75P00121R00107_0001 (2022-2-4).pdf

(x)

75P00121R00107 x x

1 copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted ; or (c) By separate letter or electronic communication which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGEMENT TO BE

RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN REJECTION OF YOUR

OFFER. If by virtue of this amendment you desire to change an offer already submitted , such change may be made by letter or electronic communication, provided each letter or electronic communication makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

x

DAM

Bethesda MD 20814 8th Floor 7700 Wisconsin Avenue

DHHS/PSC/AMS/DAM

02/04/20220001

13. THIS ITEM ONLY APPLIES TO MODIFICATION OF CONTRACTS/ORDERS. IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

12. ACCOUNTING AND APPROPRIATION DATA (If required) is not extended.is extended, Items 8 and 15, and returning

Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended , by one of the following methods: (a) By completing

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

FACILITY CODE CODE

10B. DATED (SEE ITEM 13)

10A. MODIFICATION OF CONTRACT/ORDER NO.

9B. DATED (SEE ITEM 11)

9A. AMENDMENT OF SOLICITATION NO.

CODE

8. NAME AND ADDRESS OF CONTRACTOR (No., street, county, State and ZIP Code)

7. ADMINISTERED BY (If other than Item 6)CODE 6. ISSUED BY

PAGE OF PAGES

4. REQUISITION/PURCHASE REQ. NO.3. EFFECTIVE DATE2. AMENDMENT/MODIFICATION NO. 5. PROJECT NO. (If applicable)

1. CONTRACT ID CODE

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

10/27/2021

CHECK ONE A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority) appropriation data, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

E. IMPORTANT: Contractor is not is required to sign this document and return __________________ copies to the issuing office.

ORDER NO. IN ITEM 10A.

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

The purpose of this modification is to include the revised solicitation and the revised

Questions and Answers. Please refer to attachments.

16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)15A. NAME AND TITLE OF SIGNER (Type or print)

15C. DATE SIGNED 16B. UNITED STATES OF AMERICA 15B. CONTRACTOR/OFFEROR 16C. DATE SIGNED

(Signature of person authorized to sign) (Signature of Contracting Officer)

Saundra Kpadeh

STANDARD FORM 30 (REV. 11/2016)

Prescribed by GSA FAR (48 CFR) 53.243

Previous edition unusable

Except as provided herein, all terms and conditions of the document referenced in Item 9 A or 10A, as heretofore changed, remains unchanged and in full force and effect .

Solicitation: 75P00121R00107 Clinical National Capital Region (NCR) Support Services

SECTION B – SUPPLIES OR SERVICES AND PRICES/COSTS

B.1 BRIEF DESCRIPTION OF SERVICES

This solicitation is for the acquisition of commercial services being procured under FAR Part 12, as supplemented.

The requirement is to acquire quality medical and occupational health professionals to support the mission of Program Support Center (PSC), Federal Occupational Health (FOH) under the Department of Health and Human Services (HHS). FOH provides integrated Occupational Health and Safety (OHS) services throughout the Federal Government.

B.2 TYPE OF CONTRACT

The anticipated contract type is a single-award Indefinite Delivery Indefinite Quantity (IDIQ) contract.

B.3 TYPE OF ORDERS (IDIQ)

Task orders issued under this IDIQ contract shall be Time and Materials orders.

B.4 MINIMUM AND MAXIMUM QUANTITIES (IDIQ)

During the contract period, the Government shall place orders totaling a minimum of $25,000.00. This reflects the contract minimum for the entire period of performance, including any options. The contract maximum for the entire period of performance, including any options and any surge for any potential expansion of services, shall be for the placement of orders totaling a maximum of $ 126million.

B.5 CONTRACT LINE ITEM PRICING (IDIQ)

The price for each task order will be based on the negotiated unit prices listed below and estimated level of effort, to be determined at the time of task order award.

The Contractor will be reimbursed in accordance with pricing section of each task order for satisfactory performance of the work.

Time and Material/Labor Hour Orders The Contractor shall not exceed the maximum, fully loaded hourly rates (inclusive of wages, indirect costs such as fringe, overhead, general and administrative expenses, any other indirect costs for labor, and profit) for each category listed below. To be completed at time of award – Attachment J.1.

Loaded Labor Rate Labor Category Year 1 Year 2 Year 3 Year 4 Year 5

Material (Non-Labor) Indirect Cost Rates - Pursuant to the General Provisions of this contract pursuant to FAR 52.212-4; Alt. I, the following fixed indirect rate to be applied against Materials is established:

To be completed at time of award

END SECTION B

SECTION C - PERFORMANCE WORK STATEMENT

TITLE: Federal Occupational Health (FOH) - Clinical Occupational Health Support Services – National Capital Region (NCR)

Under authority legislated to FOH in 42 USC § 216, Continuing Appropriations Act, 2021, and Other Extensions Act (Act), Pub. L. No. 116-159, div. C, title I, sec. 2107 (Oct 1, 2020), and in accordance with the Federal Acquisition Regulation (FAR), this contract is issued as a Personal Service Contract.

