Amendment_1_N62645-19-R-0005.docx

N6264519R0005

Combined Synopsis/Solicitation for Patient Safety Specialist Services

AMENDMENT 0001

The purpose of this amendment is answer questions from potential offerors. The closing date and time are not changed. Revisions have been made to the following:

· Performance Work Statement, Section 3.1.1

· Special Contract Requirements, Section 15.

· ADDENDUM TO 52.212-1, Sections 2.2.2. and 2.5.1

· Attachment 1 Past Performance Information Sheet, Section II, Question B.(2)

Questions and Answers:

1. Can you please tell me if this is a new requirement? If not, who is the incumbent, and what is the contract number?

Response: There is not a current contract in place.

2. Pages 3 of 112 (Item No. 0002), 4 of 112 (Item No. 1002), 5 of 112 (Item No. 2002), 6 of 112 (Item No. 3002), and 7 of 112 (Item No. 4002) request pricing Net AMT for Travel/Relocation but Attachment 4 - Pricing Workbook, Instructions tab, #7 note states "A price shall not be proposed for travel."

Is Travel/ODC to be priced? If so, where? If not, should we ignore the item numbers listed above?

Response: Travel and relocation are reimbursement costs and are not prices that the offeror shall propose. Please note that pricing shall only be submitted using the pricing workbook in accordance with the solicitation instructions.

3. Page 15 of 112, Section 3.1.1, 3.1.2, 3.1.3, 3.1.4, 3.1.5: Is the total number of expected full time positions equal to 15?

Response: The expected level of effort for the contract is 15 full time positions.

4. Page 15 of 112, Section 3.1.1, "Naval Health Clinic Annapolis, MD (1 Full Time Full Time Position Expected)."

Should this read Naval Health Clinic Annapolis, MD (1 Full Time Position Expected)?

Response: The expected level of effort at Naval Health Clinic Annapolis is 1 Full Time Position. Paragraph 3.1.1 of the Performance Work Statement has been revised.

5. Page 22 of 112, 10.4.9.1, "OPSEC Training. New Contract workers shall complete initial OPSEC orientation training within 30 calendar days of their reporting for duty. All Contract workers shall complete annual Uncle Sam's OPSEC training thereafter in accordance with DOD and Navy directives." Will this training be provided at Government expense?

Response: This training will be provided at the expense of the government.

6. Page 22 of 112, 10.4.9.2, "Personally Identifiable Information (PII)/Protected Health Information (PHI). PII and PHI will be protected in accordance with DOD and Navy directives, in such a manner as to prevent unauthorized disclosure. Ensure that all e-mails containing PII and PHI are encrypted." Will the Government provide the encrypted email system if required?

Response: Emails will be sent through government’s email system, which allows for encryption.

7. Page 34 of 112, "(a) The Contractor agrees that a partial basis for award of this contract is the list of key personnel proposed. Accordingly, the Contractor agrees to assign to this contract those key persons whose resumes were submitted with the proposal necessary to fulfill the requirements of the contract." Which response Volume should we include key personnel resumes? Is there a page limit on resumes?

Response:

Section 15 of Special Contract Requirements has been revised to N/A. There is no requirement for key personnel resumes to be submitted.

8. Page 107 of 112, Section 2.2.2, "The total number of the pages submitted for Volume II (Technical) shall not exceed 5 (8 ½ X 11 inch) pages, excluding a title page, table of contents, and glossary. If Volume II contains more than 5 pages, only the first 5 pages will be evaluated." Should Volume II be Volume I instead in this statement?

Response: This section has been revised to reference Volume I.

9. Page 108 of 112, "2.3.4. If a Past Performance Information Sheet is submitted for a contract under which the offeror or teaming partner provided services as a subcontractor, partner, mentor, protégé, parent company, sister company, etc., the Past Performance Information Sheet shall clearly describe the corporate relationships among those who provided the services, citing key responsibilities for each, to include identifying the specific services provided (in terms of numbers and types of personnel, locations, etc.) and nature of services provided (e.g., recruitment, payroll, benefits administration, etc.). If the submission does not clearly detail the specific responsibilities and relationship under a contract, it will be determined not relevant." Based on language in 2.3.4, if we submit an Attachment 1- Past Performance Information Sheet (PPIS) for a relevant past performance where the offeror served as a subcontractor, should Section II of that PPIS be completed by the prime contractor or by the Government client for that past performance?

Response: Section 2.3.8. of Addendum to 52.212-1 states “Customer POCs shall be either Government personnel (civil service or military) or employees of private sector medical facilities for which the contractor has provided services. Past Performance Information Sheets that list POCs that work for, or have worked for, the offeror or with a teaming partner(s) directly or indirectly will be determined not relevant.”

