HT0011-19-R-0042_Solicitation_and_PWS.docx

HT001119R0042

Section SF 1449 - CONTINUATION SHEET

PWS

Department of Defense Defense Health Agency – Performance Work Statement – Point of Care Evidence-Based Summaries Tools Subscription (POCEBT) Renewal to Support Department of Defense Medicine Subscription

DHA/SDD – Clinical

Solicitation Number:

Version:

Date: 12/29/2018

PART 1

1.0 GENERAL INFORMATION

1.1 This is a non-personal services contract renewal to provide continuing access and support of the Point of Care Evidence-Based Summaries Tools Subscription (POCEBT) Renewal to Support Department of Defense Medicine which includes of and consist of medical and clinical support functions, all medical related personnel and components located within and belonging to the organization specified below (here in know as supported organizations):

· Defense Health Agency (DHA)

· Military Health System

· Army Medicene

· Air Force Medicne

· Navy Medicne

· Marine Corps Medicene

· Uniformed Services University of the Health Sciences (USUHS)

· TRICARE Management Activity (TCMA)

· Associated Headquarters

· Laboratories

· Research Organizations

· United States Army

· United States Air Force

· United States Navy

· United States Marine Corps

· Unified Military Commands

· Department of Defense Combatant Commands, Field Activities, and others

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 Background Overview:

The scope of Department of Defense Medicine and the Military Health System (MHS) which includes Navy Medicine, Army Medicine, Air Force Medicine and associated supported organizations, extends from the deployed General Medical Officer (GMO) to a Graduate Medical Education (GME) faculty member or researcher at a major medical center. Each of these health professionals has different information needs, some of which are common to most and others that are very specialized. The Navy Medicine Electronic Library (NMeL) and the component supported organizations offerings currently focus on the content that is valuable to a broad range of Department of Defense Medicine and Navy health professionals. This core collection should meet the requirements stated below. These resources should be supplemented locally with specialized content appropriate to GME programs, research and/or a specialized mission. All Department of Defense Medicine and Navy Medicine health professionals would have access to content beyond the NMeL offerings through the Navy medical library network. Building and maintaining the Navy Medicine electronic Library, requires a combination of professional skills that include contracting, technical expertise and professional library skills. The task is very complex and requires full-time management. The current service virtual libraries rely heavily on content from aggregators. In the future Navy Virtual Medical Library offerings should include titles from individual publishers that meet broadly held information requirements, that are not available via current content or clinical resource aggregators or when it is more cost effective to purse content from the individual publishers that meet the broadly held information requirements.

1.2.1 Background Telelibrary Project:

Beginning in the mid-1990s the Telelibrary Project, under the direction of Naval Medical Information Management Center (NMIMC), delivered a core set of evidence-based medical references to all Navy health professionals in support of patient care, research and education. When the Telelibrary Project was established electronic evidence-based medicine resources were delivered on CD-ROM. These resources were considered to be computer assets rather than library resources and the funds to support and manage these resources were established at NMIMC rather than in the decentralized Navy medical libraries. Over time these resources migrated to the Internet and the Telelibrary Project developed into a virtual medical library. Management of the Telelibrary Project demanded contracting and medical library skills, but the funding and management remained at NMIMC and the librarians were not integrated team members and were informed rather than consulted on collection management. The Telelibrary Project remained a program of NMIMC for about fourteen years until NMIMC was transformed into the Navy Medicine Information Systems Support Activity (NAVMISSA) in 2009.Navy Medicine electronic Library (NMeL) When NAVMISSA assumed the management of the Navy virtual medical library, the Telelibrary Project was renamed the Navy Medical electronic Library (NMeL). The Program Manager of NMeL sought the assistance of Navy medical librarians as subject matter experts to advise and provide guidance on the management of the NMeL core collection of online clinical reference resources. Working in partnership the NMeL Program Manager and the Navy medical librarians have added utilities and required clinical resources that deliver content through an Open Athens portal to Navy health professionals. Navy medical libraries, through local Navy medical library websites, integrate NMeL resources with those purchased locally to support specialized patient care, research and graduate medical education at their institutions. The NMeL Program Manager has managed funding, worked with vendors, managed contracts, maintained access through the central portal, and resolved technical issues. Navy medical librarians have provided subject matter expertise to the virtual library and have enhanced the resources of the Navy Medical electronic Library with interlibrary loan and reference services. This collaboration maximizes the funds spent on evidence-based medicine information resources in Navy Medicine to meet clinical and Graduate Medical Education functional needs. Military Health System Virtual Medical Library. As the practice of military medicine has become increasingly joint an initiative began in the spring of 2013 to broaden the virtual and physical library collaboration beyond Navy Medicine to the three services and their military medical libraries to form the Military Health System (MHS) Virtual Medical Library. Army, Air Force and Navy Medicine, Armed Forces Medical Library Virtual Medical Library and Uniformed Services University of the Health Sciences (USUHS) Learning Resource Center each maintain their own electronic medical libraries. Many of the resources offered in these virtual libraries are similar. The goal of the MHS Virtual Medical Library is to align the three existing service-wide virtual libraries, the Defense Medical Virtual Library, and USUHS virtual library to meet the information needs of Department of Defense health professionals, maximize the DOD investment and forge a strong relationship between the MHS Virtual Medical Library and DOD medical libraries. This initiative has developed along with the Department of Health Affairs (DHA). A charter for the MHS Virtual Medical Library Integrated Product Team (DVMLIPT) was approved by the Clinical Portfolio Management Board (CPMB) in August 2014, and priorities have been established to consolidate contracts. The Navy has been identified as the Lead Agent for this effort with the Department Head, Library Services, Naval Medical Center Portsmouth (NMCP) and the NMeL Program Manager leading the effort. The idea is a valuable strategic initiative for military medicine.

