HT0011-20-R-0016-0001 RFP Attachment 1 - KMPNP Performance Work Statement (PWS) Final.pdf

Department of Defense Defense Health Agency –

Performance Work Statement – Knowledge Management for Prenatal and New Parents Services

Medical Affairs, Clinical Support Division, Clinical Policy Support Section

Defense Health Agency

Solicitation Number: HT0011-20-R-0016 Version: 1

Date: 24 April 2020

PART 1

1.0 GENERAL INFORMATION

1.1 This is a non-personal services contract to provide a subscription for a commercial off-the-shelf electronic patient education and communication program focused on pregnancy, parenting, and breastfeeding which is distributed to eligible beneficiaries. The Government shall not exercise any supervision or control over the contract service providers performing the services herein. Such contract service providers shall be accountable solely to the Contractor who, in turn is responsible to the Government.

1.2 Description of services/introduction: The Contractor shall provide all personnel, equipment, supplies, facilities, transportation, tools, materials, supervision, and other items and non-personal services necessary to distribute information regarding prenatal, parenting, and breastfeeding for eligible beneficiaries at all MTFs that provide childbirth and pediatric services as defined in this Performance Work Statement (PWS) except for those items specified as government furnished property and services. The Contractor shall perform to the standards in this performance work statement.

1.3 Background: Per the previous years of this contract, approximately 40,000 babies are born in the direct care system of the Department of Defense (DoD). Childbirth is considered a high volume, high risk and and problem prone condition. A particular challenge in the Military Health System (MHS) is the variability in who provides prenatal and pediatric care. Providers as well as patients change duty stations and this change can potentially disrupt continuity during this special time. The need for predictable communication is heightened because of this unique aspect of military culture. The standardization that is provided by a ready-to-use platform that complies with the Department of Veterans Affairs/Department of Defense (VA/DoD) Clinical Practice Guideline (CPG) for Management of Pregnancy (2018) and other evidence-based guidelines is part of the mitigation strategy to prevent miscommunication.

The Defense Health Agency (DHA) is committed to all its patients having a strong connection to their healthcare system and Military Treatment Facility (MTF), and to know how to best care for themselves and their children during this vulnerable time. In addition, DHA physicians, nurses, and other providers have limited time and resources and need efficient and effective tools to connect with, engage, and educate their patients.

The DoD beneficiary population giving birth tend to be younger than the general civilian population in the United States and is disadvantaged by being remote from their family of origin due to the unpredictabilities of military assignments. Electronic communication services that provide just-in-time information has been shown to empower recipients with the use of just-in-time self-care information related to pregnancy, breastfeeding, newborn and toddler growth and development.

The overall movement within the MHS is from healthcare to health with an emphasis on self-care. The largest MHS beneficiary population is young, technologically savvy, and culturally and ethnically diverse. Geographically removed from their family of origin and or support systems through assignment or deployment, this program will provide current and accurate information for this specific population. This stage and age appropriate information supports the need for knowledge during pregnancy and parenting, provides a sense of validation and ‘normality’ to assist in mitigation of the unique stresses for this population, and promote healthy behaviors with a direct impact on the mother and infant.

1.4 Objectives:

a) Augment beneficiary knowledge and understanding at vulnerable times of development during pregnancy and as new parents.

b) Deliver age and developmental stage appropriate information electronically to the obstetrical, pediatric, and new parent population.

c) Provide information in technologically appropriate format for parents of ages 15- 40.

d) Empower beneficiaries through knowledge to practice wellness based behaviors, appropriate prenatal care, breastfeeding for months beyond delivery, and evidence based parenting skills to positively impact the health of themselves and their families.

e) Improve and provide consistency in sources of beneficiary education on pregnancy and parenting with evidenced based information/patient satisfaction.

f) Facilitate beneficiary partnerships with their MTFs or providers to achieve evidence-based health care outcomes.

1.5 Scope: This contract provides electronic services and materials required to procure a subscription providing MHS beneficiaries access to weekly electronic communications from gestational age of 7 weeks to up to the toddler’s third birthday delivered to the participants’ electronic device of choice. The information shall include The DoD/VA Clinical Practice Guideline for Management of Pregnancy, and must focus on the whole child, including developmental, physical, and psychological information. A breastfeeding module begins at 35 weeks of pregnancy through week 6 of infancy, and then continues monthly from 2 months until the infant’s first birthday. The material is to be free from advertisement, endorsement, or links to advertisers. Services include telephonic engagement with the MTF points of contact (POCs) to ensure appropriate orientation to the program with technical support to rapid enrollment of beneficiaries to receive the materials. The materials are to be available to the perinatal and pediatric providers as well. Services include:

a) Proactive push messaging via email, text messaging, or app notification delivered directly to each beneficiary

- Weekly relevant connections to expectant and new military families from week 7 of pregnancy through the child’s 3rd birthday.

