N62645-13-R-0024-0002.doc

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 30 - BLOCK 14 CONTINUATION PAGE

The following have been added by full text:

ADDITIONAL OFFERORS QUESTIONS

1. In the Q&A posted, question 6 says, " 6. Is this related to contract numbers N62645-12-D-5016 through 5020? Yes, refer to Question 4 above." However, those contract numbers are NOT listed in Question 4. My assumption is that they are NOT related to this opp. Is this a correct assumption?

Solicitation N62645-13-R-0024 is not related to N62645-12-D-5016 through 5020.

2. For clarification, N62645-13-R-0024 is REPLACING the contracts listed in Question 4?

Yes, the resultant contracts of N62645-13-R-0024 will replace the contracts listed in Question 4 of Amendment 0001.

3. Para K.2. on page 85 specifies completing and submitting DFAR 252.209-7995, which is correctly enclosed in the Solicitation at Section K, Enclosure 1. However, Para L.2.4.3.2. on page 96 specifies that the offeror shall complete and submit DFARS clause 252.209-7997.

The DFARs clause in Paragraph L.2.4.3.2. has been corrected to reflect DFARs 252.209-7995.

4. Can you please the current billable rate for the Occupational Health Physician, as it was newly added and was not listed with the rates given in the original solicitation?

Attachment AE has been updated to include Occupational Health Physician

SECTION J - LIST OF DOCUMENTS, EXHIBITS AND OTHER ATTACHMENTS

The following have been modified:

ATTACHMENTAE

Current Contract Prices for MATO Contract Task Orders

The table below reflects some of the current contract prices for the sites and services stated in the Representative CLINs.

NOTE: The hourly rates shown reflect the actual unit price in the current Task Orders under which same or similar services are being performed at these locations. However, it should not be assumed that the Task Order Statements of Work (SOWs) corresponding to the hourly rates above are identical to the current solicitation requirements.

SECTION L - INSTRUCTIONS, CONDITIONS AND NOTICES TO BIDDERS

The following have been modified:

SECTION L

Failure to comply with any of the instructions may result in the proposal being removed from further consideration.

L.1. SUBMISSION OF COST OR PRICING DATA.

L.1.1. It is expected that this contract will be awarded based upon a determination that there is adequate price competition; therefore, the offeror is not required to submit additional cost or price data (beyond that required by Section L.2) or to certify cost or pricing data with its proposal.

L.1.2. If, after receipt of the proposals, the Contracting Officer determines that adequate price competition does not exist in accordance with FAR 15.403-3 and FAR 15.403-4, the offeror shall provide other information requested to be submitted to determine fairness and reasonableness of price, or certified cost or pricing data as requested by the Contracting Officer.

L.2. PROPOSAL CONTENT AND INSTRUCTIONS FOR PREPARATION OF PROPOSALS.

L.2.1. Introduction and Purpose - This section specifies the format and content that offerors shall use in this Request for Proposal (RFP). The intent is not to restrict the offerors in the manner in which they will perform their work but rather to ensure a certain degree of uniformity in the format of the responses for evaluation purposes. Offerors must submit a proposal that is legible and comprehensive enough to provide the basis for a sound evaluation by the Government. Information provided should be precise, factual, and complete. Legibility, clarity, completeness, and responsiveness are important. Proposals shall be in the form prescribed by, and shall contain a response to, each of the areas identified in Section L.2. Any proposal that does not meet the requirements of the solicitation may be determined to be substantially incomplete and may result in rejection of the offeror's entire proposal.

L.2.1.2. The proposal shall be submitted in three separate volumes:

Volume I – Past Performance

Volume II – Technical

Volume III – Business

A complete Volume I - Past Performance; Volume II -Technical; and Volume III - Business; shall be submitted at the same time to the address in Paragraph L.3.3. by the closing time and date referenced in Block 9 of the SF 33. If any one proposal volume is received past the stated closing date specified in this solicitation, the entire proposal will be considered late. No further consideration will be given to any offeror who submits any of these volumes late in accordance with FAR 15.208(b).

L.2.1.3. The Past Performance and Technical volumes (Volumes I and II, respectively) shall be in Microsoft Word for Windows (2007)(.docx) with 1 inch margins all around, Times New Roman font of not less than 10 point font size inclusive of tables, charts, graphs, graphics, etc. Text, tables, charts, graphs, graphics, etc. that are not in compliance will not be considered by the Government in its evaluation. Each page of each document shall have a footer indicating the name of the offeror and “page X of Y.”

L.2.1.4. The total number of the pages submitted for Volume I (Past Performance) shall not exceed 6 pages, excluding a title page and consent letters. If Volume I contains more than 6 pages, only the first 6 pages will be evaluated. The total number of the pages submitted for Volume II (Technical) shall not exceed 10 pages, excluding a title page and table of contents. If Volume II contains more than 10 pages, only the first 10 pages will be evaluated. Cover letters are not required for either volume; any information contained in a cover letter will not be evaluated.

