Attachment_A_-_SOW.pdf

ATTACHMENT A

STATEMENT OF WORK

FOR

GLENN RESEARCH CENTER

MEDICAL AND FITNESS CONTRACT

Table of Contents

Introduction

1.0 Scope

1.1 Covered Employee Populations

1.2 Services Available to Civil Servant Employees

1.3 Services Available to Support Service Contract Employees

2.0 Management Services

2.1 General Requirements

2.2 Risk Management

2.3 Business Management

2.3.1 General Requirements

2.3.2 Resource Management

2.3.3 Procurement Management

2.3.4 Performance Metrics, Customer Survey and Work Load Indicators

2.4 Financial Management

2.4.1 General Requirements

2.5 Information Management

2.5.1 General Requirements

2.5.2 Administrative Desktops

2.5.3 IT Security Compliance

2.5.4 Documentation, References and Records Management

2.6 Logistics

2.6.1 Material Management

2.6.2 Property Control

2.6.3 Facilities

2.7 Safety, Health and Environment

2.7.1 Safety and Health Plan

2.7.2 Safety and Health Compliance

2.7.3 Operational Safety Assessments and Hazard Analysis

2.7.4 Environmental Management

3.0 Medical Services

3.1 Administration and General Requirements

3.2 Training Certification and Licensure

3.3 Preventative Medicine

3.4 Occupational Medicine

3.4.1 Medical Consulting Services

3.4.2 Medical Screening and Monitoring for Research Using Human Test Subjects

3.5 Clinical Laboratories

3.6 Emergency Medical Services & Medical Support to Emergency and Pandemic

Preparedness Planning

3.6.1 Emergency Medical Services Medical Support

3.6.2 Emergency Operation Plan and Continuity of Operations Sub-Plan

3.6.3 Emergency Response Drill and Exercises

4.0 Fitness and Wellness

4.1 Administration and General Requirements

4.2 Training Certification

4.3 Health Promotion and Wellness Program

5.0 Task Order Content

6.0 References

INTRODUCTION

This Statement of Work (SOW) describes the services to be provided by the Glenn Research Center (GRC) Medical and Fitness Services Contractor (hereinafter referred to as “the MFS Contractor”).

The MFS Contractor shall provide non-personal, technical services to the Glenn Research as described herein. This requirement includes providing the necessary management, resources, supplies, services and personnel required to successfully perform the total effort.

The base services to be performed under this contract includes:

• Medical Services Clinic Operations (includes Preventative Medicine and Occupational Medicine)

• Emergency Medical Services & Medical Support to Emergency and Pandemic Prepredness

Planning

• Human Test Subject Support

• Fitness Center Operation

• Health Promotion and Wellness Program

• International Travel Occupational Medicine Support.

All services provided under the MFS contract, as described in this Statement of Work (SOW), are part of a comprehensive Occupational Health Program managed by the GRC Safety and Health Division (SHeD). The MFS Contractor interfaces primarily with SHeD’s personnel in the context of individual occupational health programs. The MFS Contractor also interfaces and coordinates with personnel in the Agency Occupational Health Office of the NASA Office of the Chief Health and Medical Officer (OCHMO). Technical direction will be provided to the MFS Contractor by the Contracting Officer’s Representative (COR) or Alternate COR (ACOR) in accordance with Clause C.2, Technical Direction.

Internal coordination between the above listed contract elements of the MFS Contractor’s operation is also critical, particularly in common areas such as education, awareness, and communication. In addition, participation and leadership, as appropriate, on SHeD, GRC and NASA teams and committees, is an important role that must be accommodated in personnel assignments and staffing plans.

1.0 SCOPE

1.1. Covered Employee Populations/Location of Services

In its broadest scope, this SOW covers the civil servants (CS) and on-site support service contractors (SSC) workforce at GRC’s Lewis Field (LF) and Plum Brook Station (PBS), except where otherwise indicated in specific sections of this SOW. CS and SSC workforce demographics are listed in Attachment C, Workforce Demographics.

All services under this SOW will be provided at the LF location. Limited services shall be supplied at PB as described within. PBS employees who wish to access contract-provided services will obtain them at LF. Special initiatives such as an annual Flu Vaccination Clinic and annual “Golden Shoe Health Walk” competition may take place at both, LF and PBS, and be supported by the MFS Contractor at the direction of the

COR.

1.2. Services Available to Civil Servant Employees

The MFS Contractor shall make available all services described within this SOW to Civil Servant employees, as needed.

1.3. Services Available to Onsite Support Service Contract Employees Fitness Center and Education and Wellness Initiatives - The MFS Contractor shall provided fitness center and it’s suite of services to all onsite-SSCs who complete the membership process.

Emergency Medical Services - Emergency medical services shall be provided to all onsite-SSCs and visitors.

Occupational Medicine - Occupational Medicine is available for onsite-SSC employees whose company has entered into an agreement with the MFS Contractor. The onsite- SSC is responsible for covering all fees incurred from services provided by the MFS Contractor. Medical data from onsite-SSC occupational medical exams shall be captured in NASA GRC’s Electronic Health Record System.

Immunizations - Vaccinations shall be offered to onsite SSC personnel during the Annual influenza vaccination at no cost to the employee.

