PWS - Medevac.docx_safe.pdf

PERFORMANCE WORK STATEMENT (PWS)

PROJECT: ON-DEMAND EMERGENCY AEROMEDICAL EVACUATION SERVICES

LOCATION: U.S. ARMY GARRISON - KWAJALEIN ATOLL (USAG-KA) TO OAHU,

HAWAII

AGENCY: U.S. ARMY CORPS OF ENGINEERS, HONOLULU DISTRICT (POH)

DATE: 08 DECEMBER 2025

PART 1: GENERAL INFORMATION

1.1 GENERAL

This is a non-personal services contract to provide on-demand emergency aeromedical evacuation services. The Government shall not exercise any supervision or control over the contract service providers performing the services herein. Such contract service providers shall be accountable solely to the Contractor who, in turn is responsible to the Government.

1.2 DESCRIPTION OF SERVICES

The Contractor shall provide all personnel, equipment, supplies, facilities, transportation, tools, materials, supervision, and other items and non-personal services necessary to perform On-Demand Emergency Aeromedical Evacuation Services as defined in this Performance Work Statement.

The Contractor shall provide a dedicated or on-call fixed-wing air ambulance capability to transport U.S. Army Corps of Engineers (USACE) personnel and their dependents from Kwajalein Atoll, Republic of the Marshall Islands (RMI) to a receiving medical facility in Oahu, Hawaii.

1.3 BACKGROUND

The U.S. Army Corps of Engineers (POH) maintains a field office on Kwajalein Atoll.

Medical facilities on the island are limited to a basic clinic/ER capable only of patient stabilization. There is no capability for complex surgery, critical care, or long-term hospitalization on-island. In the event of a life-threatening or limb-threatening emergency, personnel must be evacuated to a higher level of care in Oahu, Hawaii (approx. 2,100 nautical miles). Delays of any kind increase the risk of severe injury or death.

1.4 OBJECTIVES

� Readiness: Maintain 24/7/365 administrative and operational readiness to accept an evacuation mission.

� Response: Guarantee patient pickup at Bucholz Army Airfield (KWA) within 24 hours of mission notification.

� Safety: Conduct bedside-to-bedside transport utilizing fixed-wing pressurized aircraft fully certified for long-range over-water operations.

1.5 SCOPE

The Contractor shall provide two distinct categories of service:

1. Availability (Retainer): A monthly fixed fee to maintain licensure, aircraft availability, and 24/7 dispatch readiness (CLIN x001).

2. Evacuation Missions (Task Order): Execution of air ambulance flights on an as-needed basis (CLIN x002).

1.6 PERIOD OF PERFORMANCE

The period of performance shall be for one (1) Base Year of 12 months and four (4) 12-month option years.

� Base Year: 01 May 2026 – 30 April 2027

� Option Year 1: 01 May 2027 – 30 April 2028

� Option Year 2: 01 May 2028 – 30 April 2029

� Option Year 3: 01 May 2029 – 30 April 2030

� Option Year 4: 01 May 2030 – 30 April 2031

1.7 QUALITY CONTROL PLAN (QCP)

The Contractor shall develop and maintain an effective quality control plan to ensure the requirements of the contract are performed within this PWS. The Contractor shall develop and implement procedures to identify, prevent, and ensure non-recurrence of defective services.

The QCP shall be submitted to the Contracting Officer (KO) within ten (10) calendar days of contract award. The QCP shall include:

� A chart showing the organizational structure and lines of authority.

� Inspection procedures covering all services required by the contract.

� Method of identifying and correcting deficiencies in the quality of service.

� Procedures to ensure all medical and aviation licenses/certifications remain current.

1.8 HOURS OF OPERATION

The contractor shall provide services 24 hours a day, 7 days a week, 365 days a year, to include Federal holidays, regardless of national emergencies. The Contractor shall at all times maintain an adequate workforce for the uninterrupted performance of all tasks defined within this PWS.

1.9 SECURITY REQUIREMENTS

Work under this contract is unclassified. However, the Contractor shall comply with all applicable DoD security regulations and procedures during the performance of this contract, including:

� Antiterrorism (AT) Level I Training: All contractor employees requiring access to Army installations, facilities, and controlled access areas shall complete AT Level I awareness training within 30 calendar days after contract start date.

� OPSEC Training: All new contractor employees will complete Level I OPSEC training within 30 calendar days of their reporting for duty.

� iWATCH Training: The contractor and all associated sub-contractors shall brief all employees on the local iWATCH program (training standards provided by the requiring activity).

1.10 HIPAA AND PRIVACY ACT

The Contractor shall comply with the Health Insurance Portability and Accountability Act (HIPAA) of 1996 and the Privacy Act of 1974. The Contractor shall safeguard and not disclose sensitive information, computer systems data, or Protected Health Information (PHI) except as required for patient care transfer.