L.2.2. Volume I: Past Performance. In accordance with electronic submission requirements given in this section, the offeror shall include the following:

L.2.2.1. The offeror shall complete a maximum of six Past Performance Information Sheets (Section L Enclosure 1). Each of the Past Performance Information Sheets shall be completed in its entirety. The Past Performance Information listed on each sheet shall be for clinical medical or dental services. If more than 6 Past Performance Information Sheets are provided, only the first six will be considered. Each Past Performance Information Sheet shall identify no more than one Point of Contact (POC). Each Past Performance Information Sheet may include multiple contracts or one or more task orders under single IDIQ contracts. The same contract may appear on more than one Past Performance Information Sheet if more than one POC exists. If more than one POC is provided for any Past Performance Information Sheet, only the first POC will be considered. Each Past Performance Information Sheet shall not exceed one page. If a Past Performance Information Sheet contains more than one page, only the first page will be considered. Contracts cited must be current, or have ended not more than three years prior to the closing date of the solicitation. If the contract performance ended more than three years prior to the closing date of the solicitation it will be determined not relevant.

L.2.2.2. The offeror may submit past performance that demonstrates prior experience of key personnel. The past performance submission shall identify, by name, the key personnel and clearly identify their previous roles and responsibilities and their proposed roles and responsibilities under the resultant contract. If the submission does not clearly describe the roles and responsibilities of the key personnel and the how the key personnel will contribute to the performance under the resultant contract, it will be determined not relevant.

L.2.2.3. The offeror may submit past performance that demonstrates prior experience by teaming partners (e.g. proposed subcontractor, partner, mentor, protégé, parent company, sister company, etc.) only if they will be performing in support of the contract resulting from this solicitation. Such past performance submissions shall clearly identify the relationship of the teaming partners to the offeror and the how they will contribute to the performance under the resultant contract. If the submission does not clearly describe the relationship of teaming partners to the offeror and the how the teaming partners will contribute to the performance under the resultant contract, it will be determined not relevant. A maximum of three Past Performance Information Sheets shall be for services provided by entities other than the offeror, members of SBA approved Joint Ventures, and key personnel.

L.2.2.4. If Past Performance is submitted for a contract under which the offeror or teaming partner provided services as a subcontractor, partner, mentor, protégé, parent company, sister company, etc., the Past Performance Information Sheet shall clearly describe the corporate relationships among those who provided the services, citing key responsibilities for each, to include identifying the specific services provided (in terms of numbers and types of personnel, locations, etc) and nature of services provided (e.g., recruitment, payroll, benefits administration, etc). If the submission does not clearly detail the specific responsibilities and relationship under a contract, it will be determined not relevant.

L.2.2.5. If a teaming partner is proposed, the offeror shall submit written consent from that teaming partner to disclose their Past Performance information to the contractor. If such consent is not provided as part of the submission, the Past Performance of that teaming partner will be determined not relevant.

L.2.2.6. If neither the offeror nor its teaming partner possesses relevant past performance, the offeror shall submit a statement affirming that it possesses no relevant Past Performance.

L.2.2.7. The Government may contact the POCs listed on the Past Performance Information Sheets. POCs shall be either Government personnel (civil service or military) or employees of private sector dental/medical facilities for which the contractor has provided services. Past Performance Information Sheets that list POCs that work for, or have worked for, the offeror or with a teaming partner(s) directly or indirectly will be determined not relevant.

L.2.3. Volume II: Technical (Management Plan and Market Research). In accordance with electronic submission requirements given in this section, the offeror shall include the following:

L.2.3.1. The offeror shall discuss the corporate personnel who will be responsible for contract start-up and the ongoing administration of all key functional areas, such as but not limited to recruitment, scheduling, human resources, program management, security, and credentialing. The offeror shall list the name, title, and employer (i.e. offeror or teaming partner) of all key corporate personnel. The plan shall describe the range of responsibilities for each individual and should discuss how the qualifications and experience of each individual will contribute to successful contract operations.

L.2.3.2. The offeror shall discuss their knowledge of the marketplaces represented in the solicitation and detail the sources and methodologies through which they will recruit and retain required health care workers. Further, the offeror shall discuss their knowledge of the marketplaces represented in the solicitation and discuss how marketplace conditions (such as, but not limited to scarce labor categories or remote locations) will impact the ability to recruit and retain required health care workers. Without revealing the prices submitted in response to this solicitation, the offeror shall demonstrate market research and discuss how it has applied the marketplace knowledge in development of the proposal. The plan will also address how the offeror will comply with FAR 52.222-46. Specifically, it shall provide evidence that compensation rates will be sufficient enough to provide uninterrupted, high-quality services.

L.2.3.3. If a subcontractor has been proposed, the contractor shall specifically address FAR 52.219-14, Limitations on Subcontracting; the offeror’s Technical volume shall clearly detail the nature of the relationship between the parties, (i.e. subcontractor, partner, etc) and shall address the responsibilities of all parties as they will relate to provision of services under the resultant contract.

L.2.3.4. If the offeror is proposing as a mentor/protégé or business relationship other than subcontracting, the offeror’s Technical volume shall clearly detail the nature of the relationship between the parties, (i.e. mentor-protégé, joint venture, etc) and shall address the responsibilities of all parties as they would relate to provision of services under the resultant contract.

