N62645-13-R-0004.doc

Section B - Supplies or Services and Prices

Reserved

FFP

This CLIN is not applicable for this solicitation and is designated as reserved. Refer to Section J, Attachment AI for an explanation of CLINs.

FOB: Destination

NET AMT

Allied Health

Allied Health Personnel include, but are not limited to, Audiologist, Chiropractor, Clinical Social Worker, Dietitian, Marriage and Family Therapist, Occupational Therapist, Pharmacist, Physical Therapist, Speech Pathologist, Physician Assistant.

MAX

NET AMT

Reserved

This CLIN is not applicable for this solicitation and is designated as reserved. Refer to Section J, Attachment AI for an explanation of CLINs.

NET AMT

Reserved

This CLIN is not applicable for this solicitation and is designated as reserved. Refer to Section J, Attachment AI for an explanation of CLINs.

NET AMT

Technologist

Technologist Personnel include, but are not limited to, Cardiopulmonary Technologist, Cardiovascular Technologist, Dosimetrist, Echocardiograph Technologist, Medical Technologist, Ophthalmic Technologist, Radiologic Technologist (including the various specializations), Registered Respiratory Therapist, Certified Athletic Trainer, Perfusionist, Radiation Therapist, Surgical Technologist.

MAX

Technician

Technician Personnel include, but are not limited to, Cardiac Technician, Central Sterile Supply Technician, Dietetic Technician, Electrocardiograph Technician, Emergency Medical Technician, Medical Laboratory Technician, Optician, Orthopedic Technician, Pharmacy Technician, Phlebotomist, Physical Therapy Technician, Psychiatric Technician, Pulmonary Technician, Certified Respiratory Therapist, and Surgical Technician.

MAX

Assistant

Assistant Personnel include, but are not limited to, Chiropractic Assistant, Occupational Therapy Assistant, Speech Pathology Assistant, Medical Assistant.

MAX

Travel/Training

COST

Reimbursement of travel expenses in accordance with Section C.3.3.7 and C.11 of this solicitation.

MAX COST

On-Call

Reimbursement of on-call expenses in accordance with Section C.3.3.10. of the solicitation.

MAX

Call Back

Reimbursement of call- back expenses in accordance with Section C of the Task Order.

MAX

Orientation

Reimbursement of orientation expenses in accordance with Section C.7.11 of the solicitation and Section C of the Task Order.

MAX

Section C - Descriptions and Specifications

STATEMENT OF WORK

NOTE 1: The use of Commanding Officer means: Commanding Officer or other activity head, or designated representative, e.g., Contracting Officer’s Representative (COR) or Department Head, of the activity designated in a particular task order.

NOTE 2: The term Contractor means the offeror identified in block 15A of Standard Form 33 and its HCWs who are providing services under task orders placed under the contract.

NOTE 3: The term Health Care Worker (HCW) refers to the individual(s) providing services under the contract.

NOTE 4: The term MTF refers to the Military Treatment Facility or other Federal medical treatment facility at which services are performed.

NOTE 5: The term Contracting Officer’s Representative (COR) refers to the government employee appointed in writing by the Contracting Officer to serve as technical liaison between the Government and the Contractor.

NOTE 6: Psychological Health and Traumatic Brain Injury Program (PHTBI). The program seeks to address gaps in the care available for the prevalent injuries among combatants from the global war on terrorism. Through adoption of risk-based staffing models and a uniform, best practice standard of care across the DoD Military Health System, the program seeks to ensure easy, rapid access to PH and TBI care for all beneficiaries and to ensure that the transition across networks of care recognizes the unique care coordination and case management requirements for PH and TBI patients.

NOTE 7: Wounded Ill and Injured (WII). The program seeks to address gaps in the care available for the prevalent injuries and illnesses among service members retiring for active duty in Iraq and Afghanistan as well as the difficulties of transitioning from military to veteran status. The WII Program is directed by the President, Congress, and the Department of Defense and addresses concerns about the quality and availability of medical, mental health, and dental care services. Through adoption of risk based staffing models and a uniform, best practice standard of care across DoD, the program seeks to ensure easy, rapid access to care for all beneficiaries and to ensure that the transition across networks of care recognizes the unique care coordination requirements for WII patients. The WII program focuses on studies, case managers, inspections, policies, care, and treatment to injured and ill service members, and other initiatives to improve the management of wounded personnel.

NOTE 8: Post Deployment Health Re-Assessment (PDHRA). The Post-Deployment Health Reassessment (PDHRA) Program is a program mandated by the Assistant Secretary of Defense for Health Affairs in March 2005 and designed to identify and address health concerns, with specific emphasis on mental health, that have emerged over time since deployment.

NOTE 9: Medical Home Port. The Medical Home Port program is a new model of patient and family-centered health care delivery for primary care that is team based, comprehensive, and designed to fully meet the complete primary care health and wellness needs of patients.

STATEMENT OF WORK

C.1. This Statement of Work (SOW) applies to Ancillary services, which includes allied health, assistants, technicians and technologists. Specific Statements of Work for the Government’s requirements ordered from the maximum order quantities in Section B, CLINs 0002, 0005, 0006, 0007, 0008, 0009, 0010, and 0011 will be included with subsequently issued Task Order Proposal Requests.

