PWS Non-Emergent Ambulance IFPT Services for TAMC.pdf

TAMC (DEC 2024)

PERFORMANCE WORK STATEMENT (PWS)

Non-Emergent Ambulance Interfacility Patient Transport Services

TRIPLER ARMY MEDICAL CENTER (TAMC)

TABLE OF CONTENTS

PART TITLE

1.0 GENERAL INFORMATION

2.0 DEFINITIONS & ACRONYMS

3.0 GOVERNMENT PROPERTY & SERVICES

4.0 CONTRACTOR FURNISHED ITEMS & SERVICES

5.0 SPECIFIC TASKS

6.0 APPLICABLE PUBLICATIONS

7.0 ATTACHMENTS & TECHNICAL EXHIBITS

8.0 ADDITIONAL INSTRUCTIONS & INFO

PART 1

GENERAL INFORMATION

1.0 General: This is a non-personal services contract, as defined in Federal Acquisition Regulation (FAR) 37.101, it is expressly agreed and understood that the 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 services provided but retains no control over the professional aspects of the services rendered. 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 personnel 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. Contract personnel rendering services are not subject, either by the contract terms or by the manner of its administration, to the supervision and control usually prevailing in relationship between the Government and its employees.

1.1 Description of Services/Introduction: The contractor shall provide non-emergent ambulance ground Interfacility Patient Transport (IFPT) services to and from Tripler Army Medical Center (TAMC), surrounding identified facilities and Hickam Airfield. Transportation services shall be required on the island of Oahu, specifically from Tripler Army Medical Center, Hickam Passenger Terminal, Schofield Barracks Acute Care Clinic, The Queen’s Medical Center, Kaiser Permanente Hospital, Kapiolani Medical Center, Kuakini Rehabilitation Facility, Rehabilitation Hospital of the Pacific, Skilled Nursing Facilities (non-residential), and other non-residential medical facilities on an as needed basis. All contract personnel shall possess qualifications meeting or exceeding the currently recognized national standards as established by The Joint Commission (TJC), provide the highest consideration to patient dignity, and observe the precepts of the American Hospital Association’s “Bill of Rights for Patients.”

Services provided under this contract shall be as comprehensive as Government-supplied facilities, equipment, and support services permit.

1.2 Background: TAMC is the headquarters of the Pacific Regional Medical Command of the armed forces administered by the United States Army in the State of Hawaii. It is the largest military hospital in the Asian and Pacific Rim region and serves a military sphere of jurisdiction.

During a single day of operations at Tripler Army Medical Center, personnel serve an average of 1,728 meals, tend to 2,248 clinic visits and 110 emergency room visits, fill 1,193 prescriptions, complete 25,000 pathology procedures and deliver 8 infants. On a typical day, 32 new patients are admitted as 159 beds are occupied. Of those patients, 19 go through ambulatory surgery.

1.3 Scope: The contractor shall provide non-personal non-emergent ambulance ground IFPT services 24/7 for authorized DoD beneficiaries requiring interfacility transportation.

Performance shall be in accordance with the standards contained in the conditions of this contract. Contract personnel shall abide by Defense Health Agency (DHA) Military Treatment Facility (MTF) rules, regulations, and by laws including the Medical Staff Bylaws, Hawaii State Emergency Medical Services (EMS) Transport regulations, and other service regulations when applicable. Contractor care shall cover the range of Emergency Medical Transport Ambulance Services provided in the local community to include Basic Life Support (BLS), Advanced Life Support (ALS), Pediatric Advanced Life Support (PALS) and treatment of physiological incidents. Refer to Section 5.0 Description of Services for details.

1.4 Objective(s): The objective of this contract is to provide a qualified contract service to our authorized DoD beneficiaries for non-emergent ambulance ground IFPT services. The following contract requirements are required at a standard that enables the MTF to maintain a high-level of quality patient care:

(a) Medical Director (MD or DO) in support of non-emergent ambulance ground IFPT services for TAMC and footprint.

(b) Emergency Medical Technicians (EMTs) in support of non-emergent ambulance ground IFPT services for TAMC and footprint.

(c) Emergency Medical Technician-Paramedic (EMT-P) in support of non-emergent ambulance ground IFPT services for TAMC and footprint.

1.5 General Information

1.5.1 Quality Control Plan (QCP): This acquisition is for commercial services and will be performed using FAR Part 12. The Contractor’s existing quality assurance system shall be utilized in accordance with FAR 12.208.

The Contractor’s Proposed QCP shall be submitted to the Contracting Officer (KO) through the Contracting Officer’s Representative (COR) for review within thirty (30) calendar days after date of contract award (Deliverable A.001).

The Government will review and either notify the Contractor in writing of acceptance of the plan or return their comments to the Contractor within seven (7) calendar days. If the Government has provided comments, the Contractor shall then have seven (7) calendar days to submit a Final QCP. After receipt of the Final QCP, the Contractor may receive the KO’s acceptance in writing. Any proposed changes to the accepted QCP are required to be resubmitted for acceptance by the KO no later than seven (7) calendar days prior to the anticipated change and before implementation by the Contractor. The timeline noted above will apply for review and acceptance for proposed changes. At a minimum, the QCP must include and answer the following to be acceptable:

(a) A chart showing the organizational structure and lines of authority, the names, qualifications, duties, responsibilities, and classification of each member of the Contractor's Quality Control Team.