Non-emergency and preventative medical services shall not be offered to onsite SSC employees.

Any fees collected by the Contractor from employees or SSC companies must be credited back to NASA, after deducting costs of additional incurred expenses (e.g., specialized equipment, supplies or materials or additional labor expenses).

2.0 MANAGEMENT SERVICES

2.1 General Requirements

The MFS Contractor shall institute and maintain an effective, efficient, and responsive program management organization that is responsible for oversight of MFS Contractor personnel, contract resources, contract performance, deliverables, and contract costs.

The MFS Contractor shall notify the Contracting Officer’s Representative (COR) and Contracting Officer (CO) of any problems that may adversely impact the timely and cost-effective delivery of quality products and services under this contract. The MFS Contractor shall:

Interact, plan, and effectively coordinate and communicate with all levels of customers, both Government and onsite-SSCs;

Institute an on-site centralized program management office and a single set of consolidated and easily understandable policies and procedures;

Analyze applicable regulatory and statutory requirements and when necessary identify to the Government potential trade-offs with contract functions to ensure compliance. The MFS Contractor shall notify the Government in writing within 3 work days of identifying the need for a trade-off necessity. The Government must provide the MFS Contractor written direction on the implementation of any trade-offs prior to implementation;

Implement a customer-oriented management information system(s) (MIS) to provide work control and planning processes that shall be responsive and simultaneously support multiple customers;

Conduct a contract review meeting on a monthly basis. The monthly review shall cover all aspects of the medical and fitness operations, both technical and business, including a concise summary of performance and risk assessment in each major work element of the SOW.

2.2 Risk Management

The MFS Contractor shall develop, implement, and maintain a Risk Management Plan that provides an organized, systematic risk informed decision making process that efficiently manages and mitigates risk associated with the contract to acceptable levels.

The MFS Contractor shall develop and implement management approaches, including the criteria, methods, and procedures for identifying, analyzing, planning, tracking, controlling, communicating, and documenting contract-related risks associated with:

• Contract Administration/Execution;

• Performance of SOW Requirements;

• Accomplishment of Task Orders.

2.3 Business Management

2.3.1 General Requirements

The MFS Contractor shall perform all business and administrative functions and integrate these functions across all areas of performance. The MFS Contractor shall:

Include the integration of cost, technical performance, workforce, and schedule data for all areas of the contract, including task orders, in planning, tracking and reporting functions;

Provide ongoing business and procurement analysis and respond to requests and inquiries from the Government relating to budget, schedule, and cost performance;

2.3.2 Resource Management

The MFS Contractor shall:

Recruit and maintain a skilled workforce, experienced in electronic health record systems, to implement the requirements of this SOW;

Manage contract resources to maintain flexibility to respond to surge, one-of-kind, and unforeseen requirements, and coordinate with the Government to prioritize such requirements;

Apprise the CO and COR of any human resource issues that could have an impact on the ability to perform required elements of this contract;

2.3.3 Procurement Management

Purchase goods and services necessary to accomplish work on the contract.

Provide the CO and COR with a monthly Purchase Order report

2.3.4 Performance Metrics, Customer Survey and Work Load Indicators

Monitor and track contract performance and customer satisfaction.

Assist the Government in the development, maintenance, and analysis of objective, measurable performance metrics for the contract;

Finalize Program and Performance Metrics Report in coordination with the Government, within 180 days of contract award;

Report existing or potential performance issues along with recommended solutions during the execution of the contract;

Report applicable workload indicators (WLI’s) monthly.

2.4 Financial Management

2.4.1 General Requirements

Employ best business practices and sound financial management in the performance of financial management and reporting;

Provide on-going business analysis and respond to requests and inquiries from the Government relating to budget, schedule, and cost performance;

Develop, update, and implement a financial management process in compliance with FAR and NFS, Subpart 1852.242-73, “NASA Contractor Financial Management Reporting”;

Provide complete, accurate, and timely reporting of monthly and accumulated expenditures, projected costs, and workforce utilization;

Provide a recovery plan for any activity or project under their responsibility that is estimated to exceed established cost and/or scheduled plans;

2.5 Information Management

2.5.1 General Requirements

The MFS Contractor shall implement a comprehensive Information Management approach to provide MIS(s) that provide timely and accurate visibility of contract work progress reports to the Government and allow insight into the various customers requesting services in this SOW.

The MFS Contractor shall plan, schedule, integrate, approve, document, track, and monitor contract activities throughout, and as specifically described in the SOW, using one or more MIS capabilities. Example activities include health screenings, flu shots, audiograms, exercise consultations, fitness assessments and body fat analysis.

The Government will provide “Infrastructure as a Service” and “Platform as a Service.” for all contract data center needs. The MFS Contractor is responsible for maintaining any MFS contractor-provided IT systems used to perform the contract requirements.

