PWS PHNX CSCS.pdf

PERFORMANCE WORK STATEMENT (PWS)

FOR

PAIRING HEALTH NUTRITION & EXERCISE (PHNX)

CERTIFIED STRENGTH AND CONDITIONING SPECIALISTS (CSCS)

AT THE 86TH WING STAFF AGENCY

13 April 2022

TABLE OF CONTENTS

Subject Page

1.0 DESCRIPTION OF SERVICES 3

2.0. SPECIFIC REQUIREMENTS 3

3.0. SERVICES SUMMARY (SS) 5

4.0. GENERAL INFORMATION 6

5.0. APPENDICES 13

5.1. APPLICABLE PUBLICATIONS AND FORMS 13

5.2. HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT

(HIPAA) OF 1996 13

1.0. DESCRIPTION OF SERVICES.

1.1. OVERVIEW OF SERVICES. The purpose of this position is to serve as a Certified Strength and Conditioning Specialist (CSCS) supporting physical performance, readiness, and rehabilitation elements of the PHNX Operational Support Team (OST) directly supporting the Line of the Air Force (LAF) mission with the goal of building resiliency, enhancing human performance and improving unit mission effectiveness. The primary focus of this position is enhanced squadron/unit mission execution, achieved by improved musculoskeletal resilience to optimize Airmen physical fitness and performance in the operational environment, and to reduce risk of musculoskeletal injury.

1.1.1 Works within the framework of the PHNX program. Guidelines include standard operating procedures, professional ethics, and local facility/organization policies and directives. The employee uses sound judgment, resourcefulness and initiative in applying broad AF guidelines, precedents, and total quality management to resolve program problems and develop new instructional designs or methods.

Exercises judgment in modifying exercise programs as indicated based upon individual Airmen training status. Coordinates with the OST and medical team as indicated when conditions or situations go beyond the scope of incumbent’s knowledge or certification.

1.1.2 The work consists of a variety of assignments involving many different, unrelated processes and methods pertinent to injury prevention and physical health resilience for installation personnel. The employee decides what needs to be done by developing functional assessment tests and measures to determine current level of function/fitness and developing a performance plan and goals to be met.

Coordinates and employs simultaneously several exercise approaches to accomplish human performance objectives. Conducts group and individual exercise training sessions to Airmen with a varying degree of education and pre-existing fitness levels. Subject matter expert and advisor to management officials on program related issues and decisions. The employee uses judgment and originality in planning and prioritizing the sequence, direction, and progress of the work; devising solutions and actions to resolve issues, conditions, and problems; justifying actions, determinations, and recommendations involving the development of risk reduction plans for identified musculoskeletal occupational risks, and reducing military occupation related injuries

1.1.3 The purpose of the work is to restore maximum physical functional ability and prevent overuse or training injuries in regular duty. This includes the utilization of a variety of assessment tests and measures as well as targeted exercise to improve strength, flexibility, power, endurance, and agility. The work involves collection and analysis of health demographics for the serviced community, developing and implementing a comprehensive strength and conditioning programming based on the analysis, and establishing program evaluation criteria against which airmen outcome is measured. These programs enhance combat readiness of active duty personnel and contribute substantially to the life-long health, welfare, and moral of the serviced population.

1.1.4 This work requires lifting potentially heavy weights, squatting, sitting, running, jumping, bending, walking, and hiking over rough terrain with long periods of standing during a typical eight hour work day.

Requires strength, coordination and stamina to manage and operate a wide variety of exercise equipment as well as to bend, lift, and manipulate loads and plates up to 50 pounds. Physical conditioning must be sufficient to demonstrate all prescribed exercises and techniques.

1.2. BACKGROUND INFORMATION. This requirement is in support of the 86th Airlift Wing’s (AW) Pairing Health Nutrition & eXercise (PHNX) Operational Support Team (OST) Program. The PHNX program is a team of medical/wellness providers & supporting agencies aimed to increase preventative fitness capabilities for Airmen.

Relocation costs, if applicable, shall be included in the price of the service.

1.3. PERSONNEL REQUIREMENTS: The Contractor shall provide two (2) Full Time Equivalents (FTEs) fully qualified Certified Strength and Conditioning Specialists functioning in support of the PHNX program consistent with the requirements of paragraph 2.0. The Government reserves the right to request proof/demonstration of ability to meet the qualifications described herein.

2.0. SPECIFIC REQUIREMENTS. The contracted services shall include, but are not limited to serve as an Certified Strength and Conditioning Specialist supporting physical performance, readiness, and rehabilitation elements of the PHNX program with the goal of bringing preventative comprehensive Airmen Fitness education to Airmen in the unit, building resiliency, enhancing human performance, and improving unit mission effectiveness. The primary focus of this position is enhanced squadron/unit mission execution, achieved by improved musculoskeletal resilience to optimize Airmen physical fitness and performance in the operational environment, and to reduce risk of musculoskeletal injury. Also, to enhance the operational effectiveness and human performance of USAF operational units by temporarily integrating into unit operations, collecting and analyzing data regarding factors that adversely impact mission effectiveness, and developing and executing strategies to mitigate risks and enhance performance. The Certified Strength and Conditioning Specialist shall:

2.0.1. Observes and/or participates in squadron activities in order to identify physical and ergonomic stressors that increase risk of mission-related occupational injury. Integrates into the full spectrum of squadron activities, observing squadron personnel in the conduct of their duties across the full span of worksites, processes, and shifts. To the maximum extent allowed by policy, physical ability, and safety, participates in squadron activities being observed to include all mission sets, functional teams, duty locations, and work shifts. Establishes a rapport with unit airmen. Assesses workplace conditions, processes, and practices for sources of occupational musculoskeletal and/or cardiovascular stressors.

