PWS - Ramstein RMC and IP (9-5-2025).pdf

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Department of Defense Defense Health Agency Performance Work Statement

REFERRAL MANAGEMENT CENTER (RMC)

AND INFECTION PREVENTIONIST (IP)

SUPPORT SERVICES AT THE 86th MEDICAL

GROUP, RAMSTEIN AIR BASE

Date: 01 September 2025

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PART 1

PERFORMANCE WORK STATEMENT

IN ADDITION TO THE BASIC CONTRACT PWS, THE FOLLOWING TERMS

AND CONDITIONS ARE REQUIRED:

1.0. Description of Services: The following is an overview of the place of performance

1.1. Referral Management Center (RMC): The contractor shall provide non-personal services in support of the 86th TRICARE Operations and Patient Administration Flight.

The contractor shall provide all management, supervision, and personnel to obtain medical consultation and administrative support for the Medical Treatment Facility (MTF) staff and beneficiaries. The contractor shall ensure optimized patient flow by assisting patients at the Referral Management Center (RMC) to process their referrals to specialty care and making their appointments to include computerized appointment booking and appointment validation. The contractor shall maintain and assist with a variety of health record storage and retrieval systems. The contractor shall participate with RMC staff in providing, assessing, and improving a wide variety of customer services/relations. The contractor shall prepare and submit administrative and statistical reports. The contractor shall assist in the management of all forms of communication between beneficiaries, team members, network/outside providers and ancillary health care workers. Performance shall be according to the requirements contained in this Performance Work Statement (PWS), and professional standards of the Joint Commission on Accreditation of Healthcare Organization (JCAHO). Requested services are considered to be non-mission essential.

1.2. Infection Preventionist (IP): Manages the 86th MDG’s Infection Prevention and Control program. Develops, evaluates, and revises mission and vision statements, goals, measurable objectives and action plans. Aligns IC goals with the MTF’s organizational strategic priorities. Recommends specific equipment, personnel, and resources for the IC program. Participates in cost-benefit assessments, efficacy studies, and product evaluations. Recommends changes in practice based on clinical outcomes and financial implications. Assists the MTF with accreditation preparation activities, regulatory readiness and monitors compliance. Participates in quality/performance improvement and patient safety activities related to IC. Reviews and revises IC policies and procedures in accordance with national guidelines and local, state and federal regulations.

Maintains knowledge of current IC issues and professional references per AFI 44-108 and DHA-PM 6025.13 Vol2. Ensures IC standards are implemented throughout the MTF (e.g., sterilization and disinfection practices, construction, renovation, and isolation protocols). Formulates corrective actions based upon scientific, evidence-based principles. Advises staff and collaborates with multidisciplinary teams and committees that include but are not limited to the following: Infection Prevention and Control Function (IPaCF), Environment of Care Committee (EOC), Nurse Executive Function (NEF), Executive Committee of the Medical Staff (ECOMS), and Performance Improvement Council. Consults with the Regional IP on a regular basis regarding data, trends and activities. Collaborates with AFMS and local area peers to advance

MQS2-NG Task Order Template Type I Configuration as of 12 Feb 25 Page 3 of 30 awareness of current IC news and trends. Participates in AF and DHA IC forums, teleconferences and meetings.

1.3. The contractor shall provide the following labor categories in accordance with the titles listed in Technical Exhibit (TE) 4:

1.4. The services required on this TO are in the following labor segments:

Licensed Practical Nurse (1 FTE) Medical Services Coordinator – Administrative Support (3 FTE) Infection Preventionist (1 FTE)

1.4.1. This TO is issued under the following arrangement:

Personal Services (Infection Preventionist Only): The performance of health care services by contract workers under a personal services arrangement are subject to day-to-day supervision and control by health care facility personnel comparable to that exercised over military and civil service health care personnel engaged in comparable health care services. Contract workers under a personal services arrangement requiring licensure may maintain a license in any U.S. jurisdiction as outlined in DHAPM 6025-13, Volume 4.

Non-Personal Services (Licensed Practical Nurse and Medical Service Coordinators):

The performance of health care services by contract workers under a non-personal services arrangement are not subject to day-to-day supervision and control by health care facility personnel comparable to that exercised over military and civil service health care personnel engaged in comparable health care services. The Government shall neither supervise non-personal services employees nor control the method by which the Contractor performs these required tasks. Contract workers under a non-personal services arrangement requiring licensure must maintain an unrestricted license in the U.S.

jurisdiction within which the contract worker is performing on the contract as outlined in DHAPM 6025.13, Volume 4 (no licensure portability, includes telehealth visits).

1.4.2. Performance Location: The work to be performed under this contract will be at:

86th Medical Group (MDG) TRICARE Operations and Patient Administration Flight, Ramstein Air Base, Germany

1.4.3. Period of Performance: Base Year 30 September 2025 -29 September 2026, plus four option years.

Base Period: 09/30/2025-09/29/2026 Option Period 1: 09/30/2025-09/29/2027 Option Period 2: 09/30/2027-09/29/2028 Option Period 3: 09/30/2028-09/29/2029

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Option Period 4: 09/30/2029-09/29/2030

1.5. General Information:

1.5.1. Key Government Personnel: The following personnel are considered key Government personnel at the TO level:

1.5.1.1. Contracting Officer’s Representative (COR): The following individual is the COR for this contract and Vendor will be notified of any changes:

Name of COR: TSgt Michael J. Tillema.

