normal Hours: Contractor employees shall normally provide services between the hours of 6:00 A.M. and 4:30 P.M, Monday through Friday (excluding Federal Holidays), consisting of an eight (8) hour workday based on clinic need with an uncompensated lunch. However, there may be occasions when Contractor employees will be required to work other than normal business hours, including weekends and holidays, to fulfill requirements under this contract.

b. Emergencies, Accidents or Sudden Operational Needs: Providing services at any other times or days shall be by prior mutual agreement between the Contractor and the Clinic Administrator. When required to ensure completion of services that extend beyond the normal close of business, the Contract Healthcare Provider shall remain on duty in excess of the scheduled shift with Contracting Officer Representative (COR) notification.

c. Federal Holidays: The Contract Healthcare Provider shall work weekdays, Monday through Friday, during the established clinic hours, excluding the following ten (10) holidays for the Continental United States and eleven (11) holidays for Alaska and Puerto Rico:

Federal Holiday Date of Observance

New Year’s Day January 1st Martin Luther King JR’s Birthday Third Monday in January Washington’s Birthday Third Monday in February Good Friday (Alaska and Puerto Rico only) Friday before Easter Memorial Day Last Monday in May Independence Day July 4th Labor Day First Monday in September Columbus Day Second Monday in October Veterans Day November 11th Thanksgiving Day Fourth Thursday in November Christmas Day December 25th

If New Years Day, Independence Day, Veterans Day or Christmas Day falls on a Saturday, it is observed on Friday; if it falls on Sunday, it is observed on Monday.

d. Furlough: Unless otherwise authorized by a defense appropriations bill, the Government will not reimburse contractors for services not rendered during a government furlough. In the event of a Government furlough, the Commanding Officer will determine which contract employees are considered essential and therefore must report to work. Contract employees deemed essential should be compensated for services rendered during a furlough. All other contract employees will be furloughed until the Government shutdown ends or the COR notifies them that they have become essential employees.

2.4. Absences and Compensatory Time:

a. Short Term Absences: The Contract Healthcare Provider shall notify the Clinic Administrator of unplanned absences (i.e., illness, family emergency, etc.) within two (2) hours before the start of his/her shift on the day of the unplanned absence. Absence from the place of performance during the specific hours of performance determined by the Clinic Administrator, without appropriate authorization from the Clinic Administrator, may be considered as adverse performance or require an alternate provider (when applicable).

b. Planned Absences: Absence from place of performance may be requested in advance from the Clinic Administrator for a valid reason (i.e. reserve drilling statutes, illness, death in family, or vacation).

Planned absence from assigned duties shall be requested by the Contract Healthcare Provider within fifteen (15) days advance notice, in writing, to the COR.

c. Unplanned Absences: If the Contract Healthcare Provider is absent for three (3) or more consecutive days due to illness, he or she shall provide written documentation from a qualified physician or dentist stating the illness and that the Contract Healthcare Provider is free from any communicable diseases and provide a date as to when the Contractor is able to return to work. The Government reserves the right, at any time, to perform a visual and/or cursory examination of any Contract Healthcare Provider, specifically if it is apparent and/or visible that a communicable disease may be present.

d. Longer Absences: In the event of prolonged absence (greater than fourteen (14) calendar days), other than vacation time or Military Reserve, will require coverage, unless the Contracting Officer relieves the Contractor of this requirement. The Contractor may be required to provide a replacement Healthcare Worker. Healthcare workers who are pregnant may not be able to perform all of the necessary tasks and may be restricted from the working environment by regulation. In this incidence, a backup employee may be required in order to perform such tasks.

2.5. Government Terms and Definitions

2.5.1. Acronyms:

ACOR Alternate Contracting Officer’s Representative AQL Acceptable Quality Level CFR Code of Federal Regulations COR Contracting Officer’s Representative DO Dental Officer FAR Federal Acquisition Regulation FY Fiscal Year HIPAA Health Insurance Portability and Accountability Act of 1996 HIS Healthcare Information Systems HST Health Services Technician HSPD-12 Homeland Security Presidential Directive-12 HSWL SC Health, Safety, Work-Life Service Center KO Contracting Officer KS Contracting Specialist MO Medical Officer MTF Military Treatment Facility PRS Performance Requirements Summary PWS Performance Work Statement USC United States Code USCG United States Coast Guard

2.5.2. Terms and Definitions:

a. Contractor. The term "Contractor" refers to the legal entity that undertakes the legal responsibility to perform this contract, which may be a medical/dental staffing agency. The Prime Contractor shall hire all Contract Healthcare Providers or clinic support personnel to provide the services for this contract. The Prime Contractor can utilize subcontractors as long as the Prime Contractor is in compliance with FAR Clause 52.219-14, Limitations on Subcontracting.

