PWS (Standardized Patients).pdf

1. GENERAL. Provide non personal services, as defined in Federal Acquisition Regulation FAR 37.101, under which the professional services rendered by a contract service provider are rendered in their capacity as an independent contractor or employee of any independent company that may be a party to this contract. The Government may evaluate the quality of professional and administrative services provided but retains no control over the professional aspects of the services rendered, including but not limited to the contract service provider’s professional medical judgment, diagnosis, or specific medical treatments. The Contractor shall be solely liable for and expressly agree to indemnify the Government with respect to any liability producing acts or omissions by its employees or agents. This contract does not create an employer-employee relationship between the Government and any corporation, partnership, business association or other party or legal entity with which the individual contract service provider may be associated.

1.1 Scope

1.1.1 The Contractor shall provide services of Standardized Patients (SP) for the United States Army Medical Center of Excellence Sexual Assault Medical Forensic Examiner (SAMFE) Course, at various Military Treatment Facilities (MTF) in both the European Command (EUCOM) and the Indo-Pacific Command (IPACOM). This requirement is for two (2) SPs per iteration. Each SP will be required to perform 15 encounters per iteration. There will be eight (8) iterations per period of performance. The nature and scope of services to be provided are described in the succeeding paragraphs contained in this Performance Work Statement (PWS). Services will be performed in accordance with the standards established herein.

1.1.2 Period of Performance. The period of performance of this award shall be for a 12-month period and four 12-month option periods.

Base year 8 iterations: 1 OCT 2025 – 30 SEP 2026 1st Option 8 iterations: 1 OCT 2026 – 30 SEP 2027 2nd Option 8 iterations: 1 OCT 2027 – 30 SEP 2028 3rd Option 8 iterations: 1 OCT 2028 – 30 SEP 2029 4th Option 8 iterations: 1 OCT 2029 – 30 SEP 2030

1.2. Qualifications.

1.2.1 Each SP must be able to accurately portray the physical and emotional criteria of a sexual assault case as well retain and assess the details of each student encounter.

Standardized patients must, accurately and consistently, recreate the history, personality, physical findings, and emotional structure and response pattern of a sexual assault. Standardized patients teach and refine medical-forensic history, physical assessment skills, including genital exam and speculum insertion, evidence collection and trauma-informed clinical skills, using their own body as the model, in a simulated clinical environment. The SP also provides feedback and evaluates learner performance.

1.2.2. . Each SP is required to be familiar the female and male genital anatomy. SPs also need to be familiar with anal and rectal anatomy and sexual assault medical forensic exams. Each SPs is required to be familiar with the anatomy relating specifically to SAMFE exams and interactive skills to relate the needed information/feedback during each encounter. The SP's is required to have the ability to discuss the Sexual Assault Forensic Examination (SAFE) while being performed on them as indicated by the instructor. The SP must have a high level of comfort with their own body along with clear and concise communication skills.

1.2.3. No physical health conditions contradicting the assigned case may exist during performance as an SP. Each SP must maintain appropriate hygiene to include the ano-genital area and be free of active Sexually Transmitted Infection such as outbreak HSV.

1.3. Performance Measures.

1.3.1. Outcome. The contractor shall provide trained and qualified personnel to fill the requirement for services at a standard, enabling the MEDCoE to maintain a high fidelity clinical instructional experience.

1.3.2. Standards. Acceptable measures include no more than two substantiated complaints per SP in any period of performance and filling at 100% of the scheduled shifts. Other performance evaluation factors that will be monitored but that are not quantified by numerical measurements include: contractors providing personnel exceeding the minimum qualification standards; customer service comments; provider and contractor relationship with staff/government contracting personnel; compliance with policy and procedures.

1.3.3. How measured. The Government shall monitor performance under this contract using the Quality Assurance Plan in this PWS, Army Regulation 40-68, and any other MTF standards. Performance will also be monitored by department personnel and the Point of Contact (POC) through government information systems and records, patient records, customer service information, contractor reports, and time sheets. Other methods may be implemented at the Government’s discretion.

1.3.4. Performance Requirements Summary. The following Performance Requirements Summary (PRS) will be utilized to assess the entire contract.

PERFORMANCE

OBJECTIVE

ACCEPTABLE

QUALITY LEVEL

REFERENCE METHOD OF

ASSESSMENT

Provide a high level of quality service.

No more than two substantiated complaints per SP during the period of performance.

PWS

Paragraph 1.3.

