HT001419R001701.pdf

0011303344

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

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

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

30-105-04EXCEPTION TO SF 30

APPROVED BY OIRM 11-84

STANDARD FORM 30 (Rev. 10-83) Prescribed by GSA

FAR (48 CFR) 53.243

The purpose of this solicitation amendment is to provide answ ers to questions received IAW ADDENDUM TO 52.212-1 (e).

1. CONTRACT ID CODE PAGE OF PAGES

J 1 51

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

16C. DATE SIGNED

BY 17-Jul-2019

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

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

8. NAME AND ADDRESS OF CONTRACTOR (No., Street, County, State and Zip Code) X HT001419R0017

X 9B. DATED (SEE ITEM 11)

09-Jul-2019

10B. DATED (SEE ITEM 13)

9A. AMENDMENT OF SOLICITATION NO.

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

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

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

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

or (c) By separate letter or telegram which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN

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

12. ACCOUNTING AND APPROPRIATION DATA (If required)

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

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

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

CONTRACT ORDER NO. IN ITEM 10A.

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

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

D. OTHER (Specify type of modification and authority)

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

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

10A. MOD. OF CONTRACT/ORDER NO.

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

6. ISSUED BY

3. EFFECTIVE DATE

17-Jul-2019

CODE

DHA CONTRACTING OFFICE-(NCR-CD) HT0014

8111 GATEHOUSE ROAD

2ND FLOOR

FALLS CHURCH VA 22042

HT0014 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

HT001419R0017

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 30 - BLOCK 14 CONTINUATION PAGE

The following have been added by full text:

QUESTIONS WITH ANSWERS

Questions received during solicitation with Answers Provided

1. QUESTION: Is this an existing requirement? If so, please provide the current contract number(s) and name(s) of the incumbent contractor(s).

ANSWER: Yes, The information will only be release to the awardee.

2. QUESTION: If this is an existing requirement, for which positions are incumbent HCWs currently performing services?

ANSWER: All the positions are currently filled by the incumbent.

3. QUESTION: Can you identify who the current incumbent company is?

ANSWER: The information will only be release to the awardee.

4. QUESTION: Does this acquisition have a waiver from being competed through the MQS vehicle under Section 727 of the NDAA for FY17 and, if so, does the waiver extend through all four option years of the resultant contract?

ANSWER: Yes.

5. QUESTION: Can the government provide the applicable wage determination for this requirement?

ANSWER: The Government does not associate any of the labor categories being solicitated as being applicable to the Department of Labor’s (DOL) Wage Determination (WD).

6. QUESTION: In paragraph (c) on pg 83 it states “No escalation may be included for positions deemed to be covered by the SCA”. Does this mean we cannot escalate SCA positions or we may not?

ANSWER: IF a solicited labor category were identified as DOL SCA applicable, there should be no escalation to that applicable Option Year labor category price by the offeror, until the DOL revises the WD (subsequent to award), increasing the hourly ‘rate’ (or increase to health & welfare rate) for the applicable labor category. Then, based on the DOL WD revision (e.g. increasing the rate) a request for equitable adjustment (IAW DFARS clause 252.243-7002) could be sought by the contractor, citing the DOL WD revision with rate change(s).

7. QUESTION: What is the applicable FAR clause prohibiting contractors from escalating pricing?

ANSWER: IF this question pertains to a DOL SCA WD labor category, see FAR clause 52.222-43. The basis for any escalation to price for a DOL WD applicable labor category would be when the DOL update’s the requisite and applicable WD increasing the rate(s), with a request for equitable adjustment ensued by the contractor.

8. QUESTION: Many CORs are declining to respond to PPQs as a result of the influx of similar requests spawned by the DHA MQS contract; we respectfully request the Government allow the submission of completed CPARs in addition to/in lieu of questionnaires to support a PPL.

ANSWER: Yes, this office will accept a proposal submitted with completed CPARs in addition to/in lieu of completed PPQs (Attachment 2 to the Solicitation).

9. QUESTION: It states 1 copy of each volume is required. Is that in addition to the original or is that including the original?

ANSWER: See table on page 86 of the Solicitation.

10. QUESTION: Many CORs decline to provide past performance questionnaires directly to contractors, so we respectfully request the Government allow references to submit questionnaires directly to contracting.

