Performance Work Statement V4.pdf

PERFORMANCE WORK STATEMENT

ADVANCED AND BASIC LIFE SUPPORT TRAINING SERVICES

David Grant Medical Center Travis Air Force Base, California

Table of Contents

Section

Title

1 Description of Services

2 Training Requirements

3 Vendor Responsibilities

4 Services Summary

5 Government Furnished Property

6 General Information

Appendix A Applicable Publications

Appendix B Standard Abbreviations and Terms

Appendix C Class Workload Estimates

PERFORMANCE WORK STATEMENT (PWS)

ADVANCED AND BASIC LIFE SUPPORT TRAINING SERVICES

David Grant Medical Center Travis Air Force Base, California

I. DESCRIPTION OF REQUIRED SERVICES

1.1. The objective of this service is to provide Advanced Life Support (ALS) training certifications in life-saving ALS disciplines for all privileged and non-privileged clinicians according to an estimated annual schedule of more than 75 classes and as pre-deployment, military medical readiness requirements are determined, such that as many as 900 plus ALS certified students must be able to respond and meet required ALS requirements in-garrison at David Grant Medical Center (DGMC), Travis Air Force Base, California also known as the 60th Medical Group (60 MDG) and the Medical Treatment Facility (MTF). Students must be able to respond with appropriately capable, certified life-saving support in any down range deployed location. The vendor shall comply with all applicable governing civilian agencies’ regulatory requirements, and Department of Defense (DoD), Air Force, and MTF military training directives and instructions to include The Joint Commission (TJC) hospital accreditation guidelines.

1.2. Life Support Certifications. Contracted Advanced Life Support trainers of Advanced Trauma Life Support [ATLS], Pediatric Advanced Life Support [PALS], the Neonatal Resuscitation Program [NRP], and/or the Basic Life Support [BLS] training course must be current in each respective ALS or BLS certification prior to training within the MTF. All disciplines must be conducted in strict accordance with the American College of Surgeons (ACS), the American Academy of Pediatrics (AAP), the American Red Cross (ARC), American Heart Association (AHA) and/or Air Force Medical Readiness Agency (AFMRA) guidelines, as well as Air Force Instructions [AFIs], 60th Medical Group (60 MDG) and TJC directives for the safe administration of patient treatment.

American Red Cross Basic Life Support and other certifications as required are listed in AFI 44-102, AFI 44-119 and Medical Group Instruction [MDGI] 44-61, Emergency Cardiovascular Care (ECC) Program. Training courses that are exclusively internet-based without classroom didactics do not meet ACS, ARC, AAP, AFMRA, nor TJC guidance, as physical classroom training is not included in a purely digital experience.

1.3. Training Services shall be available 24 hours per day, 365 days per year. Vendor must have the capacity to provide sufficient Advanced Life Support training instruction to systematically respond and to consistently meet the required annual ALS training schedules per contracted year. Vendor shall also provide ALS training services for all unscheduled military students' training events that may arise as a result of spontaneous military deployments or other medical readiness demands throughout each year of contracted service. Training will be conducted primarily onsite at DGMC, Travis Air Force Base, CA with the option for students to also attend any of the contracted life support disciplines as the military may require at the vendor’s external training facility annexes within DGMC’s general region.

In addition to DGMC's annually scheduled courses, the vendor must have the capacity to provide flexible classroom training opportunities for individual personnel tasked with short-notice deployment obligations, as well as for emergent AFMRA directed changes to pre-deployment preparation as mandated by the dynamics of military medical mission readiness requirements. Vendor capability must include the flexibility for periodic, unscheduled, short-notice, mass-training of groups larger than average class size. Vendor must have the capacity to intermittently conduct training during weekends, evenings, or both. Training capability for each respective discipline in these instances will include 100% completion of planning, execution, and documentation administration as prescribed by the ACS, AAP, ARC, AFMRA, 60 MDG, and/or TJC certification criteria. Vendor must be capable per calendar year of training and certifying a minimum of 900 students in Advanced Life Support in each of the requisite Air Force Medical Support Agency's assigned ALS disciplines.

1.3.1. Each contract instructor must have a provider card for each respective discipline for which they have teaching responsibilities; in addition, they must have completed an ALS instructor course for each. Instructors who teach PALS must have received six-to-eight hours of ARC mandated blended-learning and instructor led training. Each PALS instructor must teach at least four classes every two years in each discipline in addition to completing ALS science updates at least every five years. Vendor must have at least 20 ALS certified instructors in California; 90% of Vendor PALS Instructors must have at least six months of teaching experience, and 75% must have at least one year of ALS teaching experience.

