Performance Work Statement HCBC MOC v042122.docx

PERFORMANCE WORK STATEMENT

Non-Personal Services

Medical Operations Coordinator Health Care Benefits Advisor Coordinator

Regional Health Command-Atlantic Fort Belvoir, VA

TABLE OF CONTENTS

1.0. Introduction

1.1. General

1.2. Standard of Performance

1.3. Schedules/Period of Performance

1.4. Personal Appearance

1.5. Health and Immunization Requirements

1.6. Credentialed Personnel

1.7. Mobilization and Other Contingency Planning

1.8. Contractor HCP Furnished Supplies/Services

1.9. Government Furnished Services / Supplies

1.10. Government Furnished Services

1.11. Description of Work. (See Attachment 1)

1.12. Deliverables

1.13. Sexual Harassment/Assault Response and Prevention (SHARP)

1.14. Safety Requirements

1.15. Security Requirements

1. 16. Anti-Terrorism (AT) Training

1.17. Vehicle Registration

2.0. Definitions/Acronyms

2.1. Definitions

2.2. Acronyms

3.0. Applicable Technical Orders, Manuals, Regulations, Directives and Forms

1. 0. INTRODUCTION.

1.0.1. The Contractor shall provide health care support as Medical Operations Coordinator and Health Care Benefits Advisor Coordinator for Regional Health Command –Atlantic, 1st Capabilities Integration Group (Airborne) (1st CIG (A)), Fort Belvoir, VA. The vendor may also be required to provide services to any of the Medical Treatment Facility (MTF) located in the National Capital Region, which includes the following locations: Malcolm Grow Medical Center, MD, and Andrew Air Force Base, MD, Andrew Rader U.S. Army Health Clinic, Fort Myer, VA, Dunham Army Health Clinic, Carlisle Barracks, PA, Barquist Army Health Clinic, Fort Detrick, MD, and Kimbrough Ambulatory Care Center, Fort Meade, MD. The services will be of a nature and scope described in the paragraphs below. The contract Health Care Provider (HCP) will work in conjunction with other health care providers, professionals, and non-contract personnel. The Contractor HCP shall provide the non-personal services of Medical Operations Coordinator and Health Care Benefits Advisor Coordinator to perform services of the nature and scope described in this Performance Work Statement (PWS).

1.0.1.1. The quality of care provided by the Contractor HCP shall be of a quality meeting or exceeding currently recognized national standards as established by the Joint Commission (JC). Contractor HCP shall give the highest regard to patient dignity and observe the precepts of the American Hospital Association’s Bill of Rights for Patients. The Contractor HCP shall abide by the MTF rules, regulations and by laws, including Medical Staff By laws, as well as applicable Army regulations governing such things as medical records.

1.0.1.2. The Contractor shall comply with all applicable laws, rules and regulations, including but not limited to those included in the PWS.

1.1. GENERAL.

1.1.1. This contract is a non-personal services contract under which the personnel rendering the services are not subject, either by the contract’s terms or by the manner of its administration, to the supervision and control usually prevailing in relationships between the government and its employees.

1.1.2. Professional Liability. The government will not be liable for malpractice allegations against contract HCP’s based upon performance of this contract. The contractor shall be required to carry malpractice insurance for its contract HCPs, at a level stated in the solicitation and included in any resulting contract for subject acquisition in tailored FAR Clause 52.237-7. If an apparent successful offeror, the contractor shall provide evidence of insurability concerning medical liability insurance prior to task order award. Upon task order award, the contractor shall provide evidence of insurance demonstrating the required coverage prior to commencement of performance. In accordance with Federal Acquisition Regulation (FAR) Clause 52.237-7, the contractor will indemnify the Government for any liability producing act or omission by the contractor, its contract HCPs and agents occurring during contract performance. If the contractor uses subcontractors in the performance of this contract, the contractor is required to ensure that its subcontracts for provisions of healthcare services contain the requirements of FAR 52.237-7, including the maintenance of medical liability insurance.

1.1.3. Responsibility and Procedures. If any suit or action is filed or any claim is made against the Contractor HCP, which occurred as a result of work performed by the HCP under this contract, the HCP shall immediately notify the contractor, the contracting officer and the chief of the appropriate services and promptly furnish them copies of all pertinent documents received.

1.1.4. The contractor and Contractor HCP shall cooperate with the government, without further compensation, in the processing, review, settlement, or defense of the suit, action, or claim; and authorize government representatives to settle or defend the claim and to represent the HCP in, or take charge of, any litigation involved in such an action. The Contractor HCP may, at the Contractor HCP's own expense, participate in defense of such claim or litigation.

1.1.5. Confidentiality / HIPAA. The Contractor HCP shall abide by AR 40-3 and AR 40-66 concerning the nature of limited privileged communication between patient and health care provider for security and personnel reliability programs. The Contractor HCP shall abide by AR 40-66 concerning the confidentiality of patient records, as embodied in federal statutes including the Privacy Act of 1974 and the Drug and Alcohol Act, Public Law 92-129 and HIP AA. The Contractor HCP shall direct all requests for medical information on patients to the Chief, Patient Administration Division. The Contractor HCP shall not release any medical or personal information on a patient without first receiving written approval from the government. Government will provide the regulations upon request by the Contractor HCP.