PART 2: DEFINITIONS & ACRONYMS

2.1 DEFINITIONS

� Bedside-to-Bedside: A service model where the contractor’s medical crew takes custody of the patient at the sending facility (Kwajalein Hospital), accompanies them on all ground and air transport, and hands over custody at the receiving facility (Oahu Hospital).

� Critical Care Transport (CCT): The movement of critically ill patients requiring advanced airway management, ventilator support, or invasive monitoring.

Requires a Paramedic/Nurse team with advanced training.

� ETOPS: Extended-range Twin-engine Operations Performance Standards;

required for safety over large bodies of water (Pacific Ocean).

� Non-Medical Attendant (NMA): A family member or escort accompanying the patient (e.g., a parent accompanying an injured child).

2.2 ACRONYMS

� ALS: Advanced Life Support

� ATP: Airline Transport Pilot

� CAMTS: Commission on Accreditation of Medical Transport Systems

� CLIN: Contract Line-Item Number

� COR: Contracting Officer’s Representative

� FAA: Federal Aviation Administration

� KO: Contracting Officer

� PWS: Performance Work Statement

� QASP: Quality Assurance Surveillance Plan

PART 3: GOVERNMENT FURNISHED PROPERTY, EQUIPMENT, AND SERVICES

3.1 GENERAL

The Government will not provide aircraft, medical equipment, or flight crews. These are the sole responsibility of the Contractor.

3.2 AIRFIELD ACCESS

The Government (USAG-KA) will facilitate landing rights and airfield access at Bucholz Army Airfield (KWA) for the Contractor’s aircraft during authorized emergency missions.

The Government will provide standard airfield services (lighting, landing clearance) commensurate with airfield operations.

3.3 GROUND TRANSPORT (KWAJALEIN ONLY)

The Government (via Kwajalein Hospital/Garrison) will provide ground ambulance transport from the Kwajalein Hospital to the aircraft at Bucholz Army Airfield. The Contractor is responsible for ground transport in Oahu.

3.4 UTILITIES AND COMMUNICATIONS

The Government will not provide office space or utilities. The Contractor is responsible for their own Operations Center and communication infrastructure.

PART 4: CONTRACTOR FURNISHED ITEMS AND SERVICES

4.1 GENERAL

The Contractor shall furnish all supplies, equipment, facilities, and services required to perform work under this contract.

4.2 AIRCRAFT REQUIREMENTS

The Contractor shall provide a Fixed-Wing Multi-Engine Pressurized Aircraft capable of non-stop or limited-stop transport between Kwajalein and Oahu.

� Range: Aircraft must possess sufficient range and fuel reserves to safely conduct the trans-Pacific crossing.

� Configuration: Cabin must be configured for at least one (1) litter patient and one (1) ambulatory Non-Medical Attendant (NMA).

� Pressurization: Aircraft must be pressurized to maintain sea-level or low-altitude cabin pressure for patient physiology.

� Safety: Aircraft must be equipped with weather radar, Traffic Collision Avoidance System (TCAS), and Terrain Awareness and Warning System (TAWS).

� Over-Water Gear: Aircraft must carry life rafts, life vests, and survival equipment suitable for open-ocean operations (ETOPS compliant).

4.3 MEDICAL EQUIPMENT

The Contractor shall provide all medical equipment required for Advanced Life Support (ALS) and Critical Care Transport (CCT), including but not limited to:

� Multi-parameter cardiac monitor/defibrillator.

� Transport ventilator with oxygen supply sufficient for the flight duration plus 2 hours reserve.

� IV infusion pumps.

� Advanced airway management kit.

� Full range of ACLS medications and narcotics (with appropriate DEA licensure).

� Infection control supplies (PPE, disposal bags) in accordance with OSHA bloodborne pathogen standards.

4.4 PERSONNEL QUALIFICATIONS

� Flight Crew: Minimum of Two (2) Pilots (Captain and First Officer) per mission.

Both must hold FAA Airline Transport Pilot (ATP) certificates and current Class 1 or 2 Medical Certificates. Pilots must have documented experience in international/oceanic operations.

� Medical Crew: Minimum of Two (2) Medical Providers per mission. Compositions shall be either [Nurse + Paramedic] or [Physician + Nurse/Paramedic], depending on patient acuity.

o Flight Nurse: Current RN license, ACLS/PALS/BLS certified, minimum 3 years critical care/ER experience.

o Flight Paramedic: Current NREMT-P (or equivalent) license, ACLS/PALS/BLS certified, minimum 3 years’ experience.

PART 5: SPECIFIC TASKS

5.1 CLIN X001: AVAILABILITY & READINESS (RETAINER)

The Contractor shall maintain a 24/7/365 state of readiness to support the POH mission.

� Operations Center: The Contractor shall maintain a 24-hour Dispatch/Operations Center accessible via phone and email.