Federal Occupational Health (FOH) is currently funded through the HHS Services and Supply Fund (SSF), a revolving fund appropriation, which was established pursuant to 42 USC §231 for the purpose of providing (1) supply services to HHS and other government offices and (2) such other services as the HHS Secretary determines may be performed more advantageously as central services.

FOH provides various occupational health and related health services to both HHS and other Federal agencies. FOH authority to provide such services is found in 5 USC § 7901. The intent of the Statute is to promote and maintain the physical and mental fitness of federal employees in the workforce. The employee occupational health services authorized under 5 USC §7901 are performed by FOH as centralized services through the SSF. The Continuing Appropriations Act, 2021, and Other Extensions Act, Pub. L. No. 116-159, div. C, title I, sec. 2107 (Oct 1, 2020) states that the SSF Statute “shall be applied with respect to any fiscal year as though the phrase ‘central services’ referred to central services for any Federal agency.” This provides specific transfer authority for the provision of occupational health services under 5 U.S.C. §7901 for both HHS employees and employees of another federal agency.

Section 216 of the Department of Health and Human Services Appropriation Act, 2006 (FY06 HHS Appropriations Act), Public L. No. 109-149, title II, 119 STAT. 2844 (Dec. 30, 2005), which is a permanent provision of law, provides FOH authority to enter into personal services contracts for the limited purpose of employing “professional management/administrative and occupational health professionals.” Many federal agencies enter into an interagency agreement (IAA) with FOH, given its expertise, to provide federal occupational health services. (FOH cannot enter into agreements which involve the acquisition of personal services for other Federal agencies.) In order to fulfill interagency orders for federal occupational health services which require the use of professional management/administrative and occupational health professionals, this contract is established as a personal services contract to enable HHS to provide such services to HHS and other federal agencies.

The work performed under this contract requires the Contractor to be in a uniform location, use Government equipment, adhere to Government policies and procedures, perform inspections, accept work and execute management functions under relatively continuous supervision and control of a Government officer or employee.

The Contractor is hereby notified that under this contract there is no guarantee of coverage under the Federal Tort Claims Act (FTCA). This contract does not contain any requirement for the Contractor or Contractor personnel to have medical professional liability insurance. It is the responsibility of the Contractor and each Contractor personnel to independently and deliberately decide its type and amount of insurance coverage needs.

The Contractor shall furnish all the necessary personnel, services, (except as otherwise specified herein), and otherwise do all the functions necessary for or incidental to the performance of the work as set forth below. Offerors should refer to the Federal Tort Claims Act, Title 28, Chapter 171, and Title 28, Section 1346 information on the Federal Tort Claims Act. Agencies cannot waive the FTCA by contract.

C.1 BACKGROUND

FOH provides defined health services as well as consultation to Federal customer agencies exclusively through Interagency Agreements (IAAs). FOH is the largest provider of occupational health services in the Federal Government, serving more than 300 Federal agencies and reaching 1 million federal employees. FOH enters into agreements are negotiated with federal departments and federal agencies’ national headquarters, and/or with their regional/local components for standard services, including clinical services delivery, expert medical consultation tailored to a particular federal agency’s OHS needs, wellness and health promotion, and behavioral health services. FOH maintains sole responsibility for consulting with its Federal agency customers. The Contractor’s primary role is to facilitate delivery of FOH services specified in this Performance Work Statement (PWS) at FOH Service Provision Sites (SPS) by providing Personal Service Contractors (PerSCs) who will perform these services.

FOH defines OHS as the seamless coordination of comprehensive services using a data-driven approach to assist agencies in achieving a culture of health and high performance.

FOH comprehensive services include:

Clinical Health Services (CHS) - Occupational medicine services, medical employability and fitness for duty services that focus on assessment of the ability of the employee to meet immediate job demands, increase employee productivity and improves employee performance

Environmental Health and Safety (EHS) - ensures a safe working environment through site assessments, environmental health oversight of all FOH occupied spaces, emergency preparedness and emergency response

Wellness and Health Promotion Services (WHPS) - services to assist employees in achieving and maintaining good health so that they can sustain peak performance

Behavioral Health Services (BHS) – Employee Assistance Program, Work/Life and other behavioral health services designed to promote emotional well-being and a healthy life balance through stress management, financial and legal counseling and professional referral

These services are designed to improve health outcomes and employee productivity, while reducing occupational health risks, absenteeism and overall employee healthcare costs. FOH’s vision is to be the occupational health provider of choice for the Federal Government.

FOH CHS staff play a critical role in ensuring FOH maintains its status as the premier provider of integrated OHS to Federal agencies and their employees. By offering flexible, cost competitive solutions, FOH CHS sets the standard for a culture of health and safety across the Federal workforce. The Contractor is required to provide PerSC support for all health promotion activities, data collection, and

Agency/FOH initiatives requiring collaboration. PerSCs are responsible for providing quality health care, health education, and for raising the FOH client awareness of health indicators, associated risks to optimal health, and viable solutions for maintaining optimal health.