ANSWER: Yes, this office will accept completed PPQs (Attachment 2 to the Solicitation) directly from an offeror’s customer(s) in lieu of being submitted with he offeror’s proposal.

11. QUESTION: On page 83, the instructions for the Technical Information section indicate that the “technical (offeror’s market research) shall not exceed 10 pages”, however the table on page 86 states that the market research is limited to “Eight (8) pages total”. Can the Government clarify if the page limitation for the market research is ten pages or eight pages?

ANSWER: The table on page 86 has been amended to state 10 pages total which now matches page 83.

12. QUESTION: The instructions on the past performance questionnaire indicate that references should complete the questionnaire and return it to Offerors to submit with their proposal. Occasionally, we have encountered references who are uncomfortable sending the questionnaire back to our firm instead of directly to the Government.

Will the Government allow references to submit questionnaires directly to the Government?

ANSWER: See ANSWER to question #8.

13. QUESTION: PWS 1.8.2 references travel to the Annual Pain Care Skills Training events. Will there be a travel

CLIN?

ANSWER: No. As written in PWS 1.8 “…Required travel outside the NCR is also within scope, but these travel-related expenses are to be reimbursed off of a separate (different) contract. The NCRPI POC shall provide guidance to contractors requiring reimbursable travel outside the NCR. He shall inform the contractors requiring reimbursable travel outside the NCR with the information they need to seek and or obtain travel reimbursement.”

14. QUESTION: PWS 4.1.5 references uniforms. Is a uniform other than scrubs required?

ANSWER: An amendment has been made to PWS 4.1.5. providing greater definition.

15. QUESTION: PWS 5.2.9: this section references the Sole Provider Program and the DPR. Please clarify what those are.

ANSWER: An amendment has been made to PWS 5.2.9. identifying these as Risk Mitigation programs

16. QUESTION: PWS 5.2.2.2.4: Will the provider be initiating drug treatment or have limited prescribing authority as part of a collaborative drug therapy?

ANSWER: An amendment has been made to the PWS creating 5.2.36 stating “this position shall be initiating drug treatment and or have limited prescribing authority as part of a collaborative drug therapy.”

17. QUESTION: PWS 5.2.2.2.4: If this is under personal services, the last sentence about Maryland licensure should be removed.

ANSWER: As identified on CLIN this is a personal services position. However, as these services will be primarily performed in Maryland, the verbiage will remain as-is.

18. QUESTION: PWS 5.3.1: The duties are for a Medical Coder and not a Medical Clerk, which is a different occupational classification. Similarly, 5.3.2.2.1 should be changed to read “Possess a minimum of one (1) year of full-time medical coding experience.”

ANSWER: An amendment has been made to PWS 5.3.2.2.1. stating “Possess a minimum of one (1) year of full-time experience as a full-time medical clerk.”

19. QUESTION: PWS 5.3.2.2.2, if understood as a prerequisite qualification, is unreasonably restrictive inasmuch as it requires the contractor to hire only HCWs with prior MTF experience even though the MTF provides CHCS and other clinical information system training. In any event, the MTF will be outfitted with MHS Genesis soon. We respectfully suggest this clause be amended to read, “Possess OR OBTAIN NECESSARY knowledge of MHS CLINICAL INFORMATION SYSTEMS, including . . . .”

ANSWER: An amendment has been made to PWS 5.3.2.2.2. stating “Possess or obtain necessary knowledge of medical healthcare clinical information systems, including Composite Health Care System (CHCS) I, Armed Forces Health Longitudinal Technology Application (AHLTA) and Advanced Data Systems (ADS) coding systems in order to enter and retrieve data relevant to patient medical records/charts, to track and monitor procedures, medications, etc., and to produce required reports. Ability to become a CHCS I – AHLTA super user.”

20. QUESTION: PWS 5.5.1.14: Please confirm that the reference to the pain RN providing perioperative/surgical services is correct.

ANSWER: The correct PWS number is 5.5.1.4. Yes this is correct, the RN will provide this service.

21. QUESTION: PWS 5.5.2.1: NLN accreditation is anachronistic in light of the more prevalent accrediting bodies (ACEN, CCNE). We would recommend the last sentence read, “The institution must be accredited by The National League for Nursing Accrediting Commission (NLNAC), Accreditation Commission for Education and Nursing (ACEN), or the Commission on Collegiate Nursing Education (CCNE). In lieu of graduation from an NLNAC, ACEN, or CCNE institution, the RN may be a graduate of an accredited nursing program approved by the appropriate State agency.”