b. Contract Healthcare Provider. As used herein, the term "contract healthcare provider" refers to the individual Contractor employee who works in the USCG Clinic and who performs the professional or clinic support healthcare services under this contract. A professional provider is defined in 29 CFR Section 541.3.

c. Personal Services. The Contract Healthcare Providers providing services under this contract shall be rendering personal services to the USCG. He/She is performing an agency function by providing direct medical care that would have to be provided by the USCG to its health care beneficiaries. The Contract Healthcare Provider's activities shall be subject to day-to-day supervision and control by USCG personnel in a manner comparable to the supervision and control exercised over USCG uniformed and civil service personnel engaged in comparable work. The term "supervision and control” is defined as that process by which the Contract Healthcare Provider receives technical guidance, direction, and approval with regard to an element of work or a series of tasks within the requirement of this contract.

Personal services under this contract do not create an employer/employee relationship with the Coast Guard. These healthcare workers are performing services at the military treatment facilities as employees of staffing agencies under personal services contracts entered into under the authority of Section 1091 of Title 10, U.S.C. Accordingly, personal injury claims alleging negligence by a Contract Healthcare Provider within the scope of his or her performance of this contract shall be processed as claims alleging negligence by USCG military or civil service employees. The Contract Healthcare Providers are not required to maintain medical liability insurance. Nothing in this contract shall be construed as creating an employer-employee relationship between the USCG and any other party or legal entity, including any corporation, partnership or business association identified in Block 17A of Standard Form 1449. The Contract Healthcare Providers shall read, write, speak and understand the English language fluently. The Contract Healthcare Providers ARE NOT prohibited, by reason of employment under this contract, from conducting other employment so long as there is no conflict with the performance of duties under this contract. However, employment shall not be conducted during those hours in which the healthcare worker is required to render services under this contract. The Contract Healthcare Providers shall make no use of Government facilities or property in connection with such other employment.

d. Medical Officer/Dental Officer. Medical or Dental Officers will normally be either USCG Officers or Public Health Service Officers.

e. Clinical Privileges. Clinical privileges are the tasks a particular professional healthcare provider is authorized to perform at a particular location.

f. Clinic Administrator. The Clinic Administrator will normally be a USCG non-commissioned or commissioned officer with clinic experience. The Clinic Administrator is the functional manager of the clinic.

g. Acceptable Quality Level (AQL). AQL is the minimum level of quality and quantity of services that the contract requires. The PWS with applicable attachments/exhibits and the Performance Requirements Summary (PRS) provides guidance.

h. Mid Level Providers. Family Nurse Practitioners and Physician’s Assistants are identified as Mid-Level Providers. The Contractor may place either in a location requiring a Mid-Level Provider.

i. Allied Professional. A healthcare provider whose occupation does not require a license to provide the service rendered.

j. Licensed Professional. A healthcare provider required to have a current, active license issued by a formal licensing state agency (Board) to practice a healthcare profession.

3.0. SCOPE

3.1. Task Requirements. The Contractor shall provide Contract Healthcare Providers described in the Position Descriptions Qualifications, Attachments 3a through 3s, to perform professional and support services at the locations designated in Attachment 4. Attachment 4 and Technical Exhibit A specifies the healthcare specialty type(s) and the number of each specialty and location(s) of the services to be provided. Technical Exhibit A also specifies the firm hourly requirements for each healthcare specialty type.”

3.2. Business Requirements

a. The Contractor shall provide recruitment, credentialing, retention, replacement, efficient staffing, and resource allocation for contract administration in a manner that ensures the USCG a stable and well trained Health Services Personnel workforce over the life of the contract. These professional services shall be provided in a manner that ensures the prime functions of the contract (recruitment and retention services) are performed consistently and effectively.

b. Over the life of the contract, the Contractor shall employ refreshed and up-to-date technology in their everyday business practices. Refreshed business practices shall strive to ensure and continually improve: 1) the shortest possible lead times in recruitment and replacement; 2) proper/accurate credentialing for review and approval by the Government; 3) smooth transitioning and start up for Clinics receiving new Contractor employees and 4) smooth Contract Administration (examples: change orders, invoicing, dispute resolution, program management etc.).

3.3. Additional Services

a. The Government may require additional services to those specified in Attachment 4 of the RFP. These services may include the addition of labor categories or additional hours for existing labor categories should the need arise in any HSWL SC managed clinic. The Contracting Officer may activate the additional services line item by modification to the contract. The modification(s) will be FFP with pricing based on rates already established in the Schedule or other price analysis techniques, as appropriate. .

b. The HSWL SC manages 43 clinics located at units throughout the USCG. The USCG requires Multidiscipline Personal Healthcare Services for 31 of the 43 clinics. Currently, there is sufficient government and/or military personnel staffing the remaining 12 locations to support the patient population requiring healthcare services. However, in the future, it is possible that these clinics may need one or more of the contracted healthcare services depending on various factors (i.e., USCG re-alignment of units/assets/resources, patient population, change in facility mission, etc.).

c. If the USCG requires new provider requirements (healthcare disciplines) for existing or additional locations other than those listed in Attachment 4, the USCG will provide the required Position Description Qualification and request pricing proposals from the contractor, which may be negotiated with the contractor and incorporated into the contract by a modification.