The MFS Contractor shall:

The MFS Contractor shall ensure that the MIS will accommodate customer interfaces as required, unless an exception has been granted by the Government;

Perform continuous assessment of MIS performance and architecture to ensure efficiency and performance. The MFS Contractor shall provide recommendations for changes to Legacy IT systems that would improve contract operations. The MFS Contractor shall develop a Government-approved process for approving modifications to MFS Contractor-provided

MIS;

Develop and maintain documentation that reflects the configuration of the

MFS Contractor’s MIS architecture, including MFS Contractor-provided and Government-furnished applications;

2.5.2 Administrative Desktops

The Government will provide administrative desktops, workstations, and laptops for performance of this contract.

2.5.3 IT Security Compliance

The Government will be responsible for all necessary actions to achieve IT security compliance for Government-furnished IT services and applications. The MFS Contractor shall be responsible for ensuring IT Security compliance for all MFS Contractor-provided IT systems. The MFS Contractor shall provide a technical point of contact for IT security to the Government. The MFS Contractor shall maintain an IT Security Plan and Documents.

The MFS Contractor shall implement appropriate operational and technical IT security policies, procedures, and controls for all services the MFS Contractor provides to the Government. For each of these services, the MFS Contractor shall integrate the IT security policies, procedures, and control measures into their full life cycle, and shall test and annually review these policies, procedures, and controls for adequacy and compliance. The MFS Contractor shall comply with the latest version of NPR 2810.1, “Security of Information Technology”; NPR 1382.1, “NASA Privacy Procedural Requirements”; and ITS-HBKs, “IT Security Handbooks”.

2.5.4 Documentation, References, and Records Management

The MFS Contractor shall maintain accurate and complete records of Government business in accordance with the latest editions of NPD 1440.6, NASA Records Management Program and NPR 1441.1, “NASA Records Management Program Requirements”. This includes legacy Federal records (data created for Government use and delivered to or falling under the legal control of the Government) inherited from previous contracts and Government-owned, MFS Contractor-held electronic and vital records. Records of Government business shall be segregated from company-owned records and from non-record materials. The MFS Contractor shall:

Operate and maintain an electronic archive of all reports, surveys, analysis, inspections, and other contract activities conducted on behalf of the Government;

Maintain internal document records of all administrative and operational procedures such as records of employee certification and training, clinic certifications, reports, and other auditable activities;

Maintain a records management program and submit a records management plan;

Submit a file plan and an annual report to the Center Records Manager;

Provide the Government access to Government records in accordance with FAR Subpart 4.7;

Deliver Government-owned data to NASA or its designees, including successor contractors, at the completion or termination of this contract;

Prevent the unauthorized destruction of records and do not dispose of records without the prior written consent of the COR.

2.6 Logistics

The MFS Contractor shall perform standard logistics operations functions to include property management, receiving and inspection, inventory management, and shipping for operations.

2.6.1 Material Management

Perform material management activities including procurement, receiving, packaging, handling, storage, inventory management, and issuance in support of contract operations;

Implement an inventory recordkeeping system deemed adequate by NASA Property Administrators. Provide regular, detailed reports of inventory holdings, in a format acceptable to the Government;

Obtain all necessary office supplies in the performance of this contract, such as binders, paper, pens, and pencils in compliance with the Federal Strategic Sourcing Initiative. Office supplies shall, when appropriate, consist of recycled content and maximize the use of National Industries for the Blind and SourceAmerica® products.

2.6.2 Property Control

The MFS Contractor shall properly control, use, and maintain Government-furnished property provided to support the contract operations. The MFS Contractor shall:

Assess, recommend, and purchase property necessary for maintaining successful day-to-day contract operations;

Manage contract related property, including equipment management responsibilities (such as equipment accountability and custodian delegation) and physical inventory responsibilities. The Government will provide bar code scanners, NASA Equipment Control Number tags, and decals required for control of property;

Identify excess assets and coordinate with the Government to initiate redistribution, utilization and excess functions in accordance with NPR 4300.1, “NASA Personal Property Disposal Procedural Requirements”, Ensure that all contract instrumentation and equipment is calibrated in accordance with manufacturer’s recommendations and applicable regulatory requirements. Maintain a current list of instrumentation and identify the required calibration services and calibration schedule for each item. Maintain calibration and maintenance records for each instrument.

Coordinate and schedule calibration services with the on-site calibration contractor. In accordance with protocols of the Center’s Logistics organization, ship or transfer instruments to and from on-site (and off-site) calibration laboratories for service as required.

2.6.3 Facilities

Assist the Government in management and oversight of the facilities assigned under this contract;

Identify and track facility requirements, request facility services and repairs from the Government, inspect assigned facilities, and institute protective actions for the prevention of damage.

2.7 Safety, Health, and Environment

The MFS Contractor shall ensure that the safety of its personnel and facility users, are of primary importance, and that Government property and the environment are protected from damage.

2.7.1 Safety and Health Plan

After 30 days of contract award, the MFS Contractor shall submit and manage to a current, detailed Safety and Health Plan. The plan shall describe the contract policies, procedures, and approaches used to ensure the safety and occupational health of its employees, to ensure the safety of their operations, and to protect property. The plan shall discuss the flow down of the MFS Contractor’s Safety Program to its sub-contracted activities.

