RFQ AHRQ-23-10010 TeamSTEPPS Implementation Assessment_06-13-2023.pdf

Request for Quote AHRQ-23-10010 (RFQ v. July-2022) Page 1 of 31 RFQ # AHRQ-23-10010 - TeamSTEPPS Implementation and Assessment

Combined Synopsis/Solicitation

This is a combined synopsis/solicitation for commercial products or commercial services prepared in accordance with the format in subpart 12.6, as supplemented with additional information included in this notice. The solicitation and incorporated provisions and clauses are those in effect through Federal Acquisition Circular: FAC 2023-04 (Published in the Federal Register June 2, 2023).

Competitive quotes are being requested under RFQ Number: AHRQ-23-10010.

The Product Service Code and North American Industry Classification System (NAICS) code applicable to this acquisition is:

PSC – AN42: Health R&D Services; Health Care - Other; Applied Research

NAICS – 541720: Research and Development in the Social Sciences and Humanities, and the small business size standard is $22M (Millions of Dollars).

This procurement is a total small business set-aside. Only Small Businesses are eligible to respond.

It is the contractor’s responsibility to be familiar with the applicable clauses and provisions.

Please Note: For the purposes of this solicitation proposal, quote and response have the same meaning.

Project Title: TeamSTEPPS Implementation and Assessment

Date Issued: Tuesday, 06/13/2023

Task/Purchase Order Officer: To be completed at time of award

Period of Performance: 16 Months

Contract Type: A Firm Fixed Price purchase order is contemplated.

Estimated Number of Awards: 1

OMB Clearance: Yes: No: Dependent on Proposed Approach:

Written Questions Due Date:

Tuesday, 06/20/2023 not later than 11:00 AM, Eastern Time Submit electronically by e-mail to: david.goodno@ahrq.hhs.gov Subject line shall read: Questions RFQ AHRQ-23-10010 TeamSTEPPS.

Notice of Intent Due Date: If you intend to submit a quote in response to this request, please inform the Contract Specialist of your intent by sending an email to David Goodno, Contract Specialist at david.goodno@ahrq.hhs.gov no later than Friday 07/07/2023, 1:00 PM Eastern Time. Subject line shall read: Intent RFQ AHRQ-23-10010 TeamSTEPPS.

Quote Due Date and Time: Friday, 07/14/2023, not later than 11:00 AM Eastern Time

Please Note: All questions and inquiries will be processed on a non-attribution.

mailto:david.goodno@ahrq.hhs.gov

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Information and Quote Delivery

Your organization is invited to submit a quote in response to this this Request for Quote (RFQ).

To submit a quote, respondents are required to use the AHRQ Proposal System. Mailed quotes and E-mailed quotes will not be accepted.

In order to access the AHRQ Proposal System, quoters must be registered in the system before the quote due date. To ensure your organization is registered in the system, please send the following information to david.goodno@ahrq.hhs.gov no later than: Friday 07/07/2023, 1:00 PM Eastern Time.

Official Company name:

Unique Entity Identif ier:

Point of Contact name, email, phone number

Subject line in the email shall read:

(Organization Name) Access Request for AHRQ APS RFQ # AHRQ-23-10010 TeamSTEPPS

Failure to respond timely and provide the requested information could result in an inability to submit a quote.

Before the quote due date, instructions on how to upload quotes to the AHRQ Proposal System will be emailed to the point of contact.

See section 7 for Quote requirements.

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Note: No funding or expenditures are authorized under this task/purchase order for travel or meeting expenses of any person that is not an employee of the contractor or approved subcontractor in accordance with the terms of the contract. See 31 USC § 1345 for appropriations restrictions.

Firm Fixed Price:

Non-Severable Commercial Services

CLIN* Description: Qty Price Total 0001 Updated TeamSTEPPS Curriculum Training and

Assessment 55 $ TBD $ TBD

0002 New TeamSTEPPS Diagnosis Improvement

Training and Assessment 60 $ TBD $ TBD

Total Firm Fixed Price: 115 $ TBD

*Contract Line Item Number

The Contractor will be paid for the quantity of sites that complete the implementation/training. Maximum payment amount shall not exceed the total FFP above.

