PWS - OHWS.pdf

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Performance Work Statement OHWS 25Aug 23

Maryland Air National Guard

Performance Work Statement (PWS)

Optimizing Human Weapons System (OHWS)

25 Aug 2023

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Performance Work Statement (PWS)

Contents

1.0 General:

1.2 Background

1.3 Period of Performance

1.4 General Information

1.4.1 Quality Control

1.4.2 Quality Assurance

1.4.3 Recognized Holidays

1.4.3 Post Award Conference/Periodic Progress Meetings

1.4.4 Contract Manager

1.4.5 Identification of Contractor Employees

1.4.6 Contractor Travel

1.4.7 Organizational Conflicts of Interest

1.4.8 Phase In / Phase Out Periods

2.0 Definitions and Acronyms

2.1 Definitions

2.2 Acronyms

3.0 Government Furnished Items

3.2 Utilities

4.0 Contractor Furnished Property, Materials, and Equipment

4.1 General

5.0 Requirements

5.1 Special Requirements:

Technical Exhibit 1 - Performance Requirements Summary – See table below Technical Exhibit 2 - Deliverables Schedule

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OHWS Services

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 OHWS Services, as defined in this PWS.

1.2 Background: Up to 85% of Air Force fighter aircrew surveyed reported some type of spine discomfort during their career. The OHWS program is designed to meet the unique physical needs of the rated fighter aircrew. Conditioning is accomplished through a comprehensive, coordinated, multidisciplinary “pre-habilitative” physical training program with focused strength and conditioning, physical therapy and athletic training. 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 on or off-base injury prevention and mitigation, pre-habilitation services, and human performance optimization services to rated personnel assigned to the 175th WG. The Contractor shall furnish consultation and reports, similar to the range of services found in a commercial facility, as well as services specialized to meet the needs of fighter aircrew.

1.3 Period of Performance (PoP): The Period of Performance shall be the Base Year of 12 months + 1 option year of 12 months.

1.4 General Information:

1.4.1 Quality Control (QC): N/A

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

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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 set forth by the 175WG (typically Tuesday – Friday 0700-1730). On scheduled weeks involving late take-off/land times for aircrew (e.g. “night flying”), the standard times will fluctuate based on the exact flying schedule, but will not be in excess of a 10-hour day. Other non-standard hours may include 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. The Unit will provide at least two weeks’ notice requiring a change to the standard operating hours for non-emergencies. Performance, will be executed at the 175 Operations Group(OG) (2701 Eastern Blvd, Middle River, MD, 21220). 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. At the time of contract award, the Contractor must have hired personnel appropriately licensed to begin immediate implementation of the contract’s requirements to avoid any delay in services. Telecommuting is not authorized.

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 carry proper identification with them at all times.

The contractor shall ensure compliance with all regulations and orders of the installation which may affect performance.

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.

1.4.3 Post Award Conference/Periodic Progress Meetings: The contractor agrees to attend any post award conference convened by the contracting officer (KO) in accordance with Federal

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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.

1.4.4 Contract Manager (CM): The contractor shall designate 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 technical instructions, and ensure adequate performance of services. The CM shall ensure that contractor employees do not perform any services outside the scope of the contract without an official modification issued by the KO. The CM shall ensure contractor employees understand that services performed outside the scope of the contract are performed wholly at the expense of the contractor.

1.4.5 Identification of Contractor Employees: The COR will coordinate with SFS pass and ID personnel to gain access to Warfield ANGB and determine necessary badging requirements. These requirements will be passed to the contractor. A vetting period may be required to accomplish background check / criminal background investigation. Contractors should wear their normal work uniforms appropriate for physical training and clearly indicative of the contractors’ employer when on base. SFS may restrict contractors from base access outside normal business hours.

1.4.6 Contractor Travel N/A

1.4.7 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.

1.4.8 Phase In / Phase Out Periods - To minimize any decreases in productivity and to prevent possible negative impacts on additional services, the contractor shall have personnel on board, during the 30-day phase in/ phase out periods. During the phase in period, the contractor shall

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become familiar with performance requirements in order to commence full performance of services on the contract start date.

1.4.9 Access and General Protection/Security Policy and Procedures. The contractor shall comply with all applicable installation/facility access and local security policies and procedures, which may be obtained from the 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 the local installation’s Security Forces, Director of Emergency Services or local Security Office. The contractor shall ensure compliance with all personal identity verification requirements as directed by DoD, Headquarters Air Force (HAF) and/or local policy. Should the Force Protection Condition (FPCON) change, the Government may require changes in contractor security matters or processes.