C.1.1. The Contractor shall provide health care personnel in accordance with the terms and conditions of the contract and each task order issued under the contract.

C.1.2. Contractor services shall be provided for the treatment of active duty military personnel, their dependents, eligible DoD civilian employees, and other eligible beneficiaries, designated by the Government.

C.2. SUITS ARISING OUT OF MEDICAL MALPRACTICE

C.2.1. The HCWs are serving at the MTF under a personal services contract entered into under the authority of Section 1091 of Title 10, United States Code. Accordingly, Section 1089 of Title 10, United States Code shall apply to personal injury lawsuits filed against the HCW(s) based on negligent or wrongful acts or omissions incident to performance within the scope of the contract.

C.2.2. The HCWs are not required to maintain medical malpractice liability insurance. In the event of a claim or lawsuit relating to the HCW's performance of duties under the contract, the parties shall follow the procedures established in SECNAVINST 6300.3A, a copy of which can be viewed at http://doni.daps.dla.mil/.

C.2.3. HCWs providing services under the contract shall be rendering personal services to the Government and shall be subject to day-to-day supervision and control by Government personnel. Supervision and control is the process by which the individual HCW receives technical guidance, direction, and approval with regard to a task(s) within the requirements of the contract.

C.3. SCHEDULES, ABSENCES, AND LEAVE. Each task order will specify the work schedule of each HCW and shall specify whether the HCW will either: (1) accrue leave as an individual and be subject to approval by the Government for scheduling accrued leave; or (2) not accrue leave under the task order and be subject to replacement coverage by the Contractor during all scheduled and unscheduled absences.

C.3.1. Individuals who accrue leave. Individuals subject to the provisions given in Section C.3.1 and its subparagraphs will be designated in the applicable task order. The Government will administer the leave provisions in this Section. Replacement coverage is not necessary.

C.3.1.1. Individual HCWs who accrue leave shall accrue personal leave (annual leave plus sick leave) at a rate specified in the task order. The specific work schedule for an individual Contractor HCW who accrues leave will be scheduled in advance by the supervisor (or designee) specified in the task order. Any changes in the schedule shall be coordinated between the individual HCW and the Government.

C.3.1.2. Each HCW shall adhere to MTF/supervisor policies and procedures for requesting leave, including requirements for advance notice. Requests by HCWs for taking accrued leave are subject to approval by the supervisor (or designee). Leave shall be used only in quarter hour increments.

C.3.1.3. Unless otherwise negotiated between the Contracting Officer, the MTF and the Contractor as specified in the contract or applicable task order, the MTF should administer a HCW’s leave in accordance with the guidelines for Federal civil service employees. These guidelines relate to, among other topics, annual leave, administrative leave, leave without pay (LWOP), and holidays.

C.3.1.4. Contractors and HCWs shall ensure that leave requests are submitted with sufficient time in advance to allow the supervisor to adequately plan for adequate staffing levels. Unless otherwise specified in a Task Order, all accrued leave shall be used within 90 days following the completion of a Task Order if a Logical Follow-on Task Order, as defined in Section H.2., has been issued or within the first 90 days of the exercised option period under a Task Order. If a Logical Follow-on Task Order is not issued or if an option period under a Task Order is not exercised, all unused leave shall be either used by the end of the Task Order or option period of performance or forfeited. If leave is carried over beyond the completion date of the Task Order (i.e. to be used in the subsequent 90 days), the Government reserves the right to require the HCW to provide the supervisor and COR with a schedule for the use of that leave not later than the first workday of the Logical Follow-on Task Order or not later than the first workday of the exercised option period of the Task Order. HCWs shall not presume that their leave schedule has been approved unless notified, in writing, by the supervisor. The Government will make every effort to accommodate all leave requests; however, the Commanding Officer reserves the right to unilaterally deny these leave requests to meet the demand for patient care.

C.3.1.5. The Government will compensate the Contractor for periods of authorized absence. The Contractor shall, in turn, compensate the HCW for periods of authorized absence.

C.3.1.6. If the HCW is absent for three or more consecutive unplanned days, the Commanding Officer may require written documentation from a qualified health care provider, that the HCW is free from communicable disease. The Government reserves the right to examine and/or re-examine any HCW who meets this criterion.

C.3.1.7. At the discretion of the Commanding Officer and subject to the advance approval by the supervisor, COR, and the Contractor, a HCW shall enter a LWOP status upon exhaustion of any leave balance. Unless waived by the Contracting Officer, the Contractor shall replace any HCW who has been on LWOP status for a total of 40 hours per task order. At the discretion of the Commanding Officer, LWOP taken in conjunction with family or medical leave is not subject to this limitation, but must be approved in writing in advance by the Commanding Officer or designee.

C.3.1.8. Reserved.