1.1.6. Removal of Contractor HCPs. At any time during the performance of this contract, the Contracting Officer or COR may direct the contractor to immediately remove any Contractor HCP whose actions or impaired state raises reasonable suspicion that clear and present danger of physical harm exists to a patient, other Contractor HCPs, government personnel or to the impaired individual. This provision will be used in emergency situations only and not for the purpose of bringing performance issues or other non-urgent concerns to the attention of the contractor.

1.1.6.1. If the need for a removal occurs, the COR will contact the contractor's point of contact and direct the contractor to remove that individual from the military facility and to not use that individual to perform any healthcare services required under this contract until the issue has been resolved by the Contracting Officer. The contractor shall formally meet with the COR to discuss further action in accordance with the MTF Quality Assurance and Inspection (QA&I) Plan and AR 40-68. A review of the basis for removal will be made by the Contracting Officer within 3 working days after the COR directed the removal.

1.1.6.2. If, after any investigation deemed necessary by the Contracting Officer and discussions with the contractor's representative, the Contracting Officer concludes that the Contractor HCP's impairment requires permanent removal from performance under the contract, the Contracting Officer will notify the contractor that permanent removal is required. In the event of disagreements between the government and the contractor's representative concerning matters of impaired Contractor HCPs, the decision of the Contracting Officer will be final. During the period of time between the removal and the final decision of the Contracting Officer, the contractor shall provide a backup/replacement Contractor HCP in accordance with the terms and conditions of this contract.

1.1.6.3. The Commander has the prerogative to hold in abeyance, to deny, or to summarily suspend clinical privileges/practice when there is a reasonable cause to doubt the health care provider's competence to practice or for any cause affecting the safety of patients or others. AR 40-68 outlines the adverse clinical privileging and practice actions for privileged personnel and adverse practice actions and peer review for non-privileged personnel.

1.1.7. Conflict of Interest.

1.1.7.1. Contractor HCP shall not use patient care rendered pursuant to this agreement as a part of a study, research grant, or publication without the prior written consent of the MTF Commander.

1.1.7.2. Contractor HCP shall not bill the patient, an insurer, or anyone else for services rendered. The Contractor HCP is prohibited from receiving compensation of any kind for eligible patients treated, procedures performed, or any other actions performed, except under the terms and conditions of this contract, at the rate specified in the contract.

1.1.7.3. Contractor HCP shall not, while performing services under this contract advise, recommend, or suggest to persons eligible to receive medical care at Army expense that such persons should receive care from the Contractor HCP at any place other than at the MTF. The Contractor HCP will not refer any patients to any company or service which they have a direct or indirect involvement (including partnership programs and ancillary services not offered by the MTF).

1.1.7.4. Contractor HCP shall not introduce new medical procedures or changes in standing operating procedures without first coordinating with the Chief of Services.

1.1.7.5. Contractor HCP is not prohibited by reason of his employment under this contract from conducting private practice, if there is no conflict with the performance of services under this contract.

1.1.7.6. Contractor HCP shall not use Government facilities or other Government property in connection with conducting a private practice.

1.1.7.7. Contractor HCP shall not be an employee of the United States Government if the employment would create a conflict of interest. The Contractor HCP who is an employee of the Department of Defense, either military or civilian, shall not be employed unless such person seeks and receives approval in accordance with DoD 5500.7-R and MEDCOM Reg 600-3.

1.2. STANDARDS OF PERFORMANCE.

1.2.1. The government requires that the contractor shall provide technically competent providers who will provide services at a standard enabling the MTF to provide a high level of quality health care.

1.2.2. JC Standards. Contractor shall take part in Department or MTF programs as required to meet JC standards.

1.2.3. Other performance evaluation factors will be monitored that are not quantified by numerical measurements which include: contractor providing personnel exceeding the minimum qualification standards; patient customer service comments; provider and contractor relationship with hospital staff/government contracting personnel; compliance with hospital policy and procedures.

1.2.4. Performance Reports, will be provided by the COR annually to ensure acceptable performance of the contract; annual reports provided by COR to Contracting Officer after completion of each performance period will be reported to the DOD Past Performance Information Management System (PPIMS).

1.2.5. MTF Formulary. Contractor HCP authorized to prescribe pharmaceuticals shall do so according to the availability of drugs listed therein. The pharmacy services will provide instructions to all prescribing contract physicians on substitutions and generic drugs for prescribed drugs. The Contractor HCP shall follow the procedures of the MTF when prescribing drugs.

1.2.6. The Contractor shall be responsible for the security of all patient information.

1.2.7. Neither the Contractor nor any of its contract service providers shall disclose or cause to disseminate any information concerning operations of military activities. Such action(s) could result in violation of the contract and possible legal actions.