Assesses worksites and unit policies and practices for barriers to optimal physical health and performance of individuals and groups. Uses available data (medical, safety, fitness, etc.) and interviews with unit personnel to focus observations and inform analysis of risks. Documents observations and assessments of risk for use in development of mitigation strategies.

2.0.2. Develops and implements initiatives to mitigate physical and ergonomic stressors and optimize airman performance. Utilizes information gathered through direct observations at squadron worksites, interviews with squadron personnel, and objective medical, safety and fitness dates. Information will be used to select or develop initiatives to mitigate identified hazards and barriers to optimal health and performance, and to enhance resiliency. Collaborates with other PHNX members and line unit personnel in selecting and/or developing risk-mitigation and performance-enhancement strategies and in developing the Unit Action Plan. Collaborates with other support agencies to ensure that initiatives are implemented IAW Department of Defense (DoD) and AF regulations. Uses expert knowledge to apply original ideas ensuring the program is meeting the mission goal of increasing the physical capacity of Airmen, decreasing the rate of injuries, and accelerating return to duty times.

2.0.3. Provides consultation, education, and training to military commanders/senior leaders, physical training (PT) leaders and medical staff on the subject of PT, fitness and musculoskeletal injury prevention.

Works with PHNX members to provide mutual consultative support to unit commanders and other unit personnel on developing and implementing physical activity programs to maximize Airman physical performance. Provides exercise physiology and human performance consultation, guidance, training instruction and technical support to team leaders and operators to develop, manage and implement an effective strength and conditioning program. Provides training to designated unit PT leaders in the areas of safety and injury prevention to raise awareness of physical and ergonomic stressors inherent to the military duties of airmen in higher-risk units. Consults with commanders and other unit personnel regarding issues that bear upon physical fitness and performance within the unit and strategies for mitigating physical and ergonomic stressors and optimizing individual and team/unit performance. Prepares and delivers briefings and presentations on physical health-related issues. Attends or conducts a variety of meetings representing the PHNX programs. Continues professional development and maintains awareness of cutting edge modalities and techniques of care in physical health through such activities as continuing education, attendance at conferences, participation in professional organizations or societies, and independent study.

2.0.4. Develops and establishes a culture of discipline, character, and mental resiliency within the individual Airmen and each group, combined with a scientific training program that maximizes power, speed, agility, mobility, strength, to reduce injuries in Airmen. Designs, implements and monitors PT programs for individual Airman and groups to increase energy system development, strength training and power development. Tailors exercise prescriptions for injured active duty members to maintain worldwide qualification. Assists the PHNX members in the coordination and administration of functional return to full duty of Airmen. Conducts strength and conditioning assessments, tracks individual and program outcomes, and makes recommendations to modify the program as indicated. Collaborates with other helping agencies, to include registered dietitian to provide nutrition evaluation and education. Conducts fitness education via briefings, classes, seminars, and/or workshops on various strength and conditioning topics. Coordinates and instructs the organization’s strength conditioning program course in accordance with set guidelines and curriculum as well as developing innovative approaches for members/operators exercise programs to ensure safety and effectiveness. Evaluates policies and directives from higher headquarters and advises on impact and actions necessary to implement and sustain program objectives and requirements. Demonstrates appropriate exercise skills, body mechanics and techniques, as well as modifications for targeted populations. Conducts movement pattern screening, biomechanical assessments and provides corrective exercise prescriptions in specific occupational settings. Identifies deficiencies in unit PT programs and advocates for improvements directed at preventing training injuries, maximizing AF physical fitness testing results, and tailoring PT programs to enhance performance of primary duties. Administers innovative and effective strength and conditioning protocols and exercise prescriptions to elicit maximum physical performance and potential of individual Airman and groups. Performs the initial analysis of the collected data and provides direct feedback on a continual basis to the squadron Commander and other leadership as requested regarding strength and conditioning testing, physical performance trends and improvement, injury avoidance and recovery. Coordinates with the PHNX Physical Therapist to facilitate appropriate healthcare services following injury and conducts monitoring and periodic reporting on indicators related to health and human performance. Refers all personnel with an apparent new or undiagnosed medical condition to the primary care physician for evaluation and treatment. Prescribes individual and group exercise prescription for Airmen with diagnoses to include but not limited to: obesity, hypertension, diabetes, arthritis orthopedic injury, tendonitis, fasciitis, stress fracture, shoulder and low back pain.