Substantiated Complaints.

Comply with Specific Tasks.

Comply at least 95% of the time.

PWS

Paragraph 5.

Annual review of files.

Comply with working scheduled shifts.

Fill 100% of the required shifts, per iteration.

PWS

Paragraph 1.5.

POC maintain log.

Comply with submitting Manpower Report.

Comply 100% of the time.

PWS

Paragraph 1.4.4.

Contract Administrator maintain log.

A. 100% Inspection: Each iteration will be inspected.

B. Non-PRS Items: The Government will periodically evaluate all other items in the PWS (i.e. Exercises, Data Submission, etc.).

1.4. Administrative.

1.4.1. Contracting Officer's Representative (COR): The COR will be identified by separate letter. The COR monitors all technical aspects of the contract and assists in contract administration The COR is authorized to perform the following functions:

Assure that the Contractor performs the technical requirements of the contract; perform inspections necessary in connection with contract performance; maintain written and oral communications with the Contractor concerning technical aspects of the contract;

issue written interpretations of technical requirements, including Government drawings, designs, and specifications; monitor Contractor's performance and notifies both the KO and Contractor of any deficiencies; coordinate availability of government furnished property, and facilitate site entry of Contractor personnel. A letter of designation issued to the COR, a copy of which is sent to the Contractor, states the responsibilities and limitations of the COR, especially regarding changes in cost or price, estimates or changes in delivery dates. The COR is not authorized to change any of the terms and conditions of the resulting order.

1.4.2. Each day that services are performed the contract service provider may be required to sign-in his/her time of arrival and departure on the register that will be maintained at a designated area.

1.4.3. Contractor Manpower Reporting. The Contractor shall report all contractor labor hours (including subcontractor labor hours) required to perform services under this Army contract. The Contractor shall access the secure data collection site (http://www.sam.gov) and complete all required data fields.

The Contractor inputs shall include the labor executed during the period of performance for each Government fiscal year (FY), which runs October 1 through September 30. The Contractor inputs shall be reported any time during the FY but must be reported no later than October 31 of each calendar year. Contractors shall direct questions to the help desk at: http://www.sam.gov.

1.4.4. The reporting period will be the period of performance not to exceed 12 months ending September 30 of each government fiscal year and must be reported by 31 October of each calendar year. The Contractor shall notify the POC by the 5th working day of November of each government fiscal year whether they have completed this report. If the POC is unavailable, the Contractor will notify the KO.

1.5. Hours of Performance.

1.5.1. The contractor is responsible for conducting business, between the hours of 0700

- 1900, Monday thru Friday and Federal holidays or when the Government facility is OPEN unless the facility is closed due to local or national emergencies, administrative closings, or similar Government directed facility closings. Course iterations may require personnel to work varying hours and to travel depending on the instructional needs and surges in training requirements. The Contractor shall have the flexibility to schedule individuals within those hours of operation in accordance with program requirements.

The Contractor shall also have the flexibility to schedule individuals outside the normal hours, with prior approval of the Contracting Officer in support of the course mission.

Additional hours and/or overtime compensation must receive Contracting Officer approval. The Contractor must always maintain an adequate workforce for the uninterrupted performance in accordance with Part 1.1 and all tasks defined within this PWS when the Government facility is not closed for the above reasons.

1.5.2. Holidays. The following is a list of legal federal holidays. Any of the federal holidays falling on a Saturday will be observed on the preceding Friday, holidays falling on a Sunday will be observed on the following Monday. Training holidays may occur in conjunction with these holidays, at the discretion of the MEDCoE.

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

1.5.3 Travel. Travel within the local vicinity (immediate San Antonio area) is required.

Travel reimbursements for local travel are not authorized. Travel to sites of mobile training is required to overseas locations in both Europe and the Indo-Pacific. Travel costs and other cost are incidental to the procurement of the on-sites services to be funded on an as required basis. Reimbursement for actual travel costs in accordance with the Joint Travel Regulation limit and FAR 31.205- 46.

1.5.4 The Contractor shall ensure all appropriate requirements to enter the countries in which the training is held is obtained by each SP supporting the iterations.

1.6. Conflict of Interest. The Contractor shall not employ off duty military personnel, or any person who is currently an employee of the United States Government or the Department of Defense, either military or civil service. Such employment would create a conflict of interest or be contrary to the policies contained in Department of Defense Regulation 5500-7R, Joint Ethics Regulation dated 30 August 1993.