1.2.2 Program Objectives:

· Provide Department of Defense Medicine MHS Virtual Medical Library and DOD medical libraries, and Navy Medicine Military Health System health professionals, researchers and educators regardless of their source location (including: facility based, in the field, afloat, deployed, at home or mobile) and all associated military medicine personnel regardless of duty location or organization including the DOD/MHS Wide healthcare system and all of its associated military, civil servant, civilian, public health service, contractor, or volunteer medicine or other associated support personnel regardless of the supported or supporting organization including the component organizations specified in this PWS. This shall include all components, organizations specified and defined in this PWS. Provide a specialized collection of resources to meet graduate medical education and other specialty requirements. These collections need to be licensed centrally and made available to selected users or licensed locally to meet local, specialty requirements.

· Provide centralized licensing with option year funding at the Navy level where feasible.

· Continue NMeL management efforts with optimal collaboration between the Program Manager and the Navy medical librarians to manage vendor issues, facilitate the resolution of technical issues and serve as a Point of Contact (POC) for all Navy users

· Continue efforts to provide efforts in support of a robust network environment that is scalable and responsive to make the resources easily accessible from home, office or Temporary Assigned Duty (TAD) or temporary duty (TDY) location where Common Access Card (CAC) access is not possible.

· Support robust website whose resources are maintained by knowledgeable library professionals for accuracy and accessibility.

· Internet Protocol (IP) authentication for all resources for integration of these resources with specialized resources purchased locally

· Access to documents beyond the scope of the NMeL provided through an interlibrary loan system that complies with copyright guidelines and licensing restrictions

· Access to specialized reference services of Navy medical libraries

1.3 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 perform the Point of Care Evidence-Based Summaries Tools Subscription (POCEBT) Renewal to Support Department of Defense Medicine and all associated military medicine personnel regardless of duty location or organization including the component specified organization specified in this PWS. . This shall include the component specified organization specified and 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 specified in this PWS and contract.

· Provide Department of Defense Medicine MHS Virtual Medical Library and DOD supported organizations medical libraries, and Navy Medicine Military Health System health professionals, researchers and educators regardless of their source location (including: facility based, in the field, afloat, deployed, at home or mobile) and all associated military medicine personnel regardless of duty location or organization including the DOD/MHS Wide healthcare system and all of its associated military, civil servant, civilian, public health service, contractor, or volunteer medicine or other associated support personnel regardless of the supported or supporting organization including the component organizations specified in this PWS. This shall include all components, organizations specified and defined in this PWS. Provide a specialized collection of resources to meet graduate medical education and other specialty requirements. These collections need to be licensed centrally and made available to selected users or licensed locally to meet local, specialty requirements.

· Provide centralized licensing with option year funding at the individual component level where feasible.