COR Email Address: michael.j.tillema2.mil@health.mil.

COR Telephone Number: +49 (0)6371-46-2573.

1.5.2. Work Schedule (Hours of Performance):

Licensed Practical Nurse and Medical Service Coordinators:

Services are required during the following hours: 0700-1630 hours (to include a 1-hour lunch break daily): Monday through Friday, including German holidays, but excluding U.S. Federal holidays. Workdays will generally consist of eight-hour days. Hours are subject to change as mutually agreed between the FRED and the Contractor, however, the total number of hours will not exceed 80 hours every two weeks.

Infection Preventionist:

Required services may be scheduled between the hours of 6:00 a.m. to 7:00 p.m., Monday through Friday. In the event that, in any one week (Monday through Friday), an HCP exceeds the 40 hours per week limit under the Full-Time Equivalent CLIN based on the annual 1,912 hours due to performing duties requested by the COR or the FRED (for example working past normal duty hours for patient hospitalization), their time sheet shall reflect those exceeded hours and invoiced; however, an adjusted work schedule for one week will be authorized and used within three pay periods after the pay period in which the overage was incurred, or prior to the HCP vacating his/her position on this contract, so that the HCP does not exceed 40 normal service hours per week on average.

This adjustment will be noted—as a comment only—on the HCP's timesheet. Multiple weeks of adjusted work schedules will be authorized, if necessary, to account for incurred overages and to ensure adherence to the 40 hour per week average.

1.5.3. Recognized Holidays: Contract workers will not be required to work on federally recognized holidays. If required to work, the federally recognized holidays are:

New Year’s Day, January 1st

Martin Luther King, Jr. Day, 3rd Monday in January Presidents Day, 3rd Monday in February Memorial Day, Last Monday in May Juneteenth National Independence Day, June 19th Independence Day, July 4th Labor Day, 1st Monday in September Columbus Day, 2nd Monday in October

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Veteran’s Day, November 11th Thanksgiving Day, 4th Thursday in November Christmas Day, December 25th

ABSENCES (RMC Only). The contractor may request, and the FRED 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 FRED of any absences that are justified, and the FRED 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 FRED based on workload with coordination through the FRED. It is the contractor’s responsibility to approve any absences of the contractor personnel and to coordinate absences with the section chief and/or FRED. The contractor shall provide back-up coverage for all scheduled or unscheduled absences more than twenty (20) workdays per 12-month contract performance period at no additional cost to the government. To prevent any delays in staffing coverage and recruiting, the contractor shall provide (1) part-time employee to immediately back-fill any unexpected terminations.

ABSENCES (IP Only). HCPs will be allowed 10 workdays of leave (80 hours) per contract year. Timing and details shall be coordinated with the FRED. HCPs will only be charged for the days absent on which he or she would normally be expected to be present for duty (i.e. no charge for the 10 Federal holidays or weekends). The contractor shall have their local supervisor approve the leave form. The form will then be sent to the contract company, and the contract company will forward the leave request, along with a spreadsheet that shows the balance of leave, to the COR for review and approval. The COR will approve or deny based on the leave balance and forward back to the contract company.

Duty at other locations. HCPs may be required to go to TDY locations outside of pair communities which include other military treatment facilities (MTF) within the U.S. Air Force Army Regional Health Command on an as needed basis. The exact number of TDYs is currently unknown. The maximum length of a TDY is 6 weeks per provider.

The U.S. Government will advise the contractor a minimum of 10 calendar days in advance of the TDY. Arrangements for and costs of all travel, transportation, meals, lodging, and incidentals are the responsibility of the contractor. Costs for these expenses will be reviewed and certified by the Contracting Officer's Representative (COR) and approved by the Contracting Officer. All travel and transportation shall utilize commercial sources and carriers provided the method used for the appropriate geographical area results in reasonable charges to the U.S. Government. The U.S.

Government will not pay for business class or first-class travel. Lodging and meals shall be reimbursed in 11 accordance with the standard per diem rates in the DOD Joint Travel Regulation (JTR). There may be circumstances when the JTR authorizes a discretionary

MQS2-NG Task Order Template Type I Configuration as of 12 Feb 25 Page 6 of 30 travel and transportation expense, but the task order remains silent. In such circumstances, the expense is not allowable and will not be reimbursed. Reimbursable costs will be reviewed by the COR and certified by the CO. All TDY costs will be submitted for reimbursement within 60 days of the end of the TDY. The website for per diem rates is: http://perdiem.hqda.pentagon.mil/perdiem/perdiemrates.html.