1.7. Conduct of Personnel. The Contracting Officer (KO) may require the Contractor to remove from the job site any employee working under this contract for reasons of misconduct, security, or suspected to be under the influence of alcohol, drugs, or any other incapacitating agent. Contractor employees shall be subject to dismissal from the premises when the Contracting Officer (KO) determines that such action is in the best interest of the Government. The Commander has the authority to bar individuals from the installation. Removal from the job site, or dismissal from the premises, shall not relieve the Contractor of the requirement to provide sufficient personnel to perform the services as required by this PWS.

1.8. Personal Appearance. SPs are expected to present a neat, professional image during all teachings and testing sessions. SPs should not wear halter tops or midriff barring tops, or clothing that is ripped, excessively tight, low-cut or short. Contractor personnel will not wear athletic or athletic style clothing (e.g. jogging suits, sweat suits).

In all cases, the clothing will be neat and clean, i.e. free from visible dirt and stains; and it will fit to provide a professional appearance in keeping with the normally accepted standards of dress for the work being performed.

1.9. Security Requirements. Contractor personnel or any representative of the Contractor, entering any Military Installation shall abide by all security regulations and be subject to security checks. Contractor personnel and property shall be subject to search and seizure upon entering the confines of the Army Medical Command and any assigned satellite facilities while on the military installation, and upon leaving the confines of these facilities in accordance with all applicable regulations. Contractor personnel will always need a valid driver’s license on them.

1.9.1. Installation Passes: The COR, if applicable, will coordinate the issue of the required base credentials for access onto Joint Base San Antonio (JBSA) during the performance of required work for contractor personnel. Contract personnel shall wear a badge that clearly identifies them as a contract employee. The badge will contain a personal picture, name of employee, and contractor's name. Badges shall be always worn on the outer garment in full view, attached to the outer shirt or jacket pocket by a button or clip or worn around the neck secured by an appropriate identification card lanyard. Contractor personnel will not require issuance of a Common Access Card for the purpose of computer access in conjunction with this PWS.

1.9.2. Physical Security: The contractor shall be responsible for safeguarding all government equipment, information and property provided for contractor use. At the close of each work period, government facilities, equipment, and materials shall be secured.

1.9.3. Key Control: The Contractor shall establish and implement methods of making sure all keys/key cards issued to the Contractor by the Government are not lost or misplaced and are not used by unauthorized persons.

NOTE: All references to keys include key cards. No keys issued to the Contractor by the Government shall be duplicated. The Contractor shall immediately report any occurrences of lost or duplicate keys/key cards to the-Contracting Officer.

1.9.4. Background Checks: In accordance with HSPD-12, all DoD contractor employees must submit a National Agency Check plus Written Inquiries and Credit Check (NACI) background investigation (SF 85) to the AMEDD Center and School Security Office (G2). A favorable background investigation is required before gaining access to a U.S.

Government Local Area Network (LAN). Each Facility Security Officer (FSO) must set up a profile in the Joint Personnel Adjudicative System (JPAS) for each contractor employee within 5 working days of employment. The contractor, when notified of an unfavorable determination by the Government, shall withdraw the employee from consideration from working under the contract.

1.9.5. Information Technology and Telecommunications (ITT) and Information Assurance (IA): All DoD contractor employees whose duties are in the Information Technology and Telecommunications (ITT) and Information Assurance (IA) areas will be assigned a position sensitivity of IT-I or IT-II. Personnel designated as an IT-1 must obtain and maintain a Single Scope Background Investigation (SSBI). Personnel designated as an IT-II must obtain and maintain a National Agency Check with Local Agency and Credit Check (NACLC). Each facility Security Officer (FSO) shall forward the requests for background investigations to the Office of Personnel Management (OPM) within 3 working days of receipt of all required paperwork. If contract becomes classified the AMEDD Center and School G2 must be notified.

1.9.6. In-Out Processing Requirements. Contractor personnel shall report to Building 2840, Aabel Hall, room 101 for in and out-processing instructions. Contractor personnel will need to obtain a Common Access Card (CAC) for network and installation access to JBSA, Fort Sam Houston, TX. In-processing must be completed before contract employee begins work.

1.10. OPSEC Training. Per AR 530-1, Operations Security, the contractor employees must complete Level I OPSEC Awareness training. New employees must be trained within 30 calendar days of their reporting for duty and annually thereafter.