· Continue NMeL management efforts with optimal collaboration between the Program Manager and the Navy medical librarians to manage vendor issues, facilitate the resolution of technical issues and serve as a Point of Contact (POC) for all Navy users

· Continue efforts to provide efforts in support of a robust network environment that is scalable and responsive to make the resources easily accessible from home, office or Temporary Assigned Duty (TAD) or temporary duty (TDY) location where Common Access Card (CAC) access is not possible.

· Support robust website whose resources are maintained by knowledgeable library professionals for accuracy and accessibility.

· Internet Protocol (IP) authentication for all resources for integration of these resources with specialized resources purchased locally

· Access to documents beyond the scope of the NMeL provided through an interlibrary loan system that complies with copyright guidelines and licensing restrictions

· Access to specialized reference services of MHS and Navy medical libraries

1.4 POCEBT Scope: The subscription shall provide Navy and Department of Defense (DOD) supported organizations Medicine, physicians and clinical staff (all healthcare providers and allied healthcare support) with evidence-based clinical decision support resources that assist healthcare providers with making the right decisions at the point of care. The subscription shall support healthcare providers by use of authoritative, peer-reviewed, evidence-based medical information. The subscription shall provide evidence-based summaries and expert opinion on a broad range of adult and pediatric medical topics in a consistent format that is required for direct evidence-based care. The subscription shall integrate with the current and future Department of Defense Electronic Health Record. The contractor shall provide all personnel, equipment, supplies, facilities, transportation, tools, materials, supervision, and other items and non-personal services necessary to perform the Point of Care Evidence-Based Summaries Tools (POCEBT subscription), To provide support for Navy Medicine Wide healthcare and other DOD supported organizations Medicine locations and systems and all associated military, civil servant, civilian, public health service, contractor, or volunteer medicine or other associated support personnel regardless of duty location or organization including the component specified organization specified in this Performance Work Statement (PWS). This shall include the component specified organization specified in this PWS as defined in this Performance Work Statement except for those items specified as government furnished property and services. The contractor shall perform to the standards specified in this performance work statement. The subscription shall assist healthcare providers to provide consistent and standardized care, thus improving the quality of care provided. The subscription shall help reduce both adverse events and length of stay, as well as improved efficiency and patient outcomes.

The POCEBT shall support and provide Navy and Department of Defense (DOD) supported organizations Medicine, physicians and clinical staff (all healthcare providers and allied healthcare support) with evidence-based clinical decision support resources that assist healthcare providers with making the right decisions at the point of care. The subscription shall support healthcare providers by use of authoritative, peer-reviewed, evidence-based medical information. The subscription shall provide evidence-based summaries and expert opinion on a broad range of adult and pediatric medical topics in a consistent format that is required for direct evidence-based care

The Subscription shall be hosted by the vendor and shall be available to and within the specified DOD components Virtual Medical Library environment. Appropriate linkage to each specified location and IP-authentication shall be required for each specified location. All information shall be accurate, complete, unbiased, evidence-based, and referenced with current medical literature. The database shall have search features and a user-friendly interface. This service shall provide multiple, simultaneous access to the site via internet/world wide web. This service shall incorporate use of an internet browser, such as Explorer, Firefox, or Chrome to enable authorized users to retrieve full-text topic reviews written by experts in the medical specialty and fully reference with current literature sources. This Performance Work Statement details the requirements to provide performance based subscription services and other required technical and support services.

The contractor shall provide commercial applications and subscription services to meet the Government requirements listed below. The contractor is solely responsible for meeting the requirements listed unless otherwise stated.

The contractor is solely responsible for meeting the requirements listed unless otherwise stated. Required services shall include Program Management and Life Cycle Maintenance, Contract-Level Program Management, Program and Application System Support, Application Updates and the Preparation and Submittal of Monthly Status Reports, Trip Reports, Meeting Reports, and all required technical support to resolve problems and issues to meet the customers’ requirements.

The "point of care evidence-based summaries tools" (POCEBT) is a set of or multiple sets of tools integrated as a part of a clinical reference tools subscription that provides evidence-based summaries and expert opinion on a broad range of adult and pediatric medical topics in a consistent format that is useful to DOD Medical personnel at the point of care.