3.4. Changes in Requirements. The Government has the option to change, delete, and/or reduce healthcare disciplines and locations identified in Attachment 4 after contract award to accommodate the changing needs of the Government.

4.0. APPLICABLE LAWS, REGULATIONS, DIRECTIVES, REFERENCES, AND

DOCUMENTS

a. The Contractor and all Contract Healthcare Providers shall be guided by and comply with the following laws, regulations, and directives. During clinic orientation, the Contract Healthcare Providers shall become familiar with these requirements, paying particular attention to the areas that affect performance requirements contained in this contract. Contract Healthcare Providers shall update their knowledge of the applicable requirements on a continuing basis.

b. The Contractor shall keep all issued publications up-to-date. Supplements or amendments to the listed publications may be issued during the life of the contract. The Contractor shall immediately implement those changes that result in a decrease or no change in the contract price. . Before implementing any change that will result in an increase in the contract price, the Contractor shall submit to the Contracting Officer a price proposal for approval. Price proposals shall be submitted within 30 calendar days from the date the Contractor receives notice of the revision, supplement, or amendment giving rise to the increase in cost of performance.

PUBLICATION TITLE

COMDTINST M5100.29 *Safety and Occupational Health Manual COMDTINST M5530.lA *Physical Security Manual COMDTINST M6000.1 (series) *Coast Guard Medical Manual CFR (Code of Federal Regulations) 46 CFR Parts 5, 10, 11, 12, 13, 15, 16; 46 U.S.C. Parts E and

F; and, Applicable Federal Register *Centers for Disease Control (CDC) Guidelines for HIV

Management Section 503 of the Rehabilitation Act (29 U.S.C. §793) Public Law 87-693, 42 U.S.C. 2651-

Federal Medical Care Recovery Act

42 U.S.C. §1304.1 Crime Control Act of 1990 as amended by Public Law 102- 190, Section 1094

10 U.S.C. 2323 Public Law 103-355 Public Law 93-579, 5 U.S.C. §552a The Privacy Act of 1974 Public Law 104-191, 42 U.S.C. 1301 Health Insurance Portability and Accountability Act

(HIPAA) of 1996 Homeland Security Presidential Directive 12 (HSPD-12) *Applicable policy letters and guidance documents

* Copies are available in all Coast Guard clinics

c. CHRISTMAS BONUS - The contractor shall comply with the requirement to provide a Christmas Bonus in accordance with Puerto Rico “Law No. 148” of June 30, 1969, also known as the Puerto Rico Christmas Bonus Act, and as amended in 2007, for Contract Healthcare Providers providing services in Puerto Rico.

d. Puerto Rico requires that employers provide 15 vacation days, 12 sick days, eight weeks of maternity leave, and one hour per day for breastfeeding.

5.0. TECHNICAL REQUIREMENTS

5.1. General Tasks

5.1.1. Kick-Off Meeting. The Contractor shall attend a Kick-Off Meeting with the COR no later than three (3) business days after the date of contract award. The purpose of the Kick-Off Meeting, which will be chaired by the KO is to discuss technical and contracting objectives of this contract and review the Contractor's project plan. The Kick-Off Meeting will be held at the Government’s facility.

5.1.2. Project Plan. The Contractor shall provide a draft Project Plan at the Kick-Off Meeting for Government review and comment. The Contractor shall provide a final Project Plan to the COR not later than five (5) business days after receipt of Government comments.

5.1.3. Reporting Requirements - The Contractor shall provide all written reports in electronic format with read/write capability using Microsoft Word and/or Microsoft Excel that are compatible with USCG Standard Workstation III.

5.1.4. Monthly Reports. The Project Manager shall provide a report at the end of each month containing the following information:

a. Status of all healthcare provider staffing, training and licensing:

i. Total number of Contract Healthcare workers

ii. Summary schedule and running total of productive hours worked by each Contract Healthcare Provider

iii. Vacancy Rate (as a percentage of total Contract Healthcare Workers)

iv. Vacancy location (s)

v. Type of service (s)

vi. Date of vacancy/reason for vacancy

vii. Anticipated or departing contract healthcare worker’s names

viii. Summary of monthly and anticipated recruiting efforts

ix. Expiration or renewal of licenses within two months

x. Training attended

b. Status of replacement or proposed replacement candidates:

i. Location

ii. Type of service

iii. Date credentials submitted to the Coast Guard

iv. Date candidate available to work

v. Date provider started

c. Contract deficiency reports received:

i. Location

ii. Type of service

iii. Reason

iv. Action taken

5.1.6. Protection of Information - Contractor access to information protected under the Privacy Act of 1974 and the Health Insurance Portability and Accountability Act (HIPAA) of 1996 is required under this contract. Contractor employees shall safeguard this information against unauthorized disclosure or dissemination in accordance with the law and Government policy and regulation.