1.5.7. Planned Closures: There are USAFE-AFAFRICA Family Days, Presidential Executive Orders, Goal Days, or other command-declared closures, for which the MTF will be closed, and the Contractor will not be required to provide services. Therefore, the Contractor shall advise its personnel accordingly and treat these situations as determined appropriate. The contractor shall not submit an invoice or otherwise seek additional payment from the Government for the specified periods that its employees do not perform services under this contract. The USAFE-AFAFRICA Family Days are scheduled by the USAFEAFAFRICA Commander. Goal Days are scheduled on the discretion of the 86AW Commander

1.5.8. Unplanned Closures: In the event of unplanned closure of the MTF due to natural disaster, military emergency, pandemic conditions, severe weather, security threat, or a facility-related problem that prevents contractor personnel from performing services under this contract, the contractor personnel shall follow the same departure and reporting directions given to Government personnel and the Contractor shall treat its personnel as they determine appropriate. The contractor shall not submit an invoice or otherwise seek additional payment from the Government for any expenses incurred by the contractor because of any such unplanned closure.

1.5.9. Emergency Essential Services: Contract worker positions are not considered emergency/mission essential in an emergency services status.

1.5.10. Telework Arrangements: Teleworking is not authorized, except when an Alternate Place of Performance is 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. To the extent possible, the contractor shall use best efforts to provide the same level of support as stated in the

PWS/SOW.

1.5.11. Relocation Costs: The Government will pay the Contractor (Infection Preventionist only) to relocate contract providers and dependents from the United States to OCONUS locations and will pay to repatriate authorized contract providers and dependents from OCONUS locations back to the United States upon discontinuation of services under this contract. For a contract provider (plus dependents) to be authorized repatriation back to the United States, he/she will be required to provide a minimum of 12 months of continuous service based on the provider’s initial commencement of services under this contract. Repatriation expenses (back to the

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United States) will not be authorized if a given provider was removed for cause at any time; however, these expenses will be allowed if the Government unilaterally terminates a position(s).

1.5.12. Quality Control Plan (QCP): The Contractor shall have a planned and systematic QCP that outlines the quality control process covering every aspect of the Contractor’s operation under this contract. The Contractor shall submit a QCP to the COR as outlined in Exhibit 1. The Contractor shall submit changes to an approved QCP to the COR for approval throughout the life of the contract.

1.5.13. Malpractice Insurance for Non-Personal Services: N/A.

1.5.14. Recording Contract Worker Time: None.

1.5.15. Health Requirements. The Contractor 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. 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. No later than seven (7) working days prior to commencement of work, certification shall be provided to the COR that Contractor personnel have completed medical evaluation required above. 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 and 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. 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 CDC health records requirement.

1.5.16. Physical Qualifications: Beyond the general physical qualifications outlined in the base contract PWS, contract workers shall be capable of the following: N/A.

1.5.17. Dress and Appearance: Contract workers shall maintain good personal hygiene and present a well-groomed and professional appearance IAW the policy at the place of performance. If required, the following uniform (e.g., smocks, EMT/Paramedic uniform) is mandatory: None.

1.5.18. Contractor Travel (Infection Preventionist Only): Reimbursement will be provided in accordance with the terms and conditions of the contract. The Joint Travel Regulation (JTR) is not applicable to contractor travel; however, the not-to-exceed travel

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PART 2

DEFINITIONS AND ACRONYMNS NOT FOUND IN BASE CONTRACT PWS

2.1. Definitions: The following additions are made to the Government Definitions and Acronyms for this TO: “NA”

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PART 3

GOVERNMENT FURNISHED PROPERTY, EQUIPMENT, AND SERVICES

3. Government Furnished Items and Services:

3.1. General: The following additions are made to the Government furnished items and services for this TO:

The Government will provide the use of all available MTF facilities and support services, materials, publications and forms, and equipment required for contract performance (except as designated). Contractor health care provider shall keep Government furnished supplies, equipment, and work areas in a safe, orderly and clean condition. Contractor health care provider shall notify the Government whenever maintenance of equipment is required. Contractor health care provider shall abide by all DHA, MTF, and Air Force requirements for physical security of property and equipment.

Telephones, facsimile machines, copiers and computer equipment are authorized for transaction of official Government business only and shall not be used for personal business. Personal long-distance calls are not authorized, and the cost of all personal long-distance calls made may be deducted from the Contractor’s invoice payments.

Telephones, facsimile machines and computer equipment are always subject to communications security monitoring.

Space used by Contractor health care provider in performance of services may be used for other purposes during their absence. Items of clothing, personal effects, or equipment cannot be secured during their absence. The Government will not incur any liability for theft, damage to, or loss of such personal items.

Contractor health care provider may be issued keys. The Contractor health care provider shall safeguard the keys from loss, theft or destruction, and must display all keys signed for at scheduled or unscheduled key control inspections. The Contractor shall be required to reimburse the Government for lost keys, or lockset (if locksets are required to be replaced) because of lost keys. The cost of replacement of keys/locksets may be deducted from payments to the Contractor.

Items issued will remain the property of the Government and will not be removed from the MTF. They are to be used, turned in, or disposed of as directed.

Emergency Healthcare. The MTF will provide emergency healthcare for injuries occurring while on duty. The Contractor shall reimburse the Government for such services.

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PART 4

CONTRACTOR FURNISHED ITEMS AND SERVICES

4. Contractor Furnished Items and Responsibilities:

4.1. Rubber Stamp: The Contractor shall ensure contract privileged providers providing medical services under this contract have a rubber stamp containing their full name, degree, title, and company name or the word, "Contractor." The stamp shall be placed on all forms and documentation having the provider's signature.