2.7.2 Safety and Health Compliance

Comply with all applicable Federal, state, and local laws and regulations, as well as NASA and GRC policies, procedures, and guidelines. The MFS Contractor’s Safety and Health Program shall be fully documented and auditable and the MFS Contractor shall participate in Government audit and surveillance activities of their plans, procedures, and processes when deemed necessary by the Government;

Conduct safety and health inspections of all MFS Contractor-occupied spaces on a quarterly basis. The inspections shall be formally documented and all findings tracked to closure. Qualified safety and health professional(s) (as defined in 29 CFR§1960, Basic Program Elements for Federal Employee Occupational Safety and Health Program) shall perform inspections at least annually. The MFS Contractor’s internal assessments, results, and surveillance activities shall be made available and auditable by the Government;

Assist NASA, or its representatives, in examination of sites or areas where work under this contact is being performed in order to determine the adequacy of the Safety and Health Program;

Ensure equipment owned, leased, rented, or obtained from off-site locations is properly assembled, maintained, and safe for use.

In the event of a Program or Center incident or contingency, support any Government investigation and make available all pertinent documentation as requested;

Submit a monthly Safety Statistics Record and utilize the Government-provided Agency automated data system for mishap reporting for entering accident and incident information;

Report all injuries, damage, and close calls resulting from MFS Contractor activities. The MFS Contractor shall develop, implement, and maintain a process(es) for reporting, responding to and investigating mishaps in accordance with NPR 8621.1C: “NASA Procedural Requirements for Mishap and Close Call Reporting, Investigating, and Recordkeeping”. The MFS Contractor, for Government-led or independent Government investigations, shall provide the Government access to the mishap site, personnel, and documentation as requested. The MFS Contractor shall allow the Government to participate on or observe MFS Contractor-led investigation boards. The MFS Contractor shall electronically enter all mishaps meeting the criteria for Type A through Type D mishaps as defined in NPR 8621.1C into the Agency automated data system for mishap reporting. All close calls with the potential to have been Type A through Type D mishaps shall also be entered. Mishap reporting methods and;

In the event the MFS Contractor determines the need to deviate from a Government safety or health requirement, a formal request must be processed through the appropriate variance review and approval system.

The MFS Contractor shall perform risk assessments for all variances requested to safety procedures and processes. The risk assessment shall be performed to assure the safety of personnel and equipment is not compromised, and alternate work procedures, as a result of a variance, shall be evaluated prior to implementation.

Support GRC’s various Safety and Health Committees and working groups having the common goal of protecting, improving and maintaining the health and wellness of the GRC workforce.

The Contractor shall attend regular meetings of committees and working groups that are related to the scope of services in this SOW. These include the following, but may include others identified by the COR.

Contractor Safety Committee (monthly)

Occupational Health Technical Meeting (bi-weekly)

Safety and Mission Assurance Directorate (SMA) “all-hands” meetings (quarterly)

Emergency Preparedness and Pandemic Planning (approximately quarterly)

2.7.3 Operational Safety Assessments and Hazard Analysis

The MFS Contractor shall develop and implement a process for assessing and managing hazards associated with their activities. The process shall provide for appropriate hazardous operation surveillance, review of hazardous procedures, and assessment of risks associated with deviations from procedures or safety and health requirements.

The MFS Contractor shall complete a hazard analysis and risk assessment for all MFS Contractor-controlled operations and determine appropriate hazard mitigations necessary to safely perform the work. All personnel engaged in potentially hazardous operations shall be provided appropriate training on hazards and hazard mitigations. All employees shall be trained and/or maintain certification per the requirements outlined in specific government standards/requirements.

The MFS Contractor shall conduct and document an operational safety assessment of all high-risk, first-time operations and make those assessments available to the Government for review.

2.7.4 Environmental Management

The MFS Contractor’s operations and facilities shall comply with applicable NASA Headquarters directives in accordance with NPD 8500.1, NASA Environmental Management, and NPR 8570.1, “NASA Energy Management Program”, and Federal, state, and local environmental laws, regulations, and EOs. The MFS Contractor shall meet GRC environmental requirements in accordance with GLM-FE-8500.1, “Glenn Research Environmental Programs Manual”. The MFS Contractor shall meet NASA’s Sustainable Acquisition Program for their procurements in accordance with NPR 8530.1, “NASA Sustainable Acquisition.”

3.0 MEDICAL SERVICES

3.1 Administration and General Requirements

The MFS Contractor shall provide comprehensive medical services to maintain a healthful and productive workforce.

The Medical Clinic is located in the Employee Services Building (Building 15) on the Lewis Field campus. The 3800-ft2 facility consists of 4-patient exam rooms, audiometric evaluation room with booth, lab draw room, spirometer/vision/tonometry test room, dirty utility room, meds room, reception/waiting area and staff offices. Except in case of emergencies requiring field response, all therapeutic, emergency medical services, provided under the contract will be provided at the Medical Clinic.

Operate the MSC Monday through Friday, 7:00 AM through 11:30 AM, and 12:30 PM through 4:00 PM. Clinic personnel must be available to respond to emergencies during the lunch period. A physician, physician assistant or nurse practitioner shall be present at the Medical Services Clinic (MSC) during all hours of normal operations.