This contract shall provide point of care evidence-based summaries tools (POCEBT) subscription that will be hosted within the specified DOD supported organizations components Virtual Medical Library environment. Appropriate linkage to each specified location to the POCEBT set and IP-authentication shall be required for each specified location. All information shall be accurate, complete, unbiased, evidence-based, and referenced with current medical literature. The database shall have search features and a user-friendly interface. This service shall provide multiple, simultaneous access to the site via internet/world wide web. This service shall incorporate use of an internet browser, such as Explorer, Firefox, or Chrome to enable authorized users to retrieve full-text topic reviews written by experts in the medical specialty and fully reference with current literature sources. This Performance Work Statement details the requirements to provide performance based subscription services and other required technical and support services. The contractor shall provide commercial applications and subscription services to meet the Government requirements listed below. The contractor is solely responsible for meeting the requirements listed unless otherwise stated. Required services shall include Program Management and Life Cycle Maintenance, Contract-Level Program Management, Program and Application System Support, Application Updates and the Preparation and Submittal of Monthly Status Reports, Trip Reports, Meeting Reports, and all required technical support to resolve problems and issues to meet the customers’ requirements as applicable.

1.4.1 Technical and Operational Requirements

Content and full application capability shall be available at a dedicated online site via a single URL/Launch Page.

1.4.2 Operating Capability – Low Communications/No Communications Environments The same content and full application capability that is available via the dedicated online site via a single URL/Launch Page shall also be available on the hand-held and mobile devices when connect via the proper mode for operation. The same content and full application capability for the POCEBT application shall be available on mobile devices and fully operational in a “stand-alone” or “airplane” mode i.e. not connective to cellular or wireless networks.

Provide POCEBT applications DVDs that include all content that is available via the dedicated online site including medical point of care content, graphics, and drug information for use in a low communication or no communication environment (I.E. an area without dependable and consistent internet access). The POCEBT applications DVDs shall be capable of running in a “standalone mode” (I.E. No files are installed on the host computer or system). The POCEBT applications DVDs shall be capable of running in an installed mode I.E. the POCEBT applications shall be capable of being installed on authorized systems and be capable of running without the DVD being available to the application.

1.4.3 Simultaneous and Concurrent Users Requirements

The vendor shall have the ability to support an unlimited number of simultaneous users in support of the POCEBT subscription. Users are to have immediate access from any web-enabled device including mobile devices within the Navy Medicine network for authorized users. It is required that all authorized remote users with VPN or Web access also have access to the product. A two-method authentication option must be offered for remote users if required (Notification will be provide via the COR/COTR).

The vendor should have the ability to support a concurrent user access configuration using a limited number of concurrent simultaneous users in support of the POCEBT subscription. The concurrent simultaneous users support should provide the ability for a set user timeout and the ability for the user to return to the application last working location when they log back in to the POCEBT application.

1.4.4 Access and Support Requirements

The vendor will provide all sites on the DOD and supported organizations including Navy Medicine network with access to a web-based product with a dedicated online site via a single URL/Launch Page. Authentication support will be through Internet Protocol (IP) address validation on an enterprise wide basis.

The vendor shall provide access and support for access for all sites on the DOD and Military Health System Network including supported organizations networks with a dedicated online site via a single online web-based product URL/Launch Page with authentication support for proxy server based access.

The vendor shall provide access and support for access for all sites on the DOD and Military Health System Network with access to current web-based authentication systems in use in the DOD including Athens and EZ-Proxy.

The vendor shall provide the ability to create and maintain durable Uniform Resource Locators (URL’s) to provide support for direct access to specific access to content within the POCEBT subscription content. The vendor shall maintain the durable URL’s for the life of the contract.

If changes are required, the vendor shall notify the Government 15 Calendar days prior to the planned actions and shall provide the updated durable URL’s information so that the Government may take the appropriate actions.

1.4.5 Device Access Requirements

The system shall provide the ability to access POCEBT online clinical reference resources across multiple Government-approved devices (e.g. Government-approved workstations, mobile devices, etc.).

Multiple devices can be used for access including Desktops, Laptops, Tablets, Mobile Devices including portable devices for use in low-communication/ no communication environments (Kiosk, Devices (Android) (IOS) and Other operating systems that are currently on the Government Approved Products List).

The system shall provide full access to online POCEBT clinical reference resources via mobile devices (in accordance with the DOD Unified Capabilities Approved Products List (DOD UC APL). Kiosk, Devices (Android) (IOS) or other operating systems that are currently on the Government Approved Products List. The system shall provide the ability to access online POCEBT clinical reference resources across multiple Government-approved platforms (e.g. Government-approved operating systems).