4.2. General: The following Contractor furnished items and services are required for this

TO:

The Contractor health care provider shall furnish all personnel and services to comply with the requirements of this contract, except where specifically identified as government-furnished supplies and services.

Certificates/licenses/training shall be always maintained in a status while performing services under this contract. If at any time during the contract the Contractor health care provider does not renew any of the required certifications/licenses prior to the expiration date, they will not be allowed to work at a Military Treatment Facility, Hospital, or Clinic. This expense shall be borne by the Contractor and will not excuse the Contractor from fulfilling the requirements under this contract.

Point of Contact. Three calendar days prior to performance of services, the Contractor health care provider shall designate, in writing, and provide to the Contracting Officer's Representative [COR] and Contracting Officer, the name, email address, and telephone number of the point of contact for all actions on this requirement.

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PART 5

SPECIFIC TASKS

5.0. Performance Qualification Statement:

All contract employees provided by the contractor shall meet the qualifications for that specialty and perform essentially the same functions, within the scope of acceptable for their technical professional discipline and standard, as those required by DOD or government service technical professionals of similar experience and in similar duty assignments. Contract employee practices/productivity will be compared to that of other Contract employees assigned to the same medical center.

The Government has the right to test the contract employee the first day of the contract and any time during contract performance to determine whether the contract employee can perform all contract-required skills. If the contract employee cannot perform all those skills, the Government activity may request that the contract employee be replaced with a contract employee that can perform all the contract-required skills.

The Contractor shall conduct competency-based screening against preliminary Government minimum requirements, verify candidate qualifications against Government minimum requirements, and submit qualifying documentation for candidate approval as identified at the time of order placement.

5.1. Performance Qualification for Licensed Practical Nurse (LPN):

5.1.1. EDUCATION AND TRAINING MEDICAL SERVICES COORDINATOR

(LICENSED PRACTICAL NURSE (LPN): Proof of graduation from an approved National League of Nursing LPN program.

5.1.1.1. ADMINISTRATIVE. The contractor shall have a basic knowledge level including principles of customer service, TRICARE, quality control and risk management, medical terminology, medical forms and records management, anatomy and physiology, guidelines for release of medical information, medical and legal ethics, infection control concepts, applicable systems technology, supply procedures, and information systems.

5.1.1.2. The contractor shall ensure contractor employees have received Occupational Safety and Health Administration (OSHA) required training for the position in which they will perform, and that training currency is maintained. Documentation of such training shall be provided to the COR.

5.1.1.3. NURSING. The contractor shall:

5.1.1.3.1. Follow and comply with DHA, Air Force, MTF, and section policies and regulations when providing nursing care and treatment to beneficiaries.

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5.1.1.3.2. Attend section’s meetings in-services and training (excluding military training) on a regularly scheduled session.

5.1.1.3.3. Facilitate professional and patient care activities.

5.1.1.3.4. Interface with the multidisciplinary personnel as needed to ensure appropriateness of referrals.

5.1.1.3.5. Participate in multidisciplinary team activities.

5.1.1.3.6. Maintain current nursing license, current knowledge of referral management, and documentation of continuing education credits.

5.1.1.3.7. Demonstrates an ability to express self in all areas of communication, effective listening, and questioning techniques.

5.1.1.3.8. Provides timely and descriptive feedback regarding utilization review issues.

5.1.1.3.9. Performs data collection and review to identify areas requiring intensive management.

5.1.1.4. REFERRAL APPOINTING. The contractor shall:

5.1.1.4.1. Clarify with the Beneficiary Counseling and Assistance Coordinator (BCAC) for instances if a referral is not a TRICARE Covered Benefit.

5.1.1.4.2. Verify patients are registered in MHS GENESIS/Defense Eligibility Enrollment Reporting System (DEERS); updates demographic information as needed.

5.11.4.3. Provides Right of First Refusal (RFR) determinations for specialty care that can be provided within the MTF using the Capacity and Capability Report and information systems that link the referral to the appointment to the ATC category and standard.

5.1.1.4.4. Schedule specialty referral appointments to MTF, Direct Care System, within ATC standards.

5.1.1.4.5. Advise patients of the provider, location, time and day of referral appointments or requests the patient to call back for appointment information if an appointment was not provided prior to leaving MTF.

5.1.1.4.6. Provide pre-appointment instructions to patients as indicated.

5.1.1.4.7. Locate referral requests and ensures appropriate documents are available prior to all specialty appointments.

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5.1.1.4.8. Ensure patients leave MTF with all necessary information appropriate for the referred care episode.

5.1.1.4.9. Contact patients in event referral requests are invalid, disapproved by second level review/MCSC and reschedules patients as soon as possible or instructs patients of other health care options.

5.1.1.4.10. Submit referrals to non-network providers to TRICARE ISOS for medical necessity/ appropriateness review.

5.1.1.4.11. Receive and appropriately forwards clinical phone consult requests from patients.

5.1.1.5. HEALTH BENEFITS ADVICE. The contractor shall:

5.1.1.5.1. Advise all categories of patients of what their referral/health treatment options are as related to their eligibility and beneficiary status.