(b) How the Contractor will monitor work to ensure performance complies with all deliverables (e.g., timelines, deadlines, and goals).

(c) How the Contractor will monitor work to ensure performance complies with all specifications and requirements of the contract, including the contract’s clauses.

(d) How the Contractor will monitor and ensure staff qualifications remain current and valid including Department of Defense (DoD) Contractor Personnel Office (DOCPER) processes/approvals throughout contract performance.

(e) How the Contractor will identify, investigate, and correct any non-conforming performance and prevent similar deficiencies in the future; and

(f) How the Contractor will file and save all Quality Control related documents for the life of the contract plus three (3) years.

1.5.1.1 The Contractor shall inform the COR of issues (or potential issues) that might affect the performance within 24 Hours of identifying those issues. Verbal reports shall be followed up by written reports within seven (7) calendar days (Deliverable A.002).

1.5.2 Quality Assurance: 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 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 the acceptable quality levels (performance thresholds) as documented in the Performance Requirements Summary (Technical Exhibit A).

1.5.3 Recognized Holidays: The following provides information on recognized holidays for the purpose of the PWS. If submittal of any documentation (e.g., deliverables, submittals, etc.)

deadlines fall on a holiday, the closest workday prior to the holiday will apply as the deadline for submittal.

1.5.3.1 U.S. Holidays: Work shall be performed on U.S. federally recognized holidays occurring during the normal work week, unless otherwise directed by the KO. When a U.S.

federally recognized holiday occurs on a Saturday or a Sunday, the holiday is observed on the preceding Friday or following Monday, respectively. Any holidays that are declared by Presidential Executive Order shall be observed in the same manner as the holidays listed below. Closures of the installation due to inclement weather or other such acts of God shall be handled in the same manner, as well.

New Year’s Day, January 1st Martin Luther King, Jr.’s Birthday, 3rd Monday in January President’s Day, 3rd Monday in February Memorial Day, Last Monday in May Juneteenth, 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

1.5.4 Operating Hours: The Government facility office hours, facility operating hours, and the Contractor support hour requirements often coincide, however, they may differ. Please refer to the following.

1.5.4.1 Government Facility Office Hours: The Government facility office hours are 0700 to 1600, Monday through Friday except for U.S. Holidays identified in paragraph 1.5.3.1 above, or when the Government facility is closed due to local or national emergencies, administrative closings, or similar Government directed facility closings.

1.5.4.2 Government Facility Operating Hours: The Government facility operating hours are from 0001 to 2400, Sunday through Saturday (i.e. 24 hours per day, 7 days per week). The Government facility is open for recognized U.S. Holidays identified in paragraph 1.5.3.1 above, and to essential personnel during national emergencies, administrative closings, or similar Government directed facility closings, unless otherwise communicated by the KO or COR to the Contractor.

1.5.4.3 Contractor Support Hours: The Contractor shall be available to provide support Sunday through Saturday from 0001-2400 daily.

1.5.4.3.1 Scheduled Absences: RESERVED

1.5.4.3.2 Unscheduled Absences: RESERVED

1.5.5 Telework: RESERVED

1.5.6 Place of Performance: The work to be performed under this contract will be performed at TAMC, HI a government MTF and the surrounding facilities located on the island of Oahu identified in paragraph 1.1.

1.6 Security Requirements: The following information is provided on security related matters.

1.6.1 Background Checks: Contract personnel performing services under this contract must have an active security clearance and must maintain this level of security for the life of the contract. The Contractor shall consult with the COR applicable to the location(s) associated in this PWS, and identify the level of background check necessary, as supported by applicable regulation(s). The Contractor shall coordinate and schedule all background check requirements as identified in paragraph 5.3.1 below before contract personnel can provide services. The Contractor is responsible for monitoring the completion of all background check requirements ensuring only their employees with a favorable decision are performing under this contract.

1.6.1.1 U.S. Citizen: U.S. Citizenship (copy of birth certificate or naturalization papers required). Contract personnel performing under this contract must be U.S. citizens. In addition, if any contract personnel fail to meet the citizenship requirements stated herein the Contractor shall not hold the government liable for not allowing performance under this contract.

Contract personnel that work with or teach youth under the age of 18 years are subject to U.S background checks. The Requiring Activity Manager will determine the extent of background checks required. Contract personnel may begin performance of the contract after receiving a favorable local background check. The Contractor agrees to replace any contract personnel should results of the background check, if required, be unfavorable as determined by the Requiring Activity Manager. The Contractor’s replacement of contract personnel with the unfavorable background check shall be provided within 30 calendar days. The Contractor shall also replace contract personnel whose background check, during their tenure of employment, renders them with an unfavorable local or state background check, as determined by the Requiring Activity Manager. The Contractor shall forward a copy to the KO and COR of each favorable and unfavorable background check within the first seven (7) calendar days of each month, along with the associated contract number and position type (Deliverable A.003). When the Government awards a non-personal services contract directly to an individual, the failure of the individual to provide a favorable background check would be grounds for termination.