L.2.3.5. Offerors are cautioned not to include any pricing or cost information in any portion of the Technical volume. Note that this exclusion does not apply to presentation of the results of the offeror's recruitment market survey or price information for past contracts.

L.2.4. Volume III: Business. In accordance with file submission requirements given in this section, the offeror shall include the following:

L.2.4.1. Standard Form (SF) 33. This form will be provided to the offeror electronically as part of the solicitation package. It shall be appropriately completed, inclusive of the offeror's name, address, and required Commercial and Government Entity (CAGE) codes, signed and dated. The offeror's identity will be determined by the name submitted on the SF 33. It is not necessary to submit the entire solicitation.

NOTE: The blank space contained in Block 12 of the SF 33 should read 365 calendar days.

L.2.4.2. Amendments. Each amendment shall be acknowledged through instructions in Block 11 of the SF 30. Signed copies of the cover page are acceptable. It is not necessary to submit the entire amendment. The solicitation and all amendments will be posted to the Federal Business Opportunities website (FBO) at https://www.fbo.gov/ . It is the offeror’s sole responsibility to periodically check the website for amendments and to ensure that all amendments issued prior to the closing date are acknowledged in accordance with instructions in Block 11 of the Standard Form (SF) 30.

L.2.4.3. Section K - Representations, Certifications and Other Statements of Offerors of this Solicitation.

L.2.4.3.1. The offeror must be registered in Online Representations and Certifications Application (ORCA) in accordance with Section K, FAR 52.204-8, and DFARS 252.204-7007. The offeror shall verify its ORCA is current, accurate, complete and applicable to this solicitation as of the date of this offer and is incorporated in this offer by reference. The offeror shall also be registered in ORCA as a Service Disabled Veteran Owned Small Business under the applicable NAICS code for this solicitation, 621111. The small business size standard is $10M. (Please note that the Online Representations and Certifications Application (ORCA) has been replaced with the System for Award Management (SAM) https://www.sam.gov/portal/public/SAM/). No documentation is required to be submitted in response to this paragraph.

L.2.4.3.2. The offeror shall complete and submit DFARS clause 252.209-7995 [Representation By Corporations Regarding An Unpaid Delinquent Tax Liability or a Felony Conviction Under Any Federal Law-Fiscal Year 2013 Appropriations (Deviation 2013-O0010), (Refer to Section K, Enclosure 1)].

L.2.4.4. Offeror’s Information Form located in Section L, Enclosure 2 shall be completed and submitted. The offeror shall fill in every field on the form for it to be considered complete. Please note that all communication regarding this solicitation and proposals will be directed to the designated contacts on the form.

L.2.4.5. Pricing (offeror’s hourly rates) and supplemental pricing (health care workers’ compensation rates) shall be submitted on a spreadsheet. An electronic file will be posted to the Federal Business Opportunities web site (https://www.fbo.gov/) along with the solicitation and any amendments for downloading. The file will be named “Pricing Sheet for N62645-13-R-0024.xlsx”. The offeror shall complete the pricing worksheet and supplemental pricing worksheets required on all tabs included in the electronic spreadsheet. Blue boxes designate those fields into which the offeror can enter data. The completed file shall be submitted on the Volume III – Business CD-ROM. The file shall be renamed: [name of offeror] pricing sheet.xlsx. Please note that any reformatting of the pricing spreadsheet or failure to follow the naming conventions provided in this section may cause a serious delay in the evaluation process and may result in rejection of the offeror's proposal.

L.2.4.5.1. Pricing and supplemental pricing for this solicitation represents minimum quantities plus four option periods (lots). Lots for this requirement are outlined in the electronic pricing spreadsheet and Enclosures 3-9. Enclosures 3-9, located in Section L, contain the statements of work for each lot. The offeror shall submit pricing and supplemental pricing for each lot on the electronic pricing spreadsheet.

L.2.4.5.2. The information contained in Enclosures 3-9 is provided to assist in the development of pricing and supplemental pricing for the CLINs. These enclosures shall not be submitted with an offeror’s business volume; it is for informational purposes only. Pricing and supplemental pricing shall be completed in accordance with Section L.2.4.5.

L.3. FILE SUBMISSION.

L.3.1. Only electronic files will be accepted.

L.3.2. The Past Performance, Technical, and Business volumes shall be submitted by mail (or hand delivered as specified in L.3.3. of this solicitation) in electronic format as files on CD-ROMs. Files shall be in Microsoft Office for Windows format (2007), either .docx or .xlsx files as specified herein. Consent letters and forms that require signatures may be submitted as a .pdf file and included with the corresponding volume.