5.1.1.5.2. Coordinate with appropriate work center for travel orders, and non-medical attendants as required.

5.1.1.6. REFERRAL TRACKING. The contractor shall:

5.1.1.6.1. Track referrals to include obtaining reports from MTF, Direct Care System, and network and non-network providers within established standards. The primary responsibility to obtain Network/Non-Network results and return them to the referring provider resides with the MCSC.

5.1.1.6.2. Document the patient’s appointment, with whom; either the MTF, another MTF, the Network or with a non-network provider.

5.1.1.6.3. Document the name of the referring provider/PCM and MTF for purposes of returning specialty results.

5.1.1.6.4. Follow-up with MTF providers who did not complete referral results within required timelines.

5.1.1.6.5. Ensure that results from other MTFs and from Network/non-network providers are returned to the referring provider and to the medical record within required timelines and follow up as necessary.

5.1.1.6.6. Document that paper referral results are properly filed in patient’s health record.

5.1.1.6.7. Assist in preparation of monthly reports as indicated.

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5.1.1.7. CUSTOMER SERVICE. The contractor shall:

5.1.1.7.1. Greet patients, screen, and appropriately route phone calls.

5.1.1.7.2. Provide requesting provider with administrative assistance.

5.1.1.7.3. Serve as the “central clearing house” for providers and patients needing help with referrals.

5.1.1.8. PROCEDURE GUIDANCE. The Contractor shall perform referral education services compatible with the medical facility's operating capacity and equipment. New services shall not be introduced without prior recommendation and approval of the MTF- Commander or authorized representative.

5.1.1.9. DUTY ASSIGNMENT. The Contractor shall be primarily required to perform nursing services in the RMC. When primary services are not required, the contractor shall be assigned by the MTF Supervisor to provide other administrative duties where required.

5.1.1.10. OTHER SUPPORT. The Contractor shall provide immediate evaluation of emergency problems as they occur and follow established guidelines for seeking assistance.

5.1.1.11. DOCUMENTATION. The Contractor shall prepare all documentation to meet or exceed established standards of the MTF to include but not limited to timeliness, legibility, accuracy, content and signature. Unless approved for delay, contractor shall meet all suspense dates. Only MTF and Air Force approved abbreviations shall be used for documentation of care in the health care record.

5.1.1.12. SELF-EVALUATION. The medical service specialist shall participate in a continual process of self-evaluation and strive for excellence in nursing practice.

5.1.1.13. ATTENDANCE AT MEETINGS. The medical service specialist shall attend and participate in meetings, professional staff conferences, and other appropriate professional activities as needed.

5.2. Performance Qualification for Administrative Support Personnel:

5.2.1 EDUCATION AND TRAINING; MEDICAL SERVICES COORDINATOR

(ADMIN SUPPORT SERVICES). The contractor employee performing this duty shall meet the following requirements:

5.2.1.1. High School diploma or General Educational Development (GED) equivalency.

Completion of Administrative Assistant program is desirable.

5.2.1.2. Completed training in Microsoft Windows and Microsoft Excel is desirable.

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5.2.1.3. Completed and maintained Basic Life Support Training as required by the MTF.

5.2.1.4. Contractor shall be able to read, write, speak, and understand English.

5.2.2. ADMINISTRATIVE. The contractor shall have a basic knowledge level to include principles of customer service, TRICARE, quality control and risk management, medical terminology, medical forms and records management, guidelines for release of medical information, medical and legal ethics, applicable systems technology, supply procedures and information systems.

5.2.2.1 REFERRAL APPOINTING. The contractor shall:

5.2.2.1. Review referrals for suitability, administrative, and clinical completeness, covered TRICARE benefit, and required tests and pre-work. Coordinate with referring provider in cases where additional referral information is required.

5.2.2.2. Verify patients are registered in MHS GENESIS, EWRAS, and DEERS; updates demographic information as needed.

5..2.2.3. Assist with RFR determinations for specialty care that can be provided within the MTF using the Capacity and Capability Reports and information systems that link the referral to the appointment to the ATC category and standard.

5..2.2.4. Schedule specialty referral appointments to MTF or Direct Care System ATC standards 90 percent of the time.

5.2.2.5. Coordinate with specialty referral clinics (internal or external) on special patient instructions and tests required prior to appointment.

5.2.2.6. Advise patients of the provider, location, time and day of referral appointments or requests the patient to call back for appointment information if an appointment was not provided prior to leaving MTF.

5.2.2.7. Assist team members in providing pre-appointment instructions to patients as indicated.

5.2.2.8. Locate referral requests and ensure appropriate documents are available prior to all specialty appointments.

5.2.2.9. Print diagnostic reports and treatment profiles as necessary.

5.2.2.10. Ensure patients leave MTF with all necessary documentation appropriate for the referred care episode and the referral provider knows where to return his/her results.

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5.2.2.11. Contact referring providers in the event referral requests are invalid or disapproved by second level review.

5.2.2.12. Submit referrals when required for medical necessity and appropriateness review.

5.2.2.13. Receive and appropriately forward clinical phone consult requests from patients.

5.2.3. HEALTH BENEFITS ADVICE. The contractor shall advise all categories of patients of what their referral and health treatment options are as related to their eligibility and beneficiary status.