1.6.1.2 The Contractor shall not employ or contract with any individual or entity (hereinafter collectively referred to as “person”) to provide items or services that will be included in invoices submitted to the Government under this contract if such person is listed on the Department of Health and Human Services (HHS) Office of the Inspector General (OIG) List of Excluded Individuals and Entities (LEIE) or the TRICARE Sanctioned Provider List. The Government is legally prohibited from paying for provision of items or services by such persons. The prohibition extends to services beyond direct patient care, such as services of persons in executive or leadership roles and administrative and management services, and whether such services are billed separately. The LEIE may be found at http://oig.hhs.gov/fraud/exclusions.asp, and the TRICARE Sanctioned Provider list at http://www.health.mil/Military-Health-Topics/Access-Cost-Quality-and-Safety/Quality-And- SafetyofHealthcare/Program-Integrity/Sanctioned-Providers. The LEIE and TRICARE Sanctioned Provider List are hereinafter collectively referred to as “the Lists.”

1.6.2 Installation Access: Access to U.S. installations, buildings and controlled areas is limited to personnel who meet security criteria and are authorized. Failure to submit required information/data and obtain required documentation or clearances will be grounds for denying access to U.S. installations, buildings, and controlled areas. The Contractor shall ensure that any subcontract personnel used in performance of this contract complies with these requirements and that all contract personnel, of both the Contractor and any subcontractor utilized by the Contractor, are made aware of and comply with these requirements.

The Contractor shall be aware of and comply with the requirements associated with Installation Access Control. The Government is not liable for any costs associated with performance delays due solely to a firm’s failure to comply with Installation Access Control System (IACS) processing requirements.

The Contractor shall return installation passes to the issuing IACS office when the contract is completed or when a Contractor employee no longer requires access.

1.6.2.1 Installation Pass Log: RESERVED

1.6.2.2 Individual Termination or Expiration of Employment: RESERVED

1.6.2.3 Contract Termination or Cancellation: Upon termination or cancellation of this contract, the Contractor shall collect all outstanding installation access passes and return them to the COR within seven (7) calendar days (Deliverable A.004).

1.6.2.4 Common Access Cards (CACs): RESERVED

1.6.3 Physical Security: RESERVED

1.6.4 Operations Security (OPSEC) Requirements: Contract personnel shall adhere to facility security policies and restrictions. Contract personnel shall immediately report suspicious activities to security personnel. Government issued access badges shall not be worn outside designated facilities where visible to the public.

1.7 Key Control: RESERVED

1.8 Post-Award Conference/Periodic Progress Meetings: The Contractor shall attend any post-award conference convened by the contracting activity or contract administration office in accordance with FAR Subpart 42.5. The KO, COR, and other Government personnel, as appropriate, shall meet with the Contractor on an as needed basis, as determined by the KO or COR, to review the Contractor's performance. At these meetings, the KO will apprise the Contractor of how the Government views their performance and the Contractor shall apprise the Government of any problems experienced, if any. Appropriate action shall be taken to resolve outstanding issues. These meetings shall be at no additional cost to the Government.

The Contractor shall not make unplanned visits to the MTF without prior approval from either the KO or COR.

1.9 Contracting Officer’s Representative (COR): Refer to Part 2 of this PWS for the definition of a COR. As determined by the KO, a COR will be appointed and identified by letter of designation, a copy of which will be provided to the Contractor by the KO. The designation letter states the responsibilities and limitations of the COR, especially regarding changes in cost or price, estimates, or changes in delivery dates. The COR is not authorized to change any of the terms and conditions of the resulting order. The COR monitors all technical aspects of the contract and assists in contract administration. The COR is not authorized to obligate the Government. If the work is not written in the contract, the COR is not authorized to request new work. The COR is authorized to perform the following functions: assure that the Contractor performs the technical requirements of the contract, perform inspections necessary in connection with contract performance, maintain written and oral communications with the Contractor concerning technical aspects of the contract, issue written interpretations of technical requirements, monitor Contractor's performance, and notifies both the KO and Contractor of any deficiencies.

1.10 Key Personnel: The Contractor shall provide an on-island Medical Director (MD or DO) as the lead for the IFPT, EMTs and EMT Paramedics. The requirements for the healthcare providers (HCPs) can be found in Part 5 of the PWS.

The Contractor shall designate in writing both a Contract Manager and Alternate Contract Manager to the KO and COR at least seven (7) calendar days prior to the contract effective date or (7) calendar days from contract award, whichever is later. The Contract Manager and Alternate Contract Manager will coordinate the implementation of services and be responsible for the performance under this contract. Contract Managers shall have full authority to act on behalf of the Contractor on all contract matters relating to the daily operation of this contract, and the Alternate Contract Manager shall act on behalf of the Contractor should the Contract Manager be unavailable. The Contract Manager and/or Alternate Contract Manager shall be available during the Contractor Support Hours, as identified in paragraph 1.5.4.3. The Contractor shall immediately notify the KO and COR of any changes to the designated Contract Manager and/or Alternate Contract Manager and provide a designated replacement in writing within seven (7) calendar days after said change.