10. Page 109 of 112, paragraph 2.5.1 states "The offeror shall complete and submit FAR 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS--COMMERCIAL ITEMS (OCT 2015) ALTERNATE I (OCT 2014)." However, in the combined Synopsys/Solicitation pages 67-82 of 112 is 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS--COMMERCIAL ITEMS (OCT 2018).

Should we complete and submit the Oct 2018 version included in the combined Synopsis/Solicitation?

Response: Section 2.5.1 of ADDENDUM TO 52.212-1, “FAR 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS--COMMERCIAL ITEMS (OCT 2015) ALTERNATE I (OCT 2014)” has been revised to “52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS--COMMERCIAL ITEMS (OCT 2018)”.

11. Attachment 1 - Past Performance Information Sheet. Can the Government add" Choose an item."

dropdown boxes in these designated places? B.SCHEDULE AND COST CONTROL: (2) The Contractor performed the effort within the estimated cost/price. (Choose an item.) B.SCHEDULE AND COST CONTROL: (2) Was the Contractor effective in forecasting/managing/controlling cost? (Choose an item.)

Response: Section II, Question B.(2) of the Past Performance Information Sheet has been revised.

12. Attachment 4 - Pricing Worksheet, reference SLIN 0001 Required Services states "Base Period 01 September 2019- 31 August 2020." When does the current contract period of performance end?

Response: There is not a current contract in place.

This is a combined synopsis/solicitation for commercial items prepared in accordance with FAR 12.6, Streamlined Procedures for Evaluation and Solicitation of Commercial Items, as supplemented with additional information included in this notice. This announcement constitutes the only solicitation; proposals are being requested and a written solicitation will not be issued. It is the contractor’s responsibility to be familiar with the applicable FAR and DFARS clauses and provisions. The FAR and DFARS clauses may be accessed in full text at http://farsite.hill.af.mil/ The NAICS code is 541690, with a business size standard of $15 million.

This Request for Proposal (RFP) is for Patient Safety Specialist services for selected Military Treatment Facilities (MTFs) and their Branch Health Clinics (BHCs) (hereafter referred to as “the MTF”) both within and outside of the contiguous United States (OCONUS and CONUS). As part of the implementation of the Department of Defense (DoD) Military Health System Patient Safety Program (MHSPSP), the contractor shall provide Patient Safety Specialists that serve as part of the Risk Management/Quality Assurance team and shall work closely with MTF staff for optimization of the Patient Safety Program (PSP). Patient Safety is separate and distinct from environmental safety. The Patient Safety Specialists shall be responsible for the collection, analysis, tracking of progress, display of data, completion and submission of reports, training and education, presentations and meetings as it relates to the MTF’s PSP.

The solicitation number is N62645-19-R-0005.

This solicitation will result in an award of a single contract for all requirements. The contract will have a one-year base period and four one-year option periods.

Proposal Submission Proposals shall be submitted in accordance with the RFP (Addendum to 52.212-1 – Instructions to Offerors – Commercial Items) to usn.detrick.navmedlogcomftdmd.mbx.matrix@mail.mil.

Exhibit/Attachment Table of Contents

DATE

26-FEB-2019

28-FEB-2019

28-FEB-2019

26-FEB-2019

28-FEB-2019

Patient Safety Specialist Services

FFP

Services to be provided in accordance with the Performance Work Statement.

FOB: Destination

PSC CD: R706

NET AMT

Travel/Relocation

FFP

Travel in accordance with Section 12 of the PWS and Relocation in accordance with Section 9 of Special Contract Requirements.

NET AMT

FFP

Services to be provided in accordance with the Performance Work Statement.

NET AMT

FFP

Travel in accordance with Section 12 of the PWS and Relocation in accordance with Section 9 of Special Contract Requirements.

NET AMT

FFP

Services to be provided in accordance with the Performance Work Statement.

NET AMT

FFP

Travel in accordance with Section 12 of the PWS and Relocation in accordance with Section 9 of Special Contract Requirements.

NET AMT

FFP

Services to be provided in accordance with the Performance Work Statement.

NET AMT

FFP

Travel in accordance with Section 12 of the PWS and Relocation in accordance with Section 9 of Special Contract Requirements.

NET AMT

FFP

Services to be provided in accordance with the Performance Work Statement.

NET AMT

FFP

Travel in accordance with Section 12 of the PWS and Relocation in accordance with Section 9 of Special Contract Requirements.

NET AMT

INSPECTION AND ACCEPTANCE TERMS

Supplies/services will be inspected/accepted at:

DELIVERY INFORMATION

31-AUG-2020

CARMEN BIRK

SEE PWS

SEE PWS AA

703-681-9187

N37100

31-AUG-2020

N37100

31-AUG-2021

N37100

31-AUG-2021

N37100

31-AUG-2022

N37100

31-AUG-2022

N37100

31-AUG-2023

N37100

31-AUG-2023

N37100

31-AUG-2024

N37100

31-AUG-2024

N37100

PERFORMANCE WORK STATEMENT

Patient Safety Specialist Services Enterprise-Wide

UID: 37100160117

*Note: The period of performance of the base period is 12 months. The period of performance for each option period is also 12 months. When the Performance Work Statement mentions time frames greater than 12 months an option would need to be exercised in order for such a time frame to apply.

