PWS for Centralized Clinical Quality Management Services.pdf

PERFORMANCE WORK STATEMENT (PWS)

FOR

Centralized Clinical Quality Management Services For the Air National Guard (ANG) Health Care Providers (HCPs)

October 2026

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 Centralized Credentialing and Privileging (C&P) Program Management Services for the Air National Guard (ANG), as defined in this Performance Work Statement (PWS).

1.1.1 Objectives: The contractor shall provide operational support for Clinical Quality Management Program. This includes Health Risk Management, Credentialing and Privileging, Accreditation and Compliance, Clinical Measurements, and Clinical Quality Improvement. Health Risk Management encompasses the Adverse Actions process with the ANG having a history of approximately 18 actions within the last 6 years. The Credentialing and Privileging process includes the privileging of privileged and non-privileged Health Care Providers (HCPs), to include; new accessions into the ANG, maintenance of current credentialed and privileged HCPs, mobilizations and training requirements for HCPs, program training for users, coordinators, and privileging authorities, technical system support within the system of record Joint Centralized Credentials Quality Assurance System (CCQAS), and conducting the Credentials and Privileging Certification Board. In total, the ANG credential and grants privileges to approximately 2,500 Military and Non-Military HCPs, for example: Physicians, Physician Assistants, Nurse Practitioners, Nurses, Dentists, Directors of Psychological Health, Optometrists, and Pharmacists. In the healthcare context, “credentialing” is the process of assessing and verifying a health care practitioner’s qualifications. The credentialing process includes review of the licensure, training and education of skilled HCPs. Additionally, it assures their clinical competency and that they maintain regulatory compliance in their scope of practice. Privileging is the process health care organizations employ to authorize practitioners to provide specific health care services within a specific facility. All health care providers within the ANG hold an Air Force Specialty Code (AFSC) or Civilian Classification that corresponds to their clinical specialty, wherein privileges are granted and specified. Accreditation and Compliance for the ANG includes the compliance of Unit CQM program through the AF Inspection Agency and the use of the IGEMS system for reporting. Clinical Measurements and Clinical Quality Measurements are new programs for the ANG which will support the entire CQM program by using data and clinical measurements to bring about quality changes and improvements throughout the entire CQM program. The Clinical Quality Management Program is governed in accordance with (IAW) Air Force Instruction (AFI) 44-119, the Air Force Officer Classification Directory (AFOCD), Defense Health Agency (DHA) Procedures Manual (PM) 6025.13 and Department of Defense Instruction (DoDI) 6025.13.

1.2 Background: The Military Health Systems (MHS) Human Capital Strategic Plan for 2008-2013 established the goal to define and deploy a standardized C&P system across the military services.

These strategic plans also established goals for ensuring information is accessible to military health system leaders at all levels to promote informed decision-making. The requirement was further

CUI

expanded in June 2010 to incorporate centralization of the C&P system. The management of C&P as a centralized program will ensure the National Guard Bureau (NGB) remains compliant with AFI 44-119, DHA PM 6025.13, and DoDI 6025.13. This effort will ensure the National Guard (NG) provides HCPs capable of delivering a medically ready and protective force through continuous monitoring of health statuses, identifying medical threats, and finding the means to provide protection and improved health for individuals.

1.2.1 To establish the Air National Guard’s Clinical Quality Management (CQM) program IAW DODI

6025.13. the Government requires the advanced expertise of a Clinical Nurse Specialist (CNS). This position introduces critical clinical Subject Matter Expertise (SME) that standard administrative personnel cannot provide. By leveraging a specialized clinical background, the CNS possesses the necessary understanding of the provider population, varying specialties, and complex clinical scopes of practice to manage Military Health System (MHS)-mandated Accreditation and Compliance (AC), Clinical Measurements (CM), and Clinical Quality Improvement (CQI).

1.3 Period of Performance (PoP): Reference the Delivery Information section of the solicitation/award document.

1.4 General Information:

1.4.1 Place and Performance of Services: The Contractor shall provide services between the hours of 0800-1700 on Monday through Friday, except on Federal Holidays observed by the Office of Personnel Management (OPM), or when the Government facility/installation is closed due to local or national emergencies, administrative closings, or similar Government-directed facility/installation closings. All Contractor employees will perform all services from the Contractor’s facility(ies).