5.2. Specific Tasks

5.2.1. Type of Services. The Contractor shall provide both personal services, through recruiting, retention and replacement of health care providers in accordance with the terms and conditions of this contract.

Contractor shall be able to receive both e-mailed and facsimile contract documents. Due to changing USCG requirements, the USCG may add, delete or adjust places of performance, hours, and types of services to this requirement.

5.2.2. Eligible Beneficiaries. Contract Healthcare Providers shall provide healthcare services to eligible beneficiaries as directed by the Medical Officer, Dental Officer, Clinic Administrator, or their respective designees. The Contract Healthcare Providers shall not provide services to anyone at the clinic that is not an Eligible Beneficiary. Providing services as a professional courtesy to other contractors or contractor employees is prohibited.

The USCG is in the acquisition process for an electronic health record. Once acquired, Contract healthcare Providers will be required to utilize it for patient administration.

5.2.4. All providers will be required to use all Microsoft applications, such as Word, Excel, Access, Outlook, PowerPoint, etc. to track, data, generate reports, and prepare presentations.

5.2.5. Providers may be required to generate reports for senior level briefings, congressional inquiries, etc, as needed.

5.2.6. Quality Performance. The Contractor shall provide healthcare workers to perform the professional and support services in a manner that ensures the USCG is provided a stable and well trained Health Services Personnel workforce over the life of the contract. These professional and support services shall be provided in a manner to ensure the prime functions of the contract are performed timely, consistently and effectively by qualified and competent personnel. The following elements of quality performance are required:

a. Retention/Continuity. Minimum acceptable employee retention is considered 90% for a one-year period.

b. Timely recruitment utilizing sourcing methods to find providers to fill the positions, in accordance with Section 5.2.7 of this PWS.

c. Planning and executing initial placement by providing reliable healthcare workers.

d. Providing Curriculum Vitae/Resume packages that contain adequate information to confirm past performance of the potential provider.

e. Meet replacement requirements in accordance with the timeframes set forth in the contract.

f. Provide efficient and effective staffing and resource allocation for contract administration.

g. Provide qualified, competent, effective, trained, and qualified healthcare providers to work in the clinic environment.

Note: See Performance Requirements Summary (PRS) for the complete list.

5.2.7. Staffing. The Contractor shall submit current Curriculum Vitae (CV)/Resumes and other documentation required herein within 30 calendar days after receipt of a contract for initial placement or permanent substitution in accordance with contract quality and experience standards

5.2.7.1. The Curriculum Vitae (CV)/Resumes shall include the following:

a. Name and any other names known as or aliases

b. Date of birth

c. Place of birth

d. Proof of citizenship or green card or work visa Note: The USCG will not assist the Contractor in any matter related to obtaining visas or documentation for Immigration & Naturalization Service.

e. Social Security Number

f. Date of Resume or CV

g. Contain a detailed list of the proposed Contract Healthcare Providers’ professional experience with telephone numbers of supervisors from the last two year period, and brief explanation of duties performed for all previous employers

h. Curriculum Vitae will be presented for professionals and resumes for non-professional personnel. The Contractor is responsible for providing complete CV/resume packages having screened and pre-checked each candidate thoroughly. The statement “references available upon request” or failing to list a brief explanation of duties performed for previous employers is unacceptable. Providers shall meet the minimum standards for experience and training. The Contractor shall submit only candidates that have a good work history, i.e. attendance and acceptable past performance (patient interaction and ability to work with others). Provide recommendation letters covering the last two years, except that Professionals, if self-employed may provide peer recommendation letters from referring physicians/dentists over the last two years.

i. Provide a list of any malpractice claims filed, or pending or settled and/or any other adverse professional actions, that involve the Contract Healthcare Providers.

j. For licensed professions copies of degrees/training certifications from accredited training institutions and their current active unrestricted licenses. If education is from another country, documentation shall include a copy of the professional or technical degree attained and status conferred.