AHRQ’s Mission The Agency for Healthcare Research and Quality's (AHRQ) mission is to produce evidence to make health care safer, higher quality, more accessible, equitable, and affordable, and to work within the U.S. Department of Health and Human Services and with other partners to make sure that the evidence is understood and used. Patient Safety is AHRQ’s priority.

Teamwork and Communications Skills to Improve Patient Safety Communication gaps among health care providers are linked to negative patient outcomes and compromise patient safety. Further, teamwork is considered an essential component to safer healthcare. Developing and strengthening teamwork among health care personnel is a key initiative within the patient safety domain and can transform the culture within healthcare.

Patient safety experts report that communication and other teamwork skills are necessary for the provision of quality healthcare and for the prevention and mitigation of medical errors and patient injury and harm. Communication and other teamwork skills are major components of the TeamSTEPPS, an evidence-based patient safety program. Use and adoption of TeamSTEPPS, that trains on improving teamwork, can optimize patient outcomes and lessen burden on healthcare workers.

Evolution of the TeamSTEPPS Program In 2006 the Agency for Healthcare Research and Quality (AHRQ) and the Department of Defense developed Strategies & Tools to Enhance Performance and Patient Safety, or TeamSTEPPS®, aiming to produce highly effective medical teams by utilizing tailored concepts and resources to achieve the best clinical outcomes. TeamSTEPPS® was adopted from similar work that originated in the airline industry and US military. Research shows that TeamSTEPPS® has significantly contributed to improved communication and teamwork among

1. PURCHASE ORDER PRICING

2. STATEMENT OF OBJECTIVES

Request for Quote AHRQ-23-10010 (RFQ v. July-2022) Page 4 of 31 healthcare professionals. Strengthening coordination of care, hand-offs, improving communication and overall teamwork among health care providers in all settings continue to be a steadfast goal. In 2022, AHRQ released the TeamSTEPPS® for Diagnosis Improvement Course which applies the TeamSTEPPS® framework to the specific problem of diagnostic error.

In 2023, the TeamSTEPPS Program underwent significant update.

TeamSTEPPS Program Components TeamSTEPPS is grounded in team structure and four teachable-learnable skills:

Communication, Team Leadership, Situation Monitoring, and Mutual Support. The TeamSTEPPS® curriculum update created a consolidated curriculum that addresses these skills through four (4) modules. These interconnected skill sets contribute to the overall goal of highly reliable, safe, efficient, and patient-centered care teams. The updated curriculum provides unique guidance for various healthcare roles that are all part of the team including administrators, experienced trainers, frontline care providers, new trainers, professional trainers and patient and their caregivers. The TeamSTEPPS® curriculum is in an online format. As part of the update, three new Training Units and three video-based Patient Story about their encounters with the healthcare system have been added to the curriculum. The AHRQ TeamSTEPPS® website also includes evaluation tools to assess or quantify the TeamSTEPPS® impact as well as a research library and the TeamSTEPPS app.

Given the advancements in health information technology, changes in how care is delivered and a recent emphasis on engaging patients and families as members of the healthcare team, the TeamSTEPPS curriculum was significantly refreshed and made into a singular comprehensive program to better support teams in improving their communication skills and collaboration.

Current Needs For nearly two decades, TeamSTEPPS® has been utilized by the healthcare industry in various settings (hospitals, outpatient clinics, nursing homes, surgery centers, among others). However, since 2017, AHRQ has not supported formal TeamSTEPPS training delivered in a wide-ranging and organized mode across settings and audiences. Further, an assessment of skills, attitudes and behaviors is critical to inform how TeamSTEPPS augments healthcare teamwork in delivery of safer and of higher quality care. Such assessment of the TeamSTEPPS program has not been conducted to date.