Provide the administrative and technical operations and management of Occupational Medicine (OM) functions, as specified in NPD 1800.1 “NASA Occupational Health Program”

Provide administrative support for medical services through the use of a health information management system that supports physical examination management, patient scheduling and notification, reception desk operations, and records management with the capability for statistical and analytical data collection and retention. The MFS Contractor shall use the existing Legacy System, Coridy

• Interface with the NASA CERTRAK System for the automatic upload of medical certification data;

• Ensure the portability of any medical data to allow its transfer to other systems if required by the Government.

Provide required data to the Agency Electronic Health Record System, Develop, maintain, and implement a Medical Quality Assurance Program which evaluates all aspects of medical care provided in compliance with NPR 1800.1, “NASA Occupational Health Program”. Provide a Medical Quality Assurance Program Plan in accordance with NPR 1850.1, “Quality Assurance of the NASA Medical Care”;

Comply with requirements of the Health Information Portability and Accountability Act

(HIPAA).

3.2 Training, Certifications, and Licensure

Medical services shall be performed by certified/licensed medical staff. The following section establishes the training, certification, and licensure requirements for any medical staff utilized for medical services. This section is not meant to define the staffing types required, only to define the requirements should the MFS Contractor choose to employ the following staffing types:

All personnel shall be fully licensed by the State of Ohio in their respective professional fields and maintain in good standing the professional accreditations, certifications and credentials appropriate to their fields and to the functions performed under this contract, including those specifically noted in this section.

All Board certifications must be provided by a board certifying entity in the United States.

All personnel who conduct audiometric monitoring examinations shall hold current certification as an Occupational Hearing Conservationist (COHC) from the Council for Accreditation in Occupational Hearing Conservation (CAOHC).

The audiologist who reviews problem audiograms shall maintain current licensure as an audiologist in the State of Ohio. The audiologist shall have at least five years experience in hearing conservation and shall hold (or earn, within one year after contract award) certification as a Professional Supervisor (PS) by the Council for Accreditation in Occupational Hearing Conservation (CAOHC).

Physician(s) who perform flight physicals shall maintain current certification as a Federal Aviation Administration (FAA) Examiner for Class I, II and III flight physicals.

Occupational Medical (OM) services shall be under the management of a Medical Director, who shall be a physician. The Medical Director shall be assigned to this contract at a minimum staffing level of 60% of full-time and shall be physically located on-site at the MSC. The Medical Director shall be board certified in a preventive medicine or a primary care specialty.

Other physicians providing OM services shall be board certified in or have completed residency in either a preventive medicine or primary care specialty; or have completed residency training in a non-preventive medicine or non-primary care specialty and have a minimum of 2 years’ experience in OM or other preventive or primary care field.

Board certification in Occupational Medicine is preferred. All board certifications must be provided by a board certifying entity in the United States. All physicians providing OM services shall maintain a State of Ohio Medical license.

At least one physician shall have proficiency in stress test interpretation and reading electrocardiograms.

Physicians shall maintain current American Heart Association (AHA) Basic Cardiac Life Support (BCLS) Course C, AHA Advanced Cardiac Life Support (ACLS) provider, and Advanced Trauma Life Support (ATLS) certifications.

Nurses providing OM services shall be Registered Nurses and maintain current State of Ohio licenses, and shall maintain current AHA BCLS Course C and ACLS provider certifications, and obtain certification in Occupational Health Nursing (COHN) within 2 years of becoming eligible by criteria established by the American Board of Occupational Health Nurses.

Nurse Practitioners providing OM services shall maintain current State of Ohio licenses, and shall maintain the same certifications as required for staff nurses providing OM services.

Physician Assistants providing OM services shall maintain current State of Ohio Physician Assistant licenses. Previous experience in OM is preferred.

Emergency Medical Technicians (EMT) shall maintain current State of Ohio certifications as an EMT and maintain current AHA BCLS.

The MFS Contractor shall collect and maintain current documentation of all professional credentials for each staff member and shall, when requested by the COR, provide copies of credential documentation, such as licenses, certifications and resumes.

3.3 Preventive Medicine

The MFS Contractor shall provide a preventive medicine program to promote, maintain, and improve the physical and psychological wellbeing of the worker in the work place.

Provide health maintenance examinations to NASA civil service employees. The scope and schedule of these FEHP examinations shall be in accordance with NPR 1800.1, NASA Occupational Health Program Procedures;

Provide a Health Education and Wellness Program in coordination with the COR, including:

Health Education Topics;

Medical Screening;

Health Risk Reduction Counseling;

Promotion of Healthful Lifestyles;

Participation in Government-sanctioned health related support groups.

