J&A_-_Redacted.pdf

“Source Selection Information – see FAR 2.101 and 3.104” o o

Description:

Michelle M. Corbin -S Digitally signed by Michelle M. Corbin -S Date: 2019.08.15 12:19:52 -04'00'

N01DA-14-1152

Attachment 1

STATEMENT OF WORK

NIDAMED: Outreach and Education to Health Care Providers on Substance Use

I. Context for Requirement and Objectives

A. Information about the National Institute on Drug Abuse, Office of Science Policy and Communications, Public Information and Liaison Branch The National Institute on Drug Abuse (NIDA), one of the Institutes within the National Institutes of Health (NIH), U.S. Department of Health and Human Services, is the lead Federal agency for research on licit (excluding alcohol) and illicit drugs and provides national leadership for research on drug abuse and addiction. Through its extramural and intramural research programs, NIDA has implemented a comprehensive program to combat the illicit or nonmedical use of drugs. This includes studies on the causes and consequences, the prevention and treatment, and the biological, social, behavioral, and neuroscientific bases of drug abuse and addiction.

The transfer of knowledge from research to practice is of the highest priority for NIDA. The Public Information and Liaison Branch (PILB) within NIDA's Office of Science Policy and Communications (OSPC) administers numerous Institute-wide programs focused on accomplishing the goal of reaching the public and specific target audiences with research findings on drug abuse and addiction.

B. Background Information A staggering 20.5 million persons aged 12 or older, including 1.7 million youths 12-17, are not receiving necessary treatment for substance use disorders (National Survey on Drug Use and Health (NSDUH), 2011)). To prevent drug use and facilitate early intervention, over the past decade NIDA has targeted physicians and other health care clinicians, and those training, with educational materials and tools. These resources center on and support the clinicians’ role in screening, brief intervention, and referral to treatment for patients struggling with or at risk for drug use and addiction.

C. Scope Health care clinicians are in a unique position to identify substance use disorders in their patients and refer them to treatment, yet they receive little training on drug abuse prevention, early intervention, and treatment options. NIDA seeks to address this gap in knowledge and the resulting lack of intervention taking place in medical practices through the establishment of a coalition of professional medical organizations and associations to:

advise NIDA on the educational preferences and needs of health care providers, including primary care and specialist physicians, pediatricians, psychiatrists, dentists, pharmacists, physician assistants, nurses, nurse practitioners, and others;

serve as content experts in developing new materials, including a Continuing Medical Education/Continuing Education (CME/CE) course designed specifically for clinicians who treat America’s 24 million adolescents; and function as the dissemination infrastructure for current and new NIDAMED materials.

Together these activities build on the success of the NIDAMED initiative and broaden it to more fully include the diverse population of health care providers and the at-risk patients they treat.

II. Services to be Performed

A. General Requirements Independently, and not as an agent of the Government, the Contractor must furnish all necessary labor, materials, supplies, equipment, and services (except as otherwise specified herein) and perform the work set forth below. The NIDA Contracting Officer Representative (COR) will monitor all work under the contract.

B. Specific Requirements: Tasks As outlined in this Statement of Work (SOW), the Contractor must complete the four Tasks outlined below.

Task 1: Establish a Coalition of Professional Health Care Organizations and Associations The Contractor must establish a Coalition of Professional Health Care Organizations and Associations (Coalition) to serve as the infrastructure for NIDAMED dissemination and as the content experts for newly developed materials. This Coalition also must include the participation of experts on adolescent drug use Screening, Brief Intervention, and Referral to Treatment (SBIRT) to advise the Coalition.

The Contractor must conduct all of the following activities for successful completion of this task:

Establish a Coalition of professional health care organizations and associations, representing primary care and specialist physicians, pediatricians, psychiatrists, dentists, pharmacists, physician assistants, nurses, nurse practitioners, and others.

Recruit leading adolescent SBIRT researcher/advisors.

Coordinate all formal Coalition communications.

Implement a document review process that facilitates the creation, review, and submission to NIDA of drafts and final content within proposed timelines and budgets.

Create the agenda and meeting summary document for an in-person meeting of the Coalition in Year 1.

Task 2: Conduct Formative Research, Develop, and Obtain Accreditation for an Adolescent Drug Use Prevention / Early Intervention Continuing Medical Education / Continuing Education (CME/CE) course To prevent drug use in adolescents and to facilitate treatment for those patients in need, it is imperative to increase the number of scientifically accurate and clinically relevant conversations occurring between clinicians and their adolescent patients. We seek to create an educational course that will prepare clinicians to engage in this conversation with their patients (and their parents), using current research about illicit drug use, prevention messages, and treatment options. The target population for this course is clinicians who manage the health of adolescents, including primary care and specialist physicians, pediatricians, psychiatrists, dentists, pharmacists, physician assistants, nurses, nurse practitioners, and others.

