Posted_N62645-16-R-0010.docx

N62645-16-R-0010

Section B - Supplies or Services and Prices

Dental Hygienist

FFP

FOB: Destination

MAX

NET AMT

Dental Assistant

MAX

General Dentist

MAX

Dental Laboratory Technician

MAX

Dental Subspecialist

Any dental subspecialties recognized by the American Dental Association, such as Endodontist, Prosthodontist, Orthodontist, etc.

MAX

Travel/Training

COST

Reimbursement of travel/training expenses in accordance with Section C.3.2.7 and C.11 of this solicitation.

MAX COST

Section C - Descriptions and Specifications

STATEMENT OF WORK

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

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

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

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

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

STATEMENT OF WORK

C.1. This Statement of Work (SOW) applies to all positions encompassed within the contract. Specific Statements of Work for the government’s requirements ordered from the maximum order quantities in Section B, Contract Line Item Number (CLIN) 0001-0005, are provided as Enclosure 2 through Enclosure 9 in Section L. Subsequent quantities shall be ordered in accordance with Section H.

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

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

C.2. SUITS ARISING OUT OF MEDICAL MALPRACTICE

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

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

C.2.3. HCWs providing services under the contract shall be rendering personal services to the government and shall be subject to day-to-day supervision and control by government personnel. Supervision and control is the process by which the individual HCW receives technical guidance, direction, and approval with regard to a task(s) within the requirements of this 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. SCHEDULES, ABSENCES, AND LEAVE. Each task order will specify the work schedule of each HCW. The government will administer the leave provisions in this Section.

C.3.1. Unless otherwise specified in a task order, eight hours of personal leave are accrued by each HCW at the end of every 80 hour period worked, unless conditions specified in Section C.3.1.11., below, apply. The HCW shall be compensated by the government for these periods of authorized planned absence. This leave shall be used for both planned (vacation) and unplanned (sickness) absences. The specific work schedule for an individual HCW who accrues leave will be scheduled in advance by the government supervisor (or designee) specified in the task order. Any changes in the schedule shall be coordinated between the individual HCW and the government.

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

C.3.1.3. Unless otherwise negotiated between the Contracting Officer, the DTF/MTF, and the Contractor as specified in the contract or applicable task order, the DTF/MTF will administer a HCW’s leave granted as a function of this contract and observance of federal holidays in accordance with the guidelines for federal civil service employees.

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

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

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

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

C.3.1.8. Military Leave. The Contractor shall provide military leave to HCW’s in accordance with the Uniformed Services Employment and Reemployment Rights Act of 1994 (USERRA 38. U.S.C. 4301-4335).

C.3.1.9. Administrative leave may be granted for HCWs selected to serve jury duty. Requests for administrative jury duty leave shall be submitted to the Commanding Officer in the same manner as personal leave is requested. The HCW is required to provide the Commanding Officer with as much written notice as possible prior to reporting for jury duty, and is responsible for supplying documentation regarding the necessity for and length of absence for jury duty. A HCW whose position is deemed critical by the Commanding Officer may be issued a written request for the court to excuse the HCW from jury duty. The HCW shall be compensated by the Contractor for these periods of authorized administrative leave. No individual HCW will be granted more than 15 days of administrative leave for jury duty per period of performance; in those instances where a contract HCW who accrues leave is anticipated to be in jury duty status in excess of 15 days, the Contractor shall provide a replacement worker.

C.3.1.10. In the event that a task order allows a leave accrual position to be staffed by part-time individuals, no leave will be accrued by any individual who works fewer than 40 hours during a two-week invoice period, unless otherwise specified in the task order. This clause does not apply to labor categories covered by the Service Contract Labor Standards.

C.3.1.11. All accrued leave shall be forfeited without compensation or reimbursement at the expiration or termination of a task order or the contract or at the voluntary or involuntary separation of a contract HCW. The only exception to this is in the case of a logical follow-on task order or exercise of an option period, which includes a provision for carry over from the expiring task order of a specified maximum leave balance for a defined period. See Section C.3.1.4.