2.1 EDUCATION AND TRAINING.

2.1.1. Contractor employees shall meet the following minimum qualifications:

2.1.1.1. Professional knowledge of the principles, concepts and methodology set forth by the National Strength and Conditioning Association (NSCA) within their Certified Strength and Conditioning Specialist Certification (CSCS) gained from certification as a Strength and Conditioning Specialist or Exercise Physiologist in order to assess/analyze individuals to determine effective programs of physical fitness, promote health, and ensure safety during participation in exercise.

2.1.1.2. Knowledge of military concepts in the development of comprehensive human performance program while centering on injury prevention, performance enhancement, and nutritional guidance.

2.1.1.3. Knowledge of instructional systems development and learning theory, teaching techniques and of mission and operation tactical concepts relevant to planning, delivering, and evaluating performance-based strength and conditioning programs.

2.1.1.4. Knowledge of governing fitness and PT programs, strength and conditioning techniques and principles, including core strength/stability, energy system development, multidirectional strength and power development, plyometric, and balance and nutrition, anatomy, medical terminology and procedures

2.1.1.5. Ability to administer health screening and fitness assessments, exercise prescription, progressive individual fitness programs, and to demonstrate proper exercise techniques.

2.1.2. Contractor employees shall possess the following knowledge and skills:

2.1.2.1. Professional knowledge of planning, implementation, and assessment techniques and principles as they apply to the strength and conditioning/human performance programming and education sufficient to serve as training resource advisor/consultant.

2.1.2. Knowledge of operational concepts and missions sufficient to understand, plan, deliver and evaluate/analyze physical requirements and how strength and conditioning impact mission accomplishment.

2.1.2.3. Knowledge and skill in using of state-of-the-art computer-based software and other instructional/evaluative material, current and highly specialized strength and conditioning equipment, facility recommendations and practices, training aids and devices applicable to program objectives, training effectiveness, and efficiency.

2.1.2.4. Knowledge of medical conditions and terminology as well as of human behavior change theories, motivational strategies, and counseling techniques to resolve the most difficult problems associated with uncooperative or unmotivated airmen necessary for rehabilitation.

2.1.2.5. Skill in data analysis, fact finding, problem analysis, problem resolutions, and development of concrete action plans to solve problems.

2.1.2.6. Skill in written and oral communication to advise, counsel, influence and make recommendations to management officials concerning medical, health, and administrative aspects of the Human Performance and IOS Program.

2.1.2.3. Familiarity with the DoD and U.S. Air Force Instructions (AFI) governing the duties and physical standards for active duty personnel and continued military services, to include but not limited to DODI 6130.03, AFI 48-101, AFI 48-123, AFI 48-133, AFI 48-170, AFI 48-145. While familiarity is preferred, training will be provided if the contractor does not have this experience.

2.1.2.4. Knowledge of universal infection control guidelines and practices and accrediting agencies’ (e.g., AAAHC, TJC) medical practice standards.

2.1.3. Other significant facts pertaining to this position are:

2.1.3.1. Incumbent is required to have and maintain a prescribed certification approved by a nationally recognized professional organization; e.g., National Strength and Conditioning Association: Certified Strength and Conditioning Specialist (CSCS); American College of Sports Medicine, or Certified Exercise Physiologist (C-EP).

2.1.323. Must possess and maintain Basic Life Support (BLS) certification to include Automated External Defibrillator (AED) training.

2.1.3.3. Master's Degree from an accredited university program in physical therapy, athletic training, exercise science, exercise physiology, biomechanics, strength and conditioning, or related field is highly desirable

2.1.345. Employee may be asked to pass a USAF physical fitness test (AFI 36-2905) at the male/female 30-39 years of age standards.

2.1.356. May be required to work extended hours or rotating shifts to include evenings, weekends, and holidays.

2.1.3.6. This is a designated drug-testing position, incumbent will be subject to random testing for drug use.

2.2. LICENSE VERIFICATION:

2.2.1. The contractor shall request from the COR, documentation requirements for certification verification as required by the position for each contract personnel.

2.2.2. If the contractor adds additional/or replacement contract personnel during the contract period, the same qualification standards, and health requirements shall apply.

2.2.3. The contractor shall not use any individual to provide direct services under this contract if that individual, within the past five years:

2.2.4. Has had his/her limited, suspended, or revoked by any facility, public or private, anywhere in the world.

3.0 SERVICES SUMMARY (SS).

ITEM

PERFORMANCE

OBJECTIVE

PWS

SUBTASK(S)

PARA.

REFERENCE PERFORMANCE THRESHOLD

SS#

The contractor employee shall provide professional and collaborative Strength and conditioning services

2.0

Positive and negative interactions will be communicated in writing using performance report.

SS#

The contractor employee will remain current in all required training to maintain credentials.

2.1 100%

SS#

The contractor employee will remain current in all required staff training.

2.1. 100%

4.0. GENERAL INFORMATION.

4.1 CONTRACTOR REPRESENTATIVE. The Contractor shall designate to the Contracting Officer (CO), in writing, a primary point-of-contact for contract implementation, coordination and administration not later than ten (10) business days after receiving notice of contract award. The Contractor shall notify the CO of changes in the primary point-of-contact at least ten (10) work days prior to any change. All notifications shall be in writing and shall state the name and contact information for the point-of-contact.