Since the area of diagnostic safety is one of AHRQ top priorities, the only standalone TeamSTEPPS segment is the new TeamSTEPPS® for Diagnosis Improvement Course.

With the newly updated TeamSTEPPS curriculum including most of TeamSTEPPS components revised as well as new introduced, there is an opportunity to deliver TeamSTEPPS training across healthcare settings in a uniformed and systematic fashion. Afterwards, the assessment for change in individuals and teams is necessary to examine the degree to which the updated TeamSTEPPS program enhances users’ experience, improves the teams’ effectiveness, streamlines team communication and overall increases healthcare professionals’ commitment to interdisciplinary teamwork.

The TeamSTEPPS training is needed in different settings of various large and small healthcare and healthcare-related organization and institutions around the country.

Objectives The primary objective of this project is to implement the updated TeamSTEPPS training curriculum in at least 55 healthcare organizations and the new TeamSTEPPS® for Diagnosis Improvement Course in at least 60 healthcare organizations. This training should be provided at no cost to these organizations.

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The secondary objective is to assess for knowledge, skills, attitudes and organizational change and document the findings. The TeamSTEPPS implementation in the form of training and technical assistance is to support the dissemination, adoption and use of TeamSTEPPS® by health systems and healthcare organizations, professional organizations, educational associations, educational institutions nationwide (e.g. medical and nursing schools), and Quality Improvement Organizations (QIOs). The assessment will test the overarching short and long-term impact of the TeamSTEPPS program.

The two TeamSTEPPS (TS) components for implementation and assessment include 1.

updated TeamSTEPPS curriculum to optimize patient safety and quality outcomes, and 2. the new TeamSTEPPS® for Diagnosis Improvement Course to decrease medical errors and patient harm. It is essential that the current and future healthcare workforce is trained as that may be key to uptake and adoption of TeamSTEPPS concepts and continuous improvement of teamwork in support of safe care delivery and amelioration of healthcare workforce burnout.

This project shall implement TeamSTEPPS training and conduct testing across various healthcare organizations and institutions in the United States including:

• at least 75 health care systems and affiliated primary care medical offices,

• at least 25 medical and nursing schools,

• at least 15 private sector institutions that offer TeamSTEPPS program.

The aim is to engage both connector groups (e.g., American Hospital Association, Quality Improvement Organizations, Quality Innovation Networks, practice facilitators for primary care offices, etc.) and different, small and large, healthcare institutions (e.g., rural and urban hospitals).

The items specified for delivery below are subject to the review and approval of the Contracting Officer Representative (COR) before final acceptance. The contractor shall make revisions as deemed necessary by the COR. Days mean calendar days.

Period of Performance: 16 months

Task Number Deliverable Format Due Date Audience Section 508 Standards

Regular communications on progress of implementation and assessment

Electronic Content – various formats

(WORD, PDF,

Excel, PPT, emails, etc.) of written documents

Emails

Weekly throughout the duration of the project

AHRQ COR n/a

3. DELIVERY SCHEDULE

Request for Quote AHRQ-23-10010 (RFQ v. July-2022) Page 6 of 31

Period of Performance: 16 months

Task Number Deliverable Format Due Date Audience Section 508 Standards

Monthly progress report*

Electronic Content – various formats

(WORD, PDF,

Excel, PPT, emails, etc.) of written documents

Emails

Monthly throughout the duration of the project

AHRQ COR n/a

TeamSTEPPS Assessment* Report

Electronic Content – various formats

(WORD, PDF,

Excel, PPT, emails, etc.) of written documents

Email

No less than 30 days prior to the completion of the period of performance

Public • 302 Functional Performance Criteria

• 602 Support Documentation

• 603 Support Services

• All WCAG A & AA Success Criteria

*Deliverables annotated with an asterisk may only be changed through an official modification signed by an AHRQ Contracting Officer.

