PWS_Tactical Combat Casualty Care Training Course for Tier III 2026 16March26 RFI Draft.pdf

Performance Work Statement for

Tactical Combat Casualty Care Training Course for Tier III

1.0 Background: The Defense Health Agency (DHA) TCCC curriculum for Combat Medics, Hospital Corpsmen, and Aerospace Medicine Technicians was developed by subject matter experts from across the Department of Defense serving on a work group chartered under the Office of the Assistant Secretary of Defense for Health Affairs (OASD(HA)). It complies with the DoD requirement for all Service members to receive role based TCCC training and certification in accordance with their skill-level, as outlined in DoD Instruction 1322.24, “Medical Readiness Training,” dated March 16, 2018. Effective immediately, this memorandum establishes Tactical Combat Casualty Care (TCCC) policy and training guidance for the Air Force Medical Service (AFMS).

2.0 Scope/Objective: Headquarters: Air Force Reserve Command (AFRC) requires a Firm Fixed Price (FFP) single award IDIQ with a continuous 5 year ordering period from May 2026 - May 2031 for TCCC Tier III training. The minimum will be 1 training event (initial award) for up to 110 personnel. Any other Task Order (TO) will be for 55-person training events, with a maximum of nine, 55-person training events over the 5 ordering periods. It is expected that following the first event, two 55-person training events may be held each calendar year, it may also be anticipated that two 55-person training events may be held at the same time requiring the facility to have capacity to train, care, feed and house up to 110 personnel at a time. This requirement provides Air Force reserve medical personnel with the necessary advanced medical training for future deployment. TCCC/Tier III standardizes instruction across the services to establish minimum training standards for the Tier III aspect of DHA TCCC training. It is vital that Medical Treatment Facilities (MTF) (to include Reserve and Guard Medical Units) and Line-units (Special Operations Forces (SOF), Squadron Medical Elements (SMEs), etc.) develop training and sustainment plans, which will allow Combat Medic Corpsman/Aerospace Medicine Technician (CMC-AMT) personnel to develop proficiency and mastery of Combat skills which, through evidence-based data, will reduce battlefield morbidity and mortality.

3.0 General Requirement: The contractor shall provide TCCC Tier III training services for the Combat Medic Corpsman – Aerospace Medicine Technician in accordance with Defense Health Agency (DHA) approved “Tier” curriculum. The contractor will be responsible for the overall execution of the CMC-AMT course. To include the following duties but are not limited to:

3.2 The contactor shall provide the following:

3.2.1 Training:

3.2.1.1 The contractor will follow DHA’s TCCC CMC-AMT (Tier 3) course and instructional material (course plans, train- the-trainer course, etc.) are available at https://www.deployedmedicine.com.

https://www.deployedmedicine.com/

3.2.1.2 A dedicated project manager that is TCCC Tier III certified to facilitate coordination between HQ AFRC and DHA.

3.2.1.3 Certified TCCC DHA/NAEMT Tier III trainers will maintain a ratio of 1 instructor per 6 students in accordance with the DHA standards to support 5 simultaneous classes for the practical application of TCCC.

3.2.1.4 A staggered start or rotating course scheduled to accommodate 5 classes simultaneously ensuring each class does not exceed 30 participants.

3.2.1.5 Full access to the standardized curriculum and electronic test via Deployed Medicine.

3.2.1.6 TCCC Tier III Medical Training equipment consisting of all items listed in the equipment list in the DHA standard for up to 110 students.

3.2.1.7 Develop and follow DHA required 64 hours of didactics, lesson plans, and hands-on-curriculum training schedule to include opposing forces, pyrotechnics, and training weapons as needed. Opposing forces, pyrotechnics, and training weapons are not mandatory, these are optional.

3.2.1.8 Develop 24-hour schedule over an 8-day period for participants. Provide course information to all participants at least one week prior to course start.

3.2.1.9 Ability to record video training scenarios for debrief and review.

3.2.1.10 Communicate with the HQ AFRC point of contact with any information pertaining to any/all information on how to register for Deployed Medicine and access course materials to students prior to course.

3.2.1.11 Incorporate training scenarios for each module/testable skill in multiple environments in preparation for culminating event/FTX.