The Contractor representative may reside/be located outside of Germany (i.e in the United States), but shall be available by telephone or email from 0700 to 1600 Central European Time.

4.2. DOCUMENTATION. The Contractor shall provide the Contracting Officer’s Representative (COR) the required documentation for all support services personnel within ten (10) business days of contract award notification to comply with required performance periods of the contract by taking into consideration that the DoD Contractor Personnel Office (DOCPER) process requires an average of eight

(8) to ten (10) weeks for completion.

4.3. CONFLICT OF INTERESTS. Contractor personnel shall not bill patients for services rendered under this contract. Contractor personnel shall not request or accept compensation of any kind for patients treated, procedures performed, or any other actions performed. Contractor personnel shall not, while performing services under this contract, advise, recommend, or suggest to persons eligible to receive medical care at U.S. Government expense that such persons should receive care from the Contractor at any place other than as designated under this contract.

4.4. CONFIDENTIALITY OF INFORMATION. Unless otherwise specified under this contract, all financial, statistical, personnel, and/or technical data which is furnished, produced or otherwise available to the Contractor during the performance of this contract are considered confidential business information and shall not be used for purposes other than performance of work under this contract. The Contractor shall not release any of the above information without prior written consent of the CO. The Contractor shall not use patient care rendered pursuant to this contract as part of a study, research project, or publication.

4.5. MEDIA AND OTHER INQUIRIES. The Contractor or Contractor personnel shall not respond to any media inquiries. Any inquiries from the media, third parties, or public agencies shall be immediately relayed to the COR, who will relay them to the Medical Treatment Facility (MTF) Public Affairs Officer or, after duty hours, to the Administrative Officer of the Day. There shall be no interviews, comments, or any other response without the prior knowledge and approval of the MTF Commander. Other than routine inquiries from external agencies, all other inquiries and complaints shall be brought to the attention of the

COR.

4.6. AUTHORIZATION OF CONTRACT PERSONNEL. An individual who has: (1) been hired as a consequence of this contract, (2) is a full-time (40 hours per week or more) contract employee, (3) is employed in a Host Nation country (4) is a national (citizen) of or an ordinary resident of the United States provided that the contract employee is not also a Host Nation country (local) resident (i.e., a dual citizen), or (5) a U.S. citizen or a citizen of a North Atlantic Treaty Organization (NATO) country other than the Host Nation and provided that the contract employee is not an ordinary resident of the Host Nation. The representative host country U.S. Government shall make the determination of a contract employee’s status with respect to being an ordinary resident. Authorized Contractor personnel and their authorized dependents will be granted privileges consistent with those granted members of the civilian component of the U.S.

Forces.

4.6.1. AUTHORIZATION OF CONTRACT PERSONNEL DEPENDENTS. Authorized dependents include the Contractor personnel’s: lawful spouse, unmarried child, stepchild, or a lawfully adopted child who will reside in the host country with the Contractor personnel. (Child is defined as: has not passed his/her 21st birthday or, if past, is incapable of self-support because of mental or physical incapability that existed before that birthday and is dependent on the contractor for over one-half of his/her support.) The benefits listed below, if available, are generally extended as noted without special financial consideration due to the U.S. Government. In such cases the U.S. Government does not charge for use of these benefits, and the contract price should not be inflated by the value of these benefits. Should any of the below needed benefits not be available, negotiations will be conducted with the Contractor and consideration determined.

4.7. LOGISTICAL SUPPORT. The U.S. Government will provide individual logistical support for Contractor personnel and authorized dependents to the extent available and as authorized by NATO Status of Forces Agreement (SOFA) Supplementary Agreement Article 72, and foreign regulations; by current applicable international agreements, arrangements, policies; and the local Installation Commander. The duration of the initial individual logistic support authorization may be subject to a time limitation. Prior to expiration of the initial logistical support authorization (if and as applicable), the COR and Contractor shall expedite/process the individual Renewal/Authorization in sufficient advance to ensure continuation of logistical support. Logistical support is provided only for those Contractor personnel that are providing services solely for U.S. Forces. Logistical support, if granted, will only be provided to authorized, full-time (40 hours per week) Contractor and authorized dependents as defined in paragraphs 4.6 and 4.6.1. The following logistical support will be provided to applicable Contractor personnel:

1) Commissary

2) Army Air Force Exchange Service

3) Armed Forces Recreation Facilities

4) Class VI (alcoholic beverages, including rationed items)

5) Legal assistance (on a space available basis)

6) Local government transportation for official government business (non-tactical vehicle)

7) Local Moral/Welfare Recreation Services

8) Military Banking facilities

9) Military postal services

10) Officer and NCO Club memberships

11) Mortuary services

12) Privately Owned Vehicle (POV) authorization

13) Housing office (Note: Limited. These services are limited to translation assistance and an explanation of host-country rental laws and utility and telephone services)

14) Petroleum, Oils, and Lubricants (POL) purchases

15) Transient billets on space available basis

16) Messing Facilities at remote sites only (reimbursable)