ANSWER: An amendment has been made to PWS 5.5.2.1. stating “Possess a Bachelor degree for Nursing from The National League for Nursing Accrediting Commission (NLNAC).”

22. QUESTION: PWS 5.5.2.4.12 is redundant in light of 5.5.2.3.3 and should be removed.

ANSWER: PWS 5.5.2.4.12 has been amended to remove redundancy with 5.5.2.3.3.

23. QUESTION: PWS 5.6.2.2.1 should be removed as it is covered by 5.6.2.2.3.

ANSWER: An amendment has been made to PWS 5.6.2.2.3. removing any redundancy with 5.6.2.2.1 and

5.6.2.2.2.

24. QUESTION: 5.6.2.2.4 Allows for a license from any state, but if this position is for non-personal services, this line should be removed. Please also confirm that the physician will only see patients at WRNMMC and not at MTFs in Virginia or D.C.

ANSWER: PWS 5.6.2.2.4. has been amended to number 5.6.2.2.3. removing “in any one of the fifty States, the District of Columbia, the Commonwealth of Puerto Rico, Guam or the U.S. Virgin Islands.” And as stated in PWS 5.6.1.7., this position will only be seeing patients at WRNMMC.

25. QUESTION: PWS 5.6.2.2.7: Please clarify whether these credentials are required (material qualification).

ANSWER: The PWS has been amended renumbering PWS 5.6.2.2.7. to 5.6.2.2.6. Yes, the certifications listed are required.

26. QUESTION: PWS 5.7.2.2.2: Is there a current Program Manager of MHS Pain Care Program, and, if so, please confirm that Government ethics rules would require a cooling off period of 1 year before that individual could be placed into the Sr Program Manager role.

ANSWER: Government conflicts of interest guidance for employment do not apply to a contractor presently serving in this position and who may consider being retained in this position (if available).

27. QUESTION: PWS 5.7.2.2.2: Other than the current Program Manager of MHS Pain Care Program, how many previous program managers have there been within the last 5 years?

ANSWER: One

28. QUESTION: PWS 5.7.2.2.2 “Possess experience as a Program Manager of MHS Pain Care Program.” This seems unduly restrictive as there are other less restrictive ways for the agency to meet its requirements.

ANSWER: This is a specialized requirement, thusly necessitating specialized experience.

29. QUESTION: PWS 5.9.2.1: In line with the Pain RN’s qualifications, we would suggest the first sentence read, “Be a graduate of one of the following: Diploma, Associates, Bachelor or Master’s program of Registered Nursing.”

ANSWER: Bachelor Degree required

30. QUESTION: PWS 5.9.2.1: NLN accreditation is anachronistic in light of the more prevalent accrediting bodies (ACEN, CCNE). We would recommend the last sentence read, “The institution must be accredited by The National League for Nursing Accrediting Commission (NLNAC), Accreditation Commission for Education and Nursing (ACEN), or the Commission on Collegiate Nursing Education (CCNE). In lieu of graduation from an NLNAC, ACEN, or CCNE institution, the RN may be a graduate of an accredited nursing program approved by the appropriate State agency.”

ANSWER: PWS 5.9.2.1. has been amended requiring Bachelor Degree from the National League for

Nursing Accrediting Commission (NLNAC)

31. QUESTION: PWS 5.10.2.1.2: Requiring a BS in psychology will unnecessarily shrink the labor pool of LCSWs qualified to perform these services, especially given the Government’s psychotherapy experience requirement in

5.10.2.2.3 and MSW requirement in 5.10.2.1.1. Please clarify which of these is actually required.

ANSWER: PWS 5.10.2.1.1 has been amended to require a Bachelor’s Degree in psychology is required.

32. QUESTION: Attachment 4: Suggest AQL for weighted fill rate, on-time fill, and replenishment be 90% (because 95% with 10.1 FTEs means the AQL functionally is 100%, and that does not accord with the allowable turnover nor market realities that HCWs turnover, PCS, etc.).

ANSWER: ATTACHMENT #4 - PERFORMANCE REQUIREMENT SUMMARY has been amended changing the AQL from > 95% to > 90% for Overall Fill Rate, On-Time Fill, and Replenishment Rate Performance Objectives.