1.4.6 Internet Protocol Conformance Requirements

The Contractor shall provide COTS solutions that are IPv6 capable. An IPv6 capable system or product shall be capable of receiving, processing, transmitting and forwarding IPv6 packets and/or interfacing with other systems and protocols in a manner similar to that of IPv4. Specific criteria to be deemed IPv6 capable are, or meet the following:

Conformance to the DOD Information Technology Standards Registry (DISR) developed DOD IPv6 Standards Profile. Systems being developed, procured, or acquired shall comply with the Global Information Grid Architecture and DISR standard IPv6 Capable definition. An IPv6 Capable system must meet the IPv6 base requirements defined in the “DOD IPv6 Standards Profile v2.0” dated August 1, 2007 available from the DISR.

Maintenance of interoperability with IPv4; Systems being developed, procured or acquired shall maintain interoperability with IPv4 systems/capabilities. Systems should implement IPv4/IPv6 dual-stack and should also be built to determine which protocol layer to use depending on the destination host it is attempting to communicate with or establish a socket with. If either protocol is possible, systems should employ IPv6. Provide evidence of a migration path and commitment to upgrade all applications and product features to IPv6 (if not currently fully IPv6).

Availability of contractor/vendor IPv6 technical support for system implementation and management as needed. DOD IPv6 security guidelines, standards, and solutions shall be utilized and adhered to when available. Currently, DOD IPv6 Information Assurance (IA) guidance is available from the DOD IPv6 Transition Office (DITO).

1.4.7 System Availability and Accessibility

System downtime shall be minimal and the designated Point of Contact and Contracting Officer’s Representative (COR) shall be notified and shall be provide notification of scheduled maintenance 10-15 calendar days prior to scheduled start date.

A minimum of 24 hours before an unplanned system downtime must occur or as soon as a system outage occurs or is noticed.

· The system shall be accessible 24 hours per day.

· The system shall be accessible 7 days a week.

· The system shall be accessible 365 days a year

The vendor shall schedule routine maintenance outside of normal clinical hours (in accordance with Government-negotiated time frames and time zones).

The product shall be fully compatible with the currently approved web browsers on the Government/DOD Approved Product (APL) List including most standard web browsers (Mandatory support required for Microsoft Internet Explorer, Mozilla Firefox and Google Chrome), which have cookies enabled. To ensure privacy, the product shall use session cookies rather than persistent cookies.

The vendor shall support the current version of all products on the Government/DOD APL and three previous versions back.

The product shall be compatible with the Windows operating system environment, Apple operating system environment and other approved operating system environments on the Government/DOD APL.

1.4.8 System Support

All site content and support of the web site is the responsibility of the contractor. This includes technical support to all authorized users worldwide regardless of the operating platform or operating location.

The vendor will provide technical support for the product for all sites on the DOD network with access to the dedicated online site via a single URL/Launch Page supporting the web-based product.

1.4.9 System Access Requirements

The system shall provide the ability to authenticate authorized users in accordance with the DOD Security standards outlined in the Federal Information Processing Standards.

· Utilizes Common Access Card (CAC) and Public Key Infrastructure (PKI) technologies to provide the highest level of data security and user authentication Per DOD Guidance.

· The application shall support the existing DOD Single-Sign-On (SSO) capability.

· Sign-On capability support from existing DOD networks shall be CAC based or username based supporting complex password based access login.

· Shall support Federal Personal Identity-Authentication (PIV-Auth) certificate, per Homeland Security Presidential Directive 12 (HSPD-12) requires Federal departments and agencies to use strong authentication credentials for network and IT system access.

1.4.10 Online and Offline Retrieval Services Capabilities

The system shall provide the ability for the authorized user to search by the following search parameters regardless of file extension and/or media type:

· Option to select basic or advanced searching interface.

· Search for title or specific words or subject.

· Restrict by age, gender.

· The system shall provide the ability for authorized user to search content by:

· Author Subject

· Clinical area

· Medical Conditions

· Medical Symptoms

· Treatment area

· Specialty areas

· The system shall provide the ability for authorized users to save searches.

· The system shall provide the ability to filter search results.

· The system shall provide an auto suggest feature while searching.

· The system shall provide the ability for authorized users to save searches.