CHS achieves these goals through services, including, but not limited to:

Physical examinations

Immunizations

Preventive and routine health screenings

Health risk appraisals

Medical employability evaluation

Occupational exposure testing and surveillance programs

Health education programs

Workplace medical emergency response

Specialized health services, as requested and approved

The quality of clinical services and strength of program effectiveness depends heavily on the expertise and experience of the PerSCs who provide direct care, services, and education. PerSCs will be expected to provide quality services both in individualized and group settings, placing client/patient needs at the forefront of service delivery. All PerSCs will be required to possess and maintain appropriate credentials and licensure to provide the specific services called to perform.

PerSCs participation in professional associations and pursuit of additional certifications and specialized training are strongly encouraged to keep current with identified best practices and medical advancements.

Contractor promotion of such participation and pursuits is expected.

SPSs include FOH Occupational Health Centers, FOH Area Offices, and remote sites throughout the contract area. Services provided under this contract shall primarily be performed at the SPSs in accordance with Site Staffing Plan (Attachment J.2).

C.2 SCOPE

FOH SPSs are grouped together in three regions: Western Region (WEST), Eastern Region (EAST) and National Capital Region (NCR). The Contractor shall provide PerSCs to the region in which the Contractor has been awarded a contract/task order. At any point during the life of the contract, the Contractor may be issued a task order to provide PerSCs to another SPS(s) in a different region should FOH request it.

The Contractor shall provide PerSCs who are capable of performing general occupational health services such as: response to emergencies; first aid and treatment for minor illnesses and injuries; provision of health education and health counseling based on identified modifiable health risks using FOH-approved training materials, policies and protocols; and other services including but not limited to the following:

a. Walk-in care, first aid, and emergency response including use of portable Automated External Defibrillators: (AEDs), Intravenous fluid resuscitation (in selected locations), and other specialized lab analysis, as needed;

b. FOH-approved provision of treatments prescribed by a personal physician such as: periodic bed rest, blood pressure monitoring; glucose monitoring (finger stick); allergy immunotherapy, other treatments and medications administered by injection;

c. Provision of short-term prescriptions by appropriately FOH privileged Licensed Independent Practitioner (LIP) as needed;

d. Health education, health coaching, and training programs using FOH training materials, policies and protocols (e.g. Physical Activity, Weight, Stress Reduction, Nutrition, Bloodborne Pathogens, Smoking Cessation, Respirator Fit Testing, etc.);

e. Health screenings (e.g. cancer, diabetes, blood pressure, vision);

f. Annual Wellness Assessment to include, but not limited to a basic Health Risk Assessment (HRA);

biometric screening; individualized health education, and health counseling; health risk reduction seminars focused on core health risks (e.g., tobacco use, physical inactivity, and weight/BMI); and referrals;

g. Preventive health, medical surveillance and other work-related exams administered by FOH privileged LIPs;

h. Administration of immunizations (e.g. Hepatitis A, Hepatitis B, Anthrax, Smallpox, etc.);

i. Testing related to medical surveillance and/or specific job requirements (e.g., audiometry, spirometry, electrocardiogram (EKG), vision testing);

j. Complete required accreditation or quality-related trainings, lead/conduct mock surveys, prepare assigned service provision sites for accreditation survey, and comply with all applicable accreditation standards, and FOH policies and procedures;

k. Participate in FOH initiated performance improvement and risk management activities;

l. Provide outreach services (health promotion activities such as health screenings, immunizations which may include flu vaccines, health education activities) in locations outside the SPS.

C.3 DEFINITIONS

Emergency Response/First Aid - First aid includes walk-in care and treatment for minor injuries (e.g.

minor burns, cuts, bruises, sprains) and illnesses (e.g. colds, headaches). Emergency response includes administering Cardiopulmonary Resuscitation (CPR) with use of automated external defibrillators and intravenous fluid resuscitation (only where specified), as well as coordination with local emergency medical services (EMS) providers as necessary.

Facility Clearance (FCL) - A facility clearance is essentially a determination by the federal government that it would be in the interest of national security for a particular company or organization to access classified information. It is also known as a facility security clearance.

Federal Occupational Health (FOH) - A service component within the Department of Health and Human Services offering a comprehensive program to improve the health, safety and productivity of the Federal workforce. FOH’s governing organization is the Program Support Center (PSC), within the Office of the Assistant Secretary of Administration.

FedStrive Advantage - The defined scope of services that are packaged into an FOH health maintenance and wellness services program. This service supplements routine walk-in care and appropriate referred services and is billed to FOH customer agencies at a per capita rate.

Fee for Service - A service billing strategy providing specific occupational health and wellness services to customer agencies for defined fees (costs) billed at the time when services are performed. Services offered are unique to the customer agency that negotiates for the specified services.

FOH Customer - A federal agency who has entered into an inter-agency agreement with FOH to have their federal employees utilize an SPS.

FOH Leadership Team - Comprises senior leaders within FOH and is responsible for organizational management and planning; approval of FOH’s scope of services; approval of the annual operating budget, monitoring contracted services; providing the resources needed to maintain safe and quality care, treatment and services; annual evaluation of FOH’s performance in relation to mission, vision, and goals;

ongoing performance improvement; maintaining a Culture of Safety; reviewing and approving policies and procedures; evaluating equipment, supplies and other resources to support the FOH mission; and oversight of all FOH working committees.