33. QUESTION: What is the average turnaround time at WRNMMC from the point a completed HCW package is presented until a start date is authorized, each for non-privileged and privileged positions?

ANSWER: The turnaround time is approx. 2-3 months due to security check and credentialing.

SECTION SF 1449 - CONTINUATION SHEET

The following have been modified:

PERFORMANCE OF WORK STATEMENT

PART 1

1.0 GENERAL INFORMATION

1.2 Description of services/introduction: This is a hybrid Personal and Non-Personal Services contract. Contractor shall provide the following support: Clinical Pharmacist (1 FTE), Medical Clerk (1 FTE), Integrated Medicine Physician (1 FTE), Pain Nurse (2 FTEs), Pain Physician (1.11 FTE), Sr. Program Manager (1 FTE), Integrative Medicine Nurse (RN), Tele-Pain Nurse (1 FTE), and Licensed Clinical Social Worker (1 FTE). These Direct Health Care Providers shall support the National Capital Region Pain Initiative at Walter Reed National Military Medical Center, Bethesda, MD.

1.3 Background: The NCRPI includes programs to improve access to pain care, quality of pain services, integrative modalities and palliative care for all beneficiaries across the National Capital Region Medical Directorate and beyond. The program supports the command’s philosophy of Better Care, Better Health, Lower Cost, and Increasing Soldier Readiness. The NCRPI is sponsored by the NCR Medical Directorate (MD), and is headquartered at WRNMMC. It falls under the Pain Management Service, Anesthesia Department, and Department of Surgery. The Medical Clerk will support services for the Pain Clinic-WRNMMC and other locations in the NCR, as need dictates.

1.4 Objectives: The services consist of providing direct healthcare provider support. See tasks and responsibilities for each labor category in PART 5 of this Performance of Work Statement (PWS).

1.5 Scope: The Contractor shall provide qualified personnel, necessary to perform the required services. See PWS PART 5 for details.

1.6 Period of Performance (PoP): Base year: 10/01/2019 - 09/30/2020

1.7 Administrative specifications

1.7.1 Place of performance: The work shall be performed at Walter Reed National Military Medical Center. Duty Hours: Monday – Friday 0600 – 1700

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 Monday thru Friday, 0600 – 1700, 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 Contractor travel: In accordance with Department of Defense Instruction (DoDI) 4515.14 (Change 1, dated 24 May 2017) the National Capital Region (NCR) is defined as the District of Columbia; Montgomery, Prince George’s and Frederick Counties in Maryland; Arlington, Fairfax, Loudoun, and Prince William Counties in Virginia.

Required travel (as specified by this contract and the Contracting Officer Representative) within the NCR for performance of services on this contract is within scope and any NCR travel-related expenses are non-reimbursable.

Required travel outside the NCR is also within scope, but these travel-related expenses are to be reimbursed off of a separate (different) contract. The NCRPI POC shall provide guidance to contractors requiring reimbursable travel outside the NCR. He shall inform the contractors requiring reimbursable travel outside the NCR with the information they need to seek and or obtain travel reimbursement.

1.8.1 The following labor categories may be required to travel outside the NCR to support or be an instructor at the NCRPIKs Annual Pain Care Skills Training: Clinical Pharmacist, Pain Physician-Anesthesiologist, Integrative Medicine Registered Nurse, Senior Program Manager, Tele-Pain Nurse and the Licensed Clinical Social Worker.

1.8.2 These Annual Pain Care Skills Training events are forecasted to be conducted at the Naval Medical Center, San Diego, CA and the Air Force Academy, Colorado Springs, CO. These training events are anticipated to be up to three (3) full days in length.

1.9 Other Direct Costs (ODC): Not applicable.

1.10 Quality

1.10.1 Quality Control (QC): The Contractor shall establish a complete QC program to ensure that the requirements of the contract are provided as specified. The quality control plan shall incorporate current quality assurance programs in place at the MTF, in their own QC, to ensure that the medical services are provided at a level of quality that meets MTF standards. The Contractor shall establish and maintain a complete Quality Control Plan (QCP) that shall ensure the requirements of the contract are provided as specified in Section four (4) of the PWS.

Within thirty calendar days after contract award, three copies of a comprehensive written QCP shall be submitted to the COR and within five (5) working days when changes are made thereafter.

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).