1.4.1.1 The ANG is unique in the fact that traditional Guard Airmen and Guardians conduct business on scheduled drill weekends, which are published well in advance of the commencement of each fiscal year at the individual Wings, States, and Territories. The drill weekend schedules will be provided to the contractor in advance of each year and are subject to change in order to meet mission requirements. Notice of change will be provide at least 10 business days prior to revised drill weekend Historically, drill weekends typically start on Friday and run through Sunday and are located in different time zones. This creates a need for flexible non-traditional business hours of support. When hiring personnel, the Contractor shall keep in mind that the stability and continuity of the work force are essential.

1.4.1.2 Telework: Remote or telework of contractor employees in regards to the Contractor’s facility(ies) is authorized and at the sole discretion of the Contractor, provided that the Contractor is capable of providing all of the services required under this PWS to any of the ANG Wings (approximately 90 locations; see PWS Attachment 1 – ANG Wing Locations) during the core business hours of their respective time zones. The Contractor shall at all times maintain an adequate work force for the uninterrupted performance of all tasks defined within this PWS when the Government facility/installation is not closed for the above reasons. When hiring personnel, the contractor shall keep in mind that the stability and continuity of the work force are essential. Any Contractor telework program shall be provided to the Government within 30 days of award; and, in furtherance of Continuity of Operations Planning (COOP), designed to ensure that the Government's mission critical operations stay operational during times of national emergency or incidents of national significance. Telework or remote costs, such as travel required to return to the Contractor’s facility(ies), shall be at no additional cost to the Government.

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.

1.4.1.4. Personnel Staffing: The Contractor shall accomplish, at a minimum, the following personnel staffing performance management outcomes:

1.4.1.4.1. Ensure positions are filled 90% within 15 calendar days and 100% of personnel are present for duty no later than 20 calendar days after start of period of performance.

1.4.1.4.2. Ensure continuation of services during personnel absences due to sickness, leave, and voluntary or involuntary termination from employment such that impact to the Government is minimal and position vacancies do not exceed 10 calendar days. The Contractor shall maintain an overall filled rate of 95%.

1.4.1.4.3. The substitute/replacement personnel shall begin work no later than 10 calendar days after notification or immediately after departure of the incumbent personnel, whichever is earlier.

Substitute/replacement personnel shall meet the minimum, qualifications as identified in the staffing plan.

1.4.1.4.4. The Contractor shall promptly notify the contracting officer and COR within five calendar days of any projected vacancies exceeding 10 calendar days.

1.4.1.4.5. Provide a stable workforce with less than 30% turnover across all contracted positions. A turnover is recorded when a worker leaves a position for any reason and the Government still has a requirement for that position.

1.4.1.4.6. The Contractor is responsible for maintaining a flexible staffing solution / flexible scheduling within the confines of the staffing structure, that is capable of evolving with AFMS/ANGMS as locations potentially shift based on the U.S. National Strategy, historical disaster response scenarios and MTF/GMU realignment actions.

1.4.2 Recognized Holidays: The Contractor shall not perform services on recognized U.S. holidays. A complete list of U.S. recognized holidays can be found at: https://www.opm.gov/policy-data-oversight/pay-leave/federal-holidays/.

1.4.3 Quality Control (QC): The Contractor shall develop and maintain an effective QC Plan (QCP) to ensure services are performed IAW 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) no later than (NLT) ten days after contract 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 IAW 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 Access and General Protection/Security Policy and Procedures. 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 also provide all information required for background checks to meet installation access requirements to be accomplished by the local installation’s Security Forces, Director of Emergency Services, or local Security Office. The Contractor shall ensure compliance with all personal identity verification requirements as directed by Department of Defense (DoD), Headquarters Air Force (HAF) and/or local policy. Should the Force Protection Condition (FPCON) change, the Government may require changes in contractor security matters or processes.

1. The Contractor shall obtain base identification and vehicle passes, if required, for all contractor personnel who make frequent visits to or perform work on the Air Force (AF) installation(s) cited in the contract. Contractor personnel are required to wear or prominently display installation identification badges or contractor-furnished, contractor identification badges while visiting or performing work on the installation.

2. The Contractor shall submit a written request on company letterhead to the KO listing the following: contract number, location of work site, start and stop dates, and names of employees and subcontractor employees needing access to the base. The letter will also specify the individual(s) authorized to sign for a request for base identification credentials or vehicle passes. The KO will endorse the request and forward it to the issuing base pass and registration office or Security Forces for processing. When reporting to the registration office, the authorized contractor individual(s) should provide a valid driver s license, current vehicle registration, valid vehicle insurance certificate to obtain a vehicle pass.

3. During performance of the contract, the Contractor shall be responsible for obtaining required identification for newly assigned personnel and for prompt return of credentials and vehicle passes for any employee who no longer requires access to the work site.

