PWS - IPAP RTA Lab Patient Models.pdf

PERFORMANCE WORK STATEMENT

Standardized Patients for Interservice Physician Assistant Program (IPAP)

Reproductive Training Aides (RTA) Lab Training

1. GENERAL. Provide non personal services, as defined in Federal Acquisition Regulation FAR 37.101, under which the professional services rendered by a contract service provider are rendered in their capacity as an independent contractor or employee of any independent company that may be a party to this contract. The Government may evaluate the quality of professional and administrative services provided but retains no control over the professional aspects of the services rendered, including but not limited to the contract service provider’s professional medical judgment, diagnosis, or specific medical treatments. The Contractor shall be solely liable for and expressly agree to indemnify the Government with respect to any liability producing acts or omissions by its employees or agents. This contract does not create an employer-employee relationship between the Government and any corporation, partnership, business association or other party or legal entity with which the individual contract service provider may be associated.

1.1. The Contractor will provide services of Standardized Patients for Interservice Physician Assistant Program (IPAP) Reproductive Training Aides (RTA) Lab Training. This requirement is for 15 Standardized Patients per session (8 Females and 7 Males). Each Standardized Patient (SP) can have up to 2 encounters per student with a maximum of 15 students and Instructors (Female SPs) and 13 students and Instructors (Male SPs).

Base Year (3 Sessions):

Session 1: 3-5 Dec 2025 Session 2: 3-5 Apr 2026 Session 3: 2-4 Aug 2026

1st Option Year (3 Sessions):

Session 1: 2-4 Dec 2026 Session 2: 7-9 Apr 2027 Session 3: 4-6 Aug 2027

2nd Option Year (3 Sessions):

Session 1: 1-3 Dec 2027 Session 2: 5-7 Apr 2028 Session 3: 2-4 Aug 2028

3rd Option Year (3 Sessions):

Session 1: 6-8 Dec 2028 Session 2: 4-6 Apr 2029 Session 3: 8-10 Aug 2029

4th Option Year (3 Sessions):

Session 1: 5-7 Dec 2029 Session 2: 3-5 Apr 2030 Session 3: 7-9 Aug 2030

1.2. Qualifications.

1.2.1. An SP is an individual, female or male, trained to portray a patient with a specific condition in a realistic, standardized, and repeatable way (where portrayal/presentation varies based only on learner performance). The Standardized Patient (Female) is used for teaching and assessment of learners including but not limited to medical history, physical examination, breast examination, anogenital examination which includes vaginal speculum insertion, bi-manual examination, and other clinical skills in an appropriate or simulated clinical environments. The Standardized Patients (Female) also provides feedback on the patient care experience. The Standardized Patient (Male) is used for teaching and assessment of learners including but not limited to medical history, physical examination, anogenital examination, digital rectal and prostate examination, and bi-lateral hernia examination. The Standardized Patients (Male) also provides feedback on the patient care experience.

1.2.2. The Female SP shall be familiar with the female breast and genital anatomy. Prospective Female SPs need to learn the anatomy relating specifically to the IPAP Female Breast and Genitourinary Exams and interactive skills to relate the needed information to the IPAP student.

Female SP’s must have the ability to discuss the IPAP Breast and Genitourinary Exams while it is being performed on them as indicated by the instructor. The Female SP must have a high level of comfort with their own body along with excellent communication skills.

1.2.3. The Male SP shall be familiar with the male anal, rectal, and genital anatomy. Prospective SPs need to learn the anatomy relating specifically to the IPAP Male Genitourinary Exam and interactive skills to relate the needed information to the student. The Male SP must have a high level of comfort with their own body along with excellent communication skills.

1.2.4. No physical health conditions may exist during the employment as a SP contradicting the ability to complete the required number of encounters per training session. Must maintain appropriate hygiene to include the anogenital area and be free of active Sexually Transmitted Infection such as an outbreak Herpes Simplex Virus (HSV).

1.3. Performance Measures.

1.3.1. Outcome. The contractor shall provide trained and qualified personnel to satisfy the requirement for services at a standard, enabling the Medical Command to maintain a high level of quality.

1.3.2. Standards. Acceptable measures include no more than two substantiated complaints per contract employee in any twelve-month period and filling at least 95% of the scheduled shifts.

Other performance evaluation factors that will be monitored, but that are not quantified by numerical measurements include: contractor providing personnel exceeding the minimum qualification standards; customer service comments; provider and contractor relationship with staff/government contracting personnel; compliance with policy and procedures.