2. Record keeping must be in compliance with ‘Blended Learning’ or ‘Instructor Led’ classroom standards IAW each governing agencies’ guidelines. Vendor Training Centers must retain all required documents for at least 3 years from dates of training actions; for example, maintain records for 3 years past the last day of the course. Vendor Training Center may store records at a Training Site as long as the records are available to the Training Center and accessible during a Training Center Quality Assurance Review or as requested by the ACS, AAP, ARC, AFMRA, or 60 MDG. Vendor Training Center must maintain required documents IAW guidelines on the retention policy of each governing agency or its own retention schedule if longer; for example, an original or a copy of the current, signed Training Center Agreement. Documentation that the Training Center has the appropriate minimum general liability insurance coverage or waiver as stated in the Training Center Agreement.

Documentation of any issues identified during a Training Center Quality Assurance Review and steps taken to resolve the issues(s). Agenda for each course provided by the Training Center if the standard course agenda is not used. In addition for example, the following written policies and procedures: - Equipment/manikin maintenance and decontamination - Quality Assurance Plan (updated annually) - Internal Training Center dispute resolution policy - Training Site management/relations - Card maintenance and issuance.

American College of Surgeons - ACS - ATLS Course Coordinator

In accordance with ACS criteria, in order to gain and retain the status of an ATLS Educator or Coordinator, candidates must teach in or coordinate at least four courses in the four-year re-verification cycle.

The Contract ATLS Coordinator:

Vendor shall verify ATLS Coordinator eligibility through an ACS specific process developed and maintained under ACS guidelines, and in conjunction with the Medical Group Life Support Training Administrator. Vendor shall manage, verify and schedule ATLS instructors for each course. Vendor shall manage, verify and schedule ATLS military students for each course with oversight by the 60th

Medical Group Life Support Training Administrator. Vendor shall coordinate and submit all ACS required documentation for the teaching of each ATLS course. Vendor shall coordinate and submit all ACS required course documentation for each military student who completes an ATLS course.

Vendor Administrative/Support Capabilities

Vendor must be organized to provide clinical excellence, continuous quality assurance and improvement, and regional specificity for each ALS discipline. Vendor’s global clinical oversight responsibilities include staffing a national director that manages a Physician Continuing Medical Education advisory committee, Nursing and Allied Health Resource Committee, and Quality Assurance and Quality Improvement [QAlQI] programs. Each of the Vendor’s core training regions including California must be led locally by a Director of Training Operations in order to provide region specific program management and customer service. Vendor must staff a national customer service center with Training Center Specialists dedicated to assisting regional operation clients with immediate logistical support and high levels of customer service with the most cost effective model.

The Vendor’s Training Center shall use a combination of experienced professional staff and electronic infrastructure developed specifically to manage certification programs for the 60 MDG. These systems include web based registration and tracking interfaces, as well as digital connections to each respective ALS governing authority for the purposes of adhering to documentation guidelines for each ALS discipline.

2. TRAINING REQUIREMENTS

2.1. Advanced Life Support Training Courses required:

2.1.1. ATLS (Advanced Trauma Life Support)

- as directed by the American College of Surgeons

a. Initial, Renewal, and Instructor options

b. 4 year Re-Certification schedule

2.1.2. NRP (Neonatal Resuscitation Program)

- as directed by the American Academy of Pediatrics and AHA

b. 2 year Re-Certification schedule

2.1.3. PALS (Pediatric Advanced Life Support)

Blended Learning and Instructor Led

- as directed by ARC

b. 2 year Re-Certification schedule

2.2. Basic Life Support Training Courses required:

2.2.1. BLS (Basic Life Support) as directed by ARC

a. Initial, HealthCare Worker, and Test-Out in conjunction with required ALS

b. 2 year Re-Certification

3. VENDOR RESPONSIBLITIES

3.1. The vendor shall provide personnel possessing the skills, knowledge, abilities, and certified training to satisfactorily perform the service requirements included in this PWS. Vendor personnel performing work in support of life support training activities shall be fully trained and certified to teach by each respective governing authority in all aspects of the work to be performed. Private sector personnel performing work under this PWS shall remain employees of the vendor and shall not be considered employees of the Government.

3.1.1 Vendor Advanced Life Support training instructors shall meet the following minimum qualifications:

a. Vendor Advanced Life Support trainers shall be certified and eligible for recertification as an ALS Instructor of Health Care Workers by the American College of Surgeons, American Academy of Pediatrics, the American Red Cross, the American Heart Association, and/or the Emergency Nurses Association as appropriate to assigned teaching responsibilities. Instructors must hold current certifications in BLS and each ALS discipline as appropriate.