3.2.1.12 Execute culminating event/FTX maximizing stress inoculation by utilizing live human patient actors (to include students, as applicable) and moulage/part task trainers amenable to hands-on treatment of massive hemorrhage, fractures, burns, and sucking chest wounds in an environment that simulates current potential deployed environments.

3.2.2 Logistics:

3.2.2.1 The contractor shall have the ability to accommodate the following items for up to

110 students:

3.2.3 Transportation: The contractor shall arrange for dependable transportation to/from the nearest airport, no more than 150 miles (from venue to airport), for all students to/from the approved venue for up to 110 personnel. Three charter buses (55pax each) at 12:00 PM, 3:00 PM, and 6:00 the day prior to class start. The contractor shall arrange transportation to the nearest airport, no more than 150 miles (from venue to airport) for return to same airport of arrival on last day of training.

3.2.3.1 The contractor shall be required to provide for travel needs of its personnel and sub-contractors to fulfill the requirements of this PWS IAW to include travel to/from/around all the TCCC training venue locations.

3.2.3.1.1 Lodging: The contractor shall provide gender-specific accommodations with indoor hard billeted lodging with beds/cots for up to 110 personnel.

3.2.3.1.2 Laundry facilities: The contractor shall ensure the availability of laundry or facilities to support up to 110 personnel.

3.2.3.1.3 Sanitation Facilities: The contractor should ensure adequate sanitation facilities, including one toilet for every 10 personnel and one shower for every 8 personnel, for a total of 110 members.

3.2.3.1.4 Meal Provision: The contractor should provide and serve three adult daily meals (breakfast, lunch, and dinner) to adequately feed up to 110 personnel each day. The contractor shall provide a box/sack lunch and dinner available to personnel on the travel day.

3.2.3.1.4.1 The contractor shall ensure adult meals and refreshment are served according to the hours and location applicable to the training venue.

3.2.3.1.4.2 The contractor shall provide all dishes, flatware, cups, saucers, bowls, glasses, napkins, buffet/service tables, linens, and other such implement and/or supplies necessary to serve all meals and refreshments.

3.2.3.1.4.3 The contractor shall 100% serve the meals and refreshments IAW the start time of the TCCC course.

3.2.3.1.4.4 The contractor shall provide and serve adult meals IAW United States Department of Agriculture (USDA) Child and Adult Care Food Programs (CACFP) website (https://www.fns.usda.gov/cnpp) and Dietary guidelines, Adult Meal Pattern, and standard hotel practices for a selection of each menu item and a selection of beverages, such as salad items, protein, vegetable, starches, fruits, breads, desserts, a variety of beverages (hot and cold) and appropriate selection of condiments for food and beverage selections, such as salad dressing, catsup, hot sauce, mustard, jellies, brown sugar, salt and pepper, sweeteners, cream, milk, honey, and lemons.

https://www.fns.usda.gov/cnpp

3.2.3.1.4.5 The contractor shall ensure that adult meals served do not contain nuts, nut butters or poppy seeds.

3.2.3.1.5 Internet Capabilities: The contractor shall ensure the provision of internet capabilities to support Medical UTC patient movement operations.

3.2.3.1.6 Audio/Video Assets and Printed Materials: The contractor shall supply audio and video assets along with all necessary printed materials.

4.0 Tasks:

4.1 The contractor shall provide eight days of didactic instruction, with a required instructor to student ratio of 1:6.

4.2 In accordance with the Air Force Medical Service (AFMS) letter dated 09 September 2024, Tactical Combat Casualty Care Policy and Guidance, the contractor shall be currently approved in writing by Defense Health Agency (DHA) to conduct TCCC Tier III. The DHA certification must be received and current upon submission of proposal.

4.3 The contractor shall provide all required training resources (i.e. personnel, materials, facilities, training areas, supplies, and equipment necessary to execute and complete the training DHA TCCC Tier III requirements).

4.4 The contractor shall assist AFRC personnel with establishing a DHA account for the member to obtain a certificate of completion for everyone that successfully completes the training course.

The certificate will state the course is a Defense Health Agency Tier III course and date of completion.

4.5 The contractor shall submit an after-action report and testing data to Headquarters Air Force Reserve Surgeon General (HQ AFRC/SG) each TCCC course provided.

