MFGI Soldier Readiness PWS - 08262024.docx

PERFORMANCE WORK STATEMENT

Mobilization Force Generation Installation (MFGI) Soldier Readiness Processing Center Fort Bliss, El Paso, Texas

PART I GENERAL

1. GENERAL. This contract provides for personal and non-personal services in coordination with William Beaumont Army Medical Center (WBAMC) with primary support to Fort Bliss Mobilization and Demobilization (MOB/DEMOB), Soldier Readiness Processing (SRP), Conus Replacement Center (CRC), and Separation and Physical History Examinations (SHPE) and secondary support to WBAMC and outlying clinics.

1.1. Mission requirements are to ensure Active Military, Reservist, ARNG, DA Civilians, and Contractor Personnel are medically validated for deployment, upon re-deployment, resolve non-deployable conditions and perform full Separation History and Physical Examinations. All services are to be performed on Fort Bliss military installations, with most services provided within the Soldier Readiness Processing Center and other soldier processing affiliated facilities (medical/dental) located throughout the installation. Current locations are subject to change as the installation’s MFGI Mobilization Support Force (MSF) capabilities and capacities are expected and projected to expand. All services provided under this contract shall be as comprehensive as government-supplied facilities, equipment, and support services permit. The contract personnel may be required to work at different locations within WBAMC due to transitioning services, staff shortages, or peak/surge workloads. The hours required under this contract may fluctuate based on mobilization and demobilization mission requirements. During non-peak times if feasible, the Government will assign contract personnel to support WBAMC’s Primary Care mission. These services shall be essentially the same duties as those required of any DoD Medical Corps, DoD Nurse Corps, Medical Service Corps, DoD Dental Corps, Medical Specialist Corps, or Government Civil Service personnel of similar experience and in similar duty assignments. When not feasible the Government will release contractor’s personnel not required to perform services at the Government's discretion. The Government will notify the contractor when this determination has been made.

1.2. BACKGROUND

As fully detailed in this Performance Work Statement, this requirement is to provide for medical readiness support in coordination with William Beaumont Army Medical Center (WBAMC) to support soldier mobilizations and demobilizations, as well as to provide secondary support to WBAMC and outlying clinics when mission permits.

Department of the Army pamphlet DA PAM 40-502 explains and documents the basic process and general procedures for assessing, documenting, and reporting medical readiness. It contains individual medical readiness (IMR) definitions, assessment, reporting, and monitoring; physical profile definitions, assessment, reporting, and monitoring; medical examinations and assessments; deployment and geographical area considerations. AR 40-502 is the authoritative publication for medical readiness. If any provisions in the DA PAM conflict with the most recent versions of the AR 40-502 policies, the provisions in AR 40-502 take precedence.

Mobilization and Redeployment Concept of the Operations. Support implementation of Combatant Command (CCMD) requirements and accomplish service readiness goals with tasks described in OPORD ORDER 19-20 (Medical and Dental Soldier Readiness Processing) – USAMEDCOM. Providers conducting Soldier Readiness Processing (SRP) and Reverse Soldier Readiness Processing (RSRP) will carefully review all responses on the Deployment Health Assessment (DHA), Periodic Health Assessment (PHA), Separation Health and Physical Examination (SHPE) the electronic health record (EHR), provided documentation, and e-Profile. Providers will address all positive endorsed answers and perceived inconsistencies (obtain medical clearance for moderate or severe responses) with coordination of appropriate follow-up. Medical Provides serving at Mobilization Force Generation Installation (MFGI) comply with standardized procedures outlined in the OPORD Annexes implementing CCMD, Army, and Department of Defense (DoD) specific guidance.

CRC Concept of the Operations. The Conus Replacement Center (CRC) and Individual Deployment Site (IDS) serves as the gateway to check readiness and conduct deployment requirements for the AO. The CRC and IDS validate non-unit related personnel for deployment, resolve non-deployable conditions, provide sustainment of Non- Unit Related Personnel (NRP) flow to the theater, and receive and reintegrate NRP on redeployment. The initial CRC/IDS mission was to ensure Army NRP were fully prepared for deployment. The CRC/IDS mission has expanded in recent years to include individuals from all Services. This includes all Department of Defense (DOD) civilian personnel, contract personnel, and employees of the Nation Red Cross, and the Army/Air Force Exchange Services (AAFES). The CRC and IDS are activities providing theater specific deployment processing and do not perform a garrison support unit (GSU) or reception station’s responsibility to mobilize Reserve component (RC) soldiers.