17) Army Continuing Education Services

18) Credit union facilities 19)* Dependent Schools, on space available, tuition paying basis

20) Medical/Dental on a reimbursable basis. Dental on emergency basis only

21) Pet and firearm registration and control

22) NATO status of Forces Agreement stamp (subject to approval of Host nation Customs Authority)

23) Customs exemptions *Note: The Government will not pay for tuition

4.8 EMERGENCY HEALTHCARE FOR CONTRACTOR PERSONNEL. The MTF will provide emergency health care for injuries or life threatening medical emergencies occurring while on duty under the provisions of Air Force Instruction (AFI) 41-210. (See 5.1 – Applicable Forms and Publications). In emergencies, transportation in U.S. Government ambulances may be furnished by the U.S. Government on a reimbursable basis. The Contractor shall reimburse the U.S. Government for such services as billed by the MTF.

4.9 CONTRACTOR PERSONNEL PRIVATE PRACTICE. Contractor personnel are prohibited by reason of their employment under this contract from conducting private practice. The CO will unilaterally resolve any issues concerning potential conflicts.

4.10 OVERSEAS REQUIREMENTS. The Contractor is responsible for ensuring all country clearances, passports, visas, and accreditations required by the Host Nation are obtained prior to employment of individuals under this contract. Documentation requirements are subject to change as SOFAs change. In the event a proposed Contractor employee is denied Host Nation approval, accreditation, and/or permission, the prospective awardee shall submit like documentation for another nominee. The Contractor will be responsible for obtaining the appropriate country specific requirements, and will coordinate this with the CO or COR. The Contractor shall provide written notification to the CO and the COR within 24 hours of becoming aware of accredited Contract personnel no longer performing duties requiring accreditation/clearances/permissions. The Contractor shall recognize that Host Nation authorities may conduct on-site inspections at any time in the Contractor personnel’s work area for the purpose of verifying the status of positions and Contractor personnel and appropriate visas or permissions. The Contractor shall assume all costs related to submission of required documentation. At the time of preparation of this contract, applicable information and forms for placement of Contractor personnel in Germany may be accessed at the DOCPER and U.S. Department of State websites. (See 5.1 – Applicable Forms and Publications)

4.11. CONTRACTOR PERSONNEL HEALTH REQUIREMENTS. Contractor personnel and dependents shall be up to date on immunizations required or recommended by the U.S. Department of Health and Human Services for travel to the Host Nation. (See 5.1 – Applicable Forms and Publications) The U.S. Government will not reimburse the Contractor for this expense. Contractor personnel providing services under this contract shall receive a pre-employment physical examination prior to commencement of work and annually thereafter. Certification shall be provided to the COR that Contractor personnel have completed medical evaluation required no later than seven (7) business days prior to commencement of work . This certification shall state the date on which the examination was completed, the doctor’s name that performed the examination, and a statement concerning the physical health of the individual. The certification shall also contain the following statement: “(name of contractor employee) is suffering from no contagious diseases to include but not limited to Tuberculosis and Hepatitis.” Per Occupational Safety Health Administration (OSHA) requirements, all Contractor personnel who will have occupational exposure to blood or body fluids, or other potentially infectious materials, shall receive Hepatitis B vaccine, sign a voluntary declination, or have documented proof of immunity to Hepatitis B infection. (See 5.1 – Applicable Forms and Publications) Personnel who sign declinations may change their minds at any time and receive the Hepatitis B vaccine without penalty. It is the Contractor’s responsibility to report all information necessary to assure hospital records can be maintained correctly, and therefore comply with the OSHA and Center for Disease Control (CDC) health records requirement. (See 5.1 – Applicable Forms and Publications)

4.12. ABUSE OF PRIVILEGES. The U.S. Government retains the right to withdraw privileges as a result of Contractor or Contractor personnel’s abuse of privileges at no additional cost to the U.S.

Government. The Contractor shall ensure that, upon termination or transfer of any Contractor personnel who is granted privileges identified above, action is taken simultaneously with termination of employment to ensure that said Contractor personnel ceases to have access to the above privileges. The Contractor shall ensure that identification passes or other documents pertinent to and/or peculiar to the contract or privileges hereunder are turned over to the issuing office upon termination or transfer of any Contractor personnel.

The Contractor shall require a written receipt of such return and shall immediately forward a copy to the

CO.

4.13 RELATIONSHIP OF THE PARTIES, RESPONSIBILITY AND PROCEDURES

4.13.1. Professional Liability:

4.13.1.1. Pursuant to 10 USC 1089(a), the Department of Defense shall process any personal injury claim alleging negligence by the contractor within the scope of the contractor’s performance of this contract as claims alleging negligence by DOD military or civil service employees. The contractor is not required to maintain medical malpractice liability insurance, and the U.S. Government will not reimburse or otherwise pay for such insurance should any be purchased.

4.13.2. Responsibility and Procedures:

4.13.2.1. If any suit or action is filed or any claim is made against the Contractor personnel, which occurred as a result of work performed by the contractor under this contract, the contractor shall immediately notify the COR and the Contracting Officer and the chief of the appropriate services and promptly furnish them copies of all pertinent papers received.