C.3.1.9. During MTF check-in processing, HCWs shall report their reserve status to the MTF COR. Documented military leave for military reservists may be allowed, not to exceed 15 days per fiscal year, in accordance with 5 U.S.C. 6323(a). This leave may be taken intermittently, i.e., 1 day at a time, and may be carried over into the next fiscal year provided a follow on task order in place or an option period under the Task Order has been exercised. Military reservists who perform full-time military service as a result of a call or order to active duty in support of a contingency operation may take up to 22 days per calendar year of military leave, in accordance with 5 U.S.C. 6323(b). Leave will be authorized on a prorated basis for periods of performance less than 12 months in the fiscal year. Documented military leave taken in accordance with 5 U.S.C. 6323(a) and (b) is compensated leave. HCWs shall follow the policy of the MTF with respect to notification of scheduled military duties to the Commanding Officer. Military leave shall be prorated for part time HCWs.

C.3.1.10. Administrative leave may be granted for HCWs selected to serve jury duty. Requests for administrative jury duty leave shall be submitted to the Commanding Officer in the same manner as planned leave is requested. The HCW is required to provide the Commanding Officer with as much written notice as possible prior to reporting for jury duty, and is responsible for supplying documentation regarding the length of absence for jury duty. A HCW whose position is deemed critical by the Commanding Officer may be issued a written request for the court to excuse the HCW from jury duty. The HCW shall be compensated by the Contractor for these periods of authorized administrative leave. No individual HCW will be granted more than 15 days of administrative leave for jury duty per year; in those instances where a contract HCW who accrues leave is anticipated to be in jury duty status in excess of 15 days, the Contractor shall provide a replacement worker.

C.3.1.11. In the event that a task order allows a leave accrual position to be staffed by part-time individuals, no leave will be accrued by an individual who works fewer than 40 hours during a two week invoice period. This clause does not apply to labor categories covered by the Service Contract Act.

C.3.1.12. All accrued leave shall be forfeited without compensation or reimbursement at the expiration or termination of a task order or the contract or at the voluntary or involuntary separation of a contract HCW or option exercise. The only exception to this is in the case of a logical follow-on task order or exercise of an option, which includes a provision for carry over from the expiring task order of a specified maximum leave balance for a defined period. See Section C.3.1.4.

C.3.1.12.1. In the event that the HCW gives notice of employment termination, all accrued leave must be used within that notice period, or forfeited. The Government will not extend the healthcare worker’s termination date to accommodate unused leave balances.

C.3.1.13. Holidays. Unless otherwise specified in the task order, requirements for holiday work are defined in each task order. Compensation for holidays will be managed as follows:

C.3.1.13.1. Full-time and Part-time HCWs. Each full-time or part-time individual HCW who accrues personal leave will also receive a paid holiday benefit. If additional federal holidays are created as a result of an Executive Order, the benefit will also be extended to the HCW. The Government will compensate the Contractor for the number of hours the HCW is normally scheduled to work on the day on which holiday is observed. The Contractor shall fully compensate the HCW for the number of hours the HCW is normally scheduled to work on the holiday observance.

C.3.1.13.2. A HCW who is not normally scheduled for duty on the day a holiday is observed will not be compensated for the holiday. For example, a HCW who works 10 hours per day, Tuesday through Friday, will not receive compensation for a Monday holiday, since the HCW is not normally scheduled to work on Mondays.

C.3.1.13.3. The Government supervisor will review and approve, on a case-by-case basis, HCW requests for schedule changes that remove the HCW from a holiday schedule. The Government supervisor will approve the requests as appropriate to the circumstance.

C.3.1.13.4. If the Government requires the services of a HCW who is not normally scheduled to work on a day of a holiday observance, the Government will compensate the Contractor for the hours worked, and the HCW will receive compensatory time equal to the number of hours worked on the holiday.

C.3.1.13.5. Part-time HCWs who do not accrue leave do not accrue a holiday benefit or a holiday created by Executive Order. The Government will compensate the Contractor only for the number of hours the HCW actually works.

C.3.1.13.6. In no instance will the Government provide holiday compensation or compensatory time in excess of 12 hours for each holiday observance.

C.3.2. Replacement coverage. Positions will be designated in the applicable task order. The Contractor shall be responsible for administering the leave for individuals filling coverage positions.

C.3.2.1. The Contractor shall have sufficient qualified reserve personnel so that all services are provided in the event a HCW scheduled to work becomes ill, resigns, is terminated, or is otherwise unavailable to work. Contract requirements are not mitigated by inclement weather.

C.3.2.2. If a HCW becomes ill or is otherwise unable to fulfill his/her obligation to work, they shall notify the Contractor who in turn shall notify the COR.

C.3.2.3. The Contractor is responsible for replacing a HCW who, for any reason, misses more than 2 hours of a shift.

C.3.2.4. The Contractor shall provide replacement coverage by a HCW who meets the minimum HCW contract qualifications and is approved for work (i.e., has been credentialed and privileged, as appropriate, and has satisfactorily completed orientation).

C.3.2.5. The Contractor shall prepare the schedule of workers for all positions for which replacement coverage is required. Unless otherwise specified in the task order, the specific schedule for each two week period shall be provided to the DoD Supervisor one month in advance of the two week period. The schedule shall be complete and include the name of the specific individual(s) who will provide the required coverage.

