HT940626QE101 - Attachment 01 - PWS.pdf

Attachment 01

PERFORMANCE WORK STATEMENT (PWS)

Joint Commission Physical Environment (PE) Management Plan Workshop for Landstuhl Regional Medical Center (LRMC) and MEDDAC-Bavaria

1. GENERAL INFORMATION

1.1. Description of Services

The Contractor shall provide non-personal commercial training and consultative services to conduct an annual on-site Joint Commission (JC) Physical Environment (PE) and Emergency Management (EM) Standards Workshop for healthcare personnel at Landstuhl Regional Medical Center (LRMC) and Medical Department Activity Bavaria (MEDDAC-Bavaria). Services include on-site instruction, hands-on review and updating of all seven (7) PE Management Plans and Annual Evaluations, analysis of common survey deficiencies and best practices, assessment of U.S. versus host-nation (German) fire and life safety equivalencies, and off-site consultative support.

1.2. Background

LRMC and MEDDAC-Bavaria operate under the Defense Health Agency (DHA) Network Europe to deliver comprehensive healthcare services across the European theater. Maintaining full accreditation with The Joint Commission (JC) for Hospital and Ambulatory Health Care Programs is essential to patient safety, clinical quality, and mission readiness. This workshop ensures MTF facility management, safety, emergency management, and clinical support personnel maintain current knowledge of evolving JC accreditation standards, National Fire Protection Association (NFPA) codes, and host-nation compliance requirements.

1.3. Scope of Work

The Contractor shall provide a qualified instructor/consultant to deliver a five (5) day annual training program consisting of:

• Two (2) Days On-Site at LRMC (Landstuhl, Germany)

• Q/A session will be provided for technical feedback, Life Safety Code

Compliance, and electronic Statement of Conditions (eSOC) assistance.

• A hands on workshop will be provide to update all seven (7) PE Management

Plans and Annual Evaluations (see paragraph 2.2).

• Two (2) Days On-Site at MEDDAC-Bavaria (Rose Barracks / Tower Barracks, Ansbach Kaserne, Germany)

• Q/A session will be provided for technical feedback, Life Safety Code

Compliance, and electronic Statement of Conditions (eSOC) assistance.

• A hands on workshop will be provide to update all seven (7) PE Management Plans and Annual Evaluations (see paragraph 2.2).

• One (1) Day Off-Site Consultative Support for technical feedback, Life Safety Code compliance, and electronic Statement of Conditions (e-SOC) assistance (see paragraph 2.3).

• Travel:

• One (1) Day Dedicated Travel from Point of Origin to Landstuhl, Germany

• One (1) Day Dedicated Travel between locations LRMC, and MEDDAC

Bavaria

• One (1) Day Dedicated Travel from MEDDAC Bavaria to Point of Origin

1.4. Contractor Personnel Qualifications

The Contractor’s designated representative/instructor conducting the workshop shall meet or exceed the following minimum qualifications:

• JC PE Expertise: Minimum of six (6) years of professional experience working with JC Physical Environment (PE) and Emergency Management (EM) standards, including the seven (7) primary management plan areas and Annual Evaluations.

• Host-Nation Life Safety Equivalency Experience: Minimum of four (4) years of experience assessing and documenting technical equivalencies between U.S.

standards (NFPA 80/99/101) and German host-nation standards (DIN / German building codes) for fire and smoke barrier doors.

• Military Healthcare, NFPA, & Surveyor Credentials: Minimum of six (6) years of experience working with U.S. Military Treatment Facilities (MTFs) in Europe;

minimum of six (6) years of experience serving as a Subject Matter Expert (SME) on NFPA codes and standards; and verifiable prior or active experience as a certified JC Surveyor.

• Language Proficiency: Fluent in professional English (reading, writing, speaking) with the ability to conduct complex technical instruction and deliver executive-level feedback.

2. SPECIFIC TASKS & DELIVERABLES

2.1. Task 1 — On-Site Workshop Execution

The Contractor shall deliver interactive workshop sessions for up to forty (40) participants at LRMC and up to forty (40) participants at MEDDAC-Bavaria. Course content shall address:

• Detailed overview of current and upcoming JC Hospital and Ambulatory Care PE/EM standards.

• Comprehensive review of changes, additions, and scoring revisions to JC standards for the upcoming accreditation cycle.

• Analysis of the most common PE and Life Safety deficiencies identified during recent JC healthcare surveys.

• Presentation of industry and military best practices for survey readiness and proactive risk assessment.

• Staff education techniques for survey readiness, tracer methodology, and leadership interview preparation.

2.2. Task 2 — PE Management Plans & Annual Evaluations Review The Contractor shall facilitate hands-on working sessions to review, evaluate, and update all current Management Plans and corresponding Annual Evaluations for LRMC and MEDDAC-Bavaria to include but not limited to the following: Safety, Security, Hazardous Materials, Fire Safety / Life Safety, Medical Equipment, Utility Systems, and Emergency Operations / Emergency Management.

