N0018919QZ378_RTC_Athletic_Trainer_PWS_for_MR.docx

PERFORMANCE WORK STATEMENT

NSTC Injury Prevention and Physical Performance (IP3) Program Certified Athletic Trainer Recruit Training Command Naval Station, Great Lakes, IL

1.0 SCOPE

The Contractor shall provide four (4) Full-Time Equivalency (FTEs) injury prevention and physical performance Certified Athletic Trainers (ATC) to serve as the authority, consultant, and practitioner for a comprehensive program of musculoskeletal injury prevention, physical performance enhancement, and acute musculoskeletal injury care and reconditioning for all students assigned to Recruit Training Command, Great Lakes (RTC). One ATC will be designated as the Lead ATC. This function supports students (yearly average of 40,000) by performing a variety of functions to include providing oversight and participate in the execution of the RTC physical conditioning program to include normal training populations and remedial training populations, an active and aggressive injury prevention program, educate RTC staff and instructors in injury prevention and development and execution of safe and effective physical training programs, provide field duties in support of many of the activities or programs of instruction at RTC, serve as the RTC representative to the Lovell Federal Health Care Center (FHCC) Sports Medicine And Reconditioning Team (SMART), and prevent, assess, treat acute musculoskeletal injuries in the field, and provide reconditioning for Recruits returning to training from musculoskeletal injuries. RTC classes convene on a weekly and are eight weeks in length. Unless otherwise specified, the Contractor shall perform all tasks within this function on a daily basis. All tasks with be coordinated with the Naval Service Training Command (NSTC) N7. The Contractor will perform all tasks under supervision and credentialing from the FHCC.

The government reserves the right to exercise an option to increase the number of ATCs by one (1) FTE to a total of five (5) during the option years.

This a new requirement at RTC to implement a physical fitness injury reduction initiative. The Marine Corps and Air Force have already implemented similar program in their recruit training programs, which have resulted in over 40% reduction in recruits being setback in training due to physical conditioning issues. This order is being issued as a base plus two option years to allow Naval Service Training Command (NSTC) to evaluating the results of this contract to determine the optimal number of ATC’s and specific duties needed to have a comprehensive and effective injury reduction program to be used in developing the anticipated follow-on contract.

2.0 APPLICABLE DIRECTIVES

RTC and Naval Station Great Lakes regulations, instructions and manuals.

OPNAVINST 6110.1J, Physical Readiness Program DoD Instruction 1308.3, DoD Physical Fitness and Body Fat Program Procedures OPNAVINST 6100.2A, Health and Wellness Promotion Program OPNAVINST/MCO 6400.2, Scope, Limitations, Certification, Utilization, and Physician Oversight of Certified Athletic Trainers NAVPERS 15560D, Military Personnel Manual

3.0 CONTRACT LEAD

The Contractor shall designate (CDRL A001) an on-site supervisor responsible for the contracted workforce, reviewing the RTC training schedule and scheduling the contract workforce (CDRL A002) to meet the requirements, organizing, coordinating all Contractor program activities to ensure the timely delivery of all services specified herein and acting as a liaison between the Contractor and the COR. The supervisor will attend monthly meetings with the COR. The COR may increase/decrease the frequency and amount of meetings needed to be attended by the on-site supervisor.

4.0 REQUIREMENTS

The Contractor shall perform the following IP tasks:

TASK 1: OVERSIGHT OF PHYSICAL CONDITIONING PROGRAM:

The Contractor shall coordinate with NSTC N7 and provide RTC-level oversight of the physical conditioning program. Instruct RTC staff in functional movement patterns, exercise physiology, stretching, and exercises, especially those related to combat and/or military functions. Attend and participate in physical training/combat conditioning sessions, providing immediate feedback to training company staff on exercise execution.

TASK 2: INJURY PREVENTION INSTRUCTION TO RTC STAFF:

The Contractor shall coordinate with NSTC N7 and provide injury prevention instruction to RTC staff, ensuring RTC facilities and equipment are in place to minimize injury risk, analyze injury data and patterns at RTC, and provide controls in response to injury pattern changes. The Contractor shall follow the public health model for managing injury risk: determine existence and size of injury problems; identify causes of the problem; determine what prevents the problem; implement prevention strategies, training, and programs; continue surveillance and monitor effectiveness of prevention efforts. Develop and conduct a training presentation to RDC staff as requested by the COR and at RDC C-School training (CDRL A003).