C.3.3. Provisions for all HCWs.

C.3.3.1. Administrative Leave. For unusual and compelling circumstances (e.g., natural disasters, weather emergencies) in which the Commanding Officer either excuses all facility personnel from reporting to work or dismisses all personnel early, the Commanding Officer is authorized to grant administrative leave to the HCW. This administrative leave may be compensated leave. Personnel who occupy “essential” positions may be required to remain on duty or return to the MTF in order to maintain continuity of patient care services.

C.3.3.2. Furlough. Unless otherwise authorized by a defense appropriations bill, Contractors shall not be reimbursed by the Government for services not rendered during a Government furlough. In the event of a Government furlough, the Commanding Officer will determine which contract employees are considered exempt and therefore must report to work. Contract employees deemed exempt shall be compensated for services rendered during a furlough. All other contract employees shall be furloughed until the Government shutdown ends or they are notified by the Contracting Officer’s Representative that they have become exempt employees.

C.3.3.3. A HCW with a bona fide medical emergency occurring while on duty, or with an on-the-job injury, will be provided stabilizing medical care according to the procedures of the MTF. The Contractor shall reimburse the Government for all medical services provided unless the HCW is otherwise entitled to Government medical services.

C.3.3.4. In the instance where the Government directs the HCW to remain on duty in excess of their scheduled shift due to an unforeseen emergency or to complete patient treatment where lack of continuity of care would otherwise jeopardize patient health, the HCW shall remain on duty. The HCW will be given an equal amount of compensatory time to be scheduled upon mutual agreement of the HCW and the Commanding Officer. This provision is not intended to apply to the time required to complete routine tasks (e.g., completion of paperwork or routine administrative tasks at the end of a shift) which are to be completed as part of the shift.

C.3.3.5. HCWs providing services will generally (as specified in the task order) receive uncompensated meal breaks of 30 minutes when assigned an 8-hour or 10-hour shift and up to 60 minutes when assigned a 12-hour shift. The HCW’s shift will be extended between 30 minutes and 60 minutes, respectively, to constitute a full 8, 10 or 12 hours of on-site service. This includes extending the work shift beyond the scheduled clinic closing time to complete patient care and administrative duties. No Contractor employee shall work beyond 13 hours per shift unless otherwise specified in the task order.

C.3.3.6. HCWs may receive one compensated work break before their meal break and one compensated work break after their meal break, work load permitting, at the discretion of the Government. Neither break shall exceed 15 minutes or be taken with the intention of extending the meal break, or in conjunction of leaving 15 minutes before the end of the shift.

C.3.3.7. Continuing Education. The Commanding Officer may grant authorization for planned absences to allow the HCW to attend continuing education courses. This is in addition to the planned and unplanned absences specified above. The Government may compensate the HCW for these periods of authorized absence if the continuing education course(s) are determined to be a necessary expense by the Government. This determination will be made on a case by case basis, weighing the costs associated with the training of Contractor personnel against the benefit gained by the Government in support of the appropriation that will incur the expense. This compensation will not exceed 40 hours per 12-month Task Order, equivalently apportioned for part-time employees and/or partial year Task Orders.

C.3.3.7.1. Unless authorized in advance, the Government will not reimburse the HCW for the cost of any training and/or other related expenses (travel). If authorized, the Contractor shall be compensated for those expenses deemed reasonable using the Travel/Training Contract Line Item Number (CLIN) in Section B. The HCW shall provide proof of attendance and successful completion of continuing education to the Commanding Officer upon request.

C.3.3.7.1.1. The Contractor shall submit an invoice in accordance with Wide Area Work Flow (WAWF) instructions itemizing expenses in amounts allowable by the COR.

C.3.3.7.1.2. All reimbursements will be retrospective, payable only upon presentation of a properly prepared invoice (as specified by the facility) to the COR. The Government shall reimburse the Contractor only for actual training costs incurred and authorized travel expenses deemed reasonable. See Section C.11.

C.3.3.7.1.3. The Government reserves the right to require additional documentation, including memoranda from the HCW obtaining the training.

C.3.3.7.1.4. Such training shall not be conducted prior to the appropriate funding being applied to CLIN 0008 through a task order or a task order modification.

C.3.3.8. Training necessary to maintain the professional qualifications required by the contract (e.g. Basic Life Support (BLS), Advanced Cardiac Life Support (ACLS), Pediatric Advanced Life Support (PALS), etc.) may be available at the MTF on a space available basis. HCWs participating in such training shall not be in a contract duty status, i.e. training hours are not paid hours of service. Failure of the HCW to obtain training on a space available basis does not release the Contractor from the contract requirement.

C.3.3.9. Due to the nature of personal services contracts which require Government supervision, the need for HCW access to CHCS/AHLTA, and patients that present only at the MTF, this contract does not allow HCWs to telecommute unless specified in the Task Order.