1.10.1 Professionalism: Contract personnel must exercise a positive, helpful demeanor, display courtesy and tact frequently under stressful conditions and duress at an accelerated pace due to life threatening patient situations.

Contract personnel shall possess sufficient initiative, interpersonal relationship skills and social sensitivity such that he/she can relate constructively to a variety of patients from diverse backgrounds.

Contract personnel shall not bill a patient for services rendered under this contract. Contract personnel shall be prohibited from receiving compensation of any kind for patients treated, procedures performed, or any other actions performed, except under the terms and conditions of this contract, and at the rate specified. Contract personnel shall not, while performing services under this contract, advise, recommend or in any way suggest to persons eligible to receive medical care at Government expense that such persons should receive care from the Contractor or any contract personnel at any place other than the MTF.

1.10.2 Other: Contract personnel shall be able to read, write, and speak English well enough to effectively communicate with all patients and other personnel.

The Contractor shall not employ contract personnel to provide services under this contract that are currently employed by the U.S. Government, either as active military or civil service. Such employment would be considered as a conflict of interest, in accordance with DoD 5500.07-R.

1.11 Identification of Contract Personnel: All contract personnel that attend meetings, answer Government telephones, or work in other situations in which their contract status is not obvious to third parties, must identify themselves as contract personnel, to include proper marking of signature blocks in correspondence to avoid creating an impression in the minds of members of the public that they are Government officials. The Contractor shall ensure that all documents or reports produced by contract personnel are suitably marked as Contractor products or that Contractor participation is appropriately disclosed.

1.12 Contractor Identification Badges: Contract personnel shall wear their vendor-issued Badges on their outermost garment at all times while providing services at the MTF, unless directed otherwise by protocol.

1.13 Contract Personnel Travel: RESERVED

1.14 Other Direct Costs: RESERVED

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

1.16 Protection of Government & Contract Information: Per Public Use Notice of Limitations stated by Defense Imagery Management Operations Center and contained at www.dimoc.mil/resources/limitations/, the Contractor shall not cite any information (e.g., contract information, pictures, locations, etc.) obtained through this contract on any hard copy or digital marketing tools to include its company website.

1.17 Non-Disclosure Requirements: Performance under this contract may require contract personnel to access data and information that is proprietary to a government agency, another Government Contractor, or of such nature that its dissemination or use other than as specified in this PWS would be adverse to the interests of the Government or others. The Contractor and contract personnel shall not divulge, or release data or information developed or obtained under the performance of this PWS, except to authorized Government personnel or upon written approval of the KO. The Contractor shall not use, disclose, or reproduce proprietary data, which bears a restrictive legend, other than as specified in this PWS. All documentation showing individual names or other personal information shall be controlled and protected under the provisions of the Privacy Act of 1974, Public Law 93-579, 5 United States Code (U.S.C.) Section 552a.

1.18 Non-Disclosure Statements: RESERVED

1.19 Organizational Conflict of Interest: RESERVED

1.20 Phase-In / Phase-Out Period: RESERVED

1.21 Removal of Contract Personnel: During the performance of this contract, the Government reserves the right to immediately require the temporary removal of any contractor personnel whose actions or impaired state raises reasonable suspicion that clear and present danger of harm exists to either patients, MTF personnel or to themselves. This provision is intended for emergency situations only, and not for the purpose of bringing performance issues or other non-urgent concerns to the attention of the Contractor. Upon removal, the Contractor will be provided notification within 24 hours, and request a formal meeting with the KO, COR, and/or Department to discuss further action. The KO will make the final determination as to whether the temporary removal of any contract personnel should become permanent. The permanent removal of contract personnel does not relieve the Contractor of any performance requirement.

1.22 Environmental Compliance: RESERVED

1.23 Required Training

1.23.1 Anti-Terrorism (AT) Level I Training: RESERVED

1.23.2 Operations Security (OPSEC) Training: RESERVED

1.23.3 Protected Health Information (PHI): Contract personnel, including subcontract personnel, performing services under this contract with access to PHI and Government information shall complete HIPAA & Privacy Act Training per FAR 52.224-3. Contract personnel must complete refresher training every 12 months. Verification of the refresher training shall be provided to the COR within seven (7) calendar days after completion of the training.

1.24 Sexual Assault Prevention & Response Program (SAPR)

1.24.1 The DoD’s goal is to provide a culture free of sexual assault through an environment of prevention, education, training, response capability, victim support, reporting procedures, and appropriate accountability that enhances the safety and well-being of all persons covered by the DoD Directive. The DHA is one (1) of the agencies of the DoD, and as such follows the directives, instructions, and guidance of the DoD.