4. When work under this contract requires unescorted entry to controlled or restricted areas, the contractor shall comply with local/base security procedures.

5. Upon completion or termination of the contract or expiration of the identification passes, the prime contractor shall ensure that all base identification passes issued to employees and subcontractor employees are returned to the issuing office.

6. Failure to comply with these requirements may result in withholding of final payment.

1.4.5.1 For Contractors Requiring Common Access Card (CAC). For installation(s)/location(s) cited in the contract, contractors shall ensure CACs are obtained by all contract or subcontract personnel who meet one or both of the following criteria:

(a) Require logical access to DoD computer networks and systems in either:

(i) the unclassified environment; or

(ii) the classified environment where authorized by governing security directives.

(b) Perform work, which requires the use of a CAC for installation entry control or physical access to facilities and buildings.

(c) While visiting or performing work on installation(s)/location(s), contractor personnel shall wear or prominently display the CAC as required by the Governing local policy.

1.4.5.1.1 Before CAC issuance, the contractor employee requires, at a minimum, a favorably adjudicated Tier 1 (T1) or higher investigation IAW DoDI 5200.46. The Contractor employee will be issued a CAC only if duties involve one of the following: (1) Both physical access to a DoD facility and access, via logon, to DoD networks on-site or remotely; (2) Remote access, via logon, to a DoD network using DoD-approved remote access procedures; or (3) Physical access to multiple DoD facilities or multiple non-DoD federally controlled facilities on behalf of the DoD on a recurring basis for a period of six-months or more. At the discretion of the sponsoring activity, an initial/interim CAC may be issued based on a successfully scheduled T1 with the Office of Personnel Management (OPM) and a favorable completion of a Federal Bureau of Investigation (FBI) fingerprint check.

1.4.5.1.2 Homeland Security Presidential Directive (HSPD)-12 Background Investigation Requirements: The Contractor shall ensure that all contractor and subcontractor personnel whose duties require CAC card issuance obtain them and shall process all CAC card applications. The Contractor shall ensure that all employees requiring a T1 be vetted by the cognizant security activity Chief, Information Protection (CIP) to ensure a proper investigation is on record. The CIP will process the T1 if needed. The Contractor shall ensure immediate compliance with all instructions regarding background investigation processing, including those provided verbally, by e-mail or via a Government system. The Contractor is cautioned that the entire process from submittal of the investigation may take multiple weeks and shall factor this lead time into its hiring/placement process. The Contractor shall make all reasonable efforts to ensure that contractor employees meet CAC eligibility standards upon assignment to the contract and shall be held responsible for delays, failure to meet performance requirements or decreases in efficiency in accordance with the applicable inspection clause.

1.4.5.1.3 The Government will establish a MP ICAM application account for each CAC Request and will provide each contractor employee a user ID and password, via email, to the contractor’s FSO or contractor employee. The FSO or contractor employee shall access the MP ICAM account and complete the CAC application (entering/editing contractor information as applicable) at:

https://mpartnerspnrweb.dmdc.osd.mil/mpartnerspnrweb/app/. The contractor’s FSO or contractor employee shall follow up to ensure that the TA is processing the request. . Contractor personnel shall obtain a CAC from the nearest Real Time Automated Personnel Identification Documentation System (RAPIDS) Issuing Facility (typically the local Military Personnel Flight (MPF)). At the RAPIDS station, the RAPIDS Verification Officer will verify the contractor by SSN and two forms of identification. Identity source Documents must come from the list of acceptable documents included in Form I-9, OMB No. 1615-00047, "Employment Eligibility Verification."

Consistent with applicable law, at least one document from the Form I-9 list shall be a valid (unexpired) State or Federal Government-issued picture identification (ID). The Identity documents will be inspected for authenticity and scanned and stored in the DEERS upon issuance of an ID. The photo ID requirement cannot be waived, consistent with applicable statutory requirements. The Verification Officer will capture primary and alternate fingerprints, picture, and updates to DEERS and will then issue a CAC. Issued CACs will be valid for no longer than three years, or until the individual's contract end date (inclusive of any options), whichever is earlier.

*The Contractor shall maintain records of all approved and rejected applications.