· The system shall provide the ability to filter search results.

· The system shall provide an auto suggest feature while searching.

· The system shall provide the ability for authorized users to extract information into multiple Government-approved file formats.

· The system shall provide the ability to download complete entries from the application to support low communication/no communication individual authorized end-user and Government Program office end users and platforms and environments with advanced coordination in PDF Format.

· The system shall ensure users shall be able to:

· Print/email from within the system citations or, when available, full-text articles.

· Download and email citations or, when available, full-text articles.

· E-mail results of literature search.

· Full-text retrieval results will display or print all graphics (tables, etc.) included in the original content of the print publication.

1.4.11 System Reports Requirements

The system shall provide the ability to track and report usage down to specific IP address level (based upon Government IP architecture).

The system shall provide the ability to track and report usage down to the specific user level when access is via IP (based upon Government IP architecture).

The system shall provide the ability to track and report usage down to the specific user level when access is via personal accounts.

The system shall provide the ability to produce standardized and custom reports.

Standardized Reports shall include:

· Total Usage for all provided content by content type, content name, usage location, and total numbers of access and turn-away

· Reports shall also include by content type, content name, and usage location all content that is downloaded in PDF format The following usage statistical reports will be available for all components (If applicable):

· Monthly Database Searches & Sessions Requests

· Monthly Database Turnaways

· Total Searches and Sessions by Month & Service

· Monthly Database Usage

· Monthly Full Text Requests

· Peak Usage

· Monthly User License Statistics

· Monthly Top Search Activity

· Monthly Search/Session Usage

· Monthly Top Linking Activity

· Monthly Continuing Education usage by Clinical Specialty Area

1.4.12 Patient Education Handouts Requirements

Patient Education Handouts shall be available at a minimum in both English and Spanish (if available) and will support the entire range of medical conditions associated with the supported Medical Specialty and Clinical Areas of Practice specified in this document, Patient Education Handouts shall be written at approximately the 6th grade level for understanding.

1.4.13 Personal and Professional Accounts Requirements

Personal and Professional accounts capabilities.

· The system should provide the ability for authorized users to create customized reading lists.

· The system should provide ability for authorized users to share customized reading lists.

· This ability will include the ability to create, save, update and delete customized reading lists. (If Applicable)

· The system should provide the ability for authorized users to save content to their customized reading list. (If Applicable)

· The system should provide the ability for authorized users to delete saved documents. (If Applicable)

1.4.14 Medical Education Support Requirements

Continuing Medical Education (CME) Support Requirements

· 1.6 Period of Performance (PoP): Shall be a base year and four option years. See Table Below.

Period Of Performance

1.7 Administrative specifications

1.7.1 Place of performance: The work shall be performed at the Contractors facility.

1.7.2 Recognized Federal holidays: The Contractor is required to perform services on holidays if needed.

1.7.3 Hours of operation: The contractor is responsible for conducting business, between the hours of 8 AM and 5 PM CST 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 must 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.

1.8 Quality

1.8.1 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).

1.9 Security and Common Access Card (CAC) requirements: All security and CAC requirements are identified in the attachment found in Part 7, 7.4. Contractor personnel performing work must have and maintain the appropriate security and designation required. All work under this contract is unclassified.

1.10 The Automated Data Processing/Information Technology (ADP/IT) levels and position sensitivity designation for positions under this contract is: (Requirement must be checked in order to be a requirement for this PWS.)

☐ ADP/IT I: Critical sensitive position ☐ ADP/IT II: Non-critical sensitive position

1.11 Reserved.

1.11.2.5.4 The contracting officer shall not award a contract to acquire cloud computing services from any cloud service provider (e.g., contractor or subcontractor, regardless of tier), that has not been granted provisional authorization to provide the relevant cloud computing services in accordance with the Cloud Computing SRG (version in effect at time of contract award) found at http://iase.disa.mil/cloud_security/Pages/index.aspx. All necessary SRG requirements, including cloud access point connections and authorizations to operate, must be satisfied before the cloud computing service becomes operational.

1.11.2.5.5 Contractors contracting for Cloud services will only use cloud services that have been issued both a DoD Provisional Authorization by DISA and obtained an Authority to Operate (ATO) (Reference (f)) by the DHA Authorizing Official (AO).

