N62645-15-R-1010.docx

N62645-15-R-1010

Section B - Supplies or Services and Prices

Neonatologist

FFP

The contractor shall provide Neonatologist services (coverage) in support of Naval Hospital Camp Lejeune, NC on behalf of the Government in accordance with Section C and the terms and conditions of this solicitation.

Period of Performance: 12 December 2015 through 11 December 2016

FOB: Destination

NET AMT

Neonatal Nurse Practitioners

FFP

The contractor shall provide Neonatal Nurse Practitioner services (coverage) in support of Naval Hospital Camp Lejeune, NC on behalf of the Government in accordance with Section C and the terms and conditions of this solicitation.

Period of Performance: 12 December 2015 through 11 December 2016

NET AMT

FFP

The contractor shall provide Neonatologist services (coverage) in support of Naval Hospital Camp Lejeune, NC on behalf of the Government in accordance with Section C and the terms and conditions of this solicitation.

Period of Performance: 12 December 2016 through 11 December 2017

NET AMT

FFP

The contractor shall provide Neonatal Nurse Practitioner services (coverage) in support of Naval Hospital Camp Lejeune, NC on behalf of the Government in accordance with Section C and the terms and conditions of this solicitation.

Period of Performance: 12 December 2016 through 11 December 2017

NET AMT

FFP

The contractor shall provide Neonatologist services (coverage) in support of Naval Hospital Camp Lejeune, NC on behalf of the Government in accordance with Section C and the terms and conditions of this solicitation.

Period of Performance: 12 December 2017 through 11 December 2018

NET AMT

FFP

The contractor shall provide Neonatal Nurse Practitioner services (coverage) in support of Naval Hospital Camp Lejeune, NC on behalf of the Government in accordance with Section C and the terms and conditions of this solicitation. Period of Performance: 12 December 2017 through 11 December 2018

NET AMT

FFP

The contractor shall provide Neonatologist services (coverage) in support of Naval Hospital Camp Lejeune, NC on behalf of the Government in accordance with Section C and the terms and conditions of this solicitation.

Period of Performance: 12 December 2018 through 11 December 2019

NET AMT

FFP

The contractor shall provide Neonatal Nurse Practitioner services (coverage) in support of Naval Hospital Camp Lejeune, NC on behalf of the Government in accordance with Section C and the terms and conditions of this solicitation.

Period of Performance: 12 December 2018 through 11 December 2019

NET AMT

FFP

The contractor shall provide Neonatologist services (coverage) in support of Naval Hospital Camp Lejeune, NC on behalf of the Government in accordance with Section C and the terms and conditions of this solicitation.

Period of Performance: 12 December 2019 through 11 December 2020

NET AMT

FFP

The contractor shall provide Neonatal Nurse Practitioner services (coverage) in support of Naval Hospital Camp Lejeune, NC on behalf of the Government in accordance with Section C and the terms and conditions of this solicitation.

Period of Performance: 12 December 2019 through 11 December 2020

NET AMT

Section C - Descriptions and Specifications

STATEMENT OF WORK

NOTE 1: The use of "Commanding Officer" throughout this Section C means: Commanding Officer, Naval Hospital Camp Lejeune, NC or designated representative, e.g. Contracting Officer’s Representative, Department Head, etc.

NOTE 2: The term "contractor" shall mean the offeror identified in block 7 of Standard Form 26, and its health care workers who are providing services under the contract.

NOTE 3: The term “health care worker(s)” 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 “COR” refers to the Contracting Officer’s Representative, a government employee appointed in writing by the Contracting Officer to serve as technical liaison between the government and the contractor.

C.1. STATEMENT OF WORK.

C.1.1. The Contractor shall provide comprehensive Neonatologist and Neonatal Nurse Practitioner (NNP) services in the Level IIB Neonatal Intensive Care Unit (NICU), Mother Baby Unit and Labor & Delivery (to include the Operating Room (OR) for cesarean sections) at Naval Hospital Camp Lejeune, NC in accordance with the terms and conditions as specified herein.

