N6264519R0011_OCONUS_EDIS_Bridge_Final.docx

N6264519R0011

Combined Synopsis/Solicitation for Early Intervention Services (EIS)/Educational and Developmental Intervention Services (EDIS) Firm Fixed Price Contract

COMBINED SYNOPSIS/SOLICITATION

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 and FAR 16.504 Indefinite-Quantity Contracts, as supplemented with additional information included in this notice, and FAR 15, Contracting by Negotiation. 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/

This requirement is for Early Intervention Services (EIS)/Educational and Developmental Intervention Services (EDIS) services to include Allied Health and Assistant labor bands at Military Treatment Facilities (MTFs) Outside the Continental United States (OCONUS) in the Pacific and Atlantic Regions to include: U.S. Naval Hospital Okinawa, Japan; U.S. Naval Hospital Yokosuka, Japan; Naval Hospital Guam; U.S. Naval Hospital Rota, Spain; U.S. Naval Hospital Naples, Italy; and U.S. Naval Hospital Sigonella, Italy; and any associated branch clinics

The combined synopsis/solicitation number is N62645-19-R-0011 and the NAICS code is 621340.

This combined synopsis/solicitation will result in one firm fixed price contract with a period of performance of 01 February - 31 July 2019.

The scope of the requirement is listed in the Performance Work Statement.

The closing date of the solicitation is 22 January 2019, NLT 9:00AM (Eastern).

Section SF 1449 - CONTINUATION SHEET

EDIS Services Pacific Regions

FFP

Educational and Developmental Intervention Services (EDIS) Support, OCONUS as specified in Section C, Performance Work Statement.

FOB: Destination

NET AMT

EDIS Services Atlantic Regions

FFP

Educational and Developmental Intervention Services (EDIS) Support, OCONUS as specified in Section C, Performance Work Statement.

NET AMT

Travel/Relocation

COST

Reimbursement of travel/relocation expenses in accordance with Section H.9. , and its subparagraphs.

ESTIMATED COST

PERFORMANCE WORK STATMENT

Section C - Descriptions and Specifications

PERFORMANCE WORK STATEMENT &

QUALITY ASSURANCE SURVEILLANCE PLAN

Educational and Developmental Intervention Services Program

1.0. INTRODUCTION

1.1. Background. Educational and Developmental Intervention Services (EDIS) are established by Public Law 102-119, which directed the Department of Defense (DoD) to provide services to eligible children in accordance with the Individuals with Disabilities Education Act (IDEA). DoD Instruction 1342.12 provides broad policy for implementing EDIS.

Services are required at OCONUS Naval Medical Treatment Facilities (MTFs) that support of DoD Dependent Schools (DoDDS).

PACIFIC REGION

USNH Okinawa JA USNH Yokosuka JA USNH Yokosuka BHC Sasebo USNH Yokosuka BHC Yokota (374th Medical Group Yokota AB) USNH Yokosuka BHC Camp Zama/Atsugi USNH Yokosuka BHC Misawa, (Naval Air Facility Yokota) USNH Yokosuka BHC Iwakuni NH Guam

ATLANTIC REGION

USNH Naples Italy USNH Rota Spain USNH Sigonella Sicily

1.2. Independent Contractor. This is not a personal services contract. The services rendered by the contractor are rendered in the capacity of an independent contractor. The Government will perform surveillance of the contractor in the evaluation of the quality of services for purposes of contract inspection and acceptance but will not supervise the contractor’s employees. The Government retains no direct control over the services provided by the contractor. The contractor shall be solely responsible for 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 of the United States Government. The contractor shall recognize that the Commanding Officer maintains administrative and operational responsibility for all activities within the command.

2.0. SCOPE. The scope of this contract include the provision of early intervention services (EIS) to infants and toddlers with disabilities (birth through 2 years, inclusive) and their families, and special education and related services (RS) to children with disabilities (ages 3 through 21 years, inclusive) entitled to receive special services from the Department of Defense; provision of a Free, Appropriate Public Education (FAPE) including special education and related services for children with disabilities enrolled in the Department of Defense Dependent Schools (DoDDS), as specified in their Individualized Educational Programs (IEP); and monitoring of DoD programs providing EIS, special education, and related services for compliance with DoD Instruction 1342.12.

Personnel categories that are considered within the scope of the contract include clinical psychologists, occupational therapists, physical therapists, speech-language pathologists, early childhood special educators, certified occupational therapy assistants, physical therapy assistants, and assistant family service coordinators.