1.3.3. How measured. The Government shall monitor performance under this contract using the Quality Assurance Plan (QASP) in this PWS, Army Regulation 40-68, and any other medical treatment facility (MTF) standards. Performance will also be monitored by department personnel and the Point of Contact (POC) through government information systems and records, patient records, customer service information, contractor reports, and time sheets. Other methods may be implemented at the Government’s discretion.

1.3.4. Performance Requirements Summary. The following Performance Requirements Summary (PRS) will be utilized to assess the entire contract.

REFERENCE PERFORMANCE

OBJECTIVE

ACCEPTABLE QUALITY

LEVEL

METHOD OF

ASSESSMENT

PWS Paragraph 1.3. Provide a high level of quality service.

No more than two substantiated complaints per contractor employee in any twelve-month period.

Substantiated Complaints.

PWS Paragraph 5.

Comply with Specific Tasks.

Comply at least 95% of the time.

Annual review of

POC

files.

PWS Paragraph 1.5.

Comply with working scheduled shifts.

Fill 95% of the required shifts, per month.

POC maintain log.

A. 100% Inspection: Every time a requirement occurs, it will be inspected.

B. Non-PRS Items: The Government will periodically evaluate all other items in the PWS (i.e.

Exercises, Data Submission, etc.).

1.4.Administrative.

1.4.1. Neither active-duty military nor Government civil service employees shall be used as either a consultant or contract service provider in matters related to this contract.

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1.5. Hours of Performance.

1.5.1. The work week runs Monday through Friday. Hours are 7:30-5:00. Time, hours, and days for service shall be as required by the Government according to the work site to which the contract employee is assigned. Duty hours include a minimum of 30 min for lunch (non-compensable lunch break) and two 15 min breaks (per 8-hour shift).

1.5.2. Holidays. The following is a list of legal federal holidays. Any of the federal holidays falling on a Saturday will be observed on the preceding Friday, holidays falling on a Sunday will be observed on the following Monday. Training holidays may occur in conjunction with these holidays, at the discretion of the MEDCOM.

New Year’s Day, January 1st Martin Luther King’s Birthday, 3rd Monday in January President’s Day, 3rd Monday in February Memorial Day, Last Monday in May Juneteenth National Independence Day, June 19th Independence Day, July 4th Labor Day, 1st Monday in September Columbus Day, 2nd Monday in October Veteran’s Day, November 11th Thanksgiving Day, 4th Thursday in November Christmas Day, December 25th

1.6. Conflict of Interest. The Contractor shall not employ off duty military personnel, or any person who is currently an employee of the United States Government or the Department of Defense, either military or civil service. Such employment would create a conflict of interest or be contrary to the policies contained in Department of Defense Regulation 5500-7R, Joint Ethics Regulation dated 30 August 1993.

1.7. Conduct of Personnel. The Contracting Officer (KO) may require the Contractor to remove from the job site any employee working under this contract for reasons of misconduct, security, or suspected to be under the influence of alcohol, drugs, or any other incapacitating agent.

Contractor employees shall be subject to dismissal from the premises when the Contracting Officer (KO) determines that such action is in the best interest of the Government. The Commander has the authority to bar individuals from the installation. Removal from the job site, or dismissal from the premises, shall not relieve the Contractor of the requirement to provide sufficient personnel to perform the services as required by this PWS.

1.8. Personal Appearance. SPs are expected to present a neat casual, professional image during all teachings and testing sessions. SPs should not wear halter tops or midriff baring tops, or clothing that is ripped, excessively tight, low-cut or short. Contractor personnel will not wear athletic or athletic styled clothing (e.g. jogging suits, sweat suits). In all cases, the clothing will be neat and clean, i.e. free from visible dirt and stains; and it will fit so as to provide a professional appearance in keeping with the normally accepted standards of dress for the work being performed.

1.9. Security Requirements. Contractor personnel or any representative of the Contractor, entering any Military Installation shall abide by all security regulations and be subject to security checks. Contractor personnel and property shall be subject to search and seizure upon entering the confines of the Army Medical Command and any assigned satellite facilities while on the military installation, and upon leaving the confines of these facilities in accordance with all applicable regulations. Contractor personnel will need a valid driver’s license on them at all times.