*Note: If the contract worker receives instruction from an individual other than the Contracting Officer’s Representative (COR) that conflicts with the Performance Work Statement, the contract worker shall address the situation with the contractor and the COR.

SECTION 1 – SCOPE

1.1. BACKGROUND

The Military Health System (MHS), the medical departments of each military service and individual Military Treatment Facilities (MTFs) are committed to providing safe, high quality health care services to the beneficiaries served. The MHS commitment to patient safety and quality care was enhanced by the Floyd D. Spence National Defense Authorization Act of 2001 which mandated the DoD Patient Safety Program (PSP). The goal of the DoD PSP is to eliminate preventable harm. To accomplish this mission Navy Medicine must foster a culture of safety that; (1) encourages an evidence-based systems approach to create a safer patient environment; (2) engages MHS leaders on the importance of patient safety and the establishment of a supportive organizational culture; and (3) fosters trust, transparency, teamwork and communication. The Navy PSP, in addition to complying with the DoD requirements, also meets all The Joint Commission (TJC) requirements including the adoption and implementation of The National Patient Safety Goals (NPSGs) and TJC Patient Safety Chapter.

1.2. SCOPE

The contractor shall provide Patient Safety Specialist services for selected MTFs and their Branch Health Clinics (BHCs) (hereafter referred to as “the MTF”) both within and outside of the contiguous United States (OCONUS and CONUS). As a part of the implementation of the Department of Defense (DoD) Military Health System Patient Safety Program (MHSPSP), the contractor shall serve as part of the Risk Management/Quality Assurance team and shall work closely with MTF staff for optimization of the patient safety program (Patient Safety is separate and distinct from environmental safety). The contractor shall be responsible for the collection, analysis, tracking of progress, display of data, completion and submission of reports, training and education, presentations and meetings as it relates to the MTF’s PSP.

1.2.1. Site of Service

The contractor may occasionally be required to travel within fifty (50) miles of the MTF to sites that fall under the cognizance of the MTF. Any travel costs for providing duties at sites within 50 miles of the MTF will not be reimbursed by the government.

SECTION 2 - DUTIES

2.1. Data Collection, analysis and tracking

2.1.1. The contractor shall review and monitor the PSP policies/practices including implementation of all applicable National Patient Safety Goals, DoD Patient Safety Culture Survey results, Navy PS Culture and Change Plan measures, Sentinel Event and FMEA corrective actions and The Joint Commission (TJC) survey findings of all areas for adherence to, and compliance with BUMED, regulatory agency and accreditation standards requirements. The contractor shall route new events in the PSR system to the appropriate POC in the database for action.

2.1.2. The contractor shall prepare the MTF for internal and external reviews by conducting tracers and making rounds on the different units and clinics. The contractor shall look for compliance with National Patient Safety Goals (NPSGs) documenting observations made during rounds/tracers and sharing observations with QA and RM staff to make sure the MTF is compliant with all PS policies.

2.1.3. The contractor shall conduct daily, weekly or monthly evaluations of the implementation of facility wide PSP activities, policies, and procedures to ensure overall effectiveness using approved methodologies to include tracers and direct observations.

2.1.4. The contractor shall work with QA and RM to ensure alignment of patient safety and quality improvement activities and risk reduction strategies.

2.1.5. The contractor shall assist in the collection, review, processing, categorization, and tracking of patient safety event reports. This includes all patient safety events regardless of the degree of harm. The PSR allows for the production of a number of reports by different categories and types as well as degree of harm. The harm degrees shall be established by using the definitions set by DoD and TJC. Data collection occurs in the staff interviews, tracers, leadership and TJC rounds.

2.2. Reports

2.2.1. The contractor shall provide assistance to MTF Leadership, QM, Patient Safety Manager, and RM, in identifying patient safety trends. Assistance includes collating, analyzing, displaying, and putting data results in a typed paper or spreadsheet. This information shall be presented to leadership in a formal presentation or verbal report, based on the type of report the committee requires. The report shall be compiled in a Microsoft Office compatible format using basic statistical computations and the report tools available in the DoD PSR tool. Detailed written or verbal reports of patient safety trends shall be provided weekly or less frequently based on the needs of the MTF.

2.2.2. The contractor shall prepare briefings on PSP activities to include PS trend reports on types of events seen, if there is an increase or decrease in harm and/or no harm events reported, tracer results and findings from the patient safety rounds to the QA or MTF Leadership for presentation to committees, department heads, directorates, and leadership meetings including quarterly summaries of program activities. These briefings are prepared monthly or as needed.

