PWS Final PWS 5May23.pdf

PERFORMANCE WORK STATEMENT

CONTRACT W912DY-XX-X-00XX TASK ORDER W912DY-XX-X-XXXX

ENVIRONMENT OF CARE CONSULTANT (EOC) SUPPORT

MEDDAC-KOREA

5 May 2023

1.0 GENERAL.

1.1 Task Order Title. MEDDAC-Korea Environment of Care Consultant Support

1.2 Responsibility. The contractor shall furnish sufficient technical, supervisory, and administrative personnel to ensure the expeditious accomplishment of the work specified in this Performance Work Statement (PWS). Additionally, the contractor shall furnish all services, materials, supplies, equipment, investigations, studies, and travel required in connection with this PWS.

1.3 Direction.

The contractor shall accept directions only from the Huntsville Engineering & Support Center Contracting Officer (KO) or the duly authorized Contracting Officer’s Representative (COR). The contractor, as an independent contractor and not as an agent of the Government, shall provide the technical assistance necessary to accomplish the tasks under this task order. The activities performed by the contractor shall be limited to those authorized in this Performance Work Statement.

Contractor employees must not perform functions or tasks that are considered inherently governmental as defined in the Federal Acquisition Regulation (FAR) at Part 7.5 or perform functions or tasks that are “closely associated with inherently governmental functions”.

Furthermore, as prescribed by FAR Part 37.104, the contractor’s employees must not perform functions or tasks that are personal services or perform authorized functions or tasks in a manner that would be construed to be performance of personal services. Specifically, the contractor’s employees must not perform functions or tasks that require relatively continuous supervision, direction and control of a government officer thereby creating the appearance of an employer-employee relationship. The Contractor’s workforce will work with and provide reports/information to Government employees, but under no circumstances will the contractor allow themselves to be under the supervision and control of a government official or employee. Requests or desires of the Users or Using Agency made directly to the contractor will be immediately brought to the attention of the COR. Any changes to the project scope or other provisions of this PWS must be authorized in writing by the KO. The US Army Corps of Engineers (USACE) technical POC for this work is Deborah Dalessio, PSS Project Manager (PM), 256-895-1951 email deborah.a.dalessio@usace.army.mil

2.0 DESCRIPTION.

Objective. This task order is to provide comprehensive assessment support services at MEDDAC- Korea, the contractor shall provide requested services in the following manner.

The contractor shall provide pricing for each assessment area on separate Contract Line Numbers (CLINs). All CLINs are considered priced options and are subject to availability of funds.

2.1 Duties. The contractor shall furnish all management, labor, supervision, management support, training, local transportation, equipment, and materials (except as specified as government furnished) to provide Environment of Care Consultant Support services as described herein.

mailto:deborah.a.dalessio@usace.army.mil

2.1.2 Period of Performance Base Year. Provide services to successfully conduct EOC Support for the period of 1 June 2023 through 31 May 2024 at MEDDAC, Korea.

2.1.3 Period of Performance Option Year 1. Provide services to successfully conduct EOC support for the period of 1 June 2024 through 31 May 2025 at MEDDAC, Korea.

3.0 ENVIRONMENT OF CARE CONSULTANT SUPPORT (CLIN 0001). The objective of this requirement is to conduct two (2) comprehensive on-site assessments per Period of Performance in accordance with latest edition of The Joint Commission (TJC) Hospital Accreditation Standards (HAS) defined in Chapter EOC, with significant emphasis on Behavioral Health (BH) areas.

3.1 Required Assessment Standards. Assessments to be performed in accordance with the latest edition of TJC HAS as applicable. Assessments are to be performed on the existing conditions at time of survey.

3.2 Required Assessment Elements. The EOC assessments are to be conducted in all occupancies at MEDDAC as defined in the latest edition of TJC HAS.

3.2.1 EOC Specific Focus:

• Review and provide updates to EOC Plan Managers and others as appropriate with respect to changes to the EOC and Emergency Management Standards, to include the actual intent of the Standards/Elements of Performance, as well as what Surveyors will be looking for with respect to the survey process.

• Provide assistance to Plan Managers with Management Plan revisions required based on latest TJC and NFPA changes or the DHA version for accreditation.

• Review and provide assistance to Plan Managers with respect to required Annual Evaluations of the Plans to include ensuring that sufficient Performance data is included to validate the overall effectiveness of the Plans/Programs, as well as, identifying any specific areas that might be potential issues during the survey process.

• Provide Staff Knowledge training to other members of the hospital staff as requested with respect to what they need to/are expected to know of the Management Plans as it relates to the EOC and Emergency Management Standards.