1.24.2 All contract personnel will comply with the Department of Defense Directive (DoDD) 6495.01, SAPR Program. More information is available via the following weblink:

https://www.esd.whs.mil/Portals/54/Documents/DD/issuances/dodd/649501p.pdf?ver=MlV9x4 KYK2qsh38GtGegBw%3d%3d.

1.25 Government Property (GP) & Services: Refer to Part 3 of this PWS for this contract.

PART 2

DEFINITIONS & ACRONYMS

2.0 Definitions & Acronyms

2.1 Definitions: Although not inclusive of every term used within this PWS, the following provides a list of definitions used throughout this PWS and commonly used in the acquisition field.

Ancillary Personnel – This includes all HCPs except for Medical Doctors (MD) and Doctors of Osteopath (DO).

Backup Personnel – Pre-approved contract personnel designated to move into the position of the primary contract personnel to perform required services for the duration of his/her absence.

Beneficiaries of the Military Healthcare System – Those individuals entitled to care at the MTF in accordance with AR 40-3.

Clinical Privileges – Authorization by the government to provide specific patient care and treatment services in the organization, within well-defined limits, based on the individual’s license, education, training, experience, competence, judgment, and physical and mental health.

MHS GENESIS – An automated medical information system which will provide integrated support for the functional work centers of inpatient and outpatient care facilities, patient administration, patient appointments and scheduling, nursing, laboratory, pharmacy, radiology, and clinical dietetics.

Continuing Education – Education beyond initial professional preparation relevant to the type of patient care delivered in the organization provides current knowledge relevant to the field of practice and is related to findings from quality assurance activities.

Contracting Officer (KO) – A person with the authority to enter, 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.

Contracting Officer's Representative (COR) – As defined in DFARS 202.101, means an individual designated and authorized in writing by the Contracting Officer to perform specific technical or administrative functions. DoD Instruction (DoDI) 5000.72, Part II Definitions states the following when defining a COR: “Defined in subpart 202.101 of Reference (f). Any individual delegated responsibilities pursuant to subpart 1.602-2 of Reference (e), regardless of local terminology, must be certified in accordance with this instruction. For example, local terminology can be COR, Contracting Officer’s Technical Representative (COTR), technical point of contact, technical representative, alternate COR, administrative COR, assistant COR, line-item manager, task order manager, quality assurance personnel, quality assurance evaluator, or COR management.” In addition, Army Regulation 70-13, Chapter 2, paragraph 2- 2g, states, in part, the following when providing other surveillance support personnel to assist the COR when needed, “…These other surveillance support personnel may serve as on-site representatives of the COR in performance of actual contract surveillance if they meet all COR requirements and have been appointed by the KO as alternate CORs.”

Contractor – 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.

Contract Personnel – Individuals employed by the Contractor to perform services.

Contractor-acquired Property – Property acquired, fabricated, or otherwise provided by the Contractor for performing a contract and to which the Government has title.

Day – Unless otherwise specified, refers to a calendar day.

Defective Service – Service output that does not meet the standard of performance associated with the PWS.

Deliverable – Anything that can be physically delivered but may include non-manufactured things such as meeting minutes or reports.

Facilities – Building, equipment and supplies necessary for the implementation of service by personnel.

Full-Time Equivalent (FTE) – The Contractor is required to provide 1,912 Regular Hours, which averages approximately 160 Regular Hours per month or 40 Regular Hours per Work Week, for each FTE over a 12-month period. The following FTE determination can be used as a general reference:

1.00 FTE = Averages 40 Regular Hours per Work Week

0.75 FTE = Averages 30 Regular Hours per Work Week

0.50 FTE = Averages 20 Regular Hours per Work Week

0.25 FTE = Averages 10 Regular Hours per Work Week

Government-Furnished Property – As reflected in FAR 52.245-1, Government-furnished Property “means property in the possession of, or directly acquired by, the Government and subsequently furnished to contract personnel for performance of a contract. Government-furnished property includes, but is not limited to, spares and property furnished for repair, maintenance, overhaul, or modification. Government-furnished property also includes Contractor-acquired property if the Contractor-acquired property is a deliverable under a cost contract when accepted by the Government for continued use under the contract.

Government Property – All property owned or leased by the Government. Government property includes both Government-furnished and Contractor-acquired property. Government property includes material, equipment, special tooling, special test equipment, and real property. Government property does not include intellectual property and software.

Holiday Hours – Hours of service provided during Federal Holidays by contract personnel.

Military Health System (MHS) Genesis – An electronic health record for MHS and charting system for HCPs at the MTF. It provides enhanced, secure technology to manage health information; a single health record for service members, veterans, and their families; navigates the MTF’s appointment scheduling program, pharmacy, lab, and radiology ordering system and is interlinked with other departments within the MTF.

Military Time – On a 24-hour clock, will read as follows:

8:00 am = 0800 9:10 am = 0910 Noon = 1200 9:10 pm = 2110 Midnight = 2400 12:01 am = 0001

Overtime (OT) – Hours of service provided in excess of 40 Regular Hours within a Work Week by contract personnel.

Property Administrator – An authorized representative of the KO appointed in accordance with agency procedures, responsible for administering the contract requirements and obligations relating to Government property in the possession of contract personnel.