2.2.3. The contractor shall provide reports, recommendations, and insight on the overall functioning of the PSP to MTF Leadership, QA and RM semi-annually.

2.2.4 The contractor shall verify the Tracers on fentanyl patch use, medical gases and medication reconciliation were completed semiannually. The verification of completion shall be placed on the annual BUMED audit checklist and provided to the QA department head for submission to the Regional and BUMED RM.

2.2.5. The contractor shall report tracer results to the MTF quality/safety committee and to the appropriate department heads within one week of completion of the rounds or at the next committee meeting, whichever occurs first.

2.3. Patient Safety week activities

2.3.1. The contractor shall discuss with the QA and RM department the priorities for PS Week activities and develop a written plan for the execution of the activities. Examples of activities include demonstrating effective hand washing, having staff identify the issues in a patient room filled with multiple errors and how to enter a PS event report electronically into the PSR system.

2.3.2. The contractor shall develop and prepare flyers, educational material, and coordinate activities for use at the MTF during the annual National PS Week. The PS materials shall address the key PS issues pertinent to professional staff and/or the whole team. The materials and activities shall be updated and appeal to different levels of staff.

2.3.3. The contractor shall identify materials available through the DoD PSP website which the MTFs can order free of charge to help support the program and PS week. Educational materials include book marks, badges, and designed spaces for identifying errors.

2.3.4. The planned activities and materials to be used shall be briefed to MTF Leadership. The lessons learned from the National PS Week activities shall be summarized and made available for MTF Leadership, QA and RM for review and input.

2.4 Monitoring and Accreditation

2.4.6. The contractor shall perform random audits of corrective actions implemented following an RCA or FMEA to ensure continued compliance and sustainment within the MTF at least monthly for four months.

2.4.7. The contractor shall perform 15 direct observations each month on the use of the Universal Protocol and provide the results to the MTF Commanding Officer (CO) by the 10th day of each month. Following CO concurrence, the contractor shall send the results to BUMED by the 15th of each month. Five daily huddle observations are completed monthly and trended at the MTF level.

2.4.8. The contractor shall perform direct observations, assessing how staff members implement the current TJC NPSG and/or implement other PS practices as per MTF policies and provide informal teaching on the NPSG and any command policies that relate to them at least monthly.

2.4.9. The contractor shall perform FMEAs every 18 months per TJC accreditation requirements. The contractor shall guide the MTF in the selection of a topic and facilitate the team appointed by the CO.

2.4.10. The contractor shall encourage all staff to complete the DoD Culture survey and address any concerns or questions with regard to the survey questions. Once completed, the PSS will assist with monitoring any dimension chosen by the MTF for further evaluation.

2.4.10.1. The contractor shall serve as the Point of Contact for the culture of safety survey questions.

2.4.11. The contractor shall access the PSR system at the MTF, so they can be familiar with the events occurring and note who is assigned to each event for review. The contractor shall communicate with the staff and make sure the correct interventions have been taken to avoid repeat occurrences. If another department had a role in the event, the contractor shall add them to the list of people who comment on the event. The list of approved investigators is within the PSR system.

2.4.12. The contractor shall ensure patient safety event reports are entered and processed in the DoD PSR tool regardless of the medium in which the report was initially submitted (electronic, phone or paper). Information entered on the forms in the PSR shall be accurate and complete. The contractor shall not enter names in the free text sections. The contractor shall provide documentation to support the findings and actions taken.

2.4.13. The contractor shall notify the risk manager and the quality manager of any event that meets TJC requirements of a sentinel event, serious reportable event, an unanticipated death or an event with permanent harm as soon as they identify the event falls into one of these categories.

2.4.14. National Patient Safety Goals (NPSGs)

The contractor shall monitor compliance with NPSGs that are “owned” by other groups within the MTF quarterly. There are five groups that “own” NPSGs. The Infection Control Committee oversees hand hygiene, difficult to treat infections (ex. MRSA), central line infections, urinary catheter infections and surgical site infections. The Blood Utilization Committee oversees blood product safety. The Medical Records Committee oversees suicide risk assessment. The CPR Committee oversees code blue drills. The Lab oversees critical result reporting. These groups will provide a verbal or written report of documentation of compliance to the contractor.

2.4.15. Tracers

The QA/RM will meet with the contractor to select tracer topics not already defined by BUMED, but relevant to the command as they apply to TJC survey findings, NPSGs, TJC standards, TJC Sentinel Event Alerts and corrective actions from Sentinel Events and FMEAs, to ensure consistency with TJC and MTF policy.