SHPE Concept of Operations. The office of the Surgeon General (OTSG), the United States Army Medical Command (USAMEDCOM), and the United States Army Medical community informs members of the Armed Forces on the requirement for a Separation History and Physical Examination (SHPE). The SHPE includes a soldier’s medical history review documented on a DD Form 2807-1 and physical examination documented on a DD Form 2808. Effective 01 Jan 2015, all Active Duty (AD) and Reserve Component (RC) soldiers separating from active duty must complete a separation history and physical exam with the results of that exam entered in their service treatment record (STR) before the date of separation.

Tele-Health Services. Due to the current COVID-19 outbreak, or other public health crises that may arise in the future, certain personal services as dictated by the Soldier Readiness Processing (SRP) mission may be required to be performed via Tele-Health. Tele-Health is described as the use of electronic information and telecommunications technologies to support long-distance pre-mobilization, mobilization, deployments, and post-deployments. Tele- health services may include, record screenings, interviews, referrals, clinical health care, patient and professional health-related education, public health, and health administration.

Primary Care Services. Is the delivery of integrated, accessible health care services by physicians and their health care teams who are accountable for addressing a large majority of personal health care needs, developing a sustained partnership with patients, and practicing in the context of family and community.

Additionally, primary care includes health promotion, disease prevention, health maintenance, counseling, patient education, diagnosis, and treatment of acute and chronic illnesses in a variety of health care settings. Primary care provides patient advocacy in the health care system to accomplish cost-effective and equitable care by coordination of health care services. Primary care promotes effective communication with patients and families to encourage them to be a partner in health care.

MFGI Expansion. The requirements are based upon the Department of Defense’s required flexibility to reconstitute or expand the capabilities of the Military Services on short notice to meet a resurgent or increased threat to U.S. national security.

Health Records. Medical examiners review the Soldier Treatment Record (STR) and/or EHR of examine, whether an examination is for relief from active duty, resignation, retirement, separation from the Service, or any other physical examination – to include exams done for schools, flight duties and so forth---or as part of a PHA. The examiner notes any significant problems, patient education, and follow-up care on the DD Form 2766 (Adult Preventive and Chronic Care Flowsheet), as appropriate.

Facilities. Contract Personnel must understand and comply with environmental management programs, plans, permits, procedures, policies, directives, and guidance, and comply with all environmental requirements IAW Federal State, and local laws, and Army regulations/guidance. Contract Personnel must receive environmental training and ensure personnel with functions that may impact the environment receive information on appropriate environmental specific Federal, State, and local laws and installation policies.

1.3. The personal services portion of this contract is intended to create an employer-employee relationship between the government and the contract personnel (CP) providing healthcare services. Such services are subject to the day- to-day supervision and control of designated government personnel in a manner comparable to that exercised over military and civil service personnel engaged in comparable health care services. Any personal injury claims alleging negligence by the individual CP while performing within the scope of these personal services contract shall be processed by the government in the same manner as claims alleging negligence by Department of Defense (DoD) military or civil service personnel. The contract does not create an employer-employee relationship between the government and any corporation, partnership, business association, or other party or legal entity with which the CP may be associated. The authority for this contract is 10 United States Code 1089 and 10 United States Code 1091. Contract personnel providing personal services shall consist of the following skill sets:

· Physician

· Physician Assistant

· Nurse Practitioner

· Licensed Clinical Social Worker

· Pharmacist

· Registered Nurse Case Manager

· Licensed Vocational Nurse

· Certified Nurse Assistant

· Dental Assistant

· Pharmacy Technician

· Optometry Technician

· Audiology Technician

· Phlebotomist

· Medical Laboratory Technician

1.4. The non-personal services portion of this contract (as defined by Federal Acquisition Regulation (FAR) Subpart 37.104) and is not intended to create an employer-employee relationship between the Government and the individual contract personnel (CP) performing under the contract. The performance of health care services by the individual contract personnel (CP) under the non-personal services portion of the contract will not be subject to the day-to-day supervision and control by health care facility personnel comparable to that exercised over military and civil service CPs engaged in comparable health care services. Under no circumstances shall the Government assign tasks to or prepare work schedules for individual contractor employees under a non-personal services arrangement. It shall be the responsibility of the Contractor to manage its non-personal service employees and to guard against any actions that are of the nature of personal services or give the perception of personal services. If the Contractor believes that any actions constitute, or are perceived to constitute personal services, it shall be the Contractor's responsibility to notify the Contracting Officer in writing within 24 hours of such incident or action. The Contractor may have designated Leads for non-personal services to handle personnel issues and be able to resolve these issues without the Government's intervention. Leads shall be located off-site, shall not occupy any government space, and shall not impede the mission. Communications between the Lead and employees shall be conducted off the clock. Lead position(s) will not be covered by this contract and therefore not compensated by the government.