1.4.5.1.4 During the performance period of the contract, the contractor shall: (Deliverable 3) (applicable to 1 thru 4 below)

1. Within 7 working days of any changes to the listing of the contract personnel authorized a CAC, provide an updated listing to the contracting officer who will provide the updated listing to the authorizing Government official;

2. Return CACs in accordance with local policy/directives within 7 working days of a change in status for contractor personnel who no longer require logical or physical access;

3. Return CACs in accordance with local policy/directives within 7 working days following a CACs expiration date; and

4. Report lost or stolen CACs in accordance with local policy/directives.

1.4.5.1.5 Within 7 working days following completion/termination of the contract, the contractor shall return all CACs issued to their personnel to the issuing office or the location specified by local policy/directives. A receipt for each returned card shall be provided to the MPAS. (Deliverable 4)

1.4.5.1.5.1 Failure to comply with these requirements may result in withholding of final payment.

1.4.5.1.6For Air Contractors that need access to the Army network, go to: http://www.us.army.mil and registering as an "Army Guest," with the sponsor being the COR, or a COR- designated individual if the COR is ineligible to Serve as an Army Knowledge Online (AKO) Sponsor.

1.4.5.7 Reserved

1.4.5.3 Antiterrorism (AT) Awareness Level I Training (AT Level I). All contractor employees, to include subcontractor employees, requiring access to US Government installations, facilities and controlled access areas shall complete AT Level I training within 15 calendar days after contract award date. or start date of employee during the performance of the contract. AT Level I may be accomplished by a Level I qualified instructor; completing the Force Protection computer-based training (CBT) course on the Advanced Distributed Learning System (ADLS) or Joint Knowledge Online at http://jko.jten.mil. Tracking for each contractor or subcontractor employee is the responsibility of the COR or unit AT Representative. The contractor shall submit certificates of completion for each affected contractor and subcontractor employee to the COR within 15 calendar days after completion of training by each employee or subcontractor personnel. (Deliverable #)

1.4.5.4 Reserved.

1.4.5.5 Communications Security/Information Technology (COMSEC/IT) Security. All communications with DoD organizations are subject to COMSEC review. All telephone communications networks are continually subject to intercept by unfriendly intelligence organizations. DoD has authorized the military departments to conduct COMSEC monitoring and recording of telephone calls originating from, or terminating at, DoD organizations. Therefore, the Contractor is advised that any time contractor personnel place or receive a call they are subject to COMSEC procedures. The Contractor shall ensure wide and frequent dissemination of the above information to all employees dealing with DoD information. The Contractor shall abide by all Government regulations concerning the authorized use of the Government's computer network, including the restriction against using the network to recruit Government personnel or advertise job openings.

1.4.5.6 Use of Government Information Systems (IS) and access to Government networks is a revocable privilege, not a right. Users are the foundation of the DoD strategy, and their actions affect the most vulnerable portion of the AF Infostructure. Contractor employees shall have a favorable background investigation or hold a security clearance and access approvals commensurate with the level of information processed or available on the system. Contractor employees shall:

1.4.5.6.1 Comply with the command's Acceptable Use Policy (AUP) for Government owned IS and sign an AUP prior to or upon account activation.

1.4.5.6.2 Complete initial and/or annual Information Assurance (IA) training as required by applicable AF/ANG policy. Training can be found on the My Learning Portal at https://www.my.af.mil/gcss-af/USAF/content/mylearning.

1.4.5.6.3 Mark and safeguard files, output products, and storage media per classification level and disseminate them only to individuals authorized to receive them with a valid need to know.

1.4.5.6.4 Protect IS and IS peripherals located in their respective areas in accordance with physical security and data protection requirements.

1.4.5.6.5 Practice safe network and Internet operating principles and take no actions that threaten the integrity of the system or network.

1.4.5.7 Air Force myLearning training platform. All contractor employees and associated subcontractor employees assigned to work on a Government site and/or requiring access to a DoD network will be required to register with the MyLearning at commencement of services in order to complete the necessary training required of them initially and annually for the duration of the contract (i.e., Cyber Awareness Challenge, DAF-Operations Security Awareness Training, Controlled Unclassified Information (CUI) Training, initial Force Protection (for new employees) and annual Force Protection Training). myLearning website: https://lms-jets.cce.af.mil/moodle/ The contractor must notify the COR in its First Monthly Status Report (MSR) (Deliverable 6) completion by all employees has been accomplished and annually thereafter (Deliverable 7) .

1.4.5.8 Information Assurance (IA) Training. All contractor employees and associated subcontractor employees shall complete the DoD IAA CyberAwareness Challenge before issuance of network access and annually thereafter. All contractor employees performing services involving IA/IT functions shall comply with DoD and AF training requirements in Department of Defense Directive (DoDD) 8140.01, DoD 8570.01-M, and Air Force Manual (AFMAN) 17-1301 within 180 days of the start of contract performance. (Deliverable 8)

1.4.5.9 Information Technology (IT) Certification. In accordance with DoD 8570.01-M, DFARS 252.239.7001, and Air Force Policy Directive (AFPD) 17-1 contractor employees performing services supporting IA/IT functions shall be appropriately certified upon contract award. The baseline certification as stipulated in DoD 8570.01-M shall be completed upon contract award.