Evaluate any patient presenting with minor non-occupational illnesses and injuries. If the diagnosis is apparent and minimal treatment without release from work is appropriate, requiring no follow-up, then treatment shall be rendered and the individual returned to duty. If these conditions warrant diagnostic or consultative services beyond that available at the on-site medical facility, or if a private physician’s services shall be necessary to ensure comprehensive evaluation and/or treatment following first care necessary for stabilization and transport, the individual shall be referred to the private physician rather than being given further treatment at the on-site medical facility;

Administer treatments, medications, or tests (such as shots, blood pressure checks, hormonal therapy, or other tests as directed by the Government) prescribed by the employee's private physician if these on-site activities enable the employee to remain at work for the balance of the normal work shift or are otherwise in the best interest of the Government. Services requested by the employee's private physician must be in writing. The MSC physician shall evaluate and approve, as appropriate, the written request. The employee shall furnish any of the necessary medications and required specialized equipment;

Refer patients to their personal physician when significant abnormal conditions are discovered at the time of scheduled physical examinations or in the course of treatment for occupational illnesses or injuries, but which in themselves are not related to the patient's employment. Information on the evaluation and treatment shall be requested from the private physician to determine any effect on employment or need for work limitations;

.1. Clinics shall develop and maintain an effective system for managing patient test results;

.2. Abnormal findings shall be reviewed by the clinician in a timely manner, and in the case of abnormal ECG's, and/or new abnormal findings on the review of systems, each shall be reviewed prior to the patient's departure from the clinic;

.3. Patients shall be informed of any abnormal findings and advised if additional follow-up is recommended; and

.4. Medical recommendations and advice shall be relayed to patients in a manner consistent with the criticality of the findings.

.5. Clinically significant or critical test results shall be conveyed to the patient and documented as soon as possible.

.6. When a clinician receives a clinically significant test result, he/she shall follow-up with the patient with the urgency appropriate to the impact of the specific finding. The more serious the possible consequences, the more urgent the imperative to inform the patient in a timely manner. Clinicians shall document their efforts to communicate their recommendations to the patient.

3.4 Occupational Medicine

The MFS Contractor shall provide comprehensive OM Services designed to enhance the health and well-being of the work force.

The MFS Contractor shall:

Evaluate, treat, and provide appropriate recommendations for disposition of all occupational injuries and illnesses;

Provide Workers’ Compensation Program medical case management for NASA CSs that are permanently assigned, or while on temporary assignment to GRC, to ensure injured workers receive appropriate medical services as quickly as possible in order to reduce time lost from work, including, if necessary, limited duty recommendations;

Identify trends associated with all injuries or illnesses that may be related to the work environment, investigate those trends, and recommend actions required for prevention;

Provide appropriate return to work clearance or duty limitations to patients and their employers;

Provide a review of medical information for reasonable accommodation requests, maintain those records and render a statement of physical limitations related to that medical data

Perform semi-annual Drug Enforcement Administration (DEA) classified controlled medication inventories in accordance with NPR 1800.1, NASA Occupational Health Program Procedures;

Provide oversight to GRC’s Automated External Defibrillator (AED) Program. The MFS Contractor Medical Director, or his/her delegate shall be responsible for reviewing GRC’s written AED Program, the maintenance and quality assurance of GRC’s AED’s and evaluate, along with the Government, any deployment of an

AED;

Provide OM support services to the GRC CS employees and onsite-SSC employees whose company has entered into an agreement with the MFS Contractor for official travel to include:

• Traveler briefings with up to date information on destination environmental issues and infectious outbreaks;

• Travel related medical reviews prior to authorization of overseas travel to include: identifying the need for vaccinations (such as yellow fever), providing standard immunizations (such as tetanus-diphtheria; polio; measles, mumps, and rubella (MMR); hepatitis A and hepatitis B), reviewing and evaluating pre-existing medical conditions, personal medications, and destination medical capabilities;

• Travel packets to employees traveling to overseas sites. Packets to contain some basic medical supplies, such as Tylenol, Band-Aids, antibiotic ointment, anti-diarrheal medication, allergy medication, throat lozenges, antacids, lip balm, and sunscreen;

• Prescriptions for malaria medications for travel to those countries that the

Centers for Disease Control recommends malaria prophylaxis. OM physicians shall discuss the need for malaria prophylaxis individually with the traveler and prescribe the most appropriate anti-malarial medication;

• Information on other aspects of travel related medical concerns such as jet lag, stress, travelers’ diarrhea, motion sickness, hypoxia, high altitude illness, decompression illness, and blood clots.

3.4.1 Medical Consulting Services

Provide consultation services to include evaluation of the workplace to make recommendations with regard to physical examination requirements for specific jobs or generic job categories based on assessment of the demands of the job and the environment in which it is accomplished. Such evaluations also address specific health and safety concerns of the Government and the MFS Contractor that are unique to the job or work area and supplemented by Industrial Hygiene studies to support appropriate OM recommendations;

Develop and review policies, documents, plans, and procedures as directed by the Government;

Support the Agency Occupational Health Program (OHP) review (which currently takes place triennially) and intervening year annual self-review of the GRC OHP, and subsequent development of appropriate corrective action plans;

Support NASA-GRC medical reviews and audits of the GRC OHP;

Provide other OM services as required by applicable state and Federal laws and regulations.

3.4.2 Medical Screening and Monitoring for Research Using Human Test

Subjects The MFS Contractor shall provide medical screening and monitoring for GRC research that involves the use of human test subjects, in accordance with JSC CPHS Handbook 20483, “JSC Committee for the Protection of Human Subjects

– Guidelines for Investigators Proposing Human Research for Space Flight and Related Investigations” (http://cphs.nasa.gov/). Medical screening and monitoring services will comprise pre-screening, screening including physical examination and laboratory tests, and on-site medical monitoring of the research activity.