1.11 Security and Common Access Card (CAC) requirements: Upon award of the contract, the contractor will immediately contact the COR for processing procedures to meet the security requirements, for information needed to access the installation/MTF initially, as well as in-processing forms. The MTFs are restricted access military installations. HCPS shall not begin performance until the complete documentation for a Personnel Background Investigation has been submitted. An Identification (ID) badge, the Common Access Card (CAC) and the vehicle registration will not be issued until complete documentation has been submitted to the appropriate Installation, MTF, or other Security Manager(s), as required at the facility. The CAC card is required for access to Government computer databases and also is presented to the security guards when entering the military installation. If a background investigation results in an unfavorable finding, the contracting officer will notify the contractor and the contractor employee will not be granted access to the facility, will not be able to perform services at the facility, and must return all identification badges, CAC cards, and other items issued previously issued by the government.

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

1.11.1.1. ADP/IT II: Non-critical sensitive position.

1.11.2 Reserved.

1.11.3 Physical Security: The contractor shall be responsible for safeguarding all government equipment, information and property provided for contractor use. At the close of each work period, government facilities, equipment, and materials shall be secured.

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

1.11.4.1 The contractor shall be responsible for any keys issued by the Government to contract HCPs for use in the MTF. The keys shall not be duplicated. Lost keys and/or locks shall be reported to the issuing party, Department Chief, or COR immediately upon discovery of the loss.

1.11.5 Lock combinations: N/A

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

1.12 Reserved

1.12.1 Reserved

1.13 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.

1.15 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 Contractor manpower (including subcontractor manpower). Contracts with a total value of $3 million or more for services shall completely fill in all the information in the format using the following web address http://www.ecmra.mil/.

1.15.1.1 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.

1.15.1.2 Service portfolio groups are further defined in DFARS PGI 237.102-74 Taxonomy for the acquisition of service and supplies and equipment.

1.15.1.3 Contractors shall direct questions to the help desk at: http://www.ecmra.mil/.

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 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.

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.

PART 2

2.0 DEFINITIONS & ACRONYMS

2.1 Definitions:

AMBULATORY DATA MODULE (ADM). An automated clinical information system used for statistical documentation of ambulatory medical care. The computerized system is designed to monitor and track ambulatory encounters and to document patient diagnoses and treatment in order to support management of patient care.

ANCILLARY PERSONNEL: These personnel are commonly referred to as radiology, pathology, and/or medical and pharmacy technicians/technologists. Also clerks, secretaries, and receptionists are personnel commonly considered administrative personnel.

ARMED FORCES HEALTH LONGITUDINAL TECHNOLOGY APPLICATION (AHLTA): An automated medical information system that provides integrated support for the functional work centers of inpatient and outpatient care facilities, patient administration, patient appointments and scheduling, nursing, laboratory, pharmacy, radiology, and clinical dietetics.

BACKUP PERSONNEL: Pre-approved contract personnel designated to move into the position of the primary contract personnel to perform required services for the duration of his/her absence.

BENEFICIARIES OF THE MILITARY HEALTHCARE SYSTEM: Those individuals entitled to care at the MTF

IAW AR 40-3.

CLINICAL PRIVILEGES: Authorization by the government body to provide specific patient care and treatment services in the organization, within well-defined limits, based on the individual’s license, education, training, experience, competence, judgment, and physical and mental health.

COMPOSITE HEALTH CARE SYSTEM (CHCS): An automated medical information system which provides integrated support for the functional work centers of inpatient and outpatient care facilities, patient administration, patient appointments and scheduling, nursing, laboratory, pharmacy, radiology and clinical dietetics.

CONTINUING EDUCATION: Education beyond initial professional preparation that is relevant to the type of patient care delivered in the organization that provides current knowledge relevant to the individual’s field of practice and that is related to findings from quality assurance activities.

CONTRACTING OFFICER. A person with authority to enter into contracts; administer, or terminate contracts.

Make related determinations and findings on behalf of the government. Note: The only individual who can legally bind the government.

CONTRACTING OFFICER’S REPRESENTATIVE (COR). An employee of the U.S. Government appointed by the contracting officer to monitor contractor performance. Such appointment shall be in writing and shall state the scope of authority and limitations. This individual has authority to provide technical direction to the Contractor as long as that direction is within the scope of the contract, does not constitute a change, and has no funding implications. This individual does NOT have authority to change the terms and conditions of the contract.