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

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

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

1.5.3 Upon completion or termination of the contract or expiration of the identification passes, the prime contractor shall ensure that all base identification passes issued to employees and subcontractor employees are returned to the issuing office. Failure to comply with these requirements may result in withholding of final payment

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

(a) Require logical access to Department of Defense computer networks and systems in either:

(i) the unclassified environment; or

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environment where authorized by governing security directives.

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

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

Before CAC issuance, the contractor employee requires, at a minimum, a favorably adjudicated Tier 1 (T1) or higher investigation IAW DoDI 5200.46. The contractor employee will be issued a CAC only if duties involve one of the following: (1) Both physical access to a DoD facility and access, via logon, to DoD networks on-site or remotely; (2) Remote access, via logon, to a DoD network using DoD-approved remote access procedures; or (3) Physical access to multiple DoD facilities or multiple non-DoD federally controlled facilities on behalf of the DoD on a recurring basis for a period of 6 months or more. At the discretion of the sponsoring activity, an initial/interim CAC may be issued based on a successfully scheduled T1 with the Office of Personnel Management and a favorable completion of an FBI fingerprint check.

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

Contractors and their personnel shall use the following procedures to obtain CACs:

(a) Contractors shall provide a listing of personnel who require a CAC to the contracting officer. The Government will provide the contractor instruction on how to complete the Contractor Verification System (CVS) application and then notify the contractor when approved.

During the performance period of the contract, the contractor shall:

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

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

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

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

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

1.5.7 Antiterrorism Awareness Level I Training (AT Level I). All contractor employees, to include subcontractor employees, requiring access to US Government installations, facilities and controlled access areas shall complete AT Level I training within 15 calendar days after contract start date or effective date of incorporation of this requirement into the contract, whichever is applicable. AT Level I may be accomplished by a Level I qualified instructor; completing the Force Protection computer-based training (CBT) course on the Advanced Distributed Learning System (ADLS) or Joint Knowledge Online at http://jko.jten.mil. Tracking for each contractor or subcontractor employee is the responsibility of the COR or unit AT Representative. The contractor shall submit certificates of completion for each affected contractor and subcontractor employee to the COR (if no COR is assigned, delete “to the COR” and replace with “to the KO”) within 15 calendar days after completion of training by each employee or subcontractor personnel.

1.5.8 Complete initial and/or annual Information Assurance (IA) training as required by applicable Air Force/ANG policy. Information Assurance (IA) Training. All contractor employees and associated sub-contractor employees shall complete the DoD Information Assurance Awareness Cyber Awareness Challenge before issuance of network access and annually thereafter. All contractor employees performing services involving IA/IT functions shall comply with DoD and Air Force training requirements in DoDD 8140.01, DoD 8570.01-M and AFMAN 17-1301 within 180 days of the start of contract performance.

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

1.6 Protection of Personally Identifiable Information (PII). The contractor shall protect all PII encountered in the performance of services in accordance with Defense Federal Acquisition Regulation Supplement (DFARS) 224.103 Personally Identifiable Information and Department of Defense Directive (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 aforementioned policies, the contractor shall bear all notification costs, call-center support costs, and credit monitoring service costs for all individuals whose PII has been compromised.

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2.0 Definitions and Acronyms:

2.1 Definitions

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 will be in writing and will state the scope of authority and limitations. This individual has authority to provide technical direction to the contractor as long as that direction is within the scope of the contract, does not constitute a change, and has no funding implications. This individual does NOT have authority to change the terms and conditions of the contract.

2.1.4 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 WORK DAY. The number of hours per day the contractor provides services in accordance with the contract.

2.1.13 WORK WEEK. Tuesday through Friday including drill weekends (typically first weekend of month

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11 months per year), unless specified otherwise. Service times will be coordinated 14 days in advance with specific services agreed to 7 days in advance. Additionally, capability for just-in-time services may be available depending on contractor availability.

2.2 Acronyms:

AFFARS Air Force Federal Acquisition Regulation Supplement 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 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 Items: The Government will provide the property, material, equipment, and/or services listed below solely for the purpose of performance under this contract:

3.1 For Strength Training / Conditioning

3.1.1 – Will provide fully-functional fitness center with assorted free weights, cable equipment, treadmills, stationary bikes, stair machine, rowing machine, various Cross Fit-type equipment.