Revised Section 508 Standards apply to Information & Communication Technology (ICT) procured, maintained, or used by the Federal Government. The standards were issued under Section 508 of the Rehabilitation Act which requires access to ICT by people with physical, sensory, or cognitive disabilities. This requirement extends to both federal employees and members of the public. Examples of ICT include (but are not limited to) computers, telecommunications equipment, software, websites, and electronic documents. Accessibility is the law and provides for inclusion. Instructions regarding 508 can be found in this contract in Section H; “Information & Communication Technology Accessibility” and “AHRQ Publishing and Communications Guidelines” at https://www.ahrq.gov/policy/electronic/about/policyix.html. Web sites, web tools, and/or web services (any functionality) that are new, redesigned, modified, or added cannot go-live until formal approval has been received from AHRQ’s Office of Communications. The Agency will not accept contract deliverables that fail to meet these standards and guidelines and will require the contractor to perform any tasks needed to revise deliverables to comply with 508 requirements before acceptance.

Electronic content must be accessible to HHS acceptance criteria. Official HHS Accessibility Checklists for various formats are available at https://www.hhs.gov/web/section- 508/accessibility-checklists/index.html. Electronic deliverables should be accompanied by the appropriate checklist or an updated Accessibility Conformance Report.

As part of the proposal submission, use the latest Voluntary Product Accessibility Template (VPAT 2.4 Rev 508) located at https://www.itic.org/policy/accessibility/vpat.

https://www.ahrq.gov/policy/electronic/about/policyix.html https://www.hhs.gov/web/section-508/accessibility-checklists/index.html https://www.hhs.gov/web/section-508/accessibility-checklists/index.html https://www.itic.org/policy/accessibility/vpat

Request for Quote AHRQ-23-10010 (RFQ v. July-2022) Page 7 of 31

4.1 Task Order Officer

The Task Order Officer is responsible for: monitoring the contractor’s technical progress, including the surveillance and assessment of performance and recommending to the contracting officer changes in requirements; interpreting the statement of work and any other technical performance requirements; performing technical evaluation as required; performing technical inspections and acceptances required by this contract; and, assisting in the resolution of technical problems encountered during performance.

4.2 Contracting Officer

A Contracting Officer is the only person with authority to act as an agent of the government under this contract. Only a Contracting Officer has authority to: direct or negotiate any changes in the statement of work; modify or extend the period of performance; change the delivery schedule;

authorize reimbursement to the contractor of any costs incurred during the performance of this contract; or, otherwise change any terms and conditions of the contract.

4.3 Key Personnel

Pursuant to the Key Personnel clause incorporated in Section 6 of this purchase order, the following individual(s) is/are considered to be essential to the work being performed hereunder:

To be determined

The clause above contains a requirement for review and approval by the Contracting Officer of written requests for a change of Key Personnel reasonably in advance of diverting any of these individuals from this contract. Receipt of written request at least 30 days prior to a proposed change is considered reasonable.

4.4 Invoice Requirements

(1) The Contractor shall furnish the following MINIMUM information in support of costs invoiced:

NOTE: Fixed Price Invoices shall be billed in accordance with the payment schedule.

a. Contractor Information – include organization name and address as it appears on the contract (or task order/BPA call as applicable). Include the TIN number

b. Contract Information – include the contract number and if applicable, the task order or BPA call number

c. Invoice Information – include the invoice number, which shall be a unique number specific to each invoice. Letters and numbers may be used. An invoice number may only be used one time regardless of the number of contracts or orders held by an organization. Duplicate invoice numbers are not allowed and will result in invoices being returned unpaid.

d. Task Number/Description/Milestone – (if applicable) identify the task number, milestone and/or description being billed

e. Current amount invoiced – by contract item/task and total dollar amount of this invoice

f. Cumulative amount invoiced – by contract item/task and total dollar amount

4. ADDITIONAL INFORMATION

Request for Quote AHRQ-23-10010 (RFQ v. July-2022) Page 8 of 31

g. If FAR clause 52.219-14, “Limitations on Subcontracting” is included in the contract, provide calculations that demonstrate compliance with the limitation.

At a minimum, provide current and cumulative amounts for prime and subcontractors, and the percentage of the total for each.