2.3. Task 3 — Life Safety, e-SOC, & Host-Nation Equivalency Consultative Support The Contractor shall provide one (1) business day of off-site consultative support to review MTF electronic Statement of Conditions (e-SOC), Basic Building Information (BBI), and Plans for Improvement (PFI); provide technical evaluation on NFPA 101 Life Safety Code and NFPA 99 Health Care Facilities Code compliance; and assess U.S.

versus German host-nation technical equivalencies for fire and smoke door assemblies.

2.4. Deliverables Schedule

• Deliverable D001: Electronic PE Templates for all 7 areas. Due NLT 10 November of each contract year.

• Deliverable D002: Training Materials & Slides (PDF/PPT). Due NLT 14 calendar days prior to course start.

• Deliverable D003: Travel Itinerary & Cost Summary IAW JTR. Due NLT 4 weeks prior to course start.

• Deliverable D004: Post-Workshop Summary Report with compliance risks and e- SOC recommendations. Due within 15 business days following workshop completion.

3. PERFORMANCE LOCATION & HOURS OF PERFORMANCE

3.1. Place of Performance

On-site performance shall occur at Landstuhl Regional Medical Center (Landstuhl, Germany) and MEDDAC-Bavaria installations (Vilseck/Grafenwoehr/Ansbach, Germany). Off-site consultation may be conducted remotely.

3.2. Hours of Operation

On-site instruction shall be scheduled between 0730 and 1630 Central European Time (CET), Monday through Friday, excluding U.S. Federal Holidays. Daily instruction shall not exceed eight (8) instructional hours (exclusive of a 60-minute unpaid lunch).

Overtime is not authorized.

4. GOVERNMENT-FURNISHED PROPERTY & SERVICES

The Government will provide classroom space, training tables/chairs, multimedia projectors, projection screens, audio equipment, and whiteboards for on-site instruction.

On-duty emergency healthcare will be made available to Contractor personnel on a reimbursable basis.

5. SECURITY, SAFETY, & GENERAL ADMINISTRATIVE REQUIREMENTS

• Installation Access & Security: Contractor personnel shall comply with all host-nation and installation security requirements for base entry and vehicle operation in Germany.

• Information Safeguarding & HIPAA: The Contractor shall safeguard all Government information and comply with the Privacy Act of 1974 and HIPAA of 1996. Contractor personnel shall not access, collect, or disclose PHI or PII.

• Identification: Contractor personnel shall clearly identify themselves as commercial contractors at all times by wearing a visible Government-issued badge.

• Tobacco-Free Campus: Contractor personnel are prohibited from using any tobacco/nicotine products on any DHA medical campus IAW DoDI 1010.10.

• SAPR: Contractor shall comply with DoD/DHA SAPR policies (DoDI 6495.02 / DHA-AI 6495.01) and report incidents to the COR within 24 hours.

• Exclusion Screening: Contractor shall certify personnel are not listed on the HHS- OIG LEIE or TRICARE Sanctioned Provider lists.

6. APPLICABLE PUBLICATIONS & DIRECTIVES (DHA / DOD / FEDERAL)

• The Joint Commission (JC) Comprehensive Accreditation Manuals for Hospitals and Ambulatory Care

• National Fire Protection Association (NFPA) Codes: NFPA 10, 25, 80, 99, 101

• German DIN Standards (DIN 4102 / DIN 18095) for Fire/Smoke Protection Closures

• DoD Instruction 6025.13 / DHA-AI 6025.13: Clinical Quality Management in the MHS and DHA

• DHA Procedural Manual 6025.13 (Volume 4): Healthcare Facility Operations and Physical Environment

• DoD Instruction 6055.06: DoD Fire and Emergency Services Program

• DoD Instruction 6055.01: DoD Safety and Occupational Health (SOH) Program

• Unified Facilities Criteria (UFC) 4-510-01: Design: Military Medical Facilities

• DoD Instruction 1010.10: Health Promotion and Disease Prevention (Tobacco-Free Policy)

• DoD Instruction 6495.02 / DHA-AI 6495.01: Sexual Assault Prevention and Response (SAPR)

• Public Law 104-191 (HIPAA) & Public Law 91-596 (OSHA)

TECHNICAL EXHIBIT A — TENTATIVE TRAINING & TRAVEL SCHEDULE

• Day 1 (Sunday): Travel from Point of Origin to Landstuhl, Germany

• Day 2 (Monday): LRMC On-Site Workshop Day 1 (PE Standards, JC Changes, Management Plans and Annual Evaluations development)

• Day 3 (Tuesday): LRMC On-Site Workshop Day 1 (PE Standards, JC Changes, Management Plans and Annual Evaluations development)

• Day 4 (Wednesday): Travel from Landstuhl to Bavaria (Vilseck/Grafenwoehr/Ansbach)

• Day 5 (Thursday): MEDDAC-Bavaria On-Site Workshop Day 1 (PE Standards, JC Changes, Management Plans and Annual Evaluations development)

• Day 6 (Friday): MEDDAC-Bavaria On-Site Workshop Day 2 (PE Standards, JC Changes, Management Plans and Annual Evaluations development)

• Day 7 (Saturday): Travel from Bavaria back to Point of Origin

• Day 8 (Off-Site): One (1) Day Off-Site Consultative Support for technical feedback, Life Safety Code compliance, and electronic Statement of Conditions (e-SOC) assistance (see paragraph 2.3).