Physical Security – Part of security that is concerned with physical measures designed to safeguard personnel; to prevent unauthorized access to equipment, installations, material, and documents; and to safeguard against espionage, sabotage, damage, and theft.

Privileging Process – Process established by the MTF and DHAPM 6025.13 for granting clinical privileges to HCPs.

Quality Assessment & Improvement – Those actions taken by the Government to check services to determine if they meet the requirements of The Joint Commission (TJC), U.S. Army Medical Command, quality assurance and risk management program, and ensure that the contract personnel comply with the terms and conditions of the contract.

Quality Assurance – The various functions, including inspection, performed by the Government to determine whether a Contractor has fulfilled the contract obligations pertaining to quality and quantity.

Quality Assurance Surveillance Plan (QASP) – The key Government-developed surveillance process document and is applied to Performance-Based Service Contracting (PBSC). The QASP is used for managing Contractor performance assessment by ensuring that systematic quality assurance methods validate that Contractor quality control efforts are timely, effective, and are delivering the results specified in the contract or task order. The QASP directly corresponds to the performance objectives and standards (i.e., quality, quantity, timeliness) specified in the PWS. It provides specific details on how the Government will survey, observe, test, sample, evaluate, and document Contractor performance results to determine if the

Contractor has met the required standards for each objective in the PWS. The QASP, with very few if any exceptions, is an internal Government document.

Quality Control – All necessary measures taken by the Contractor to assure that the quality of a product or service shall meet contract requirements.

Regular Hours – Up to 40 hours of service provided within a Work Week by contract personnel. Regular Hours do not include Federal Holidays worked.

Replacement Personnel – Contract personnel selected to fill a position for the duration of the contract period that was previously occupied by another contractor personnel.

Scheduled Absence – A prearranged absence from performance of contractual services by contract personnel. These absences are scheduled/arranged in advance.

Subcontractor – One that enters a contract with a prime Contractor. The Government does not have a contract with the subcontractor.

Subcontract Personnel – Individuals employed by the Subcontractor to perform services.

Tricare – A regionalized, tri-serviced, Contractor-supported, DoD-managed healthcare system.

Unscheduled Absence – Absences from performance of contractual services by contract personnel that are not scheduled/arrange in advance, regardless of whether the absences are caused by illness or for other reasons.

Workday – Hours of service provided in a single day by contract personnel.

Work Week – Sunday through Saturday, unless otherwise specified.

2.2 Acronyms: Although not inclusive of every term used within this PWS, or that may be included in an acquisition, the following provides a list of acronyms commonly used in the acquisition field.

AAAHC Accreditation Association for Ambulatory Health Care ABEM American Board of Emergency Medicine ACGME Accreditation Council for Graduate Medical Education ACLS Advance Cardiac Life Support ADP Automated Data Processing AFARS Army Federal Acquisition Regulation Supplement AHA American Heart Association ALMS Army Learning Management System ALS Advanced Life Support

AQL Acceptable Quality Level AOR Area of Responsibility AR Army Regulation

AT Anti-Terrorism ATCTS Army Training Certification Tracking System BAMC Brooke Army Medical Center BCG Bacillus Calmette-Guerin BCLS Basic Cardiac Life Support BI Background Investigation BLS Basic Life Support CAC Common Access Card CDC Center for Disease Control CDD Certificate of Data Disposition CFI Center for the Intrepid CFR Code of Federal Regulations CHCS Composite Healthcare System CLIN Contract Line-Item Number CME Continuing Medical Education CMP Civil Monetary Penalty CNE Continuing Nursing Education CONUS Continental United States (excludes Alaska & Hawaii) COOP Continuity of Operations Planning COR Contracting Officer’s Representative COTR Contracting Officer’s Technical Representative CPDB Consolidated Personnel Database CPR Cardiopulmonary Resuscitation CR Contractor Representative CV Curriculum Vitae DA Department of the Army DD-250 Department of Defense Form 250 (Receiving Report) DEA Drug Enforcement Administration DEM Department of Emergency Medicine DFARS Defense Federal Acquisition Regulation Supplement DHA Defense Health Agency DMDC Defense Manpower Data Center DO Doctor of Osteopath DOA Department of Anesthesia DOCPER Department of Defense Contractor Personnel Office DoD Department of Defense DoDD Department of Defense Directive DoDI Department of Defense Instruction DOM Department of Medicine DSA Data Sharing Agreement DAU Data Use Agreement ECFMG Educational Commission for Foreign Medical Graduates EFT Electronic Funds Transfer EIPV Enhanced Potency Inactivated Poliovirus Vaccine EKG Electrocardiogram FAR Federal Acquisition Regulation FBI Federal Bureau of Investigation