5.2.4. REFERRAL TRACKING. The contractor shall:

5.2.4.1. Track referrals to include obtaining reports from MTF, Direct Care System, and network and non-network providers within established standards. The primary responsibility to obtain Network/Non-Network results and return them to the referring provider resides with the MCSC.

5.2.4.2. Track patient appointments, either in the MTF, another MTF, in the Network or with a non-network provider.

5.2.4.3. Follow-up with MTF providers who did not review referral results within required timelines.

5.2.4.4. Ensure that results from other MTFs and from Network/non-network providers are returned to the referring provider and to the medical record within required timelines and follow up as necessary. (Process to obtain Network/non-network reports and return them to the referring providers will be outlined in the Memorandum of Understanding (MOU) between the MCSC and the MTF. The primary responsibility to obtain Network/Non-Network results resides with the MCSC).

5.2.4.5. Assist in preparation of monthly reports.

5.2.5. CUSTOMER SERVICE. The contractor shall:

5.2.5.1. Greet patients, screen, and appropriately route phone calls.

5.2.5.2. Provide requesting provider with administrative assistance.

5.2.5.3. Serves as the “central clearing house” for providers and patients needing help with referrals.

5.2.5.4. Provide administrative support to the Medical Evaluation Board (MEB) program.

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5.2.5.5. Provide administrative support to the Service Treatment Record (STR) program.

5.3. PERFORMANCE QUALIFICATION FOR INFECTION PREVENTIONIST:

5.3.1. Minimum of a bachelor’s degree in nursing, Public Health, Epidemiology, or Microbiology from a nationally recognized accredited college program.

5.3.2. Experience: Minimum of five (3) years of current experience in infection prevention and control. Part of this 3-year minimum experience must be performed within the past four (2) years.

5.3.3. The Contractor shall attend all such government provided training in a paid status as part of normal services required and billed under the contract. The contractor shall attend a 4–6-week Epidemiology, Prevention and Infection Control (EPIC) course at the Medical Education and Training Campus on JBSA-Fort Sam, Houston, TX, no later than 6 months from start of services.

5.3.4. The Contractor shall complete a minimum of 10 continuing education units (CEUs) annually on IPC-relevant training in the areas of sterile processing/reprocessing reusable medical devices and is certified in Basic Life Support (BLS) training and maintain BLS certification. The contractor shall provide evidence of this training to the Contracting Officer Representative (COR).

5.4. Infection Preventionist Tasks. The contractor shall provide on-site labor and management resources not otherwise furnished by the Government to perform the following advisory and assistance services associated with the scope and desired capabilities described in the tasks described below. The IP shall:

5.4.1. Implement the MTF IPCP IAW AFI 44-108, Infection Prevention and Control Program.

5.4.2. Perform an annual self-inspection to determine if there is sufficient evidence of MTF’s compliance or noncompliance with regulatory standards below. Provides assessment of IPCP to the Infection Prevention and Control Function (IPCF) Chair and shares with IPCF at quarterly meetings. Standards and guidelines used to determine compliance include, but are not limited to:

5.4.2.1. AFI 44-108, Infection Prevention and Control Program. The applicable IPC

5.4.2.1.1. American Society for Gastrointestinal Endoscopy. Multisociety guideline on reprocessing flexible GI endoscopes: 2016 update. (Unless superseded by more recent guidance) Available at:

https://www.sgna.org/Portals/0/MS_guideline_reprocessing_GI_endoscopes.pdf

MQS2-NG Task Order Template Type I Configuration as of 12 Feb 25 Page 18 of 30

5.4.2.1.2. Association for Professionals in Infection Control and Epidemiology (APIC).

APIC Text Online: Text of Infection Control (IC) and Epidemiology. Available at:

https://apic.org/ (Note: call AFMRA/SGHQ Infection Preventionist for access code)

5.4.2.1.3. Association for Professionals in Infection Control and Epidemiology (APIC).

APIC Text Online: Text of Infection Control and Epidemiology. Available at:

https://apic.org/ (Note: call AFMRA/SGHQ Infection Preventionist for access code).

5.4.2.1.4. Association for the Advancement of Medical Instrumentation (AAMI).

Sterilization, Part 1: Sterilization in Health Care Facilities, 2015 Edition, Arlington, VA.

(Unless superseded by more recent guidance) Available at:

http://esubscription.aami.org/Login.aspx (Note: call AFMRA/SGHQ Infection Preventionist for access code)

5.4.2.1.5. Association of Perioperative Registered Nurses (AORN), Inc. Guidelines for Perioperative Practice. 2018 Edition. Denver, CO. (Unless superseded by more recent guidance) Available on the Air Force Medical Service (AFMS) Virtual Library, Stat!Ref at: https://kx2.afms.mil/kj/kx8/VirtualLibrary/Pages/home.aspx

5.4.2.1.6. Centers for Disease Control and Prevention (CDC). Note: the following guidelines are available at this link:

https://www.cdc.gov/infectioncontrol/guidelines/index.html

5.4.2.1.7. 2007 Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcare Settings. (Unless superseded by more recent guidance)

5.4.2.1.8. Guidance for Evaluating Health-Care Personnel for Hepatitis B Virus Protection and for Administering Postexposure Management, 2013 (Unless superseded by more recent guidance)