3.1.2 – Padded flooring, yoga-type mats, heavy bag

3.1.3 – Timing devices for interval / timed training sessions

3.1.4 – Sanitary supplies to include hand sanitizer, wipes, disinfectant spray, paper towels

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3.2 For Physical Therapy:

3.2.1 – Dedicated, private Physical Therapy room to include various equipment and supplies necessary to perform duties.

3.2 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 5.0.

5.0 Requirements

The contractor shall:

5.1 Special Requirements:

5.1.1 The Physical Therapist must be a current Licensed Physical Therapist and hold a degree from an American Physical Therapy Association (APTA) accredited institution specifically for “Physical Therapy.”

No other degree will be accepted for this position. The Physical Therapist must have experience working with professional and/or collegiate athletes, or equivalent. A minimum of four (4) years’ experience is desired. The Physical Therapist must have experience working in an orthopedic out-patient physical therapy clinic or sports medicine clinic. A minimum of four (4) years’ experience is desired. Past experience working with musculoskeletal spinal injuries is strongly preferred.

5.1.2 The Strength and Conditioning Specialist must possess a Bachelor’s Degree (Master’s preferred) in an accredited exercise science, health science, Exercise Physiology, or physical education-related discipline. A minimum of five (5) years of experience is desired. The contractor shall possess and maintain current certification by the National Strength and Conditioning Association (NSCA) as a Certified Strength and Conditioning Specialist (CSCS). Maintenance of this certification shall be an enduring element of the requirement. Demonstrated sustained experience working with elite athlete populations is highly desired.

Creditable specialized experience includes: developing long and short- range planning and coordination of sport/mission specific performance programs resulting in attributable results with elite athletes (e.g., Division I collegiate, Olympic, professional level athletes or Special Operational Forces- specific tactical military professionals). The contractor shall be physically proficient to demonstrate all prescribed exercises.

Contractor must be able to lift and manipulate loads and plates up to 25 kilograms.

5.2 Specific Tasks: Services provided by the contractor shall include the following: initial assessment of each aircrew, care for personnel who individually seek (or are medically or command-directed to engage)

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the services of OHWS Specialist services; subject matter expertise concerning pre-habilitation evaluation/assessment, injury prevention, accommodation processes and implementation, ergonomic assessment and implementation, remedial training, and optimized performance physical training (e.g.

strength and conditioning for fighter aircrew). At the discretion of the government, the contractor shall provide the following resources under this contract: licensed Physical Therapist and/or licensed Athletic Trainer and/or licensed Strength and Conditioning coach. In addition the government will have full access to all data and records associated with this program.

5.2.1 Primary Injury Pre-habilitation: Evaluate and provide pre-rehabilitation of all affected aircrew who request the services of the OHWS Specialist. Fully communicate with referring provider (if necessary), unit medical staff, and unit management in a fully HIPAA compliant fashion during the full duration of sessions in regards to personnel’s progress and return to duty status.

5.2.2 Strength Training: Each aircrew shall receive an initial appointment as soon as practical and/or when referred for OHWS services by member’s medical treatment provider and/or at the discretion of the aircrew’s Commander. Follow up appointments will be based on need, pre-habilitative plans, and any potential coordination with members’ military and/or civilian healthcare team.

5.2.3 Physical Therapy: Contractor is to provide an evaluation and assessment to the Flight Medicine Clinic after initial appointment.

5.2.4 Duty-limiting conditions: Contractor is responsible for referring aviators with duty-limiting conditions or diagnoses to the Flight Medicine Clinic.

5.2.5 The contractor shall track the status of all aircrew who are currently being followed in the OHWS program. Due no later than the final business day of each month, the contractor shall provide the COR a status report which will include an aggregate number of (1) “new aircrew” (in the program less than one week) and (2) “progressing aircrew” (whose progress is on track). Briefing date(s) shall be coordinated with unit medial staff.