1.11. Contractor employees with an area of performance within an Army controlled installation, facility or area shall comply with the requirement listed below:

1.11.1. AT Level I training. This standard language is for contractor employees with an area of performance within an Army controlled installation, facility or area. All contractor employees, to include subcontractor employees, requiring access Army installations, facilities and controlled access areas shall complete AT Level I Awareness training within 30 calendar days after contract start date or effective date of incorporation of this requirement into the contract, whichever is applicable. The contractor shall submit certificates of completion for each affected contractor employee and subcontractor employee, to the COR or to the contracting officer, if a COR is not assigned, within 15 calendar days after completion of training by all employees and subcontractor personnel. AT level I Awareness training is available at the following website:

http://jko.jten.mil.

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

This local developed training will be used to inform employees of the types of behavior to watch for and instruct employees to report suspicious activity to the COR. This training shall be completed within 30 calendar days of contract award and within 15 calendar days of new employees commencing performance with the results reported to the COR NLT 30 calendar days after contract award.

1.12. Personnel In-Processing/Out-Processing Requirement.

1.12.1. Contractor employees with an area of performance within Army controlled installation, facility, or area. Contractor and all associated subcontractor employees shall provide all information required for background checks to meet installation access requirements to be accomplished by installation Provost Marshal Office, Director of Emergency Services or Security Office. The contractor workforce must comply with all personal identity verification requirements (FAR clause 52.204-9, Personal Identity Verification of Contractor Personnel) as directed by DOD, HQDA and/or local policy. In addition to the changes otherwise authorized by the changes clause of this contract, should the Force Protection Condition (FPCON) at any individual facility or installation change, the Government may require changes in contractor security matters or processes.

1.12.2 Contractors that do not require CAC but require access to a DoD facility or installation. Contractor and all associated sub-contractors employees shall comply with adjudication standards and procedures using the National Crime Information Center Interstate Identification Index (NCIC-III) and Terrorist Screening Database (Army Directive 2014-05/AR 190-13), applicable installation, facility and area commander installation/facility access and local security policies and procedures (provided by government representative); or, at OCONUS locations, in accordance with status of forces agreements and other theater regulations.

2. DEFINITIONS. As used throughout this contract, the following terms have the following definitions:

2.1. Contracting Officer (KO). A person by virtue of his/her appointment has the authority to enter and administer a contract and make determinations and findings with respect thereto. The Contracting Officer is the only person with authority to make changes to the contract and bind the Government.

2.2. Government Point of Contact (POC). A Government employee designated in writing, by the Contracting Officer, to perform technical surveillance as specified in an appointment letter. The POC is responsible for assessing Contractor performance against contract performance standards as listed in the Performance Requirements Summary (PRS). This individual has no authority to enter into or change existing Government contracts.

http://jko.jten.mil/

3. GOVERNMENT FURNISHED SUPPLIES/SERVICES.

3.1. The Government will provide use of all available facilities and support services, materials, publications and forms, and equipment required for contract performance (except as designated in the contract). Contract service providers shall keep government furnished supplies, equipment, and work areas in a safe, orderly, and clean condition. The Government will furnish heat, air conditioning, electricity, water, and sewer services, refuse collection and custodial services.

3.2. Emergency Contract Service Provider Healthcare. The MTF will provide emergency healthcare for injuries occurring while on duty. The contractor shall reimburse the government for such services.

4. CONTRACTOR FURNISHED SUPPLIES/SERVICES.

4.1. The Contractor shall furnish and maintain all equipment, supplies, and any transportation/vehicles (other than those specified as Government-furnished) and any other materials necessary to perform all services required to include make-up for moulage and clothing for patient role-playing. Equipment, supplies, and all other items shall comply with applicable commercial industry, Federal and State occupational safety, and any other regulations/standards.

5. SPECIFIC TASKS.

5.1. Trained to portray an individual male or female patient with a specific condition in a realistic, standardized and repeatable way (where portrayal/presentation varies based only on learner performance). A Standardized Patient (SP) is a person who is trained to accurately portray a specific sexual assault patient clinical condition.

5.2. The SP for the sexual assault medical forensic examination (SAFE) is used for teaching and assessment of learners including but not limited to sexual assault medical-forensic history, physical examination, evidence collection, ano-genital examination which includes vaginal speculum insertion (female standardized patient), penile examination (male standardized patient), and anal/rectal examination.