The non-personal services shall be provided under the direct control and general supervision of the contractor.

Contract personnel providing non-personal services shall consist of the following skill sets:

· Medical Credentialing Specialist

· Administrative Assistant

· Medical Support Clerk

· Medical Records Clerk

· Supply Technician

1.5. Performance Measures.

1.3 1.4

1.5.1. Outcome. The contractor shall provide the personal services of technically competent health care personnel to augment or supplement the staffing at military treatment facilities (MTF) to provide services that contribute to a stable workforce providing quality services due to surges in workload, deployments, and civilian personnel vacancies throughout Department of Defense Manual (DODM).

1.5.2. Standards. All services shall be provided in accordance with established standards, principles and ethics of the profession and applicable professional specialty organizations, The Joint Commission (TJC) standards, applicable Department of Defense (DoD) and service specific regulations, directives, and policies, and MTF policies, procedures, and job descriptions. Contract employees shall give the highest regard to patient dignity and observe the precepts of the American Hospital Association's Bill of Rights for Patients. The contract health care provider shall provide services in conjunction with other non-contract providers to include physicians, nurse practitioners, physician assistants, registered and licensed practical nurses, and support personnel. All contract health care providers provided by the contractor shall perform essentially the same functions, within the scope of acceptable practice, as those required by Army or government service health care professionals of similar experience and in similar duty assignments. Acceptable measures include substantiated patient complaints of no more than two per CP per period of performance; no CP initiated cancellation of treatment except as medically required by patient or provider illness, etc. Other performance factors which are not quantified by numerical measurements may include: contractor providing personnel who do not meet the minimum qualifications; patient customer service comments/complaints; CP relationship with government personnel or other contractor personnel; and compliance with MTF policies and procedures.

1.5.3. How Measured. The inspection and acceptance point for all services rendered under this contract will be by the designated contracting officer representative (COR) in coordination with the Department Leadership or designee. The performance by the CP, the quality of services rendered, and any documentation or written material in support of same, shall be subject to continuous inspection, surveillance, and review for acceptance by the Department Leadership or designee. Any services rendered by the CP to patients or interaction with military/civilian personnel deemed unprofessional/ threatening/dangerous by the Department Leadership or designee will be considered as grounds for removal of the CP and possible termination under clause 52.212-4(m) Termination for Cause. Services provided by the CP shall be reviewed and rated in accordance with the MTF policies, by-laws, and TJC standards. A poor rating shall be grounds for removal of the CP.

1.6. Quality Assurance: The Government will evaluate the Contractor’s performance under this contract in accordance with the Quality Assurance Surveillance Plan (QASP). This plan is primarily focused on what the Government must do 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 acceptable quality levels (performance thresholds).

1.7. Quality Control Plan (QCP): The Contractor shall develop and maintain a QCP to ensure services are performed in accordance with (IAW) this PWS. The Contractor shall develop and implement procedures to identify, prevent, and ensure non-recurrence of defective services. The Contractor's QCP is how it assures that the work provided complies with the requirements of the contract.

1.7.1. The Contractor’s Proposed QCP shall be submitted to the Contracting Officer (KO) through the Contracting Officer’s Representative (COR) for review within ten (10) days after date of contract award.

1.7.2. The Government will review and either notify the Contractor in writing of acceptance of the plan or return their comments to the Contractor within 15 days. If the Government has provided comments, the Contractor shall then have five (5) days to submit a Final QCP. After receipt of the Final QCP, the Contractor may receive the Contracting Officer’s acceptance in writing. Any proposed changes to the accepted QCP are required to be resubmitted for acceptance by the Contracting Officer no later than 15 days prior to the anticipated change and before implementation by the Contractor. The timeline noted above will apply for review and acceptance for proposed changes. At a minimum, the QCP must include and answer the following to be acceptable:

(a) A chart showing the organizational structure and lines of authority, the names, qualifications, duties, responsibilities, and classification of each member of the Contractor's Quality Control Team.

(b) How the Contractor will monitor work to ensure performance complies with all deliverables (etc. timelines, deadlines, and goals).

(c) How the Contractor will monitor work to ensure performance complies with all specifications and requirements of the contract, including the contract’s clauses.

(d) How the Contractor will monitor and ensure staff qualifications remain current and valid including Department of Defense (DoD) Contractor Personnel Office (DOCPER) processes/approvals throughout contract performance.

(e) How the Contractor will ensure all keys issued will remain controlled items (Paragraph 3.8.3.).