FOIA Freedom of Information Act FOUO For Official Use Only FPCON Force Protection Condition FTC Federal Trade Commission FTE Full-Time Equivalent GFP Government Furnished Property GME Graduate Medical Education GP Government Property HB Hepatitis Type B HCP Health Care Provider HCPCS Healthcare Common Procedure Coding System HHS Health and Human Services HIPAA Health Insurance Portability & Accountability Act of 1996 HIV Human Immunodeficiency Virus HLO High Level Objective IA Information Awareness IACO Installation Access Control Office IACS Installation Access Control System IAW In Accordance With ID Identification IGCE Independent Government Cost Estimate IMD Information Management Division ISR Institute of Surgical Research IT Information Technology IV Intravenous JTR Joint Travel Regulation JPAS Joint Personnel Adjudication System KO Contracting Officer LEIE List of Excluded Individuals and Entities LOSS Lines of Sight Supervision MD Medical Doctor MEDCOM Medical Command MEDDAC Medical Department Activity MHS Military Health System MMR Measles, Mumps and Rubella MTF Medical Treatment Facility NACI National Agency Check with Inquiries NACLC National Agency Credit and Law Check NCCPA National Commission on Certification of Physician Assistants NCOIC Noncommissioned Officer in Charge NEO New Employee Orientation OCI Organizational Conflict of Interest OCONUS Outside Continental United States (includes Alaska & Hawaii) OIC Officer in Charge OIG Office of Inspector General OMB Office of Management & Budget OPSEC Operations Security

OSHA Occupational Safety & Health Administration OT Overtime OTSG Office of the Surgeon General PA Property Administrator PAD Patient Administration Division PALS Pediatric Advance Life Support PBSC Performance-Based Service Contracting PCF Practitioner’s credentials file PHI Protected Health Information PIA Privacy Impact Assessment PII Personally Identifiable Information PIPO Phase-In/Phase-Out PL Public Law PMO Provost Marshals Office POC Point of Contact POP Period of Performance PPE Personal Protective Equipment PRN Pro Re Nata (Latin for “as the situation demands”) PRS Performance Requirements Summary PTE Part-Time Equivalent PWS Performance Work Statement QA Quality Assurance QA&I Quality Assurance & Improvement QAP Quality Assurance Program QASP Quality Assurance Surveillance Plan QC Quality Control QCP Quality Control Program RA Requiring Activity RAMS Random Antiterrorism Measures RFP Request for Proposal SAPR Sexual Assault and Response Program SAM System for Award Management SCR Service Contract Report SCT Specialty Care Transport SF Standard Form SOP Standard Operating Procedure SORN System of Records Notice SOW Statement of Work T1 Tier 1 Investigation TA Trusted Agent TAB Therapeutic Agents Board TASS Trusted Associate Sponsorship System TFMC Tobacco Free Medical Campus TE Technical Exhibit TJC The Joint Commission TTP’s Tactics, Techniques & Procedures OUM Unit of Measure

USAGPAN United States Army Graduate Program in Anesthesia Nursing USC United States Code USPS United States Postal Service WAWF Wide Area Workflow

PART 3

GOVERNMENT PROPERTY & SERVICES

3.0 Government Property & Services

3.1 Services: The Government shall provide administrative support required for contract performance (except as designated in the PWS).

3.2 Facilities: The Government will provide use of available MTF facilities, as required for contract performance (except as designated in the contract). Contract personnel shall keep government-furnished work areas in a safe, orderly, and clean condition.

3.3 Utilities: The Government will provide use of available MTF utilities, as required for contract performance (except as designated in the contract). The Government will furnish heat, air conditioning, electricity, water, and sewer services. The Contractor shall instruct contract personnel 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, light switches, etc. after using the required amount to accomplish tasks requiring the use of the utilities.

3.4 Equipment: RESERVED

3.4.1 Personal Protective Equipment (PPE): Contract personnel shall wear the proper protective PPE (such as gowns, masks, gloves, face shields, shoe covers, etc.) when required and utilized in accordance with TJC standards. PPE is to be worn during the performance of services.

3.5 Special Tooling & Test Equipment: RESERVED

3.6 Materials: The Government will provide any available Standard Operating Procedures (SOPs), Local Instructions, and Policies as required for contract performance (except as designated in the contract). Contract personnel shall be responsible for safeguarding all government property provided for use. Neither the Contractor nor any of the contract personnel shall disclose or cause to be disseminated any information concerning the operation of the MTF that could result in or increase the likelihood of the possibility of breach of security or interrupt the continuity of operations or which breach the requirements of the Federal Privacy Act of 1974. However, the Contractor may be required to provide testimony or disposition in cases of due process action.

3.7 Training: RESERVED

3.8 Common Access Cards (CAC): RESERVED

PART 4

CONTRACTOR FURNISHED ITEMS & SERVICES

4.0 Contractor Furnished Property & Services

4.1 General: The Contractor shall provide all contract personnel necessary to perform services as described in the PWS and associated contract documents, except for those items specified in Part 3.

4.1.1 Work Roster: The contractor shall provide a current detailed roster of employees to the COR within 15 days of award (Deliverable A.005). The roster shall include licenses, certifications, background clearance, immunizations/vaccinations, and any other documents that reflect on the contractor’s ability to fulfill the contract requirements. Changes to the work force shall be forwarded to the COR as soon as changes are known. The Government reserves the right to request additional rosters from the Contractor should the need occur.