(Deliverable 9)

1.4.5.10 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 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 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.

1.4.5.11 Requirement for Operations Security (OPSEC) Training. The contractor shall develop an OPSEC Plan and provide it to the COR or KO within 15 calendar days of contract award to be reviewed and approved by the responsible Government OPSEC officer, per AFI 10-701, Operations Security. This Plan shall include the Government's critical information, why it needs to be protected, where it is located, who is responsible for it, and how to protect it. For the contractor to effectively comply with OPSEC provisions of the contract, the organization will provide the following guidance:

(1) Organization’s Critical Information; (2) Adversaries’ collection threat information as it applies to the organization’s mission and the contract; (3) Operations Security guidance; and (4) Specific OPSEC measures the organization requires (as appropriate). (Deliverable 11)

1.4.5.12 Reserved

1.4.5.13 Reserved

1.4.5.14 Reserved

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.

1.4.6.1 Reserved

1.4.6.1.1 Reserved

1.4.6.1.2 Reserved

1.4.6.1.3 Reserved

1.4.6.2 Reserved

1.4.7 Special Qualifications: The Contractor shall ensure all employees possess all required training for operating CCQAS used in the performance of this contract. This does not include education or other qualifications for the position in which the Contractor employee is performing, dress codes, or other information.

1.4.8 Post Award Conference/Periodic Progress Meetings: The Contractor agrees to attend any post award conference convened by the KO in accordance with FAR 42.5, Post award Orientation. The KO, COR, and other Government personnel, as appropriate, may meet periodically with the Contractor to review the Contactor’s performance. At these meetings, the KO will apprise the Contractor of how the Government views the Contractor’s performance, and the Contractor shall apprise the Government of problems, if any, being experienced. The Contractor shall resolve outstanding issues raised by the Government. Contractor attendance at these meetings shall be at no additional cost to the Government.

1.4.9 Contract Manager (CM):

The contractor shall assign a corporate POC who shall ensure performance under this contract. 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 within 5 calendar days after award and subsequent changes to contract manager, the contractor will notify the KO and COR no later than 5 calendar days upon change of the Contract Manager . The CM or alternate shall have full authority to act for the contractor on all contract matters relating to daily operation of this contract. 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 contract without an official modification issued by the KO. The CM shall ensure contractor employees understand that services performed outside the scope of the contract are performed wholly at the expense of the contractor. (Deliverable 12B).

1.4.10 Identification of Contractor Employees: All contractor personnel attending meetings, answering Government telephones, and working in other situations where their contractor status is not obvious to third parties, are required to identify themselves as such to avoid creating an impression that they are Government employees. The Contractor shall ensure that all documents or reports produced by contractor personnel are suitably marked as contractor products or that contractor participation is appropriately disclosed. The Contractor’s status as a “contractor” shall be predominantly displayed in all correspondence types (to include signature blocks on e-mail) and dealings with Government or non-Government entities. Contractor personnel shall wear identification badges distinguishing themselves as such. The badges shall have the company name, employee name and the word “contractor” displayed.

1.4.10.1 The Contractor shall retrieve all identification media (including vehicle passes) from its employees who depart employment for any reason. The Contractor shall return all identification media (i.e., badges and vehicles passes) to the KO within 14 days of an employee’s departure.

1.4.11. Combating Trafficking in Persons (CTIP): The U.S. Government has adopted a zero-tolerance policy regarding trafficking in persons. Contractors and contractor employees shall not engage in severe forms of trafficking in persons during the period of performance of the contract; procure commercial sex acts during the period of performance of the contract; or use forced labor in the performance of the contract. The Contractor shall notify its employees of the U.S. 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 subcontractors that violate the U.S. Government policy as described at FAR 22.17, Combating Trafficking in Persons.

1.4.12 Contractor Travel

1.4.12.1 The Contractor shall travel to Medical Readiness University (MRU) during the performance of this contract to participate in the Centralized C&P Board (CCPB); review policy changes with NGB/SGOK (C&P Branch) POCs and train HCPs in the C&P process. The location varies each year.

NGB/SGOK will provide MRU locations six-months prior to the event.

1.4.12.2 The Contractor will be authorized travel expenses consistent with the substantive provisions of the Joint Travel Regulation (JTR) and the limitation of funds specified in this contract.