L.3.3. For the mailed or hand delivered CD-ROMs; one set of CD-ROMs shall be submitted. Each CD-ROM shall be labeled as to the name of the offeror and the contents of the CD-ROM. Offerors who desire to hand deliver their proposals shall submit a request no later than five working days prior to the anticipated submission date via email to: justin.robertson@med.navy.mil. The contractor shall provide: 1) Name(s) of point of contact; 2) Phone and Fax Number; 3) Email Address; and, 4) Requested Date/Time of Delivery. The contractor can expect confirmation of their request within 3 work days of receipt with concurrence of the requested delivery date/time or an alternate delivery date/time. It is the Offeror’s responsibility to follow-up with NMLC if no confirmation is received within 72 hours. Any late requests for hand delivery will not be honored. The contractor shall be required to make all arrangements for access to the Fort Detrick military installation. It is the Offeror's responsibility to ensure that proposals are delivered by the due date and time required.

The address for proposal submission is:

Naval Medical Logistics Command

ATTN: Justin Robertson 693 Neiman Street

Fort Detrick, MD 21702

Telephone: (301) 619-9335 L.3.4. The offeror is responsible for ensuring that submitted CD-ROMs include all complete files and are not physically damaged nor contain corrupted files such that they are not readable by the Government.

L.3.5. The Government is explicitly raising the prescribed file content and submission requirements from what might be argued as a matter of "form", to one that is materially substantive in that it reflects upon the offeror's ability and willingness to follow instructions and fulfill its obligations. Upon receipt of proposals, and prior to actively engaging in proposal evaluation, a compliance review will be conducted to determine if each offeror met the submission requirements for each volume as outlined in sections L.2. and L.3. In order to be eligible for award, a proposal must comply in all material respects with the terms and conditions set forth in this solicitation. Failure to properly submit any items listed in sections L.2 and L.3 may result in rejection of the offeror's entire proposal.

L.4. PROPOSAL EVALUATION. Proposals will be evaluated in accordance with the evaluation criteria as outlined as outlined in Sections H for Lot Awards and M for Contract Awards.

L.5. QUESTIONS. Questions should be presented in writing to the Contract Specialist no later than 10 calendar days after the issue date (Block 5 of SF33) of this solicitation via email to justin.robertson@med.navy.mil . Questions should be listed chronologically and reference the corresponding solicitation section and paragraph. NMLC’s responses to questions will be presented in the form of an amendment. The source of the questions will not be disclosed.

L.6. REVIEW OF AGENCY PROTESTS. The contracting activity, NMLC, will process agency protests in accordance with the requirements set forth in FAR 33.103(d).

L.6.1. Pursuant to FAR 33.103(d)(4), an agency protest may be filed directly with the appropriate reviewing authority; or a protester may appeal a decision rendered by a Contracting Officer to the appropriate reviewing authority.

L.6.2. The reviewing authority for the Contracting Officer is the Director of Acquisition Management, NMLC, Code 02, 693 Neiman Street, Fort Detrick, MD 21702-9203. Agency procurement protests should clearly identify the initial adjudicating official, i.e., the, “Contracting Officer” or the, “Reviewing Official”.

L.6.3. Offerors should note this review of the Contracting Officer’s decision will not extend GAO’s timeliness requirements. Therefore, any subsequent protest to GAO must be filed within 10 days of knowledge of initial adverse agency action.

L.7 MISCELLANEOUS

L.7.1 Offerors shall not contact any incumbent health care workers during their official duty hours.

L.7.2. In accordance with the Naval Marine Corps Acquisition Regulation Supplement (NMCARS) 5232.903, for Prompt Payment Act purposes, contracts will be subject to the 7 calendar day constructive acceptance period.

L.7.3. In accordance with FAR 52.232-18, funds are not presently available for the resulting contracts. The Government's obligation under this solicitation is contingent upon the availability of appropriated funds from which payment for contract purposes can be made. No legal liability on the part of the Government for any payment may arise until funds are made available to the Contracting Officer for the resulting contracts and until the Contractor receives notice of such availability, to be confirmed in writing by the Contracting Officer via the award of a task order.

L.8. List of Enclosures:

Enclosure 1 – Past Performance Information Sheet

Enclosure 2 – Offeror’s Information Form

Enclosure 3 – Lot A Statement of Work

Psychologist

Portsmouth, VA

Occupational Health Physician

Enclosure 4 – Lot B Statement of Work

Internal Medicine Physician

Enclosure 5 – Lot C Statement of Work

Psychiatrist

Enclosure 6 – Lot D Statement of Work

Podiatrist

Pediatrician

Enclosure 7 – Lot E Statement of Work

Psychiatrist

Neuropsychologist

Enclosure 8 – Lot F Statement of Work

Neurologist

Enclosure 9 – Lot G Statement of Work

Ophthalmologist

Optometrist

Enclosure 1—Past Performance Information Sheet Complete this form in accordance with Sections L.2 and L.3. Do not reformat the structure and content of the form.

1. POC information: name, title, phone number, e-mail address, agency name, and address.

2. Contract Number and Task Order number(s), if applicable.

3. Name of contractor to whom the contract was awarded. Name of contractor who performed services, if different from awardee. Provide the CAGE Code and DUNS numbers of both the awardee and the contractor who performed the service(s).