- Patients shall have ability to receive messages from any point along the care continuum from early pregnancy through the toddler years.

- Fully automated for simple implementation, avoiding time drain of staff, nurses, physician

- Patients shall have access to the information they need no matter where they are – anywhere, anytime

- Content shall be source-able and evidence-based

- Emphasis on breastfeeding to start before birth – preparing patients and setting expectations in advance

- Content shall support and document accreditation agency requirements such as

The Joint Commission, American College of Obstetrics and Gynecology and American Academy of Pediatrics and others.

b) A platform that provides DHA MTF physicians, nurses, and staff control and access to the full program immediately and at any time.

- Health Insurance Portability and Accountability Act (HIPAA) compliant, secure platform

- Staff/nurses/doctors may access the full content, customize it, and view data immediately from anywhere, at any time.

- Access to population database at anytime, anywhere

- MTFs shall have access population and individual level data anywhere, anytime

- Platform accommodates various ways of enrolling patients, for example: online forms and self-enrollment

- Monthly reports of usage and engagement trends as specified below across the entire DoD population

- Monthly MTF-specific reports of usage and engagement trends as specified

- Dedicated client success manager to work with the MTFs to maximize program usage and prove impact/ROI

- Quarterly briefings to DHA Contrating Officer regarding program utilization and impact

c) 24/7 access to training and program usability tools

- POCs must be able to access program support anytime, anywhere, including:

o Training toolkits o Campaign ideas specific to prenatal and new parent content o Marketing tools/digital information brochure

d) Sites include the following fifty-one (51) MTFs:

1) Naval Medical Center, Portsmouth, VA

2) Naval Medical Center, San Diego, CA

3) Womack Army Medical Center, Fort Bragg, NC

4) U.S. Army Community Hospital (ACH), Fort Hood, TX

5) Tripler Army Medical Center, Honolulu, HI

6) Madigan Army Medical Center, Tacoma, WA

7) Evans U.S. ACH, Fort Carson, CO

8) Naval Hospital, Camp Lejeune, NC

9) Blanchfield U.S. ACH, Fort Campbell, KY

10) San Antonio Military Medical Center, TX

11) William Beaumont Army Med Center, El Paso, TX

12) Naval Hospital Camp Pendleton, CA

13) Dewitt U.S. ACH, Fort Belvoir, VA

14) US Naval Hospital, Okinawa, Japan

15) Joint Base Langley-Eustis, Langley AFB, VA

16) Winn U.S. ACH, Fort Stewart, GA

17) Irwin U.S. ACH, Ft Riley, KS

18) Landstuhl U.S. Army Regional Medical Center, Germany

19) 96th Medical Group, Eglin AFB, FL

20) Martin U.S. ACH, Fort Benning, GA

21) Naval Hospital, Jacksonville, FL

22) USAF Regional Hospital Elmendorf, AK

23) Walter Reed National Military Medical Center, Bethesda, MD

24) Naval Hospital Bremerton, WA

25) Bassett U.S. ACH Hospital, Fort Wainwright, AK

26) Bayne-Jones U.S. ACH, Fort Polk, LA

27) Reynolds U.S. ACH, Fort Sill, OK

28) Mike O'Callaghan Federal Hospital, Nellis AFB, NV

29) General Leonard Wood U.S. ACH, Fort Leonard Wood, MO

30) Naval Hospital Twenty Nine Palms, CA

31) Ireland U.S. ACH, Fort Knox, KY

32) U.S. Naval Hospital, Yokosuka, Japan

33) Naval Hospital Pensacola, FL

34) RAF Lakenheath, England

35) 81st Medical Group, Keesler, MS

36) Wright Patterson Medical Center, Dayton, OH

37) U.S. Naval Hospital Guam - Agana, Guam

38) 121st General Hospital, Seoul, Korea

39) Weed U.S. ACH, Fort Irwin, CA

40) Naval Hospital Oak Harbor, WA

41) David Grant Medical Center, Travis AFB, CA

42) 366th Medical Group, Mountain Home AFB, ID

43) 374th Medical Group, Yokota AB, Japan

44) 31st Medical Group, Aviano, Italy

45) 23rd Medical Group, Moody AFB, GA

46) Keller U.S. ACH , Fort Drum, NY

47) U.S. Naval Hospital Naples, Italy

48) U. S. Army Vincenza Clinic, Italy

49) U.S. Naval Hospital Sigonella, Italy

50) U.S. Naval Hospital Rota, Spain

51) U.S. Naval Hospital, Guantanamo Bay, Cuba.