4.2 Secret Facility Clearance: RESERVED

4.3 Materials: RESERVED

4.4 Vehicles & Equipment: Refer to 5.2.4.2 of this PWS

4.5 Background Checks: The Contractor shall provide Background Checks in accordance with this PWS and as determined by the Government.

4.6 Health & Immunization Requirements

4.6.1 All contract personnel performing services under this contract shall comply with TAMC health and immunization requirements under TAMC Reg 40-56. The Contractor shall provide documentation certifying health requirements such as immunization and annual vaccinations prior to start of contract and when changes to workforce occurs:

(a) Tetanus, diphtheria, and pertussis (Tdap) vaccine: Documentation of one dose of

Tdap regardless of time interval since last Td only vaccine. Td boosters should be documented every 10 years after receipt of Tdap vaccine.

(b) Measles, Mumps, and Rubella (MMR) vaccine: Documentation of 2 doses of MMR vaccine at least 28 days apart with the first dose received on or after the first birthday OR positive antibody titer to measles, mumps, and rubella.

(c) Varicella vaccine: Documentation of 2 doses of varicella vaccine at least 28 days apart OR positive antibody titer OR diagnosis or verification of a history of varicella disease by laboratory results or documentation from a healthcare provider OR diagnosis of herpes zoster (varicella zoster) by a health-care provider. Self-report of prior varicella disease or herpes zoster is not acceptable as proof of immunity.

(d) Hepatitis B: Documentation of completed 3-dose vaccine series OR Positive Hepatitis B surface antibody titer

(e) Influenza Vaccine: documentation of annual influenza immunization unless documented by a physician to be medically contraindicated.

(f) Tuberculosis screening:

a. Either a single or a two-step Tuberculin Skin Test (TST) is required within 3 months of providing services. The requirement for a single vs. a two-step TST depends on prior TST screen history as explained below. A single negative Interferon Gamma Release Assay (IGRA) result within 3 months of reporting to TAMC will be accepted in lieu of a single or two-step TST.

(1) A single TST must be performed within 3 months of reporting to TAMC for personnel who have had two consecutive annual negative tests with the most recent test within one year of the new TST placement date OR who have documentation of a negative two-step TST within one year of the new TST placement date. In other circumstances, a two-step TST will be required within 3 months of reporting to TAMC.

(2) Positive TST results of 10mm or greater or a positive IGRA result will require results of chest x-ray screening performed on or after the date of the positive TST or IGRA as well as a medical provider assessment documenting absence of signs and symptoms of active TB disease.

4.6.2 All contract personnel performing direct healthcare services under this contract, who experience a parenteral (e.g., needle-stick or cut) or mucous membrane exposure (e.g., splash to the eye or mouth) to blood or bloody body fluids, shall receive prompt treatment. The MTF will evaluate the source of exposure for risk of Hepatitis-B, Hepatitis-C, and Human Immunodeficiency Virus (HIV) and will provide a report of the findings to the Contractor and affected contract personnel. It shall be the Contractor's responsibility to provide appropriate treatment as needed to include Tetanus-Diphtheria booster, Immune Globulin, Hepatitis-B vaccine booster, or Hepatitis-B Immune Globulin. The Contractor shall be responsible for providing the contract personnel with initial testing. If the source of exposure was unknown, positive, or considered an elevated risk for HIV infection, follow-up testing shall be conducted three (3), six (6), and 12 months after exposure. In the event of a confirmed or highly suspected parenteral exposure to HIV, the Contractor shall ensure that the contract personnel receive appropriate counseling and are referred immediately to a private infectious disease specialist for consideration of any post exposure prophylaxis (e.g., AZT). The Government may require the Contractor to provide evidence of the status of treatment and testing of the individual contract personnel under the contract.

4.6.3 Contract personnel performing services under this contract shall comply with the health and immunization requirements as stated herein and annually thereafter. The expense for all physical examinations to comply with the health requirements shall be borne by the Contractor at no additional cost to the Government.

4.7 Contractor Reports

4.7.1 Monthly Reports: The contractor shall provide the COR and TRICARE Chief and/or authorized designee with a monthly report for use in reconciling the total transports for the month. The report shall be submitted by the 5th of each month containing a cumulative report reflecting the daily trips completed throughout the month (Deliverable A.006). This report will be used to reconcile and validate authorized trips to be paid via the contract. Support data will consist of:

4.7.1.2 Run/ticket numbers, location responding from, date, time elements, i.e., time initial call received by dispatcher, time en-route, time arrived at scene, time en-route to hospital, time arrived at hospital, and type of transport.

4.7.1.3 Patient’s name, Date of Birth (DOB) and pickup and drop off locations.

4.7.2 Quarterly Reports: RESERVED

4.8 Monthly Invoicing: The Contract is responsible for submitting an accurate invoice in a timely manner. Invoices shall be submitted no later than 2 weeks after monthly report validation from an authorized government official (Deliverable A.007). The contractor shall submit monthly, in arrears, itemized invoices in accordance with DFARS 252.232-7003, for services rendered under this contract.