1.2.8. All inquiries, comments or complaints arising from any matter observed, experienced, or learned of as a result of or in connection with the performance of this contract, the resolution of which may require the dissemination of official information, shall be directed to the contracting officer representative (COR) and the contracting officer.

1.2.9. The Contractor shall only conduct business with designated government personnel listed as points of contact (POCs). Names of authorized personnel shall be provided to the Contractor by the Government, in writing, and updated as necessary throughout the contract period.

1.2.10. U.S. Government records, copies of original results and reports, verified original data, corrected data, and corrected supporting final reports are maintained by the Contractor, but remain the property of the U.S. Government. These files/results must be surrendered to the COR.

1.2.11. Trusted Agent Sponsorship System (TASS) will be utilized for contractors at Army Facilities to obtain a CAC card.

1.2.12. The Contractor shall comply with agency personal identity verification procedures identified in the contract that implement Homeland Security Presidential Directive-12 (HSPD-12), Office of Management and Budget (OMB) guidance M-05-24, and Federal Information Processing Standards Publication (FIPS PUB) Number 201.

1.2.13. The Contractor shall comply with agency personal identity verification procedures in all subcontracts when the subcontractor is required to have physical access to a federally-controlled facility or access to a Federal information system.

1.2.14. The contractor shall ensure compliance with the provisions set forth below. For purposes of FAR Clause 52.204-9, the Government will designate a Trusted Agent (TA), and the contractor shall designate a Facility Security Officer (FSO), for this contract. The Government reserves the right to amend or supplement these provisions pursuant to the Changes clause in the contract.

1.2.15. In-processing Requirements. Contractor personnel are prohibited from performing services under this contract absent compliance with the in-processing requirements set forth below.

1.2.16. For every contract service provider, the FSO shall provide the following information to the T A for input into the DEERS/RAPIDS System:

(a) Last Name

(b) First Name

(c) Middle Name

(d) Social Security Number

(e) Date of Birth

(f) E-mail Address (may be either the e-mail address of the incoming individual or the FSO).

1.2.17. The contract service providers shall have an Army Knowledge Online (AKO) account in order to submit the application. AKO registration may be accessed via https://www.us.army.mil.

1.2.18. The DEERS/RAPIDS Systems will send a notice to the e-mail address provided IAW the above requirement, in which the contract service provider's user ID and password are provided. In the event the e-mail message is sent to the FSO, the FSO shall notify the contractor of the contract service provider's user ID and password.

1.2.19. The contract service provider shall log into the DEERS/RAPIDS System, and submit an application for acceptance into the System, using the user ID and password provided.

1.2.20. The application will be accepted, returned, or rejected by the TA. Notice as to whether the application has been accepted, returned or rejected will be provided to the individual's e-mail address provided within 48 hours after submission. If the application is returned or rejected, the contract service provider shall contact the TA and comply with the TA's guidance to attempt to correct and resolve the issues.

1.2.21. Upon approval of the application, the contract service provider shall receive an e-mail sent to the address provided stating the Common Access Card (CAC) application was approved and to proceed to the Verifying Office (VO) with two photo IDs to obtain a CAC. For CAC issuance, the individual must present with two forms of ID, one must be a picture ID. The e-mail will contain a URL to download the form. Acceptable forms of ID to include: Driver's License, Military ID, Contractor Company ID with picture and expiration date, charge card with picture imprinted, and passport.

1.2.22. Revalidation Requirements. The TA is required to revalidate all contract service providers, in the DEERS/RAPIDS System, every 6 months. In the event revalidation is denied, the CAC credentials shall be revoked and the CAC will not be useable to login the DEERS/RAPIDS System. The contractor shall ensure the contract service provider's CAC is turned in to the Government IAW the out-processing procedures and further guidance from the contracting officer.

1.2.23. The contractor is responsible for absences of contract service providers. Such absences shall not relieve the contractor of its obligation to perform the health care services required under this contract.

1.2.24. The contract health care providers shall immediately report any lost or stolen badges to the COR.

1.2.25. IDENTIFICATION OF PRIVACY ACT. This contract requires the development of a system of records in accordance with the Privacy Act of 1974.

1.3. SCHEDULES/PERIOD OF PERFORMANCE

1.3.2.1. The full-time contractor HCP shall be required to work a 40 hours per week, except as indicated above. Duty hours are for a predetermined scheduled period not to exceed 8 consecutive hours per day, plus an unpaid lunch break. The normal hours of work are Monday through Friday, between the hours of 0730 – 1630 hours (excluding federal holidays). The exact hours of duty will be coordinated between the Contractor and the COR.

1.3.3. Absences: When anticipated Contractor HCP have not reported for duty, have become ill, or are unable to work during a scheduled shift they must contact the Contractor who will in turn notify the COR.

1.3.3.1. Absences due to emergency shall be called into the COR and if other than regular business hours Contractor HCP must contact the Administrative Officer of the Day (AOD) .

1.3.3.2. Absences such as vacations, shall be coordinated and approved at least 30 days in advance and mutually agreed upon by the COR and the Contractor. The Contractor is responsible to arrange coverage for vacations and all other anticipated absences.