1.11.2.5.6 Non-DoD cloud services hosting Controlled Unclassified Information (CUI) (Personally Identifiable Information (PII)) shall be connected to customers through a Cloud Access Point that has been approved by the DoD Chief Information Officer (CIO) and have a Computer Network Defense Service Provider (CND SP).

1.11.2.5.7 Cloud Service providers shall establish a security baseline in accordance with the Federal Risk Authorization and Management Program (FedRAMP) and achieve a FedRAMP (level 4-5) authorization to store/process DOD sensitive information within the Cloud Service Provider (CSP).

1.11.2.5.8 The contractor shall connect to customers through a DoD Cloud Access Point (CAP) for commercial cloud services hosting Controlled Unclassified Information

1.11.2.5.9 The contractor shall implement CNSSI 1253 Privacy Overlay for cloud services that contain PII/Protected Health Information (PHI).

1.11.2.5.10 The contractor is solely responsible for the cost associated with obtaining a FedRAMP Provisional Authorization (PA) to host Federal Government missions and obtaining a DoD Provisional Authorization to Operate (P-ATO).

1.11.2.5.11 The Contractor shall adopt and maintain administrative, technical, and physical safeguards and controls that are required for the security level and services being provided, in accordance with the Cloud Computing SRG, (version in effect at the time of contract award) found at http://iase.disa.mil/cloud_security/Pages/index.aspx. (Note: the new cyber incident reporting requirements of SRG section 6.4 become enforceable by the Government upon the effective date of the information collection governing the new reporting requirements (see DFARS case 2013-D018).

1.11.3 Physical Security: The contractor shall be responsible for safeguarding all government equipment, information and property provided for contractor use.

1.11.4 Key control: Reserved

1.11.5 Lock combinations: Reserved

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

1.12Key personnel (Government): The following personnel are considered key personnel by the government: Program Manager/ Alt Program Manager.

1.12.1 Key personnel (Contractor): The contractor shall provide a contract manager who shall be responsible for the performance of the work. The name of this person and an alternate who shall act for the contractor when the manager is absent shall be designated in writing to the CO. The contract manager or alternate shall have full authority to act for the contractor on all contract matters relating to daily operation of this contract. The contract manager or alternate shall be available between 8:30 AM to 4:30 PM , Monday thru Friday except Federal holidays or when the government facility is closed for administrative reasons.

1.13 Data rights: Reserved.

1.14 Government training: The Contractor shall ensure that all Contractor employees attend or successfully complete all mandatory Government training. The training typically encompasses matters of security and safety, and is provided during billable time at no cost to the Contractor.

1.14 Reporting

1.15.1 Contractor Manpower Reporting (CMR): The Office of the Secretary of Defense (OSD) Personnel and Readiness (P&R) operates and maintains a secure data collection site where the Contractor shall report ALL Contractor manpower (including subcontractor manpower) required for performance of this contract. The Contractor shall completely fill in all the information in the format using the following web address http://www.ecmra.mil/ . The required information includes: (1) Contracting Office, CO, Contracting Officer’s Technical Representative (COTR), and the Contracting Officer’s Representative (COR); (2) Contract number, including task and delivery order number; (3) Beginning and ending dates covered by reporting period; (4) Contractor's name, address, phone number, e-mail address, identity of Contractor employee entering data; (5) Estimated direct labor hours (including sub-Contractors); (6) Estimated direct labor dollars paid this reporting period (including sub-Contractors); (7) Total payments (including sub-Contractors); (8) Predominant Federal Service Code (FSC) reflecting services provided by Contractor (and separate predominant FSC for each sub-Contractor if different); (9) Estimated data collection cost; (10) Organizational title associated with the Unit Identification Code (UIC) for the Requiring Activity (the Requiring Activity is responsible for providing the Contractor with its UIC for the purposes of reporting this information); (11) Locations where Contractor and sub-Contractors perform the work (specified by zip code in the United States and nearest city, country, when in an overseas location, using standardized nomenclature provided on website); (12) Presence of deployment or contingency contract language; and (13) Number of Contractor and sub-Contractor employees deployed in theater this reporting period (by country). As part of its submission, the Contractor shall provide the estimated total cost (if any) incurred to comply with this reporting requirement. Reporting period shall be the period of performance not to exceed 12 months ending September 30 of each government fiscal year and must be reported by 31 October of each calendar year. Contractors may use a direct Extensible Markup Language (XML) data transfer to the database server or fill in the fields on the website. The XML direct transfer is a format for transferring files from a Contractor’s system to the secure website without the need for separate data entries for each required data element at the website. The specific formats for the XML direct transfer may be downloaded from the website.

