PWS FY23 224th Medical Technician_20230808.docx

PERFORMANCE WORK STATEMENT (PWS)

Health Services Medical Technician Assistant

EASTERN AIR DEFENSE SECTOR

GRIFFISS BUSINESS AND TECHNOLOGY PARK

BUILDING 703

366 OTIS STREET

ROME, NEW YORK 13441-4812

1.0 General

2.0 Definitions and Acronyms

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

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

5.0 Requirements

6.0 Applicable Publications

TECHNICAL EXHIBIT 1 - Performance Requirements Summary (PRS) TECHNICAL EXHIBIT 2 - Deliverables Schedule TECHNICAL EXHIBIT 3 - Estimated Workload Data

PERFORMANCE WORK STATEMENT (PWS)

FOR

Health Services Medical Technician

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 Technician Duties as needed at EADS and the NORAD Aerospace Warning and Control mission by contracting a Mid-Level Medical Assistant, at the Eastern Air Defense Sector (EADS), 366 Otis Street, Rome, New York 13441-4812.

· Support on site (Rome, NY) aerospace medical efforts enabling the 24/7/365 NORAD aerospace warning & control mission on a flexible 40 hr/wk schedule that includes some weekend duty.

· Accomplish Medical Technician duties and responsibilities as identified in the AFOCD (2017)

· Maintain all required medical certifications, currencies, and credentialing.

· Improve and extend 174 MDG Flight Surgeon real time effectiveness servicing EADS personnel.

· Support accomplishment of medical requirements for EADS personnel

· Support medical record currency, content and completion.

· Enable expedited resolution of medical matters IAW AFIs by connecting personnel to the appropriate medical servicing entity, if not resident at EADS or the 174 MDG

· Support unit command line of duty determinations, comprehensive airman fitness, fitness assessment exemptions, medical evaluation boards, profiles, and waivers

· Provide medical guidance and safety to mission items as needed for the commander and implement solutions to medical issues as appropriate.

· Support medical assessments as appropriate for comprehensive airman fitness, DPH and other programs.

· Provide customer service and medical information to unit members.

· Coordinate the unit’s First Aid and CPR Programs.

· Provide medical administrator and liaison services for unit members with outside agencies as appropriate.

· Implement solutions to medical issues as appropriate per section 6.0 of this PWS.

· Support immunizations, Periodic Health Assessments (PHA), dental and ASIMS administrative documentation

See section 5.0

1.2 Background: Medical Technician service support in Medical.

1.2 Period of Performance (PoP): The Period of Performance shall be 12 months with one option year.

The Period of Performance reads as follows:

1.4 General Information:

1.4.1 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. After acceptance of the QCP, the contractor shall obtain the Contracting Officer’s (KO) acceptance in writing of any proposed changes to its QCP.

1.4.2 Quality Assurance (QA): The Government shall 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 must 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) (defect rate(s)).

1.4.3 Recognized Holidays: The following are recognized US holidays. The contractor shall not perform services on these days:

1.4.3.1 New Year’s Day: January 1st

1.4.3.2 Martin Luther King, Jr.’s Birthday

1.4.3.3 President’s Day

1.4.3.4 Memorial Day

1.4.3.5 Juneteenth, 19 June

1.4.3.6 Independence Day: July 4th

1.4.3.7 Labor Day

1.4.3.8 Columbus Day

1.4.3.9 Veteran’s Day: November 11th

1.4.3.10 Thanksgiving Day

1.4.3.11 Christmas Day

1.4.4 Place and Performance of Services: The contractor shall provide services between the hours 0730 to 1630 on Monday through Sunday. Except on recognized US holidays or when the Government facility/installation is closed due to local or national emergencies, administrative closings, or similar Government-directed facility/installation closings. Hours worked per week must average forty hours per week. 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. If contractor has a lapse in service because of absence not outlined above by the government a reduction of monthly payment of services will be calculated as a percentage of weekly hours absent.

1.4.4.1 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.

1.4.4.2 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 always carry proper identification with them. The contractor shall ensure compliance with all regulations and orders of the installation which may affect performance.

14.4.3 Dress and Appearance, the contractor shall present a professional appearance at all times. No, shorts, ripped jeans, athletic attire, revealing clothing or clothing with inappropriate pictures or sayings will be worn.