1.9.1. For IA/IT Certification. N/A

1.9.2. For contractors authorized to accompany the force. N/A

1.9.3. For Contract requiring performance or delivery in a foreign country. N/A

1.9.4. For contracts that require handling or access to classified information. N/A

1.9.5. Cont. N/A

1.9.6. Controlled Unclassified Information (CUI). N/A

1.9.7. Threat Awareness Reporting Program. For all contractors with security clearances. Per AR 381-12 Threat Awareness and Reporting Program (TARP), contractor employees must receive annual TARP training by a CI agent or other trainer as specified in 2-4b.

1.9.8. OPSEC Training. Per AR 530-1 Operation Security, new contractor employees shall complete level 1 OPSEC training within 30 calendar days of their reporting for duty. All Contractor employees must complete annual OPSEC training awareness.

1.9.9. Contractor employees with an area of performance within an Army controlled installation, facility or area shall comply with the requirement listed below:

1.9.9.1. Access and General Protection/Security Policy and Procedures. This standard language is for contractor employees with an area of performance within Army controlled installation, facility, or area. Contractor and all associated subcontractor employees shall 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 (FAR clause 52.204‐9, Personal Identity Verification of Contractor Personnel) as directed by DOD, 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.

1.9.9.2. For contractors requiring Common Access Cards (CAC). Before CAC issuance, the contractor employee requires, at a minimum, a favorably adjudicated National Agency Check with Inquiries (NACI) or an equivalent or higher investigation in accordance with Army

Directive 2014‐05. 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 6 months or more. At the discretion of the sponsoring activity, an initial CAC may be issued based on a favorable review of the FBI fingerprint check and a successfully scheduled NACI at the Office of Personnel Management.

1.9.9.3. For contractors that do not require CAC but require access to a DoD facility or installation. N/A

1.9.9.4. AT Awareness Training for Contractor Personnel Traveling Overseas. N/A

1.9.9.5. iWATCH Training. N/A. This standard language is for contractor employees with an area of performance within an Army controlled installation, facility or area. The contractor and all associated sub‐contractors shall brief all employees on the local iWATCH Army program (training standards provided by the requiring activity ATO). This local developed training will be used to inform employees 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 15 calendar days of new employees commencing performance with the results reported to the COR NLT 30 calendar days after contract award.

1.9.9.6. Army Training Certification Tracking System (ATCTS) registration for contractor employees who require access to government information systems. All contractor employees with access to a Government info system must be registered in the ATCTS (Army Training Certification Tracking System) at commencement of services, and must successfully complete the DOD Information Assurance Awareness prior to access to the information system and then annually thereafter.

1.9.9.7. For contracts that require a formal OPSEC program. N/A

1.9.9.8. For contracts that require OPSEC training. Per AR 530‐1, Operations Security, the contractor employees must complete Level I OPSEC Awareness training. New employees must be trained within 30 calendar days of their reporting for duty and annually thereafter.

1.9.9.9. For Information Awareness (IA) / Information Technology (IT) training. All contractor employees and associated subcontractor employees must complete the DoD IA awareness training before issuance of network access and annually thereafter. All contractor employees working IA/IT functions must comply with DoD and Army training requirements in DoDD 8570.01, DoD 8570.01‐M and AR 25‐2 within six (6) months of appointment to IA/IT functions.

1.9.9.10. For IA/IT Certification. N/A

1.9.9.11. For contractors authorized to accompany the force. N/A

1.9.9.12. For Contract requiring performance or delivery in a foreign country. N/A

1.9.9.13. For contracts that require handling or access to classified information. N/A

1.9.9.14. Controlled Unclassified Information (CUI). N/A

1.9.9.15. Threat Awareness Reporting Program. For all contractors with security clearances.

Per AR 381-12 Threat Awareness and Reporting Program (TARP), contractor employees must receive annual TARP training by a CI agent or other trainer as specified in 2-4b.

1.10. Personnel In-Processing/Out-Processing Requirement.

1.10.1. A local criminal background check must be completed on each contract employee by the Medical Command Provost Marshal, depending at which facility the contract individual is to be assigned, prior to starting work under this contract. The requirement is in addition to prospective employee background checks already performed by the Contractor. The Government will additionally initiate and complete a National Agency Check (NAC) on all contract employees to include the National Sex Offenders Registry.

2. DEFINITIONS. As used throughout this contract, the following terms have the following definitions:

2.1. Contracting Officer (KO). A person by virtue of his/her appointment has the authority to enter into and administer a contract and make determinations and findings with respect thereto.