1.3.4.1. Lunch Break. Duty hours include thirty minute to one hour, unpaid lunch period when applicable.

1.3.5. Interviews. There will be no interviews conducted by government personnel.

1.3.6. Facility Closures. During anticipated closure of the facility due to Command declared training holidays or during unplanned closure of the facility due to natural disasters, military emergencies, severe weather, or otherwise, the contractor shall not invoice the Government for services not performed and the Government will not be liable to the contractors for any such closures.

1.3.7. Federal Holidays. The Contractor will not be paid on federal holidays unless Contractor HCP is scheduled to work on a holiday and will be paid for hours worked at the hourly rate established in the contract.

1.3.8. Holidays. The following is a list of legal federal holidays as referred to elsewhere in the contract/task order.

Contractor HCP may be required to work on legal holidays as determined by the Department Chief.

· New Year's Day, January 1st

· Martin Luther King's Birthday, 3rd Monday in January

· President's Day, 3rd Monday in February

· Memorial Day, Last Monday in May

· Juneteenth Day, 3rd Friday in June

· Independence Day, July 4th

· Labor Day, 1st Monday in September

· Columbus Day, 2nd Monday in October

· Veteran's Day, November 11th

· Thanksgiving Day, 4th Thursday in November

· Christmas Day, December 25th

1.3.10. OVERTIME IS NOT AUTHORIZED.

1.3.11. PERFORMANCE QUALITY. The Contractor shall establish and maintain a complete Quality Control Plan that shall ensure the requirements of the contract are provided as specified in the PWS. Within thirty calendar days after contract award, three copies of a comprehensive written QCP shall be submitted to the COR and within 5 working days when changes are made thereafter.

1.3.12. PHASE IN /PHASE OUT PERIOD. To minimize any decreases in productivity and to prevent possible negative impacts on additional services, the Contractor shall have personnel on board, at no additional cost to the government, during the ninety (30) days phase in/ phase out periods. During the phase in period, the Contractor shall become familiar with test requirements in order to commence full performance of services on the contract start date.

1.4. PERSONAL APPEARANCE.

1.4.1. The Contractor shall present a neat and clean appearance.

1.4.2. All outer clothing shall be laundered or dry cleaned as appropriate, well-fitting and fresh each workday.

1.4.3. Shoes shall cover the foot to meet sanitation and safety requirements. Open-toe shoes or sandals shall not be worn.

1.4.4. Fingernails shall be clean and not extend one quarter of an inch beyond the flesh tips. Acrylic nails or overlays are prohibited.

1.4.5. Hair shall be neatly groomed. The length and bulk of hair shall not be unkempt, or of extreme appearance.

1.4.6. Contractors shall wear dresses, pants or slacks, shirt or blouses with collar and sleeves, shoes and socks. Tank tops, cut-off pants, shower shoes or similar items of apparel are specifically prohibited. In all cases, contractor employees shall conform to the established personal appearance policy of MTF.

1.5. HEALTH AND IMMUNIZATION REQUIREMENTS.

1.5.1. Health. Contractor individual performing services under this contract shall comply with the health and immunization requirements as stated below at the time of initial request for clinical privileges and annually thereafter. The expense for all physical examinations to comply with the health requirements shall be borne by the contractor individual at no additional cost to the government.

1.5.2. Contractor individual performing direct healthcare services under the contract shall receive a general physical examination with their credentialing package. The certificate shall state the date on which the examination was completed, and the name of the physician who performed the examination. The physician performing the examination shall sign this certification. For the purpose of this paragraph, a physical examination administered more than 45 days prior to submitting credentialing package will not be considered adequate. The physical exam shall include the following:

a. A history to show that the HCP has completed a primary series of immunization with tetanus and diphtheria toxoids and that a booster dose is current (within the past 10 years.).

b. A test for immunity to the hepatitis (Type B) virus with documentation of the results. A profile shall be established to show immune status to hepatitis. Non-immune Healthcare workers (lacking anti-HB(c) or anti-HB(s)) shall be required to complete an immunization series with a Hepatitis —B vaccine (e.g., Recombivax, Energix).

c. Serologic evidence of immunity to measles and rubella or documentation of immunization with measles, mumps, and rubella (MMR) vaccine using the following guidelines.

(1) Employees born before 1957 without documentation of previous vaccination with MMR should receive one dose.

(2) Employees born in or after 1957 who have received one dose of MMR previously shall receive a booster dose.

(3) Employees born in or after 1957 without documentation of any previous vaccination with MMR should receive two doses of vaccine, separated by no less than one month.

d. Serologic evidence of immunity to varicella or documented history of illness or immunization.

e. For personnel who do not have proof of having completed a primary series, completion with enhanced potency inactivated poliovirus vaccine (eIPV) is recommended. Reliable history of spending early childhood and attending elementary schools in the United States since may suffice as clinical history of polio immunization, but requires physician documentation in the record of the history and examination.

