PWS - AVN Medical Lab Testing Services (Rev2 11-09-2022).pdf

Ver. June 2021

PERFORMANCE WORK STATEMENT (PWS)

for the

OKLAHOMA ARMY NATIONAL GUARD (OKARNG)

AVIATION (AVN) MEDICAL LABORATORY TESTING SERVICES

1.0 General:

1.1 Scope: The Contractor shall provide all personnel, equipment, tools, materials, supervision, and quality control necessary, except as specified in Paragraph 3.0 as Government Furnished, to perform medical laboratory testing services, as defined in this PWS.

1.2 Background: The PWS’s purpose is to facilitate the Individual Medical Readiness of the Oklahoma Army National Guard (OKARNG) Soldiers for specific aviation requirements by providing clinical lab testing and results for medical examination.

1.3 Period of Performance (PoP): The Blanket Purchase Agreement (BPA) period of performance shall be for a Base Year with four 1-year options, unless the Government chooses not to exercise an option.

1.4 General Information:

1.4.1 Place and Performance of Services: Services shall be rendered on site at designated facilities within Oklahoma. The OKARNG will have the option to either have the Contractor pickup samples at designated facilities below or send personnel to Contractor’s designated laboratory to draw the samples directly. No reimbursement will be made for travel expenses. All travel costs associated with performance under this BPA are the sole responsibility of the Contractor. All samples picked up at OKARNG facilities will be spun down and placed in transport tubes for pickup.

Pickup will occur at the locations listed below, when instructed:

Aviation Medical Clinic Aviation Medical Clinic 16201 144th St. 4220 N. Mingo Valley Exp.

Lexington, Ok 73051 Tulsa, OK 74116

When hiring personnel, the Contractor shall keep in mind that the stability and continuity of the work force are essential.

1.4.1.1 Telework: The Government will not permit the Contractor to telework in support of this requirement.

1.4.1.2 Unscheduled gate closures by the Security Police may occur at any time causing all personnel entering or exiting a closed installation to experience a delay. This cannot be predicted or prevented. Contractors are not compensated for unexpected closures or delays. Vehicles operated by Contractor personnel are subject to search pursuant to applicable regulations. Any moving violation of any applicable motor vehicle regulation may result in the termination of the Contractor employee’s installation driving privileges.

1.4.1.3 The Contractor’s employees shall become familiar with and obey the regulations of the installation; including fire, traffic, safety and security regulations while on the installation. Contractor employees should only enter restricted areas when required to do so and only upon prior approval. All Contractor employees shall carry proper identification with them at all times and shall be subject to such checks as may be deemed necessary. The Contractor shall ensure compliance with all regulations and orders of the installation, which may affect performance. The Government reserves the right to direct the removal of an employee from Government property or revoke access to Government systems for misconduct, security reasons, or any overt evidence of communicable disease. Removal of Contractor employees for reasons stated above does not relieve the Contractor from responsibility for total performance of this contract.

1.4.2 Recognized Holidays: The following are recognized United States (US) holidays.

The Contractor shall not perform services on these days:

1.4.2.1 New Year’s Day: January 1st

1.4.2.2 Martin Luther King, Jr.’s Birthday

1.4.2.3 President’s Day

1.4.2.4 Memorial Day

1.4.2.5 Juneteenth National Independence Day: June 19th

1.4.2.6 Independence Day: July 4th

1.4.2.7 Labor Day: 1st Monday of September

1.4.2.8 Columbus Day

1.4.2.9 Veteran’s Day: November 11th

1.4.2.10 Thanksgiving Day: 4th Thursday of November

1.4.2.11 Christmas Day: December 25th

1.4.3 Quality Control (QC): The Contractor shall develop and maintain an effective QC Plan (QCP) to ensure services are performed in accordance with this PWS. The Contractor shall develop and implement procedures to identify, prevent, and ensure non-recurrence of defective services. The Contractor’s QCP is the means by which it assures itself that its work complies with the requirements of the contract. As a minimum, the Contractor shall develop QC procedures that address the areas identified in Technical Exhibit 1, Performance Requirements Summary (PRS). A final QCP shall be submitted to the Contracting Officer’s Representative (COR) not later than (NLT) 10 days after the award. After acceptance of the QCP, the Contractor shall obtain the Contracting Officer’s (KO’s) acceptance in writing of any proposed changes to its QCP.