C.1.2. During the term of the contract, the contractor shall provide the services of Neonatologists and NNPs to perform all services specified herein for treatment of active duty military dependents, eligible Navy civilian employee dependents, and other eligible beneficiaries in accordance with the terms and conditions of the contract.

C.1.3. It is essential that continuity of services be maintained to the maximum degree possible; therefore, substitution of contract health care workers (HCWs) shall be kept to the absolute minimum necessary to perform the services required and to provide adequate back-up personnel. All Neonatologists and NNPs are subject to credentials review and privileging prior to performance of services.

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 HCWs 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 a 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/default.aspx .

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.2.4. The personal services contract does not create an employer-employee relationship between the government and any corporation, partnership, business association, or other party or legal entity with which the individual HCW may be associated.

C.3. DUTY HOURS.

C.3.1. The contractor shall provide sufficient personnel to cover the schedule given below. The contractor is responsible for scheduling personnel to cover the schedule, for providing the leave benefit for these personnel, for approving leave for these personnel, and for providing any holiday benefit. These personnel will not accrue leave under this contract; individuals on leave, holiday status, or otherwise absent shall be subject to replacement coverage by the contractor in accordance with paragraph C.3.1.1 and C.3.1.2 listed below. The contractor shall maintain sufficient backup personnel to ensure coverage of the schedule during periods of both scheduled and unscheduled absence.

C.3.1.1 SCHEDULES, ABSENCES, AND LEAVE. HCWs will not accrue leave under this contract and are subject to replacement coverage by the Contractor during all scheduled and unscheduled absences.

C.3.1.2. Replacement coverage. The Contractor shall be responsible for administering the leave for individuals filling coverage positions.

C.3.1.3.

Note: The schedule for NNPs is every week and the schedule for the Neonatologist is every other week; unless the government requests services for the additional 4 weeks in accordance with paragraph C.3.1.3.1.

IN-HOUSE SCHEDULE

4:30PM-7:30AM

(1630 – 0730) (1)

NNP

(1)

NNP

(1)

NNP

(1)

NNP

7:00AM-5:00PM

(0700-1700)

(1)

NNP

(1)

NNP

(1)

NNP

(1)

12:01AM-12:00AM

(0001 – 0000)

(1)

(1)

NNP

(1)

NNP

(1)

NNP

Neonatologist (1) Neonatologist (1) Neonatologist (1) Neonatologist (1) Neonatologist

7:00AM – 11:00AM

(0700-1100)

Total Coverage Per Day

25 NNP Hours Neonatologist Hours

25 NNP Hours Neonatologist Hours

25 NNP Hours Neonatologist Hours

25 NNP Hours Neonatologist Hours

24 NNP Hours 8 Neonatologist Hours

24 NNP Hours Neonatologist Hours

24 NNP Hours 4 Neonatologist Hours

24 NNP Hours Neonatologist Hours

C.3.1.3.1. Neonatologists: In-house coverage service will be scheduled concurrently every other week in one week blocks, alternating with military Neonatologists for approximately 26 weeks per year. An additional 4 weeks of service may be required in order to accommodate such circumstances as deployments and patient surges. The contractor shall be afforded 4 weeks advance notice should these additional services be required. The additional services will be billed against CLIN 0001.

C.3.1.3.2. Neonatologist On-Call: The Neonatologist shall be required to provide on-call services from 1530 to 0700 Monday through Friday and 1100 to 0700 on Saturday, Sunday and Federal Holidays. On-call is scheduled every other week in one week blocks and commences on Monday at 0700, ending the subsequent Monday at 0700. When providing on-call coverage, the Neonatologist shall be available via telephone or Government-provided pager and respond by telephone within 15 minutes. On occasions when the Neonatologist is required to report back to the facility while on on-call duty, must do so within 30 minutes of being called back. The On-Call Neonatologist will be required to give clinical consultation to the On-duty NNP's. In addition, the Neonatologist will be expected to return to the facility when clinically indicated. On-call duty will not be separately priced and no additional compensation will be given for call backs into the facility during on call hours.