4. Dates when services were provided.

5. Place(s) of performance.

6. List the number and type of health care workers provided. (i.e., 1 Optometrist, 2 Family Practice Physicians, 1 Clinical Psychologist etc.) Specify if services were full time, part time, temporary, or locum tenens types of services.

7. If this is not the offeror’s contract describe how this past performance is pertinent. (see Section L.2.2.2., L.2.2.3., and L.2.2.4.)

8. The offeror shall provide information on problems encountered on the identified contract(s) and the contractor’s corrective actions.

Enclosure 2—Offeror’s Information Form

Provide two points of contact. The points of contact shall be officials from the prime contractor’s organization.

Company Name: _____________________________________________

CAGE Code: _____________________

DUNS: _________________________

TIN: ___________________________

Contact 1

Name: ____________________________________

Title:______________________________________

Phone Number: _____________________________

Email Address: _____________________________

Contact 2

Name: ____________________________________

Title:______________________________________

Phone Number: _____________________________

Email Address: _____________________________

Enclosure 3—Lot A Statement of Work

Clinical Psychologist

Psychological Health and Traumatic Brain Injury (PH/TBI) Program

Naval Medical Center, Portsmouth, VA (NMCP)

Note: This task order is a Psychological Health initiative under the Psychological Health and Traumatic Brain Injury (PH/TBI) program. 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 DOD, the program seeks to ensure easy, rapid access to PH and TBI care for all beneficiaries and to ensure that transition across networks of care recognizes the unique care coordination and case management requirements for PH and TBI patients.

1. Site of Service. The contractor shall provide Clinical Psychologist services at NMCP and surrounding clinics and military facilities.

2. Labor Category. The contractor shall provide personnel from the following labor category:

Clinical Psychologist (one individual)

3. Qualifications. The healthcare worker (HCW) shall possess and maintain the minimum qualifications stated in Section C of the basic contract. In addition, the HCW shall possess the following qualifications:

3.1. A minimum of 2 years full-time experience as a Clinical Psychologist within the preceding 3 years.

3.2. Provide two letters of recommendation written within the last two years attesting to the HCW’s clinical skills. At least one letter must be from a physician or psychologist who has personally observed and evaluated the HCW and who can attest to the HCW’s clinical competence in the care of patients. The other letter may be from a clinic or hospital administrator, physician or nurse who has personal knowledge of the HCW’s patient care skills in a similar clinical environment. Reference letters shall attest to the HCW’s communication skills and ability to relate to patients as well as professional and other interpersonal skills among staff members and must include name, title, phone number, date of reference, address and signature of the individual providing reference.

4. Staffing and Scheduling.

4.1. The contractor shall provide one individual Clinical Psychologist. To maintain continuity of services, the HCW MUST BE A FULL-TIME INDIVIDUAL. The Commanding Officer will not privilege more than one individual for the required position.

4.2. The Commanding Officer or designated government representative will supervise the HCW.

4.3. Tour of Duty. Services shall normally be provided Monday through Friday between the hours of 0700 and 2100. The HCW shall be scheduled for an 8.5 hour shift including an uncompensated 30 minute meal break. Shifts are assigned on a rotational basis within the time ranges specified as clinic demands dictate. At the mutual agreement of the HCW and the government, alternative schedules, such as a compressed work schedule, may be implemented; however, if the HCW agrees to a compressed work schedule, compensation will always be based on the applicable hourly rate for the position without compensation at an accelerated (overtime) rate. The HCW shall be on duty for 80 hours every 2 weeks, except during periods of approved leave and holidays. The specific schedule will be provided one month in advance by the government supervisor or designated representative. Any changes in the schedule shall be coordinated between the HCW and the government. The government reserves the right to change shift hours with 72 hours notice to accommodate patient care needs and mission requirements.

4.4. 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 and used within two weeks, upon mutual agreement of the HCW and the government.

4.5. Services are not normally required on the day of observance of federal holidays.

4.6. The HCW will accrue 8 hours of personal leave (annual plus sick) for each 80 hour period of services provided (on-site services plus approved leave and holidays). The HCW shall be subject to leave approval in accordance with Section C of the basic contract.

5. Duties. As assigned, the HCW shall perform the applicable duties specified in Section C of the basic contract. In addition, the HCW shall perform the following duties:

5.1. Provide consultation, differential diagnosis, and treatment planning for all disorders defined by the Diagnostic and Statistical Manual for Mental Disorders to adults, including but not limited to:

* Organic mental disorders

* Psychotic disorders

* Schizophrenia

* Delusional disorders

* Mood disorders

* Anxiety disorders

* Somatoform disorders

* Psychoactive substance use disorders

* Sleep disorders

* Factitious disorders

* Impulse control disorders

* Psychological factors affecting physical condition

* Disorders usually first evident in infancy, childhood, or adolescence that manifest in an adult patient such as, eating disorders and gender-identity disorders

* Conditions not attributable to a mental disorder that are a focus of attention or treatment

* Sexual disorders

* Adjustment disorders

* Personality disorders

* Dissociative disorders

* Post-traumatic stress syndrome

5.2. Provide diagnostic and therapeutic procedures, including but not limited to:

* Interviewing

* Major types of psychotherapy including: short term, long term, psychodynamic, family, marital, group, individual and behavioral therapy

* Community outreach (e.g., health promotion and command consultation)

* Mental status examination

* Crisis intervention

* Case management

* Medical discharge planning

* Psychosocial history taking

* Psychological test administration and interpretation Occupational Health Physician Occupational Medicine Clinic

Naval Medical Center Portsmouth, VA (NMCP)

1. Site of Service. The Contractor shall provide personnel for services in the Occupational Medicine Clinic at Naval Medical Center Portsmouth (NMCP), VA, or its Branch Medical Clinics within a 50-mile radius.