C.3.1.11.1. In the event that the HCW gives notice of employment termination, all accrued leave must be used within that notice period, or forfeited. The government will not extend the HCWs termination date to accommodate unused leave balances.

C.3.1.12. Holidays. Unless otherwise specified in the task order, requirements for holiday work are defined in each task order. Compensation for holidays will be managed as follows:

C.3.1.12.1. Full-time and Part-time HCWs. Each full-time or part-time individual HCW who accrues personal leave will also receive a paid holiday benefit. If additional federal holidays are created as a result of an Executive Order, the benefit will also be extended to the HCW. The government will compensate the Contractor for the number of hours the HCW is normally scheduled to work on the day on which holiday is observed. The Contractor shall fully compensate the HCW for the number of hours the HCW is normally scheduled to work on the holiday observance.

C.3.1.12.2. The government will not compensate the contractor if a HCW is not normally scheduled for duty on the day a holiday is observed. For example, a HCW who works 10 hours per day, Tuesday through Friday, will not receive compensation for a Monday holiday, since the HCW is not normally scheduled to work on Mondays.

C.3.1.12.3. The government supervisor will review, and approve on a case-by-case basis, HCW requests for schedule changes that remove the HCW from a holiday schedule. The government supervisor will approve the requests as appropriate to the circumstance.

C.3.1.12.4. If the government requires the services of a HCW who is not normally scheduled to work on a day of a holiday observance, the government will compensate the contractor for the hours worked and the contractor shall compensate the HCW. In addition, the HCW will receive compensatory time equal to the number of hours worked on the holiday.

C.3.1.12.5. Part-time HCWs who do not accrue leave do not accrue a holiday benefit or a holiday created by Executive Order. The government will compensate the Contractor only for the number of hours the HCW actually works.

C.3.1.12.6. In no instance will the government provide holiday compensation or compensatory time in excess of 12 hours for each holiday observance.

C.3.2. Provisions for all HCWs.

C.3.2.1. 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 DTF/MTF in order to maintain continuity of patient care services.

C.3.2.2. Furlough. Unless otherwise authorized by a defense appropriations bill, Contractors shall not be reimbursed by the government for services not rendered during a government furlough. In the event of a government furlough, the Commanding Officer will determine which 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.3.2.3. A HCW with a bona fide medical emergency occurring while on duty, or with an on-the-job injury, will be provided stabilizing medical care according to the procedures of the DTF/MTF. The Contractor shall reimburse the government for all medical services provided unless the HCW is otherwise entitled to government medical services.

C.3.2.4. In the instance where the government directs the HCW to remain on duty in excess of their scheduled shift due to an unforeseen emergency or to complete patient treatment where lack of continuity of care would otherwise jeopardize patient health, the HCW shall remain on duty. The HCW will be given an equal amount of compensatory time to be scheduled upon mutual agreement of the HCW and the Commanding Officer. This provision is not intended to apply to the time required to complete routine tasks (e.g., completion of paperwork or routine administrative tasks at the end of a shift) which are to be completed as part of the shift. HCWs shall use compensatory time within 2 pay periods and prior to the end of the task order.

C.3.2.5. HCWs providing services shall (unless otherwise specified in the task order) receive uncompensated meal breaks of 30 minutes when assigned an 8 hour or 10 hour shift and up to 60 minutes when assigned a 12 hour shift. The HCW’s shift will be extended between 30 and 60 minutes, respectively, to constitute a full 8, 10 or 12 hours of on-site service. This includes extending the work shift beyond the scheduled clinic closing time to complete patient care and administrative duties. No shift shall exceed 13 hours unless otherwise specified in the task order.

C.3.2.6. HCWs may receive one compensated work break in the morning and one in the afternoon, work load permitting, at the discretion of the government. Neither break shall exceed 15 minutes or be taken with the intention of extending the lunch break, or in conjunction with the start or end of a shift.

C.3.2.7. Continuing Education. The Commanding Officer may also grant authorization for planned absences to allow the HCW to attend continuing education courses. This is in addition to the personal leave specified above. The government may compensate the HCW for these periods of authorized absence if the continuing education course(s) are determined to be a necessary expense by the government.