INCOMPLETE INVOICES / VOUCHERS THAT ARE SUBMITTED WITHOUT THE REQUIRED

INFORMATION WILL BE RETURNED UNPAID.

4.5 Payment Schedule

The contractor shall provide the services/supplies as set forth in the Statement of Objectives and Deliverables, and will submit invoices in accordance with the following Milestone Payment Schedule:

To be Determined - See Section 7.3

4.6 Quality Assurance Surveillance Plan (QASP)

To be completed by the offeror and inserted into the purchase order at time of award.

5. SPECIAL REQUIREMENTS

5.1 Release and Use and Copyright of Data First Produced From Work Performed Under This Contract

(a) Release and Use – Data first produced in the performance of the Contract. As permitted in FAR 52.227-17, the provisions of this Section shall apply to any release or use of data first produced in the performance of the Contract and any analysis, tools, methodologies, or recorded product based on such data.

(b) Release and Use – Requirements related to confidentiality and quality. To ensure public trust in the confidentiality protections afforded participants in Agency for Healthcare Research and Quality (AHRQ)-supported research, AHRQ requires and monitors compliance by its contractors with section 934(c) of the Public Health Service Act (PHS Act) (42 U.S.C. 299c-3(c)), which states in part that

No information, if the establishment or person supplying the information or described in it is identif iable, obtained in the course of activities undertaken or supported under this title, may be used for any purpose other than the purpose for which it was supplied unless such establishment or person has consented...to its use for such other purpose. Such

Required Services/Tasks

Performance Standards

Method of Surveillance (Quality Assurance)

Standard to be Met/ Allowable Deviation

Request for Quote AHRQ-23-10010 (RFQ v. July-2022) Page 9 of 31 information may not be published or released in other form if the person who supplied the information or who is described in it is identif iable unless such person has consented...to its publication or release in other form.

In addition to this requirement, section 933(b)(1) of the PHS Act (42 U.S.C. 299c-2(b)(1)) requires AHRQ to assure that statistics and analyses developed with Agency support are of high quality, comprehensive, timely, and adequately analyzed. Accordingly --

(1) prior to the release or use of data based upon work performed under this Contract, the Contractor agrees to consult with the Contracting Officer’s Representative and Contract Officers regarding the proposed release or use. The Contractor will in good faith consider, discuss, and respond to any comments or suggested modifications that are provided by AHRQ within two months of receiving the proposed release or use.

The purpose of such consultation is to assure that:

(A) identif iable information is being used exclusively for the purpose(s) for which it was supplied or appropriate consents have been obtained;

(B) the confidentiality promised to individuals and establishments supplying identif iable information or described in it is not violated; and

(C) the quality of statistical and analytical work meets the statutory standards cited above.

(2) The Contractor must satisfy conditions (1)(A) and (1)(B). At the conclusion of any consultation required by paragraph (b)(1) above, if AHRQ and the Contractor cannot agree that a proposed use or release satisfies condition (1)(C) above:

(A) the research professional at the Contractor responsible for the quality of the Contract work will, in advance of any release or use of such data, certify in a letter to the Contracting Officer what differences of opinion cannot be resolved regarding the statutory standards referenced in condition (1)(C) and the basis for Contractor assertions that these standards have been met; and

(B) the Contractor must print prominently on the release or other product, or on any portion that is released, or state prior to any oral presentation or release of such material, the following disclaimer:

THIS PRESENTATION/ PUBLICATION/OR OTHER PRODUCT IS DERIVED FROM

WORK SUPPORTED UNDER A CONTRACT WITH THE AGENCY FOR HEALTHCARE

RESEARCH AND QUALITY (AHRQ) CONTRACT# ______. HOWEVER, THIS

PRESENTATION/ PUBLICATION/OR OTHER PRODUCT HAS NOT BEEN APPROVED

BY THE AGENCY.