1.6 Period of Performance (PoP): The period of performance of this contract will be specified on the contract award. The contract will have one (1) 12-month Base Period and three (3) 12-month option periods. The Period of Performance reads as follows:

Base Period Contract Award to 12 Months Option Period One End of Base Period to 12 Months Option Period Two End of Option Period 1 to 12 Months Option Period Three End of Option Period 2 to 12 months

1.7 Administrative specifications

1.7.1 Place of performance: The work to be performed under this contract will be performed at the contractor facility.

1.7.2 Recognized Federal holidays: The Contractor is not required to perform services on the following holidays:

New Year’s Day Labor Day Martin Luther King Jr.’s Birthday Columbus Day President’s Day Veteran’s Day Memorial Day Thanksgiving Day Independence Day Christmas Day

1.7.3 Hours of operation: The Contractor is responsible for conducting business between the hours of 0800 and 1630 Eastern Time Monday thru Friday except Federal holidays or when the Government facility is closed due to local or national emergencies, administrative closings, or similar Government directed facility closings. The Contractor shall at all times maintain an adequate workforce for the uninterrupted performance of all tasks defined within this PWS when the Government facility is not closed for the above reasons. When hiring personnel, the Contractor shall keep in mind that the stability and continuity of the workforce are essential.

1.7.4 Conduct: Contractor personnel shall adhere to standards of conduct as established by the DHA Director.

1.8 Contractor travel: Contractor is not required to travel during the performance of this contract. The Contractor will not be authorized travel expenses.

1.9 Other Direct Costs (ODCs): N/A

1.10 Quality

1.10.1 Quality Control (QC): The Contractor shall develop and maintain an effective quality control program to ensure services are performed in accordance with this PWS.

The contractor shall develop and implement procedures to identify, prevent, and ensure non-recurrence of defective services. The contractor’s quality control program is the means by which the work complies with stated requirements. The Quality Control Plan (QCP) shall be delivered within 30 days after contract award. Three copies shall be submitted to the Contracting Officer (CO) and Contracting Officer Representative (COR) within 5 working days when changes are made thereafter. After acceptance of the QCP the Contractor shall receive the CO’s acceptance in writing of any proposed change to his QC system. PWS Part 7.1 – See Section 7.1, Deliverables Schedule Table, Deliverable 0001.

1.10.2 Quality assurance: The government will evaluate the contractor’s performance under this contract in accordance with the Quality Assurance Surveillance Plan (QASP).

This plan provides a systematic method for the Government to evaluate performance and to ensure that the Contractor has performed in accordance with the performance standards. It defines how the performance standards will be applied, the frequency of surveillance, and the minimum acceptable defect rate(s). See separate attachment – Attachment 4 – Quality Assurance Surveillance Plan (QASP) PWS Part 7.1 – Deliverables Schedule Table, Deliverable 0001.

1.11 Contractor Personnel

1.11.1 Common Access Card (CAC) requirements: RESERVED

1.11.2 Contractor training: RESERVED

1.11.3 Physical Security: RESERVED

1.11.4 Key control: RESERVED

1.11.5 Lock combinations: RESERVED

1.12 Key Personnel (Contractor): RESERVED

1.13 Data rights: The Government has unlimited rights to all documents/material produced under this contract. All documents and materials, to include the source codes of any software, produced under this contract shall be Government owned and are the property of the Government with all rights and privileges of ownership/copyright belonging exclusively to the Government. These documents and materials may not be used or sold by the Contractor without written permission from the Contracting Officer.

All materials supplied to the Government shall be the sole property of the Government and may not be used for any other purpose. This right does not abrogate any other Government rights.

1.14 Reporting

1.14.1 Contractor Manpower Reporting (CMR): RESERVED

1.14.2 Non-Disclosure Agreement (NDA): All DHA Government contractor personnel who will obtain access to proprietary, classified, or confidential information or any information release of which is protected or governed by law or regulation associated with DHA acquisitions shall be required to complete and sign a DHA Contractor NDA (DHA Form 49) prior to beginning work on the subject contract. The Contractor shall execute an NDA on behalf of the company and shall ensure that all staff assigned to, including all subcontractors and consultants, or other personnel performing on contract/Task order execute an NDA protecting the procurement sensitive information of the Government and the proprietary information of other contractors. The NDA shall be executed not later than first day of employment and to be renewed upon exercising a contract option period. Assignment of staff who has not executed this statement or failure to adhere to this statement shall constitute default on the part of the Contractor.

The contractor shall maintain originally signed NDAs of individual employees and provide copy to the COR. See separate attachment – Attachment 5 – NDA (DHA Form 49) and PWS Part 7.1 – Deliverables Schedule Table, Deliverable 0002.