4.13.2.2. The contractor shall cooperate with the U.S. Government, without further compensation, in the processing, review, settlement, or defense of the suit, action, or claim; and, authorize U.S. Government representatives to settle or defend the claim and to represent the contract employee in, or take charge of, any litigation involved in such an action. The Contract personnel may, at the Contractor personnel's own expense, participate in defense of such claim or litigation.

4.14 ADMINISTRATIVE CHECKS AND REQUIREMENTS.

4.14.1 Tier 1 (T1) Background Investigation. Since personnel under this contract will have access to Non-Sensitive government information and/or process information requiring protection under the Privacy Act of 1974, these positions are considered Low Risk Positions. Compliance with DoD Manual 5200.2, _AFMAN 16-1405 and Homeland Security Presidential Directive 12 (HSPD-12) is mandatory for these positions. (See 5.1–Applicable Forms and Publications) A Tier 1 (T1) back- ground investigation is required for all personnel under this contract. The Contractor shall fully adhere with the provisions of referenced publications by having each of their employees who are performing under this contract initiate and complete a T1. T1 investigation requests for employee will be submitted through the Suitability/Fitness Security Office, Ramstein AB, Germany. Member will be fingerprinted and required to complete the appropriate forms (Standard Form 85, Questionnaire for Non-sensitive Positions, any state release forms, and OF 306 Declaration for Federal Employment. (See 5.1–Applicable Forms and Publications) The contractor shall advise employee that a favorable suitability/fitness determination is required as a condition of employment under this specific contract. The employee shall apply for the T1 prior to start of performance. The government is solely responsible for the cost associated with the initiation, application and completion of the T1 investigation with exceptions for expenses incurred for Police Checks for “local hire” personnel.

4.14.2 CRIMINAL HISTORY BACKGROUND CHECK (CHBC). CHBC are required for Contractor personnel involved in the delivery of healthcare to children under the age of 18 on a frequent and regular basis, as stated in Department of Defense Instruction (DoDI) 1402.5, Enclosure 5. (See 5.1 – Applicable Forms and Publications) The Contractor shall ensure that the personnel follows local MTF policy to provide fingerprints on a properly completed Standard Form 87, Fingerprint Card for Federal Employees. (See 5.1 – Applicable Forms and Publications) The procedures for completing the required CHBC are outlined in the DoDI 1402.5. (See 5.1 – Applicable Forms and Publications)

4.14.3 PENDING COMPLETION OF T1. The Contractor personnel may provide contract services prior to completion of background investigation. The Contractor understands that the MTF Commander may allow the Contractor personnel to temporarily occupy non-sensitive positions pending T1. The Contractor personnel will be immediately removed from the position if at any time the T1 receives unfavorable adjudication, or if other unfavorable information that would affect the T1 becomes known. Pending completion of State Criminal History Records Check (SCHRC) the Air Force Surgeon General requires close clinical supervision and full compliance with existing DoD Directives, Instructions, and other guidance on quality assurance, risk management, licensure, personnel orientation and certification verification. The MTF Commander will determine what constitutes “close clinical supervision” for individuals whose T1/SCHRC are pending, either supervised practice ensuring protection of patients under the age of 18 or line-of-sight supervision (i.e., chaperoned by an individual whose background investigation has been successfully completed) at all times when caring for these patients.

4.15 COMMON ACCESS CARD. Common Access Card (CAC) is a DOD-mandated program affecting military, DOD civilians and eligible Contractors. The Contractor shall comply with the requirements of this program. Visit the website for more information: https://www.cac.mil/.

4.16 HOURS OF OPERATION. The healthcare services are to be performed at the 86 AW, Ramstein Air Force Base, Germany. The 86 AW’s normal business hours are 0700-1600 hours Monday through Friday, excluding U.S. Federal holidays. Except for USAFE-AFAFRICA Family Days (see paragraph

4.17.2 below) the contract employee shall work no more than 80 hours within a two-week time period, not to exceed 10 hours a day, with one uncompensated hour off for lunch.

4.16.1 HOLIDAYS. The following is a list of legal federal holidays. Any federal holiday falling on a Saturday will be observed on the preceding Friday, holidays falling on a Sunday will be observed the following Monday.

U.S. Holidays:

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

4.16.2. CLOSURES. There are USAFE-AFAFRICA Family Days, Presidential Executive Orders, Goal Days, or other command-declared closures, that the MTF will be closed, but the installation will continue operations. Therefore, the Contractor shall advise its personnel accordingly and treat these situations as determined appropriate, in coordination with the PHNX Team Lead and WSA Chain of Command. The USAFE-AFAFRICA Family Days are scheduled by the USAFE-AFAFRICA Commander. Goal Days are scheduled on the discretion of the 86 AW Commander.

4.16.3. In the event of unplanned closure of the installation due to natural disaster, military emergency, pandemic conditions, severe weather, security threat, or a facility-related problem that prevents the contractor’s personnel from performing services under this contract, these contractor’s employees shall follow the same departure and reporting directions given to Government personnel and the contractor shall treat its employees as they determine appropriate. The contractor shall not seek additional payments https://www.cac.mil/ from the Government for any expenses incurred by the contractor as a result of any such unplanned closure.