(c) Required Statement Regarding Protected Information. On all written material or other recorded products, or preceding any presentation or other oral disclosure, release or use of material based on identif iable information obtained in the course of work performed under this contract, the Contractor shall make the following statement:

IDENTIFIABLE INFORMATION ON WHICH THIS REPORT, PRESENTATION, OR

OTHER FORM OF DISCLOSURE IS BASED IS PROTECTED BY FEDERAL LAW,

SECTION 934(c) OF THE PUBLIC HEALTH SERVICE ACT, 42 U.S.C. 299c-3(c). NO

IDENTIFIABLE INFORMATION ABOUT ANY INDIVIDUALS OR ENTITIES SUPPLYING

THE INFORMATION OR DESCRIBED IN IT MAY BE KNOWINGLY USED EXCEPT IN

ACCORDANCE WITH THEIR PRIOR CONSENT. ANY CONFIDENTIAL IDENTIFIABLE

INFORMATION IN THIS REPORT OR PRESENTATION THAT IS KNOWINGLY

DISCLOSED IS DISCLOSED SOLELY FOR THE PURPOSE FOR WHICH IT WAS

PROVIDED.

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(d) Copyright – Data first produced in the performance of the Contract. Subject to the terms of this Section regarding release and use of data, AHRQ, through its Contracting Officer, will grant permission under FAR 52.227-17(c)(1)(i) to the Contractor to establish claim to copyright subsisting in scientif ic and technical articles based on or containing data first produced in the performance of this contract that are submitted for publication in academic, technical or professional journals, symposia proceedings or similar works. When claim to copyright is made, the Contractor shall affix the applicable copyright notice of 17 U.S.C. 401 or 402 and acknowledgment of Government sponsorship (including contract number) to the data when such data are delivered to the Government, as well as when the data are published or deposited for registration as a published work in the U.S. Copyright Office. In such circumstances, the Contractor hereby agrees to grant to AHRQ, and others acting on its behalf, a paid-up, nonexclusive, irrevocable, worldwide license for all such data to reproduce, prepare derivative works, distribute copies to the public, and perform publicly and display publicly, by or on behalf of AHRQ. A description of this license will be incorporated into the copyright notices required above.

(e) Subcontracts. Whenever data, analyses, or other recorded products are to be developed by a subcontractor under this Contract, the Contractor must include the terms of this clause in the subcontract, without substantive alteration, with a provision that the subcontractor may not further assign to another party any of its obligations to the Contractor. No clause may be included to diminish the Government’s stated requirements or rights regarding release or use of products or materials based on data derived from work performed under this contract.

5.2 Lack of Compliance with Requirements for Release or Use

Failure to submit materials for statutorily mandated confidentiality and statistical and analytic quality reviews as required by Section 5.1 of this task/purchase order will be viewed as a material violation and breach of the terms of this contract, as the requirements of this provision are necessary for AHRQ to carry out its statutory obligations and responsibilities. Records of the Contractor’s performance, including the Contractor’s performance pertaining to this task/purchase order, will be maintained in AHRQ's Contracts Management Office and will be considered as an element of past performance which is part of all subsequent competitive task/purchase order quote reviews.

5.3 Subcontracts

The contractor shall include the requirements of all Section 5 clauses in all subcontracts. These requirements are to be included without substantive alteration, and no clause may be included to diminish these requirements.

5.4 AHRQ Security and Privacy Requirements

See Attachment No. 1

5.5 AHRQ Publishing and Communications Guidelines

All publications and communications resulting from this contract shall comply with the AHRQ publications and communications guidelines. Products will be reviewed to ensure compliance with these guidelines. Deliverables that are non-compliant are not acceptable.

The AHRQ Publishing and Communications Guidelines can be found at http://www.ahrq.gov/research/publications/pubcomguide/. This will assist the contractor in this effort by coordinating the work with AHRQ Office of Communications (OC).

http://www.ahrq.gov/research/publications/pubcomguide/

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The Contractor must provide a written request for copyright assertion to the Contracting Officer.