5.0 Government Requirements:

5.1 AFRC units are responsible for coordination of transportation to/from HOR to airport.

5.2 AFRC Unit specific requirements will be provided by the unit to include but not limited to:

5.2.1 2 sets of OCPs, Rank, Boots, etc

5.2.2 Personal Hygiene Items

5.2.3 Reflective Belt

5.2.4 Water bottle

5.2.5 Ear and Eye Protection

5.2.6 Flashlight

5.2.7 Work Gloves

5.2.8 Appropriate uniform/clothing to accommodate weather as applicable

5.2.9 Physical Training (PT) gear

6.0 Period of Performance:

6.1 TCCC Tier III estimated training dates for 2026/2027/2028/2029/2030

a. Calendar Year 2026:

1 training event for up to 110 students for the initial training event 27 May 2026 – 3 June 2026 (travel on 26 May and 3 Jun) training dates are firm.

b. Calendar Year 2027:

Up to 2 training events 55 students each with a 180-day advance notice of projected date(s). Tentative training to occur in first and third quarters of calendar year.

c. Calendar Year 2028:

projected training date(s). Tentative training to occur in first and third quarters of calendar year.

d. Calendar Year 2029:

e. Calendar Year 2030:

7.0 Place of Performance:

7.1 TCCC Tier III training will be conducted at the contractor-owned facility that has locations for practical application scenarios to replicate the current challenges of near peer enemies and on-site capabilities to care, feed and house students.

7.2 The TCCC Tier III training facility will be a secure training area that prevents unauthorized access and observation.

7.3 Fire Protection and Prevention Program. All activities within the scope of this PWS are to be held at contracted facilities. The contractor shall ensure all event venue locations meet National Fire Protection Association (NFPA) guidelines(https://www.nfpa.org/). The contractor shall ensure each event venue location is current with local fire and elevator inspections.

8.0 SERVICES SUMMARY (SS).

8.1 Quality Assurance Surveillance Plan (QASP) Performance Objectives and Thresholds Performance Objective

PWS

Reference

Performance Threshold Method of Surveillance

Training:

Follow DHA’s

TCCC CMC-

AMT (Tier3) course and instructional material.

3.2.1.1 Contact shall comply

with DHA TCCC course instructional material with 100 percent compliance.

Transportation The contractor shall arrange for dependable transportation to/from the nearest airport, no more than 150 miles (from venue to airport), for all students to/from that approved venue for up to 110 personnel.

3.2.3

The contractor shall provide dependable transportation for all participants to/from the nearest airport, no more than 150 miles to/from venue site 100 percent of the time.

Lodging should provide gender-specific accommodation with indoor hard billeted lodging with beds/cots for up to 110 personnel.

3.2.3.1.1 The contractor shall

provide gender-specific accommodations with indoor hard billeted lodging with beds/cots for up to 110 personnel, 100 percent of the time.

Meal Provision shall provide and serve three adult daily meals

3.2.3.1.4 The contractor should

provide and serve three adult daily meals (breakfast, lunch, and dinner) to adequately feed up to 110 personnel each day. The

(breakfast, lunch, and dinner) to adequately feed up to 110 personnel for each day of training. On the travel days prior to training start contractor will provide lunch and dinner.

contractor shall provide lunch and dinner on the day of travel prior to class start.

The contractor shall ensure adult meals and refreshment are served according to the hours and location applicable to the training venue.

The contractor shall provide all dishes, flatware, cups, saucers, bowls, glasses, napkins, buffet/service tables, linens, and other such implement and/or supplies necessary to serve all meals and refreshments.

The contractor shall 100% serve the meals and refreshments IAW the start time of the TCCC course.

9.0 Contract POCs:

9.1.1 Ms. Jacqueline Anthes, Contracting Office, 478-222-5835; Jacqueline.anthes.3@us.af.mil

10.0 Applicable Documents and References:

10.1 Air Force Medical Service (AFMS) Tactical Combat Casualty Care (TCCC) Policy and Guidance 2024

10.2 AFMS Corps Chief TCCC Tier Guidance for Deploying Personnel

10.3 Revised AFMS TCCC Tier 3 Implementation Guidance

(End of Performance Work Statement)

8.1 Quality Assurance Surveillance Plan (QASP) Performance Objectives and Thresholds