On Line Nurse online training PWS April 2021.docx

Performance Work Statement Nursing Web-Based Training Contract 04/11/2021

Nursing Web-Based Training

1.1 Mission

1.2 Background

1.3 Scope

2.0 General Requirements

2.1 Non-Personal Services

2.2 Business Relations

2.3 Contract Administration and Management

2.4 Contract Management

2.5 Contract Administration

2.6 Personnel Administration

2.7 Subcontract Management

2.8 Contractor Personnel, Disciplines, and Specialties

2.9 Location and Hours of Work

2.10 Travel / Temporary Duty (TDY)

3-5.3 Performance Requirements

6.0 Security and Safety

6.1 Reporting

6.2 Storage and Disposition of Materials

6.3 Environmental Requirements

6.4 Deliverables

6.5 Deliverables Table

1.1 Mission

The mission of the Indian Health Service (IHS) is to raise the physical, mental, social, and spiritual health of American Indians and Alaska Natives to the highest level.

1.2 Background

The IHS is in need of access to on-line training for the following: 1) registered nurses (RNs), which include Public Health Nursing (PHNs), 2) Certified Nursing Assistants (CNAs) to maintain certification and complete continuing education training; and, 3) an option for certificates of completion after the user (RN and CNA) completes the courses or identified modules. In addition, standardized continuing education modules, if available and access granted including video recordings, shall be added to this on-line training as an addendum. Users shall be able to participate in self-directed web-based education which shall be available at all times. Staff shall be able to decide when to access the training, day or night, from their home or while they are at work.

1.3 Scope

The IHS needs on-line, off-the-shelf training activities for: 1) RNs in order to maintain certification and meet continuing education requirements; 2) CNA to complete Basic to Advanced courses; and 3) the option to download certificates of completion after the user (RN and CNA) completes the courses and identified modules. All nursing courses/modules must offer continuing nursing education credits by American Nurses Credentialing Center (ANCC). An additional option should be available for the agency to develop and post IHS/Tribal/Urban specific educational activities, with full control of content, awarded credit by the IHS Clinical Support Center. Continuing Education (CE) information and data must be monitored and tracked within a packaged Learning Management System (LMS) with full reports accessible by the agency. The ability to print CE certificates that are agency specific may be necessary. The IHS will provide PHN Training modules, videos and competencies, and other pre-existing material. Users shall be able to participate in self-directed web-based education available at all times so that staff may access at their leisure, from home or work.

2.0 General Requirements

This section describes the general requirements for this effort. The following sub-sections provide details of various considerations on this effort. The following schedule of tasks and deliverables outlines the requirements necessary to organize, develop, facilitate, manage, and evaluate comprehensive, system-wide training for CNAs and RNs.

The expectation is that the contractor will engage in a range of activities that will initiate and solidify all of the core training courses that meet national certification and recertification requirements, training education standards of skills and competencies, and accrediting/certifying organizations, as applicable.

2.1 Non-Personal Services

The Government shall neither supervise contractor employees nor control the method by which the contractor performs the required tasks. Under no circumstances shall the Government assign tasks to, or prepare work schedules for, individual contractor employees. It shall be the responsibility of the contractor to manage its employees and to guard against any actions that are of the nature of personal services, or give the perception of personal services. If the contractor believes that any actions constitute, or are perceived to constitute personal services, it shall be the contractor's responsibility to immediately notify the Contracting Officer (CO).

2.2 Business Relations

The contractor shall successfully integrate and coordinate all activities needed to execute the requirement. The contractor shall manage the timeliness, completeness, and quality of problem identification. The contractor shall promptly identify issues, establish corrective action plans, and effectively manage any subcontractors. The contractor shall ensure customer satisfaction and ensure all contractor personnel display professional and ethical behavior.

2.3 Contract Administration and Management

The following subsections specify requirements for contract, management, and personnel administration.

2.4 Contract Management

The contractor shall establish clear organizational lines of authority and responsibility to ensure effective management of the resources assigned to the requirement. The contractor must maintain continuity between the support operations, the contractor's corporate offices (including the assigned Contracting Officer Representative, COR) and the Indian Health Service Division of Nursing Services (DNS).

2.5 Contract Administration

The contractor shall establish processes and assign appropriate resources to effectively administer the requirement. The contractor shall respond to Government requests for contractual actions in a timely fashion. The contractor shall have a single point of contact between the Government and Contractor personnel assigned to support this effort. The contractor shall assign work effort and maintaining proper and accurate time keeping records of personnel assigned to work on the requirement.