All travel requests require COR approval and authorization at least 15 days before scheduling travel arrangements being made.

The contractor shall submit a proposed trip report to the COR via email for such approval and authorization. All unauthorized travel shall be denied reimbursement. (Deliverable 14)

NOTE: Travel, submitted and approved in accordance with the JTR, will not be reimbursed without providing appropriate paid receipts. There will also be no mark-up on Cost (No-Fee) CLINS (such as Travel).

1.4.12.3 The Contractor may be required to travel to off-site training locations and provide electronic training aids in the performance of this contract; off-site training locations to be provided in advance by the NGB/SGOK to the Contractor. The cost of shipping training aids shall be billed under Travel/Other Direct Costs..

1.4.13 Data Rights: The Government has unlimited rights to all documents/materials produced under this contract. All documents and materials, to include the source codes of any software, produced under this contract shall be Government owned and are the property of the Government with all rights and privileges of ownership/copyright belonging exclusively to the Government.

These documents and materials may not be used or sold by the Contractor without written permission from the KO. All materials supplied to the Government shall be the sole property of the Government and may not be used for any other purpose. This right does not abrogate any other Government rights.

1.4.14 Organizational Conflicts of Interest (OCI): The Contractor and subcontractor personnel performing services under this contract 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 current or subsequent OCIs, as defined in FAR Subpart 9.5, Organizational and Consultant Conflicts of Interest. 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 contracted requirements which may be affected by the OCI.

1.4.15 Phase In: To minimize any decreases in productivity and to prevent possible negative impacts on additional services, the contractor shall have personnel on board, within the 30 days after award for this phase in period. During the phase in period, the contractor shall become familiar with performance requirements in order to commence full performance of services.

(Deliverable 15).

2.0 Definitions and Acronyms:

2.1 Definitions:

2.1.1 Accession: Includes all ANG HCPs who are newly assigned to an ANG Unit. Accessions include military, civilian, and contract HCPs. Accessions include transfers from active duty, reserve components, between ANG Units; and civilian/contract new hires through NGB or State human resource offices.

2.1.2 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.

2.1.3 Contracting Officer (KO): A person with authority to enter into, administer, and or terminate contracts, and make related determinations and findings on behalf of the government. Note: The only individual who can legally bind the Government.

2.1.4 Contracting Officer’s Representative (COR): An employee of the U.S. Government designated by the KO to monitor contractor performance. Such appointment will be in writing and will state the scope of authority and limitations. This individual has authority to provide technical direction to the Contractor as long as that direction is within the scope of the contract, does not constitute a change, and has no funding implications. This individual does NOT have authority to change the terms and conditions of the contract.

2.1.5 Credentialing: Describes a process of assessing, verifying, and reviewing the qualifications of a HCP and includes review of licensure, training, and education. Additionally, it ensures clinical competency and regulatory compliance within their scope of practice.

2.1.6 Credentials Review: The credentials inspection and verification process conducted for healthcare providers before selection for military service, employment, and procurement. The credentials review process is also conducted for healthcare providers before medical staff appointment and granting of clinical privileges and is repeated at the time of reappointment and renewal of privileges

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

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

2.1.9 Fast Track: Credentials and Privileges that need to be accomplished before the next scheduled

CCPB.

2.1.10 Key Personnel: Reserved

2.1.11 Regularly Scheduled Drill (RSD): Airmen and Guardians performs monthly weekend drills and a period of full-time Federal military service annually.

2.1.12 Metrics and Reports: Generated to provide a minimum of the following information: ANG member or HCP’s/nurse’s full name, AFSC (if applicable), Unit number, Unit Identification Code (UIC), and data fields needed to complete metric/report deliverable. The Contractor shall have all report formats reviewed and approved by NGB/SGOK prior to sending to the Guard Medical Units (GMUs) or the COR.

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

2.1.14 Privileging: Is the process of health care organizations authorizing HCPs to practice specific health care services within the DoD, HCPs must be granted privileges at each work location. All medical personnel within the ANG hold an AFSC that corresponds to their specialty, wherein privileges are specified IAW AFI 44-119, Medical Quality Operations; DoDI 6025.13, Medical Quality Assurance (MQA) and Clinical Quality Management in the Military Health System (MHS); and ANG guidance and procedures.

2.1.15 Primary Source Verification (PSV): Involves confirming a healthcare practitioner's credentials directly from the original issuing authority, like a state licensing board or medical school, instead of accepting self-reported materials

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

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

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

2.1.19 Subcontractor: One that enters into a contract with a prime contractor. The Government does not have privity of contract with the subcontractor.