1.14.3 Contracting Officer Representative (COR): The COR will be identified by separate letter. The COR monitors all technical aspects of the contract and assists in contract administration The COR is authorized to perform the following functions: assure that the Contractor performs the technical requirements of the contract; perform inspections necessary in connection with contract performance; maintain written and oral communications with the Contractor concerning technical aspects of the contract; issue written interpretations of technical requirements, including Government drawings, designs, specifications; monitor Contractor's performance and notifies both the CO and Contractor of any deficiencies; coordinate availability of government furnished property;

and provide site entry of Contractor personnel. A letter of designation issued to the COR, a copy of which is sent to the Contractor, states the responsibilities and limitations of the COR, especially with regard to changes in cost or price, estimates or changes in delivery dates. The COR is not authorized to change any of the terms and conditions of the resulting contract.

1.14.4 Post award conference/periodic progress meetings: The Contractor agrees to attend any post award conference convened by the contracting activity or contract administration office in accordance with Federal Acquisition Regulation Subpart 42.5.

The CO, COR, and other Government personnel, as appropriate, may meet periodically with the Contractor to review the Contractor's performance. At these meetings the CO will apprise the Contractor of how the government views the Contractor's performance and the Contractor will apprise the Government of problems, if any, being experienced.

Appropriate action shall be taken to resolve outstanding issues. These meetings shall be at no additional cost to the government.

PART 2

2.0 DEFINITIONS, ACRONYMS, AND APPLICABLE PUBLICATIONS

2.1 Definitions:

2.1.1 Category D: Information Technology and Telecommunications Services (called D- Services)

2.1.2 Category R: Support (Professional/Administrative/Managements) Services (called R-Services)

2.1.3 Contracting Officer (CO): A person with the authority to enter into, administer, and/or terminate contracts and make related determinations and findings.

2.1.4 Contracting Officer’s Representative (COR): An individual, including a contracting officer’s technical representative (COTR), designated and authorized in writing by the contracting officer to perform specific technical or administrative functions. This individual does NOT have authority to change the terms and conditions of the contract.

2.1.5 Contractor: A supplier or vendor awarded a contract to provide specific supplies or service to the government. The term used in this contract refers to the prime.

2.1.6 Defective Service: A service output that does not meet the standard of performance associated with the Performance Work Statement.

2.1.7 Deliverable: Anything that can be physically delivered, but may include non-manufactured things such as meeting minutes or reports.

2.1.8 Nonpersonal services contract: a contract under which the personnel rendering the services are not subject, either by the contract’s terms or by the manner of its administration, to the supervision and control usually prevailing in relationships between the Government and its employees.

2.1.9 Physical Security: Actions that prevent the loss or damage of Government property.

2.1.10 Quality Assurance: The government procedures to verify that services being performed by the Contractor are performed according to acceptable standards.

2.1.11 Quality Assurance Surveillance Plan (QASP): An organized written document specifying the surveillance methodology to be used for surveillance of Contractor performance. The Government may either prepare the quality assurance surveillance plan or require the offerors to submit a proposed quality assurance surveillance plan for the Government’s consideration in development of the Government’s plan.

2.1.12 Qualtiy Control: All necessary measures taken by the Contractor to assure that the quality of an end product or service shall meet contract requirements.

2.1.13 Work Day: The number of hours per day the Contractor provides services in accordance with the contract.

2.1.14 Work Week: Monday through Friday, unless specified otherwise.

2.2 Acronyms:

AAP American Academy of Pediatrics ACOG American College of Obstetrics and Gynecology ACOR Alternate Contracting Officer's Representative AO Authorizing Official ATO Authority to Operate CAP Cloud Access Point CDRL Contract Data Requirement List CFR Code of Federal Regulations CIO Chief Information Officer CJCSM Chairman of the Joint Chiefs of Staff Manual CND SP Computer Network Defense Service Provider CNSS Committee on National Security Systems CO Contracting Officer CONUS Continental United States (excludes Alaska and Hawaii) COR Contracting Officer Representative COTR Contracting Officer's Technical Representative COTS Commercial-Off-the-Shelf CS Contract Specialist CSD Clinical Support Division CSP Cloud Service Provider CUI Controlled Unclassified Information DD 254 Department of Defense Contract Security Requirement List (if applicable) DFARS Defense Federal Acquisition Regulation Supplement DHA Defense Health Agency DISA Defense Information Systems Agency DMDC Defense Manpower Data Center DoD Department of Defense DoDI Department of Defense Instruction EULA End User License Agreements.