• Conduct a Life Safety assessment for the electronic Statement of Conditions (SOC) update, perform walk-throughs of specific areas of facilities to identify any readily apparent or potential life safety issues.

• Provide Off Site Consultation to the Plan Managers on an as needed basis. This can be conducted through telephone, chat, TEAMS, and/or emails.

• Review and assess project drawing for Life Safety compliancy and provide recommendations for corrective measures to ensure compliance with TJC standards.

• Virtually attend and facilitate each monthly EOC committee meeting, record meeting minutes and provide reminders to members with assigned tasked before next meeting.

Ensure that all discussions and decisions made during the meetings are accurately recorded and communicated to relevant parties in a timely manner.

• The Contractor shall provide a database program that can be accessed by the Government through a cloud-based system. The database program must be provided in a visual format to address individual Elements of Performance specific to documentation requirements as specified by The Joint Commission related to the Environment of Care (EC) chapter and the Life Safety (LS) chapter. The database program shall also provide education and information specific to NFPA, ASHRAE, and other codes/standards. Information may be disseminated as user access via manuals, learning tools, and other forms of visual media.

• The Contractor shall be responsible for the collection of data to ensure the database program is accurate and complete. In the event documents and associated data are withheld by functional leaders and/or other stakeholders within the Environment of Care Committee, the Contractor shall work with the COR to fulfill their responsibilities as stated to maintain the database program.

• Access to the database program shall remain in place for six (6) years post-conclusion and/or termination of the contract. All documentation and data presented within the database program shall remain the property of the Government. At no time shall documentation presented be considered proprietary to the Contractor. The Contractor shall retain a copy of all relevant documentation on behalf of the Government for continuity purposes. However, all copies must be properly returned to the Government upon request or at the conclusion or termination of the contract. Unauthorized reproductions or dissemination of any of the documents produced for the government in support of the TJC SME contract are strictly prohibited.

• This position will directly report to the Facility Management Division or the EOC Chairperson.

3.3 Required Areas of Assessment. Facilities included in this PWS are Area I Camp Casey buildings 802 (Behavioral Health Clinic),807(Health Clinic) 808 (Dental Clinic); Area II K-16 Air Base building 250 (Health Clinic); Area III Camp Humphreys buildings 555 (Jenkins Medical Clinic), 3028 (Central Utility Plant), 3030 (Brian D. Allgood Community Hospital), 3031 (Outpatient Clinic), 3020 (Carius Dental), 6370 (Kim’s Troop Medical/Dental Clinic) and Embedded Behavioral Health (being constructed bldg.# tbd); and Area IV Camp Carroll building 180 (Health/Dental Clinic) and Camp Walker buildings 221 (Wood’s Troop Medical Clinic), (220 Dental Clinic) and 226 (Health Clinic). Contractor may be called upon to assist with other facilities in the Korea Market. These include but are not limited to Osan Air base Clinic, Kunsan Air Base Clinic, and Chinae Naval Station Clinic. Contractor assessments in the EOC shall include, but are not limited to:

3.3.1 Below Ceiling inspection to include all accessible areas and spaces including rooftops, penthouses, machine rooms, elevator machine rooms, interstitial spaces, shafts, chases, units/departments, egress stairs, exit discharge, and building separations.

3.3.2 Above Ceiling inspection to include shafts, chases, exit stairs, fire-rated walls, smoke barriers, smoke dampers and corridor walls. Contractor shall physically walk and inspect all barriers to ensure conformity with all applicable Joint Commission Standards .and Code requirements.

3.4 Required Schedule. Assessments to be completed in the first (1st) six (6) months and second (2nd) six (6) months of the fiscal year, with schedule to be determined by MEDDAC-K Facilities Management Division (FMD). On-site assessments shall be conducted over a ten (10) day period:

nine (9) workdays for field work plus one (1) day for on-site presentation and briefing of initial findings and observations. Days to be scheduled by FMD. Final report shall be submitted within 14 days of the second (2nd) assessment completion.

4.0 Travel.

4.1 In the execution of required tasks, the contractor will be required to travel in order to conduct required services at the below listed locations. Travel shall be conducted in accordance with the Federal Joint Travel Regulations (FJTR). The Government may also direct additional travel in addition to what is listed, as well as travel to other sites needing the services outlined in this PWS or remove sites from this list. Only approved and actual travel expenses shall be invoiced with proof of travel receipts. Below is an estimate; duration of site visits will vary by project.

LOCATION #of Trips Duration (Days/Visit)

Camp Humphreys, South Korea 2 5

Camp Casey, South Korea 2 1

Camp Carroll, South Korea 2 1

Camp Walker, South Korea 2 1

K-16 Air Base, South Korea 2 1

*All site visits (dates, duration, etc.) shall be coordinated in advance (30 days minimum) with appropriate Gov't officials.