Hours – Ad-Hoc – Hours required for Outreach, schedule fee-for-service, exams, and/or to fulfill a specific FOH customer agreement.

Hours – Steady-state - Hours required for each OHC to be open and/or to fulfill a specific FOH customer agreement

Job Specific Position Description (JSPD) - Written position descriptions specific to each individual employee. They define the individual qualifications, responsibilities and tasks specific to the position and scope of service.

Job Sharing - Using two (2) or possibly more PerSCs to cover a single steady-state position on the Site Staffing Plan

Licensed Independent Practitioner (LIP) - Any individual permitted by law (i.e. the statute which defines the terms and conditions of the practitioner’s practice in the state of licensure) to provide client services independently, i.e., without supervision or direction, within the scope of the individual’s license, and in accordance with individually granted clinical privileges.

New Hire - A PerSC that the Contractor has recommended to FOH and has all security clearance paperwork submitted to FOH for a specific position(s) to fill a vacancy or new position.

Personal Service Contractors (PerSC) - Contractor employed personnel (staff) with precise qualifications dictated by FOH to fulfill contract staffing needs and provide direct clinical services to customer agency employees.

Pro Re Nata (PRN) - Relief/substitute PerSCs used when permanent PerSCs are not able to provide services. PRNs are fully trained, and competency tested at the same level as a permanent PerSC who would normally be staffing the position.

Service Provision Site (SPS) - A location where FOH health services are rendered. SPSs include FOH Occupational Health Centers (OHC), FOH Area Offices, and remote sites throughout the contract area.

Work Order - A work request for health and wellness services for an agency/group of Federal employees. The work order includes a checklist of approved services based on agency requirements, as determined by the interagency agreement that may include scheduling of the work. The work order is not specific to a Federal government employee. The work order can be used when requesting identical services for individual Federal government employees or for groups of authorized Federal government employees.

C.4 CURRENT CHALLENGES

The Contractor can expect to face several major challenges throughout the life of this contract. These challenges if not properly managed and controlled by the Contractor will result in the Contractor not providing the services required in this PWS and may jeopardize FOH’s mission and the mission of FOH’s customers.

Key challenges specific to this contract the Contractor shall be aware of and shall properly manage and control are:

Maintaining a properly oriented/trained/security cleared staff

Maintaining readily available PRN pool to meet fluctuating workload demands

Staffing of vacant positions

Timely, accurate and complete submission of security clearance paperwork

Timely, accurate and complete submission of LIP credentials and requests for privileges

C.5 REQUIREMENTS (THE JOINT COMMISSION CERTIFICATION)

In 2015, FOH gained System Accreditation under the Ambulatory Care (AC) Standards through The Joint Commission (TJC). FOH continues to use TJC occupational health standards as its benchmark for quality and safety.

TJC is an independent, not-for-profit organization which accredits and certifies more than 20,000 health care organizations and programs in the United States. TJC-AC accreditation and certification is recognized nationwide as a symbol of quality that reflects an organization’s commitment to meeting specified performance standards. FOH’s TJC-AC accreditation achievement and compliance with TJC standards further aligns FOH with industry-leading quality and safety measures and positions FOH for continued growth in an increasingly competitive market.

The Contractor and any subcontractor performing 20% or more workshare shall be TJC-Health Care Staffing Services (HCSS) certified and/or be TJC-AC accredited for the life of this contract. Failure to maintain certification shall be considered breach of contract and grounds for termination. Note: The 20% workshare is calculated as one-fifth of each contract ordering period’s total labor dollars proposed.

FOH has invested significant time, energy and resources into transforming its policies, procedures and business operations to stay aligned with TJC standards. It is imperative that the Contractor working with FOH is TJC certified in order to assist FOH in maintaining TJC standards and accreditation. This certification is considered a material requirement of this contract and is reasonably necessary for FOH to meet its mission needs. TJC-HCSS standards align with FOH’s business-operation and efficiency goals and will ensure the Contractor conforms to FOH’s efforts to maintain TJC-AC accreditation and deliver high-quality services consistently.

On an ongoing basis, the Contractor will continue to mirror FOH’s pursuit of any other service delivery accreditation enhancement.

C.6 REQUIREMENTS (FOH POLICY)

The quality of services provided by the Contractor and its PerSCs shall be guided by national standards.

These standards include, but are not limited to: TJC standards http://jointcommission.org; the American Medical Association (AMA) standards http://www.ama-assn.org; the American Association of Occupational Health Nurses (AAOHN) standards http://www.aaohn.org; the American College of Occupational and Environmental Medicine (ACOEM) standards http://www.acoem.org, other standards recognized by relevant national medical specialty boards, established principles and ethics of related professions; and the standards of care in the state or locality where the services are provided.