If the documentation is not in English, it is the Contractor’s responsibility to provide a true copy of the documentation and evidence that the translation is true and correct. The Contractor shall also include an address, telephone number and point of contact for the institution. All Contract Healthcare Providers will comply with education requirements established in the United States to practice. Provide a list of all licenses held in any state currently and states in which the provider has held a license over the last 5 years. Submit a copy of the provider’s current unrestricted active license to the KO prior to placement and make it available for display at the clinic for the duration of the provider’s employment under this contract. The license shall be from one of the 50 states, Puerto Rico, the District of Columbia, Guam or the U.S. Virgin Islands. Note: Some states may restrict their licensees from practicing outside their states or renew their license if they no longer reside within the state of issue.

k. For unlicensed professions copies of degrees/training certifications from accredited training institutions (include an address, telephone number and point of contact for the institution). If education is from another country, documentation shall include a copy of the technical certification/degree attained and status conferred. If the documentation is not in English, it is the Contractor’s responsibility to provide a true copy of the documentation and evidence that the translation is true and correct.

l. If Drug Enforcement Agency (DEA) licenses are required, submit current and updated copies.

m. CPR certification.

5.2.7.2. The Contractor shall make all proposed healthcare providers available for interview telephonically by the USCG Guard COR, Medical Officers, Dental Officers, and Clinic Administrators before placement.

5.2.7.3. As authorized by the KO, healthcare providers may be required to undergo training or attend conferences at USCG expense. Professional training/education other than Government provided training is the responsibility of the contractor and shall be provided at no additional cost to the Government.

5.2.8. Credentialing and Privileging.

a. The credentials of all Contract Healthcare Providers under this contract shall be in accordance with the credentialing requirements as outlined in the USCG Medical Manual and will adjust in accordance with revisions the USCG may make to ensure standard industry business practices are followed. Proposed providers shall possess the requisite credentials to obtain USCG privileges to perform all tasks identified in the PWS as identified in the USCG Medical Manual and position descriptions.

b. The Contractor shall take specific action, including Primary Source verification, to ensure the applications for credentialing have the required prerequisites and do not have disqualifying impediments for privileges. All such verification shall be confirmed in writing directly from the primary source. This is a non-delegable responsibility of the Contractor.

c. Submission of credentials on candidates who are unavailable and/or do not meet the minimum qualifications will be considered unsatisfactory.

d. Only complete credentials will be accepted by the Government for Processing. Each credential package shall be accompanied by the Credential Review cover sheet provided in Attachment

6. Credential packages without the completed credential cover sheet will be returned without action.

e. Contract Healthcare Providers shall not provide health services until USCG Headquarters has granted clinical privileges. Contract Healthcare Providers who are not currently privileged, who fail to maintain their privileges, or who have privileges suspended or revoked are not qualified to provide services under this contract. The USCG will make no payment for services provided by such providers.

Shifts covered or attempted to be covered by such providers will be considered uncovered.

f. The Contractor shall notify the KO if, during the life of the contract, any disciplinary action is taken against a Contract Healthcare Provider by a federal or state agency, law enforcement agency, or licensing board. Any Contract Healthcare Provider under suspension due to an investigation shall not be permitted to provide service under this contract. The Contractor shall notify the KO and the COR within 24 hours of occurrence of suspension concerning itself or any of its employees. Notification shall be in writing, ( for example, email, facsimile, etc.). All supporting documentation of suspension shall be forwarded to the KO. The provider may only provide services if privileges have been subsequently restored by the USCG Headquarters.

g. The denial, suspension, limitation, or revocation of clinical privileges based upon practitioner impairment or misconduct shall be reported to the appropriate licensing authorities of the state in which the license is held. The USCG will report the above situations to the proper authorities if it is related to the care of patients in healthcare facilities covered under this contract.

5.2.9. Acceptance and Start Work. After receipt of the CV/Resume package, the USCG will approve/disapprove each candidate within fourteen (14) calendar days. Any approved permanent provider shall begin working at the site designated within sixteen (16) calendar days after completion of the security screening processl. The COR will either grant approval, conditional approval, or disapproval based on checks or pending results of the National Practitioner’s Database (maintained by Department of Health and Human Services (HHS)), Criminal History Checks, National Background Checks, or completion of immunizations. It is the Contractor’s obligation to maintain a qualified workforce. The Contractor shall provide complete application packages for replacement personnel for vacated positions within 30 days, unless the KO waives/modifies this requirement in writing.

5.2.10. Submit Documents to the COR: The Contractor shall obtain, review, and provide resume/credentials for the Healthcare providers as required in this contract. If the Contractor is unable to submit a resume or credentials, they must notify the COR in writing as soon as practicable. The Contract Healthcare Provider package shall always contain those documents referenced herein. Also, Attachments 3(a) through 3(s) have specific requirements such as specific education, license, past performance and experience/quality performance requirements for each profession/work discipline. The attachment will contain relevant additional PWS requirements for each discipline. The Contractor shall submit the following additional documents within the stated time limits.

a. Submit all certificates of insurance to the COR and KO within five (5) days after contract award or after renewal of required insurance coverage (e.g. Medical Liability and Workmen’s Compensation for each site).

b. Submit certification of Cardiopulmonary Resuscitation (CPR), initial and re-certification, to the COR and KO within five (5) calendar days after contract award and re-certification due date on all providers required for the contract.