TASK 3: PREVENT, ASSESS, TREAT, AND PROVIDE RECONDITIONING FOR INJURIES:

The Contractor shall coordinate with the NSTC N7 and FHCC SMART clinic to prevent, assess, treat and provide reconditioning for injuries sustained during rigorous military training at RTC. All services performed, that are medical in nature, shall fall within those guidelines established by the National Athletic Trainers Associations (NATA), American College of Sports Medicine, and American Medical Society for Sports Medicine. ATC’s will collect, analyze and report data related to the effectiveness and efficiency of prevention, medical care and reconditioning programs at RTC.

TASK 4: FIELD DUTIES IN SUPPORT OF ACTIVITIES/PROGRAM OF INSTRUCTION:

The Contractor shall provide field duties in support of any of the activities or program of instructions at RTC in coordination with NSTC N7 and FHCC. The ATC shall serve as an advisor on training environments, screen injuries as they occur, make recommendations regarding the removal of Recruits from a part of training or the entire exercise if appropriate. The ATC does not have the authority to place any military member on limited duty but will make recommendations to a physician and the RTC Chain of Command. Services include but are not limited to: providing emergency first aid, evaluating chronic or traumatic injury, and treating injuries. The ATC aids in the injury recognition process to include recognition of severity of injury, rendering initial treatment, performing initial examination, and referral to a FHCC privileged provider as appropriate. These duties may be included at such events but not limited to: road hikes, physical training, combat conditioning, and field exercises. The ATC will carry a modular kit of supplies and equipment to aid in the treatment and diagnosis of acute injuries in the field. The ATC recommends a plan of action to the chain of command in the field, based on the assessment and severity of injury.

TASK 5: PROVIDE MUSCULOSKELETAL INJURY ASSESSMENT AND TREATMENT:

The Contractor shall provide musculoskeletal injury assessment and treatment including, but not limited strength and conditioning plans, and the use of appropriate modalities and physical agents. Contractor shall become familiar and proficient in properly utilizing all medical and physical training equipment utilized at RTC and FHCC. Contractor shall demonstrate and provide instruction to patients and RTC staff in therapeutic, corrective, and reconditioning exercises using specific equipment and strength training devices.

TASK 6: INJURY REPORTING:

The Contractor shall provide weekly sports medicine injury reports to RTC and the COR detailing any injuries that occurred during the reporting period. All significant and life altering injuries will be reported to the COR immediately (CDRL A005). The Contractor shall prepare and maintains weekly status reports on the status of all sports medicine injuries and determines trends and tracks efforts to reduce the incidence of injury and make recommendations on program improvements (CDRL A006).

TASK 7: SERVE AS THE RTC REPRESENTATIVE TO THE SPORTS MEDICINE AND RECONDITIONING TEAM (SMART):

The Contractor shall serve as the RTC Representative with the FHCC SMART center. The Contractor shall maintain communication with instructors and staff to discuss injury severity and disposition options while coordinating with a physician supervisor, per memorandum of understanding between FHCC and RTC.

TASK 8: NAVAL AND LOCAL DIRECTIVES:

The Contractor shall apply all Naval and local directives related to physical training/combat conditioning and injury prevention as appropriate to each case.

TASK 9: RTC INJURY PREVENTION COMMITTEE MEMBER:

The Contractor shall serve as a member of and make recommendations to the RTC injury prevention committee, this committee is charted to ensure that physical training throughout entry-level training (ELT) is progressive in nature and supports development of Recruits across the ELT continuum. The Contractor shall provide recommended meeting agenda items to the COR and present an injury synopsis report during the meetings (CDRL A007).

TASK 10: LIAISON WITH VARIOUS ORGANIZATIONS:

The Contractor shall maintain liaison with various organizations (e.g. Naval Health Research Center, National Strength and Conditioning Association, American college of Sports Medicine, National Athletic Trainers Association) and other military services for up-to-date equipment, programs, or research that may impact military training. Establish and maintain liaison with NATA groups, societies, and networks that are related to military setting.

TASK 11: INVENTORY AND MAINTENANCE OF ATC SUPPLIES AND EQUIPMENT:

The Contractor shall assist with inventory and maintenance of ATC supplies and equipment. This includes replenishing exhausted supplies, preventative maintenance, and recommending new reconditioning equipment to the IP3 coordinator for purchase consideration.

TASK 12: PLANNING AND COORDINATION:

The Contractor shall assist in the planning and coordination of systemic new, existing or follow-on research studies related to musculoskeletal injury prevention and care as directed by NSTC or RTC.

TASK 13: CHANGE RECOMMENDATIONS:

The Contractor shall recommend changes to training policy related to improve the effectiveness of the physical training program and musculoskeletal injury prevention based on injury trends to NSTC and RTC.