C.3.1.3.3. Neonatal Nurse Practitioners: In-house coverage service will be scheduled every week. Please refer to schedule above in Section C.3.1.3.

C.3.2. The Commanding Officer or designated government supervisor will supervise the HCWs.

C.3.3. The Commanding Officer will not privilege more than 6 Neonatologists and 10 NNPs to provide the coverage required in the above schedule.

C.3.4. The Contractor shall provide a monthly staff schedule for the above table to the COR prior to the 20th of each month. The schedule shall be complete and include the name of the specific individual(s) who will provide the required coverage. A minimum 72-hour notice of changes to the work schedule is required. The 72-hour notice will be waived for emergency situations such as sudden illness or accident. Any variation in the alternating weekly schedule shall only be approved through mutual agreement between the Government and contractor.

C.3.5. 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, or as specified in the contract. 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. The HCW shall use compensatory time within 2 pay periods, and all compensatory time shall be used prior to the end of each performance period.

C.4. ABSENCES AND LEAVE.

C.4.1. The Government is buying coverage of HCW services; therefore, there are no provisions for leave (annual or sick) for contract HCWs in the contract.

C.4.2. 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.4.3. A HCW with a bonafide medical emergency occurring while on duty or with an on-the-job injury will be provided medical care until the condition is stabilized. The contractor will reimburse the Government for all medical services provided unless the HCW is otherwise entitled to Government medical services.

C.4.4. If a HCW becomes ill or is otherwise unable to fulfill his/her obligation to work, he/she shall notify the contractor who in turn shall notify the COR. The contractor is responsible for replacing a HCW who for any reason misses more than 2 hours of a shift.

C.4.5. 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.4.6. Administrative Leave. For unusual and compelling circumstances (e.g., 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.4.7. 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 HCWs are considered essential and therefore must report to work. HCWs deemed essential shall be compensated for services rendered during a furlough. All other HCWs shall be furloughed until the Government shutdown ends or they are notified by the Contracting Officer’s Representative that they have become essential HCWs.

C.5. GENERAL DUTIES/RESPONSIBILITIES.

C.5.1. The HCWs shall perform a full range of Neonatologist and NNP services for all eligible beneficiaries assigned to Naval Hospital Camp Lejeune, NC in accordance with the privileges granted by the Commanding Officer, on site using government furnished facilities, supplies, and equipment. The standards of performance for all HCWs shall reflect the degree of care, skill, and learning expected of a reasonably prudent HCW in the professional category to which he/she belongs. The HCWs shall:

C.5.1.1. Technically direct, perform, or assist in the instruction of other health care professionals seeing patients within the scope of their clinical privileges or responsibilities.

C.5.1.2. Promote preventive and health maintenance care, including annual physicals, positive health behaviors, and parental care skills through education and counseling.

C.5.1.3. Request consultation or referral with appropriate physicians, clinics, or other health resources as indicated.

C.5.1.4. Order diagnostic tests as applicable.

C.5.1.5. Prescribe and dispense medications as delineated by the Pharmacy and Therapeutics Committee.

C.5.1.6. Provide training and/or technical direction to supporting government employees assigned to them during the performance of clinical procedures. Such direction and interaction shall adhere to government and professional clinical standards and accepted clinical protocol. The HCW shall participate in clinical staff performance improvement and peer review functions at the prerogative of the Commanding Officer.

C.5.2. SPECIFIC DUTIES/RESPONSIBILITIES.