FAR Federal Acquisition Regulation FedRAMP Federal Risk Authorization and Management Program GA Gestational Age HIPAA Health Insurance Portability and Accountability Act of 1996 HIT Health Information Technology iRAPT Invoicing, Receipt, Acceptance, and Property Transfer (formerly Wide Area Work Flow)

IA Information Assurance IS Information System IAVM Information Assurance Vulnerability Management MHS Military Health System MTF Military Treatment Facility NDA Non-Disclosure Agreement NIST National Institute of Standards and Technology OCI Organizational Conflict of Interest OCONUS Outside Continental United States (includes Alaska and Hawaii) ODC Other Direct Costs P-ATO Provisional Authorization to Operate PA Provisional Authorization PHI Protected Health Information PII Personally Identifiable Information PIPO Phase In/Phase Out PK Public Key PKI Public Key Infrastructure PMO Program Management Office POC Point of Contact PoP Period of Performance PPSM Ports, Protocols, and Services Management PRS Performance Requirements Summary PWS Performance Work Statement QA Quality Assurance QAP Quality Assurance Program QASP Quality Assurance Surveillance Plan QC Quality Control QCP Quality Control Plan RMF Risk Management Framework SAR Security Assessment Report SP Special Publication SRG Security Requirements Guide(s) STIG Security Technical Implementation Guide(s) TE Technical Exhibit TOS Terms of Service TJC The Joint Commission WHO World Health Organization

2.3 Applicable Publication

• Refer to the DoD Patient Safety website (https://health.mil/Military-Health-

Topics/Access-Cost-Quality-and-Safety/Quality-And-Safety-of-Healthcare/Patient- Safety ), Title 10 U.S.C. 1102

• C4ISR Architectural Framework, Version 2.0, December 18, 1997

• CJCSI 6212.01A-C4I Certification of Networthiness. For Interoperability Certification (C4I), also see DoD 4630.5, DoDI 4630.8, 15 February 2000

• Configuration Management Master Plan (CMMP), Version 1.0, 29 September 2000

• Defense Data Dictionary System (DDDS), latest version

(https://www.abbreviations.com/term/18682)

• Defense Information Infrastructure (DII) Common Operating Environment (COE)

Integration and Runtime Specification (I&RTS), Version 4.1 October 3 2000, and subsequent updates (everyspec.com/DoD/DoD- PUBLICATIONS/download.php?spec=COE_UIS_VER)

• Defense Medical Human Resource System (DMHRS) Evaluation and Advisory

• Deputy Assistant Secretary of Defense for Health Budgets and Programs (PDASD-

HBP Memo) “FY97 Defense Health Program (DHP) Funding Guidance – Revised,” 2 December 1996

• DISA: Technical Architecture Framework for Information Management (TAFIM), Version 3.0, and subsequent documents

• DMHRS II System Requirements Specification (draft)

• DoD 5136.1-P, DoD Medical Readiness Strategic Plan, 1998-2004

• DoD 5200.28-STD, Trusted Computer System Evaluation Criteria

(https://csrc.nist.gov/csrc/media/publications/conference-paper/1998/10/08/proceedings-of-the-21st-nissc-1998/documents/early-cs-papers/dod85.pdf)

• DoD Joint Technical Architecture, Version 4.0, July 17, 2002, http://www-jta.itsi.disa.mil)

• DoD Manual 8020.1-M, “Functional Process Improvement,” 15 January 1993, (http://www.tricare.osd.mil/imtr/reg_pol.html)

• DoD Regulation 5200.2-R, DoD Personnel Security Program, April 9, 1999 (http://www.dtic.mil/whs/directives/corres/pdf/d52002_040999/d52002p.pdf)

• DoD Technical Reference Model, Version 1.0, November 5, 1999 ( https://apps.dtic.mil/dtic/tr/fulltext/u2/a282718.pdf )

• Industry Implementation of International Standard ISO/IEC 12207: 1995

• Information Technology Management Reform Act of 1996 (also known as Clinger-

Cohen Act of 1996)

• Institute of Electrical and Electronics Engineers Standards (IEEE), (www.ieee.org)

• Interim Defense Acquisition Guidebook, October 2002

(https://www.dau.mil/tools/dag)