1.4.5 Security Requirements. The contractor shall comply with all applicable installation/facility access and local security policies and procedures, which may be obtained from the Contracting Officer’s Representative (COR). 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. The contractor shall ensure compliance with all personal identity verification requirements as directed by DOD, HQDA and/or local policy. Should the Force Protection Condition (FPCON) change, the Government may require changes in contractor security matters or processes.

1.4.5.1 COMSEC/IT Security. All communications with DOD organizations are subject to communications security (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 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.

1.4.5.2 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 AEI. 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:

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

b. Complete initial and/or annual Information Assurance (IA) training as defined in the IA Best Business Practices (BBP) training (https://informationassurance.us.army.mil).

c. 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.

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

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

1.4.5.3 Protection of Personally Identifiable Information (PII). The contractor shall protect all Personally Identifiable Information (PII) encountered in the performance of services in accordance with DFARS 224.103 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 who’s PII has been compromised.

1.4.5.4. CAC Requirements: The Common Access Card (CAC) is the Department of Defense (DOD) Federal Personal Identity Verification (PIV) credential. In accordance with Directive Type Memorandum (DTM) 08-003, December 1, 2008, incorporating Change 5, October 8, 2013, Initial issuance of a CAC requires at a minimum, the completion of FBI fingerprint check with favorable results reflecting "No Record" and submission of a National Agency Check with Inquiries (NACI) to the Office of Personnel Management (OPM), or a DoD-determined equivalent investigation. The issuance of a CAC will be based on four criteria; (a) eligibility for a CAC; (b) verification of DoD affiliation from an authoritative data source; (c) completion of background vetting requirements according to the Federal Information Processing Standards Publication 201-1, Personal Identity Verification (PIV) of Federal Employees and Contractors, March 2006, and DOD Regulation 5200.2-R, Department of Defense Personnel Security Program, January 1987, and (d) verification of a claimed identity. CAC eligible personnel must be registered in the Defense Enrollment Eligibility Reporting System (DEERS) through either an authoritative personnel data feed from the appropriate Service or Agency or Trusted Associate Sponsorship System (TASS).

1.4.5.5 Information Awareness: All contractor employees with access to a government information system shall be registered in the ATCTS (Army Training Certification Tracking System) (https://atc.us.army.mil/iastar/index.php) prior to commencement of services, and shall successfully complete the DOD Information Assurance awareness training prior to access to the IS and then annually thereafter. (https://ia.signal.army.mil/DoDIAA/).

1.4.5.6 OPSEC Training. In accordance with AR 530-1, Operations Security, new contractor employees shall complete Level I OPSEC training within 30 calendar days of their reporting for duty and annually thereafter. The contractor shall submit certificates of completion for each affected contractor employee, to the COR, or to the KO if a COR is not assigned, within 15 calendar days after completion of training. Level 1 OPSEC training is available at http://cdsetrain.dtic.mil/opsec/.

1.4.5.7 Health Insurance Portability and Accountability Act (HIPAA) and Privacy Act Regulations will be strictly followed to ensure confidentiality and right to privacy is maintained 100% of the time.

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 Key Control. The contractor shall establish and implement methods of ensuring all keys/key cards issued by the Government are not lost or misplaced and are not used by unauthorized persons. NOTE: All references to keys include key cards. No keys issued by the Government shall be duplicated. The contractor shall include procedures covering key control in the QC Plan. Such procedures shall include turn-in of any issued keys by personnel who no longer require access to locked areas. The contractor shall immediately report any occurrences of lost or duplicated keys/key cards to the Contracting Officer’s Representative (COR).

1.4.6.1.1 In the event keys, other than master keys, are lost or duplicated the contractor shall, upon direction by the KO, re-key or replace the affected lock or locks; however, the Government, at its option, may replace the affected lock or locks or perform re-keying. When the replacement of locks or re-keying is performed by the Government, the total cost of re-keying or the replacement of the lock or locks shall be deducted from the monthly payment due the contractor. In the event a master key is lost or duplicated, all locks and keys for that system shall be replaced by the Government and the total cost deducted from the monthly payment due the contractor.

1.4.6.1.2 The contactor shall prohibit the use of the Government issued keys/key cards by any persons other than the contractor’s employees. The contractor shall prohibit the opening of locked areas by contractor employees to permit entrance of persons other than contactor employees engaged in the performance of services in those areas, or personnel authorized entrance by the KO.