2.5. RCAs and Comprehensive Safety Analysis (CSA)

The frequency of adverse events meeting TJC Sentinel Event (SE) or DoD Serious Reportable Event (DoD-RE) definitions is unpredictable and cannot be quantified. Comprehensive Safety Analysis (CSA) may be completed on those non SE that have low level or no harm to a patient or internal improvement events.

2.5.1. The contractor shall facilitate RCAs with a group of medical professionals from the MTF on cases involving unanticipated death or serious permanent harm whether or not meeting TJC /SRE reporting requirements. Prior to facilitating an RCA the contractor shall review the RCA module found in the Patient Safety Learning Center site for DoD, as well as the Taproot sessions that are prerecorded. The contract will also review the VA hierarchy of corrective actions.

2.5.2. The RCA and action plan shall include written findings regarding the underlying systems and processes involved in the event, including the identification of actual and potential problems in those systems and processes and recommendations for completion. The contractor shall submit the RCA to the MTF QA department for CO approval prior to forwarding to the Region, BUMED and TJC. The four month corrective action plan shall be submitted to BUMED within two weeks after completion of the report.

2.5.2.1. Internal RCAs or CSAs shall be submitted to the Region and BUMED within 60 days of initiating of the RCA/CSA. The four month corrective action plan shall be submitted to BUMED two weeks after completion of the report.

2.5.2.2. The contractor shall send a draft RCA to BUMED RM 5 days before it is due to the leadership of the MTF if no causal factors or corrective actions are addressed in the review. The contractor shall submit the RCA to the MTF CO after BUMED RM has reviewed the report and concurred process corrections are not warranted.

2.5.3. The contractor shall label each page of RCA/CSA and Patient Safety Event reports with the 10 USC 1102 QA information tag.

2.5.4. The contractor shall complete SE/SRE RCAs within 45 days or the individual timeline set by TJC unless TJC grants an extension to the MTF. If an extension is needed, the contractor shall information the QA/RM, so they can request the extension. The contractor shall notify the Region and BUMED RM of the new due date, if an extension is granted. The contractor shall send all RCAs sent to the TJC, the Region and BUMED on the same date.

2.5.5. The contractor shall submit the measures of success to the TJC four months after TJC accepts the RCA. The contractor shall submit this document to the MTF leadership at least 5 days before the due date. The leadership approved document shall be submitted to the Region and BUMED at the time it is sent to TJC. The document shall include TJC assigned number.

2.5.6. The contractor shall perform FMEAs every 18 months according to the accreditation requirements set by TJC. The contractor shall serve as the FMEA team leader, guiding the MTF in the selection of a topic and facilitating the team appointed by the CO. As part of the FMEA process, the FMEA team leader shall provide updates to BUMED RM at the beginning of the cycle to discuss the selected topic and scope of the review, at 6 months to discuss the implementation plans and at 12 months to provide a progress report. At 18 months the contractor shall submit the final document to BUMED.

2.5.7. The contractor shall submit the number of staff receiving TeamSTEPPS training, in high risk and general areas, to the MTF CO by the 5th of the month.

2.5.8. The contractor shall audit the clinics for regulatory compliance in addition to the main MTF. Branch Clinic audits are considered site visits.

2.6. Training and Education

2.6.1. The contractor shall provide education and training on patient safety topics within the MTF and the BHCs. Training includes orientation, periodic special trainings when new requirements from DoD, the US Navy Bureau of Medicine and Surgery or the TJC occur or if trends demonstrate a need to revisit various topics/processes. Additional training topics include current TJC survey findings, how to meet the NPSGs, and findings/trends from the Patient Safety Reports.

2.6.1.1. The training and educational components shall address all the members of the healthcare team and their role and impact on the Patient Safety Program. The training shall include the importance of reporting unsafe conditions, near misses and events that reach the patient regardless of the level of harm.

2.6.1.2. The contractor shall participate in Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) training and/or provide teaching materials to the education department or the master trainers.

2.6.2. The contractor shall provide training on entering data into the (Patient Safety Reporting) PSR system, addressing what, how and why the information is placed in the PSR, and the process for following up on the findings/recommendations from Root Cause Analyses (RCAs) and Failure Modes and Effects Analyses (FMEAs) to ensure the corrective actions derived from the RCAs and FMEAs have been implemented and are getting the identified results. TeamSTEPPS training is required during all command orientation sessions (bi-monthly or monthly) and at six month intervals for high risk areas and annually for other departments.

2.6.2.1. The contractor shall participate at a minimum every 6 months or as needed in face to face department patient safety refresher training for inpatient and outpatient clinical departments (examples include: Pediatrics, Family Medicine, Internal Medicine, Dental Health Component (DHC), Mental Health, Optometry, Radiology, Lab, Pharmacy, Physical Therapy (PT) , Emergency Department (ED), Medical Social Workers (MSW), Post-Anesthesia Care Unit (PACU)/Anesthesia, Orthopedics, General Surgery and Alternate Military Command Center (AMCC).