(f) How the Contractor will inventory, and track maintenance of all Government Furnished Property provided Equipment / Materials.

(g) Table of Penalties that lists the recommended disciplinary actions for the various non-conforming performance and misconduct.

(h) How the Contractor will identify, investigate, and correct any non-conforming performance and misconduct and prevent similar deficiencies in the future; and

(i) How the Contractor will file and save all Quality Control related documents for the life of the contract plus 5 years.

1.7.3. The Contractor shall inform the COR of issues or potential issues that might affect the performance within 24 hours of identifying those issues. Verbal reports shall be followed up by written reports within three (3) days.

PART 2 REQUIREMENTS AND QUALIFICATIONS.

2. REQUIREMENTS AND QUALIFICATIONS.

2.1. The contractor shall ensure that all contractor personnel providing these contracted services meet the following requirements:

2.1.1. The Contractor shall not employ any individual to provide direct health care services who is listed on the Health and Human Services (HHS) list of providers excluded from federally funded health care programs. The list may be found at http://oig.hhs.gov/fraud/exclusions.asp.

2.1.2. The following shall disqualify, at any time, any individual from consideration/performance under this contract who is...

2.1.2.1. Contract must assure that Ready Reservists and Retirees subject to military recall during mobilization do not occupy key, Emergency Essential (E-E) positions. These are positions that cannot be vacated during a national emergency or mobilization without seriously impairing the capability of the organization to function effectively. This will preclude such positions from being vacated by recall or during a mobilization.

2.1.2.2. An individual under probation/revocation/indictment/suspension action at any time from any state, the District of Columbia, Commonwealth of Puerto Rico, Guam, or U.S. Virgin Islands where the provider has/had a license.

2.1.2.3. An individual who was previously convicted of any felony.

2.1.2.4. An individual who is awaiting possible adverse administration action by any board of medicine.

2.1.2.5. An individual who has been declined to participate in any Tricare program.

2.1.2.6. If none of the above listed conditions are applicable, the contractor shall provide a letter stating so.

2.1.3. Contractor personnel shall be a United States citizen.

2.1.4. Contractor personnel shall successfully complete a criminal history background check in accordance with paragraph 3.10 of this performance work statement (PWS) prior to start of employment.

2.1.5. Contractor personnel shall be able to read, write, and speak English well enough and enunciate with sufficient clarity to effectively communicate with patients and other health care providers.

2.1.6. Contractor personnel shall possess sufficient initiative, interpersonal relationship skills and social sensitivity such that the contractor personnel can relate to a variety of patients from diverse backgrounds.

2.1.7. Contractor personnel shall be able to operate a personal computer utilizing Microsoft applications, such as Word, Excel, Outlook, etc., and efficiently utilize an Electronic Medical Record.

2.1.8. Contractor personnel shall possess the ability to use various hospital information systems (HIS), clinical information systems (CIS), and clinical automation systems as required, such as, but not limited to Military Health System's (MHS) Genesis, Ambulatory Data System (ADS), Medical Operations Data Systems (MODS), Medical Protection System (MEDPROS), Joint Longitudinal Viewer (JLV), Medical Electronic Data Care History And Readiness Tracking (MEDCHART), Laboratory Information Systems (LIS), and Defense Medical Human Resource System – internet (DMHRSi). The inability to learn the use of any automated system within a reasonable amount of time (approximately 30 days) may be reason to request replacement of that person.

2.1.9. Contractor personnel shall have sufficient skills, knowledge, and experience to perform the specific tasks (see Section 5) listed for their specialty.

2.1.10. Contractor and contractor personnel shall abide by all clinical standards, rules, and procedures including requirements for licensure, credentialing, and quality assurance programs.

2.1.11. Contractor personnel shall be required to take and maintain in a current status, any on-going training as required by regulation, command directive, The Joint Commission and/or any other inspecting entity.

2.1.12. Contractor personnel in positions requiring the granting of privileges must be able to meet the favorable recommendation of the WBAMC Credentialing Committee and final approval from the WBAMC Commander and maintain their credentials in a current status at all times.

2.1.13. Privileged health care providers are required to meet Continuing Education (CE), Continuing Medical Education (CME), Continuing Education Units (CEU) requirements in DHA-PM 6025.13 and AR 351-3 or as determined by the provider’s state of licensure, whichever is more stringent. Maintaining/obtaining the CME requirements is entirely the responsibility of the individual and the Government is not obligated to pay for nor otherwise reimburse for any associated costs.