The contractor will meet with the COR and IHS officials within 7 days of the contract award to become acquainted with the DNS staff, review the Performance Work Statement (PWS), discuss timelines and deliverables, and to begin initial planning. The contractor and COR will hold a kick off meeting at the beginning of each option year if exercised to revisit and make adjustments (if necessary) to the comprehensive action plan, quality assurance plan, communications plan, evaluation plan, and project plan, to discuss ongoing tasks in the PWS, and new deliverables for the option year (if needed).

The comprehensive action plan (which includes proposed activities for each deliverable, a description of each product and an estimated timeline with milestones) will be provided within 2 weeks of blanket purchase agreement (BPA) initiation. The comprehensive action plan must be approved by the CO prior to the initiation of services and activities under this agreement.

2.6 Personnel Administration

The contractor will provide the following management and support as required. The contractor shall maintain the currency of their employees by providing initial and refresher training as required to meet the PWS requirements. The contractor will make necessary travel arrangements for employees if deemed necessary. The contractor shall provide necessary infrastructure to support contract tasks.

The contractor will provide administrative support to employees in a timely fashion (time keeping, leave processing, pay, emergency needs).

2.7 Subcontract Management

The contractor will be responsible for any subcontract management necessary to integrate work performed on this requirement and will be responsible and accountable for subcontractor performance on this requirement. The prime contractor will manage work distribution to ensure there are no Organizational Conflict of Interest (OCI) considerations. Contractors may add subcontractors to their team after notification to the CO or COR.

2.8 Contractor Personnel, Disciplines, and Specialties

The contractor will accomplish the assigned work by employing and utilizing qualified personnel with appropriate combinations of education, training, and experience. The Contractor will provide the necessary resources and infrastructure to manage, perform, and administer the contract.

2.9 Location and Hours of Work

Normal workdays are Monday through Friday except US Federal Holidays. Workers typically work eight (8) hours per day, 40 hours per week. Flextime workers start no earlier than 0600 and no later than 0900. Core hours of work are from 0900 to 1500 daily. All employees are expected to be available during core hours.

2.10 Travel / Temporary Duty (TDY)

Travel for the selected contractor is not required under this contract. Travel for training participants will not be covered under this contract.

3.1 Performance Requirements

The contractor will be responsible for implementing a culturally appropriate web based interactive distance learning management system and coordinating the logistics of the accredited trainings courses that meet national certification and recertification requirements and training competency-based standards of accrediting/certifying organizations, as applicable, and becomes available.

The period of performance for this BPA shall be 12 months from date of award with three 12 month option periods. All trainings must be completed within the stated performance period. The contractor will not oversell or pre-sell training services.

The following section specifies the Performance Objectives and Performance Elements for the contract.

Established Training Website that Offers Nursing and Public Health Nurse Training Courses.

Contractor will provide the following services to IHS:

A comprehensive training package for IHS RNs and CNAs with unlimited usage. See Exhibits A for course topics/content. For each training (RN & CNA) package, the contractor shall provide a LMS and training modules capable of the following:

· Allow addition and/or deletion of courses to an individual users account.

· Must have pre-test capability allowing employees to “test out” when reaching minimum passing score.

· Contractor shall provide a detailed process of how they will create new or custom educational modules including use of contractor’s subject matter experts to successfully develop the material.

· Must have post-test or assessment of learning tool.

· Must be able to survey or evaluate course.

· Ability for course participants to print out certificates of completion from the Internet.

· All user data must be stored on host server with the customer’s own database.

· System must be able to accept LMS user authentication.

· Host server must be secure and a guarantee that sensitive information is protected.

· The ability to create new or custom educational materials is required.

· Ability for local administrator(s) at each IHS medical facility to determine access and administrative privileges for users and managers.

· Ability to provide Exception Reports in that the administrators can assign course curriculum and then track who has not completed said curriculum.

· Ability to assign curriculum and/or courses to a user or group of users with specified required date for completion.

· Ability to include a remediation function to show users which test questions were answered incorrectly.

· Ability to show which questions were missed and provide another opportunity to answer them.

· Electronic training manual for using LMS shall be included

· Technical support will be provided at no additional cost.

· Unlimited user access.

· Ability for IHS to review and modify existing contractor modules for contractor to implement in the LMS.

· Registration for all users to include email address in their account; and, for RNs: license number, type and state required in self-registration.

Learning Management System

Description of Services: Contractor shall furnish all licenses, parts, materials, labor, tools, equipment, supervision, and support necessary to provide installation, maintenance, and software updates for the Online Education Courses System and the delivery of service to the IHS medical facilities during the period covered by the agreement. Contractor shall provide a license and any telephone support must be provided at no additional cost. Licenses and services shall be performed in accordance with the terms and conditions as further defined in the statement of work.