C.3.3.10. On-call. On-call service requirements are variable and depend on the current level of Government staff and their ability to share on-call services. Specific on-call requirements will be specified in the individual Task Orders. HCWs will be compensated as specified in Section B of the Task Order.

C.4. FAILURE AND/OR INABILITY TO PERFORM

C.4.1. Should a HCW who accrues leave in accordance with section C.3.1 be unable to perform duties under any Task Order due to medical or physical disability for more than 13 consecutive days, that individual’s performance under the Task Order may be suspended by the Contracting Officer until such medical or physical disability is resolved. If performance under the Task Order is so suspended, no reimbursement shall be made to the Contractor for the affected HCW so long as performance is suspended.

C.4.2. If clinical privileges or duties of a HCW have been summarily suspended or are being held in abeyance (per BUMEDINST 6320.66E (or latest version)), pending an investigation into questions of professional ethics or conduct, performance under the Task Order may be suspended until clinical privileges are reinstated. No reimbursement shall be made and no other compensation shall accrue to the Contractor for the affected HCW so long as performance is suspended or clinical privileges are held in abeyance. The denial, suspension, limitation, or revocation of clinical privileges based upon practitioner impairment or misconduct will be reported to the appropriate licensing authorities of the state in which the license is held IAW BUMEDINST 6320.66E (or latest version) and BUMEDINST 6320.67A CH01.

C.4.3. Any HCW demonstrating impaired judgment will be removed from providing health care services. The Government reserves the right to remove any employee who, in the judgment of a licensed physician, is impaired by drugs or alcohol.

C.4.4. Any HCW with alcohol or drug abuse problems may be allowed to return to work under the terms of this contract only with prior written approval from the Commanding Officer.

C.5. GENERAL PROVISIONS FOR HCWS.

C.5.1. Healthcare Workers shall comply with Executive Order 12731, October 17, 1990, (55 Fed. Reg. 42547), Principles of Ethical Conduct for Government Officers and Employees, and shall also comply with Department of Defense (DOD) and other government regulations implementing this Executive Order.

C.5.2. Healthcare Workers shall be neat, clean, well groomed, and in appropriate clothing when in patient care and public areas. All clothing shall be free of visible dirt and stains and shall fit correctly. Fingernails shall be clean and free from dirt, and hair shall be neatly trimmed and combed. HCWs shall display an identification badge that’s includes the HCW’s full name and professional status (furnished by the Government) on the right breast of the outer clothing. Security badges provided by the Government shall be worn when on duty. In addition to the identification badge, the HCWs shall identify themselves as contract personnel in all meetings, telephone conversations, and formal and informal written correspondence with Government personnel.

C.5.3. Healthcare Workers shall become acquainted with and obey all station regulations, shall perform in a manner to preclude the waste of utilities, and shall not use Government resources (i.e. copiers, telephone, and computers, etc.) for personal business. All motor vehicles operated on these installations by HCWs shall be registered with the base security service according to applicable directives. Eating by HCWs is prohibited in patient care areas/clinics and is restricted to designated areas. Smoking is prohibited in all clinic facilities.

C.5.4. The Contractor and all HCWs shall comply with all installation checkout processes. These processes include returning government property, i.e., identification badges, electronic devices, cellular phones, etc., to the MTF upon a HCW’s last day of service. Failure to do so promptly may result in delay of payment to the Contractor.

C.5.5. Except as provided in this clause and in Section H, HCWs are not prohibited from conducting a private practice of their professions or from engaging in other employment. However, the HCWs shall not, simultaneously with performance under this contract, engage in other employment that creates a conflict of interest, violates federal law (see Section H), or potentially compromises the quality of their work under this contract. Further, such private practice or other employment shall not be conducted during those hours in which the HCW is required to render services under this contract. Healthcare Workers shall make no use of the Government facilities or property provided under this contract in connection with other employment. (NAVMED P-117, Chapter 1, Article 1-22 applies http://www.med.navy.mil/directives/Pages/NAVMEDP-MANMED.aspx)

C.5.6. While on duty, HCWs shall not advise, recommend, or suggest to individuals authorized to receive services at Government expense that such individuals should receive services from the HCW when they are not on duty, or from a partner or group associated in practice with the Contractor, except with the express written consent of the Commanding Officer. The Contractor shall not bill individuals entitled to those services rendered pursuant to this contract.

C.5.7. The Secretary of the Navy has determined that the illegal possession or use of drugs and paraphernalia in a military setting contributes directly to military drug abuse and undermines Command efforts to eliminate drug abuse among military personnel. The policy of the Department of the Navy (including the Marine Corps) is to deter and detect drug offenses on military installations. Measures to be taken to identify drug offenses on military installations, and to prevent introduction of illegal drugs and paraphernalia, include routine random inspection of vehicles while entering or leaving, with drug detection dogs when available, and random inspection of personal possessions on entry or exit. If there is probable cause to believe that a HCW has been engaged in use, possession, or trafficking of drugs, the HCW may be detained for a limited period of time until he/she can be removed from the installation or turned over to local law enforcement personnel having jurisdiction. When illegal drugs are discovered in the course of an inspection or search of a vehicle operated by a HCW, the HCW and vehicle may be detained for a reasonable period of time necessary to surrender the individual and vehicle to appropriate civil law enforcement personnel. Action may be taken to suspend, revoke, or deny clinical privileges as well as installation driving privileges. Implicit with the acceptance of this contract is the agreement by the HCW to comply with all federal and state laws as well as regulations issued by the Commander of the military installation concerning illegal drugs and paraphernalia.