2. Labor categories. The contractor shall provide personnel from the following labor category:

Occupational Health Physician (1 Individual)

3. Qualifications. The health care worker (HCW) shall possess and maintain the minimum qualifications stated in Section C of the basic contract. In addition, the HCW shall:

3.1. Possess board certification by the American Board of Preventive Medicine in the specialty of Occupational and Environmental Medicine (OEM).

3.2. Possess 1 year experience as an Occupational Health Physician within the preceding 2 years.

3.3. Provide two letters of recommendation written within the last two years attesting to the HCW’s clinical skills. At least one letter must be from a physician who has personally observed and evaluated the HCW and who can attest to the HCW’s clinical skills in the care of patients. The other letter may be from a clinic or hospital administrator, physician who has personal knowledge of the HCW’s patient care skills in a similar clinical environment. Reference letters shall attest to the HCW’s communication skills and ability to relate to patients as well as professional and other interpersonal skills among staff members and must include name, title, phone number, date of reference, address and signature of the individual providing reference.

4. Staffing and scheduling.

4.1. The contractor shall provide one (1) full time Occupational Health Physician. To maintain continuity of services, the HCW MUST BE A FULL-TIME INDIVIDUAL. The Commanding Officer will not privilege more than one individual for the required position.

4.2. The Commanding Officer or a designated government representative will supervise the HCW.

4.3. Services shall normally be provided Monday through Friday between the hours of 0600 and 1900. The HCW shall be scheduled for an 8.5 hour shift including an uncompensated 30 minute meal break. The HCW shall be on duty for 80 hours every two weeks, except during periods of approved leave and holidays. In no instance will the HCW exceed 160 hours (on-site service plus approved leave and holidays) per 4-week period. At the mutual agreement of the Commander, alternative work schedules may be instituted.

4.4. As part of the HCW’s normal tour of duty, services will not be required on the day of observance of Federal holidays. If services are provided on the day of observance of Federal holidays, the HCW will receive another day off during the pay period and the contractor will invoice at the firm fixed price in Section B. If services are not rendered on the day of observance of Federal holidays, the HCW will be compensated for the holiday.

4.5. The HCW will accrue eight (8) hours of personal leave (annual plus sick) for each 80 hours worked. The HCW shall be subject to leave approval in accordance with Section C of the basic contract.

5. Duties. As assigned, the HCW shall perform all applicable duties specified in Section C of the basic contract. In addition, the HCW shall:

5.1. Provide comprehensive occupational medicine evaluation and management of workers and worksites; evaluation, consultation, diagnosis, treatment, and prevention planning for individuals and population groups with or at risk for occupational and environmental disease conditions due to exposures to chemical, physical, biological, or ergonomic stressors. Also, provide consultation and clinical guidance to Nurse Practitioners, Physician Assistant, or General Medical Officers as required. The evaluation may include epidemiological investigation, industrial hygiene exposure information, physical exam, biological monitoring and other assessment methods used for preventive medicine analysis.

5.1.1. Perform diagnostic or therapeutic procedures which include but not be limited to:

(1) Evaluation and treatment of minor illnesses and injuries.

(2) Clinical health promotion services.

(3) Medical surveillance or certification exams.

(4) Impairment and disability exams or evaluations.

(5) Acute exposure evaluations.

(6) Interpretation of spirometry testing.

(7) Interpretation of toxicology tests.

(8) Interpretation of biological monitoring.

(9) Initial interpretation of radiographs.

(10) Interpretation of audiograms.

(11) Interpretation of industrial and environmental hygiene sampling results.

(12) Epidemiologic study design.

(13) Risk assessment.

(14) Basic epidemiological investigation.

(15) Standard biostatistical tests and epidemiologic methods.

(16) Analysis of health care, injury, and occupational health and disease data.

(17) Determine medical surveillance elements.

(18) Evaluation of workplace monitoring program and medical surveillance program.

(19) Medical management of Federal Employee Compensation Act Program (including managed care)

(20) Health hazard evaluations.

(21) Environmental medicine.

(22) Communicable disease prevention.

(23) Health promotion.

(24) Work site visits

5.1.2. Diagnose, monitor, evaluate, and treat occupational and environmental disease conditions which include but not limited to:

(1) Occupational pulmonary disease (including the pneumoconiosis).

(2) Occupational skin disease.

(3) Occupational musculoskeletal disease (including cumulative trauma disorders).

(4) Occupational communicable disease.

(5) Occupational hypersensitivity disorders.