The contract is intended to expand access of online learning to clinical staff by offering courses on a 24 hour a day/7 day a week basis. This would be provided via Internet connection, with the Contractor hosting this LMS. Contractor will provide needed data extracts on a regular basis in a format usable by both parties.

The products and services described shall have the following features, capabilities and course content:

· Web-based learning management system with training content for healthcare RNs and CNAs.

· Courses will be hosted by the Contractor and launched from the Contractor’s Online LMS.

· Ability to distribute courseware via the Internet.

· Courses of various clinical and public health subjects will train, test, and track CE for clinical staff via the Internet.

· Upon completion of course(s) and post-test(s) on the Internet, the course participant will receive immediate scoring and then may (print out) CE completion certificates.

· Non-exclusive license to employ Internet courses for training in IHS medical facilities.

· Servers are geographically deployed across the United States for greater stability.

· System must provide training, testing, tracking, and printable education records for record keeping for IHS users that complete the online courses.

· Contractor must be an authorized provider of CE and CE credit must be included in license fee. The Accreditations must be through the American Nurses Credentialing Center, the California Board of Registered Nursing, and the Florida Board of Nursing.

· Contractor must provide an option for the agency to develop and post IHS/Tribal/Urban specific educational activities, with full control of content, awarded credit by the IHS Clinical Support Center. CE information and data must be monitored and tracked within the packaged LMS with full reports accessible by the agency. Must include the ability to print CE certificates that are agency specific.

· Contractor will host all course content, testing functions, and CE course completion record keeping on contractor’s server of any required data.

· Data extracts will be provided by host on a regular basis in a format usable by Contractor and IHS medical facilities.

· Courseware must be AICC (Aviation Industry Computer Based Training Committee) compliant.

· Provide an online and print User's Guide and a technical FAQ.

· Ability to provide accessibility to data in usable format.

· Access to system 24 hours day/7 days a week with appropriate available customer/technical support.

· No employee personal data will be stored on the Internet.

· User (employee) data must be directly accepted from the education tracking system.

· Site must be secure.

· Must be accessible from locations other than employee’s worksite.

· Allow addition and/or deletion of courses to an individual users account.

· Must be Jaws 5.10 screen reader compatible.

· Must have pre-test capability allowing employees to “test out” when reaching minimum passing score.

· Must have post-test or assessment of learning tool capability linking completion of course to the export/import functionality.

· Must be able to survey or evaluate course.

· Ability for course participants to print out certificates of completion from the Internet.

· Ability to view course content (text and graphics, links, PowerPoint, streaming video streaming, etc.) online from any PC with Internet access.

· All user data must be stored on host server with the customer’s own unique database.

· System must be able to accept LMS user authentication.

Exhibit A: Training package shall include the following course topics:

Comprehensive professional RN training courses

Certified Nursing Assistant Skills & Competency (CEUS):

(Module and video format Pre/Post Tests)

· BASIC Courses

· CPR a Guide for Health Care Workers

· Treating Patients with Dignity & Respect

· Communicating with Clients & Their Families

· Measuring Vital Signs

· Measuring Height & Weight

· Documentation

· Recognizing Abnormal Signs and Symptoms

· Patient Rights

· Personal Care Skills for the Care Provider

· Every Day Living Activities

· Bed making

· Infection Control Skills

· Serving a Meal

· Nutrition & Hydration

· Techniques in Bathing: The Bed Bath

· Techniques in Bathing: Tub, Shower, Shampoo and Perineal Care

· Techniques in Toileting and Incontinence Care

· Essential Elimination Skills

· Patient Safety Courses

· Moving and Turning Skills

· Positioning Techniques

· Transfer & Ambulation

· Safe Transfer

· Abuse & Neglect

· Fall Prevention

· Infection Control

· Dementia Care

· Alzheimer’s

Special Care

· Ostomy, Urinary Drainage & Catheter Care

· Incontinence Care

· Pain Management

· Pressure Ulcer Prevention

· Range of Motion Exercises

· Skin Breakdown

· Positioning Techniques

· Providing Oral Care

Public Health Nursing competencies for ongoing daily practice specific to communicable disease prevention, immunizations, case management, maternal-child health, elderly care, home safety, general public health, and in accordance with service to American Indian/ Alaska Native population. Care of patient with dementia and the caretaker and behavioral health.