3.1.2 Specific Tasks:

a. As certified Advanced Life Support trainers, the vendor shall perform all ALS and BLS training duties associated with leading and documenting Health Care Workers' classroom activities, including coordination and operation of all ALS and BLS training equipment per appropriate ACS, ARC, AAP, AFMRA, and/or TJC guidance, as well as 60th Medical Group policy.

b. Provide Advanced Life Support training expertise suited for training Health Care Workers numbering up to the respective maximum number of ALS students per each ALS discipline, per each class as prescribed by each governing authority.

Identify emergency procedures, recognize, and correct any potential training issues promptly, professionally, and accurately per appropriate 60th Medical Group policy as well as ACS, ARC, AAP, AFMRA and/or TJC guidance.

c. Demonstrate competence and adequate knowledge of related medical procedures, as well as troubleshooting of ALS technical training devices.

d. Evaluate Mega-Code training profiles per Health Care Worker training requirements and train in management of related procedures using appropriate ALS equipment and monitoring data.

e. Recognize and respond with additional training support when or if a Health Care Worker's training situation may be less than conducive to certification, and notify appropriate Air Force personnel for assistance as may be needed.

f. Create and maintain accurate, complete, and durable Advanced Life Support training records in accordance with ACS, ARC, AAP, AFMRA, and/or TJC guidance as well as pertinent 60th Medical Group policies.

3.2. The vendor’s staff, including all teaming partners, subcontractors, and corporate level staff who may be involved in the company's or team's administration of this agreement will be termed as contractor. The prime contractor retains responsibility for any teaming partner or subcontractor and shall be accountable for their performance. Advanced Life Support training services recruited and hired by the vendor to perform services as described in this PWS will be termed hereafter as contracted employee or contracted personnel.

3.3. The vendor shall maintain a plan that demonstrates continuous training process stability and shall maintain qualifying documentation against government minimum requirements for ALS training of military health care workers. The plan will effectively place fully qualified ALS trainers to perform training services at the MTF per the annual calendar of ALS training dates. Plan will ensure the verification and validation of trainer qualifications as having met the minimum qualifications as identified in the PWS. Vendor plan must also ensure that trainers provide a state authorized photo identification; a state driver's license for instance, in order to meet base security requirements for access to the installation.

3.4. The vendor shall have in place a management plan to ensure qualified ALS trainers are recruited, screened, qualified, trained, monitored, and retained to fulfill all training service requirements under this contract. These systems and controls for performing and monitoring this data shall address the areas covered by the Services Summary. The vendor shall employ these commercial quality control programs and procedures to identify, prevent and ensure non- recurrence of potentially and/or actually faulty training services. Through implementation of the vendor’s quality control program/procedures, the Government shall receive quality services meeting the requirements of this contract.

3.5. The vendor shall identify a program manager and an alternate program manager within 5 days upon the award of the contract and notify the MTF with the names and contact information of those who shall be responsible for the performance of ALS training services, ensuring scheduled staff are on site and available to provide services. The program manager and an alternate shall be designated in writing to the Contracting Officer and have the authority to act for the Contractor on all contracting matters relating to daily operation of this contract, to include solving MTF potential complaints regarding contracted personnel performance issues. The program manager or alternate shall be available during normal duty hours (7:30 am - 4:30 pm) to meet with Medical Logistics Personnel and the Contracting Officer's authorized Contracting Officer's Representative (COR) to discuss and resolve any potential problems with delivery of contracted ALS training services.

3.6. Within 45 days of contract award, the vendor shall design, manage, and submit a training personnel retention schedule that ensures low turnover and customer satisfaction with performance.

At no time during the life of the contract shall the schedule not be fulfilled.

Contractor Solutions

Contractor may be required to:

Respond to short notice contact/less than one hour notice in order to arrive to teach an unscheduled course and/or each one-person courses to satisfy a military readiness training need.

Provide quality improvement oversight to Fire Department staff Augment standardized training to include equipment familiarization

4. SERVICES SUMMARY

The service requirements are summarized into performance objectives that relate directly to mission essential items. The performance threshold briefly describes the minimum acceptable levels of service required for each performance objective. These thresholds are critical to mission success.

5. GOVERNMENT FURNISHED PROPERTY

The government will provide ALS training equipment, supplies, and MTF services as listed below.

Simulation center with operator, crash cart, and manikins as ALS training equipment is required.

All other equipment and supplies, as well as all training will be provided by the Contractor.

5.1. All ALS courses will be taught per ARC, AAP, ACS, ENA and/or MDG guidelines.

Travis Air Force Base will provide all equipment for teaching ALS courses per appropriate authorities' guidelines.