5.2.6 Contractor shall establish relationships with local physicians and physical therapist who accept TRICARE and/or Blue Cross Blue Shield medical coverage, to facilitate full-spectrum services, continuity of care, and coordinated case management. Establishment and maintenance of such relationships shall include, but is not limited to, in-person and telephone communication. Medical referral activity supports the member, with oversight and management by squadron medical personnel as required. Medical information documented on the member is available to outside sources through coordination with the member and the military medical personnel. Contractor shall analyze all cases for potential secondary injury likelihood and impacts based on presenting assessment. These factors will be considered in all coordinated care plans, and when identified, will be communicated in writing, or via E-Mail NLT the close of business of the same day of determination to unit medical staff. Contractor shall evaluate and provide secondary-prevention support for all eligible members when requested by member or unit medical staff. This includes job-related and off duty musculoskeletal pain which is not duty-limiting at the time of analysis, but affects member quality of life at work and may lead to a lost-time or duty-limiting injury in the future.

5.2.7 Personnel choosing the OHWS Specialist for secondary prevention shall receive an initial evaluation within two weeks of referral unless for reasons outside the contractor’s control. Justifiable reasons for delay include installation closure, employee vacation, and Unit Drill schedule in the case of geographically distant Traditional Guardsmen, contractor capacity restraints, or acts of God.

5.2.8 Injury Prevention Services: Provide all forms of “primary” injury (acute and/or duty-limiting)

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prevention services; to include but not limited to: physical capacity as well as new member assessments, personnel health education. Any diagnosis of injury will be coordinated with 175 Medical Group.

5.2.9 New member evaluations shall be performed at initiation of the contract or as the 175 WG gain new aircrew. At the time of new member evaluations, contractor shall explain to members the current OHWS (SCS, PT) capabilities and limitations, describe how care is accessed through OHWS, and brief member which OHWS personnel are best-qualified in the subject areas described in 5.1.1.

5.2.10 Individual Training Plans will be initiated beginning at the contract start date and shall include individual fitness assessment results, feedback sessions, unique training plans, and any modifications to the plan based on the physical performance status of the aircrew. Training plans will be published via electronic means such as an App, e-mail or digital file. During deployments where the aircrew will be physically displaced from Martin State Airport, if requested by the aircrew, a tailored training plan considering the environment and equipment available at the deployed location will be created and made available via the means mentioned earlier in this paragraph. A bi-weekly generic training plan that addresses neck and back issues as well as overall fitness and health will be published for aircrew that do not request a specific training plan.

5.2.11 Advise management on provision of medical accommodation in accordance with Americans with Disabilities Act (ADA) and Equal Employment Opportunity Commission (EEOC). These services are to include but not limited to: services to meet job requirements from physical capacity assessments, fitness training, and ergonomics.

5.2.12 The contractor shall be the primary scheduling coordinator for the aircrew. The contractor shall provide the aircrew access to the appointment system for each service provider. The contractor shall book appointments with the service provider and notify the aircrew of any changes to the service providers scheduled appointments. The contractor is responsible for communicating scheduling changes and will notify the aircrew if a substitute is available. The contractor will report all members who fail to attend their scheduled appointments in writing or E-mail to the COR within 24 hours of the missed appointment.

5.2.13 The contractor is responsible for the preventive services of spinal injuries, when appropriate, utilizing necessary equipment to support affected areas.

5.2.14 OHWS Specialist services are only available for military members, with priority of access given to aircrew. At the OG Commander’s discretion, on a case- by-case basis, in coordination with OHWS Specialists, limited access to OHWS Specialist services may be granted to non-rated military personnel. At no point will non- rated utilization of OHWS services negatively impact rated operators’ access to OHWS services. Any data collected regarding injury trending and related metrics of aircrew will be separated from data collection and reporting on rated members only. The contractor will be given a list of individuals authorized under this program.

5.2.15 “Human Performance” and “Pre-habilitative Trending” Metrics. NLT the last business day of each month, the contractor shall produce an “Pre-habilitative Trending” metrics written report to include but not limited to: musculoskeletal pain within the local unit aircrew populace, duration of pain, origin of pain, types of pain, deployed vs. non- deployed pain, cost analysis of pain pre-habilitation sessions, comparative billing of each pre-habilitation session, cancellation/no-show rates, pain that requires surgery, and trends of musculoskeletal pain over periods of time. Metrics will also capture lost duty time due to aeromedical disposition of Duties Not Including Flying (DNIF) as well as personal removal from flying schedule (i.e. # days and/or sorties). “Human Performance” metrics shall be gathered bi-yearly (NLT 31 March & 30 September) to assess aircrew compliance with the OHWS program. The factors for the “Human

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Performance” metrics will be low back strength, neck strength, and spine strength measured at varying weights and angles as well as number of missions able to execute at a subjective 100% (i.e. not limited by pain). However, these metrics may be adjusted with concurrence of the contractor and Government.