C.5.2.1. Neonatal Nurse Practitioner. The HCWs shall provide a full range of nurse practitioner services in accordance with privileges granted by the Commanding Officer. The HCWs shall:

a. Adhere to BUMEDINST 6550.10B, Utilization Guidelines for Nurse Practitioners (this instruction can be found online at http://www.med.navy.mil/directives/Pages/BUMEDInstructions.aspx ) . This instruction includes the following requirements: permits nurse practitioner ordering and administration of an approved list of drugs according to protocol and requires random review of records of patients seen by the nurse practitioner.

b. Provide comprehensive medical assessment, examination, consultation, diagnosis, and treatment plan for neonates.

c. Provide medical management of neonates to include neonatal resuscitation, conventional ventilation, stabilize and maintain Level IIB care prior to transport, prescription of medications (including controlled substances) to treat neonatal medical disorders.

d. Request and interpret laboratory tests, electrocardiograms, radiographic procedures, and other tests as needed.

e. Perform procedures including sedation, endothracheal intubation, routine phlebotomy, arterial phlebotomy, percutaneous central venous line placement, umbilical line placement, lumbar puncture, suprapubic bladder taps, bladder catherization, needle thoracentesis, chest tube placement, and circumcision as deemed appropriate and as credentialed.

f. Attend routine and high-risk deliveries as a member of the Resuscitation Team and perform Neonatal Resuscitation.

g. Provide medical care to neonates awaiting transport to other facilities and from other higher level of care NICUs.

h. Provide outpatient care for routine well baby appointments, NICU follow-up appointments.

i. Provide instruction to students and resident physicians rotating through the nursery at Naval Hospital Camp Lejeune.

j. These duties will be performed under the clinical direction of a designated government representative.

C.5.2.2. Neonatologist. The HCWs shall provide a full range of Neonatologist services in accordance with privileges granted by the Commanding Officer. The HCWs shall:

a. Provide comprehensive medical assessment, examination, consultation, diagnosis, and treatment plan for neonates.

b. Provide medical management of neonates to include neonatal resuscitation, conventional ventilation, stabilize and maintain Level IIB care prior to transport, prescription of medications (including controlled substances) to treat neonatal medical disorders.

c. Request and interpret laboratory tests, electrocardiograms, radiographic procedures, and other tests as needed.

d. Perform procedures including sedation, endothracheal intubation, routine phlebotomy, arterial phlebotomy, percutaneous central venous line placement, umbilical line placement, lumbar puncture, suprapubic bladder taps, bladder catherization, needle thoracentesis, chest tube placement, and circumcision as deemed appropriate and as credentialed.

e. Attend routine and high-risk deliveries as a member of the Resuscitation Team and perform Neonatal Resuscitation.

f. Provide medical care to neonates awaiting transport to other facilities and from other higher level of care NICUs.

g. Provide outpatient care for routine well baby appointments, NICU follow-up appointments.

h. Provide instruction to students and resident physicians rotating through the nursery at Naval Hospital Camp Lejeune.

C.6. FAILURE AND/OR INABILITY TO PERFORM.

C.6.1. This contract may be found voidable at the option of the Government if the contractor fails to provide the physical certification requested in Section C.10. or privileges are not granted to the HCW by the Commanding Officer.

C.6.2. Should a HCW be unable to perform duties due to medical or physical disability for more than 13 consecutive days, that individual’s performance may be suspended by the Commanding Officer until such medical or physical disability is resolved. If performance is suspended, no reimbursement shall be made to the contractor for the affected HCW so long as performance is suspended.

C.6.3. If clinical privileges 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 contract 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 in accordance with BUMEDINST 6320.66E (or latest version) and BUMEDINST 6320.67A CH01.

C.6.4. Any HCW demonstrating impaired judgment will be removed from providing health care services. The Government reserves the right to remove any HCW who, in the judgment of a licensed physician, is impaired by drugs or alcohol.

C.6.4.1. Any HCW with alcohol or drug abuse problems may be allowed to return to work under the terms of the contract only with prior Government approval.

C.6.4.2. 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.7. ORIENTATION.