• OMB Circular A-130, “Management of Federal Information Resources", 28

November 2000 http://www-jta.itsi.disa.mil/ http://www-jta.itsi.disa.mil/ http://www.tricare.osd.mil/imtr/reg_pol.html http://www.dtic.mil/whs/directives/corres/pdf/d52002_040999/d52002p.pdf file:///C:%5CUsers%5Cpcollins%5CAppData%5CDocuments%20and%20Settings%5Ckeith.batchelor%5CLocal%20Settings%5CTemporary%20Internet%20Files%5CLocal%20Settings%5CTemporary%20Internet%20Files%5CLocal%20Settings%5Cjbrown2%5CLocal%20Settings%5CLMOORE%5CLocal%20Settings%5CTemporary%20Internet%20Files%5COLK2E9%5Cjbrown2%5CLocal%20Settings%5CLMOORE%5CLocal%20Settings%5CLMOORE%5CLocal%20Settings%5Cjbrown2%5CApplication%20Data%5CMicrosoft%5CWord%5C(http:%5Cwww-trm.itsi.disa.mil%5Cdev%5Chtdocs%5Ctrm_v1.0_2000_0321.pdf file:///C:%5CUsers%5Cpcollins%5CAppData%5CDocuments%20and%20Settings%5Ckeith.batchelor%5CLocal%20Settings%5CTemporary%20Internet%20Files%5CLocal%20Settings%5CTemporary%20Internet%20Files%5CLocal%20Settings%5Cjbrown2%5CLocal%20Settings%5CLMOORE%5CLocal%20Settings%5CTemporary%20Internet%20Files%5COLK2E9%5Cjbrown2%5CLocal%20Settings%5CLMOORE%5CLocal%20Settings%5CLMOORE%5CLocal%20Settings%5Cjbrown2%5CApplication%20Data%5CMicrosoft%5CWord%5C(http:%5Cwww-trm.itsi.disa.mil%5Cdev%5Chtdocs%5Ctrm_v1.0_2000_0321.pdf http://www.ieee.org/

PART 3

3.0 GOVERNMENT FURNISHED PROPERTY, EQUIPMENT, AND SERVICES

3.1 Services: The Government will provide personnel points of contact to assist with production set-up.

3.2 Facilities: N/A

3.3 Utilities: N/A

3.4 Equipment: N/A

3.5 Materials: N/A

PART 4

4.0 CONTRACTOR FURNISHED ITEMS AND SERVICES

4.1 General: The Contractor shall furnish all supplies, equipment, facilities, and services required to perform work listed under Part 5 of this PWS.

4.2 Secret Facility Clearance: N/A

4.3 Materials: The Contractor shall furnish materials, supplies, and equipment necessary to meet the requirements under this PWS.

4.4 Equipment: The Contractor shall furnish the the appropriate technology to meet the requirements under this PWS. The Contractor shall provide resources and equipment to communicate verbally and visually with MTF POCs to conduct virtually: trainings, meetings, and seminars.

4.5 Facilities: N/A

PART 5

5.0 SPECIFIC TASKS

5.1. Basic Services. The Contractor shall provide services necessary to perform electronic distribution, via email, text messaging, or app notification, of prenatal, parenting, and breastfeeding information for eligible beneficiaries at all MTFs that provide childbirth and pediatric services as defined in this Performance Work Statement except for those items specified as government furnished property and services.

5.2. The Contractor shall acquire subscription services for electronic materials that support knowledge management for prenatal, new parents, and breastfeeding women who are eligible beneficiaries of the MHS. See Section 7.1, Deliverable Schedule Table, Deliverable 0003.

5.2.1 The Contractor shall provide weekly electronic communication to the participant’s electronic device of choice from Gestational Age (GA) specific from week seven (7) GA up to toddler’s third birthday at the fifty-one (51) MTFs that provide perinatal and pediatric services participants.

5.2.2 Women and parents shall receive messages from any point along the care continuum from early pregnancy through the toddler years.

5.2.3 A breastfeeding module shall be available weekly from week 35 of pregnancy through week 6 of infancy.

5.2.4 A breastfeeding module shall be available monthly from two months of age of the infant until the infant’s first birthday.

5.2.5 The material shall be free from advertisement, endorsements, or links to advertisers.

5.2.6 The Contractor services shall include telephonic engagement with the MTF POCs to ensure appropriate orientation to the program with technical support for rapid enrollment of beneficiaries to receive the materials.

5.2.7 Materials shall be available to perinatal and pediatric providers and nurses.

5.2.8 The Breastfeeding series shall provide access to the most current breastfeeding information - the same info that is being shared with patients. Information shall be based on The TJC’s Exclusive Breastfeeding requirements and the U.S.

Breastfeeding Committee's guidelines, and include information from both the American Academy of Pediatrics (AAP) and the World Health Organization (WHO).

5.2.9 Content of the electronic communication shall support and document accreditation agency requirements of TJC, the American College of Obstetrics and Gynecology (ACOG), and AAP.

5.2.10 The electronic platform shall be a HIPAA compliant, secure platform.

5.2.11 MTF staff should be able to access the full content and view data immediately from anywhere at any time.

5.2.12 The platform shall accommodate various ways of enrolling patients:

online forms and self-enrollement.