2.6.3. The contractor shall develop patient safety related educational materials that address the unique needs of the MTF professional medical, nursing staff and support patient care staff.

2.6.4. The contractor shall provide just in time training for the RCA team members explaining their role and how to complete a RCA report using the taproot process. The completed report in the word template taproot format shall include the DoD short form, investigative summary, the detailed snap chart, the causal factors and action plan with corrective actions.

2.6.5. The contractor shall observe the use of the Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) tools by staff in high risk areas to include briefing, debriefing and huddles. This shall be completed during tracers for the PS culture initiative work. The contractor shall notify the Quality Assurance (QA) department head of the findings if the TeamSTEPPS are not being done correctly or if MTF staff members are having problems.

2.6.6. The contractor shall promote event reporting in the PSR among all staff at the MTF during leadership, TJC and Environmental rounds and tracers.

2.6.7. The contractor shall arrange for monthly training for investigators on the PSR system or when new staff arrive if the cycle is not monthly.

2.6.8. The contractor shall use the taproot process for conducting RCAs and to complete the RCA report. The contractor shall utilize the US Navy Bureau of Medicine and Surgery (BUMED) RCA word template, and PowerPoint for the snapchart in order to complete the RCA report.

2.6.9. The contractor shall participate in weekly leadership rounds, weekly tracers, annual PS Week activities, team training programs, BUMED Risk Management (RM) Teleconferences and BUMED PS training activities as they are announced. The BUMED teleconferences are held every two months for approximately two hours.

2.7. Meetings briefs presentations

2.7.1. The contractor shall prepare a monthly report for each MTF/clinic summarizing the activities of the PSP for the designated committees. The report shall include the findings of the tracers conducted during the month plus any findings from the universal protocol observations, MTF leadership, TJC and environmental rounds.

2.7.2. The contractor shall present the progress made on the key culture safety initiative tasks each month. The presentation shall include the number of high risk and regular TeamSTEPPS staff trained, the number of PSR events and the associated harm categories assigned, number of RCAs completed and the number of RCAs in progress.

2.7.3. The contractor shall attend the MTF scheduled quality oversight meetings related to infection control, environment of care, quality/PS committee and other committees as invited.

2.7.4. The contractor shall meet weekly with the RM/QA leads to review any adverse events, near misses and review strategies and goals for the PSP.

SECTION 3 – LOCATION OF SERVICES, EXPECTED LEVEL OF EFFORT, AND HOURS OF OPERATION

3.1. Duty Hours are as follows:

3.1.1 The following MTFs and associated Branch Health Clinics operate from 0730 – 1600 (7:30 AM – 4:00 PM) Monday through Friday (excluding federal holidays):

Naval Medical Center, San Diego, CA (2 Full Time Positions Expected)

*If after reviewing the PWS, the contractor determines that an alternate level of effort is appropriate, they may.

3.1.2. The following MTF’s and associated Branch Health Clinics operate from 0730 – 1630 (7:30 AM – 4:30 PM) Monday through Friday (excluding federal holidays):

3.1.3. The following MTF’s and associated Branch Health Clinics operate from 0700 – 1700 (7:00 AM to 5:00 PM) Monday through Friday (excluding federal holidays):

Naval Health Clinic Lemoore, CA (1 Full Time Position Expected)

3.1.4. The following MTF’s and associated Branch Health Clinics operate from 0700 – 1530 (7:00 AM to 3:30 PM) Monday through Friday (excluding federal holidays):

Naval Medical Center Camp Lejeune (1 Full Time Position Expected)

3.1.5. The following MTF’s and associated Branch Health Clinics operate from 0700 to 1700 (7:00 AM to 5:00 PM) Monday through Friday (excluding federal holidays):

Captain James A. Lovell, Federal Health Care Center (1 Full Time Position Expected)

Note: Patient Safety services will be provided for recruitment and dental functions only.

3.2. All closings for severe weather or other emergency shall be at the sole discretion of the government. The contractor shall maintain services, unless notified by the COR that a closing due to weather conditions or other emergency is authorized. The COR will provide guidance to the contractor on the MTF protocol for closings.

3.3. Furlough.

Unless otherwise authorized by a defense appropriations bill, contractors shall not be reimbursed by the Government for services not rendered during a Government furlough. In the event of a Government furlough, the Commanding Officer will determine which contract workers are considered critical and therefore must report to work. Contract workers deemed essential shall be compensated for services rendered during a furlough. All other contract workers shall be furloughed until the Government shutdown ends or they are notified by the Contracting Officer’s Representative that they hold essential positions.