The contractor’s employees will be assigned to a primary work site; however the majority of services will be provided in a natural or least restrictive environment. Examples of service settings include children’s homes, DoDDS, child-care homes, childcare centers, and other community settings. A limited amount of service delivery will occur in military hospitals and clinics. Travel will be required of all contractor personnel in order to provide the services in the natural settings, and to serve children in remote locations. Possession of a valid motor vehicle operator’s license is required.

3.0. REQUIREMENTS

3.1. Basic Requirements. To achieve the goals and objectives of the EDIS Program, Naval OCONUS Medical Treatment Facilities require contractor support. The Contractor shall furnish all work, management, supervision, labor and materials necessary to ensure the effective and efficient performance of functions identified throughout this PWS which make up this requirement. The Contractor must be capable of providing flexible, responsive, and high quality services and support. The Contractor shall conduct travel and reviews that are necessary to ensure the effective and efficient performance of functions identified throughout this PWS which make up this requirement. This Performance Work Statement (PWS) specifies the tasks to be performed, deliverables to be provided and performance objectives to be met in support of the BUMED Program Office and its beneficiary populations.

3.1.1. Period of Performance. The period of performance for this period is 6-months.

The contractor shall provide support of a comprehensive, coordinated, and multidisciplinary program of Early Intervention Services (EIS) for eligible infants and toddlers (birth to 2 years inclusive) with developmental disabilities and shall provide Related Services (RS) for eligible children ages 3 through 21 years.

The contractor shall use Information Technology to document progress, concerns or other information relevant to their assigned cases, and shall enter all mandatory data in the Special Needs Program Management Information System (SNPMIS), Composite Healthcare System (CHCS), and/or Armed Forces Health Longitudinal Technology Applications (AHLTA). The contractor shall be required to initiate and complete mandatory training using internet resources such as Navy Knowledge Online (NKO) and MHS Learn for initial and refresher training, or other internet resources that may become available during the term of the contract. The contractor employees may be required to enter their social security numbers to access DoD / DoN training portals in order for the Government to track and report Command training compliance.

The Government will compensate the contractor for no more than 940 hours of service per worker, except for MTF specific part-time requirements. Typically, work is performed between the hours of 0600 and 2000 Monday through Friday. The hours of service will vary according to the needs of the client population. The contractor shall be flexible and work in a cooperative manner to accommodate their client’s schedules.

The contractor shall not provide services on federal holiday observances and the Government will not compensate the contractor for the holidays.

3.2. Performance Requirements. The Contractor shall provide the following services to accomplish the requirements of this contract.

Early Intervention Services (birth to 2 years inclusive) include:

Family training Counseling and home visits Special instruction Speech pathology and audiology Occupational therapy Physical therapy Psychological services Service coordination services Medical services only for diagnostic or evaluation purposes Early identification, screening and assessment services Vision services Social work services Health services necessary to enable the infant or toddler to benefit from the above EDIS Transportation and related costs necessary to enable an infant or toddler and the family to receive EDIS.

Related Services (ages 3 to 21 years inclusive) include:

Psychological testing and therapy Physical and Occupational Therapy Early identification and assessment of disabilities in children Counseling services including rehabilitation counseling Orientation and mobility services Medical services for diagnostic or evaluative purposes Social work services Parent counseling and training

3.3. Services Delivery Models

Early Intervention Services service delivery models include:

Individual: Services provided by a single provider to the child and family.

Collaborative: Individual services provided at the same time by two or more providers to the child and family.

Group: Services provided to two or more children at the same time; e.g., play or speech groups, by any number of providers.

Trans-disciplinary: All services provided by a primary service provider to the child and family with consultation and support from one or more other service providers.

The following list (not all inclusive) provides examples of diagnosed medical conditions that have a high probability of resulting in developmental delay. Regardless of automatic eligibility, EDIS must still conduct a comprehensive evaluation of child and family strengths and needs, and develop an Individual Family Service Plan IFSP) prior to providing services.

Examples include, but are not limited to:

Congenital Conditions Spina Bifida Hydrocephaly with shunt Microcephaly Dandy Walker Malformation Agenesis of the corpus collosum Multiple system anomalies CHARGE Syndrome - VATER or VACTERL Association Arthrogryposis

Sensory Conditions Hearing impairment equal to or greater than 40db in both ears Significant visual impairment

Chromosomal Conditions Trisomy 21 Angelman Syndrome Prader-Willi Syndrome

Perinatal Conditions Prematurity less than or equal to 1000g Perinatal stroke/IVH grade 3 & 4/PVL Difficult to control newborn seizures CNS Infection – meningitis or encephalitis Severe intrauterine growth retardation Significant environmental exposure to toxins Fetal Alcohol Syndrome Severe birth asphyxia Congenital Infection

Medical Conditions Abnormal reflexes and motor functioning Severe hypotonia/hypertonia Feeding and swallowing dysfunction Cerebral Palsy

3.4. STAFFING AND MINIMUM QUALIFICATIONS

3.4.1. The following staffing standards are defined by BUMEDINST 1755.1, “Educational and Developmental Intervention Services (EDIS) Early Intervention Services (EIS)” Section 11, subparagraph (h).

h. The overall ratio of direct care staff to the number of eligible children enrolled for EIS should average 1:15. This ratio does not include administrative or management staff and will vary based on the size of the program, population served, geographic area covered, and availability of purchased services outside of EDIS.