1.5.3. If all of the immunization and test set forth in the preceding paragraphs have been completed, the contractor shall issue a certificate providing evidence of immunizations and tests that have been completed or started and shall provide a schedule for the completion of unfinished immunizations and lab tests. After the schedule is completed, the contractor must provide an updated and complete certificate. Failure to complete the immunizations as scheduled may be grounds for the Contracting Officer, upon the advice of the MTF commander or his clinical staff, to determine that such contractor individual is not an acceptable individual to perform services under this contract.

1.5.4. The Contracting Officer, with the explicit case-by-case approval of the MTF commander, is empowered to make exceptions to these requirements, for example, in the event of vaccine shortage or bona fide religious exceptions, but nothing herein shall be construed as an imperative or directive upon the Contracting Officer to make such exceptions.

1.5.5. Contractor individual performing direct healthcare services under this contract, which experience a parenteral (e.g., needle-stick or cut) or mucous membrane exposure (e.g. splash to the eye or mouth) to blood or bloody body fluids, shall receive prompt treatment. The medical treatment facility (MTF) will evaluate the source of exposure for risk of Hepatitis-B, Hepatitis-C. And Human Immunodeficiency virus (HIV) and will provide a report of the findings to the contractor and the contract HCP. It shall be the contractor's responsibility to provide appropriate treatment as needed to possibly include Tetanus-Diphtheria booster, Immune Globulin, Hepatitis-B vaccine booster, or Hepatitis-B Immune Globulin. The contractor shall be responsible for providing the contract HCP with initial testing and if the source of exposure was unknown, positive, or confirmed at high risk for HIV infection, follow-up testing 3, 6, and 12 months after exposure. In event of a confirmed or highly suspected parenteral exposure to HIV, the contractor individual shall receive appropriate counseling and is referred immediately to a private infectious disease specialist for consideration of any post exposure prophylaxis (e.g., AZT). The Government may require the contractor individual to provide evidence of the status of treatment and testing of the individual contractor under the contract.

1.5.6. Contractor individual shall receive an annual influenza immunization from a non-Government physician and present evidence of the shot to the COR unless documented by a physician to be medically contraindicated.

1.5.7. Failure to meet the requirements stated herein, or when test results determine a contractor individual has a contagious disease, the Contracting Officer may, upon advice of the MTF commander of his clinical staff, determine that such a contractor individual is not an acceptable individual to perform services under this contract.

1.5.8. The Government offers vaccine for occupational exposed hazards, i.e., smallpox, anthrax, etc.

1.6. CREDENTIALED PERSONNEL.

1.6.1. IAW MTF procedures, the Contractor shall submit a credentials application and qualify for privileging by the Commander, Regional Health Command- Atlantic, U.S. Army Space and Program Office Fort Belvoir, VA.

1.6.2. No later than 10 days after award, the Contractor must submit credential package to the Credentialing Coordinator and the COR for approval, along with copies of qualifying degrees, certifications, licenses, and BLS/training, and other documentation as specified, to the credentialing office. The COR will notify the contractor of acceptance or non-acceptance of proposed employees within 45 working days of the receipt of packets based on the contents evidencing that all qualification requirements are met.

1.6.2.1. The contractor shall review credential packets to ensure the credential packets are complete. The contractor shall perform primary source verification to ensure the candidates meet all the contract requirements before packets are submitted to the Government's credentialing office at the approved home base location.

1.6.2.2. The contractor shall only submit applications for the credentialing process for those CSPs who shall perform. The CSPs shall not submit an application directly to the COR. No credentialing packets shall be submitted to the Government without the contractor's assurance of review. NOTE: The contractor is not exempted from submitting complete application packets on any CSPs who were or are privileged under another contract.

1.6.2.3. The credentialing agency official shall document the date and time the contractor was advised of denial or award of privileges for a provider. It is the contractor's responsibility to track credentialing requirements for each provider to ensure all documentation is accurate and current. Any CSPs with expired or incomplete documentation shall not be allowed to provide medical treatment or medical readiness program screening on Army installations. All time and expenses incurred relative to presentation of the required credentials packet and application for clinical privileges shall be the contractor's responsibility. All credentialing packets submitted by the contractor in the fulfillment of duties shall become and remain the property of the U.S. Government.

1.6.2.4. The CSPs shall have and maintain a professional license, certification and/or registration as required by the profession and appropriate regulatory bodies. This license shall be current (not revoked, suspended, or lapsed in registration), valid (the issuing authority accepts and considers Quality Assurance (QA) information (i.e. practitioner professional performance and conduct in determining continued licenses)), and unrestricted (not subject to restriction pertaining to the scope, location, or type of practice ordinarily granted to other applicants for similar licenses in granting jurisdiction). The license shall be one that is granted by the recognized licensing agency of a state in the United States of America, the District of Columbia, the Commonwealth of Puerto Rico, Guam, or the Virgin Islands.