SECTION 4 – DELIVERABLES

2.2.1-2.2.5

2.6.9

2.3.1-2.3.4

2.2.1-2.2.5

SECTION 5 – PERFORMANCE

5.1. QUALITY ASSURANCE SURVEILLANCE PLAN (QASP) MATRIX

Paragraph 10.1.

Accuracy

Security Requirements: Contractor to comply with all Facility Security Requirements.

Contractor to complete and submit the RCA to TJC and BUMED within the timelines indicated in the PWS.

Contractor to prepare a synopsis of key PS data issues identified in TJC surveys, RCAs, tracers and rounds

Paragraph 2.4.7.

SECTION 6 - QUALIFICATIONS

6.1. GENERAL QUALIFICATIONS THAT APPLY TO ALL CONTRACTORS

The contractor shall provide personnel having certain minimum levels of training and experience. This section is in no way intended to dictate a staffing plan to the contractor for the performance of the services delineated in this performance work statement. The services require that contract workers possess the following minimum qualifications to meet contract requirements.

6.2. Be a U.S. Citizen per Attachment 5.

6.3. SPECIFIC QUALIFICATIONS FOR PATIENT SAFETY SERVICES

6.3.1. Possess a baccalaureate degree in Nursing or another healthcare related field.

6.3.2. Possess a minimum of three years of experience working in a risk management, patient safety, or quality improvement department in a clinical setting within the last three years. A clinical setting is defined as an environment in which medical procedures are directly performed on patients such as a hospital, ambulatory clinic, or medical clinic.

SECTION 7 – List of Workers

7.1. The contractor shall maintain a list of all individuals who are providing services under this contract. The contractor shall provide a copy of the list to the COR within 14 days prior to performance of services under this contract and as required to maintain currency of the information. The contractor shall also submit documentation demonstrating compliance with the health certifications requirements in Section 10.3.

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

SECTION 8 - GOVERNMENT AND CONTRACTOR FURNISHED ITEMS.

8.1. GOVERNMENT FURNISHED ITEMS

8.1.1. The government will provide, without cost, the facilities, materials, consumable supplies, equipment and maintenance services required to perform the duties outlined, with the exception of the administrative support services required under this contract. Government-furnished property shall only be used in the performance of this contract. The government will provide routine scheduled maintenance and repair of government-provided equipment according to MTF Instructions. Upon contractor’s request, through the COR, the government will provide repairs of government provided equipment in accordance with treatment facility instructions.

8.1.2. All office supplies currently and normally used in providing these services will be available for the contractor's use. The contractor shall be responsible for monitoring consumable supplies and equipment and coordinate with the Materials Management Department to order supplies according to MTF procedures. The contractor is liable for loss of or damage to supplies and equipment if such loss or damage is due to negligence or willful misuse. The contractor shall ensure efficient and economical use of supplies.

8.1.3. At no time during the term of this contract shall the contractor remove government furnished supplies or equipment from the MTF facilities.

8.1.4. The Contractor and Contract workers shall make no use of any Government facilities or other Government property in connection with outside employment.

8.1.5. PUBLICATIONS AND FORMS

The government will furnish all forms and publications required for the contract. The contractor is required to comply with various instructions, directives and regulations covering routine administrative, safety and security matters in the same manner as other members of the staff. Such compliance does not constitute a material expense to the contract.

8.1.6. AUTOMATED INFORMATION SYSTEMS

The government will provide and maintain all automated hardware and software required to perform the duties and services described in this contract.

8.1.6.1. The Composite Health Care System (CHCS), used to review laboratory, radiology, and pharmacy information.

8.1.6.2. Armed Forces Health Longitudinal Technology Application (AHLTA), the electronic health record program for documenting outpatient care.

8.1.6.3. Essentris the electronic health record program for documenting inpatient care or its replacement (MHS Genesis).

8.1.6.4. Patient Safety Reporting System (PSR)

SECTION 9 – QUALITY CONTROL

9.1. QUALITY OF SERVICE

This is a non-personal services contract that supports the Navy Medicine mission to oversee and coordinate the implementation of the patient safety program at designated MTFs. The patient safety services required by the contract supports the provision of patient care in the medical treatment facilities within the Area of Responsibility (AOR) and ensure proper services are available to meet the needs of Navy Medicine.

9.1.1. The contractor shall comply with applicable provisions of the law, rules and regulations of all governmental authorities, including but not limited to, the regulations and standards of the MTF. The contractor shall adhere to and comply with all Department of Navy (DON), Bureau of Medicine and Surgery (BUMED) and MTF Instructions and notices which may be in effect during the term of the contract.

9.1.2. All RCAs and Patient Safety Events are considered protected work products under the federal regulation Title 10 USC 1102 Quality assurance information and must be labeled as such. The RCA shall not be released outside the command except to BUMED or TJC.