1.4.7 Special Qualifications:

· Minimum 4 years' experience and minimum of two year Associates degree of Science in Medical Assistance, four year degree preferred; equivalent or better.

· First Aid and CPR qualified.

· Team leader/supervisory experience preferred but not required.

· Maintain all required medical certifications, currencies and credentialing to perform functions outlined in PWS.

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 Federal Acquisition Regulations Subpart 42.5. The KO, Contracting Officer’s Representative (COR), and other Government personnel, as appropriate, may meet periodically with the contractor to review the contactor’s performance. At these meetings, the Contacting Officer 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 contactor shall provide a CM 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. 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, (or the KO if a COR is not assigned), to resolve issues, receive directions 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.

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

1.4.11. Combating Trafficking in Persons: The United States 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 United States Government’s zero tolerance policy, the actions that will be taken against employees for violations of this policy. Such actions may include, but are not limited to, removal from the contract, reduction in benefits, or termination of employment. The Contractor shall take appropriate action, up to and including termination, against employees or subcontractors that violate the US Government policy as described at FAR 22.17.

1.4.12 Contractor Travel: The contractor shall travel as needed between EADS, 366 Otis Street, Rome, New York 13441-4812 and Hancock Air National Guard, 6001 E Malloy Rd, Syracuse. NY 13221. Contractor may also need to travel to other locations in the Continental United States as required by the government during the performance of this contract to perform same requirements outlined in section 5 of this PWS.

The contractor shall 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 requires COR recommendation for approval and authorization by the KO prior to travel arrangements being made.

1.4.13 Data Rights: The Government has unlimited rights to all documents/material 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 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 and in the event the KO unilaterally determines that any such OCI cannot be satisfactorily avoided or mitigated, the KO may affect 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.

2.0 Definitions and Acronyms:

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 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.

2.1.3 CONTRACTING OFFICER'S REPRESENTATIVE (COR). An employee of the U.S. Government designated by the KO to monitor contractor performance. Such appointment shall be in writing and shall 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.

2.1.4 DEFECTIVE SERVICE. A service output that does not meet the standard of performance associated with the Performance Work Statement.

2.1.5 DELIVERABLE. Anything that can be physically delivered and includes non-manufactured things such as meeting minutes or reports.

2.1.6 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 Key Personnel listed in 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.

2.1.7 PHYSICAL SECURITY. Actions that prevent the loss or damage of Government property.

2.1.8 QUALITY ASSURANCE. The government procedures to verify that services being performed by the Contractor are performed according to acceptable standards.

2.1.9 QUALITY ASSURANCE SURVEILLANCE PLAN (QASP). An organized written document specifying the surveillance methodology to be used for surveillance of contractor performance.

2.1.10 QUALITY CONTROL. All necessary measures taken by the Contractor to assure that the quality of an end product or service shall meet contract requirements.

2.1.11 SUBCONTRACTOR. One that enters into a contract with a prime contractor. The Government does not have privity of contract with the subcontractor.

2.1.12 WORKDAY. The number of hours per day the Contractor provides services in accordance with the contract.

2.1.13 WORK WEEK. Monday through Friday, unless specified otherwise.

2.2 ACRONYMS:

AEI

AFARS Army Federal Acquisition Regulation Supplement AR Army Regulation AT/OPSEC Antiterrorism/Operational Security CFR Code of Federal Regulations CONUS Continental United States (excludes Alaska and Hawaii) COR Contracting Officer Representative COTS Commercial-Off-the-Shelf DA Department of the Army DD250 Department of Defense Form 250 (Receiving Report) DD254 Department of Defense Contract Security Requirement List DFARS Defense Federal Acquisition Regulation Supplement DOD Department of Defense FAR Federal Acquisition Regulation GFP/M/E/S Government Furnished Property/Material/Equipment/Services IA Information Assurance IS Information System(s) KO Contracting Officer OCI Organizational Conflict of Interest ODC Other Direct Costs PII Personally Identifiable Information PIPO Phase In/Phase Out POC Point of Contact PRS Performance Requirements Summary PWS Performance Work Statement QA Quality Assurance QAP Quality Assurance Program QASP Quality Assurance Surveillance Plan QC Quality Control QCP Quality Control Program TE Technical Exhibit

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:

3.1 Property: The Government will furnish the necessary workspace for the contractor to perform services outlined in this PWS to include desk space, telephones, computers and other items necessary to maintain an office environment.