C.5.8. All financial, statistical, personnel, and technical data furnished, produced, or otherwise available to the Contractor during the performance of this contract are considered confidential business information and shall not be used for purposes other than performance of work under this contract. Such data shall not be released by the Contractor without prior written consent of the COR. Any presentation of any statistical or analytical materials, or any reports based on information obtained from studies covered by this contract, will be subject to review and approval by the COR before publication or dissemination.

C.5.9. The Contractor shall comply with all applicable federal, state, and local laws, Department of Defense, Department of Navy, Bureau of Medicine and Surgery, and MTF instructions and policies.

C.5.10. Contract staff shall participate in executing the Emergency Preparedness Plan (drills and actual emergencies) as scheduled by the MTF (typically semiannually). An MTF personnel re-call list with personal contact information for all military, federal service, and Contractor staff is required to prepare in advance for an actual emergency. Upon commencement of performance, the Contractor shall provide the COR with a list of personal contact information for a designated Contractor representative as well as all Contractor staff performing services. The Contractor shall provide an updated list to the COR bimonthly. Should an emergency occur that will affect the HCWs’ shifts, the designated Contractor representative and the HCWs will be contacted. In the event of an actual emergency, essential Contractor personnel may be required to remain on duty or to return to duty in order to maintain continuity of patient care services.

C.5.11. Healthcare Workers providing services under this contract shall arrive for each scheduled shift in a well-rested condition and shall have had at least 6 hours of rest from all other duties immediately prior to reporting for the shift.

C.5.12. Healthcare Workers who demonstrate a health or safety risk to patients or staff may be immediately removed from service. In the event of such a removal, the Contracting Officer will request a corrective plan of action from the contractor and may issue a stop work order while the contractor's response, contractor's implementation of the plan, and/or any government investigation is pending. Removal of a HCW for the reasons above does not mitigate the contractor's obligations under this contract.

C.5.13. Each HCW will be assigned to a primary location; however, unless otherwise specified in the task order, the Government retains the right to assign the HCW to another location within a 25-mile commuting radius of their assigned MTF. HCWs shall receive notification two weeks prior to reassignment to locations within a 25-mile limit. The Government will consider the use of CLIN 0008 to reimburse HCWs for reassignment within a 25-mile limit on a case by case basis.

C.6. PERSONNEL QUALIFICATIONS. The Contractor shall provide personnel having the specified minimum levels of training and experience. General qualifications that apply to all HCWs are given in Section C.7. Specific qualifications for various labor categories are given in Section C.8. Additional and/or supplemental qualifications specific to a particular Task Order are contained in the applicable Task Order. Additional/supplemental qualifications may include, but are not limited to, experience or other professional certifications appropriate to the particular labor category.

C.7. GENERAL QUALIFICATIONS THAT APPLY TO ALL HCWS THROUGHOUT THE DURATION OF THE CONTRACT.

C.7.1. Healthcare Workers shall read, write, speak, and understand the English language fluently and maintain good communication skills with patients and other health care personnel.

C.7.2. Healthcare Workers shall be physically capable of standing and/or sitting for extended periods of time and physically capable of performing all services required under the task order.

C.7.3. Healthcare Workers shall be in good standing and under no sanction or suspension by the federal government.

C.7.4. In order to carry out the duties required by the contract, all HCWs will be required to access Navy information technology networks/systems containing sensitive information. Only HCWs who are U.S. citizens can be granted access to Department of Navy (DON) Information Technology networks/systems and sensitive information (see Section H, Information Technology/Sensitive Information Security Requirements and Section J, Attachment AA, Lists of Acceptable Documents to Establish U.S. Citizenship).

C.7.5. Healthcare Workers shall represent an acceptable malpractice risk to the Government.

C.7.6. Healthcare Workers shall be in good standing, and under no restrictions, with the state licensure board in any state in which a license is held or has been held within the last 10 years.

C.7.7. Healthcare Workers shall maintain current certification in one of the following: American Heart Association Basic Life Support (BLS) for Healthcare Providers or American Heart Association Healthcare Provider Course. Other certifications may be acceptable if specified in the task order. Certification cards must display the American Heart Association or Military Training Network emblem.

C.7.8. Healthcare Workers shall be current with and have completed all continuing education requirements specified by their professional licensure or certification.