Staffing ratios may exceed the average at locations that have a small number of eligible beneficiaries for EIS or RS. The contractor shall staff services at these locations according to the types of services required to meet the needs of the child and family

3.4.2. The IDEA and DoD / DoN implementing directives and instructions mandate that services are provided by qualified personnel including early childhood special educators, speech and language pathologists and audiologists, occupational therapists, physical therapists, psychologists, social workers, nurses, nutritionists, family therapists, orientation and mobility specialists, pediatricians and other physicians, and certified and supervised paraprofessional assistants, such as certified occupational therapy and physical therapy assistants. BUMED Instruction 6320.66E “Credentials Review and Privileging” defines the requirements for licensed medical contractors providing EDIS services to Navy Medical Treatment Facility / DoDDS beneficiaries. Non licensed providers of services shall possess minimum qualifications as stated in this PWS.

3.4.2.1. The contractor shall ensure all providers possess the skills and applicable experience necessary to evaluate and treat infants and school aged children. Each prospective candidate shall have at least two years of general experience with pediatric clients and at least one year within the past five years specializing with the age group for which employment is considered, including experience gained during practicum, internship or clinical fellowship year (CFY) as part of a degree program.

3.4.2.2. The COR may waive all or part of the experience for a qualified candidate with specialized early intervention applicable training beyond the minimum professional requirements for a degree or certification.

3.4.3. ASSISTANT FAMILY SERVICE COORDINATOR (AFSC). The Assistant Family Service Coordinator shall:

3.4.3.1. Have a Baccalaureate’s degree in Early Childhood Education, Social Work, Family Therapy, or other degree specialty from an accredited college or university, which prepares a professional to work with young children and families.

3.4.4. CLINICAL PSYCHOLOGIST. The Clinical Psychologist shall:

3.4.4.1. Have a Doctorate degree in psychology from the American Psychological Association (APA) approved program;

3.4.4.2. Show successful completion of a fellowship in clinical child psychology from an APA approved fellowship or an equivalent fellowship;

3.4.4.3. Have a minimum of two years experience providing family centered services to a population of young children with disabilities and their families, including diagnosis and treatment of sleeping, feeding, attachment, and other behavior disorders using behavior management and other techniques;

3.4.4.4. Be licensed as a Clinical Psychologist in at least one state or territory in the United States. License must be unencumbered and current.

3.4.5. EARLY CHILDHOOD SPECIAL EDUCATOR (ESCE): The ESCE shall:

3.4.5.1. Have a Bachelor’s degree, a Master’s degree, or a Ph.D. from an accredited Early Childhood Education Program, Home Economics with concentration in Child Development, Human Development, Psychology, Counseling, or any other discipline that prepares individuals to provide early intervention services pursuant to the IDEA;

3.4.5.2. Possess an appropriate certification or licensure (i.e. state educator license or state license), in early intervention services issued by a recognized State or local authority;

3.4.5.3. An ECSE with a Master’s degree or higher shall have at least 2 years of direct ECSE experience within the last 5 years in IDEA related settings. Bachelor’s level candidates shall have at least three (3) consecutive years of direct experience during the past 5 years delivering EIS in natural settings, and may only be placed at locations with two or more ECSE positions of which one position is occupied by a Master’s level contractor.

3.4.6. CERTIFIED OCCUPATIONAL THERAPIST ASSISTANT (COTA): The Occupational Therapist Assistant shall:

3.4.6.1. Be a Graduate of an occupational therapy assistant program accredited by the American Occupational Therapy Association (AOTA);

3.4.6.2. Possess certification or licensure as a Certified Occupational Therapy Assistant (COTA) in any of the 50 states, District of Columbia, the Commonwealth of Puerto Rico, Guam or the U.S. Virgin Islands;

3.4.6.3. Possess Certification as an Occupational Therapy Assistant from the National Board for Certification of Occupational Therapy.

3.4.7. OCCUPATIONAL THERAPIST (OT): The Occupational Therapist shall:

3.4.7.1. Have a Bachelor’s degree from an accredited occupational therapy program approved by the American Occupational Therapy Association (AOTA);

3.4.7.2. Be Board Certified and licensed to provide occupational therapy in at least one state or territory in the United States. License must be unencumbered and current.