4.16.4 ABSENCES. The contractor may request, and the COR may approve, based upon the recommendation of the section chief or from personal knowledge, a reduction in contract performance requirements up to a maximum of 20 working days 8 hours per day, scheduled or unscheduled, due to illness, leave, and other justified reasons per 12-month contract performance period. The contractor shall notify the COR of any absences that are justified and the COR will track the number of days the contractor is absent. The number of consecutive days for scheduled or unscheduled absences will be at the discretion of either the MTF commander, section chief, or COR based on workload with coordination through the COR. It is the contractor‘s responsibility to approve any absences of the contractor personnel and to coordinate absences with the section chief and/or COR. The contractor shall provide back-up coverage for all scheduled or unscheduled absences in excess of twenty (20) workdays per 12-month contract performance period at no additional cost to the government. Replacement contractor employee may work in a temporary duty status (TDY) and be exempt from obtaining a work permit. This process is referred to as a Request for Confirmation of Exemption from the Requirement to Obtain a Work Permit and is commonly called the “fax-back” process. It must be completed before the employee arrives or begins work in Germany. Application under the fax-back process is mandatory for contractor employees performing work in Germany in a TDY status. Contractor employees who arrive in Germany using this process will not be issued a CAC with privileges and will not receive individual logistics support, but may be eligible for an installation pass.

4.16.5 Teleworking is not authorized, except as follows: Alternate Place of Performance - As determined by the COR, contractor employees may be required to work at an alternate place of performance (e.g., home, the contractor's facility, or another approved activity within the local travel area) in cases of unforeseen conditions or contingencies (e.g., pandemic conditions, exercises, government closure due to inclement weather, etc.). Contractor shall prepare all deliverables and other contract documentation utilizing contractor resources. PHNX Team will issue the Contractor a government laptop to facilitate teleworking needs. To the extent possible, the contractor shall use best efforts to provide the same level of support as stated in the PWS/SOW. Contractor will report any limiting factors in performance due to telework to the COR.

4.17 CONTRACTOR ORIENTATION AND NEW PERSONNEL REQUIREMENTS.

4.17.1 GENERAL TRAINING. The Contractor shall be responsible for ensuring personnel comply with health information privacy and security policies and procedures. The Government will provide training on Government provided forms and equipment, Air Force directives, policies and procedures. Contractor personnel shall participate in continuing education programs to update and/or maintain skills and knowledge to meet annual requirements.

4.17.2 ORIENTATION TRAINING. The Contractor shall ensure that all Contractor personnel participate in the Government provided Installation orientation program for newly assigned personnel within 30 days of performance start. Orientation training will be conducted during normal hours of operation, and will be scheduled by the COR. Orientation shall include training on regulations specific to the professional specialty, and hospital and Air Force policy and procedures, instructions on automation processing, quality assurance policies, and other information systems as they apply to the position.

4.17.3 GOVERNMENT PROVIDED TRAINING.

Alcohol and Drug Abuse Prevention and Treatment Program Annual Block Training Armed Forces Health Longitudinal Technology Application (AHLTA)

Basic Life Support (BLS) IAW AFI 41-101 – current/continual certification (See 5.1 – Applicable Forms and Publications)

Composite Healthcare Computer System (CHCS) Cultural Diversity Infection Control

Health Insurance Portability and Accountability Act (HIPAA) – initial and annual certification training. (See 5.1 – Applicable Forms and Publications)

Military Health Care Computer Systems/Procedures New Personnel Orientation On-the-job-training (work center/patient safety, waste disposal, fire prevention etc.)

Personnel Reliability Program Total Force Awareness Training – DoD Information Assurance Awareness Total Force Awareness Training – Information Protection Training Defense Medical Human Resources System – Internet (DMHRSi) Training Aeromedical Services Information Management Systems (ASIMS)

Health Artifact and Image Management Solution (HAIMS)

4.17.4 COMPUTER TRAINING. Contractor personnel who have any interaction with the USAF computer systems must receive training for the applicable system(s). The COR will coordinate the necessary computer training. The training will be on-site and during normal hours of operation. This training will be at no cost to the Contractor. Access to patient data systems is an "Automated Data Processing Sensitive" position requiring compliance with AFI 31-501 (See 5.1 – Applicable Forms and Publications). The Contractor shall comply with agency personal identity verification procedures that implement Homeland Security Presidential Directive-12 (HSPD-12), Office of Management and Budget (OMB) guidance M-05-24, and Federal Information Processing Standards Publication (FIPS PUB) Number

201. (See 5.1 – Applicable Forms and Publications)

4.18 COMMANDER’S TOBACCO USE GUIDANCE. The Air Force recognizes equal work breaks (when these breaks are permitted) for tobacco users and non-tobacco users. The MTF will have a smoke free medical campus with only one authorized smoking area for buildings 2114, 2121 and 2182. Tobacco use is prohibited in government vehicles, inside buildings and within 50 feet of building‘s direct service entryway. The spitting of such non-smoking tobacco products into cups, cans, or any type of container within the above-restricted areas is prohibited.