C.3.2.8. Training necessary to maintain the professional qualifications required by the contract (e.g. Basic Life Support (BLS), Advanced Cardiac Life Support (ACLS), Pediatric Advanced Life Support (PALS), etc.) may be available at the DTF/MTF and/or through Military Training Network on a space available basis. HCWs participating in such training shall not be in a contract duty status, i.e. training hours are not paid hours of service. Failure of the HCW to obtain training on a space available basis does not release the Contractor from the contract requirement.

C.3.2.9. Due to the nature of medical personal services which require government supervision, the need for HCW access to Corporate Dental System (CDS), and patients that present only at the DTF/MTF, this contract does not lend itself to allow HCWs to telework.

C.3.2.10. On-call. On-call service requirements are variable and depend on the current level of government staff and their ability to share on-call services. Specific on-call requirements will be specified in the individual Task Orders. HCWs will be compensated as specified in Section B of the task order.

C.4. FAILURE AND/OR INABILITY TO PERFORM

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

C.4.2. If clinical privileges or duties of a HCW have been summarily suspended or are being held in abeyance (per DoD Manual 6025.13 (or latest version)), pending an investigation into questions of professional ethics or conduct, performance under the Task Order may be suspended until clinical privileges are reinstated. No reimbursement shall be made and no other compensation shall accrue to the Contractor for the affected HCW so long as performance is suspended or clinical privileges are held in abeyance. The denial, suspension, limitation, or revocation of clinical privileges based upon practitioner impairment or misconduct will be reported to the appropriate licensing authorities of the state in which the license is held, in accordance with DoD Manual 6025.13.

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

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

C.5. GENERAL PROVISIONS FOR HCWS.

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

C.5.2. 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.5.3. HCWs shall become acquainted with and obey all station regulations, shall perform in a manner to preclude the waste of utilities, and shall not use government resources (i.e. copiers, telephone, and computers, etc.) for personal business. All motor vehicles operated on these installations by HCWs shall be registered with the base security service according to applicable directives. Eating by HCWs is prohibited in patient care areas/clinics and is restricted to designated areas. Smoking is prohibited in all clinic facilities.

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

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

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

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

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

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

C.5.10. Contract staff shall participate in executing the Emergency Preparedness Plan (drills and actual emergencies) as scheduled by the MTF (typically semiannually). A DTF/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 HCW shifts, the designated Contractor representative and the HCWs will be contacted. In the event of an actual emergency, essential Contractor personnel may be required to remain on duty or to return to duty in order to maintain continuity of patient care services.

C.5.11. HCWs providing services under this contract shall arrive for each scheduled shift in a well-rested condition.

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

C.5.13. Each HCW will be assigned to a primary location; however, unless otherwise specified in the task order, the government retains the right to assign the HCW to another location within a 50-mile commuting radius of their assigned DTF/MTF. Healthcare workers shall receive notification two weeks prior to reassignment to locations within a 50-mile limit.

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

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

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

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

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

C.7.4. In order to carry out the duties required by the contract, all HCWs will be required to access Navy information technology networks/systems containing sensitive information. Only HCWs who are U.S. citizens can be granted access to Department of Navy (DON) Information Technology networks/systems and sensitive information (see Section H clause SUP 5252.204-9400 Contractor Unclassified Access to Federally Controlled Facilities, Sensitive Information, Information Technology (IT) Systems or Protected Health Information (July 2013) and Section J, Attachment AA List of Acceptable Documents to Establish U.S. Citizenship).

C.7.5. HCWs shall represent an acceptable malpractice risk to the government.

C.7.6. 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.

C.7.7. Each healthcare worker shall possess and maintain current certification in either the American Heart Association Basic Life Support (BLS) for Healthcare Providers or American Heart Association Healthcare Provider Course. HCWs who do not hold current certification must acquire certification prior to initiating contract performance. Web based classes do not meet these standards. Other certification may be acceptable as specified in the task order. Certification cards must display the American Heart Association or Military Training Network emblem. A copy of the BUMED BLS instruction (BUMEDINST 1500.15c) is available at http://www.med.navy.mil/directives/Pages/BUMEDInstructions.aspx

C.7.8. HCWs shall be current with and have completed all continuing education requirements specified by their professional licensure or certification. All continuing education documentation shall be submitted to the COR.