3.5 Clinical Laboratories

provide the services of an accredited clinical laboratory to meet the requirements in this SOW.

maintain a Clinical Laboratory Improvement Amendments (CLIA) certificate for waived laboratory tests.

shall arrange for laboratory specimens to be picked up daily and for results to be transmitted to the MSC electronically and by hard copy.

ensure the confidentiality of electronically transmitted laboratory results.

prepare and handle specimens according to the laboratory’s specifications.

3.6 Emergency Medical Services & Medical Support to Emergency and Pandemic Prepredness Planning The MFS Contractor shall participate in GRC emergency response and emergency preparedness planning activities related to Lewis Field and shall integrate acute medical care capabilities into the GRC emergency response plan. Plans shall be coordinated and communicated within The Safety and Health Division (SHeD), GRC’s Emergency Management personnel and with local external health department(s), state, defense, and federal officials, per direction of the COR.

3.6.1 Emergency Medical Services Medical Support

provide initial emergency care, on a walk-in basis, consisting of medical evaluation, medical diagnosis and treatment for injury and illness, to all GRC personnel, visitors and others who require emergency treatment at GRC during business hours. These services are provided at the GRC Medical Services Clinic.

infrequently provide emergency medical services and oversight at Lewis Field sites and facilities other than the MSC. The primary emergency medical response is provided by ambulance services from adjacent communities and is entirely outside the scope of the MFS contract.

defer to the patient or ambulance crew to determine an appropriate local medical facility or physician for additional or supplemental treatment unless specific medical needs dictate i.e. trauma center, stroke center, heart center. The MFS Contractor shall provide initial follow up on employees who have returned from a lost time illness or injury.

apply its full resources, as appropriate, toward providing medical response for Lewis Field campus emergencies that are outside the scope of the base services section of this SOW. Such situations include those involving mass casualties related to disasters and violence, vaccine distribution and healthcare services for pandemics and other public health crises and response for other unanticipated incidents.

coordinate with GRC’s Emergency Management personnel in the provision of Triage Site and Transportation Zone Management and Triage Site Treatment when a Triage Site is utilized for mass casualties or space vehicle contingencies.

provide trained and certified staff to support the GRC Triage Sites when called upon by Emergency Management and COR.

stock a treatment “Go Bag” capable of bringing basic emergency provisions to a scene.

provide diagnosis and treatment outside of normal Medical Services Clinic operating hours when requested by the COR or ACOR in cases of emergencies, such as significant facility accidents or other major events where injuries are present.

purchase those medicines and supplies necessary to perform this task.

The MFS Contractor shall maintain an inventory of medications and medical supplies consistent with the Emergency Operation Plan and Continuity of Operation Sub-Plan.

For the purposes of implementing SOW elements, emergency response services shall take precedence over other work.

3.6.2 Emergency Operation Plan and Continuity of Operations Sub-Plan

The MFS Contractor shall participate in the development of an Emergency Operation Plan and a Continuity of Operations sub-plan for providing triage services and medical care at Lewis Field for multiple patients in emergency situations such as natural disasters, pandemics, and incidents involving biological, chemical, radiation and nuclear agents, weapons of mass destruction, and mass-casualty events. The primary objective of the plan shall be to handle multiple patients at the Clinic, but the plan shall address field situations. The plan shall include provisions for handling potentially contaminated patients who walk in to the Clinic and for the treatment of these patients.

The Emergency Operation Plan and Continuity of Operations sub-plan shall include provisions for supporting a Point of Distribution (POD) at Lewis Field.

Emergency preparedness planning shall be coordinated with Critical Incident Stress Management (CISM) plans.

The MFS Contractor shall develop the Emergency Operation Plan and Continuity of Operations sub-plan within six months of contract award, in collaboration with other emergency preparedness planning stakeholders as described in this SOW, and shall provide copies of the plan to the CO and COR/ACOR six months and one year after the full-performance date of the contract and annually thereafter.

The actual implementation of Emergency Medical Services for these and other Center-wide emergencies would be outside the scope of the base services portion of this SOW, but is covered under Section 5.0 Task Order Content.

3.6.3 Emergency Response Drills and Exercises

The MFS Contractor shall participate in the planning of and support for Lewis Field emergency response table-top exercises and drills, to include at a minimum, one half-day table-top exercise and one half-day simulated emergency drill annually.

The MFS Contractor shall hold quarterly emergency response drills and exercises at the Medical Services Clinic and Fitness Center to ensure and maintain preparedness of Contract personnel.

4.0 FITNESS AND WELLNESS

4.1 Administration and General Requirements

The Fitness Center (Building 341) is a standalone building that includes a cardiovascular area (treadmills, stationary bikes, elliptical machines, step mill and rowing machines), strength training area (Nautilus, pulley machines and free weights), group exercise class area (with stability balls, Pilates rings, jump ropes, steps, dumbbells, tubing, and body bars), office area, private exercise testing and consultation area, locker room and shower facilities and storage closets.