1.4.4 Quality Assurance (QA): The Government will evaluate the Contractor’s performance under this contract in accordance with the Quality Assurance Surveillance Plan (QASP). This plan is primarily focused on what the Government will do to ensure that the Contractor has performed in accordance with the performance standards. It defines how the performance standards will be applied, the frequency of surveillance, and acceptable quality level(s) or defect rate(s).

1.4.5 Installation Access and Security Requirements. The Contractor shall comply with all applicable installation/facility access and local security policies and procedures, which may be obtained from the COR. The Contractor shall ensure compliance with all personal identity verification requirements as directed by Department of Defense (DoD), Headquarters Department of Army (HQDA) and/or local policy (see PWS 6.0). Should the Force Protection Condition (FPCON) change, the Government may require changes in Contractor security matters or processes.

1.4.5.1 Reserved.

1.4.5.2 Protection of Personally Identifiable Information (PII). The Contractor shall protect all PII encountered in the performance of services in accordance with Defense Federal Acquisition Regulation Supplement (DFARS) 224.103 Personally Identifiable Information and Department of Defense Directive (DoDD) 5400.11, Department of Defense Privacy Program, and DoD 5400.11-R. If a PII breach results from the Contractor’s violation of the aforementioned policies, the Contractor shall bear all notification costs, call-center support costs, and credit monitoring service costs for all individuals whose PII has been compromised.

1.4.6 Physical Security. The Contractor shall safeguard all Government property provided for Contractor use. At the close of each work period, Government facilities, equipment and materials shall be secured.

1.4.7 Contract Manager (CM): The Contactor shall designate a CM who shall ensure performance under this agreement. The name of this person, and an alternate who shall act for the Contractor when the CM is absent, shall be designated in writing to the KO.

The CM or alternate shall have full authority to act for the Contractor on all contractual matters relating to daily operation of this agreement. The CM shall work through the COR to resolve issues, receive technical instructions, and ensure adequate performance of services. The CM shall ensure that Contractor employees do not perform any services outside the scope of the agreement without an official modification issued by the KO. The CM shall ensure Contractor employees understand that services performed outside the scope of the agreement are performed wholly at the expense of the Contractor.

1.4.8 Combating Trafficking in Persons: The United States Government has adopted a zero tolerance policy regarding trafficking in persons. The Contractor and its employees shall not engage in severe forms of trafficking in persons during the life of the agreement awarded; procure commercial sex acts; or use forced labor. The Contractor shall notify its employees of the United States Government’s zero tolerance policy, the actions that will be taken against employees for violations of this policy. The Contractor shall take appropriate action, up to and including termination, against employees or sub- Contractors that violate the US Government policy as described at FAR 22.17.

1.4.9 Organizational Conflicts of Interest (OCI): The Contractor and sub-Contractor personnel performing services under this agreement may receive, have access to or participate in the development of proprietary or source selection information (e.g., cost or pricing information, budget information or analyses, specifications or work statements, etc.) or perform evaluation services which may create a current or subsequent OCIs, as defined in FAR Subpart 9.5. The Contractor shall notify the KO immediately whenever it becomes aware that such access or participation may result in any actual or potential OCI and shall promptly submit a plan to the KO to avoid or mitigate any such OCI. The Contractor’s mitigation plan will be determined to be acceptable solely at the discretion of the KO. In the event the KO unilaterally determines that any such OCI cannot be satisfactorily avoided or mitigated, the KO may impose other remedies as he or she deems necessary, including prohibiting the Contractor from participation in subsequent requirements which may be affected by the OCI.