2.1.14. As it pertains to Tele-Health services, notwithstanding any law regarding the licensure of healthcare providers, a designated licensed individual practitioner may practice their profession in any location in any jurisdiction of the United States, regardless of where the provider or patient is located, so long as the practice is within the scope of authorized federal duties. (Ref: DHA PM 6025.13, section 1094.).

2.2. Qualifications. The contractor shall ensure that all contractor personnel providing services meet the following qualifications for their respective specialties:

2.2.1. Physicians (Internal Medicine / Family Practice) shall:

· Degree: Be a Doctor of Medicine or Osteopathy

· Education: Graduate from an accredited medical school in the United States or Canada. This degree must have been accredited by the Council on Medical Education of the American Medical Association; Association of American Medical Colleges; Liaison Committee on Medical Education; or an accrediting body recognized by the U.S. Department of Education and the Accreditation Council for Graduate Medical Education (ACGME) at the time the degree was obtained (e.g. Royal College of Physicians and Surgeons of Canada (RCPSC), College of Family Physicians of Canada (CFPC). A Doctor of Medicine or equivalent degree from a foreign medical school must provide education and medical knowledge substantially equivalent to accredited schools in the United States. Evidence of equivalency to accredited schools in the United States is demonstrated by permanent certification by the Educational Commission for Foreign Medical Graduates, a fifth pathway certificate for Americans who completed premedical education in the United States and graduate education in a foreign country, or successful completion of the U.S. Medical Licensing Examination.

· Board Certification: Board eligible or board certified as required. Shall meet all licensing/certification requirements to perform as a physician in any specialty.

· Internship/Residency: Successful completion of an internship and residency program in any specialty which has been approved by the Accreditation Council for Graduate Medical Education or the Committee on Postdoctoral Training of the American Osteopathic Association. Subsequent to obtaining a Doctor of Medicine a candidate must have had at least 1 year of supervised experience providing direct service in a clinical setting (i.e., a 1-year internship or the first year of a residency program in a hospital or an institution accredited for such training). For purposes of this requirement, graduate training programs include only those internship, residency, and fellowship programs that are approved by accrediting bodies recognized within the United States or Canada. Descriptions of such programs are described below.

· An internship program involves broadly based clinical practice in which physicians acquire experience in treating a variety of medical problems under supervision (e.g., internal medicine, surgery, general practice, obstetrics-gynecology, and pediatrics). Such programs are in hospitals or other institutions accredited for internship training an appropriate accrediting body.

· A residency program involves training in a specialized field of medicine in a hospital or an institution accredited for training in the specialty by an appropriate accrediting body.

· A fellowship program involves advanced training (beyond residency training) in a given medical specialty in either a clinical or research setting in a hospital, or an institution accredited in the United States for such training.

· Experience: Possess a minimum of one year of experience within the last year working as a full-time physician in the care of adult patients which enables him/her to perform the specific tasks listed for this specialty in this PWS. For the purpose of this contract, residency training counts as experience.

· Licensure/Registration: Possess a current Drug Enforcement Administration (DEA) Registration certificate and a National Provider Identifier (NPI).

· Additional Certifications: Possess a current Basic Life Support (BLS) Certification. The American Red Cross or American Heart Association Basic Life Support for Healthcare Providers is the only program accepted. BLS recertification shall be maintained in a current status at all times while the CP provides services via this contract.

2.2.2. Nurse Practitioner (NP) shall:

· Degree: Masters or Doctoral Level degree in nursing

· Education: Graduate from an academic program, within the nursing specialty field of study that is accredited by a regional or national nursing accrediting agency recognized by the Accreditation Commission for Education in Nursing (ACEN) or the Commission on Collegiate Nursing Education (CCNE).

· Certification: Certified as a Nurse Practitioner by the American Nurses Credentialing Center (ANCC), American Academy of Nurse Practitioners (AANP).

· Experience: Shall have a minimum of one year of experience within the last three years routinely practicing in rendering primary care medicine (e.g. family practice, general medicine, internal medicine).

· Licensure: Current, full, active, and unrestricted license as a Registered Nurse.

· Registration: Drug Enforcement Administration (DEA) Registration not required.

· Additional Certification: Possess a current Basic Life Support (BLS) Certification. The American Red Cross or American Heart Association Basic Life Support for Healthcare Providers is the only program accepted. BLS recertification shall be maintained in a current status at all times while the CP provides services via this contract.

2.2.3. Physician Assistant (PA) shall:

· Degree: Baccalaureate or Master’s degree.

· Education: Graduate from an accredited college or university certified by the Accreditation Review Commission on Education of the Physician Assistant (ARC-PA), or previously recognized accrediting body.