1.6.2.5. The contractor shall follow Army Regulation (AR) 40-68 entitled Clinical Quality Management procedures for credentialing and privileging (chapters 8 & 9; Appendix E). AR 40-68 is located on the internet at website http://www.apd.army.mil/pdffiles/r40_68.pdf.

1.6.2.6. Any additional CSPs designated for replacement or back-fill during the contract period shall comply with the same qualifications, credentialing, and health standards as stated above.

1.6.2.7. The MTF Credentials Committee may have questions which they wish to present to the potential applicant verbally or in writing. The potential applicant shall answer questions presented by the Credentials Committee either verbally or in writing as required.

1.6.2.8. The contractor shall coordinate with the MTF to ensure CSPs are credentialed, privileged and/or certified to provide health care services prior to their arrival at their home base or any MTF within the NRMC. However, if TDY travel is required to another Army facility in the NRMC, the CSPs shall require a request for assignment by the gaining facility before health care services are to be provided. The government will coordinate with the contractor to ensure that CSPs are privileged and contract technicians are certified to provide health care services upon their arrival at the installations.

1.6.3. Medical privileges will be granted by the MTF Commander. Compliance with the privileging requirements as stated in this section is essential to the performance under this contract. Failure to meet any of these privileging requirements is considered nonperformance and may result in termination of the contract. The Contractor shall submit all required privileging requirements to the COR. The COR will forward the credentials packet to the credentials office for action. The failure to submit completed credentials application packets 45 days prior to commencement of performance may result in the contract health care provider not being privileged in time to perform.

1.6.4. Documentation Requirements for Privileging for Fort Belvoir Army Community Hospital, Fort Belvoir, VA, will be provided upon contract award. The MTF Commander is the final authority for approving or denying clinical privileges for all contract providers.

1.6.5. The MTF Commander is the sole authority that can revoke or otherwise restrict the privileges of any contract provider whom he/she determines is not qualified to perform the contract services IAW AR 40-68.

1.6.6. Once privileges are granted by the MTF Commander, subsequent actions taken concerning the privileges of contract providers, including any limitation on privileges will be governed by the procedures in AR 40-68.

1.6.7. The privileging process is subject to the provisions of AR 40-68 and all subsequent changes to that regulation or any successor regulations that might evolve.

1.6.8. Any action taken by the MTF Commander that suspends, revokes, places in abeyance, or otherwise restricts the privileges of contract providers, will result in that provider not being authorized to perform under the contract. Such action does not release the contractor of the requirement to perform services specified herein. Replacement contract providers must be provided according to the terms of this contract.

1.6.8.1. Adverse actions on contract provider privileges, taken by the MTF Commander, are appealable to the MTF Commander by the contract provider under the provisions of AR 40-68. Final determinations by the MTF Commander are non-appealable by the contractor.

1.6.8.2. Should the Contractor need to add additional providers during the contract period, the same privileging process as stated in this section shall apply for each additional provider.

1.6.9. Privileged providers must in process with the Fort Belvoir Army Community Hospital Credentials Office prior to seeing patients.

1.6.10. Privileged providers must also out-process with the Credentials Office on leaving employment with the organization.

1.7. MOBILIZATION AND OTHER CONTINGENCY PLANNING.

1.7.1. The Contractor HCP may be expected to fill in for mobilized (deployed) staff. Such demands could require extended work hours and expansion of the contract workforce.

1.7.2. To ensure the Government operations can progress with no or only minimal disruption, the Contractor HCP shall anticipate the possibility of a mobilization or similar emergency and identify the steps it will need to take to rapidly expand its contract capabilities to meet the emergency.

1.8. CONTRACTOR HCP FURNISHED SUPPLIES/SERVICES.

1.8.1. SERVICES.

1.8.1.1. The Contractor HCP shall furnish all personnel and services to comply with the requirements of this contract, except where specifically identified as government-furnished supplies and services.

1.8.1.2. Certificates/licenses/training shall be maintained in a current status at all times while performing services under this contract. If at any time during the contract the Contractor HCP does not renew any of the required certifications/licenses prior to the expiration date, he will not be allowed to work at a Military Treatment Facility, Hospital, or Clinic. This expense shall be borne by the Contractor and will not excuse the Contractor from fulfilling the requirements under this contract.

1.8.1.3. Point of Contact. Three calendar days prior to performance of services, the Contractor HCP shall designate, in writing, and provide to the Contracting Officer's Representative [COR] and Contracting Officer, the name, email address, and telephone number of the point of contact for all actions on this requirement.

1.8.2. EQUIPMENT/UNIFORMS.

1.8.2.1 ID Badge. The Contractor HCP shall wear an ID Badge furnished by the MTF. The ID Badge will be in compliance with, and in accordance with, MTF policy.

1.8.2.2. Uniforms/Stethoscopes. The contractor shall provide each contract employee his/her own uniform and /or stethoscope. The contractor shall ensure that, when worn, the uniform is clean and in good repair.