5.2.13 The Contractor shall provide a monthly report to include the following enrollment information by MTF and purchased care which are reported to the COR. See Section 7.1, Deliverables Schedule Table, Deliverable 0004.

a. Beneficiary category (Active Duty Service Member (ADSM), Active Duty Family Member (ADFM), Retiree, and retiree family member);

b. Maternal age;

c. Relationship to baby/pregnancy;

d. Delivery (baby) number by expectant mother;

e. Open rates by group;

f. Comparison data by “like-clinics”

5.2.13.1 Total number of enrolled:

5.2.13.1.1 Expectant mother

5.2.13.1.1.1 ADSM

5.2.13.1.1.2 ADFM

5.2.13.1.1.3 Retiree

5.2.13.1.1.4 Retiree family member

5.2.13.1.2 Family members (non-expectant mother)

5.2.13.1.2.1 ADSM

5.2.13.1.2.2 ADFM

5.2.13.1.2.3 Retiree

5.2.13.1.2.4 Retiree family member

5.2.13.1.3 Other

5.2.13.2 Total number of disenrolled/unsubscribed by MTF:

5.2.13.2.1 Expectant mother

5.2.13.2.1.1 ADSM

5.2.13.2.1.2 ADFM

5.2.13.2.1.3 Retiree

5.2.13.2.1.4 Retiree family member

5.2.13.2.2 Family members (non-expectant mother)

5.2.13.2.2.1 ADSM

5.2.13.2.2.2 ADFM

5.2.13.2.2.3 Retiree

5.2.13.2.2.4 Retiree family member

5.2.13.2.3 Other

5.2.13.3 Delivery (baby) number by expectant mother (5.2.13.1.1)

5.2.13.4 Open rates by group:

5.2.13.4.1 Prenatal information (weeks 7 until birth)

5.2.13.4.2 Infant information (birth through 12 months)

5.2.13.4.3 Toddler information (13 months through 36 months)

5.2.13.5 Comparison data by “like-clinics” (i.e., Medical Centers, Large hospitals, Labor and Delivery units, etc.)

5.2.14 MTF staff shall have 24/7 access to training and program usability tools and toolkits, campaign ideas, marketing tools, and digital information brochures.

PART 6

6.0 INFORMATION TECHNOLOGY & SECURITY

6.1 All work under this contract is unclassified.

6.2 The Automated Data Processing/Information Technology (ADP/IT) levels and position sensitivity designation for positions under this contract is:

6.2.1 . ADP/IT II: Non-critical sensitive position: The Contractor shall comply with DoD Directive 8500.1, "Information Assurance (IA)," DoD Instruction 8500.2, "Information Assurance (IA) Implementation," DoD Directive 5400.11, "DoD Privacy Program," DoD 6025.18-R, "DoD Health Information Privacy Regulation," and DoD 5200.2-R, "Personnel Security Program Requirements." Follow the Defense Health Agency (DHA) Privacy Office guidelines for submittal of Automated Data Processor/Information Technology (ADP/IT) security clearances and ensure all contractor personnel are designated as ADP/IT-II where their duties meet the criteria of the position sensitivity designations.

6.3 PII/PHI, and Federal information requirements (refer to Clause Section for DHA Procedures, Guidance and Information 224.90 if applicable).

6.4 Training.

6.4.1 Contractor employees performing cybersecurity / cyberspace functions shall comply with the following requirements:

6.4.1.1 Training: All contractor and associated subcontractor employees working Cybersecurity (Information Assurance (IA))/Cyberspace functions must comply with DoD training requirements in Department of Defense Directive (DoDD) 8140.01, and DoD 8570.01-M. The Contractor shall ensure that its entire staff, including subcontractors and consultants that perform work on this Contract receive training on the Privacy Act of 1974 (5 U.S.C. 552a) and Health Insurance Portability and Accountability Act of 1996 (Pub. L. 104-191). The training requirements are mandated by OSD Memorandum 15041-07, “Safeguarding Against and Responding to the Breach of Personally Identifiable Information”: DoD 6025.18-R, “DoD Health Information Privacy Regulation”, January 24, 2003; and the DHA Workforce Training Policy Memorandum, dated May 28, 2008, on the subject, “Workforce Training Policy Pursuant to the Department of Defense Privacy Act Regulations and the Department of Defense Health Insurance Portability and Accountability Act Privacy and Security Regulations”.

All required Privacy Act and HIPAA training will be conducted online through Military Health System Learn (MHS Learn) or the current DHA learning management system (LMS) in place to deliver training to meet the above requirements. The Contractor shall ensure all employees and subcontractors supply a certificate of Privacy Act and HIPAA training completion to the COR within 30 days of being assigned to the contract and on an annual basis based on the trainee’s birth month thereafter.