3.4.8. PHYSICAL THERAPIST (PT): The PT shall:

3.4.8.1. Graduate from a physical therapy program accredited by the Commission on Accreditation in Physical Therapy (CAPT);

3.4.8.2. Be licensed as a physical therapist in at least one state or territory in the United States. License must be unencumbered and current.

3.4.9. PHYSICAL THERAPY ASSISTANT.

3.4.9.1. Graduate from a physical therapy assistant program accredited by the American Physical Therapy Association (APTA).

3.4.9.2. Possess and maintain a current, unrestricted license as a physical therapy assistant in any one of the fifty states, the District of Columbia, the Commonwealth of Puerto Rico, Guam, or the U.S. Virgin Islands.

OR

Possess and maintain certification as a physical therapy assistant/technician as determined by the American Physical Therapy Association (APTA).

3.4.10. SPEECH LANGUAGE PATHOLOGIST (SLP): The SLP shall:

3.4.10.1. Have at least a Master's degree in Speech Language Pathology from and accredited college or university;

3.4.10.2. Be licensed as a speech pathologist in at least one state or territory in the United States. License must be unencumbered and current;

OR

Have Certification of Clinical Competence (CCC-SLP) by the American Speech/Language and Hearing Association (ASHA).

3.5. SPECIFIC TASKS. All contractors providing services under this contract shall conduct child-find activities in collaboration with other internal MTF staff and community agencies and shall document child-find activities in automated systems. All contractors shall represent their respective professional roles in developing and coordinating integrated IFSPs and shall document their recommendations in client records, and in data systems if required, and shall attend IFSP team meetings.

3. 5.1. ASSISTANT FAMILY COORDINATION SERVICES: Services consist of the following activities.

3.5.1.1. Provide service coordination for eligible families and document all activities in the EDIS case files and approved automated data systems;

3.5.1.2. Conduct intake interviews of families referred for Early Intervention Services/Related Services (EIS/RS) and select screening tool(s). Conduct preliminary developmental screening of infants/toddlers to identify areas of concern and refer the family to the appropriate staff member for further evaluations;

3.5.1.3. Schedule multidisciplinary evaluations, Individual Family Service Plan meetings, and other necessary appointments for the child’s family; consult and collaborate with other team members, child care and family support agencies, and extended family members to develop a comprehensive network of individualized services for eligible infants/toddlers;

3.5.1.4. Monitor the use of the equipment/toy/resource lending library; recommend appropriate materials following MTF supply ordering procedures, and assist families with selecting and using developmentally appropriate assistive equipment, toys, or other resources.

3.5.2. PSYCHOLOGICAL SERVICES. EIS/RS services provided by a qualified clinical psychologist to children ages 0 months through 21 years, inclusive to promote sensorimotor function through enhancement of musculoskeletal status, neurobehavioral organization, perceptual and motor development, and effective environmental adaptation. Clinical Psychologist activities consist of the following;

3.5.2.1. Perform diagnostic/ treatment services, developmental screenings, family training, and counseling services; administer and interpret psychological and educational tests and other assessment procedures; obtain and integrate information about the child's behavior and conditions relating to learning;

3.5.2.2. Consult with other staff members, including service providers, to plan programs to meet the special needs of children, as indicated by psychological tests, interviews, and behavioral evaluations;

3.5.2.3. Plan and manage a program of psychological services, including psychological counseling for children and parents, family counseling, consultation on child development, parent training, and education programs.

3.5.3. EARLY CHILDHOOD SPECIAL EDUCATION SERVICES (ESCE). Early Childhood Special Education Services consist of specially designed instruction, including physical education to meet the unique needs of a child with a disability, including instruction conducted in the classroom, in the home, in hospitals and institutions, and in other settings.

The services are provided to infants and toddlers ages 0 months to 36 months (inclusive) and consist of the following activities:

3.5.3.1. Screen and/or supervise early childhood special education screening of infants and toddlers to determine the likelihood of developmental delay;

3.5.3.2. Participate in the evaluation of infants and toddlers to determine their level of functioning, strengths and concerns in cognitive, motor, speech-language, socio-emotional and adaptive developmental areas;

3.5.3.3. Determine the appropriate curriculum, strategies and goals for a program of intervention that addresses delays or potential developmental delays;

3.5.3.4. Assist family to determine priorities, identify concerns and set goals for their child with developmental disabilities;

3.5.3.5. Provide case-management services for families and liaise with school-based or other community-based service delivery programs;

3.5.3.6. Provide assistance and training to implement home-based intervention plans. Provide consultation to ensure a smooth transition from Early Intervention to the special needs of preschool.