1.9. GOVERNMENT FURNISHED SERVICES / SUPPLIES.

1.9.1. Government Training / Orientation.

1.9.1.1. Staff Orientation - New Employee. Contractor HCP shall participate in all staff orientation and/or training. Contractor HCP will attend a government-sponsored initial orientation to familiarize them with the policies and procedures of the MTF. Orientation attendance will be scheduled by the COR. Such orientation may include instruction on automated processing, standard operating procedures, local in-services, quality improvement policies, communications, and occupational exposure to blood borne pathogens, safety programs, etc.

1.9.1.2. Annual Training Updates. Contractor HCP shall be required to complete an annual training update at the MTF Annual training updates may be accomplished via video and/or classroom instruction, computer-based instruction, or review of written materials.

1.9.1.3. Armed Forces Health Longitudinal Technology Application (AHLTA) Training (formerly known as CHCSII). Contractor HCP shall attend training in the use of AHLTA. The length of training will depend upon the computer skills of the individual Contractor HCP. This training will be coordinated and scheduled by the Department Chief. (Access to such patient data systems is an "Automated Data Processing Sensitive" position requiring compliance with AR 25-2 and AR 380-67.)

1.9.1.4. HIPAA Privacy and Security Training (HIPAA 101). Contractor HCP shall be required to complete the On-Line Web-based Training Modules prior to providing any patient care.

1.9.1.5. In addition to the specified courses listed above, Contractor HCP are required to attend or complete on-line any Department of Defense, Army, or Federal Government directed courses, which are not available to Contractor HCP outside of the MTF. Contractor HCP will participate in all mandatory training.

1.9.1.6. Government unique training. The government may elect to provide unique government training to Contractor HCPs who are performing services under this contract. If the government elects to provide such training, the government will provide such training at no additional expense to the contractor or to the Contractor HCP. When directed by the contracting officer, Contractor HCPs shall attend all such training in a paid status as part of the normal services required and billed under the contract. Such training shall require a performance commitment by the contractor and the contractor shall reimburse the government (by means of a reduction in an invoice) if a Contractor HCP fails to satisfy the performance commitment after the Contractor HCP receives the unique government training. The amount of the reimbursement shall be the prorated cost of training, calculated based on the total cost of the training and the number of months by which the Contractor HCP fails to complete the performance commitment. The length of the performance commitment shall be 12 months or until the end of all performance under this contract, whichever occurs first.

1.9.1.7. The contractor shall ensure all service providers receive Sexual Harassment/Assault Response and Prevention (SHARP) training not later than 60 calendar days after contractor personnel begin performance under this contract. Training can be obtained either online or in person. Contractor personnel should check with the contract COR for MTF class date/time and availability. If the employee has an AKO account, they can access online the Team Bound Self Study course through Army Learning Management System (ALMS) at http://www.atsc.army.mil/tadlp/delivery/alms.asp

1.9.1.8. Hours for attending any of the above shall be compensated at the regular hourly rate established in the contract.

1.10. GOVERNMENT FURNISHED SUPPLIES.

1.10.1. The Government will provide the use of all available MTF facilities and support services, materials, publications and forms, and equipment required for contract performance (except as designated). Contractor HCP shall keep Government furnished supplies, equipment and work areas in a safe, orderly and clean condition. Contractor HCP shall notify the Government whenever maintenance of equipment is required. Contractor HCP shall abide by all MTF and Army requirements for physical security of Army property and equipment.

1.10.2. Telephones, facsimile machines, copiers and computer equipment are authorized for transaction of official Government business only and shall not be used for personal business. Personal long distance calls are not authorized and the cost of all personal long distance calls made may be deducted from the Contractor's invoice payments. Telephones, facsimile machines and computer equipment are subject to communications security monitoring at all times.

1.10.3. Space used by Contractor HCP in performance of services may be used for other purposes during their absence. Items of clothing, personal effects, or equipment cannot be secured during their absence. The Government will not incur any liability for theft, damage to, or loss of such personal items.

1.10.4. Contractor HCP may be issued keys. The Contractor HCP shall safeguard the keys from loss, theft or destruction, and must display all keys signed for at scheduled or unscheduled key control inspections. The Contractor shall be required to reimburse the Government for lost keys, or lockset (if locksets are required to be replaced) as a result of lost keys. The cost of replacement of keys/locksets may be deducted from payments to the Contractor.

1.10.5. Pagers. If pagers are issued, the Contractor HCP shall safeguard the pagers from loss, theft or destruction, and must display the pager for a scheduled or unscheduled control inspection. The Contractor shall be required to reimburse the Government for lost pagers. The cost of replacement of pagers may be deducted from payments to the Contractor.

1.10.6. Protective Clothing. The MTF will supply special protective clothing and shoe covers when required.

1.10.7. Items issued will remain the property of the Government and will not be removed from the hospital. They are to be used, turned in, or disposed of as directed.

1.10.8. Emergency Healthcare. The MTF will provide emergency healthcare for injuries occurring while on duty. The Contractor shall reimburse the Government for such services.