5.4.2.1.9. Guideline for Disinfection and Sterilization in Healthcare Facilities, 2008.

(Unless superseded by more recent guidance)

5.4.2.1.10. Guideline for Hand Hygiene in Healthcare Settings, 2002. (Unless superseded by more recent guidance)

5.4.2.1.11. Guideline for Prevention of Catheter-Associated Urinary Tract Infections, 2009. (Unless superseded by more recent guidance)

5.4.2.1.12. Guideline for Prevention of Surgical Site Infection, 2017. (Unless superseded by more recent guidance)

5.4.2.1.13. Guideline for the Prevention and Control of Norovirus Gastroenteritis Outbreaks in Healthcare Settings, 2011. (Unless superseded by more recent guidance)

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5.4.2.1.14. Guideline for Infection Control in Health Care Personnel, 1998. (Unless superseded by more recent guidance).

5.4.2.1.15. Guidelines for Environmental Infection Control in Health-Care Facilities, 2003. (Unless superseded by more recent guidance)

5.4.2.1.16. Guideline for Hand Hygiene in Healthcare Settings, 2002. (Unless superseded by more recent guidance)

5.4.2.1.17. Guidelines for Infection Control in Dental Health-Care Settings, 2003.

(Unless superseded by more recent guidance)

5.4.2.1.18. Guidelines for Preventing Health-Care-Associated Pneumonia, 2003. (Unless superseded by more recent guidance)

5.4.2.1.19. Guidelines for the Prevention of Intravascular Catheter-Related Infections, 2011. (Unless superseded by more recent guidance)

5.4.2.1.20. Guidelines for Preventing the Transmission of Mycobacterium tuberculosis in Health-Care Settings, 2005. (Unless superseded by more recent guidance)

5.4.2.1.21. Immunization of Health-Care Personnel, Recommendations of the Advisory Committee on Immunization Practices (ACIP), 2011. (Unless superseded by more recent guidance).

5.4.2.1.22. Management of Multidrug-Resistant Organisms in Healthcare Settings, 2006.

(Unless superseded by more recent guidance)

5.4.2.1.23. Summary of Infection Prevention Practices in Dental Settings, 2016. (Unless superseded by more recent guidance)

5.4.2.1.24. International Association of Healthcare Central Services Material Management (IAHCSMM): Central Service Technical Manual, 8th Edition, 2016.

Available at: http://www.iahcsmm.org/

5.4.2.1.25. Society of Healthcare Epidemiology of America/Infectious Disease Society of America. Compendium of Strategies to Prevent Healthcare-Associated Infections in Acute Care Hospitals: 2014 Updates. Available at: https://www.shea-nline.org/index.php/practice-resources/prioritytopics/compendium-of-strategies-to-prevent-hais.

5.4.2.1.26. The Joint Commission. Comprehensive Accreditation Manual for Hospitals (use latest edition). https://www.jcrinc.com/store/publications/

5.4.2.1.27. Unified Facilities Criteria (UFC) 4-510-01, Design: Military Medicals Facilities. 1 May 2016, Change 2, November 2017. Available at:

MQS2-NG Task Order Template Type I Configuration as of 12 Feb 25 Page 20 of 30 https://www.wbdg.org/FFC/DOD/UFC/ufc_4_510_01_2016_c2.pdf

5.4.2.1.28. United States Air Force Dental Service. USAF Guidelines for Infection Prevention and Control in Dentistry. Available at:

https://kx2.afms.mil/kj/kx2/DECS/Documents/Infection%20Prevention%20and%20Contr ol/Resources/US AF%20Guidelines%20for%20Infection%20Prevention_Control%20in%20Dentistry%20 2017.pdf

5.4.2.1.29. United States Department of Labor, Occupational Safety and Health Administration, Title 29 Code of Federal Regulations, Standard 1910.1030, Bloodborne Pathogens. Available at: https://www.ecfr.gov/cgibin/ retrieveECFR?gp=&SID=59079c1fe9b3d1c4c8059166c3ae6d5d&mc=true&r=PART&n =pt29.6.1910#se29.6.1910_11030

5.4.2.1.30. United States Department of Labor, Occupational Safety and Health Administration, Code of Federal Regulations, Title 29, Standard 1910.134, Respiratory Protection. Available at: https://www.ecfr.gov/cgibin/ retrieveECFR?gp=&SID=59079c1fe9b3d1c4c8059166c3ae6d5d&mc=true&r=PART&n =pt29.5.1910 #se29.5.1910_1134

5.4.2.1.31. United States Environmental Protection Agency (EPA). Selected EPA-registered Disinfectants. Available at: https://www.epa.gov/pesticide-registration/selected-epa-registereddisinfectants

5.4.2.1.32. United States Food and Drug Administration. Topical Antiseptic Products:

Hand Sanitizers and Antibacterial Soaps. Available at:

https://www.fda.gov/Drugs/DrugSafety/InformationbyDrugClass/ucm444681.htm

5.4.2.1.33. United States Pharmacopeia. References available at:

http://www.usp.org/referencestandards/reference-standards-catalog

5.4.2.1.34. United States Public Health Service, Updated U.S. Public Health Service Guidelines for the Management of Occupational Exposures to HIV and Recommendations for Postexposure Prophylaxis, 2013. Available at:

https://stacks.cdc.gov/view/cdc/20711

5.4.2.1.35. World Health Organization. Hand Hygiene in Health Care: a Summary.

Available at: http://www.who.int/en/

5.4.2.1.36. DHA – POU Implementation Guide Updated JAN 2025

5.4.2.1.37. DHA-PM 6025.13 Vol2 (Clinical Quality Management)

5.4.2.2. AFI 90-201, The Air Force Inspection System

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5.4.2.3. AFI 44-119, Medical Quality Operations