· Certification: Certified by the National Commission on Certification of Physician’s Assistants (NCCPA).

· Experience: Shall have a minimum of one year of experience within the last three years working as a full-time Physician Assistant.

· Licensure: Current, full, active, and unrestricted license to practice as a Physician Assistant in any State, the District of Columbia, Guam, Puerto Rico or US Virgin Islands.

· Registration: Drug Enforcement Administration (DEA) Registration not required.

· Additional Certification: Possess a current Basic Life Support (BLS) Certification. The American Red Cross or American Heart Association Basic Life Support for Healthcare Providers is the only program accepted. BLS recertification shall be maintained in a current status at all times while the CP provides services via this contract.

2.2.4. Licensed Clinical Social Worker (LCSW) shall:

· Degree: Master’s degree in Social Work (MSW)

· Education: Graduate from a School of Social Work fully accredited by the Council on Social Work Education (CSWE).

· Experience: Possess a minimum of one year of experience performing as a full-time LCSW during the last two years

· Licensure: Current, full, active, and unrestricted license to practice as a Licensed Clinical Social Worker in any State, the District of Columbia, the Commonwealth of Puerto Rico, Guam, or the U.S. Virgin Islands.

· Additional Certification: Possess a current Basic Life Support (BLS) Certification. The American Red Cross or American Heart Association Basic Life Support for Healthcare Providers is the only program accepted. BLS recertification shall be maintained in a current status at all times while the CP provides services via this contract.

2.2.5. Pharmacist shall:

· Degree: Doctor of Pharmacy (Pharm.D.).

· Education: Graduate from a college or university accredited by the Accreditation Council on Pharmaceutical Education (ACPE).

· Internship/Residency: Completion of a clinical pharmacy residency or fellowship accredited by the American Society of Health System Pharmacists or American College of Clinical Pharmacy or documentation of appropriate education, training, and/or CME in the practice of clinical pharmacy.

· Experience: Possess a minimum of one year post graduate experience as a clinical Pharmacist within the last three years.

· Licensure: Current, full, active, and unrestricted license to practice as a pharmacist in any State, the District of Columbia, the Commonwealth of Puerto Rico, Guam, or the U.S. Virgin Islands.

· Registration: Possess a current Drug Enforcement Administration (DEA) Registration certificate and a National Provider Identifier (NPI).

· Additional Certification: Possess a current Basic Life Support (BLS) Certification. The American Red Cross or American Heart Association Basic Life Support for Healthcare Providers is the only program accepted. BLS recertification shall be maintained in a current status at all times while the CP provides services via this contract.

2.2.6. Registered Nurse (RN) Case Manager shall:

· Degree: Associates or Baccalaureate Degree in Nursing.

· Education: Graduate from a college or university accredited by the Accreditation Commission for Nursing Education (ACEN) or the Commission on Collegiate Nursing Education (CCNE).

· Certification: Possess one of the following certifications:

· Commission for Case Manager Certification Certified Case Manager (CCM)

· American Nurses Credentialing Center Nurse Case Manager (RN-NCM)

· National Academy of Certified Care Managers: Care Manager Certified (CMC)

· Experience: Possess a minimum of one year of experience within the last three years working as a full-time RN-Case Manager.

· Licensure: Current, full, active, and unrestricted license to practice as a Registered Nurse in any State, the District of Columbia, the Commonwealth of Puerto Rico, Guam, or the U.S. Virgin Islands.

· Additional Certification: Possess a current Basic Life Support (BLS) Certification. The American Red Cross or American Heart Association Basic Life Support for Healthcare Providers is the only program accepted. BLS recertification shall be maintained in a current status at all times while the CP provides services via this contract.

2.2.7. Licensed Practical/Vocational Nurse (LPN/LVN) shall:

· Degree: Certificate.

· Education: Graduate from an accredited community college, junior college, college, university or vocational nursing program approved by the appropriate State agency and accredited by the Commission on Nursing Education Accreditation (CNEA), the Commission on Collegiate Nursing Education (CCNE), or another acceptable accreditation body.

· Experience: Possess a minimum of one year of experience within the last three years working as a full-time LVN/LPN.

· Licensure: Current, full, active, and unrestricted license as a practical or vocational nurse.

· Additional Certification: Possess a current Basic Life Support (BLS) Certification. The American Red Cross or American Heart Association Basic Life Support for Healthcare Providers is the only program accepted. BLS recertification shall be maintained in a current status at all times while the CP provides services via this contract.

2.2.8. Certified Nurse Assistant (CNA) shall:

· Degree: Certificate.

· Education: Completion a Nursing Assistant school or program of instruction.