FOH maintains a robust Quality, Safety, and Risk Management (QSRM) program. In order to provide and maintain a safe, functional, supportive, and effective environment for clients and staff in the healthcare and health and wellness setting, FOH requires all PerSCs to adhere to the components outlined in the FOH Safety Plan, FOH Performance Improvement Plan, and associated policy and procedures. This includes PerSCs proactively supporting a culture of quality and safety by participating in safety event reporting, data collection, tracking, and analysis, along with staff surveys to inform performance improvement activities. FOH contract staff engagement, including participation on FOH committees and interdisciplinary teams, is an integral component of client and staff safety programs.

C.6.1 FOH Health Center Policy

The Contractor shall provide all services in accordance with FOH Policies, Standard Operating Procedures (SOP), Local Operating Procedures (LOP), Agency Specific Procedure (ASP), special directives and “ALERTS” as specified in FOH Policies with guidelines provided by the Contracting Officer’s Representative (COR). The COR will inform the Contractor in writing when any updates are made to FOH policies, SOPs, LOPs, ASPs, special directives and “ALERTS” that will, or may, impact/modify the performance of operations and clinical activities. The Contractor shall implement all new changes upon notification. Critical clinical alerts and associated service delivery and management responses will be communicated directly to PerSCs via government email accounts and will be available on the FOH intranet (FOH Staff Portal) for 24-hour online access when they are issued.

C.6.2 COMMUNICATION POLICY

The Government will provide all applicable PerSCs with an FOH/HHS/United States (US) Government managed email account that will represent the official channel of communication by which PerSCs will receive critical operations instructions delivered by FOH. PerSCs will be required to access their email account within one (1) business hour at the beginning of every work shift and every two (2) business hours throughout the workday. In those special cases where an FOH email account may not be accessed within the SPS (usually due to elevated security measures imposed by the customer agency), PerSCs will be assigned an alternative method of receiving critical operations communications that will be used to deliver directives. The Contractor shall notify the COR within two (2) business hours if a SPS’s designated communication method becomes unavailable or is otherwise hindered.

C.6.3 CUSTOMER SATISFACTION

FOH is currently developing a new Customer Satisfaction (Cx) survey for compliance with TJC-AC standards. The Cx survey is intended to measure the satisfaction of FOH’s service delivery. The Contractor will have the opportunity to collaborate with FOH in the final development and implement of the new Cx survey. Contractor incentives and disincentives will be agreed to in survey development.

The survey’s anticipated implementation date is by December 2021.

C.7 REQUIREMENTS (PERSONNEL)

The Contractor shall recruit, hire and retain qualified and competent PerSCs. PerSCs include but are not limited to: Area Clinical Managers (ACMs), Physicians, Physician Assistants (PAs), Nurse Practitioners (NPs), Nurse Coordinators (NCs), Staff Nurses (SNs), Medical Administrative Support Staff (MASS), and other professionals as necessary. (See Attachment J.3 for complete list of labor categories along with specific requirements.)

C.7.1 PROPOSED CANDIDATES

The Contractor shall provide fully screened, qualified, candidates that meet educational, training, competency, licensure, experience, and appropriate health status to perform the physical requirements of the position to be hired for, as well as the ability to obtain and maintain the level of security clearance identified by the COR for a position. The Contractor shall provide PerSCs that have direct, verifiable experience in occupational health, public health, or primary adult ambulatory care services. PerSCs shall have current state license(s) and/or certifications to practice in their respective professional fields. PerSCs with pending actions against their state license shall not be considered for hire under this contract. PerSCs with past actions against any state license will be considered only if no loss of licensure or privileges resulted from the action. PerSC LIPs shall have and maintain a current hands-on Basic Life Support - Health Care Provider (BLS-HP) certification. PerSC nurses shall have and maintain a current BLS-HP certification. Contractor shall track and maintain PerSC BLS-HP certification and provide monthly reports by the 5th business day of each month to the COR.

FOH retains the right to determine the adequacy of a Contractor’s proposed PerSC to meet evolving FOH customer needs throughout the life of this contract. FOH has the authority to disapprove of any proposed PerSC based on qualifications, experience, peer references, and/or performance.

Upon COR notification of needing a new position, the Contractor shall provide to the COR within fourteen (14) calendar days of notification the name of a proposed candidate(s) for a position along with other required documentation for the specific labor category to be filled by the PerSC. The COR will review the candidate’s documentation and provide feedback to the Contractor. (All LIP candidates will also be reviewed by the FOH Medical Director and/or designee for approval.)

Other documents required are:

Curriculum Vitae with a comprehensive list of each State in which the nurse has and has ever held a license

Copy of all current active licenses

Copy of Basic Life Support - Health Care Provider (BLS-HP) certification card

State license, verified

Verification of board-certification or board-eligibility for LIPs

Peer references (three completed on FOH form)

Current privileges if applicable

Additional documents as per Attachment J.5

Occupational Health Provider PerSCs must have CPR Certification and Automatic External Defibrillator (AED) training. All licenses, registrations and certifications shall be renewed and maintained in a current status during the life of the contract. On-line CPR certification or AED training is not acceptable.

While PerSCs are not required to have a license for the specific state or District in which they are providing services under this contract, they shall continue to follow the requirements of State Practice Acts and prevailing local standards of care.