Performance Objective Reference Performance Threshold Meet ALS Training Schedules Para 1, 1.2,3.6 95% of time

Contractors/Trainers hold all qualifications Para 1.3, 3.1.1 100% compliance required

The Government will work in concert with the vendor to ensure that each student has access to the most current training manual for their respective course and will provide rooms at DGMC with sufficient space to set up mega code stations and to conduct classroom activities. Travis Air Force Base will arrange with the vendor upon mutually acceptable dates designed to support as many as the respective maximum number of ALS students per each class for both Initial and Renewal for all ALS training courses in order to maintain appropriate, mandated instructor/student ratios. The government will be responsible for any repair, cleaning, and inventory required for government owned ALS training equipment in accordance with established guidelines.

5.2. Equipment/Office Furniture: The contracted staff shall have joint use with government personnel of all available ALS training equipment for performing services required by this contract.

5.3. Supplies: Medical and non-medical supplies commonly used in the facility for the care and management of ALS training services. Commonly used supplies are those routinely stocked by the MTF.

5.4. Utilities: For the purpose of this contract, the government will furnish all required utilities such as water, telephone and electricity for ALS training that occurs in the MTF.

5.5. Housekeeping: The government will provide routine custodial services including emptying of trash; sweeping; mopping; and vacuuming. Additionally, custodial personnel will provide services upon unit-level coordinators' request for immediate problems. Housekeeping (custodial services) will not clean nor move equipment such as medical training crash carts, instruments, patient physiological training and/or monitoring equipment, or any equipment used in training for the diagnosis, care or treatment of actual MTF patients.

5.6. Security Forces and Fire Protection: Phone numbers: Non-Emergency Fire Department: 424-3683; Non-Emergency Security Police: 424-3293. Emergencies (call) 911.

5.7. Dining Facilities: Contractor personnel are authorized to use the hospital dining facilities.

5.8. Emergency Healthcare. The MTF will provide emergency health care to save loss of life or limb and preserve undue suffering for contract personnel for injuries or illness occurring while on duty in the MTF. These services will be billed to the contractor at the current full reimbursement rate.

6. GENERAL INFORMATION

Vendor must have the timely capability to support up to 10 ALS training courses of various sizes per month as determined by AFMRA Readiness Skills Verification, emergent medical readiness predeployment, and/or patient safety driven requirements with the minimum ALS instructional capacity of managing instruction for the respective maximum number of ALS students per each class. Required courses and student numbers referred to in this PWS do not include any additional weekend, evening or presently unscheduled classes that may become required due to deployment and other medical center dynamics. Annual estimated training requirement: 80 - 90 ALS training courses.

6.1. Indemnification and Medical Liability Insurance. The Contractor will provide and maintain adequate liability insurance coverage consistent with the risks associated with the performance of all services required by this PWS. Refer to Federal Acquisition Regulation Clause

52.237-7, "INDEMNIFICATION AND MEDICAL LIABILITY INSURANCE."

Appendix A

Applicable Publications

Regulatory Agency Requirements

Publications and forms are available electronically through the internet. For example:

http://www.e-publishing.af.mil/ is the Air Force’s e-publishing site and is one way to obtain Air Force Instructions. DoD Directives can be found at http://west.dtic.millwhs/directives/ Regulations are followed by a "-R" (e.g., DoD 5200.-R) and can be located on a website by clicking on "publications" instead of "directives." 60th Medical Group Instructions (60 MDGIs) can be located on the MTF website and can be provided to the Contractor upon request.

American College of Surgeons (ACS) Program Administration Manual American Academy of Pediatrics (AAP) Program Administration Manual American Red Cross (ARC) Program Administration Manual American Heart Association (AHA) Program Administration Manual Emergency Nurses Association (ENA) Program Administration Manual Air Force Medical Readiness Agency (AFMRA) directives 60th Medical Group (60 MDG) Instructions The Joint Commission (TJC) directives

(DoD) REGULATIONS, MANUALS, INSTRUCTIONS and DIRECTIVES

PUB NO.

DoDD 5400.1 DoDD 5500.7 DoDI5400.7-R DoDD 8500.1

TITLE

Privacy Program Standards of Conduct Freedom of Information Act Information Assurance

AIR FORCE INSTRUCTIONS, MANUALS and DIRECTIVES

PUB NO.