3.1 Reporting

The contractor shall follow the reporting plan submitted as part of the proposal and keep the Government fully informed of status throughout the contract period. Throughout the contract periods, it is essential that attention be given to minimize interruptions or delays to work in progress that would impact the mission.

The Contractor shall provide status reports to the COR and PMs to include but not be limited to expense variance to budget, logistical updates, attendee metrics, attendee training evaluations, project plan tracking, evaluation data, and other items as determined by the COR. The Contractor shall deliver status reports by email or postal service no less than every month but may be adjusted as determined necessary by the COR throughout the course of the project. Electronic reports shall be presented in Microsoft Office format and approved by the COR. The monthly status reports shall be discussed at the Start-Up meeting.

The Contractor shall provide to the COR/PMs, annual performance reports that include but are not limited to project plan status and accomplishments, fiscal accountability, evaluation data, sub-Contractor performance reports (if applicable) and a Contractor self-evaluation report. The Contractor shall provide a written outline of the annual report to the COR for approval according to the deliverable schedule. The annual reports shall be delivered by e-mail. The annual report shall be discussed at the Start-up meeting.

1. Monthly Reports. The written monthly reports will include –

i. Participant database/listing of students, including:

a. Number of participants (successful and unsuccessful).

b. Date and test scores of each participant.

c. Participant employer/site/professional category (identification and count of program or health facility where each participant is associated).

d. Training instructors’ names and credentials.

e. Verification of the participants’ eligibility (verifying the identified Tribe is eligible for training due to non-acceptance of tribal shares).

ii. Participant evaluations of the course.

iii. Course statistics, including number of participants, number of applicants, number of approved applicants who did not attend training, and number of participants that the training could accommodate.

iv. Training courses that require completing and receiving a passing grade on pre-course training modules, the contractor will include number of participants receiving the pre-course modules, scores of completed pre-course modules, and number of participants who did not complete modules or courses.

v. Accounting of all monthly costs incurred.

vi. Provide IHS with queries when requested.

1. Annual Reports. The annual reports must include -

1. The formal outline will be discussed in the start-up meeting.

3.4 Participation Database

The contractor will maintain a participant database in a secure environment and provide the COR and PM queries as requested. Must provide at a minimum: number of participants; number of successful and unsuccessful participants completing training and certification; identification and count of eligible Tribes associated with participants; identification and count of training courses offered including dates of training (at least month and year); number of participants in training courses offered; and training course evaluation data.

3.5 Course Evaluation– The vendor will provide:

1. All students with an end of course evaluation to assess training course.

1. Course Evaluations will be sent to the COR on a monthly basis.

1. Students must receive or be sent an accredited certificate at least 2 weeks at the conclusion of the course.

4.0 Cultural Competency

The contractor will ensure that instructors who teach and/or interact with students, Tribes and tribal personnel communicate in a culturally appropriate and respectful manner. An available resource is: A Guide to Build Cultural Awareness: American Indian and Alaska Native.

5.0 Training Management System Technical Assistance – The vendor will provide technical assistance to students which include but not limited to:

1. Troubleshooting website technical issues.

1. Questions regarding training content, pre-course training modules if needed, and process of course evaluation and/or certification process.

The contractor will develop and implement a secure web based interactive distance learning management system that meets all identified requirements.

6.0 Securing and Safety/Storage and Disposition of Materials

Disposition of any national training and marketing materials will be determined in the Start-Up meeting. Storage should be available as soon as national materials are generated. A disposition schedule will be discussed with the COR during the Start-Up meeting.

6.1 Website Information

At a minimum, the information on the website shall provide: the capability for online training registration, the training flyers, announcements, and communications materials for trainings, information on CE credits, and other information deemed necessary by the COR. All web-based materials, including curriculum content, presentations, webinars, etc. must be 508 compliant. Website finalization requires approval by the COR.

6.2 Correspondence and Conference Calls

The Contractor shall provide quarterly updates and correspondence as determined necessary by the COR. The quarterly conference call schedule may be adjusted as determined by the COR. Training updates and correspondence include but are not limited to training summaries, conference call agendas and minutes, and any other items deemed necessary by the COR.

6.3 Deliverables

The contractor shall provide deliverables as described below and in subsequent requests for services via BPA calls. Deliverables shall be specified by the government. Format and delivery schedule for deliverables shall be outlined in the contract data requirements list (CDRL) and/or other means to be determined (TBD).

6.4 Deliverables Table

Deliverables

Comprehensive Action Plan which includes:

1. Quality Assurance Plan,

2. Communications Plan,

3. Evaluation Plan,

4. Project Plan,

5. Qualified Healthcare Instructor List

6. Course Description List