2.0 Definitions and Acronyms:

2.1 Definitions:

2.1.1 Contractor: A supplier or vendor awarded a contract to provide specific supplies or service to the Government. The term used in this contract refers to the prime.

2.1.2 Defective Service: A service output that does not meet the standard of performance associated with the PWS.

2.1.3 Deliverable: Anything that can be physically delivered and includes non-manufactured things such as meeting minutes or reports.

2.1.4 Key Personnel: Contractor personnel that are evaluated in a source selection process and that may be required to be used in the performance of a contract by the PWS. When key personnel are used as an evaluation factor in best value procurement, an offer can be rejected if it does not have a firm commitment from the persons that are listed in the proposal.

2.1.5 Physical Security: Actions that prevent the loss or damage of Government property.

2.1.6 Quality Assurance: The Government procedures to verify that services being performed by the Contractor are performed according to acceptable standards.

2.1.7 Quality Assurance Surveillance Plan (QASP): An organized written document specifying the surveillance methodology to be used for surveillance of Contractor performance.

2.1.8 Quality Control: All necessary measures taken by the Contractor to ensure that the quality of an end product or service shall meet contract requirements.

2.1.9 SubContractor: One that enters into a contract with a prime Contractor. The Government does not have privity of contract with the subContractor.

2.2 Acronyms:

AEI Army Enterprise Infostructure AR Army Regulation AT/OPSEC Antiterrorism/Operational Security BI Background Investigation CM Contract Manager COR Contracting Officer Representative DA Department of the Army DD254 Department of Defense Contract Security Classification Specification DFARS Defense Federal Acquisition Regulation Supplement DoD Department of Defense DSCA Defense Counterintelligence and Security Agency FAR Federal Acquisition Regulation GFP/M/E/S Government Furnished Property/Material/Equipment/Services HQDA Headquarters, Department of the Army HSPD Homeland Security Presidential Directive IA Information Assurance IS Information System(s) KO Contracting Officer NGB National Guard Bureau OCI Organizational Conflict of Interest PII Personally Identifiable Information POC Point of Contact PRS Performance Requirements Summary PWS Performance Work Statement QA Quality Assurance QASP Quality Assurance Surveillance Plan QC Quality Control QCP Quality Control Program SCR Service Contract Reporting SSN Social Security Number TE Technical Exhibit USD(I) Under Secretary of Defense for Intelligence

3.0 Government Furnished Property, Material, Equipment and Services (GFP/M/E/S):

None

4.0 Contractor Furnished Property, Materials, and Equipment (CFP/M/E):

4.1 General: Except for those items specifically stated to be Government-Furnished in Paragraph 3.0, the Contractor shall furnish everything required to perform these services as indicated in Paragraph 1.1.

5.0 Requirements: The Contractor shall:

5.1 The Contractor shall perform or produce the following procedures, test, result and reports:

5.1.1 Laboratory Test Panels

The following laboratory test panels shall be administered as requested under the standards of CUA, OSHA and HIPAA:

Comprehensive Metabolic Panel: comprised of glucose, calcium, pre-albumin, albumin, sodium, CO2, potassium, chloride, blood urea nitrogen (BUN), creatinine, alkaline phosphatase (ALP), alanine aminotransferase (ALT), aspartate aminotransferase (AST), and bilirubin

Lipid Panel: comprised of total cholesterol, triglyceride level, HDL level, LDL level, Very low density lipoprotein (VLDL) level, ratio of total cholesterol to HDL, ratio of LDL to

HDL.

CBC with differential comprised of White blood cell count, white blood cell types, red blood cell count, hematocrit, hemoglobin, red blood cell indices, platelet count, mean platelet volume.