5.0 DELIVERABLES.

5.1 Comprehensive Deficiency Report. A Comprehensive Deficiency Report will be provided listing all deficiencies discovered during all assessments. Include at a minimum the following:

• Executive Summary

• Deficiencies listed in a tabular format with tracking number assigned to each

• Where a deficiency involves multiple locations, list all associated locations with the deficiency narrative.

5.2 All deficiencies discovered are to be photographed and identified in Executive Summary, citing the deficiency and code or standard reference. Photos included shall be annotated to include building number, room number and tracking number. Example:

UNIQUE IDENTIFIER: 22-HUM-001 PHOTO LOG NO. 001

DEFICIENCY DESCRIPTION: XXX PROPOSED CORRECTIVE ACTION: YYY

LOCATION: Building # XXX Second Floor, Janitor's Closet, Rm H2228 REFERENCE: The Joint Commission 2018 Hospital Accreditation Standards, Life Safety Chapter Standard LS.01.02.10 EP 6.

All photos are to be tabbed and inserted into back of final reports.

5.2.1 Each listed deficiency shall include a description, the associated NFPA reference paragraph, and explanation of how each does not comply with the associated NFPA reference. A recommendation is required on how the deficiency can be remedied to bring it into compliance. Recommendations shall include a primary recommendation as well as any alternative recommendations that could be considered. Each deficiency shall also reference the associated non-compliant Joint Commission Standard and Element of Performance.

5.3 Building Plans. The Contractor will be provided with MEDDAC’s current set of building plans and any related information prior to the first EOC Assessment. It is the contractor’s responsibility to precisely identify the locations of deficiencies on the Building Plans using AutoCAD software. The contractor shall provide two (2) sets of hard color copies and two (2) digital copies of each assessment.

5.4 Deficiency Tabulation. The contractor shall develop an Executive Summary spreadsheet in Excel clearly identifying all deficiencies, in addition to the associated Element of Performance (EP) Requirement for Improvement (RFI) findings, and any reference codes that apply. Spreadsheet must clearly identify each finding by floor, location, and occupancy.

5.5 Deliverable Schedule. Provide all deliverables within thirty (30) days following survey completion.

5.6 Deliverable Distribution. Contractor shall provide two (2) complete copies of all deliverables including assessments, drawings, executive summaries, photographs in both color hardcopy and electronic format. Electronic format to be CD if data size allows. A cloud-based file sharing system can be utilized for larger files that exceed CD storage capabilities. Also provide fifteen (15) sets of each of the following: contractor-developed training materials as described in section 5.7; TJC HAS latest edition;

NFPA 101 latest edition.

All deliverables are to be distributed to the following address:

MEDDAC-K

UNIT #15245

APO, AP 96271

ATTN: Facilities Management Division (Patrick Jones)

5.7 Contractor Provided Training. The contractor shall provide a one (1) day training session on a date to be determined by FMD following the SOC assessment. The contractor shall provide training and contractor-developed training manuals and printed standards as listed below for fifteen (15) attendees.

Training sessions will include the following:

• Recap of SOC Comprehensive Deficiency Report

• Contractor-developed training manuals o Applying NFPA 101 Life Safety Code Manual o Life Safety Compliance for Hospital Accreditation Manual o Understanding Hospital Life Safety Plans Manual

• Printed standards o TJC Hospital Accreditation Standards (HAS), LATEST edition o NFPA 101, LATEST edition

6.0 CONTRACTOR PERSONNEL. The contractor must always identify themselves as contractors, such as when attending meetings, answering Government telephones, or working in situations where their actions could be construed as official government acts. The contractor must display his or her name and the name of the company while in the work area, wear and display a building pass, if required by security procedures, and include the company’s name in his or her email display.

7.0 Minimum Contractor Qualifications. Contractor shall provide record of superior level of knowledge, expertise, and application of NFPA 101 (2012, 2018 and latest edition) and TJC Chapters EC and IC, in addition to all related reference codes. A minimum of 10 years’ experience is required in NFPA 101 code enforcement; building construction plans review for life safety/fire safety compliance;

review and assessment of fire protections systems and fire alarm systems; working in and/or consulting with hospitals on Joint Commission surveys and related Hospital Facility Assessments. A minimum of 10 years’ experience is required in healthcare regulatory compliance; developing life safety plans;

conducting life safety assessments in major hospital healthcare environments; and conducting life safety seminars applied in healthcare settings. Contractor must possess current Certified Health Facility Manager (CHFM) and Certified Healthcare Safety Professional (CHSP) credentials.