DEFENSE ENROLLMENT ELIGIBILITY REPORTING SYSTEM (DEERS): A computerized system that maintains current eligibility status for all eligible health care beneficiaries.

MILITARY TREATMENT FACILITIES (MTF): Military hospital or clinic.

MILITARY DATES are written by placing the day of the month, followed by the first three letters of the month, followed by the last two digits of the year, i.e., September 02, 2001 - 02 Sep 01 November 10, 2004 - 10 Nov 04 May 1, 2005 - 01 May 05.

MILITARY TIME is measured using a 24-hour clock, i.e.:

8:00 a.m. = 0800 9:10 a.m. = 0910 Noon = 1200 8:00 p.m. = 2000 9:10 p.m. = 2110 Midnight = 2400 12:01 a.m. = 0001

PHYSICAL SECURITY. Actions that prevent the loss or damage of government property.

PRIME SOURCE VERIFICATION: Confirmation from a primary source (granting agency) or a service that confirms credentials from a primary source that the information provided by the health care provider is current, correct, and substantiates qualifications.

QUALITY ASSESSMENT AND IMPROVEMENT (QA& I): An ongoing program designed to objectively and systematically monitor and evaluate the quality and appropriateness of patient care, to pursue opportunities to improve patient care, and to resolve identified problems.

QUALITY ASSURANCE. The government procedures to verify that services being performed by the Contractor are performed according to acceptable standards.

QUALITY CONTROL (QC): Those actions taken by the Contractor to control and ensure that performance of duties meet the requirements of the contract.

SUBCONTRACTOR. One that enters into a subcontract and assumes some of the obligations of the primary Contractor.

TRAINING HOLIDAYS: Training holidays are days designated by the MTF Director either the workday preceding or following a legal public holiday. The number of training holidays may vary from year to year.

WORK DAY. The number of hours per day the Contractor HCP provides services.

WORK WEEK. Is defined as Sunday through Monday (dependent on workload and mobilization requirements).

2.2 Acronyms:

ACOR - Alternate Contracting Officers Representative ADP - Automated Data Processing AHA - American Hospital Association AHLTA - Armed Forces Health Longitudinal Technology Application AMA - American Medical Association ANA - American Nurses Association AOD - Administrative Officer of the Day APHP - Adolescent Partial Hospitalization Program AR - Army Regulation BCLS - Basic Cardiac Life Support BLS - Basic Life Support CFR - Code of Federal Regulations CHAMPUS - Civilian Health and Medical Program of the Uniformed Services CHCS - Composite Health Care System CLIN - Contract Line Item Number CME - Continuing Medical Education CONUS - Continental United States (excludes Alaska and Hawaii) COR - Contracting Officer Representative

COTR - Contracting Officers Technical Representative COTS - Commercial Off the Shelf CPGs - Clinical Practice Guidelines CT - Computed Tomography Technologist DA - Department of the Army DCS - Deputy Director for Clinical Services DEA - Drug Enforcement Administration DMHRSi - Defense Medical Human Resources System Internet DMRC - Deployment Medical Readiness Clinic DOD - Department of Defense DODI - Department of Defense Instruction ECFMG - Educational Commission for Foreign medical Graduates EFT - Electronic Funds Transfer FAR - Federal Acquisition Regulation FBCH - Fort Belvoir Community Hospital FIPS PUB - Federal Information Processing Standards Publication FSO - Facility Security Officer FTE - Full Time Equivalent GS - General Schedule HCAA - Health Care Acquisition Activity HCCSO - Health Care Contract Support Office HCP - Health Care Provider HIPAA - Health Insurance Portability & Accountability Act of 1996 HSPD - Homeland Security Presidential Directive IEP - Individualized Education Program JC - Joint Commission KO - Contracting Officer MEDCEN - Medical Center MEDCOM - Medical Command MEDDAC - Medical Department Activity MHS - Military Health System MRI - Magnetic Resonance Imaging Technician MT - Mammography Technician MTF - Military Treatment Facility NACI - National Agency Check with Inquiries NASW - National Association of Social Workers NCOIC - Noncommissioned Officer in Charge OCONUS - Outside Continental United States (includes Alaska and Hawaii) OIC - Officer-in-Charge OMB - Office of Management and Budget OSHA - Occupational Safety & Health Association OTSG - Office of The Surgeon General, U.S. Army PAD - Patient Administration Division PCF - Practitioners Credentials File PDH-CPG - Post Deployment Health Evaluation and Management - Clinical Practice Guidelines PDHRA - Post-Deployment Health Re-Assessment PIPO - Phase In/Phase Out PL - Public Law POC - Point of Contact PPE - Personal Protective Equipment PWS - Performance Work Statement PPIMS - Past Performance Information Management System QA&I - Quality Assessment & Improvement QA - Quality Assurance