Prostate Specific Antigen (PSA) Blood Typing Hemoglobin A 1 C Blood Glucose Free thyroxine (FT1 or FT4) Urine Microscope and Specific Gravity Stool Guaiac (fecal occult blood test) Sickle Cell Screen G6PD (Glucose-6-phosphate dehydrogenase deficiency) - malaria prophylaxis screening

Varicella Titer Thyroxine (T4) Thyroxine (T4) Free, Direct Hgb Solubility Venipuncture

TSH

Ceruloplasmin Triiodothyronine (T3)

PTH, Intact Hepatitis Panel (4) Eosinophil Count, Nasal Pap Smear 1 slide w Mat Pap Smear, 1 slide RPR Test Uric Acid, Serum Renal Panel Urine Culture and Sensitivity 24 Hr Urine Calcium 24 Hr Urine Phosphate (Phosphorus) 24 Hr Urine Uric Acid 24 Hr Urine Creatine Urine Culture, Routine Kidney Stone, Urine/Sa UA/M w/rflx Culture, R Sedimentation Rate-wes C-Reactive Protein, OU Hepatic Function Panel HIV testing Urine drug screen Blood alcohol level Other tests as required and agreed upon by the KO and the Contractor.

5.1.2 Personal Protective Equipment (PPE)

Contractor shall furnish and assure healthcare workers are provided with the appropriate PPE such as, but not limited to: gloves, protective eyewear, etc., where there is a potential for exposure to blood or other potentially infectious materials.

Contractor shall ensure each healthcare worker complies with the requirements of 29 CFR 1910.1030 Blood borne Pathogens Standard.

5.1.3 Infectious Waste Disposal

Disposal of all infectious waste shall be in accordance with local, state, and federal regulation and disposed of offsite by the Contractor.

Contractor shall ensure puncture resistant sharps containers are readily accessible to healthcare workers and located in all treatment areas where sharps could potentially be used

5.1.4 Medical Reports and Recordkeeping

Contractor will ensure one (1) copy of the Soldier's examination/screening/findings is furnished to the COR. Copies provided (sent) in bulk to the COR shall be sent in appropriately secured in correctly sized individual envelops not folded. Each to be identified with the Soldier's full name, social security number (SSN), and/or date of birth (DOB), and if stapling is required; documents will be stapled in the upper left hand corner, at a minimum. Medical examination results shall include all diagnostic tests, graphs, charts, reports, questionnaires, waivers, employee consent forms, physical findings, and examination results. The Contractor will provide the COR with a hard copy of these results within 5 working days of completion of testing. Results of medical surveillance testing, which are questionable and /or of critical significance shall be communicated directly and immediately to the COR by telephone or express mail.

Contractor will identify all medical records with the Soldier's full name, SSN, and DOB at a minimum. The Contractor will ensure work/health history forms and medical reports are complete and legible (typed/printed).

5.1.5 Examination Scheduling

Coordination of scheduling shall be a joint effort between the COR and the Contractor, a draft copy of the scheduled will be initiated by the COR and sent to the Contractor for review and any needed adjustments. Scheduling may also fall under the already established standard procedures of the Contractor where these procedures may be mutually agreed upon between the COR and Contractor.

In the event of a Contractor equipment failure, specific testing and / or parts of examinations that are not completed during the testing period shall be completed at a scheduled time mutually convenient for the Contractor and the COR. Unfinished testing I examinations will be completed at no additional cost to the Government.

5.1.6 Management Personnel

The Contractor shall appoint one CM and a backup manager, who will be the Contractor's authorized point of contact with the COR. The appointment shall be in writing.

The CM shall have full authority to commit the Contractor on matters concerning the

BPA.

5.1.7 Contract Administration and Changes

All administration will be effected by the KO. Communications pertaining to the administration of the BPA will be addressed to the KO. No changes to the PWS are authorized without a written modification to the BPA executed by the KO. Only the KO has the authority to modify the terms and conditions of the BPA.

Contractor time requirements. Contractor will schedule specimen pickups within 1 day of notice. Same day pickup is available in the OKC Metro area and 24 hours notice is required for pickup in the Tulsa area. Contractor will pickup specimens within 3 days of notification. Contractor may elect to have specimen express delivered at no cost to the government. Contractor requires a minimum of 1 day to process and return results from testing. If Contractor picks up samples in the morning, most tests will be reported that evening.