9.2. INDEPENDENT CONTRACTOR

The services provided by the contractor are provided in the capacity of an independent contractor. The government will evaluate the quality of services for purposes of contract inspection and acceptance. The contractor shall be solely responsible for any and all liability caused by the acts or omissions of its agents or employees. The contractor shall not in any manner represent or infer that it is an instrumentality or agent of the United States Government. The contractor shall recognize that the CO maintains administrative and operational responsibility for all activities within the command and may take such actions as necessary to preserve and maintain the integrity of the command, subject to the limitations prescribed by law and U.S. Navy Regulations.

9.3. MODIFICATIONS

The CO will designate and authorize an individual to act as the Contracting Officer's Representative (COR). Any such representative appointed will be specifically designated by letter from the Contracting Officer. The COR exclusively represents the Contracting Officer in all technical phases of the work, but is not authorized to issue Change Orders, Supplemental Agreements, or direct any contract performance requiring contractual modification or adjustment. Changes in the scope of work can only be made by modification properly executed by the Contracting Officer. All observations made by persons other than the Contracting Officer or the COR are strictly advisory and shall not influence the contractor's operations except for administrative requirements and responsibilities specified herein.

SECTION 10 - START OF SERVICES

10.1. BACKGROUND INVESTIGATION

10.1.1. The Contractor Appointing Personnel shall report to the COR on the first day of contract performance. The COR shall provide direction for a proper check-in and any additional documentation or instructions that may be necessary for contract performance. The contractor shall return the completed check-in sheet to the COR within ten (10) business days.

10.1.2. Upon receipt of an adjudicated federal background investigation or at a minimum advanced fingerprint results, the Command Trusted Agent will enter contract worker into the Contractor Verification System (CVS). The contractor shall be responsible for completing the CVS application for requesting issuance of a Common Access Card (CAC).

10.1.3. Fourteen (14) days prior to performance of services under this contract, the contractor’s Security Representative shall submit to the MTF Security Manager via the COR the necessary documents to obtain the appropriate federal background investigation.

*Note: Temporary clearances are not issued at Captain James A. Lovell, Federal Health Care Center

10.3. OCCUPATIONAL HEALTH REQUIREMENTS

10.3.1. 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 MTF will identify any contract workers who are not required to complete this documentation after contract award. Declinations shall only be permitted based on either the contract worker’s religious convictions or medical contraindications (as documented by a qualified health care provider).

10.3.2. BLOOD-BORNE PATHOGEN ORIENTATION PROGRAM

Contract workers shall participate in the MTF’s Blood-borne Pathogen Orientation Program. The contract worker shall also participate in all required annual training and in periodic training for all procedures that have the potential for occupational exposure to blood-borne pathogens.

10.3.3.1 All contract workers shall comply with infection control guidelines to include the proper handling, storage, and disposal of infectious wastes and the use of universal precautions to prevent the spread of infections.

10.3.4. MANAGING THE CLINICAL RISK IN THE WORK ENVIRONMENT

The work environment inherently involves risks typically associated with the performance of job duties. The contract worker may be exposed to contagious diseases, infections and flying debris, requiring the wearing of personal protection equipment such as scrub attire, gloves, masks, and eye protection.

10.3.4.1. In the event of an exposure, the contractor and the MTF will cooperate, in accordance with applicable MTF policy, regarding offering appropriate post-exposure testing to the affected contract worker and the MTF will use its best efforts to appropriately test the source patient and obtain the patient’s consent to disclose the test results to the contract worker and the contractor. The contractor shall be responsible for providing appropriate follow-up medical care and counseling, if applicable, and record-keeping.

10.3.4.2. A contract worker with a bona fide medical emergency occurring while on duty, or with an on-the-job injury, will be provided stabilizing medical care according to the procedures of the MTF. The contractor shall reimburse the government for all medical services provided unless the contract worker is otherwise entitled to government medical services.

10.3.4.3 All accidents which may arise out of or in connection with the performance of services required herein, and which result in injury, death or property damage, shall be reported to the Safety Department and the COR immediately and to the MTF QI Department within 24 hours. Verbal reports shall be followed by written reports within 24 hours. Statements of witnesses shall be included. If any claim is made by a third party against the contractor on account of any accident which occurs in connection with the performance of this contract, the contractor shall promptly report the facts in writing to the Command Legal Advisor, the MTF QI Department, the Command Safety Department, and the COR.

10.4. ORIENTATION

Contract workers shall attend and complete Orientation within 30 days following award or the worker’s start date, if hired subsequent to contract start. Workers shall attend orientation sessions as follows:

10.4.1. Orientation will take place during regularly scheduled work hours. The hospital orientation will include familiarization with the facility complex, introduction to command rules and regulations, safety and fire regulations, introduction to military protocols such as military structure, time and rank, acquisition of parking permits and clarification of rights and responsibilities.

10.4.2. All contractor workers shall…