6.4.1.2 Certification: Per DoDD 8140.01, Defense Federal Acquisition Regulation Supplement (DFARS) 252.239-7001, contractor employees supporting Cybersecurity (Information Assurance)/Cyberspace functions shall be appropriately certified upon contract award. The baseline certification as stipulated in DoD 8570.01-M must be completed prior to the beginning of their contract support services. In addition, the Contractor shall comply with Computing Environment (CE) certification requirements as specified in the contract. CE certifications shall be obtained within the timelines specified in DoD 8570.01-M.

6.4.2 Privileged user requirements: All contractor employees with privileged user status must comply with the requirements of DHA-Administrative Instruction (AI) 081, Employee use of Information Technology. N/A

6.5 General cybersecurity requirements – Information Systems. The Contractor shall establish appropriate administrative, technical, and physical safeguards to protect any and all Government data. The Contractor shall also ensure the confidentiality, integrity, and availability of Government data in compliance with all applicable laws and regulations, including data breach reporting and response requirements, in accordance with Defense Federal Regulations Subpart 224.1 (Protection of Individual Privacy), which incorporates by reference current versions DoDD 5400.11, “DoD Privacy Program,” and DoD 5400.11-R, “DoD Privacy Program.” The Contractor shall also comply with federal laws relating to freedom of information and records management. The Contractor shall analyze any breach of PII/PHI for which it is responsible under the terms of this Contract under both the Privacy Act and Health Insurance Portability and Accountability Act (HIPAA), if applicable, to determine the appropriate course of action under each requirement, if any.

6.6 Risk Management Framework (RMF) for DoD IT: Not Applicable

6.7 Commercial Cloud Computing Services: No cloud capabilities are required for this contract.

PART 7

7.0 DELIVERABLES SCHEDULE

PART 7.1 DELIVERABLES SCHEDULE TABLE

Deliverable Frequency Medium/Format Submit To Applicable to:

No. 0001 Quality Control Plan (QCP)

Within 30 days of contract award

No. 0002 Non-Disclosure Agreement

Signed statements are due, from each employee assigned, prior to performing ANY work on this contract

2 Hard Copies Microsoft Office suite of tools

Contracting Officer Representative

Paragraph 1.14.2 & Attachment 2

No. 0003 The contractor shall deliver weekly messages to eligible beneficiaries

Weekly from week 7 gestational age of fetus to 3rd birthday of toddler within 30 days of contract award.

Electronic

Contracting Officer Representative paragraph 5.2.

No. 0004 The Contractor shall provide monthly reports of usage and engagement trends by MTF and purchased care to include:

*Total number of enrolled *Total number of disenrolled/unsubs cribed *Delivery (baby) number *Open rates *Comparison data

Within 30 days of contract award and ongoing

Reported to the COR monthly

Contracting Officer Representative

Paragraph 5.2.13.

PART 8

8.0 PERFORMANCE REQUIREMENTS SUMMARY (PRS)

The Contractor service requirements are summarized into performance objectives that relate directly to mission essential items. The performance threshold briefly describes the minimum acceptable levels of service required for each requirement. These thresholds are critical to mission success.

Performance Objective

Standard Performance Threshold Method of Surveillance

PRS # 1.

The contractor shall provide a secure platform to disseminate age and developmental stage appropriate information electronically to the prenatal, new parent, and clinical staff population at up to 51 MTFs participants, i.e., PWS paragraph 5.

The contractor provided a secure platform which is HIPAA compliant

Zero deviation from standard

Reviewed by COR.

PRS # 2

The electronic communications shall be with material free from advertisement, endorsements or links to advertisers, i.e., PWS paragraph 5.2.5

DHA masthead appears on all 50 MTFs

No advertisements, endorsements, or links to advertisers

Weekly review by

COR

PRS # 3

The breastfeeding module shall be available weekly from week 35 of pregnancy through week 6 of infancy and monthly from two months of age until the infant’s first birthday, i.e., PWS paragraph 5.2.3 and 5.2.4

Content complies with TJC, AAP and WHO standards.

Review by COR

PRS # 4

The Breastfeeding Staff Series (same information that is provided to the patients) module shall contain messages that are based on TJC, AAP and WHO standards, i.e., PWS paragraph 5.2.8

Content complies with TJC, AAP and WHO standards.

Review by COR

PRS # 5

The contractor shall make the full content accessible to MTF staff, i.e., PWS paragraph 5.2.11

Connection made with MTF staff to enable this requirement.

No more than five validated concerns per period of performance expressed to COR

Reviewed by COR