(6) Occupational renal disorders.

(7) Occupational reproductive disorders.

(8) Occupational neurological, behavioral or psychiatric disorders.

(9) Occupational hematological disorders.

(10) Occupational gastrointestinal or hepatic disorders.

(11) Physical agent disorders (includes heat, cold, ambient pressure extremes, ionizing and non-ionizing radiation, noise, and vibration)

(12) Occupational disease and injury outbreaks.

(13) Toxicological conditions and hazards.

(14) Substance abuse or dependence.

(15) Environmental illness and hazards (including air and water pollution and indoor air quality)

Enclosure 4—Lot B Statement of Work Internal Medicine Physician

Internal Medicine Clinic

Naval Medical Center Portsmouth, VA (NMCP)

1. Site of Service. The contractor shall provide Internal Medicine Physician services in the Internal Medicine Clinic in support of NMCP.

2. Labor Category. The contractor shall provide personnel from the following labor category:

Internal Medicine Physician (two individuals)

3. Qualifications. Each healthcare worker (HCW) shall possess and maintain the minimum Physician qualifications stated in Section C of the basic contract. In addition, each HCW shall possess and maintain the following qualifications:

3.1. Board Certification by the American Board of Internal Medicine.

3.2. Provide two letters of recommendation written within the last two years attesting to the HCW’s clinical skills. At least one letter must be from a physician or supervisor who has personally observed and evaluated the HCW and who can attest to the HCW’s clinical competence in the care of patients. The other letter may be from a clinic or hospital administrator, physician or supervisor who has personal knowledge of the HCW’s patient care skills in a similar clinical environment. Reference letters shall attest to the HCW’s communication skills and ability to relate to patients as well as professional and other interpersonal skills among staff members and must include name, title, phone number, date of reference, address and signature of the individual providing reference.

4. Staffing and Scheduling.

4.1. The contractor shall provide two individual Internal Medicine Physicians. To maintain continuity of services, each HCW must be a full-time individual, unless a written waiver to this provision is requested by the contractor and approved by the Commanding Officer. The Commanding Officer will not normally privilege more than one individual for each required position.

4.2. The Commanding Officer or designed government representative will supervise the HCWs.

4.3. Tour of Duty. Services shall normally be required Monday through Friday between the hours of 0700 and 1800. Shifts are generally scheduled on a flexible basis for an 8.5 to 13 hour period to include an uncompensated .5 or 1 hour meal break, depending on shift length. The time allotted for a meal break shall not be taken at the completion of a scheduled shift. At the mutual agreement of the HCW and the government, alternative work schedules may be instituted. Each HCW shall be on duty for 80 hours every 2 weeks, except during periods of approved leave and holidays. Any changes in the schedule shall be coordinated between the HCW and the government.

4.4. In the instance where the government directs a 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 and used within two weeks, upon mutual agreement of the HCW and the government.

4.5. Services are not normally required on the day of observance of federal holidays.

4.6. Each HCW will accrue 8 hours of personal leave (annual plus sick) for each 80 hour period of services provided (on-site plus approved leave and holidays). The HCWs shall be subject to leave approval in accordance with Section C of the basic contract.

5. Duties. As assigned, the HCWs shall perform the applicable duties specified in Section C of the basic contract. In addition, the HCWs shall perform the following duties:

5.1. Provide a full range of Internal Medicine services (e.g., oversee and provide general screening and medical care and examinations of patients for routine, acute and chronic conditions involving any and all organ systems, provide immunization prescriptions, and diagnose, treat, and counsel patients as indicated).

5.2. Participate as a faculty member for the Graduate Medical Education program. Attend monthly faculty meetings. Precept interns and residents, including reviewing and co-signing notes. Work with medical students when needed during clinic hours.

Clinical Psychologist

Primary Care and Mental Health Directorates

Psychological Health and Traumatic Brain Injury (PHTBI) Program

Naval Medical Center Portsmouth, VA (NMCP)

Note: This task order is for Psychological Health (PH) and Traumatic Brain Injury (TBI) initiatives under the Psychological Health Traumatic Brain Injury (PH/TBI) program. 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 DOD, the program seeks to ensure easy, rapid access to PH and TBI care for all beneficiaries and to ensure that transition across networks of care recognizes the unique care and coordination and case management requirements for PH and TBI patients.

1. Site of Service. The contractor shall provide Clinical Psychologist services in the Primary Care and Mental Health Directorates at NMCP and affiliated Branch Medical Clinics (BMCs) and Tricare Prime Clinics (TPCs). The health care worker (HCW) shall be assigned to a specific work location; however, the HCW may be required to perform services at another location as directed by the government. The government will normally provide at least one week advanced notice should such a change in work location be required. The government reserves the right to require the HCW to perform services at another location with minimal notice. If government notice occurs once the HCW is at their specific work location, the contractor will be compensated at the normal CLIN rate for the HCW’s travel time.