3.2 Materials: N/A

3.3 Equipment: N/A

3.4 Services: N/A

3.5 Utilities: All utilities in the facility will be available for the contactor’s use in the performance of this contract. The contractor shall instruct employees in utilities conservation practices. The contractor 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.

5.0 Requirements: The contractor shall: Accomplish Health Services Administrator support to medic duties and responsibilities as identified in the AFOCD (31 October 2017). Support medical record currency, content and completion.

5.1 Implement and manage the Armed Forces Health Longitudinal Technology Application (AHLTA) information management systems utilized for aerospace medicine and force health protection programs.

5.1.1 Update physical examination data in required information management systems.

5.1.2 Action record requests for documents are filed in the AHLTA Electronic Medical Records Program within established suspense.

5.1.3 Provide training to all personnel who shall use the AHLTA Electronic Medical Records Program to ensure members are trained to successfully utilize the system.

5.1.4 The contractor shall be computer literate, with a solid foundation in Micro Soft Office.

5.1.5 The contractor shall be skilled in customer service.

5.2 Provide STR Management

5.2.1 Create, manage and process medical records for current members. Create medical records for new accessions within two weeks of receiving an enlistment order

5.2.2 Process medical records for individuals scheduled for Basic Military Training, Technical School, Transfer and Discharge.

5.2.3 Prepare medical records for individuals scheduled for monthly occupational health exams.

5.2.4 Prepare medical records for individuals scheduled for medical readiness services and monthly physical exams.

5.2.5 Prescreen medical records for medical/dental health issues that require evaluation for deployment eligibility. Provide data to unit health monitor prior to UTA’s.

5.2.6 File documentation in individual medical/dental record in both the hard copy file and in the electronics Health readiness Record. Provide/input documentation of results of the Bi-monthly case reviews.

5.2.7 Remove and ship medical records of Airmen who have left the NYANG to the records repository in 90 days of notification

5.3 Periodic Health Assessment (PHA) Program:

5.3.1 Schedule members to complete occupational health requirements.

5.3.2 Edit, review and validate medical records for accuracy and completeness.

5.3.3 Document medical records and notify members to contact Public Health for occupational exam results.

5.3.4 Comply with policies and procedures developed for the Occupational Health and Reproductive Health Programs. Ensure new policies and procedures are provided to medical staff in a timely manner.

5.4 Quality Assurance Reviews:

5.4.1 Conduct annual medical/dental record reviews.

5.4.2 Perform quality assurance checks on in-coming medical/dental records.

5.4.3 Generate and track all individual medical readiness reports for the 224th Group.

5.5 Provide administrative support to the 174th Medical Group.

5.5.1 Expedite resolution of medical matters IAW Air Force Instructions by connecting personnel to the appropriate medical servicing entity, if not resident at EADS or the 174 MDG.

5.5.2 Process and track line duty determinations, comprehensive airman fitness assessments, assessment exemptions, medical evaluation boards, profiles and waivers.

5.5.3 Communicate medical publication guidance and safety to mission items as needed on behalf of the 174th MDG for the 224th ADG Command Group.

5.5.4 Process medical assessment paperwork as appropriate for airman fitness, Director of Psychological Health and other programs.

5.5.5 Support, track and assess immunizations, Periodic Health Assessments (PHA), dental and Aeromedical Services Information Management System (ASIMS) and provide administrative documentations.

5.6 Coordinate the unit First Aid and CPR programs.

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

Publication (Chapter/Page)

TECHNICAL EXHIBIT 1

Performance Requirements Summary

This Performance Requirements Summary includes performance standards. The Government will use these standards to determine contractor performance and will compare contractor performance to the Acceptable Quality Level (AQL).

Customer Feedback/ Spot Checks/ Monthly By COR or KO

Customer Feedback/ Spot Checks/ Monthly By COR or KO

Customer Feedback/ Spot Checks/ Monthly By COR or KO

Customer Feedback/ Spot Checks/ Monthly By COR or KO

personnel to the appropriate medical servicing entity, if not resident at EADS or the 174 MDG Tasks are completed on-time and meet suspense’s 98% of the time or an extension from the Public Health Technician is obtained.