5.3. A SP is a person carefully recruited and trained to take on the characteristics of a real sexual assault patient thereby affording the student an opportunity to learn and to be evaluated on learned skills in a simulated clinical environment.

5.4. The SP provides feedback and evaluates learner performance based on student’s verbal and physical interactions with the SP and tenants of trauma-informed care.

5.5. The standardized patient needs to be trained in teaching ano-genital examinations.

Female SPs need to explain insertion of speculum and be familiar with female genital anatomy; male SPs need to be familiar the male genital anatomy. The SP also needs to be familiar with anal and rectal anatomy and the steps in the sexual assault medical forensic genital examination.

5.6. Prospective SPs need to learn the anatomy relating specifically to SAFE female and male exams and interactive skills to relate the needed information to the SAMFE student.

5.7. The SP’s must have the ability to discuss the SAFE and its impact on the patient while it is being performed on them as indicated by the preceptor or instructor and the tenants of trauma-informed care.

5.8. The SP must have a high level of comfort with their own body as at times they will need to expose their unclothed body to the students and preceptor.

5.8.1. The SP must maintain appropriate hygiene to include the ano-genital area.

5.8.2. SPs are used to teach and assess the clinical skills of SAMFE students in various training scenarios. Scenarios are provided by the Program Director and will include history, injuries, other findings and learning outcomes desired.

5.8.3. Work schedules vary based on the training needs of the SAMFE Course. Dates and locations of each iteration will be provided to the contractor 90 days prior to the start of the first iteration (as published in ATTRS). Locations for both Europe and Indo- Pacific trainings may vary during each period of performance.

5.8.4. Realism is critical in this training program; as such, scenarios will be assigned based on physical and personality characteristics. Some scenarios will have a specific age range, skin-tone and/or gender required. An SP may not be able to work a specific scenario because of gender that could interfere with the realism of the scenario being portrayed (an example would be a female SP portraying a male patient would not have the correct anatomy).

5.9. SPs will preserve the students' learning opportunities, adapt, when necessary, address the learners, ad-lib when needed, be supplied with appropriate props and costumes to tell the history, commit to character, learn, and remember the role's emotional contribution, evaluate students per requirements of SAMFE Course Director, always rehearse as needed.

5.10. This training requires intense concentration while the SP is being interviewed and examined by the student SAMFE. The SP must be able to respond as a real sexual assault patient would in accordance with the provided scenarios/scripts. The SP must be able to maintain not only the patient's character but also simulate her/his physical condition during the encounter with the student. SP must be able to do these scenarios multiple times in succession without changes as noted in the attached SP Monitor Form.

The SP Monitor Form will be completed after each SAMFE-patient encounter to ensure accuracy of SP portrayal.

5.11. This job requires intense concentration while the SP is being interviewed and examined by the student SAMFE. The SP must be able to respond exactly as the real patient would, and only as that patient would. The SP must be able to maintain not only the patient's character but also simulate her/his physical condition during the encounter with the student. SP must be able to do this many times in succession without any changes.

5.12. After the SAMFE-patient encounter, the SP must be able to recall the students' performance. The SP must be able to respond quickly to feedback provided by the training faculty with the goal of providing the best experiential learning experience within the guidelines of this contract.

6. QUALITY ASSURANCE SURVEILLANCE PLAN (QASP) The following minimum Quality Assurance Surveillance Plan applies (see table below). The Government has the right to change or modify inspection methods at its discretion.

7. SEXUAL ASSAUT AND SEXUAL HARRASSMENT Sexual Assault and Sexual Harassment under the Sexual Assault Prevention and Response Program (SHARP) is hereby incorporated by reference. Contractor personnel with knowledge of an incident of sexual assault will immediately (within 24 hours) report the incident to their employer and their employer will immediately report the incident to the Government's Point of Contact (POC).

TECHNICAL EXHIBIT I DELIVERABLES SCHEDULE

Deliverable Frequency Method Review Approvals

SP Monitor Form. PWS Part 5.10

After each encounter

Digital (pdf, word, excel)

OIC, NCOIC,

Program Director

OIC, NCOIC,

Program Director, COR

Provide feedback to students. Part PlWS 5.4

Per iteration/ Session

Digital (pdf, word, excel)

OIC, NCOIC,

Program Director

OIC, NCOIC,

Program Director, COR

Provide feedback to students. Part

PWS 5.4

Comply at least 95% of the time

Digital (pdf, word, excel)

OIC, NCOIC,

Program Director

OIC, NCOIC,

Program Director, COR