1.11. DESCRIPTION OF WORK. [See Attachment 1].

1.12. DELIVERABLES.

1.12.1. The Contractor shall submit reports to the COR and/or the Contracting Officer as requested for use in monitoring Contractor HCP performance. Such reports will include, but are not limited to, current license status, initial and/or monthly/annually immunizations, BLS status, and Contractor Manpower Reporting.

1.12.2. The Office of the Assistant Secretary of the Army (Manpower & Reserve Affairs) operates and maintains a secure Army data collection site where the Contractor will report ALL Contractor manpower (including subcontractor manpower) required for performance of this contract. The Contractor is required to completely fill in all the information in the format using the following web address https://cmra.army.mil/. The required information includes: (1) Contracting Office, Contracting Officer, Contracting Officer's Technical Representative; (2) Contract number, including task and delivery order number; (3) Beginning and ending dates covered by reporting period; (4) Contractor name, address, phone number, e-mail address, identity of Contractor employee entering data; (5) Estimated direct labor hours (including sub-Contractor); (6) Estimated direct labor dollars paid this reporting period (including sub-Contractor); (7) Total payments (including sub-Contractor); (8) Predominant Federal Service Code (FSC) reflecting services provided by Contractor (and separate predominant FSC for each sub-Contractor if different); (9) Organizational title associated with the Unit Identification Code (UIC) for the Army Requiring Activity (the Army Requiring Activity is responsible for providing the Contractor with its UIC for the purposes of reporting this information); (10) Locations where Contractor and sub-Contractors perform the work (specified by zip code in the United States and nearest City, Country, when in an overseas location, using standardized nomenclature provided on website); (11) Presence of deployment or contingency contract language, and, (12) Number of Contractor and sub-Contractor employees deployed in theater this reporting period (by country). (13) As part of its submission, the Contractor will also provide the estimated total cost (if any) incurred to comply with this reporting requirement. Reporting period will be the period of performance not to exceed 12 months ending September 30 of each Government fiscal year and must be reported by 31 October of each calendar year. The Contractor shall notify the Contracting Officer's Representative (COR) by the 5th working day of November whether or not they have completed this report. If the COR is unavailable, the Contractor will notify the Contracting Officer.

1.13. Sexual Harassment/Assault Response and Prevention (SHARP)

1.13.1. The contractor shall comply with OTSG/MEDCOM Policy Memo 13-062, Policy for Reporting Incidents of Sexual Assault and Sexual Harassment under the Sexual Assault Prevention and Response Program (SHARP), 12 Nov 2013. The SHARP reporting requirements apply only to knowledge obtained by contractor personnel while performing services under this contract.

1.13.2. The contractor shall require all Contract Service Providers (CSP) with knowledge of an incident of sexual assault occurring on a Government facility, to include a Government leased facility, where the contractor is providing services under this contract, to report the incident to the contractor who shall immediately (within 24 hours) report the incident in writing to the government's COR. All incidents shall be reported whether they involve contractor personnel or Government personnel, or other individuals.

1.13.3. The contractor shall require all CSPs with knowledge of an incident of sexual harassment occurring on a Government facility, to include a Government leased facility, where the contractor is providing services under this contract, to report the incident to the contractor who shall immediately (within 24 hours) report the incident in writing to the government's COR. All incidents shall be reported whether they involve contractor personnel or Government personnel, or other individuals.

1.14. SAFETY REQUIREMENTS: The Contractor HCP shall maintain safety and health standards compliant with requirements of the Occupational Safety and Health Administration (OSHA). Contractor individual shall receive the current influenza and COVID-19 (SARS-CoV-2) immunization from a non-Government physician and present evidence of the shot to the COR unless documented by a physician to be medically contraindicated.

1.15. SECURITY.

1.15.1. Contractor Employee Suitability Determination

DODI 1400.25, Volume 731 Suitability and Fitness Adjudication for Employees, Dated August 24, 2012; 5 CFR Part 731 Executive Order (EO) 10450 (Security Requirements for Government Employment), EO 13467 Reforming Processes Related to Suitability for Government Employment, Fitness for contractor Employees, Homeland Security Presidential Directive - 12 (HSPD-12) Policy for a Common Identification Standard for Federal Employees and Contractors, requires suitability determinations for all employees. This program is separate from the national security program. Suitability refers to character and behavior of the individual to work for the government. It does not include a person’s qualifications, such as experience or ability. All employees and contractors must meet the suitability standard and criteria described in 5 CFR Part 731, Subpart B., to determine if persons satisfy the suitability criteria. Risk levels are assigned to positions and investigations are requested on candidates under 5 CFR Part 731. MTF Security Office will adjudicate the results on all employees, applicants, appointees, and contractor’s using the criteria in 5 CFR Part 731.202 and appendix B. The MTF Security Office reviews the OF 306, SF 85, SF85P, SF86 and any supporting documentation and will make a suitability and or fitness decision prior to selection of individuals.

1.15.2. Federal laws and Department of Defense Instruction (DODI) 1402.5, Criminal History Background Checks on Individuals in Child Care Services, 19 Jan 1993, requires that contractors who will be dealing with children undergo specific federal and state background checks.