Please note that if the proposed individual is currently supporting a PSS Task Order to perform a full time service, then the same individual cannot also be used on another Task Order for additional services if these task orders overlap in time and the combined support is more than a single FTE equivalent. If the offeror intends to remove this individual from a current PSS Task Order in order for the individual to serve in the new position, then you are to provide a transition plan addressing how you plan to fill the position that will be vacated by the proposed individual.

8.0 SPECIAL REQUIREMENTS.

8.1 Work Hours. The contractor shall perform required duties Monday through Friday, 8 hours per day, excluding Government holidays. Contractor personnel shall not work more than 40 hours per week.

Subject to prior approval by supported facility POC’s, variations in work schedules are acceptable when the total hours per week are not exceeded and no obligation is incurred that would require contract personnel to be paid overtime.

8.2 Employee Conduct and Appearance. The COR, with the approval of the KO, may require the contractor to remove from the job site any employee working under this contract for reasons of misconduct, security violation, revocation/denial of requisite security clearance, or found or suspected to be under the influence of alcohol, drugs, or other incapacitating agents. Contractor personnel shall be subject to dismissal from the premises upon determination by the COR and the KO that such removal is in the best interests of the Government. Contractor personnel shall always maintain a well-groomed appearance to facilitate credibility with the staff and command.

8.3 Employee Identification. All contractor personnel must have a valid state-issued driver’s license or other state issued picture ID and other appropriate ID required for National Agency Check with Inquiries (NACI) Clearance. Contractor personnel are required to obtain a Common Access Card (CAC) and wear a government provided identification badge for their primary work site as well as any required visitor badge while performing contract services at Government facilities.

8.4 Security Requirements. The contractor shall safeguard all Government Furnished Property provided for contractor use. At the close of each work period, Government facilities, equipment and materials shall be secured.

8.4.1 The contractor may be provided keys, key cards, or access code(s) to allow access to buildings or rooms within a building. Such access provided to the contractor shall not be duplicated or issued to any individual. Keys/cards/codes shall be safeguarded and carefully controlled in accordance with all applicable Government security regulations. Contractor personnel shall not permit the use of keys/cards entrusted to their possession by any other person to gain access to locked rooms or areas; and, likewise, contractor personnel shall not open locked rooms or areas to permit entrance by persons other than the contractor in the fulfillment of their duties.

8.4.2 The contractor shall submit completed DD254, as required, Department of Defense Contract Security Classification Specification, to COR within 30 days of contract award. The Contractor is responsible for screening of all employees in accordance with Homeland Security Presidential Directive -12 (HSPD-12) prior to requests for base access and CACs. A properly processed Standard Form SF-85 Questionnaire for Public Trust Position is required for the NACI security clearance, which is required for computer network access. Employment may begin while investigation is in progress if an interim security clearance can be provided in Joint Personnel Adjudication System (JPAS). Continued employment is dependent on positive finding of eligibility for security clearance. The contractor will be required to provide the following to the agency security office during check in:

Documentation of SF85 submission or NACI clearance indicated in JPAS Contractor employee status letter or payroll document.

9.0 Safety Requirements. The contractor shall be required to comply with all federal, state, and local Safety and Occupational Health requirements, to include OSHA standards and EM 385-1-1 (whichever is the most stringent) and other measures as necessary. The contractor is required to conform to installation safety requirements.

9.1 Antiterrorism (AT)/Operations Security (OPSEC) Requirements.

9.1.1 AT Level I Training. All contractor employees, including subcontractor employees, requiring access to Army installations, facilities, and controlled access areas shall complete AT Level I awareness training within 30 calendar days after contract start date. The contractor shall submit certificates of completion for each affected contractor or subcontractor employee to the COR or KO within 10 calendar days of completion. AT Level I awareness training is available at the following website: https://atlevel1.dtic.mil/at.

9.1.2 Operations Security (OPSEC) Training. Per AR 530-1, Operations Security, contractor employees working under this task order must complete Level I OPSEC Training (conducted by government representative) within 30 calendar days of contract award. Also, new contract employees working under this task order will complete Level I OPSEC training within 30 calendar days of their reporting for duty.

Additionally, all contractor employees must complete annual OPSEC awareness refresher training for requirements that exceed one fiscal year in performance.