C.7.1. Each HCW providing services under this contract shall undergo an orientation and shall complete mandatory Navy and DoD on-line 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.7.2. 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. Additional Command Orientation for nurses (local certifications) will comprise an estimated additional 28 hours. Information Systems Orientation of approximately 24 hours includes the Composite Health Care System (CHCS), Armed Forces Health Longitudinal Technology Application (AHLTA), and the Ambulatory Data System (ADS). In addition, HCWs identified as CHCS and/or AHLTA Super-users shall undergo an additional 8 hours of information systems orientation.

C.7.3.Orientation will be provided to HCWs, as required, during initial regularly scheduled shifts under the contract.

C.7.4. HCWs who are required to be oriented during initial regularly scheduled work shifts shall be scheduled by the Contractor for shifts occurring at times when orientation classes are available. The COR will provide a list of training times up to 30 days in advance.

C.7.5. The Contractor shall not invoice for orientation, and the government will not reimburse the Contractor for orientation, until such time as the individual has provided an amount of clinical services equal to the amount of orientation received. The Contractor shall complete all orientation within 60 days after commencement of services by the HCW.

C.7.6. Turnover of HCWs. The Contractor shall recognize the potentially negative impact on continuity of care created by staff turnover and the expense incurred by the government for orientation and privileging of new workers. Therefore, the Contractor shall make every effort to minimize turnover and, notwithstanding Contractor employee probation policies, shall recruit only individuals who indicate interest in a long-term commitment under the contract.

C.7.7. Possess basic computer skills. The Contractor shall provide a completed Computer Skills Competency Form for each HCW ( Attachment AD). The Computer Skills Competency Form shall be provided with the HCW’s credential package.

C.8. GENERAL REQUIREMENT.

C.8.1. Prior to the commencement of performance under the contract, the COR shall direct the HCW to in-process through standard facility procedures.

C.8.2. The HCW 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 Department of the Navy (DON) regulations implementing this Executive Order. Contractor employees providing support to the Government shall conduct themselves in a professional, businesslike manner adhering to high ethical standards. Contractor employees must follow the Standards of Ethical Conduct for Employees of the Executive Branch (Codified in 5 C.F.R. Part 2635 and as amended at 76 FR 38547) and local command policy in addition to the standards of conduct policies of the contractor. The Government will not tolerate unethical behavior and behavior that reflects poorly upon the Government, its mission, and its operations. If a contractor employee is uncertain whether contemplated acts or conduct may violate the Standards of Ethical Conduct for Employees of the Executive Branch or local command policy, the contractor employee must contact the Contracting Officer Representative (COR) before engaging in such acts or conduct. CORs will seek advice on ethics issues from their ethics counselor.

C.8.3. The HCW 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.8.4. 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 the 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 the 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 the contract. HCWs shall make no use of the Government facilities or property provided under the contract in connection with other employment. (NAVMED P-117, Chapter 1, Article 1-22 applies (<http://navymedicine.med.navy.mil/default.cfm?selTab=Directives>)).

C.8.5. 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 the contract.

C.8.6. HCWs 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 which 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.8.7. HCWs shall read, write, speak, and understand the English language fluently and maintain good communication skills with patients and other health care personnel.

C.8.8. HCWs shall be physically capable of standing and/or sitting for extended periods of time and capable of normal ambulation.

C.8.9. HCWs providing services under the 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 as a HCW immediately prior to reporting for the shift.

C.8.10. 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, SUP 5252.204-9400 Contractor Unclassified Access to Federally Controlled Facilities, Sensitive Information, Information Technology (IT) Systems or Protected Health Information and Section J, Attachment AC, Lists of Acceptable Documents to Establish U.S. Citizenship).

C.8.11. HCWs 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. Also, the HCWs shall be in good standing and under no sanction or suspension by the federal government.

C.8.12. HCWs shall be current with and have completed all continuing education requirements specified by their professional licensure or certification.

C.8.13. HCWs shall represent an acceptable malpractice risk to the Government.