The NIDA Adolescent Drug Use Prevention / Early Intervention CME/CE course must include adolescent drug use screening, brief advice, and referral to specialty providers implementing evidence based treatments with regard to prescription drug abuse, marijuana, alcohol, tobacco, and other illicit drugs. The format may be case-based, text slides, video, video with interactive elements, or some other format. Final content requires NIDA approval.

Task 2a: Conduct Formative Research for an Adolescent Drug Use Prevention/Early Intervention CME/CE course The Contractor must conduct the following formative research activities for successful completion of this task:

A market analysis of the CMEs/CEs in the marketplace to inform NIDA on gaps, as well as potential redundancies.

A pilot study of health care clinicians on the content, format, focus, supplemental materials, and other items related to the overall user experience and future application of information and skills gained through the CME/CE course. This activity also includes preparing the necessary documentation as required to obtain a “Fast Track” U.S. Office of Management and Budget (OMB) approval of the clinician pilot study. Please note: As a pilot study, the Contractor only may use the data collected for internal purposes.

Focus groups or an alternative method of assessment with adolescents on the CME/CE course messages and language that will be recommended to clinicians for use with their adolescent patients.

Task 2b: Develop an Adolescent Drug Use Prevention/Early Intervention CME/CE course The Contractor must create an adolescent drug use prevention/early intervention CME/CE course that meets the following requirements for the successful completion of this task:

Final Content of the CME/CE course must:

o Be developed primarily by the Coalition;

o Be evidence-based and clinically relevant;

o Draw on materials and content NIDA already has developed on these topics;

o Incorporate findings of formative research: market analysis, clinician pilot study, and adolescent assessment (Task 2a);

o Include the priority areas outlined by NIDA in the NIDAMED Adolescent

CME/CE Course Content Guidance document; see contract attachment 2;

o Detail competencies learners will achieve through completion of CME/CE course;

o Map final assessment questions to the content; and o Receive approval from NIDA.

Final Format of the CME/CE course must:

o Reflect the formative research on educational preferences (Task 2a); and o Meet HHS Section 508 compliance standards, when applicable.

This activity includes meeting with the NIDA Webmaster to discuss Section 508 requirements before developing any Web-based materials.

Refer to http://www.hhs.gov/web/508/index.html for specific guidelines.

Task 2c: Obtain Accreditation for an Adolescent Drug Use Prevention/Early Intervention CME/CE Course The Contractor must obtain accreditation for the course for the successful completion of this task from:

An approved American Medical Association Physician’s Recognition Award (AMA PRA Category 1™) provider;

Nationally recognized and respected accredited organizations that can provide continuing education certificates for non-physician health care providers; and All members of the Coalition that have accreditation capabilities.

Task 3: Market and Disseminate all NIDAMED Products The full value of the Coalition and the CME/CE course created under Task 2 is not realized without successful marketing of NIDAMED materials. Among NIDA’s most successful educational resources are two CME/CE courses on prescription drug abuse that trained over 50,000 clinicians within the 2-year contract. NIDA seeks to replicate this success. NIDA expects marketing and dissemination of the current portfolio of educational materials to take place upon the start of the contract through its completion. However, in Option Year 1 (Contract Year 2), if awarded, the Contractor must prioritize the marketing and dissemination of the adolescent CME/CE course.

The Contractor must develop and implement a yearly marketing and dissemination plan to guide the activities associated with all NIDAMED outreach for the successful completion of this task.

Task 4: Measure Outreach Methods and NIDAMED Materials/Tools Usage NIDA has set the goal for the CME/CE course created in Task 2 for a minimum of 28,000 health care clinicians to complete the CME/CE course (Task 2). Achieving or surpassing the CME/CE course completer goals measures the success of the CME/CE course overall. It does not, however, provide information on which outreach methods produced the highest number of clinicians to complete the CME/CE course or to visit the NIDAMED webpage. Through this task NIDA seeks to understand how best to reach the diverse population of clinicians to market current and future NIDAMED materials, as well as track the Contractor’s success in securing no fewer than 28,000 clinicians to complete the CME/CE course.

The Contractor must complete the following activities for successful completion of this task:

Substantiate that a minimum of 4,000 clinicians completed the CME/CE course in Option Year 1 (if exercised by NIDA), and 8,000 during every option year exercised thereafter, for a total of 28,000 clinicians over the full five years; also show that, for each option year exercised and of the clinicians completing the CME/CE course, a minimum of 1,250 of them were physicians. (If NIDA exercises all 4 Option Years, then the Contractor must show that 5,000 physicians completed the CME/CE course.)

Develop and implement an outreach effectiveness plan to measure and track the number of completers of the CME/CE course developed in Task 2, including documentation of their specific medical specialties and geographic origin.

Develop and implement an outreach effectiveness plan to measure and track the success of strategies employed to increase the traffic to the NIDAMED website and use of materials and tools, including pages dedicated to the CME/CE course.