9.2 Access and General Protection/Security Policy and Procedures. All contractor personnel working under this task order shall comply with applicable installation, facility and area commander installation/facility access and local security policies and procedures (to be provided by government representative). The contractor shall also provide all information required for background checks to meet installation access requirements to be accomplished by installation Provost Marshal Office, Director of Emergency Services or Security Office. Contractor workforce must comply with all personal identity verification requirements as directed by DoD, Headquarters Department of Army (HQDA) and/or local policy. In addition to the changes otherwise authorized by the changes clause of this contract, should the Force Protection Condition (FPCON) at any individual facility or installation change, the Government may require changes in contractor security matters or processes.

9.3 iWATCH and/or CorpsWatch Training. All contracted personnel working under this task order shall be briefed on the local iWATCH program (training standards provided by the requiring activity ATO). This local developed training will be used to inform personnel of the types of behavior to watch for and instruct employees to report suspicious activity to the COR. This training shall be completed within 30 calendar days of contract award and within 30 calendar days of new employees commencing performance, with the results reported to the COR NLT 45 calendar days after contract award

9.4 Reports. The contractor shall submit a project status report as required by MEDDAC-K FMD. The format for this report will be developed by the contractor and submitted to the KO/COR for approval https://atlevel1.dtic.mil/at.

within 30 days of the date of award.

10.0 PROPRIETARY INFORMATION. Performance may require the contractor to access data and information proprietary to a Government agency or of such nature that its dissemination or use other than as specified in this PWS would be adverse to the interests of the Government or others. The contractor shall not divulge or release data or use information developed or obtained under performance of this PWS, except to authorized Government personnel or upon written approval of the COR. Contractor personnel shall not use, disclose, or reproduce proprietary data that bears a restrictive legend and individuals shall sign a non-disclosure agreement. The contractor shall turn over all generated artifacts, products, and data other than are specified in this PWS to the COR at the completion of this contract and it shall become the property of the Government.

11.0 GOVERNMENT PROPERTY AND SERVICES. The Government will provide facilities, equipment, utilities, services, and materials as set forth herein

11.1 Equipment and Facilities. The Government shall provide the contractor adequate administrative office space for touchdown during onsite efforts. Office space shall have access to restrooms and drinking water and shall provide safe and adequate storage of materials and equipment.

12.0 Utilities. The Government shall provide utilities support during onsite efforts. The Government shall provide local, commercial long distance and DSN telephone and fax service. The Government shall provide access and use of necessary internet connectivity.

13.0 Government Property Usage. The contractor shall not use property or services provided by the Government for any purpose other than the performance of this contract.

14.0 CONTRACTOR-FURNISHED ITEMS AND SERVICES.

The contractor shall ensure that all transportation methods to and from the work location required by its employees in the performance of this contract are made available. Parking permits, passes, tolls and fees for privately owned vehicles are responsibility of the contractor.

14.0.1 The contractor shall provide computers, cell phones, and all equipment for generation of project deliverables.

15.0 QUALITY CONTROL/OVERSIGHT.

15.1 The contractor shall develop and maintain an effective quality control program to ensure services are performed in accordance with this task order. The contractor shall develop and implement procedures to identify, prevent, and ensure non-recurrence of defective services. The contractor's quality control program is how he assures himself that his work complies with the requirement of the contract. The Quality Control Plan (QCP) shall be delivered to the COR for delivery to the KO within 30 days of contract award. In the event revisions are required the contractor shall return the revised QCP within five (5) working days of receipt of notification to revise. After acceptance of the quality control plan, the contractor shall receive the KO's acceptance in writing of any proposed change to his QC system.

15.2 The contractor shall provide on-site quality review services to measure the effectiveness of their QC system at 120 days following the approval of the QC Plan and provide the quality review to the COR and KO. The intent is to determine the effectiveness of the plan in providing quality support to the Customer.

16.0 Invoicing: Terms of all invoices shall be net 30 days. Invoices shall be submitted via e-mail in PDF format to the following e-mail address: CEHNC-PSS@usace.army.mil. The Contractor shall obtain customer concurrence with all invoices and a release of claims with the final invoice, in accordance with mailto:CEHNC-PSS@usace.army.mil the terms and conditions of the basic contract.

17.0 POINTS OF CONTACT

17.1 U.S. Army Engineering and Support Center, Huntsville AL

PSS Project Manager: Debbie Dalessio Phone: (256) 895-1951 Email: Deborah.A.Dalessio@usace.army.mil

Contracting Officer: Marta L. Anerton Phone: (256) 895-1442 Email: marta.l.anerton@usace.army.mil

17.2 MEDDAC-K FMD, Korea

Patrick D. Jones MEDDAC-K FMD, Korea Phone (DSN): 315-737-1938 Email: Patrick.d.jones5.civ@mail.mil mailto:Deborah.A.Dalessio@usace.army.mil mailto:marta.l.anerton@usace.army.mil

2.0 DESCRIPTION.