C.7.9. Occupational Health

C.7.9.1. Within 60 days prior to performance of services by the HCW, the HCW shall obtain, at Contractor expense, documentation of required immunizations and physical testing, and a statement from the HCW's licensed medical practitioner or a report of a physical examination. The physical examination and immunization documentation shall indicate that the HCW is free from mental or physical impairments that would restrict the HCW from providing the services described herein. The requirements are provided on the “Health Examination and Immunization/Screening Requirement Form.” the current version of which is available at: http://www.med.navy.mil/sites/nmlc/handbooks/Physical%20Exam%20and%20Immunization%20Form.pdf. The Contractor shall obtain the current version from the web page and have the form completed in its entirety in accordance with its instructions. The facility shall identify any incumbent HCWs who are not required to complete this documentation after contract award. Declinations shall be permitted only based on either the HCW’s religious convictions or medical contraindications (as documented by a qualified health care provider). The Hepatitis B vaccine declination can be found on at http://www.osha.gov/SLTC/etools/hospital/hazards/bbp/declination.html.

C.7.9.1.1. Except for those workers who decline Hepatitis B vaccine as described in C.7.9.1, the Hepatitis B requirements given in the “Health Examination and Immunization/Screening Requirement Form” provide that a HCW must either show a positive titer or demonstrate persistent non-response to the vaccine. A HCW may be approved for service at the MTF prior to achieving a Hepatitis B positive titer or demonstrating a persistent non-response according to the following provisions:

C.7.9.1.1.1. A HCW must receive the first vaccination of his/her initial vaccination series prior to commencing service under the contract and must complete the series not later than 6 months after commencing service and, if a negative titer is obtained, must complete the second series within another 6 months; or

C.7.9.1.1.2. A HCW who has completed his/her initial series and obtained a negative titer must begin his/her second vaccine series prior to commencing service and must complete the second series not later than 6 months after commencing service.

C.7.9.1.2. Healthcare Workers approved according to the provisions above will be considered persistent non-responders until there is evidence to the contrary and will be counseled by a licensed practitioner regarding the implications of non-response.

C.7.9.1.3. If a HCW fails to comply with the applicable schedule above, the Contractor shall replace the HCW if so directed by the contracting officer.

C.7.9.2. Except as provided in Paragraph C.7.9.3 and C.7.9.4, below, no medical tests or procedures required by the contract may be performed in the MTF. Expenses for all required tests and/or procedures shall be borne by the Contractor at no additional expense to the Government.

C.7.9.3. Healthcare Workers shall agree to undergo personal health examinations and such other medical and dental examinations at any time during the term of this contract, as the Commanding Officer may deem necessary for preventive medicine, medical surveillance, performance improvement, or privileging purposes. These examinations will be provided by the Government. If the Contractor chooses, these examinations may be provided by private physician or dentist, at no expense to the Government.

C.7.9.4. It is essential that HCWs be vaccinated annually against influenza according to BUMED and CDC guidelines aimed at reducing the impact of influenza disease in health care settings. The Government will provide the influenza vaccine free of charge. If the HCW chooses to be immunized by the Government, the HCW shall sign a waiver releasing the Government from the legal liability in accordance with local procedures and policies. Alternately, the HCW may obtain the vaccine at another facility, with the HCW bearing the cost, and provide proof of vaccination to the Government. If the HCW declines vaccination, a signed declination form shall be provided to the Government in accordance with CDC recommendations and MTF policies.

C.7.9.5. Healthcare Workers who do not show a positive antibody titer after immunization and appear to have a "non-immune" status must report varicella exposure to the COR. In accordance with CDC Recommendations, such HCWs may be removed from patient care duties beginning on the tenth day following exposure and remain away from work for the maximum incubation period of varicella (21 days). In this instance, personnel under this contract who accrue leave will be considered to be in a leave status; personnel under C.3.2 of this contract will be considered to be in a leave without pay (LWOP) status and must be replaced during this period to ensure maintenance of contractually required coverage.

C.7.9.6. Prior to reporting for service at an MTF, each contract HCW shall be screened at contractor expense for risk of exposure to tuberculosis (TB) as part of the Health Examination and Immunization/Screening Requirement Form in C.7.9.1. If the HCW is determined to have a low risk of exposure, no further screening or testing is required under this contract. The initial screening may be waived, at the discretion of the MTF, if the contractor provides evidence of a prior low risk assessment by a licensed physician. If the initial screening results in a determination that the HCW has an increased risk of exposure to TB, the contractor is responsible for ensuring that the HCW receives targeted screening and testing in accordance with CDC Guidelines for Health-Care Settings and submitting timely records of subsequent screening or testing to the COR.

C.7.9.7. BLOODBORNE PATHOGEN ORIENTATION PROGRAM. HCWs shall participate in the Command’s Bloodborne Pathogen Orientation Program. The HCW shall also participate in all required annual training and in periodic training for all procedures that have the potential for occupational exposure to bloodborne pathogens.

C.7.9.8. MANAGEMENT OF HIV POSITIVE HCWs. HIV positive HCWs will be managed in accordance with the current CDC guidelines and Section 503 of the Rehabilitation Act (29 U.S.C. Section 793) and its implementing regulations (41 CFR Part 60-741).

C.7.9.9. PREVENTION OF THE TRANSMISSION OF THE HIV VIRUS. Healthcare Workers shall comply with the CDC’s “Universal Precautions” for the prevention of the transmission of the HIV virus.