2.1.120 Update: Includes the following activities: Collecting the document from the provider or the ANG unit, performing primary source verification in accordance with AFI and ANG guidance, inputting the correct information into the correct section of the electronic provider credential files (ePCF) in CCQAS, naming the credential in accordance with DoD mandated naming conventions, uploading the credential into CCQAS using the DoD mandated CCQAS filing system, and notification to the HCP, nurse and other assigned POCs the update is complete. The Contractor shall notify the HCP, nurse and other assigned POCs within three days after the update is complete.

2.1.21 Virtual Board: CCPB conducted electronically and or telephonically.

2.2 Acronyms:

AFCCVO Air Force Centralized Credentials Verification Office AFI Air Force Instruction AFM Air Force Manual AFOCD Air Force Officer Classification Directory

AFPD Air Force Policy Directive AKO Army Knowledge Online ANG Air National Guard AUP Acceptable Use Policy CAC Common Access Card C&P Credentialing and Privileging CCPB Centralized Credentialing and Privileging Board CM Contract Manager COR Contracting Officer Representative COMSEC Communications Security CONUS Continental United States (excludes the states of Alaska and Hawaii, the territories of Guam, Puerto Rico and the U.S. Virgin Islands but does include the District of Columbia)

DFARS Defense Federal Acquisition Regulation Supplement DoD Department of Defense DoDD Department of Defense Directive DoDI Department of Defense Instruction DHA PM Defense Health Agency Procedures Manual EP Enterprise-Wide Privileging E-App Electronic Applications E-PCF Electronic Provider Credential Files FAR Federal Acquisition Regulation FPCON Force Protection Condition GFP/M/E/S Government Furnished Property/Material/Equipment/Services HAF Headquarters Air Force HCP Health Care Provider HSPD Homeland Security Presidential Directive IA Information Assurance IAW In Accordance With ICTB Inter-facility Credentials Transfer Brief IRT Innovative Readiness Training IS Information System(s) CAHO Commission on Accreditation of Healthcare Organizations CCQAS Joint Centralized Credentials Quality Assurance System KO Contracting Officer MFAT Medical Facility Annual Training MHS Military Health System MOA Memorandum of Agreement MRU Medical Readiness University MTF Military Treatment Facility NAMSS PASS National Association Medical Staff Services Practitioner Affiliation Sharing

Source NCQA National Committee for Quality Assurance NGB National Guard Bureau NGB/SG Office of the Air Surgeon NGB/SGOK National Guard Bureau/ Clinical Quality Management Branch NPDB National Practitioner Data Bank OCI Organizational Conflict of Interest OPSEC Operational Security PCF Provider Credential File

PCS Permanent Change of Station PII Personally Identifiable Information POC Point of Contact POP Period of Performance PRS Performance Requirements Summary PSV Prime Source Verification PWS Performance Work Statement QA Quality Assurance QAP Quality Assurance Plan QASP Quality Assurance Surveillance Plan QC Quality Control QCP Quality Control Program RAPIDS Real-Time Automated Personnel Identification System RCM Regional Credentials Manager RSD Regularly Scheduled Drill SSN Social Security Number TA Trusted Agent TASS Trusted Associate Sponsorship System TE Technical Exhibit UIC Unit Identification Code

3.0 Government Furnished Property, Material, Equipment and Services (GFP/M/E/S): The Government will provide the property, material, equipment, and/or services listed below solely for the purpose of performance under this contract for on -site contract representative:

3.1 Property: The Government will furnish the necessary workspace for on-site contractor representative to perform services outlined in this PWS, to include desk space, telephones, computers, and other items necessary to maintain an office environment for as needed on-site contract representative. Note: this is not considered GFE/GFP pursuant to FAR 45.002(b)(5).

3.2 Materials: The Government will furnish the necessary materials for on-site contract representative to perform services outlined in this PWS. All other contract support will be provided by the Contractor, in which the Contractor shall be responsible for required materials. Provisions will be made by ANG to provide for connectivity to data sources to a .mil military e-mail.

3.3 Equipment: The Government will furnish the necessary equipment for on-site contractor representative to perform services outlined in this PWS. All other contract support will be provided by the Contractor, in which the Contractor shall be responsible for required equipment. Provisions will be made by ANG to provide for connectivity to data sources for a .mil military e-mail will be required.

3.4 Reserved

3.5 Utilities: All utilities in the NGB headquarters facility will be available for the one Contactor personnel to use in the performance of this contract. The Contractor shall instruct its employee in utilities conservation practices. The Contractor employee shall operate under conditions that preclude the waste of utilities, which include turning off the water faucets or valves after using the required amount.