· Certification: A diploma or certificate of training from a Nursing Assistant school or program of instruction.

· Experience: A minimum of one year of experience within the last three years working as a full-time nursing assistant.

· Additional Certification: Possess a current Basic Life Support (BLS) Certification. The American Red Cross or American Heart Association Basic Life Support for Healthcare Providers is the only program accepted. BLS recertification shall be maintained in a current status at all times while the CP provides services via this contract.

2.2.9. Dental Assistant shall:

· Degree: Certificate

· Education:

· Certificate or associate degree as a dental assistant/technician from a program accredited by the Commission on Dental Accreditation (CODA) of the American Dental Association (ADA) and 12 months experience within the preceding 36 months.

· Certification from a military dental technician or dental assistant school and 12 months experience within the preceding 36 months.

· Certification from a Red Cross Dental Assistant course and 12 months experience within the preceding 36 months.

· 36 months experience within the preceding 60 months as a dental assistant in a private practice or a military clinic.

· Membership in good standing with the American Association of Dental Assistants with required continuing education and 12 months experience within the preceding 36 months.

· Graduation from a state accredited program for dental assistants or dental technology within the preceding 12 months.

· All training must have included a course in radiation physics; radiation biology; radiation health, safety, and protection; X-ray films and radiographic film quality; radiographic techniques; darkroom and processing techniques; film mounting; and digital radiographic processing techniques.

· Certification: Certified in radiography as required by 42 CFR Part 75.

· Experience: Possess a minimum of one year of experience within the last three years working as a full-time Dental Assistant.

· Additional Certification: Possess a current Basic Life Support (BLS) Certification. The American Red Cross or American Heart Association Basic Life Support for Healthcare Providers is the only program accepted. BLS recertification shall be maintained in a current status at all times while the CP provides services via this contract.

2.2.10. Pharmacy Technician shall:

· Degree: Certificate.

· Education: Graduate from a formal pharmacy technician program accredited by the American Society of Health-System Pharmacists (ASHP) or a formal pharmacy technician program (i.e., technical, hospital, or retail-based program) or a formal medical services training program of the United States Military.

· Certification: Certified by the Pharmacy Technician Certification Board (PTCB)

· Experience: Possess a minimum of one year experience within the last three years working as a full-time pharmacy technician.

· Additional Certification: Possess a current Basic Life Support (BLS) Certification. The American Red Cross or American Heart Association Basic Life Support for Healthcare Providers is the only program accepted. BLS recertification shall be maintained in a current status at all times while the CP provides services via this contract.

2.2.11. Optometry Technician shall:

· Education: High school equivalent or completion of an optometric technician course or show evidence of training and certification obtained through the Army, Navy, or Air Force Optometry Technician program.

· Experience: Possess a minimum of one year experience within the last three years working as a full-time Optometry technician.

· Additional Certification: Possess a current Basic Life Support (BLS) Certification. The American Red Cross or American Heart Association Basic Life Support for Healthcare Providers is the only program accepted. BLS recertification shall be maintained in a current status at all times while the CP provides services via this contract.

2.2.12. Audiology Technician shall:

2.2.13. Phlebotomist shall:

· Degree: Certificate.

· Education: High school equivalent and completion of NAACLS or two-part Phlebotomy program.

· Certification: Primarily none required but State dependent.

· Experience: A minimum of one year experience within the last three years working as a full-time a phlebotomist in a hospital, blood-bank, or a pathology/laboratory environment.

· Additional Certification: Possess a current Basic Life Support (BLS) Certification. The American Red Cross or American Heart Association Basic Life Support for Healthcare Providers is the only program accepted. BLS recertification shall be maintained in a current status at all times while the CP provides services via this contract.

2.2.14. Medical Laboratory Technician shall:

· Degree: Certificate or Associate Degree.

· Education: Graduate from a medical laboratory technician training program accredited by the National Accrediting Agency for Clinical Laboratory Sciences (NAACLS) or the Accrediting Bureau of Health Education Schools (ABHES) or educational program acceptable to the American Medical Technologist (AMT).

· Certification: Certification/registration as determined by the American Society for Clinical Pathology (ASCP) or AMT.

· Experience: Possess a minimum of one year of experience within the last three years working as a full-time laboratory technician in a clinic, hospital, blood bank, or stand-alone laboratory.

· Additional Certification: Possess a current Basic Life Support (BLS) Certification. The American Red Cross or American Heart Association Basic Life Support for Healthcare Providers is the only program accepted. BLS recertification shall be maintained in a current status at all times while the CP provides services via this contract.