3.5.4. OCCUPATIONAL THERAPY SERVICES. EIS/RS services are provided by a qualified occupational therapist or a certified occupational therapist assistant (under the supervision of a qualified occupational therapist). Occupational therapy services address the functional needs of children (0 months through age 21 years, inclusive) related to adaptive development; adaptive behavior and play; and sensory, motor, and postural development.

3.5.4.1. Certified Occupational Therapy Assistant (COTA) Occupational Therapy Assistant services consist of the following activities:

3.5.4.1.1. Instruct and assist families, teachers and other caregivers in a selected therapeutic exercise program including isokinetic exercise; the use and care of assistive equipment; gait training, progressing from non-ambulatory to independent ambulation; proper body mechanics;

3.5.4.1.2. Apply and remove bandages, dressings, splints, and bivalve casts using aseptic techniques;

3.5.4.1.3 Document all treatment activities, progress toward functional goals, and any significant changes in functioning and report these to the contractor’s Occupational Therapist for further assessment and/or revision of the treatment program.

3.5.4.2. OCCUPATIONAL THERAPIST (OT): EIS/RS services provided by a qualified occupational therapist to children ages 0 months through 21 years, inclusive to promote sensorimotor function through enhancement of musculoskeletal status, neurobehavioral organization, perceptual and motor development, and effective environmental adaptation. Occupational therapy activities consist of the following.

3.5.4.2.1. Implement plans for children who are determined eligible for EIS/RS under the Individuals with Disability Education Act (IDEA);

3.5.4.2.2. Provide instruction and demonstration to parents, teachers, and caregivers on appropriate activities to facilitate the child's age and gross motor development;

3.5.4.2.3. Conduct occupational therapy screenings and meet with Team to develop and review children's IFSP or IEP plans. Provide progress and status reports to determine the need for changes in frequency, duration or intensity of service;

3.5.4.2.4. Perform screening and evaluation of motor development, including fine and gross motor muscle strength and functional motor skills;

3.5.4.2.5. Determine presence or absence of delayed motor development or neurologically-based motor deficits, and diagnose motor patterns associated with the delay;

3.5.4.2.6. Determine the level and type of services appropriate, and develops goals for treatment;

3.5.4.2.7. Screen and evaluate children's level of motor development, including fine and gross motor, sensory-motor and functional motor skills in children from birth age through 21;

3.5.4.2.8. Provide occupational therapy intervention services to child and family.

3.5.5. Reserved

3.5.6. PHYSICAL THERAPY SERVICES. EIS/RS services provided by a qualified physical therapist to children ages 0 months through 21 years, inclusive to promote sensorimotor function through enhancement of musculoskeletal status, neurobehavioral organization, perceptual and motor development, and effective environmental adaptation. Physical therapist activities consist of the following:

3.5.6.1. Serve as the primary source of physical therapy expertise for the EIS Team that addresses the functional needs of an infant or toddler in all areas of motor development, including fine and gross motor, motor coordination and movement, testing of muscle strength, functional motor skills as related to activities of daily living, adaptive equipment, and splinting, orthotic, and prosthetic devices;

3.5.6.2. Coordinate and participate in child find and public awareness activities;

3.5.6.3. Perform initial physical therapy intake and screen family and child. Assess and assist families to identify and clarify their concerns, priorities, resources, goals and strategies to meet the needs of their infant or toddler. Assist the family to access evaluation appointments and ensure that all components of the evaluation and the families’ concerns are understood by the EDIS team prior to assessment. This may include providing information, making referrals, and assisting families to resolve disputes;

3.5.6.4. Participate in multi-disciplinary evaluations and assessments to determine the presence or absence of a developmental delay in the areas of communication, cognition, physical (motor), social-emotional development and adaptive (self-help) development. Administer and interpret standardized physical therapy tests to determine the extent of a developmental delay;

3.5.6.5. Consult with medical staff on issues such as referral procedures, available resources and service coordination;

3.5.6.6. Participate in developing a written integrated evaluation report. Counsel families in regard to interpretation the evaluation results and intervention recommendations;

3.5.6.7. Participate with the family in the development and implementation of the IFSP/IEP to identify outcomes, strategies, and services and ensure they are reflected in the IFSP. Implement the IFSP/IEP is within specified timeframes and services are of the intensity, frequency and duration specified in the IFSP. Evaluate IFSP annually and update as needed;

3.5.6.8. Identify constraints to accessing services and develops strategies to overcome the constraints. Assist families to coordinate EIS/RS and medical appointments and child respite care as needed. Assist families to identify and utilize available service providers, informal supports, and advocacy services within the community;

3.5.6.9. Provide physical therapy services to infants and toddlers and their families as specified in the IFSP; serve as an IFSP family service coordinator to assigned infants/toddlers and their families;

3.5.6.10. Consult with or provide technical assistance to other EDIS team members, Child Development Center (child care center) staff, family child care providers and extended family members regarding the provision of EIS/RS to infants or toddlers. Consult with school-based teachers to ensure seamless transitions to preschool programs.