2. Labor Category. The contractor shall provide personnel from the following labor category:

Clinical Psychologist (one individual)

3. Qualifications. The HCW shall possess and maintain the minimum qualifications stated in Section C of the basic contract. In addition, the HCW shall possess the following qualifications:

3.1. A minimum of 2 years experience as a Clinical Psychologist within the preceding 3 years.

3.2. Provide two letters of recommendation written within the last two years attesting to the HCW’s clinical skills. At least one letter must be from a physician or psychologist who has personally observed and evaluated the HCW and who can attest to the HCW’s clinical competence in the care of patients. The other letter may be from a clinic or hospital administrator, physician, or nurse who has personal knowledge of the HCW’s patient care skills in a similar clinical environment. Reference letters shall attest to the HCW’s communication skills and ability to relate to patients, as well as professional and other interpersonal skills among staff members and must include name, title, phone number, date of reference, address, and signature of the individual providing reference.

4. Staffing and Scheduling.

4.1. The contractor shall provide one individual Clinical Psychologist. To maintain continuity of services, the HCW MUST BE A FULL-TIME INDIVIDUAL. The Commanding Officer will not privilege more than one individual for the required position.

4.2. The Commanding Officer or designated government representative will supervise the HCW.

4.3. Tour of Duty. Services shall normally be provided Monday through Friday between the hours of 0630 and 1900 for an 8.5 hour shift including an uncompensated 30 minute meal break. Shifts are assigned on a rotational basis within the time ranges specified as clinic demands dictate. The HCW shall be on duty for 80 hours per 2-week period, except during periods of approved leave and holidays. Any changes in the schedule shall be coordinated between the HCW and the government.

4.4. 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 and used within two weeks, upon mutual agreement of the HCW and the government.

4.5. Services will not normally be required on the day of observance of federal holidays.

4.6. The HCW will accrue 8 hours of personal leave (annual plus sick) for each 80 hour period of services provided (on-site services plus approved leave and holidays). The HCW shall be subject to leave approval in accordance with Section C of the basic contract.

5. Duties. As assigned, the HCW shall perform the applicable duties specified in Section C of the basic contract. In addition, the HCW shall perform the following duties:

5.1. Provide consultation, differential diagnosis, and treatment planning for all disorders defined by the Diagnostic and Statistical Manual for Mental Disorders to adults, including but not limited to:

* Organic mental disorders

* Psychotic disorders

* Schizophrenia

* Delusional disorders

* Mood disorders

* Anxiety disorders

* Somatoform disorders

* Psychoactive substance use disorders

* Sleep disorders

* Factitious disorders

* Impulse control disorders

* Psychological factors affecting physical condition

* Disorders usually first evident in infancy, childhood, or adolescence that manifest in an adult patient, such as eating disorders and gender-identity disorders

* Conditions not attributable to a mental disorder that are a focus of attention or treatment

* Sexual disorders

* Adjustment disorders

* Personality disorders

* Dissociative disorders

* Post-traumatic stress syndrome

5.2. Provides diagnostic and therapeutic procedures (includes but not limited to):

* Interviewing

* Major types of psychotherapy including: short term, long term, psychodynamic, family, marital, group, individual and behavioral therapy

* Community outreach (e.g., health promotion and command consultation)

* Mental status examination

* Crisis intervention

* Case management

* Medical discharge planning

* Psychosocial history taking

* Psychological test administration and interpretation

5.3. Provide behavioral health care for all enrollees in the patient centered Medical Home Port (MHP) using evidenced-based interventions and Clinical Practice Guidelines where appropriate for treating behavioral health problems.

6. Travel. The HCW shall adhere to the travel requirements in Section C.11 and subparagraphs in the basic contract.

Enclosure 5—Lot C Statement of Work Clinical Psychologist

Mental Health Directorate

Naval Medical Center Portsmouth, VA (NMCP)

1. Site of Service. The contractor shall provide Clinical Psychologist services in the Mental Health Directorate at NMCP and surrounding clinics and military facilities within a 35 mile radius of NMCP. Depending upon clinic or program needs, services may be provided in locations on and off military bases (e.g., local schools or other locations designated by the program/clinic as appropriate for clinical practice and consultation).

2. Labor Category. The contractor shall provide personnel from the following labor category:

Clinical Psychologist (one individual)

3. Qualifications. The healthcare worker (HCW) shall possess and maintain the minimum Clinical Psychologist qualifications stated in Section C of the basic contract. In addition, the HCW shall possess the following qualifications:

3.1. A minimum of 2 years clinical experience as a Clinical Psychologist (to include children as young as 3 years old) within the preceding 3 years OR possess post-doctoral training as a Clinical Psychologist.

3.2. Provide three letters of recommendation written within the last two years attesting to the HCW’s clinical skills. At least two letters must be from a physician or psychologist who has personally observed and evaluated the HCW and who can attest to the HCW’s clinical knowledge and competence in the care of child and adolescent patients. The other letter may be from a clinic or hospital administrator, physician or nurse who has personal knowledge of the HCW’s patient care skills in a similar clinical environment. Reference letters shall attest to the HCW’s communication skills and ability to relate to patients as well as professional and other interpersonal skills among staff members and must include name, title, phone number, date of reference, address and signature of the individual providing reference.

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