5.2.11. Replacement Personnel. The Contractor shall recruit initial, temporary, and permanent replacements so that interruptions of services do not adversely affect the clinical operations for an extended period.

a. The Contractor shall have temporary qualified replacement providers at the work site when a permanent provider is absent for any reason in excess of fourteen (14) calendar days, unless otherwise excused by the KO. Submission of qualifications is the same as those specified herein. Temporary providers shall not perform in excess of 60 calendar days without prior approval from the KO.

b. If a Contract Healthcare Provider becomes seriously ill or is otherwise unable to appear for or complete his/her shift, the Contract Healthcare Providers shall notify the Clinic Administrator and the Contractor immediately.

5.3. Communication. Healthcare Providers shall maintain open and professional communication with patients and members of the clinic. In the event of complaints the Clinic Administrator and COR will validate and provide a written report to the KO. The KO will provide the written report to the Contractor for action. Failure of the Contractor to correct validated complaints within five (5) calendar days shall be considered as a failure to perform. Providers receiving complaints that are validated shall be subject to written counseling, and depending on the nature and severity of the complaint, may be removed from service under this contract.

5.4. Patient Sensitivity. Contract Healthcare Providers shall respect and maintain the basic rights of patients. The content of patient histories, charts, medical records, prognosis, treatments, and conversations are considered sensitive and subject to the Privacy Act and HIPAA. Providers receiving complaints that are validated shall be subject to written counseling, and depending on the nature and severity of the complaint, may be removed from service under this contract.

5.5. Injuries, Accidents, Litigation, Disciplinary Action. The Contract Healthcare Provider shall report to the Medical/Dental Officer, Clinic Administrator all cases involving care and treatment of USCG personnel resulting from automobile accidents, slip and fall incidents, injuries arising from defective consumer products, malpractice, negligence, and any other circumstances indicating the potential liability of a third party for damages within five (5) calendar days after initial treatment.

5.6. Government Furnished Equipment, Property, Supplies, and Services.

5.6.1. The Clinic will provide the following in support of the Contract Healthcare Provider's service:

a. An examination room to complete patient care services. If the facilities permit, an office will be provided to allow for the Contract Healthcare Provider to complete administrative requirements needed for patient care.

b. Telephone for local calls.

c. Supplies commonly used in a family practice/dental clinic setting.

d. Office supplies such as pens, paper, pencils, and applicable forms to be used in direct patient care services.

e. All equipment and pharmaceuticals necessary for the Contract Healthcare Provider to perform the services required in this contract.

f. If a treatment requires equipment not maintained by the clinic, the Contract Healthcare Provider shall provide sufficient justification (in writing) to the Clinic Administrator to support purchasing the needed equipment or pharmaceuticals from an authorized government source.

g. Uniforms. The government will supply scrubs and lab coats for the contractor.

5.6.2. Except for those specifically identified as Government Furnished Equipment, Property, Supplies, and Services in this PWS, the Contractor shall furnish all personnel and services to comply with the requirements of this contract.

5.6.3. The Contract Healthcare Provider shall not introduce any new medical, dental or administrative procedures or services without prior recommendation and approval of the Senior Medical/Dental Officer or the Clinic Administrator.

6.0. DELIVERABLES

The Contractor shall submit the Deliverables specified in the table below, as required by the PWS, to the Contracting Officer and the COR via Microsoft Office Word 97 - 2003, when applicable. The format shall be PC compatible and submitted on a CD-ROM or via email.

DELIVERABLE

PWS

REFEREN

CE

FREQUENCY DUE BY/ DATE REQUIRED

Draft Contractor Project Plan 5.1.2 Once Kick-Off Meeting, COR response within 5 days of receipt of Draft

Project Plan

Final Contractor Project Plan 5.1.2 Once

Not later than five (5) business days after receipt of Government corrections. COR response within 5 days of receipt of final Project

Plan

Monthly Report 5.1.4 Monthly

Not later than the 5th of every month for the previous month.

COR confirmation of receipt/acceptance within 5 days of receipt of report

Curriculum Vitae (CV)/Resumes 5.2.7 As Needed

Within 30 calendar days after receipt of a contract for initial placement or permanent substitution. COR will approve/disapprove each candidate within fourteen (14) calendar days.