AFI33-332

AFI33-360

AFMAN 33-363

AFI33-364

AFI36-2201

AFI41-104

AFI41-105

AFI41-106

AFI41-117

AFI44-102

AFI44-119

TITLE

The Air Force Privacy and Civil Liberties Program Publications and Forms Management Management of Records Records Disposition - Procedures and Responsibilities Air Force Training Program Professional Board and National Certification Examinations Medical Training Programs Medical Readiness Program Management Medical Service Officer Education Medical Care Management Medical Quality Operations

AFI46-101 Nursing Services and Operations http://www.e-publishing.af.mil/ http://west.dtic.millwhs/directives

AETC Consolidated Training Plan (CTP) Air Force Continuing Healthcare Education (AFCHE)

Comprehensive Accreditation Manual for Hospitals: The Official Handbook, current edition

Department of Transportation Emergency Medical Services Standards, current edition

National Registry of Emergency Medical Technicians Standards and Certification Requirements, current edition

National Practitioner Database and Air Force Centralized Credential Verification Office

60 MDG/UNIT -SPECIFIC OPERATING INSTRUCTIONS, PROTOCOLS and

GUIDELINES

PUB NO. TITLE

MDGI44-61 Emergency Cardiovascular Care (ECC) Program

Publications Code:

AFI--Air Force Instruction AFMAN--Air Force Manual AFP--Air Force Pamphlet AF Form--Air Force Form DD Form--Department of Defense Form MDGI - Medical Group Instruction

Appendix B

Standard Abbreviations and Terms

Abbreviation and acronyms

• 60 MDG: 60th Medical Group

• 60 MDGI: 60th Medical Group Instruction

• AAP: American Academy of Pediatrics

• ACS: American College of Surgeons

• AFMRA: Air Force Medical Readiness Agency

• AHA: American Heart Association

• ALS: Advanced Life Support

• ARC: American Red Cross

• ATLS: Advanced Trauma Life Support

• BLS: Basic Life Support

• CO: Contracting Officer

• COR: Contracting Officer Representative

• DGMC: David Grant Medical Center

• DoD: Department of Defense

• FRED: Functional Requirements Evaluator Designee

• HCW: Health Care Worker

• MTF: Medical Treatment Facility

• NRP: Neonatal Resuscitation Program

• PALS: Pediatric Advanced Life Support

• PWS: Performance Work Statement

• TJC: The Joint Commission

Terms

Commander - MTF Commander, Squadron Commander, Flight Commander or other activity head, or designated representative e.g., Contracting Officer's Representative (COR) or Department Head, of the activity designated in contract

Contracting Officer (CO) - The individual with authority to enter into, administer, or terminate contracts (see FAR 1.603-1)

Contracting Officer Representative (COR) - Individuals designated to perform quality assessment functions. They serve as on-site technical managers assessing Contractor performance against contract performance standards

Contractor - The Contractor is an independent Contractor and is responsible for its own liability.

Contractor refers to the vendor or prime Contractor. The prime Contractor retains responsibility for any teaming partner or subcontractor and shall be accountable for their performance

Credentialing - The process of obtaining, verifying, and assessing the qualifications of ALS Instructors to provide quality, safe training to members who support patient care

Functional Requirements Evaluator Designee (FRED) - Individuals appointed to provide technical surveillance over contracted ALS Instructors and who will provide feedback on a regular basis to the

COR

Health Care Worker (HCW) - An individual employed by the government to provide healthcare services in the MTF. HCWs are credentialed as well as non-credentialed

Medical Treatment Facility (MTF) - Air Force hospitals or clinics, including all activities providing outpatient and/or in-patient healthcare services for authorized personnel

Performance Work Statement (PWS) - The standard of work that describes core requirements in clear, specific, and objective terms with measureable standards

Quality Control (QC) - Those actions taken by a contractor to control the quality of output and to ensure that they conform to contract requirements and reasonable standards of training administration

Services Summary (SS) - Prescribes how the government plans to (1) assess contractor performance and, (2) manage the contract to obtain efficiencies, improved performance, and cost savings throughout its life cycle

Appendix C

Estimated Class Workload Summary

Annual estimated training requirement: 75 - 80 training courses. Please see attached calendar.

The contractor is required to provide Advanced Life Support Training in each discipline, Instructor Led and/or Blended Learning per the respective life support training governance, to include Advanced Trauma Life Support, Pediatric Advanced Life Support, the Neonatal Resuscitation Program and the Basic Life Support training course. All training disciplines must be conducted in strict accordance with American College of Surgeons, the American Academy of Pediatrics, the American Heart Association, the American Red Cross, and Air Force Medical Support Agency guidelines, as well as Air Force Instructions, 60th Medical Group and The Joint Commission directives for the safe administration of patient treatment. The contractor shall provide Basic Life Support training in conjunction with short notice pre-deployment ALS training as may be required to meet individual members' military mobility readiness preparatory eligibility, as determined by medical mission requirements.