2.2.15. Credentialing Specialist shall:

· Education: Possess a high school equivalent and have a minimum of one year of college education.

· Experience: Possess a minimum of one year of experience within the last three years working as a full-time medical credentialing specialist.

· At least 50% of the time was spent focused on verifying and maintaining the credentials of licensed, registered, and/or certified medical personnel, including but not limited to physicians, advanced practice registered nurses, physician assistants, therapists, etc.

· Additional Certification: Possess a current Basic Life Support (BLS) Certification. The American Red Cross or American Heart Association Basic Life Support for Healthcare Providers is the only program accepted. BLS recertification shall be maintained in a current status at all times while the CP provides services via this contract.

2.2.16. Administrative Assistant shall:

· Education: Possess a high school equivalent and have a minimum of one year of college education.

· Experience: Must have a minimum of one year of experience within the last three years in program assistance/management support role. Possess sufficient proficiency to work with automated systems utilizing common software such as MS Office Word, Excel, and PowerPoint.

· Additional Certification: Possess a current Basic Life Support (BLS) Certification. The American Red Cross or American Heart Association Basic Life Support for Healthcare Providers is the only program accepted. BLS recertification shall be maintained in a current status at all times while the CP provides services via this contract.

2.2.17. Medical Support Clerk shall:

· Education: High school equivalent.

· Experience: Possess a minimum of one year of experience within the last three years working as a full-time medical clerk in a hospital, clinic, or doctor’s office within the last two years.

· Additional Certification: Possess a current Basic Life Support (BLS) Certification. The American Red Cross or American Heart Association Basic Life Support for Healthcare Providers is the only program accepted. BLS recertification shall be maintained in a current status at all times while the CP provides services via this contract.

2.2.18. Medical Records Clerk shall:

· Education: High school equivalent.

· Experience: Possess a minimum of one year of experience within the last three years working as a full-time medical records clerk in a hospital, clinic, or doctor’s office.

· Additional Certification: Possess a current Basic Life Support (BLS) Certification. The American Red Cross or American Heart Association Basic Life Support for Healthcare Providers is the only program accepted. BLS recertification shall be maintained in a current status at all times while the CP provides services via this contract.

2.2.19. Supply Technician shall:

· Education: Possess a high school equivalent and have a minimum of one year of college education or vocational training.

· Experience: Possess a minimum of one year of inventory management experience working as a full-time supply or warehouse manager during the last three years.

· Additional Certification: Possess a current Basic Life Support (BLS) Certification. The American Red Cross or American Heart Association Basic Life Support for Healthcare Providers is the only program accepted. BLS recertification shall be maintained in a current status at all times while the CP provides services via this contract.

2.3. Health and Immunizations Requirements

2.3.1. The Contractor shall ensure HCWs are immunized annually with the seasonal influenza vaccine and any other vaccine recommended by the Advisory Committee on Immunization Practices (ACIP) of the Centers for Disease Control (CDC) for HCWs or service/MTF specific guidance as outlined in DoDD 6205.02e, Policy and Program for Immunizations to Protect the Health of Service Members and Military Beneficiaries. The expense for all health requirements, to include monitoring and tracking annual requirements, shall be borne by the Contractor at no additional cost to the Government.

2.3.2. All contract Healthcare Providers (CPs) performing direct healthcare services under this contract shall receive a general physical examination prior to commencement of services. The contractor shall provide the Contracting Officer's Representative, 10 calendar days before beginning services under this contract, a physical examination certificate for each individual CP who will provide services. The certification shall state the date on which the physical examination was completed and the name of the psychiatrist who performed the examination. The psychiatrist performing the examination shall sign this certification. For the purposes of this paragraph, a physical examination administered more than 45 days prior to performance of the contract will not be considered adequate. The physical examination shall include the following:

2.3.3. All contract CPs performing direct healthcare services under this contract, who experience a parenteral (e.g., needle-stick or cut) or mucous membrane exposure (e.g., splash to the eye or mouth) to blood or bloody body fluids, shall receive prompt treatment. The medical treatment facility (MTF) will evaluate the source of exposure for risk of Hepatitis-B, Hepatitis-C, and Human Immunodeficiency virus (HIV) and will provide a report of the findings to the contractor and the contract CP. It shall be the contractor's responsibility to provide appropriate treatment as needed to possibly include Tetanus-Diphtheria booster, Immune Globulin, Hepatitis-B vaccine booster, or Hepatitis- B Immune Globulin. The contractor shall be responsible for providing the contract CP with initial testing and if the source of exposure was unknown, positive, or considered at high risk for HIV infection, follow-up testing 3, 6, and 12 months after exposure.