5.4.2.4. Most current The Joint Commission (TJC) standards appropriate for facility type (e.g., hospital environments, outpatient clinics)

5.4.2.5. The Air Force Inspection Agency (AFIA) Unit Effectiveness Inspection (UEI) evaluation criteria (e.g., Management Internal Control Toolset (MICT), and Accreditation Manager Plus (AMP).

5.4.3. Guide the MTF on IPC-related accreditation preparation activities and regulatory readiness. Formulates corrective actions IAW current standards and guidelines.

5.4.4. Conduct and develop the MTF Infection Control Risk Assessment (ICRA) annually and when significant change to risk occurs; prioritize according to the level of probability and potential for harm. Coordinate ICRA development with other team members, including the IPCF Chair, IPCF members, Public Health (PH) and others as needed.

5.4.5. Develop and coordinates the annual Infection Prevention and Control Program Plan (IPCPP) based upon the approved ICRA prioritized list. Submits the plan to ECOMS for review and approval. Updates the IPCPP as needed throughout the year.

5.4.6. Develop and coordinates the IPCP Annual Summary that describes all activities in the IPCPP. The summary shall include a general discussion, actions taken and resolution.

Unresolved items must be carried over to the next IPCP Annual Summary. Submits the summary to the ECOMS for review and approval. All program documents shall be accomplished in a timely manner; clear suspense for the completion of each document IPCPP—shall be signed by the Commander or designee and shall be in place 30 calendar days following the close out of the reporting year.

5.4.7. Plan and develop the IPCF meeting agenda and minutes with the IPCF Chair based on activities outlined in the IPCPP; standard agenda items are included at least quarterly.

Submits meeting slides to the ECOMS for review.

5.4.8. Contractor employee shall maintain active memberships in the following groups:

Environment of Care Committee, Product Evaluation Committee, Patient Safety Committee, Facility Utilization Committee, Medical Readiness Staff Function, Nursing Executive Function, and the ECOMS.

5.4.9. Collect , manages, and analyzes IPC-related surveillance data as defined by the annual ICRA and IPCPP as approved by MTF senior leadership (e.g. ECOMS) or as required by the Air Force Medical Service and the Defense Health Agency (DHA).

Reports surveillance activities, findings, and analyses to the IPC Chair, IPC Function, ECOMS, and other related stakeholders, as applicable.

5.4.10. Assist in reviewing and revising IPC relevant MTF Operating Instructions (OIs) every two years, or as required. Verifies current standards are implemented throughout

MQS2-NG Task Order Template Type I Configuration as of 12 Feb 25 Page 22 of 30 the MTF (e.g., reprocessing of reusable medical devices (RMD), high level disinfection (HLD), instrument processing, environmental hygiene, hand hygiene, transmission-based precautions, etc.).

5.4.11. Participate in quality/performance improvement (PI) and patient safety (PS) activities related to IPC.

5.4.12. Advise and collaborates on IPC-related issues with many various staff/groups that include, but are not limited to, IPCF, ECOMS, TJC Environment of Care program (EOC) Committee, Nurse Executive Council (NEC), and Performance Improvement Council.

Assists with event analysis and development of correction actions.

5.4.13. Liaise with installation Air Reserve Component (ARC), Air National Guard (ANG) Medical Units, and Aeromedical Evacuation (AE) Units in developing Memorandum of Understanding or Memorandum of Agreement (MOU/MOA), or Host Tenant Agreement, as applicable. Informs the tenant unit’s IP on IPCP management and serves as a conduit to elevate IPC-related issues to MTF leadership.

5.4.14. Consult with other MTF IPs, AF/SG IP Consultant, and AFMRA IP on a regular basis regarding data, trends, and activities.

5.4.15. Collaborate with AFMS and local area peers to advance awareness of current IPC news and trends.

5.4.16. Participate in AF and DHA IPC forums, teleconferences, and meetings.

5.4.17. Apply epidemiologic principles and statistical methods to break the chain of infection and improve IPC efforts.

5.4.18. Utilize databases, graphs, and reports to track, trend, and monitor infectious processes and facilitate evidence-based practices.

5.4.19. Use Government-provided Information Technology (IT) systems, e.g., Electronic Healthcare Record (EHR), GENESIS/CERNER etc., to identify infection occurrences, reservoirs, incubation periods, periods of communicability, modes of transmission, signs and symptoms, and susceptibility associated with the disease process.

5.4.20. Interpret diagnostic and laboratory reports and advises clinicians on limitations and advantages of types of tests used to diagnose infectious processes.

5.4.21. Collaborate with Aerospace Medicine and Public Health for the management of an influx of infection patients.

5.4.22. Monitor infectious diseases and epidemiologically significant organism’s occurring in the…