C.7.9.10. MANAGING THE CLINICAL RISK IN THE WORK ENVIRONMENT. The work environment inherently involves risks typically associated with the performance of clinical procedures. The HCW may be exposed to contagious disease, infections and flying debris, requiring the wearing of personal protection equipment such as scrub attire, gloves, masks, and eye protection.

C.7.10. CREDENTIALING REQUIREMENTS

C.7.10.1. Following award of a task order, the Contractor shall submit to the Medical Staff Services Office, via the COR, a completed Individual Credentials File (ICF) for each required HCW. The ICF, which will be maintained at the MTF, contains specific information with regard to qualifying degrees and licenses, past professional experience and performance, education and training, health status, and competency as identified in Appendix R of BUMEDINST 6320.66E of 29 August 2006 and subsequent revisions. ICFs for health care practitioners who do not currently have an ICF on file at the facility shall be submitted at least 30 days prior to commencement of services. For those health care providers who currently have an ICF on file, an updated Personal and Professional Information Sheet (PPIS) for Privileged Providers, with notation that a complete up-to-date ICF is on file, shall be submitted no less than 15 days prior to commencement of services.

C.7.10.2. Following award of a task order, the Contractor shall submit to the Medical Staff Services Office, via the COR, a completed Individual Professional File (IPF) for each licensed staff member not included in the requirements for ICFs. The IPF, which will be maintained at the MTF, contains specific information with regard to qualifying degrees and licenses, past professional experience and performance, education and training, health status, and competency as identified in Appendix S of BUMEDINST 6320.66E of 29 August 2006 and subsequent revisions. IPFs for personnel who do not currently have an IPF on file at the facility shall be submitted at least 30 days prior to commencement of services. For those personnel who currently have an IPF on file, an updated Personal and Professional Information Sheet (PPIS) for Nonprivileged Providers, with notation that a complete up-to-date IPF is on file, shall be submitted no less than 15 days prior to commencement of services.

C.7.10.3. Upon receipt of a complete ICF or IPF, the COR will forward it to the Medical Staff Services Office for approval and credentialing of the individual health care provider/worker. The Medical Staff Services Office will ensure the ICF or IPF is complete in accordance with BUMEDINST 6320.66E of 29 August 2006 and subsequent revisions. The Contractor shall not assign an individual to work at the MTF until the HCW’s ICF or IPF has been approved and shall discontinue the service of an individual who fails to maintain compliance with qualification and credentialing requirements.

C.7.10.4. BUMEDINST 6320.66E is available at http://www.med.navy.mil/directives/Pages/ExternalDirectives.aspx. Click BUMED Directives and scroll down to the instruction number. The instruction is now contained in several separate files.

C.7.10.5. The Contractor shall submit a qualifications package to the COR for each HCW who is not required to submit either an Individual Credentials File (ICF) or an Individual Professional File (IPF). Prior to Contractor employees providing services under this contract, the COR will verify the compliance of each HCW with the qualification requirements appropriate to their employment category. Healthcare Workers who do not currently have a qualification package on file at the facility shall be submitted a package at least 30 days prior to commencement of services. For those HCWs who currently have a qualification package on file, an updated qualification package shall be submitted no less than 15 days prior to commencement of services.

C.7.10.5.1. The Contractor shall provide evidence of primary source verification for all certifications, licenses, and registrations as part of the qualifications package and any subsequent renewals.

C.7.10.6. Unless otherwise specified in an individual Task Order Proposal Request, the Government reserves the right to transfer to the gaining Contractor the credentials of a HCW who has been granted delineated clinical privileges on a predecessor contract/task order without a new or additional credentialing action. This extension may only occur: a) within the same command; b) when there is no increased clinical competency requirement of the HCW; c) when there is no significant change in the scope of clinical practice of the HCW; d) when there is no gap in performance between the contracts; and e) when the HCW has had acceptable performance evaluations.

C.7.10.7. Notwithstanding licensure and certification requirements given below in Section C.8, each HCW and Contractor is responsible for complying with all applicable licensure and certification regulations.

C.7.10.8. The Contractor shall continuously maintain a current list of all individuals who have been privileged, credentialed, or approved for service under each task order. The Contractor shall provide a copy of the list to the COR upon request.

C.7.11. ORIENTATION

C.7.11.1. Each HCW providing service under this contract or resultant Task Orders shall undergo an orientation and shall complete mandatory Navy and DOD annual training as required. Orientation may be waived for personnel who have previously provided service at the treatment facility. DOD on-line training may require that the HCW enter their Social Security Number to document and track compliance with training requirements.

C.7.11.2. Orientation shall consist of Command Orientation and Information Systems Orientation. Command orientation of up to 40 hours includes annual online training requirements for topics such as but not limited to fire, safety, infection control, family advocacy, Chemical, Biological, Radiological, Nuclear, and Explosive Events (CBRNE) Basic Awareness, and various Navy required on-line trainings. Information Systems Orientation of approximately 24 hours includes the Composite Health Care System (CHCS), Essentris, Armed Forces Health Longitudinal Technology Application (AHLTA), and the Ambulatory Data System (ADS).