C.7.2 JOB SPECIFIC POSITION DESCRIPTION (JSPD)

The Government will develop the JSPD and provide it to the Contractor within two (2) calendar days of PerSC start date. The JSPD will consist of two parts: 1) the Contract Labor Category description and, 2) the list of duties and responsibilities of the position the employee occupies. The JSPD shall be signed by both the Contractor and the PerSC and provided back to the COR within ten (10) business days. JSPDs will be updated on an annual basis, or as directed by the COR if the position changes and re-signed by both the Contractor and the PerSC. The PerSC shall be provided with a copy of the signed JSPD.

C.7.3 FITNESS FOR DUTY/HEALTH REQUIREMENT

The Contractor shall provide PerSCs who are capable to perform the physical requirements of the duties described in this PWS and the JSPD (e.g. CPR performance, responding immediately to an emergency, carrying a thirty (30) pound Emergency Go-Bag, etc.) without accommodation as well as free from any communicable disease(s). The Contractor shall ensure that each PerSC completes an annual self-declaration of health status. The self-declaration shall be maintained as part of each PerSC’s credentialing file. FOH reserves the right to remove from the contract any PerSC found incapable of performing their duties and/or unable to perform the physical requirements of the position.

The Contractor shall provide to the COR a PerSC’s self-declaration of health form before the PerSC is able to return from an illness, communicable disease or an injury which prevented the PerSC from performing their duties as described in their JSPD. FOH reserves the right to question a PerSC’s fitness for duty and the Contractor shall provide documentation of fitness for duty within two (2) calendar days of a request.

C.7.4 COMPUTER AND ELECTRONIC HEALTH RECORD LITERACY

The Contractor shall ensure that all PerSCs have general computer literacy (e.g. email, Internet, and Microsoft applications), knowledge/ability to use a Government provided Electronic Health Record (EHR) system or other service utilization tracking technology and familiarity with medical coding schemas and their applications to an EHR system for their tasks specifications. If during the course of the contract, FOH determines that a PerSC does not have sufficient computer skills to efficiently perform the required tasks, the Contractor shall provide appropriate training to the PerSC to elevate the PerSC’s skills to a sufficient level as determined by FOH. The Contractor shall bear the burden of any training costs associated with the training.

C.7.5 OCCUPATIONAL HEALTH CARE DELIVERY EXPECTATIONS

The Contractor shall ensure that all PerSCs who provide direct care services or manages/supervise those who provide direct care services have a working knowledge of TJC-AC standards as well as follow FOH policies and procedures when providing services to FOH clients. FOH policies and procedures are updated frequently to meet industry standards, best practices, and accreditation requirements and the PerSCs must remain current with the changes and updates.

The Contractor shall ensure that all PerSCs, including physicians, physician assistants, nurse practitioners, and registered nurses shall possess skills in interviewing and assessment of patients, general management and customer service skills (as they pertain to FOH).

C.7.6 PROFESSIONAL ATTIRE AND APPEARANCE

The PerSCs shall wear professional attire and maintain a professional appearance at all times while providing services under this contract. General requirements include: All identification badges must always be displayed above the waist level. Closed-toe shoes and socks/stockings shall cover the foot to meet sanitation and safety requirements – no open toe shoes/sandals shall be worn. All PerSCs must wear dresses, skirts, pants, or slacks with shirts or blouses tucked in neatly with a professional appearance, shoes and socks. Tank-top shirts, cut-off jeans, shower shoes or similar items of apparel are specifically prohibited. The wearing of medical scrubs may be decided as the duty uniform and must be approved, in advanced, by the COR. FOH-provided disposable cover gowns shall be worn in situations where occupational exposure to potentially contaminated blood and/or body fluids exists. The wearing and disposal of these gowns shall be in accordance with OSHA standards.

C.7.6.1 LAB COATS

Lab coats shall be worn by all direct service staff during normal duty hours. The lab coats will be white in color, with no logos and no longer than knee length. The lab coats must be clean and professional in appearance and free of stains, tears, and signs of disrepair. The purchase and laundry of the lab coats is the responsibility of the Contractor.

C.7.6.2 IDENTIFICATION BADGES

The Contractor shall procure and provide compliant staff identification badges to all PerSCs. The badge shall be black with white lettering, meet current TJC accreditation standards and show the PerSC’s full name, credentials, and FOH branding as determined within FOH policy. The badge shall not bear the name of the Contractor or agency being served. FOH must approve all Contractor provided badges prior to use.

Example:

John J. Jones, MD, PA, RN, etc.

Federal Occupational Health

C.7.7 FOREIGN NATIONAL PerSCs

When presenting foreign nationals as candidates for employment, the Contractor shall provide proof of citizenship, evidence of legal admission to the United States, and evidence of unrestricted authority for employment in the United States. This information shall be submitted along with the credentials of the proposed foreign national candidate.

For foreign national physician candidates, the Contractor shall obtain and keep on file all documents as required in FOH credentialing policies and SOPs.