3.5.7. SPEECH AND LANGUAGE PATHOLOGY SERVICES. Services provided by a qualified speech and language therapist that result in identification of children with speech or language impairments; diagnosis and appraisal of specific speech or language impairments; referral for medical or other professional attention for the habilitation or prevention of speech and language impairments; provision of speech and language services for the habilitation or prevention of communicative impairments; and counseling and guidance of children, parents, and teachers for speech and language impairments. A Speech-Language Pathologist performs the following activities:

3.5.7.1. Provide Speech/Language Therapy, activities, and functional strategies in Aphasia and Related Disorders; Apraxia of Speech; Dysarthria; Voice Disorders; Stuttering; Delayed Speech; Cleft Palate; Cerebral Palsy; Hearing Disorders; Poor Articulation; Tongue Thrusting and Impaired Swallowing;

3.5.7.1.1. Provide service coordination (case management) for families and serve as liaison to school-based or other community-based service delivery program. Initiate and provide appropriate contacts, including reports, letters, documents, and privacy act releases;

3.5.7.1.2. Assess developmental level of communication skills and speech-language disabilities in relation to emotional/behavioral concerns;

3.5.7.1.3. Evaluate auditory processing abilities; conduct Pure Tone Hearing Testing;

3.5.7.1.4. Examine speech mechanism and movements, routine speech, and conduct and interpret voice and language evaluative measurements;

3.5.7.1.5. Provide alternative communication techniques (sign, gestures) and training to non-verbal children and their families;

3.5.7.1.6.Provide diagnostic and therapeutic services for children with dysphagia.

4.0 SPECIAL REQUIREMENTS

4.1 RESERVED

4.2. CREDENTIALS PACKAGES

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

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

4.2.1.2. BUMEDINST 6320.66E is available at http://www.med.navy.mil/directives/Pages/ExternalDirectives.aspx. Click BUMED Directives, select page 4 of the directives, and scroll down to the instruction number. The instruction is contained in several separate files.

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

4.2.1.5. The contractor shall maintain a list of all contractors who have been credentialed for service.. The contractor shall provide a copy of the list to the COR as required to maintain currency of the information.

4.2.1.6. The contractor shall ensure that all documentation necessary to keep each individual contractor’s credential file current is submitted to the MTF Medical Staff Services Coordinator, via the COR, for inclusion in each file.

4.2.1.7. The contractor shall maintain a copy of complete credential file for each employee 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.

4.2.2. QUALIFICATION PACKAGES. At least 10 work days prior to commencement of services, the contractor shall submit a qualifications package to the COR for each of their employees. The contractor shall maintain a list of all individuals providing services.. The contractor shall provide a copy of the list to the COR as required to maintain currency of the information.

The Contractor shall provide timely notification to the COR of any terminations of employment.

4.3. OCCUPATIONAL HEALTH REQUIREMENTS

4.3.1. Physical Examinations and Immunizations

4.3.1.1. Within 60 days prior to performance of services by the contractor, the contractor shall obtain, at contractor expense, documentation of required immunizations and physical testing, and a statement from the contractor employee’s licensed medical practitioner or a report of a physical examination. The physical examination and immunization documentation shall indicate that the contractor’s employee is free from mental or physical impairments that would restrict the employee 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/Pages/DBU-RFP.aspx. Declinations shall only be permitted based on either the employee’s religious convictions or medical contraindications (as documented by a qualified health care provider). The Hepatitis B vaccine declination can be found on the World Wide Web at http://www.osha.gov/SLTC/etools/hospital/hazards/bbp/declination.html.

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

4.3.1.2.1. The contractor’s employee must receive the first vaccination of his/her initial vaccination series prior to commencing service under the contract and must complete the series 30 days after commencing service and, if a negative titer is obtained, must complete the second series at another 30 days; or

4.3.1.2.2. A contractor employee 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 30 days after commencing service.

4.3.1.2.3. Contractor employees 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.

4.3.1.2.4. If a contractor’s employee fails to comply with the applicable schedule above, the contractor shall replace the employee if so directed by the Contracting Officer.