The MFS Contractor shall staff and operate the existing fitness Center at GRC. The center is available for members between the hours of 6:00 AM and 7:00 PM, at a minimum, on all weekdays, excluding Federal holidays, except where directed otherwise by the Contracting Officer Representative. The locker room shall remain open until 7:30 PM. The MFS Contractor shall:

Manage and operate the fitness facility and equipment, provide recommendations for new or replacement equipment and provide routine equipment maintenance;

Coordinate repair and maintenance, as needed, with outside vendors.

Monitor the clients using the equipment to assure proper use in order to minimize the possibility of injury to the users or damage to the equipment;

Provide fitness assessments to facility clients, advise clients on an appropriate exercise program to help them achieve their fitness goals, and provide clients periodic updates on their fitness levels;

Develop and institute a plan to assure personnel who use the fitness facilities meet the requirements established by the Government (e.g., medical authorization for use);

Provide and promote motivational programs to improve the health of the workforce and provide training classes in various exercise areas, such as aerobics, muscle strengthening, and special fitness (e.g., abdominal classes, upper body strength) as well as organize and manage intra-center team sports programs for the GRC workforce. Fitness Center services and program and class offerings are compatible with GRC flexible work schedules such that members are able choose options that do not interfere with work responsibilities.

See Attachment E for the current GRC Group Exercise Schedule and Class Description

Support the Agency Occupational Health Program (OHP) review (which currently takes place triennially) and intervening year annual self-review of the GRC OHP, and subsequent development of appropriate corrective action plans;

Support NASA-GRC medical reviews and audits of the GRC OHP;

4.2 Training and Certification

The Fitness Center Director shall have at least five years full-time experience managing a physical fitness facility and comprehensive physical fitness program.

The Fitness Center Director shall be assigned to this contract on a full-time basis.

All Fitness Center personnel shall have a minimum of a Bachelor’s Degree in exercise physiology or related field and shall maintain current licensure and certification in their individual professional field, as appropriate, provided by the American College of Sports Medicine, the National Athletic Trainers Association, the American Society of Exercise Physiologists, the National Commission for Health Education Credentialing or comparable credentialing entity.

All Fitness Center personnel shall have previous work experience in a physical fitness facility or program.

All Fitness Center personnel shall maintain American Heart Association Basic Life Support for Healthcare Providers (BLS) certification and or American Red Cross CPR/AED for the Health Care Providers (2 year certificate) and American Red Cross First Aid Certification.

4.3 Health Promotion and Wellness Program

The MFS Contractor shall establish and maintain a comprehensive and integrated Health Promotion and Wellness Program (HPWP) to facilitate employee awareness, increase health knowledge and support behavioral modification to the maximum extent among the largest possible spectrum of the GRC workforce. The Health Promotion and Wellness Program shall reflect the results of customer feedback assessments as well as the MFS Contractor’s assessment of the needs of the GRC workforce. The HPWP shall provide the awareness, educational and motivational components of each of the elements covered under the base services sections of this SOW and shall encompass the full range of topics and issues covered by each of those elements.

The MFS Contractor may charge a separate pay-to-participate fee, paid directly by the employee to the MFS Contractor or service provider, for special program offerings that involve the purchase of individual materials, supplies, or subcontracted services. Such fees shall be imposed only with the approval of the COR.

5.0 TASK ORDER CONTENT

The MFS Contractor shall perform Indefinite Delivery/Indefinite Quantity (IDIQ) work activity as requested by the Governement. Services may include: Emergency Response Medical Care

Directives, nutritional services, purchase of medical and fitness equipment, epidemiological studies, dispensing of prescription safety glasses, smoking cessation programs, personal assistant services, etc. l work effort must be approved by the CO or COR ; no services, exept those under the base (sections 1-4), shall be provided unless directed and approved by the

Governement.

6.0 REFERENCES

NPR 2810.1, Security of Information Technology https://nodis3.gsfc.nasa.gov/npg_img/N_PR_2810_001A_/N_PR_2810_001A_.pdf

NPR 1382.1, NASA Privacy Procedural Requirements https://nodis3.gsfc.nasa.gov/displayDir.cfm?t=NPR&c=1382&s=1A

ITS-HBKs, IT Security Handbooks.

https://www.nasa.gov/content/security-requirements-policies

NPD 1440.6 NASA Records Management https://nodis3.gsfc.nasa.gov/displayDir.cfm?t=NPD&c=1440&s=6I

NPR 1441.1, NASA Records Management Program Requirements https://nodis3.gsfc.nasa.gov/npg_img/N_PR_1441_001E_/N_PR_1441_001E_.pdf

See PDF

NPR 4300.1, “NASA Personal Property Disposal Procedural Requirements.

https://nodis3.gsfc.nasa.gov/npg_img/N_PR_4300_001C_/N_PR_4300_001C_.pdf

NPR 8621.1C: NASA Procedural Requirements for Mishap and Close Call Reporting, Investigating, and

Recordkeeping https://nodis3.gsfc.nasa.gov/npg_img/N_PR_8621_001C_/N_PR_8621_001C_.pdf

NPD 8500.1, NASA Environmental Management https://nodis3.gsfc.nasa.gov/npg_img/N_PD_8500_001C_/N_PD_8500_001C__main.pdf

NPR 8570.1, NASA…