C.8.14. The contractor and all HCWs shall comply with all MTF checkout processes. These processes include returning government property, i.e., identification badges, pagers, 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.8.15. 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.8.16. All financial, statistical, personnel, and technical data which are furnished, produced, or otherwise available to the contractor during the performance of the contract are considered confidential business information and shall not be used for purposes other than performance of work under the 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 the contract, will be subject to review and approval by the COR before publication or dissemination.

C.8.17. 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.8.18. Contractor 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, civil 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.8.19. Comply with the standards of the Joint Commission, applicable provisions of law and the rules and regulations of any and all Governmental authorities pertaining to licensure and regulation of health care personnel and medical treatment facilities, the regulations and standards of medical practice of the MTF and the bylaws of the hospital's medical staff. Adhere to and comply with all Department of the Navy, Bureau of Medicine and Surgery and local Clinic instructions and notices that may be in effect during the term of the contract.

C.8.20. Comply with the HIPAA (Health Insurance Portability and Accountability Act) privacy and security policies of the treatment facility. Providers shall obtain/maintain a National Provider Identifier (NPI) in accordance with DOD and MTF policy/instruction.

C.8.21. Due to the nature of medical personal services which require Government supervision, the need for HCW access to CHCS/AHLTA, and patients that present only at the MTF, this contract does not lend itself to allow HCWs to telecommute.

C.9. PERSONNEL QUALIFICATIONS.

C.9.1. NEONATAL NURSE PRACTITIONER. The HCWs shall meet and maintain specific minimum qualifications, skills, and knowledge. The following are required:

C.9.1.1. Possess certification as a NNP from the National Certification Corporation (NCC).

C.9.1.2. Possess current unrestricted license to practice as a registered nurse in one of the fifty states, the District of Columbia, the Commonwealth of Puerto Rico, Guam, or the U.S. Virgin Islands. The licensing exam taken by registered nurses must be the National Council of Licensing Examinations - Registered Nurse.

C.9.1.3. Possess current Neonatal Resuscitation Program (NRP) Provider Completion Card.

C.9.1.4. Possess current certification in Pediatric advanced Life Support (PALS).

C.9.1.5. Possess current certification in American Heart Association Basic Life Support (BLS) for Healthcare Providers; American Heart Association Healthcare Provider Course; American Red Cross CPR (Cardio Pulmonary Resuscitation) for the Professional Rescuer; or equivalent.

C.9.1.6. Possess a minimum of three years’ experience within the last 5 years as a Nurse Practitioner in a neonatal unit.

C.9.1.7. Pertinent clinical experience within the past two years sufficient to demonstrate current clinical competency for the setting and procedures required by the contract.

C.9.2. NEONATOLOGIST. The HCWs shall meet and maintain specific minimum qualifications, skills, and knowledge. The following are required:

C.9.2.1. Possess a Doctorate Degree in Medicine from an accredited college approved by the Liaison Committee on Medical Education and Hospitals of the American Medical Association, a Doctorate Degree in Osteopathy from a college accredited by the American Osteopathic Association, or permanent certification by the Educational Commission for Foreign Medical Graduates (ECFMG).

C.9.2.2. Possess and maintain board certification in Neonatal-Perinatal Medicine as determined by the American Board of Pediatrics.

C.9.2.3. Possess and maintain a current unrestricted license to practice as a professional neonatologist in any one of the 50 states, District of Columbia, the Commonwealth of Puerto Rico, Guam or the U.S. Virgin Islands.

C.9.2.4. Possess current certification in American Health Association Basic Life Support (BLS) for Healthcare Providers; American Heart Association Healthcare Provider Course; American Red Cross CPR (Cardio Pulmonary Resuscitation) for the Professional Rescuer; or equivalent. Possess current certification cards in Pediatric Advanced Life Support (PALS) and Neonatal Resuscitation Program (NRP).