C.7.9. Occupational Health

C.7.9.1. Sixty days or less 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 at http://www.osha.gov/SLTC/etools/hospital/hazards/bbp/declination.html.

C.7.9.1.1. Except for those workers who decline Hepatitis B vaccine as 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 DTF/MTF prior to achieving a Hepatitis B positive titer or demonstrating a persistent non-response according to the following provisions:

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

C.7.9.1.1.2. A HCW who has completed his/her initial series and obtained a negative titer must 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.7.9.1.2. 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.7.9.1.3. If a HCW fails to comply with the applicable schedule above, the Contractor shall replace the HCW if so directed by the Contracting Officer.

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

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

C.7.9.4. It is essential that HCWs be vaccinated annually against influenza according to BUMED and CDC guidelines aimed at reducing the impact of influenza disease in health care settings. The government will provide the influenza vaccine free of charge. If the HCW chooses to be immunized by the government, the HCW shall sign a waiver releasing the Government from 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 DTF/MTF policies.

C.7.9.5. 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, personnel under this contract who accrue leave will be considered to be in a leave status.

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

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

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

C.7.9.9. 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.7.9.10. MANAGING THE CLINICAL RISK IN THE WORK ENVIRONMENT. The work environment inherently involves risks typically associated with the performance of clinical procedures. The HCW may be exposed to contagious disease, infections and flying debris, requiring the wearing of personal protection equipment such as scrub attire, gloves, masks, and eye protection.

C.7.10. CREDENTIALING REQUIREMENTS

C.7.10.1. For all credentialed HCWs: Following award of a Task Order, the contractor shall submit to the COR complete HCW Credentials Record(s) (CR) not fewer than 30 days prior to required performance of duties. The CR, 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 current competency (i.e. within 2 years) as compared to specialty-specific criteria regarding eligibility for defined scopes of health care services. For those HCWs who currently have a CR on file, an updated Personal and Professional Information Sheet (PPIS) for Privileged Providers, with notation that a complete up-to-date CR is on file, shall be submitted no less than 15 days prior to required commencement of services. BUMED Instruction 6010.30, Enclosure (6), details the CR requirements. BUMEDINST 6010.30 is available at http://www.med.navy.mil/directives/Pages/ExternalDirectives.aspx. Click BUMED Directives and page to the appropriate instruction number.

C.7.10.1.1. In the event the contractor submits an incomplete CR, the COR will notify the contractor. Incomplete CRs will be shredded, or may be returned to the contractor if a prepaid means of return was provided when the original package was submitted. Incomplete CRs will not be retained by the COR. Presentation of incomplete CRs by the contractor may be evaluated as part of the performance evaluation on future awards.

C.7.10.2. If, during the Government's evaluation of the CR a negative current clinical competency assessment is determined, it will bring the MTF’s consideration of the HCW’s application for credentials review and privileging to an immediate close. Since meeting credentialing requirements and, as applicable, being granted privileges is required as a condition of employment under this contract, a negative current clinical assessment may result in the issuance of a Task Order termination notice by the Contracting Officer in accordance with FAR clause 52.249-12.

C.7.10.3. Upon receipt of a complete CR, the COR will forward the package to the MTF’s Medical Staff Services Office (MSSO) for credentials review of the individual HCW. The MSSO shall ensure the CR is complete in accordance with BUMEDINST 6010.30 (and subsequent revisions). The Contractor shall not assign an individual to work at the MTF until the HCW’s CR has been approved by the designated Privileging Authority.

C.7.10.4. The contractor is responsible for prime source verification of all licenses and certifications prior to submission of the CR to the COR. The contractor shall provide written documentation from the verifying agency that includes the agency POC, their position and contact information, the agency name, and the date of verification. The contractor shall also include a copy of their outgoing letter to the primary issuing agency requesting written verification. Upon receipt by the contractor, the issuing agency's original letterhead verification response shall be provided to the MTF Medical Services Professional, via the COR. Services shall not be performed until appropriate clinical privileges have been granted, or in the case of clinical support staff, credentials have been approved.