Certificates of Insurance as Required by FAR 52.228-5, (Medical Liability and Workmen’s Compensation for each site)

5.2.10a / 7.2.1

Annually at the time of exercising option or renewal

Within five (5) days after contract award or renewal of required insurance coverage. COR confirmation of receipt/acceptance within 5 days of receipt of report

Certification of Cardiopulmonary

Resuscitation (CPR) 5.2.10b Initial and re-certification

Within five (5) days after contract award and re-certification due date on all providers required. COR confirmation of receipt/acceptance within 5 days of receipt of report

Report of care and treatment of USCG personnel resulting from automobile accidents, slip and fall incidents, injuries arising from defective consumer products, malpractice, negligence, and any other circumstances indicating the potential liability of a third party

5.5 As needed

Within five (5) calendar days after initial treatment. COR confirmation of receipt/acceptance within 5 days of receipt of report

Report injuries or incidents arising from negligence or

Malpractice

5.5 As needed

Within five (5 ) calendar days after initial treatment. COR confirmation of receipt/acceptance within 5 days of receipt of report

Contractor Quality Control Plan 8.2 As Needed

Within five (5) days of contract award, as needed thereafter. COR confirmation of receipt/acceptance within 5 days of receipt of QCP

Meeting Minutes 8.6 As Needed

Within 10 calendar days of receipt from COR. COR confirmation of receipt/changes/acceptance with 5 days of receipt.

Hepatitis A and B vaccinations 7.4d(vi) Monthly

By the seventh (7th) month after commencement of services or, if immunization has been completed, prior to start of work

7.0. CONTRACTOR PERSONNEL

7.1. Key Personnel. The Contractor shall provide a Program Manger (PM) and an Alternate Program Manager (APM) to ensure that all the requirements of the PWS are met and to provide Contract Administration. The PM/APM shall be the single point contact for the Government in resolving all matters related to the Contract.

a. The PM/APM shall have at a minimum a Bachelor's Degree in Business Administration, Marketing, Healthcare Management, Health Services Administration, Healthcare Resource Management or other area that demonstrates the ability to fulfill the requirements of the Contract; and,

b. A minimum of five (5) years experience managing multi-disciplinary, multi-site healthcare services.

7.2. Stable Work Force. The Government is concerned with the quality and stability of the work force provided to perform services under this Contract. It is imperative for the Contractor to maintain an effective work force in order for the Government to adequately meet its health care mission. Therefore, the Contract Healthcare Provider shall be a citizen of the United States, or otherwise authorized to work full time in the United States, and be able to read, write, and speak English well enough to effectively communicate with all persons seeking health care.

7.2.1. Workers Compensation Insurance. Worker’s Compensation and Employer’s Liability Insurance are required. All Contract Healthcare Providers under this contract are considered to be employees of the Contractor. The Contractor shall submit evidence of insurance policies annually to the Contracting Officer.

7.2.2. Taxes. The Contractor is responsible for paying all city, state and Federal taxes accrued in performance of this contract.

7.2.3. Other Employment. Contract Healthcare Providers are not prohibited, by reason of employment under this contract, from conducting a private practice or other employment so long as there is no conflict with the performance of duties under this contract. However, such private practice or other such employment shall not be conducted during those hours in which the healthcare worker is required to render services under this contract. The health care worker shall make no use of Government facilities or property in connection with such other employment.

7.2.5. Healthcare Provider Criminal History Checks. All Contract Healthcare Providers under this agreement are subject to Criminal History checks in accordance with the requirements of Section 21 of the Crime Control Act of 1990. 42 U.S.C. §1304.1 as amended by Section 1094 of Public Law 102-190, requires every facility operated by the Federal Government that contracts with individuals involved in the provision of child care services to assure that all existing and newly-contracted providers undergo a criminal background check. The term “Child Care Services” is defined to include health and mental health care. If results of any of the checks indicate applicable criminal history, the Government may immediately terminate this Contract or require a replacement provider (when applicable).

7.2.6. Healthcare Provider Background Investigation. The USCG, not the Contractor, will be responsible for initiating, completing, and paying for the NACLC:

a. Contract Healthcare Providers shall have a completed/adjudicated National Agency Check with

Local Agency Checks and Credit Check (NACLC) background investigation in accordance with Homeland Security Presidential Directive 12 (HSPD-12) for National Security reasons. HSPD-12 states, all contract workers requiring routine access to federally controlled facilities and/or federally controlled information systems are required to obtain a national security background investigation.

b. The process for completing a NACLC BI for contract personnel is through the Defense

Security Service (DSS). By policy, contract healthcare workers may not begin work until successful adjudication of fingerprints is completed and a background investigation is in process. This process may require some months to complete.