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.

4.2 Reserved

4.3 Reserved

5.0 Requirements: The Contractor shall provide C&P support services to 90+ ANG Medical Wings and Joint Force State HQ (Continental United States (CONUS) and Outside the Continental United States (OCONUS) – (to include Puerto Rico, Hawaii, Guam, and Alaska)) for all HCPs employed by the ANG. The Contactor’s support shall be performed in accordance with DoDI 6025.13, AFI 44-119, DHA PM 6025.13. The Contractor shall provide program management and project oversight to ensure it performs to the specifications of the contract and to ensure that tasks are performed efficiently, accurately, on time, and in compliance with the requirements of this PWS.

5.1 Administrative and File Maintenance

5.1.1 The Contractor shall establish a process to complete updates within one month of the award date to prevent expiration of credentialing items. The Contractor shall submit a draft process to the NGB/SGOK for review and approval within 15 days of contract award. The Contractor shall adjudicate all Government comments and submit a revised process to NGB/SGOK within five days of receipt of Government comments.

5.1.2 The Contractor shall safeguard and protect data, information, documents and review all submitted credentialing documents to ensure compliance within CCQAS per DoDI, DHA, AFI, and ANG guidance. Moreover, the Contractor shall report any data, information, or documents that were inappropriately safeguarded or disclosed in contravention with the CCQAS per DoDI, DHA, AFI, and ANG guidance no later than 24 hours of failing to safeguard the data, information, or documents that were inappropriately disclosed, or other reporting time identified in the CCQAS per DoDI, DHA, AFI, and ANG guidance.

5.1.3 The Contractor shall respond to requests for information (RFIs) for requirements and activities related to obtaining and maintaining active and current credentials and privileges.

Requests are limited to HCPs assigned to the requestor’s Wing or UIC.

5.1.3.1 The Contractor shall provide RFI responses to NGB/SGOK office within two business days of a request.

5.1.4 As needed the Contractor will provide, an on-site Full Time Equivalent (FTE) representative assigned as the Contract Administrative Support/ Healthcare Data Analyst for the team to be located at ANGRC/SG. The Contract Administrative Support/Healthcare Data Analyst member shall have a strong knowledge of Microsoft, CCQAS and understanding of the relevant DOD, AF, and ANG policies and guidance. This person shall work with the SG leadership to ensure proper application of credentialing and privileging reports and contract due outs are timely/concise and ensure communication is maintained between the contract personnel, contractor, NGB/SGOK and NGB Leadership.

5.1.5 The Contractor shall create, grant access, remove, and deactivate account permissions to military, civilian, and contract HCPs working under this task order to the CCQAS per ANG guidance located on the Carepoint site.

5.1.6 The Contractor shall support all ANG CCQAS users with account access, eApp completion, and generating reports per ANG guidance.

5.1.7 The Contractor shall coordinate with NGB/SGOK to process, log, and track help desk tickets generated through the CCQAS Help Desk, (also known as DHA Remedy), within five business days.

5.1.8 The Contractor shall create CCQAS records for non-privileged military HCPs and all privileged and non-privileged civilian and contractor HCPs during the HCPs hiring phase per ANG guidance.

5.1.8.1 The Contractor shall create the CCQAS record for non-privileged military HCPs and all privileged and non-privileged civilian and/ contractor HCPs within three business days of receipt of HCPs documents via Protected Health Information (PHI)/PII email or org box.

5.1.9 The Contractor shall utilize the ePCFs within CCQAS to maintain HCPs credentials.

5.1.10 The Contractor in conjunction with the GMU POC will collect any missing documentation needed to update the record, for privileged and non-privileged HCPs.

5.1.11 The Contractor shall Permanent Change Station (PCS) the non-privileged HCPs record to the gaining unit once the HCPs is accessed into the ANG.

5.1.12 The Contractor will file appropriate documents and other letters to the appropriate member’s CCQAS electronic record within five business days.

5.1.13 The Contractor shall not store any HCP’s credentials once updated in CCQAS. PII should be destroyed IAW current AFI (reference PWS 1.4.5.10, AFI 33-119, Air Force Messaging, and AFI 33- 332, Air Force Privacy Program).

5.1.14 The Contractor shall ensure all fillable fields with the ePCFs are populated per ANG guidance.

5.1.15 The Contractor shall provide credentialing support by maintaining complete CCQAS ePCFs for all ANG HCPs. ePCF’s will be consistent (using the same naming conventions and ANG protocols) across all ANG records to ensure requested Data pulls are consistent, concise, and relevant to the needs of the ANG.