4.3.2. Personal Health Examinations. The contractor’s employee shall agree to undergo personal health examinations and such other medical and dental examinations at any time during the term of the contract, as the MTF Commanding Officer may deem necessary for preventive health measures, medical surveillance, performance improvement, or privileging purposes. These examinations will not be provided by the Government unless the employee is an otherwise eligible beneficiary of the military health system. If the contractor chooses, these examinations may be provided by private physician or dentist, at no expense to the Government.

4.3.3. Influenza Vaccine. It is essential that contractor employees 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 as vaccine availability permits; if the employee chooses to be immunized by the Government they shall sign a waiver in accordance with MTF rules and regulations. Alternately, the contractor’s employee may obtain the vaccine at another facility, with the clerk bearing the total cost, and provide proof of vaccination to the Government. If a contractor employee declines vaccination, a signed declination form shall be provided to the Government in accordance with CDC recommendations and BUMED policies.

4.3.4. Varicella Immunization. Contractor employees who do not show a positive varicella antibody titer after immunization and appear to have a "non-immune" status must report varicella exposure to the contractor. In accordance with Centers for Disease Control Recommendations, such employees will be removed from service 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 must be replaced during this period to ensure maintenance of contractually required services.

4.3.5. Tuberculosis Screening. Prior to reporting for service at the MTF, each contractor employee shall be screened at contractor expense for risk of exposure to tuberculosis (TB) as part of the Health Examination and Immunization/Screening Requirement Form. If the employee 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 Commanding Officer 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 employee has an increased risk of exposure to TB, the contractor is responsible for ensuring that their employee receives targeted screening and testing in accordance with Guidelines for Preventing the Transmission of Tuberculosis in Health-Care Settings and submitting timely records of subsequent screening or testing to the COR.

4.4. GOVERNMENT FURNISHED MATERIAL. The Government will provide adequate working space in Government facilities, all equipment (e.g., desk, chair, computer, drafting equipment, printer, copier, telephone, etc.), utilities, janitorial services and expendable operating supplies for the duration of this contract. The contractor shall maintain the assigned office space in a neat and orderly manner. Personal or company use of phones, utilities, computers, printers, copiers, etc., not directly related to required services is strictly prohibited. The contractor shall not remove any government-furnished equipment or supplies from the worksite without the express written permission of the Contracting Officer’s Representative or his/her designated representative.

The Government will provide motor vehicle decals and base access cards for the contract employees to be used in accordance with base and MTF policy during the initial check-in procedure with the COR. The contract employees shall comply with the military base policies and instructions for gaining access to the military base. The identification badge shall be worn during performance of work and anytime the contractor is on the premises. The vehicle decal shall be displayed appropriately according to the base instruction. The contractor shall ensure that their employees return their I.D. badges and base vehicle decals to the COR when the employee is no longer providing services under this contract.

The following services may also be available to performers: Commissary (includes rationed items), AAFES Facilities (Military Exchange) (includes rationed items), Armed Forces Recreation Facilities, Class VI (alcoholic beverages, includes rationed items), Customs Exemptions, Legal Assistance, Local government transportation for official government business (nontactical vehicle), Local Moral/Welfare Recreation Services, Military Banking Facilities, Military Postal Service, Mortuary Service, Officer or NCO/EM Clubs, Housing office (NOTE: Limited. These services are limited to translation assistance and an explanation of host-country rental laws and utility and telephone services. ,Purchase of POL (petroleum and oil products), Transient Billets (NOTE Transient billets mav be authorized on a spaceavailable basis after all other eligible personnel have been billeted), Messing facilities at remote sites only, Continuing Education Services, Credit Union Facilities, Dependent Schools, Medical/Dental Services.

4.5. APPLICABLE DIRECTIVES AND REFERENCES. The following list of legal, regulatory, policy, security documents are relevant to the performance of contract services and are in addition to those already specified in the PWS. This list is not intended to be all inclusive but includes necessary implementing directives, Service guidance, and MTF instructions that are publicly available.

4.5.1. The contractor shall comply with all documents listed below as mandatory and referenced under paragraph 3.0 Performance Requirements.

Mandatory compliance list

www.dod.mil/dodgc/doha/134212p.pdf

http://www.med.navy.mil/directives/Pages/ExternalDirectives.aspx.

BUMED INST 6320.66E (Credentials Review and Privileging Program) http://idea.ed.gov/explore/view/p/,root,regs,300,A,300%252E34

4.6. ABSENCES

4.6.1. If a contractor is absent for three or more consecutive days due to illness, the contractor may be required by the Commanding Officer to provide written documentation from a qualified health care provider that the contract employee is free from communicable disease. The Government reserves the right to examine and/or re-examine any contract employee who meets this criterion.