The Contracting Officer is the only person with authority to make changes to the contract and bind the Government.

2.2. Government Point of Contact (POC). A Government employee designated in writing, by the Contracting Officer, to perform technical surveillance as specified in an appointment letter.

The POC is responsible for assessing Contractor performance against contract performance standards as listed in the Performance Requirements Summary (PRS). This individual has no authority to enter into or change existing Government contracts.

3. GOVERNMENT FURNISHED SUPPLIES/SERVICES.

3.1. The Government will provide use of all available MTF facilities and support services, materials, publications and forms, and equipment required for contract performance (except as designated in the contract). Contract service providers shall keep government furnished supplies, equipment, and work areas in a safe, orderly, and clean condition. The Government will furnish heat, air conditioning, electricity, water and sewer services, refuse collection and custodial services. Personal long-distance calls are not authorized. The cost of personal long-distance calls will be deducted from the Contractor's invoice.

3.2. Emergency Contract Service Provider Healthcare. The MTF will provide emergency healthcare for injuries occurring while on duty. The contractor shall reimburse the government for such services.

4. CONTRACTOR FURNISHED SUPPLIES/SERVICES.

4.1. The Contractor shall furnish and maintain all equipment, supplies, and any transportation/vehicles (other than those specified as Government-furnished) and any other materials necessary to perform all services required. Equipment, supplies, and all other items ny other regulations/standards.

5. SPECIFIC TASKS.

5.1. The Standardized Patient for the for Interservice Physician Assistant Program (IPAP) Reproductive Training Aides (RTA) Lab Training is used for teaching and assessment of learners including but not limited to medical history, physical examination, breast examination, anogenital examination which includes vaginal speculum insertion, bi-manual examination, and other clinical skills in an appropriate or simulated clinical environments. The Standardized Patients (Female) also provides feedback on the patient care experience. The Standardized Patient (Male) is used for teaching and assessment of learners including but not limited to medical history, physical examination, anogenital examination, digital rectal and prostate examination, and bi-lateral hernia examination. The Standardized Patients (Male) also provides feedback on the patient care experience.

5.2. A Standardized Patient (SP) is a person carefully recruited and trained to take on the Female Breast, Genitourinary Physical Examination, and the Male Genitourinary Physical Examination of a real clinical patient thereby affording the student an opportunity to learn and to be evaluated on learned skills in a simulated clinical environment.

5.3. The Standardized Patient provides feedback and evaluates learner performance.

5.4. The standardized patient needs to be trained in teaching anogenital examinations example female insertion of speculum and familiar with female genital anatomy; male need to be familiar the male genital anatomy. The SP also needs to be familiar with anal and rectal anatomy.

5.5. Prospective SPs need to learn the anatomy relating specifically to IPAP male and female genitourinary physical exams and interactive skills to relate the needed information to the IPAP student.

5.6. The SP’s must have the ability to discuss the breast, genitourinary, hernia, rectal, and prostate exams while it is being performed on them as indicated by the preceptor or instructor.

5.7. The SP must have a high level of comfort with their own body along at times they will need to expose their naked body.

5.7.1. The SP must maintain appropriate hygiene to include the anogenital area.

5.7.2. SP’s are used to teach and assess the clinical skills of the IPAP student as a patient in a examination room/clinical training environment.

5.7.3. Work schedules vary based on the training needs of the IPAP RTA lab training.

5.8. This job requires intense concentration while the SP is being interviewed and examined by the IPAP student. The SP must be able to respond exactly as the real patient would. SP must be able to do this may times in succession without any changes.

5.9. After the IPAP RTA lab-patient encounter, the SP must be able to remember how the student performed. The SP must be able to respond quickly to feedback from training faculty who give you guidance about improving job performance.

6. QUALITY ASSURANCE SURVEILLANCE PLAN (QASP). The following minimum Quality Assurance Surveillance Plan applies. The Government has the right to change or modify inspection methods at its discretion.

(SEE ATTACHMENT 1)

7. TRADOC Policy Memo 4, Subject: TRADOC Policy Letter 4, Equal Opportunity (EO), Sexual Harassment/Assault Response and Prevention (SHARP) Program, and Treatment of Persons is hereby incorporated by reference. Contractor personnel with knowledge of an incident of sexual assault will immediately (within 24 hours) report the incident to their employer and their employer will immediately report the incident to the Government’s Point of Contact (POC).