7.3. SECTION 508 COMPLIANCE

a. Section 508 of the Rehabilitation Act (29 U.S.C. 794d), as amended by the Workforce

Investment Act of 1998 (P.L. 105-220), August 7, 1998, requires that when Federal agencies develop, procure, maintain, or use Electronic and Information Technology (EIT), they must ensure that it is accessible to people with disabilities, unless it would pose an undue burden to do so.

b. Federal employees and members of the public who have disabilities must have access to and use of information and services that is comparable to the access and use available to non-disabled Federal employees and members of the public. For additional information, please refer to FAR 39.2 or http://www.section508.gov.

c. Section 508 of the Rehabilitation Act, as amended by the Workforce Investment Act of 1998

(P.L. 105-220) requires that when Federal agencies develop, procure, maintain, or use electronic and information technology, they must ensure that it is accessible to people with disabilities. Federal employees and members of the public who have disabilities must have equal access to and use of information and data that is comparable to that enjoyed by non-disabled Federal employees and members of the public.

d. All EIT deliverables within this PWS shall comply with the applicable technical and functional performance criteria of Section 508 unless exempt. Specifically, the following applicable standards have been identified:

36 CFR 1194.21 – Software Applications and Operating Systems, applies to all EIT software applications and operating systems procured or developed under this PWS including but not limited to GOTS and COTS software. In addition, this standard is to be applied to Web-based applications when needed to fulfill the functional performance criteria. This standard also applies to some Web based applications as described within 36 CFR 1194.22.

36 CFR 1194.31 – Functional Performance Criteria, applies to all EIT deliverables regardless of delivery method. All EIT deliverable shall use technical standards, regardless of technology, to fulfill the functional performance criteria.

36 CFR 1194.41 – Information Documentation and Support, applies to all documents, reports, as well as help and support services. To ensure that documents and reports fulfill the required “1194.31 Functional Performance Criteria”, they shall comply with the technical standard associated with Web-based Intranet and Internet Information and Applications at a minimum. In addition, any help or support provided in this PWS that offer telephone support, such as, but not limited to, a help desk shall have the ability to transmit and receive messages using TTY.

e. Exceptions for this PWS have been determined by DHS and only the exceptions described herein may be applied. Any request for additional exceptions shall be sent to the COTR and determination will be made in accordance with DHS MD 4010.2. DHS has identified the following exceptions that may apply:

http://www.section508.gov/

36 CFR 1194.3(b) – Incidental to Contract, all EIT that is exclusively owned and used by the contractor to fulfill this work statement does not require compliance with Section

508. This exception does not apply to any EIT deliverable, service or item that will be used by any Federal employee(s) or member(s) of the public. This exception only applies to those contractors assigned to fulfill the obligations of this PWS and for the purposes of this requirement, are not considered members of the public.

7.4. Health Requirements

7.4.1. General. Unless otherwise stated, costs associated with performance of this paragraph will be borne by the Contractor. The contractor shall obtain a pre-employment physical examination at the contractor’s expense for all personnel performing work under this contract. For the purpose of this contract, any physical examination administered more than 30 days prior to the commencement of work will not be considered adequate.

a. The Contractor shall ensure a physical examination is performed on all Contract Health Care Providers providing care under this contract no later than five (5) working days prior to commencement of work.

b. Contractor personnel with short term viral or other acute contagious diseases, such as influenza, measles or mumps will not be permitted to perform under the contract while there is danger of transmission.

c. The Contractor shall notify the KO and COR about any significant change in the health of all personnel providing services under this contract, especially if a significant contagious disease has developed within two (2) days of its development.

d. The Contractor shall verify and provide a copy upon request that a physical examination was performed and contain the following minimum information;

(i) The name and contact information of the physician who performs the examination.

(ii) The date when the physical examination was completed.

(iii) A statement from the examining physician that the Contract Healthcare Provider is free from mental or physical disorders that would impair their ability to work as a Contract Health Care Provider.

(iv) The report will specifically address the presence of contagious disease(s) i.e., tuberculosis, hepatitis, sexually transmitted diseases, AIDS and provide proof of recent testing.

(v) The Contract Healthcare Provider must show proof of immunity to measles, mumps and rubella (MMR) through serological testing, and varicella immune status or a statement of history of chicken pox.

(vi) The Contract Healthcare Providers shall be immunized against Hepatitis A and B Viruses or provide proof of immunity to the COR and the Contracting Officer. If the provider is not immune, proof of completion of the Hepatitis A and B vaccinations shall be submitted to the KO by the seventh (7th) month after commencement of services or, if immunization has been completed, prior to start of work.

(vii) The Contract Healthcare Provider shall be physically capable of standing for extended periods of time and capable of normal ambulation.

e. A Contract Healthcare Provider with a bona fide medical emergency occurring while on duty or with an on the job injury will be provided medical treatment until the condition is stabilized. The contract employee is not eligible for primary care at the clinic (i.e.: physical examinations, immunizations, blood work, etc.)

f. The Contract Healthcare Providers shall adhere to the current Centers for Disease Control (CDC) guidelines and Section 503 of the Rehabilitation Act (29 U.S.C. §793) for any HIV positive health care worker.

7.4.2. Needle Sticks or Cuts. All Contractor personnel performing direct health care services under this contract who experience a parenteral (e.g. needle-stick or cut) or mucous membrane exposure (e.g.