Technical Exhibit 1 - Performance Requirements Summary – See table below

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).

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Paragraph Task Performance Standard Acceptable

Quality Levels

(AQL)

Surveillance Method / By Whom

5.2.2 5.2.9

Initial and Follow-Up Appointments

Contractor performed initial assessment of current and new incoming aircrew members within 5 business days identified by the COR. Individual Training Plans will be initiated within 1 week from initial assessment and shall include individual fitness assessment results, feedback sessions, unique training plans, and any modifications to the plan based on the physical performance status of the aircrew. Training plans will include 2 weeks of training at a minimum and be updated on a 2-week interval. Training plans will be available in physical copy located in the OHWS facility, on a website, or an APP accessible via mobile smart devices.

100% of sampled training plans

Random Sample by the COR will sample 25% of individual training plans biannually.

5.2.3 Contractor is to provide

an evaluation and assessment to the Flight Medicine Clinic after initial appointment

Contractor is to provide an evaluation and assessment after initial appointment, and any change in flying status will be vetted by the medical decision authority within 1 business day.

100% of patients with change in flying status

100% inspection by the COR of reported incidents monthly.

5.2.4 Duty-limiting

conditions

Contractor is responsible for referring aviators with duty-limiting conditions or diagnoses to the Flight Medicine Clinic within 1 business day.

100% of interviewed patients

100% inspection by the COR of reported incidents

5.2.8

Injury Prevention Services

Provide all forms of “primary” injury (acute and/or duty-limiting) prevention services; to include but not limited to: physical capacity as well as new member assessments, personnel health education, and nutrition

90% of interviewed patients and

Random Sample by the COR will sample 25% of monthly. Attendance record

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advising. Vendor to meet with member within 3 business days of initial assessment. Vendor must have staff available to train/treat individuals as agreed upon during monthly scheduling meeting.

scheduled training/treatm ent periods.

compared to agreed upon monthly schedule.

5.2.10 Injury Prevention and

Treatment

Generic aircrew training plans addressing neck and back issues as well as overall fitness shall be published every 2 weeks. Individual training plans requested by aircrews are published and updated as required.

90% of interviewed patients and scheduled training/treatm ent periods.

Random Sample by the COR will sample 25% of

Technical Exhibit 2 - Deliverables Schedule

PWS Reference / Deliverable Title

Frequency Number of Copies

Medium/Format Submit To

5.2.1 Primary

Injury Pre- Habilitation

Upon member’s request for OHWS services 1 Email/Electronic 175 MDG Org Box email, COR

5.2.3 Change in

Flying Status

Upon assessment of a duty-limiting condition 1 E-Mail/Electronic 175 MDG Org Box

5.2.15 “Human Performance” and “Pre-habilitative

Trending” Metrics.”

NLT the last business day of each month, the contractor shall produce an “Pre-habilitative Trending” metrics written report to include: musculoskeletal pain within the local unit aircrew populace, duration of pain, origin of pain, types of pain, deployed vs. non- deployed pain, cost analysis of pain pre-habilitation sessions, comparative

1 Email COR and 175 MDG – Via E-Mail

OHWS 25 Aug 23 billing of each pre-habilitation session, pain that requires surgery, and trends of musculoskeletal pain over periods of time. Metrics will also capture lost duty time due to aeromedical disposition of Duties Not Including Flying (DNIF) as well as personal removal from flying schedule (i.e. # days and/or sorties).

5.2.15 “Human

Performance” and “Pre-habilitative

Trending” Metrics.”

NLT the last business day of each month, the contractor shall produce an “Pre-habilitative Trending” metrics written report to include: Cervical dysfunction, Neck Disability Index, Back Index, Quick Dash Disability Assessment for Upper Extremities, and the GROC scale

5.2.15 “Human Performance” and “Pre-habilitative

Trending” Metrics.”

“Human Performance” metrics shall be gathered bi-yearly (NLT 31 March & 30 September) to assess aircrew compliance with the OHWS program. The factors for the “Human Performance” metrics will be low back strength, neck strength, and spine strength measured at varying weights and angles as well as number of missions able to execute at a subjective 100% (i.e. not limited by pain).

However, these metrics may be adjusted with concurrence of the contractor and Government.

OHWS 25 Aug 23

OHWS 25 Aug 23