C.7.8 REQUIRED KEY PERSONNEL

The Contractor shall provide a list of names, organizational structure, and contact information for all individuals who are considered essential to service provision and are supervising or leading personnel on this contract within ten (10) business days of contract award. Listing shall include but is not limited to any proposed non-billable labor categoriespersonnel (e.g., Contractor’s POC) and direct billable labor categories (i.e., Area Clinic Managers) proposed by the Contractor as essential. The organization structure shall identify a single POC for the contract the COR will be able to direct questions and concerns, or POCs for specific portions of the contract (e.g. scheduling or badging). Any updates and/or changes shall be provided to the COR within three (3) business days of being effective.

For direct billable labor categories, the Contractor shall submit to the COR the name and resume of the POC for approval prior to hiring. Prior to the Contractor voluntarily diverting any of the key personnel to other programs or contracts the Contractor shall notify the Contracting Officer (CO) and COR within thirty (30) calendar days of the action for approval. The Contractor shall submit a justification for the diversion or replacement, and a request to replace the individual to the COR. The request must substantiate how the proposed replacement's skills, experience, and credentials meet or exceed the skills, experience, and credentials of the outgoing personnel.

If key personnel are removed from the contract or is terminated due to cause or the key personnel separates from the Contractor’s employment voluntarily with less than thirty (30) calendar days’ notice, the Contractor shall provide the maximum notice practicable to the COR. The Contractor shall not divert, replace, or announce any such change to staff without the written consent of the COR.

FOH will decide on how many ACMs are required (with Contractor’s input) for proper oversight of all FOH SPSs. FOH will ultimately determine which SPSs are assigned to each ACM.

C.7.9 RESIGNATION/TERMINATION

The Contractor shall maintain a stable workforce. It is unacceptable to FOH to have a high turnover rate of staff. If a PerSC identified as fulfilling steady-state hours leaves or steps-down to PRN status or any other PerSC leaves before one (1) years of service, a disincentive will be assessed to the Contractor as described in Section C.11.2.

Low turnover rates create consistency of FOH services to its customers and reduce contract oversight needs. An incentive will be assessed to the Contractor as described in Section C.11.2 if the Contractor maintains a turnover rate at or below 9% in a set 12-month period. The 12-month period will begin two

(2) months after the completion of the contract transition period and repeat every 12 months thereafter.

The Contractor shall notify the COR of all PerSC resignations/terminations within the same business day of the Contractor having received notification or providing action. The Contractor shall start recruiting as early as possible to minimize having the position filled with PRN.

C.7.10 VACANT POSITION

All positions identified on the Site Staffing Plan, whether steady-state or ad-hoc, will be identified as filled with permanent PerSC, PRN PerSC, or remain identified as vacant. Vacant positions identified for both steady-state and ad-hoc hours shall be filled with a PerSC within one (1) business day, unless otherwise identified on the Site Staffing Plan. The Contractor shall ensure there is a PerSC to begin work the next business day of the leaving PerSC. If a permanent PerSC is not available and the Contractor must recruit for a new PerSC, then the Contractor shall provide PRN PerSC(s) to begin work the next business day of the leaving PerSC until such time as a new PerSC is hired and available to work. The Contractor shall have thirty (30) calendar days to hire and obtain FOH Security Clearance package acceptance as complete for each new PerSC from receipt date of a PerSC’s resignation letter/email or termination. If the Contractor fails to obtain FOH Security Clearance package acceptance as complete within thirty (30) calendar days, then a daily disincentive will be assessed to the Contractor as described in Section C.11.2 until the FOH Security Clearance package is accepted as complete.

At a minimum, every month the Government will review the Contractor’s PerSC vacancy fulfillment for the previous month.

NOTE: A resignation/termination of a PerSC does not relieve the Contractor of obligation to properly staff as per the staffing plan. The Contractor shall provide continuity of staff to ensure FOH customer needs are met. The thirty (30) calendar day clock will stop once the Contractor submits to FOH an FOH Security Clearance package for a candidate. The thirty (30) day clock will resume if the FOH Security Clearance package is rejected/returned to the Contractor and will stop again once a new/revised package is submitted to FOH. The clock will be assessed final upon FOH Security Clearance package acceptance as complete.

C.7.11 VACANCY REPORT

The Contractor shall deliver a monthly Vacancy Report to the COR by the 5th business day of each month to include, at a minimum, the following: site code, position that is vacant, type of hours (steady-state or ad-hoc), date position was/will be vacated, plan to fulfill during interim (i.e., PRN utilization, etc.), date anticipated position will be filled, Area Clinic Manager (ACM) assigned to that site.

C.7.12 REASSIGNMENT OF PerSC

The Contractor shall not reassign/move any PerSC without prior approval from the COR. If the Contractor believes a reassignment/move of a PerSC is necessary, the Contractor shall provide to the COR a written justification for the reassignment. The request shall identify the PerSC to be reassigned, why a reassignment is deemed necessary and the new proposed location for the reassigned PerSC.

C.7.13 REMOVAL OF PerSC

FOH reserves the right to remove a PerSC immediately from the contract for issues that FOH determines could cause serious harm or physical injury to the PerSC or another person or taint the reputation of FOH possibly leading to FOH losing business. FOH has a zero-tolerance policy for these types of offenses. The COR will notify the Contractor in writing that a PerSC needs to be immediately removed from the SPS or duty station. The Contractor shall have the PerSC removed immediately after notification.