QC - Quality Control QAP - Quality Assurance Program QASP - Quality Assurance Surveillance Plan QCP - Quality Control Program RFP - Request for Proposal RMC - Regional Medical Command RVU - Relative Value Unit SF - Standard Form SLIN - Sub-line item number SRP - Soldier Readiness Processing TA - Trusted Agent TASS - Trusted Associate Sponsorship System TAB - Therapeutic Agents Board WRNMMC - Walter Reed National Military Medical Center WTU - Warriors Transition Unit

PART 3

3.0 GOVERNMENT FURNISHED PROPERTY, EQUIPMENT, AND SERVICES

3.1 Services: The Government will provide Mandatory Orientation and Training.

3.1.1. ANTITERRORISM (AT) TRAINING: AT Level I Training. All Contract Service Providers (CSPs), to include subcontractor CSPs, requiring access to Army installations, facilities and controlled access areas shall complete AT Level I awareness training within 90 calendar days after contract start date. The contractor shall submit certificates of completion for each affected CSP and subcontractor CSP, to the COR or to the contracting officer, if a COR is not assigned, within 30 calendar days after completion of training by all CSPs and subcontractor CSP. AT Level I awareness training is available at the following website: https://jkodirect.jten.mil/Atlas2/page/login/Login.jsf course number JS-US007.

3.1.2. IWATCH Training. The contractor and all associated sub-contractors shall brief all CSPs on the local iWATCH program (training standards provided by the MTF antiterrorism officer). This local developed training will be used to inform CSPs of the types of behavior to watch for and instruct CSPs to report suspicious activity to the COR. This training shall be completed within 14 calendar days of contract award and within 14 calendar days of new CSPs commencing performance with the results reported to the COR NLT 30 calendar days after contract award.

3.1.3. Contract HCPs that require access to Government information systems. All CSPs with access to a government information system must successfully complete the DoD Information Assurance Awareness training prior to access to the information systems and then annually thereafter.

3.1.4. Staff Orientation - New Employee. Contractor HCP shall participate in all staff orientation and/or training.

Contractor HCP will attend a government-sponsored initial orientation to familiarize them with the policies and procedures of the MTF. Orientation attendance will be scheduled by the COR. Such orientation may include instruction on automated processing, standard operating procedures, local in-services, quality improvement policies, communications, occupational exposure to blood borne pathogens, safety programs, etc.

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

3.1.6. Armed Forces Health Longitudinal Technology Application (AHLTA) Training (formerly known as CHCSII). Contractor HCP shall attend training in the use of AHLTA. The length of training will depend upon the computer skills of the individual Contractor HCP. This training will be coordinated and scheduled by the COR.

(Access to such patient data systems is an "Automated Data Processing Sensitive" position requiring compliance with AR 25-2 and AR 380-67.)

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

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

3.1.9. Government unique training. The government may elect to provide unique government training to Contractor HCPs who are performing services under this contract. If the government elects to provide such training, the government will provide such training at no additional expense to the contractor or to the Contractor HCP. When directed by the contracting officer, contractor HCPs shall attend all such training in a paid status as part of the normal services required and billed under the contract.

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

3.1.11. Common Access Cards (CAC). Contract employees will be issued a CAC. These shall be the responsibility of the contract employee to maintain and secure at all times. Contract employees shall carry their CAC at all times while in the performance of their duties. Contract employees who cannot perform their duties due to lost, forgotten, or misplaced cards, and have to go home to retrieve their CAC or get a new CAC issued, shall not be paid for time not worked. Additionally, the Government will charge the Contractor a fee equal to 1.5 (one and one-half) of the contract employee’s hourly rate for lost or stolen Government issued Common Access Card (CAC) and Hospital Identification Cards.

3.1.12. The Government will provide the use of all available MTF facilities and support services, materials, publications and forms, and equipment required for contract performance (except as designated). Contractor HCP shall keep Government furnished supplies, equipment and work areas in a safe, orderly and clean condition.