C.7.10.5. The contractor shall ensure that all documentation necessary to keep each individual CR current is submitted to the MSSO, via the COR, for inclusion in each file. The contractor shall maintain a complete credential file for each HCW during the life of this contract. It is emphasized that the file and the documents therein shall be kept current and shall be made available for Government inspection upon request if needed for further credential review.

C.7.10.6. The government reserves the right to transfer to the gaining Contractor the credentials of a HCW who has been granted delineated clinical privileges on a predecessor Contract/Task Order without a new or additional credentialing action. This extension may occur only: 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) There has been no documented negative or unsatisfactory performance issues with the HCW.

C.7.10.7. Permanent revocation of clinical privileges and permanent adverse administrative actions due to professional misconduct against licensed or certified practitioners may be reported to the appropriate professional licensure clearinghouse and/or to the licensing authorities of the state in which the services are performed in compliance with SECNAVINST 6401.2. In addition, contract providers are advised that the Department of Defense participates in the national reporting system established under Part B of the Health Care Quality Improvement Act of 1986, Public Law 99 660. Reports, naming individual practitioners, shall be submitted to the National Practitioner Data Bank in accordance with this Act.

C.7.10.8. The privileging authority per BUMEDINST 6010.30 will grant clinical privileges where appropriate to those HCWs requiring privileges to perform services. If a HCW’s employment with the contractor ends for any reason, all clinical privileges and medical staff appointments shall be terminated without recourse to the fair hearing and appeals procedures specified by the medical staff bylaws and DoD Manual 6025.13 and BUMEDINST 6320.67A (and subsequent revisions).

C.7.10.9. For non-credentialed HCWs: The Contractor shall submit a qualifications package to the COR for each HCW who is not required to submit a CR. Prior to Contractor’s HCWs providing services under this contract, the COR will verify the compliance of each HCW with the qualification requirements appropriate to their employment category. For HCWs who do not currently have a qualification package on file at the facility, the contractor shall submit a package to the COR at least 30 days prior to required commencement of services. For those HCWs who currently have a qualification package on file, an updated qualification package shall be submitted no less than 15 days prior to required commencement of services.

C.7.10.10. The Contractor shall continuously maintain a current list of all individuals who have been privileged, credentialed, or approved for service under each task order. The Contractor shall provide a copy of the updated list to the COR monthly, or more often as requested by the COR. In addition, the contractor shall provide a copy of each HCW’s renewal/update of certifications, including but not limited to: flu shots, certifications (BLS, ACLS, PALS, etc.), licenses and/or certifications. In addition, the Contractor shall provide a report of employees' status for reportables such as, but not limited to flu shots, , certifications (BLS, ACLS, PALS, etc.), licenses and/or certification, etc. The report shall be in table format, alphabetical by employee's name, and list status of the reportable items. An updated report shall be provided to the COR not later than the 3rd business day of each month.

C.7.10.10.1. Documentation containing HCW PII and/or HIPPA information shall be transmitted via encrypted email or via AMRDEC SAFE, accessible at https://safe.amrdec.army.mil/safe/

C.7.10.11. The contractor shall inform the COR of any terminations of employment within 24 hours of the action.

C.7.11. ORIENTATION

C.7.11.1. Each HCW providing services under this contract or resultant task orders 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.7.11.2. Orientation shall consist of Command Orientation and Information Systems Orientation. Command orientation of up to 40 hours includes annual online training requirements for topics such as but not limited to fire, safety, infection control, family advocacy, Chemical, Biological, Radiological, Nuclear, and Explosive Events (CBRNE) Basic Awareness, and various Navy required on-line trainings. 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). HCWs identified as CHCS and/or AHLTA Super-users shall undergo an additional 8 hours of information systems orientation. Any additional or specific requirements for orientation will be provided in the applicable task order.