All PerSCs hired during the contract will be under a one (1) year probation period in which FOH reserves the right to remove a PerSC from the contract. If a key personnel is removed from the contract or is terminated due to cause (i.e. not following policies, procedures, and protocols, not clinically sound, lack of practicing sound judgement, etc.) the key personnel will be restricted from being re-hired with the Contractor to support future program needs.

C.7.14 EMPLOYEE RECOGNITION PLAN

The Contractor shall implement an employee recognition program plan that recognizes PerSCs for outstanding contribution in service to FOH mission. On a quarterly basis, the Contractor will nominate PerSC(s) for individual performance (by name) and will provide all supporting documentation to the COR for approval. Approved individual Honoria will be invoiced on the following month’s invoice subject to availability of funds. Supporting documentation as well as approval will be submitted along with the monthly invoice (See FAR 31.205-6(f)(1), FAR 31.205-6(a)(6)(ii)(B)).

C.7.15 PerSC PERFORMANCE EVALUATIONS

The Contractor shall provide documentation to the COR for an annual performance evaluation for each individual PerSC. The performance evaluation is based on duties and responsibilities and other criteria listed in the JSPD. The performance evaluation criteria shall be approved by the COR at the time a position is filled. FOH reserves the right to determine that a PerSC’s performance is satisfactory or unsatisfactory, regardless of the Contractor’s internal evaluation. PerSCs that fail to meet FOH performance and conduct expectations shall be removed from the contract. The Contractor shall provide a temporary PerSC until a permanent PerSC fills the position.

C.7.16 STAFF RETENTION SURVEY

PerSCs may be required to respond to an FOH standard retention survey when offered, to assess FOH-wide retention issues. When a PerSC leaves contract service, he/she may be asked to complete an FOH exit survey. All surveys shall be returned directly to the COR. All individual survey results will remain confidential.

C.7.17 N95 MASK FIT TESTING

The Contractor shall ensure all PerSCs have been fit tested with FOH approved N95 masks prior to working in any SPS or Outreach activity. It is the responsibility of the Contractor to pay for each PerSC to be N95 mask fit tested and maintain their certification. FOH will supply FOH approved N95 masks in all SPSs for PerSCs to use for by the contractor paid fit testing requirement and for day-to-day working in the SPSs and outreaches. Inoutreaches. In the rare instance that a PerSC cannot pass a fit test with an approved FOH N95 mask supplied in the SPSs, an outside N95 fit tested mask will be accepted given: 1) the N95 mask is a CDC & NIOSH approved, surgical grade mask with no valve; 2) Understanding that

FOH will not supply the alternative N95 mask; 3) the Contractor will report to the COR the fit testing documentation and make/model of the mask the PerSC will use before any work is performed under the contract.

C.8 REQUIREMENTS (CREDENTIALING/PRIVILEGING)

C.8.1 CREDENTIALING

The Contractor shall ensure that, at a minimum, each PerSC has;

A current JSPD (updated with the initial and each renewal application), A job-specific orientation, Site specific training, A current state issued practicing license in the state in which they will be working. The practitioner must not possess a license to practice in any state with past or pending actions, including expunged actions, against the license. Practitioners who have past or pending actions against a license to practice in any state can be presented for credentialing only if the vendor receives written notice from FOH indicating that the practitioner is approved for consideration.

Relevant past experience, Contractor-performed primary source verified credential file, including board-eligibility or certification as applicable, Documented competency in their profession, Current Basic Life Support - Health Care Provider (BLS-HP) certification.

At some locations the requirement for current Advanced Cardiac Life Support (ACLS) certifications and administration of smallpox vaccine may exist and these locations will be identified by the COR.

The Contractor shall compile a complete contractor-performed primary source verified credential file prior to the candidate being submitted to the COR for approval to work under this contract. The Contractor shall verify that candidates for employment meet all credentialing and security qualifications as dictated by accreditation standards and the Federal Government. The Contractor is required to perform this verification directly or through the use of a Credentials Verification Organization (CVO). However, primary source verification must be performed according to the requirements of TJC-AC as referenced within FOH policies and procedures for verification of staffing qualifications. If TJC-AC modifies accreditation requirements for staff credentialing, the COR will notify the Contractor of the new requirements. The Contractor shall implement all credentialing process changes within fourteen (14) calendar days of receiving notification. All current PerSCs will be grandfathered and will have six (6) months to meet new credentialing standard(s) unless otherwise advised by the COR.

Contractor shall provide to the COR proof of National Registry of Certified Medical Examiners certification for all applicable PerSCs upon contract award and annually thereafter.

Contractor shall provide to the COR a verified National Practitioner Databank/graduation Report (as applicable) for each PerSC.

The Contractor shall maintain complete and up-to-date credential files as specifically outlined and directed by FOH policies and procedures for all PerSCs. Complete and up-to-date credential files generally include (but are not limited to) the following information identified in Attachment J.5.

The Contractor shall have current licensed, registrations, and certifications on file for every…