5.2 Reserved.

6.0 Applicable Publications: Publications applicable to this PWS are listed below:

Publication (Chapter/Page)

Date of Publication

Mandatory or Advisory

Website

Federal Acquisition Regulation https://www.acquisition.gov/?q=browsefar

Defense Federal Acquisition Regulation Supplement http://www.acq.osd.mil/dpap/dars/dfarspgi/current/in dex.html or https://www.acquisition.gov/dfars

DoDI 5400.11 Department of Defense Privacy and

Civil Liberties Programs

01/29/2019 https://www.esd.whs.mil/Directives/issuances/dodi/

DoD 5400.11-R Department of Defense Privacy

Program

05/14/2007 https://www.esd.whs.mil/Directives/issuances/dodm/

6.1 Applicable Forms: Forms applicable to the PWS are listed below:

TECHNICAL EXHIBIT 1

Performance Requirements Summary (PRS)

This PRS includes performance objectives the Government will use to determine Contractor performance and will compare Contractor performance to the Acceptable Quality Level (AQL).

Performance

Objective Performance Standard Acceptable Quality

Levels (AQL) Surveillance Method / By

Whom

Pickup Test specimens picked up from facility as scheduled

95% / Monthly Periodic Inspection / COR

Insurance & License and/or certified staff

All physicians and technicians have required insurance, licenses, and certifications.

98% / Yearly Periodic Inspection / COR

Infectious waste disposal

All sharp instruments, blood and urine is handled and disposed of in accordance with federal, state and local regulations, off site.

98% / Quarterly Periodic Inspection / COR

Medical Reports and

Recordkeeping

Privacy Act Statements for each FTS and/or temporary personnel and the reports are submitted in a timely manner.

98% / Quarterly Periodic Inspection / COR https://www.acquisition.gov/?q=browsefar http://www.acq.osd.mil/dpap/dars/dfarspgi/current/index.html http://www.acq.osd.mil/dpap/dars/dfarspgi/current/index.html https://www.acquisition.gov/dfars https://www.esd.whs.mil/Directives/issuances/dodi/

Administrative Contractor properly invoices correct rates for services performed.

95% / Monthly 100% Inspection / COR

Performance / Accuracy of results

Overall performance and accuracy of results by the

Contractor. Contractor resolves any performance issues in a timely manner.

98% / Quarterly Random Monitoring / COR

1) Types of surveillance to select from:

Periodic Inspection: Appropriate for frequently recurring tasks. Evaluate randomly selected samples of the lot to determine the acceptability of the entire lot.

Random Monitoring: Method of surveillance, lot size, performance requirement, sampling procedure and inspection procedure.

100 Percent Inspection: Appropriate for tasks that occur infrequently.

Inspect and evaluate performance each time task is performed.

TECHNICAL EXHIBIT 2

Deliverables Schedule

PWS Reference / Deliverable Title

Frequency Number of Copies

Medium/Format Submit To

5.1.4 / Examination, findings or screening results

5 days of sample pickup/receipt

1 Hard copy / Mail

OKARNG Aviation Medical Staff

TECHNICAL EXHIBIT 3

Estimated Workload Data

ITEM NAME ANNUAL ESTIMATED

QUANTITY

1 Comprehensive Metabolic Panel 350

2 Lipid Panel

3 CBC with Differential 345

4 Prostate Specific Antigen 120

5 Hemoglobin A1C 15

6 Stool Guaiaz (Fecal Occult Blood test) 30

7 HGB Solubility 38

8 Thyroxine T4 10

9 Venipuncture 10

10 Renal Panel 6

11 Urine Culture and sensitivity 5

12 24 HR Urine Calcium 4

13 24 HR Urine Phosphate 4

14 24 HR Urine Uric Acid 5

15 24 HR Urine Creatine 5