C. Options

Option 1 (Contract Years 2, 3, 4, & 5): This option extends the period of performance of this contract for an additional twelve months and increases the number of direct labor hours by 4,474.

The 4,474 of direct labor hours includes the hours of the prime contractor, subcontractors, and consultants. During the option year, the Contractor must perform the work set forth in Tasks 1 through 4. The Government may exercise Option 1 up to four times during the life of the contract.

Option 2 - Level of Effort: The Contractor must devote up to 1,880 additional person hours in performance of the Statement of Work. The Government may exercise Option 2 up to one time during each year of the contract.

D. Statement of Work Reporting Requirements and Deliverables The Contractor must submit the reports to the NIDA Contracting Officer Representative (COR) according to the times specified below. All reports must include status of individual projects, accomplishment of milestones and goals, challenges, staffing changes, and budget information.

Annual Project Work Plan: The Contractor must submit a work plan to the COR within 1 week of contract award for all years of funding. This report is subject to the review and approval by the COR. Within 2 weeks of the Contractor receiving edits from the COR, if applicable, the Contractor must submit an updated version of this report addressing the COR’s concerns.

The Project Work Plan Report must outline how the overall project will conduct, manage, and coordinate the resources to ensure the successful completion of outlined tasks. The plan must contain a milestone chart for all deliverables, a person loading chart, and an organizational chart.

It also must describe how the Contractor will manage and facilitate the collaboration and workflow of the Coalition.

Monthly Progress Report: Due by the 10th day of the following month. This report will cover all updates and items of interest for the reporting period, including budget information. The COR and Contractor will agree to the format of this report at the start of the contract year.

Annual Progress Report: Due 12 months after Contract Award Date (CAD) and annually thereafter for each option year exercised. This report must cover all progress for the year and include budget information comparing amounts proposed and actual spending. For the final year of the contract, this report should include summary information for all years of activity.

Deliverables for Task 1:

Documentation of establishment of a Coalition of Professional Health Care Organizations and Associations. Due 2 months after CAD.

The Contractor must submit to NIDA the formal documentation (e.g., subcontracts) signed by authorized parties stipulating the responsibilities, deliverables, and budgets for each Coalition member organization/association. Note: The Contractor must have written consent from the Contracting Officer before entering into a subcontract.

Coalition Year 1 Meeting Support Materials: Agenda (Draft & Final) and Summary Report. Year 1, exact timing pending written conference clearance approval from NIDA’s Contracting Officer.

Deliverables for Task 2a:

Market Analysis Report: Due 2 months after CAD.

CME/CE Course Pilot Study Deliverables:

Content Draft: Due 5 months after CAD.

Final Content: Due 7 months after CAD.

NOTE: The Contractor must complete all documentation in collaboration with the NIDA COR to obtain “Fast Track” Office of Management and Budget review for the pilot study prior to implementation.

Findings Report: Due 9 months after CAD.

Adolescent Assessment Plan/Content Draft: Due 7 months after CAD.

Adolescent Assessment Plan/Content Final: Due 9 months after CAD.

Deliverables for Task 2b:

CME/CE Final Course Content Outline and Training Plan Report & Presentation: Due 12 months from CAD (report to be included as part of the Year 1 Annual Report).

Adolescent drug use prevention/early intervention CME/CE course and training. Due 6 months after Option Year 1/Contract Year 2 CAD (if NIDA exercises Option Year 1).

Deliverable for Task 2c:

CME/CE Course Accreditation Documentation. Due 6 months after CAD for Option Years 1-4/Contract Years 2-5 (if NIDA exercises these option years), as needed to maintain current accreditation.

Deliverables for Task 3:

Marketing and Dissemination Plan. Due 1 week after CAD for all years funded, to be included as part of the Annual Project Work Plan.

Deliverables for Task 4:

Measurement of CME/CE Course Outreach Effectiveness Plan. Due 1 week after CAD for all years funded, to be included as part of the Annual Project Work Plan.

NIDAMED Outreach Effectiveness Report. Due monthly as part of the Monthly Report and annually as part of the Annual Reports.

CME/CE Course Completers Report. Due monthly as part of the Monthly Reports and annually as part of the Annual Reports, beginning in Option Year 1 (if NIDA exercises Option Year 1).

This report should focus on the progress of recruiting a minimum of 28,000 clinicians (5,000 of which must be physicians) that complete the CME/CE course developed in Task 2.

III. References

See Attachment 2 entitled “NIDAMED Adolescent CME/CE Course Content Guidance.”

The following provides links to provide additional information about terms or resources mentioned in this SOW.

Health care provider: http://www.nlm.nih.gov/medlineplus/ency/article/001933.htm NIDAMED: http://www.drugabuse.gov/nidamed-medical-health-professionals NSDUH Data: http://www.samhsa.gov/data/NSDUH.aspx 508 Compliance: http://www.hhs.gov/web/508/index.html “Fast Track” OMB Process: http://www.howto.gov/customer-experience/collecting-feedback/pra-fast-track-process