Contractor HCP shall notify the Government whenever maintenance of equipment is required. Contractor HCP shall abide by all MTF and Army requirements for physical security of Army property and equipment.

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

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

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

3.1.16. The contractor shall be responsible for any keys issued by the Government to contract HCPs for use in the MTF. The keys shall not be duplicated. Lost keys and/or locks shall be reported to the issuing party, Department Chief, or COR immediately upon discovery of the loss.

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

3.1.18. Protective Clothing. The MTF will supply special protective clothing and shoe covers when required.

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

3.1.20. Emergency Healthcare. The MTF will provide emergency healthcare for injuries occurring while on duty.

The Contractor shall reimburse the Government for such services.

PART 4

4.0 CONTRACTOR FURNISHED ITEMS AND SERVICES

4.1 General:

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

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

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

4.1.4. HEPA Mask Fitting Test: all personnel performing patient care services under this contract shall abide by the Respiratory Protection standards (including the HEPA Mask Fit Testing) as stated in MEDDAC Reg. 385-1, at no additional cost to the Government. The HEPA Mask fit test shall be conducted annually at a minimum with the same style and brand of HEPA mask currently used by the MTF.

4.1.5 Uniforms. The contractor shall provide each contract employee his/her own uniform. The uniform is identifed as appropriate business attire (or scrubs, as needed) for a healthcare environment. The contractor shall ensure that, when worn, the uniform is clean and in good repair.

PART 5

5.0 SPECIFIC TASKS

☐ HIT:

☒ Non-HIT: WRNMMC

5.1 Basic Services: GENERAL QUALIFICATIONS AND REQUIRMENTS THAT APPLY TO ALL HEALTH

CARE WORKERS (HCW) UNDER THIS PWS:

5.1.1. FAILURE AND/OR INABILITY TO PERFORM: Should the health care worker be unable to perform duties under this contract due to medical or physical disability for more than 13 consecutive days, performance under this contract may be suspended by the Commander until such medical or physical disability is resolved. If performance under this contract is so suspended, no reimbursement shall be made and no other compensation shall accrue to the health care worker so long as performance is suspended. If clinical privileges of a health care worker have been summarily suspended pending an investigation into questions of professional ethics or conduct, performance under the contract may be suspended until clinical privileges are reinstated. No reimbursement shall be made to the contractor for the affected health care worker so long as performance is suspended. The denial, suspension, limitation, or revocation of clinical privileges based upon practitioner impairment or misconduct will be reported to the appropriate licensing authorities of the state in which the license is held. Any health care worker demonstrating impaired judgment will be removed from providing healthcare services. The Government reserves the right to remove any employee who, in the judgment of a licensed physician, is impaired by drugs or alcohol. Any health care worker with alcohol or drug abuse problems may be allowed to return to work under the terms of this contract only with prior Government approval.

5.1.2. PERSONNEL QUALIFICATIONS. The contractor shall provide personnel having certain minimum levels of training and experience. Proof that offered candidates possess these traits must be provided with each contractor's proposal for a health care worker. Contractor staff shall participate in executing the Emergency Preparedness Plan (drills and actual emergencies) as scheduled by the MTF (typically semi-annually). Personnel re-call list with personal contact information for all military, civil service and contractor staff is required to prepare in advance for an actual emergency. Upon commencement of performance, the contractor shall provide the COR with a list of personal contact information for a designated contractor representative as well as all contractor staff performing services. The contractor shall provide an updated list to the COR bi-monthly. Should an emergency occur that will affect the HCWs' shifts, the designated contractor representative and the HCWs will be contacted.

5.1.3. Health care workers shall read, write, speak, and understand the English language fluently and maintain good communication skills with patients and other health care personnel. Health care workers shall be physically capable of standing and/or sitting for extended periods of time and capable of normal ambulation. Health care workers shall be eligible for U.S. employment. No alien shall be allowed to perform under this contract in violation of the Immigration Laws of the United States. Health care workers shall represent an acceptable malpractice risk to the Government. Health care workers shall be in good standing, and under no restrictions, with the state licensure board in any state in which a license is held or has been held within the last ten (10) years.

5.1.4. Health care workers shall maintain current certification in American Heart Association Basic Life Support (BLS) for Health care Providers; American Heart Association Health care Provider Course; American Red Cross CPR (Cardio Pulmonary Resuscitation) for the Professional Rescuer; or equivalent.