TASK 14: INJURED RECRUIT DOCUMENTATION:

The Contractor shall, when dealing with injured Recruits, document all assessments, treatments, and follow-up care rendered through the computerized programs: Armed Forces Health Longitudinal Technology Health Application (AHLTA), Composite Health Care System (CHCS), and Medical Readiness Reporting System (MMRS), on a daily basis. Treatment and follow-up records on each individual diagnosis, and follow-up for use in research and analysis to improve treatment and develop methods for injury prevention. All documentation will be per the directives set by the FHCC SMART clinic

5.0 SKILLS AND KNOWLEDGE REQUIRED FOR THE POSITION

Position requires NATABOC Certified Athletic Trainer, Certified Strength and Conditioning Specialist certification from the National Strength and Conditioning Association (NSCA). , Cardiopulmonary Resuscitation (CPR), and First Aid certifications. As a Certified Athletic Trainer, Contractor will have an entry-level Bachelors or Master’s degree from an accredited professional athletic training program by the Commission on Accreditation of Athletic Training Education (CAATE) and pass a comprehensive test administered by the NATABOC. Contractor will be licensed to practice Athletic Training in the State of Illinois.

The Lead Athletic Training shall have a minimum of two-year’ experience in a military training environment. All Other professional knowledge drawn from other fields (e.g. sports psychology, kinesiology, administration) is necessary.

ATC’s must possess and demonstrate critical thinking skills to modify and adapt established methods of aforementioned disciplines. ATC’s must recognize the particular needs of Recruits which are unique to their training cycle, as compared with, sports organizations, universities, academies, physical therapy clinics, or wellness centers. ATC’s must be able to adapt training or treatments based on injury and military training requirements.

Position requires working knowledge of Navy directives and policies related to training, physical combat readiness, and Naval entry level training. Knowledge must be of sufficient depth and breadth to enable the Contractor to address immediate needs plus long-term programs and projects.

Experience with computer programs designed to capture and track injury information for research and analysis required, specifically AHLTA, CHCS, MMRS, and Microsoft office products and other database software.

The Contractor must be able to work independently, be capable of identifying problems/issues, and be able to design and develop appropriate treatment plans based on understanding of job requirements, broad guidance, and own initiative to achieve a comprehensive solution without regular direct supervision. This ability must be demonstrated through a minimum of one year of appropriate work experience.

Due to the broad spectrum of recipients of training from the Contractor, Contractor must recognize and adapt to the needs of the adult learner in a training or classroom environment. Contractor must demonstrate ability to create, develop, and enhance instructional presentations in a training session or classroom for both individual and group (small or large) instruction and be able to adapt these to a Recruit and staff populations.

Within two-weeks of the initial start-up of the contract and reporting of new-hires, the Contractors shall complete a minimum one-day indoc/orientation brief sponsored by the government to familiarize the Contractor of working in the military environment, base mission, installation familiarization, etc.

The Contractor shall complete the following Navy annual training* (course numbers and training sources to be determined annually):

- Active Shooter Practical Exercise

- DoD Cyber Awareness Challenge**

- Privacy Act and Personally Identifiable Information (PII) Awareness Training**

- Records Management

- Operational Security (OPSEC)

- Counterintelligence and Awareness Reporting

- DoN POSCH Anti-Harassment Training

- Sexual Assault and Prevention Response – One Team – One Fight

- CTIP General Awareness Training

- Antiterrorism Level I Training

- Active Shooter Training

- Suicide Prevention Training

*Additional training may be required to be completed, during work hours, per issued NSTC directives.

The Contractor shall provide a copy of resumes to the COR for the government to concur that the potential ATC’s meet minimum requirements outlined in this PWS (CDRL A008).

The Contract shall provide a copy of all certifications, qualifications and licenses required under this PWS to the COR (CDRL A009).

Deliverable

Performance Standard

Acceptable Quality Level

(AQL)

4.0 – Requirements Task 1 through 13. Each task is required to meet the AQL.

Adhere to requirements specified in paragraph 3.0 of the Performance Work Statement.

95% (5% error) for every action completed

Random Inspections/ Customer Surveys or Feedback Quality/Timeliness

documented and validated customer complaints/experience per quarter.

7.0 PLACE OF PERFORMANCE:

The primary place of performance is Recruit Training Command located at Naval Station Great, Lakes, IL. The Contractor maybe required to perform various work functions at other locations on Naval Station Great Lakes and at the Lovell Federal Health Care Center, which is located adjacent to the Recruit Training Command.

8.0 WORKING HOURS/SHIFT SCHEDULES

Work shall be performed in a full-time 8-hour workday with a 30-minute lunchtime break period. The Government requires ATC coverage during the following periods:

0800 to 1630 Monday thru Friday – two (2) ATC*/** 0800 to 1630 Tuesday thru Saturday – one (1) ATC* 1200 to 2030 Monday thru Friday – one (1) ATC

* The ATC Lead is required to work during one of the day shift schedules.