C.9.2.5. Pertinent clinical experience within the past two years sufficient to demonstrate current clinical competency for the setting and procedures required by the contract.

C.9.3. CREDENTIALING REQUIREMENTS.

C.9.3.1. Upon award, 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.9.3.2. Upon receipt of a complete ICF, the COR will forward it to the Medical Staff Services Office for approval and credentialing of the individual health care provider. The Medical Staff Services Office will ensure the ICF 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 has been approved and shall discontinue the service of an individual who fails to maintain compliance with qualification and credentialing requirements.

C.9.3.3. 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.9.3.4. 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 without 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.9.3.5. Notwithstanding licensure and certification requirements given above in Section C.9., each HCW is responsible for complying with all applicable licensure and certification regulations.

C.9.3.6. The contractor shall continuously maintain a current list of all individuals who have been privileged for service under the contract. The contractor shall provide a copy of the list to the COR monthly, or more often as requested by the COR.

C.10. REGULATORY COMPLIANCE REQUIREMENTS.

C.10.1. 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/public_docs/Physical%20Exam%20and%20Immunization%20Form.pdf. The contractor shall always obtain the current version from the web page and shall 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 only be permitted 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 the World Wide Web at http://www.osha.gov/SLTC/etools/hospital/hazards/bbp/declination.html.

C.10.1.1. Except for those HCWs who decline Hepatitis B vaccine as given above, the Hepatitis B requirements given in 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.10.1.1.1. 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.10.1.1.2. A HCW who has completed his/her initial series and obtained a negative titer must commence his/her second vaccine series prior to commencing service and must complete the second series not later than 6 months after commencing service.

C.10.1.2. HCWs 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.10.1.3. 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.10.2. Except as provided in Section C.10.3. and C.10.4., 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.10.3. HCWs shall agree to undergo personal health examinations and such other medical and dental examinations at any time during the term of the 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.10.4. It is essential that HCWs be vaccinated annually against influenza according to Bureau of Medicine and Surgery (BUMED) and Centers for Disease Control (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 legal liability in accordance with local procedures and policies. Alternately, the HCW may obtain the vaccine at another facility, with the HCW bearing the total 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.10.5. HCWs 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 all personnel must be replaced during this period to ensure maintenance of contractually required coverage.

C.10.6. 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.10.1. 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.10.7. 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.10.8. 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. 793) and its implementing regulations (41 CFR Part 60-741).

C.10.9. PREVENTION OF THE TRANSMISSION OF THE HIV VIRUS. HCWs shall comply with the CDC’s “Universal Precautions” for the prevention of the transmission of the HIV virus.

C.10.10. 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.

Section E - Inspection and Acceptance

SECTION E

E.1. For the purpose of this clause, the Contracting Officer’s Representative (COR) is the duly authorized representative of the Contracting Officer.

E.2. The COR(s) for the awarded contract resulting from this solicitation shall be appointed at award. The specific COR(s) will be named in the contract awarded.

E.3. The COR will perform inspection and acceptance of services to be provided. Inspection and acceptance will be performed at the location listed in the contract awarded.

INSPECTION AND ACCEPTANCE TERMS

Supplies/services will be inspected/accepted at:

CLAUSES INCORPORATED BY REFERENCE

Section F - Deliveries or Performance

SECTION F

PERIOD OF PERFORMANCE

The contract awarded as a result of this solicitation will have an ordering period starting on 12 December 2015. The Contracting Officer reserves the right to adjust the start date of service based on the actual award date. The contract ordering period shall not exceed 60 months.

DELIVERY INFORMATION

11-DEC-2016

100 BREWSTER BLVD

CAMP LEJEUNE NC 28547-2538

910-450-4932

N68093

11-DEC-2016

N68093

11-DEC-2017

N68093

11-DEC-2017

N68093

11-DEC-2018

N68093

11-DEC-2018

N68093

11-DEC-2019

N68093

11-DEC-2019

N68093

11-DEC-2020

N68093