Reports, presentations and briefing documents are complete and contain no content errors 98% of the time Periodic Inspection/ Customer Feedback/ Spot Checks/ Monthly By COR or KO

TECHNICAL EXHIBIT 2

Deliverables Schedule

1.4.5.6 OPSEC

Training Certificates

QUALITY ASSURANCE PLAN – COR INFORMATION

In your role as Task Order (TO) Contracting Officer Representative (COR) you assume some Quality Assurance duties. You will monitor contractor performance, complete and sign the Quality Assurance Worksheet provided below at least monthly, but you can submit the worksheet more frequently if needed. This worksheet allows you to document compliance with the Task Order and fill a regulatory requirement to ensure adequate oversight is being performed.

Annotate the number of hours worked and overtime (if applicable) worked, travel and reimbursable costs incurred. Hours worked in excess of the normal work schedule require prior approval by the Contracting Officer. Please annotate only the actual hours worked and approved; do not include holiday, vacation or sick hours. Only the actual time the contract employee was on the job should be submitted as billed hours.

The quality rating may change from “Green” to “Red” without notice, however we encourage the COR to utilize the “Yellow” quality rating to alert the contracting office and the Schedule Holder of quality issues that have the potential for a “Red” quality rating if corrective action is not taken.

Any time the rating is less than “Green” the COR shall clearly document the worksheet to indicate what did or did not occur per the PWS requirement. When an observation indicates other than a “Green” rating, the COR will require the Contractor to initial the observation. Initialing the observation does not constitute concurrence with the observation; it only acknowledges that they have been made aware of the defective performance. Notify the Contracting Officer if there is a deficiency. If the Contractor’s response to an identified quality deficiency is unsatisfactory, the Contracting Officer along with the COR will contact the Schedule Holder to implement a plan of action to remedy the identified deficiency.

COR CHANGES: If your supervisor decides to re-assign these COR oversight duties to another Government employee, you must notify the Contracting Officer or Administrative Contract Office immediately, in writing, with their name, position, email and telephone number. Email notification is acceptable. Each COR conducting oversight duties must provide the Contracting Office a copy of the certificates from the required courses below BEFORE services start on the task order or before they can be assigned as the COR.

CONTRACT EMPLOYEE CHANGES: Ensure that all replacement contract employees, to include short-term temporary replacements, are reported to the Contracting Officer listed on the Task Order.

MONITOR TRAFFICKING IN PERSONS: The COR shall monitor the contractor’s performance for noncompliance with FAR 52.222-50, Combating Trafficking in Persons (CTIP). At a minimum, the COR shall:

1.) Read and understand the Combat Trafficking in Persons clause, FAR 52.222-50.

2.) Monitor the contractor’s performance for noncompliance with the Combat Trafficking in Person clause through contractor inspection and reported information or complaints.

3.) Document any observed non-compliance.

4.) Bring any potential issue in this area to the immediate attention of the contracting officer before engaging the contractor in reference to these activities.

The Customer must identify what component of the deliverable and/or service requires attention.

The Customer must identify what component of the deliverable and/or service is below the minimum AQL.

QUALITY ASSURANCE WORKSHEET

Contract # ___________ Health Services Administrator to Med Technician Assistant Contractor name: _ ________

Performance Rating

Deliverable/Service

Maintain (AHLTA) records system and Medical Records

Yellow

Red

Provide STR Management

Yellow

Red

Periodic Health Assessment (PHA) Program

Yellow

Red

Perform quality assurance reviews

Yellow

Red

Self-Aid Buddy Care Program

Yellow

Red

Administrative Support

Yellow

Red

Contract employee(s) has required badges displayed and identify themselves as contractors 98% of the time.

Yellow

Red

Note: Attach Timecard Period of Performance: From _______________to____________

Number of Hours Actually Worked: _____ (Include only actual hours worked. Do not include non worked holidays, leave, etc. these are included in the rate the Government pays and are not paid as hours worked.)

Reimbursable Expenses (include receipts): _______ Travel (include approval sheet): _______

Note: Time in excess of 40 hours must be pre-approved by the Contracting Officer.

Approved by: _______________________________________________ Date: _____________________________