** If the option to increase the number of Athletic Trainers to five (5) FTEs during the option years, the increase FTE will be used during this period.

The work schedule maybe adjusted from the times listed when the ATC Lead and COR both concur.

8.1 NON-STANDARD WORK TIMES (OVERTIME)

The Government may require work outside scheduled times to accommodate emergencies, ATC leave periods, military commitments/training or operational requirements. All overtime shall be scheduled and pre-approved by the COR prior to being worked.

The Contractor shall ensure a payment request for overtime shall include appropriate contract line item and subline item descriptions of the work performed or supplies delivered, unit price/cost per unit, fee (if applicable), and all relevant back-up documentation such as the COR authorization and time shall be attached to the invoice, as defined in DFARS Appendix F, in support of each payment request.

8.2 PERIODS OF REDUCED MANNING LEVELS

The Contractor shall ensure that no more than 25% of the workforce is on leave at any given time unless authorized otherwise in writing by the COR. For scheduled leave, the ATC Lead shall coordinate with the COR to determine where lapse in ATC coverage scan be acceptably incurred. The ATC Lead shall notify the COR of unanticipated leave (such as an ATC calling in sick) as soon as practical.

9.0 WORK ENVIRONMENT AND PHYSICAL DEMANDS: The work requires moderately heavy physical exertion with recurring periods of bending, reaching, crouching, stretching, and several other similar types of movements. The work requires specific characteristics and abilities, such as above-average agility, dexterity, and anaerobic and aerobic capacity. Exercises should be demonstrated, and performed for personnel in the field and in the clinic and as such the ATC may lead Recruits in group exercise, runs, training evolutions, or combat conditioning. ATC may need to carry modular ATR supplies, or equipment via travel pack for field treatment and evaluation.

10.0 REIMBURSABLE TRAVEL EXPENSES: No government funded travel is anticipated under this tasking.

11.0 GOVERNMENT FURNISHED EQUIPMENT:

The government will provide and maintain accountability of all required medical supplies, medical equipment, general office supplies and equipment for the on-site Contractor personnel to use while in the performance of this contract to include, but not limited to, workstation, NMCI computers stations, telephone, fax, copiers, printers, access to NMCI and other government websites/computer programs.

12.0 GENERAL SAFETY AND HOUSEKEEPING: Contractor personnel shall keep his/her office and work area in a clean, presentable, safe condition at all times. Contractor shall comply with Navy safety programs and report unsafe conditions to the COR.

Contractor personnel shall wear a Contractor provided identification badge or other item, such as company logo shirts, that easily identifies them as a Contractor and a “Navy Contractor Badge” (Common Access Card) while performing work on RTC. The identification badge should specifically identify the Contractor as a Certified Athletic Trainer. Contractor personnel shall identify themselves as a Contractor employee when attending meetings, answering government telephones, sending e-mails, or working in situations where their actions could be construed as acts of government officials. Additionally, the Contractor shall ensure that staff, recruits, family members, the media, and others they interact with understand that the work they are performing is Athletic Training.

13.0 PERSONNEL CONDUCT:

Services are being conducted at a high-visibility military training command. The Contractor shall provide positive leadership to young men and women in a military training environment. As such, it is imperative that standards of dress, grooming, and character be appropriate to a traditional military organization.

14.0 PRIVACY ACT COMPLIANCE: Contractor shall fully comply with the Privacy Act in handling protected information. The Contractor shall complete annual Privacy Act Training as required by NSTC, RTC and FHCC.

15.0 DOD SECURITY CLEARANCES

The Contractor is required to obtain a CAC to access the government computer systems. To obtain a CAC, the Contractor must currently be eligible/have and maintain a secret (or interim) security clearance. Note: The Contractor is responsible for maintaining its own security program IAW the Defense Industrial Security Clearance Office directives and obtaining security clearances for their workforce.

16. Quality Control Plan (QCP) The Contractor shall have a planned and systematic QCP that outlines the quality control process covering every aspect of the Contractor’s operation under this contract. The Contractor shall submit a complete QCP to the COR within 15 calendar days of contract award (CDRL A010). The COR will acceptance the QCP in writing. The Contractor shall submit changes to an accepted QCP to the COR for acceptance throughout the life of the contract.

At a minimum, the Contractor’s QCP shall include the following:

· Written code of business ethics, which includes the process to identify and handle ethical issues related to the business practice.

· Written policy to address privacy, confidentiality and security of information.

· Procedures to ensure that services are performed IAW this PWS throughout the life of the contract.