4.6.2. The contractor shall provide the COR with timely written notification of planned absences greater than 2 weeks. Timely notification is defined as 2 or more business weeks (M-F) prior to the absence. The contractor shall be responsible for continuation of services using appropriately qualified personnel during absences greater than 2 business weeks.

4.6.3. Turnover of Contract Employees . The Contractor shall recognize the potentially negative impact on the MTF created by staff turnover and the expense incurred by the Government for orientation and approval of new workers.

4.7. RESERVED

4.8. STANDARDS OF CONDUCT

4.8.1. The Contractor shall maintain and enforce written Standards of Conduct for contract employees. The document shall address the source of standards of ethical conduct and ethics guidance, including direction in the areas of employment disclosure systems, post-employment rules and enforcement of those rules, training and corrective action. The Contractor shall take appropriate corrective action in cases of violations of the Standards of Conduct. A report of the corrective action taken shall be provided to the Commanding Officer, via the COR, for concurrence.

4.8.2. 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. Any presentation of any statistical or analytical materials, or any reports based on information obtained from studies covered by this contract, will be subject to review and approval by the COR before publication or dissemination. All inquiries from the media shall be forwarded to the Command Public Affairs Officer via the COR.

4.8.3. All records produced in the performance of this contract and all evaluations of patients are the property of, and subject to the exclusive control of, the Government. The Contractor may retain a copy of all such records or evaluations, but may not provide further copies or disclose the information from such records or evaluations to third parties. All requests from other treatment facilities or other individuals for patient records shall be handled in accordance with procedures specified by applicable MTF instructions.

4.8.4. Conflict of Interest. The contractor shall not, while performing services under this contract, advise, recommend, or suggest to persons eligible to receive medical care at the Government’s expense that such persons should receive care from the Contractor at any place other than a Government facility.

4.9. STATUS OF FORCES AGREEMENT. Status of Forces Agreement (SOFA): SOFA's may be applicable in certain performance locations for this requirement (see Section 1.1.). SOFA is a multilateral or bilateral agreement that generally establishes the framework under which U.S. military personnel operate in a foreign country and how domestic laws of the foreign jurisdiction apply toward U.S. personnel in that country. It is the contractor's responsibility to coordinate with the COR, local SOFA offices, and/or other offices for information about obtaining SOFA stamps or letters, visas, and/or any other requirements necessary for employment in the country where the position is located. All fees associated with SOFA stamps, working permits and/or visas shall not reimbursed by the Government.

5.0. DELIVERABLES

5.1. Services Delivered. The reports about the services delivered by the contractor will be generated by the Government from the Special Needs Program Management Information System (SNPMIS). The contractor shall enter timely and accurate data about the services provided to the beneficiary population. The following data shall be captured in the Special Needs Program Management Information System (SNPMIS) according to MTF instructions. The contractor may be required to capture other data about EDIS services that may be mandated in the future.

Services Number of evaluations completed (RS/EIS) Number of children served (RS/EIS) Number of Referrals/Initial Assignments RS Number of Service Plan Assignments Number of Tracking Assignments Number of Child Find Activities

Service Type Evaluation Activity Sessions / Hours Other Evaluation Activity Sessions / Hours Provider Sessions / Hours Service Coordination Sessions / Hours Clinical Tasks - Hours Child Find Tasks - Hours Admin Tasks - Hours Training Tasks - Hours Travel – Hours

5.2. Monthly Contractor Report. The contractor shall report the following information to the Government every month. The report shall be submitted to the COR 30 days following the last day of the previous month. The report shall be in a MS Office Word or Excel format. The information is not available in Government information systems.

Unfilled requirements

· Location

· Specialty

· Date Vacated

· 30 Days

· 60 Days

· 120 Days

· > 120 Days

· Date filled

Rotation status

· Location

· Name

· Specialty

· Date of initial placement

· Expected rotation date

· Extension approved until

· Status of replacement

Recruiting and Placement

· Location

· Name

· Specialty

· Date notified of expected vacancy

· Vacancy date

· Date qualified candidate identified

· Replacement candidate (name)

· Date of initial candidate approval

· Date Credentials packet submitted

· Date of credential approval

· Expected replacement date on site

Licensure and Certifications

· Location

· Name

· Specialty

· Type of license or certification

· License or certification expiration date

· BLS expiration date

· Date renewal notice sent to provider

· Renewal license/certification period

Overnight Travel

· Location

· Provider name

· Specialty

· Travel type

· Travel location

· Dates of travel

5.3. GOVERNMENT QUALITY ASSURANCE SURVEILLANCE PLAN. The quality of the contract performance will be evaluated by the government per the Quality Assurance Surveillance Plan

METHOD

Exc…