1.15.2 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 is to be renewed upon exercising a contract option period. Assignment of staff who have 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, if required.

1.15.3 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.

1.15.4 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.

2.1 SUBSCRIPTION REQUIREMENTS

2.2 Ensure site is available (24/7x365) days a year excluding website maintenance requirements.

2.3 Provide a POC who will be responsible for the performance of the work. The point of contact will have full authority to act for the Contractor on all matters relating to the daily operation of this contract. The Contractor will designate this individual, in writing, to the Contracting Officer (CO) and the Government Program Manager (PM) before the contract start date. An alternate may be designated, but the Contractor will identify those times when the alternate shall be the primary point of contact.

2.4 Provide 24/7 contact customer technical support and provide a technical representative for this contract for assistance with technical problems accessing the site within 15 days of award.

2.5 Provide 30 days prior notice of accessibility unavailability resultant from upgrade or other electronic maintenance requirements. Notice will be accomplished by submission of an email to the Contracting Officer and the Government Program Manager (PM) and by posting a notice to the website.

3.1 SUBSCRIPTION CONTENT

3.2 Full-text topical medical reviews, referenced with current, authoritative medical literature hyperlinked to MEDLINE abstracts.

3.3 Content will be reviewed continuously and updated based on current literature at least 3 times per year. A description of the updating/review process shall be made available.

3.4 Content will be written at the medical provider level.

3.5 Content will cover, Adult and Pediatric Emergency Medicine, Adult Primary Care and Internal Medicine, Allergy, Immunology, Cardiovascular Medicine, Dermatology, Drug Information, Endocrinology, Family Medicine, Gastroenterology, Hematology, Infectious Diseases, Nephrology, Hypertension, Neurology, Obstetrics, Gynecology, Women’s Health, Oncology, Pediatrics, Psychiatry, Pulmonary, Critical Care, Sleep Medicine, Rheumatology, and Surgery.

3.6 Content will include pathophysiology, diagnosis, prognosis, etiology, laboratory tests, and recommended treatment of medical conditions with grading of evidence if appropriate. Content will also include date of record/review update.

3.7 Content will be written by expert physicians in the specialty and peer-reviewed by other experts in the specialty. Credentials and affiliations of the authors and reviews will be included in the content.

3.8 Content will be synthesized into a clear and concise answer for patient care.

3.9 Content will include pediatric and adult topics.

3.10 Content will be searchable with words or phrases in titles and content and by subject. The database will have search tools enabling users to find/retrieve all medical topic reviews on search topics in one interface including drop-down menus of possible matches after typing the first few characters. The database shall also map from common synonyms, abbreviations, and acronyms.

3.11 Provide graphics integrated into the reviews.

3.12 Provide prescribing, dosage, and adverse effects of drugs listed for treatment in reviews.

3.13 Provide a simple grading system for evidence. Evidence should be graded for both the strength of the recommendation and quality of the evidence upon which the recommendation is based.

3.14 Provide alerting features to notify users of new content since the last update. Alert content shall focus on information that is patient-oriented and with the potential to change current practice of health care providers.

3.15 Provide interactive medical specialty calculators, i.e. cardiac output, peak expiratory flow, etc.

3.16 Search interface shall be customer-friendly.

3.17 Content shall be available at a designated online site and also on hand-held/mobile devices.

3.18 Patient education summaries shall be included and written at approximately 6th grade level.

3.19 Users shall be able to print, email, and download full-text topic reviews.

3.20 Provide updated and current DVDs that include all topic reviews, graphics, and drug information for deployed troops without dependable and consistent internet access.

3.21 Provide continuing medical education credits certified by the Accreditation Council for Medical Education. Physicians shall receive AMA Category 1 CME for each search performed. Users shall be able to track CME activity after establishing an account.

3.22 Provide a monthly usage report to the Government PM or designated representative displaying the number of users and number of reviews accessed.

PART 2

2.0 DEFINITIONS & ACRONYMS

2.1 Definitions:

· 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.

· CONTRACTING OFFICER. A person with authority to enter into, administer, and or terminate contracts, and make related…