4.19 U.S. GOVERNMENT-SHARED PROPERTY, INFORMATION AND SERVICES:

4.19.1. Government furnished property under this contract will be furnished to Contractor employees at no cost and shall be used only in performance of services under this contract.

4.19.2. The Government will provide the Contractor access to Air Force directives, MTF policies and procedures prior to start of contract performance date.

4.19.3. Facilities: During the hours of performance under this contract, the Contractor employees shall have the use of office space available.

4.19.4. Equipment and Supplies: Available equipment and office supplies for the performance of services under this contract, such as desk, chair, lighting, computer, printer, FAX machine, phone, copier, paper, folders, file cabinets, etc.

4.19.5. Electronic Documentation: As available at the local MTF, a standardized electronic documentation system or electronic medical record will be provided, such as, but not limited to CHCS and AHLTA.

4.19.6. Directives/Forms/Work Files: Unless noted otherwise, all required Air Force and Department of Defense directives, forms and other work files applicable to the MTF MM Program/Services will be furnished by the Government and will be retained by the Government.

4.20. CONFORMANCE WITH ENVIRONMENTAL MANAGEMENT SYSTEMS. The Contractor shall perform work under this contract consistent with the relevant environmental policy and objectives identified in the installation environmental management system (EMS) applicable for your contract. The Contractor shall perform work in a manner that conserves water, energy and other resources to the maximum extent feasible and ensure minimum production of waste as possible, giving preference to recycling and reutilization opportunities. Furthermore, the Contractor shall give preference to less toxic materials whenever available and still reliable for their work. In the event an environmental nonconformance or noncompliance of host nation and USAF environmental laws and regulations associated with the contracted services is identified, the contractor shall take corrective and/or preventative actions. In the case of a noncompliance, the Contractor shall respond and take corrective action immediately. In the case of a nonconformance, the Contractor shall respond and take corrective action based on the time schedule established by the EMS Coordinator. In addition, the Contractor shall ensure that their employees are aware of the environmental management system on base and how these requirements affect their work performed under this contract. All on-site contractor personnel shall receive the installation EMS awareness level information.

4.21. CONFORMANCE WITH ENVIRONMENTAL REQUIREMENTS. The contractor shall perform all work in accordance with applicable German and US Air Force environmental laws, regulations and operating standards, including but not limited to the Final Governing Standards (FGS) for Germany. The contractor shall be immediately capable of understanding and addressing environmental laws and regulations as they pertain to work performed under this contract.

The FGS for Germany and other important environmental laws & requirements are applicable for all contractors working on base.

4.22. Service Contract Reporting (SCR). The contractor is required to report ALL contractor labor hours (including subcontractor labor hours). While inputs may be reported at any time during the fiscal year (FY), all data must be reported no later than 31 October of each year. The CO shall register at www.sam.gov, verify that the contract data has been entered, and save the SCR report in the contract file.

5.0. APPENDIX.

5.1. APPLICABLE PUBLICATIONS AND FORMS. Supplements or amendments to listed publications and/or forms from any organizational level may be issued during the life of this contract. Should any publication or form revision cause a change in the contractor’s processes, procedures and/or standards of operation, the contractor shall advise the CO of such changes in writing within 30 days of receipt of the publication or form revisions.

REFERENCE LONG TITLE

AFI 41-101 Obtaining Alternative Medical and Dental Care AFI 41-217 Health Information Assurance for Military

Treatment Facilities http://www.sam.gov/

AFI 44-102 Medical Care Management AFI 48-123 Medical Examination and Standards AFI 31-501 Personnel Security Program Management AFI 41-114 Military Health Services System Matrix AFI 44-108 Infection Prevention and Control Program AFI 48-149 Flight & Operational Medicine Program AFI 48-145 Occupational & Environmental Health Program DOCPER DoD Contractor Personnel Office DoDD 5200.2 DoD Personnel Security Program DoDI 1402.5 Criminal History Background Checks on

Individuals In Child Care Services FIPS PUB 201 Federal Information Processing Standards

Publication 201 Health Records Occupational Safety Heatlh Administration Hepatitis B – OSHA Occupational Safety Health Administration HIPAA Health Insurance Portability and Accountability

Act HSPD 12 Homeland Security Presidential Directive 12 OF 306 Declaration for Federal Employment OMB M-05-24 Office of Management and Budget M-05-24 Privacy Act of 1974 Privacy Act of 1974 Standard Form 85P Questionnaire for Public Trust Positions Standard Form 87 Fingerprint Card for Federal Employees state.gov U.S. Department of State Vaccination/immunization U.S. Department of Health and Human Services

5.2 HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT (HIPAA)

BUSINESS ASSOCIATE AGREEMENT

Introduction

In accordance with 45 CFR 164.502(e)(2) and 164.504(e) and paragraph C.3.4.1.3 of DoD 6025.18-R, “DoD Health Information Privacy Regulation,” January 24, 2003, this document serves as a business associate agreement (BAA) between the signatory parties for purposes of the Health Insurance Portability and Accountability Act (HIPAA) and the “HITECH Act” amendments thereof, as implemented by the HIPAA Rules and DoD HIPAA Issuances (both defined below).