� Licensure Maintenance: The Contractor shall maintain all FAA Part 135 certificates, international overflight permits, and medical licenses required to legally operate in the RMI and USA.

� Readiness Reporting: The Contractor shall submit a monthly Readiness Report to the COR confirming aircraft status, crew availability, and insurance currency.

5.2 CLIN X002: AEROMEDICAL EVACUATION MISSIONS (TASK ORDER)

Upon notification by the Contracting Officer (KO) or designated representative, the Contractor shall execute an aeromedical evacuation mission.

5.2.1 Mission Activation and Dispatch

� The Government (POH Representative) will contact the Contractor’s Operations Center to initiate a request.

� The Contractor shall verify aircraft/crew availability and acknowledge the mission request within one (1) hour of notification.

� The Contractor shall provide an estimated time of arrival (ETA) at Bucholz Army Airfield (KWA).

5.2.2 Response Timeline

� The Contractor’s aircraft must arrive at Bucholz Army Airfield (KWA) and be ready for patient uptake within 24 hours of the initial mission notification.

� Delays due to weather or mechanical failure must be immediately communicated to the COR.

5.2.3 Patient Transport (Bedside-to-Bedside)

� Kwajalein Handoff: The Contractor’s medical crew shall meet the patient at the sending facility (or airfield ambulance transfer point) and accept care from the sending physician. A patient briefing and medical record transfer shall occur.

� In-Flight Care: The Contractor shall provide continuous medical monitoring and intervention (ALS/CCT) consistent with the patient’s condition during the flight to Oahu.

� Oahu Arrival: The Contractor is responsible for arranging ground ambulance transport in Oahu from the airfield to the receiving hospital.

� Final Handoff: The Contractor shall perform a bedside hand-off to the receiving physician at the Oahu medical facility.

5.2.4 Documentation and Logistics

� Customs/Immigration: The Contractor is responsible for all flight planning, eAPIS filing, and Customs/Immigration clearance for entry into the US/Hawaii.

� Patient Care Report (PCR): The Contractor shall complete a detailed medical record of the transport. A copy shall be provided to the receiving hospital upon arrival.

5.3 INVOICING AND BILLING

� Availability Fee: Billed monthly in arrears (1/12th of annual cost).

� Mission Cost: Billed per completed mission. The invoice shall include the specific Flight Log, Patient Manifest (redacted/secure), and authorization reference (Task Order number).

PART 6: APPLICABLE PUBLICATIONS

6.1 MANDATORY COMPLIANCE

The Contractor shall abide by all applicable regulations, manuals, and local policies, including but not limited to:

� 14 CFR Part 135: Operating Requirements: Commuter and On-Demand Operations.

� CAMTS Standards: Commission on Accreditation of Medical Transport Systems (current edition).

� HIPAA: Health Insurance Portability and Accountability Act (Public Law 104-191).

� DoD 5200.2-R: Personnel Security Program.

� DoD 6025.18-R: DoD Health Information Privacy Regulation.

� AR 40-3: Medical, Dental & Veterinary Care (relevant sections).

� USAG-KA Regulation 190-5: Installation Access Control (Kwajalein specific).

PART 7: TECHNICAL EXHIBIT 1 - PERFORMANCE REQUIREMENTS SUMMARY

(PRS)

Performance Objective Standard Performance

Threshold Method of Surveillance

Availability (CLIN X001)

Contractor Operations Center is reachable 24/7 and aircraft is available.

100% Availability

Periodic Inspection / Test Calls

Response Time

(CLIN X002)

Aircraft arrives at Kwajalein (KWA) for patient pickup within 24 hours of notification.

100% Compliance

100% Inspection (Per Mission)

Patient Safety

Transport performed without preventable adverse medical event or safety violation.

Zero Tolerance for Safety Violations

Customer Complaint / Medical Review

Reporting

Post-mission medical and flight reports submitted within 48 hours.

95% On-Time Submission

Periodic Inspection

Performance Objective Standard Performance

Threshold Method of Surveillance

Security/Training All staff current on

AT/OPSEC/HIPAA

training.

95% Compliance

Annual Audit

PART 8: TECHNICAL EXHIBIT 2 - DELIVERABLES SCHEDULE

Deliverable Frequency Medium/Format Submit To

A001 - Quality Control Plan (QCP) 10 days post-award Electronic (PDF) KO / COR

A002 - Proof of Insurance (Aircraft & Liability)

Annually Electronic (PDF) KO / COR

A003 - Readiness Report Monthly (by 5th of month)

Electronic (PDF) COR

A004 - Flight/Mission Report

Within 48 hours of mission completion

Electronic (PDF) COR

A005 - Patient Care Record (PCR)

Within 48 hours of mission completion

Secure Transfer

COR

(HIPAA

Secure)

A006 - Training Certificates

(AT/OPSEC/HIPAA)

Within 30 days of hire/annually

Electronic (PDF) COR