C.7.11.3. Orientation will be provided to HCWs, as required, during initial regularly scheduled shifts under the task order or as specified in the task order.

C.7.11.4. 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.7.11.5. 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 HCW shall complete all orientation within 60 days after commencement of services by the HCW.

C.7.11.6. If a requirement for orientation exists it will be billed as a blended rate or as a separate SLIN under the corresponding labor category in Section B at the task order level.

C.7.12. 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 task order.

C.7.13. HCWs shall possess basic computer skills. The Contractor shall provide a completed Computer Skills Competency Form for each HCW (Attachment AD)as part of the candidate’s credential or qualification package

C.8. SPECIFIC QUALIFICATIONS THAT APPLY TO LABOR CATEGORIES THROUGHOUT THE DURATION OF THE CONTRACT. Additional/supplemental qualifications will be addressed in the task order for each labor category.

C.8.1. CURRENT COMPETENCY AND LETTERS OF CLINICAL COMPETENCY.

C.8.1.1. Notwithstanding the experience requirements listed below for each labor category, each HCW proposed for a credentialed position must have pertinent clinical experience within the past two years sufficient to demonstrate current clinical competency for the setting and procedures required by the contract and individual Task Order.

C.8.1.2. For all non-credentialed/privileged positions, a requirement of recommendation letters may be specified in the task order.

C.8.2. GENERAL DENTIST

C.8.2.1. Possess either:

C.8.2.1.1. A doctorate in dentistry from an accredited dental school approved by the Council on Dental Education of the American Dental Association (ADA) within the preceding 12 months.

OR

C.8.2.1.2. A doctorate in dentistry from an accredited dental school approved by the Council on Dental Education of the ADA and have experience as a General Dentist of at least 12 months within the preceding 36 months.

C.8.2.2. Have successfully completed at least 12 classroom hours of continuing dental education, which maintain skills and knowledge as a General Dentist within the preceding 24 months. This requirement is not applicable to new graduates per C.8.2.1.1 above.

C.8.2.3. Possess a current, unrestricted license to practice dentistry in any one of the fifty States, the District of Columbia, the Commonwealth of Puerto Rico, Guam or the U.S. Virgin Islands. The HCW is responsible for complying with all applicable state licensing regulations. All state dental/medical licenses held by each HCW must be submitted as part of the credentialing package.

C.8.2.4. A requirement for letters of clinical competency may be specified in the task order.

C.8.3. DENTAL HYGIENIST

C.8.3.1. Possess a degree or certificate in dental hygiene from a school of dental hygiene approved by the Council on Dental Education of the ADA.

C.8.3.2. Hold a current, unrestricted license to practice as a dental hygienist in any one of the fifty States, the District of Columbia, the Commonwealth of Puerto Rico, Guam or the U.S. Virgin Islands.

C.8.3.3. Have experience as a dental hygienist for at least 12 months within the preceding 24 months, OR have graduated from an ADA approved dental hygiene program within the preceding 12 months.

C.8.3.4. Have either (a) successfully completed at least 12 classroom hours of continuing dental hygiene education within the preceding 18 months which maintain skills and knowledge in dental hygiene and preventive dentistry OR (b) graduated from an ADA approved dental hygiene program within the preceding 12 months.

C.8.3.5. A requirement for letters of clinical competency may be specified in the task order.

C.8.4. DENTAL ASSISTANT

C.8.4.1. Possess at least one of the following:

C.8.4.1.1. Certificate or Associate Degree as a dental assistant/technician from a state accredited program and 12 months experience within the preceding 36 months.

C.8.4.1.2. Certification from a military dental technician or dental assistant "A" school and 12 months experience within the preceding 36 months.

C.8.4.1.3. Certification from a Red Cross Dental Assistant course and 12 months experience within the preceding 36 months.

C.8.4.1.4. Certification from a Military Red Cross Dental Assistant course within the preceding 6 months.

C.8.4.1.5. 36 months experience within the preceding 60 months as a dental assistant in a private practice or a military clinic.

C.8.4.1.6. Membership in good standing with the…