See Clause on Release and Use and Copyright of Data First Produced From Work Performed Under This Contract. Any manuscript or paper must include attribution/disclaimer statement substantially the same as the following:

This project was funded under Contract No. 75Q80120PXXXXXX (revise as appropriate) from the Agency for Healthcare Research and Quality (AHRQ), U.S. Department of Health and Human Services (HHS). The authors of this document are responsible for its content.

The content does not necessarily represent the official views of or imply endorsement by AHRQ or HHS.

5.6 Award Announcement

Prior to making any announcement regarding this award the contractor shall contact AHRQ’s Media Relations Office at newsroom@ahrq.hhs.gov. All press announcements will be coordinated with AHRQ and the Department of Health and Human Services.

5.7 Public Access to AHRQ Funded Scientific Publications

Contractors shall review the document titled ‘AHRQ Announces new Policy for Public Access to AHRQ-Funded Scientific Publications’ which is available at http://grants.nih.gov/grants/guide/notice-files/NOT-HS-16-008.html and comply with the policy.

For all research arising from AHRQ support, this policy requires that AHRQ-funded authors submit an electronic version of the author’s final peer-reviewed accepted manuscript to the National Library of Medicine's PubMed Central (PMC) to be made publicly available within 12 months of the publisher’s date of publication.

6. PURCHASE ORDER CLAUSES

This order incorporates the following clauses by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available.

NOTE: The clause listing below contains contractual information pertinent to this RFQ and is not an exact representation of the contract document that will be awarded as a result of this RFQ. The task/purchase order price and other contractual provisions pertinent to the offeror (i.e., those relating to specific cost authorizations unique to the Offeror's quote and requiring Contracting Officer Prior Approval) will be included in the resultant task/purchase order.

FEDERAL ACQUISITION REGULATION (FAR) (48 CFR CHAPTER 1) CLAUSES:

FAR

CLAUSE NO.

TITLE DATE

52.203-3 Gratuities Apr 1984 52.203-12 Limitations on Payments to Influence Certain Federal

Transactions (Over $150,000) June 2020

52.203-17 Contractor Employee Whistleblower Rights and Requirements to Inform Employees of Whistleblower Rights

June 2020

52.204-4 Printed or Copied Double-Sided on Recycled Paper May 2011 52.212-4 Contract Terms and Conditions – Commercial Items

(Alternate 1) Nov 2021

52.227-1 Authorization and Consent June 2020 mailto:newsroom@ahrq.hhs.gov http://grants.nih.gov/grants/guide/notice-files/NOT-HS-16-008.html

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52.227-2 Notice and Assistance Regarding Patent and Copyright Infringement

June 2020

52.227-17 Rights in Data – Special Works Dec 2007 52.232-1 Payments April 1984 52.232-17 Interest May 2014 52.244-2 Subcontracts June 2020 52.253-1 Computer Generated Forms Jan 1991

HHSAR REGULATION (48 CFR CHAPTER 3) CLAUSES

HHSAR

CLAUSE NO.

TITLE

DATE

352.203-70 Anti-Lobbying Dec 2015 352.208-70 Printing and Duplication Dec 2015 352.219-70 Mentor-Protégé Program Dec 2015 352.219-71 Mentor-Protégé Program Reporting Requirements Dec 2015 352.222-70 Contractor Cooperation in Equal Employment Opportunity

Investigations Dec 2015

352.227-70 Publications and Publicity Dec 2015 352.231-70 Salary Rate Limitation Dec 2015 352.237-75 Key Personnel Dec 2015 352.239-74 Electronic and Information Technology Accessibility Dec 2015

52.212-5 Contract Terms and Conditions Required to Implement Statutes or Executive Orders-Commercial Items. (JUN 2023)

(a) The Contractor shall comply with the following Federal Acquisition Regulation (FAR) clauses, which are incorporated in this contract by reference, to implement provisions of law or Executive orders applicable to acquisitions of commercial products and commercial services:

(1) 52.203-19, Prohibition on Requiring Certain Internal Confidentiality Agreements or Statements (Jan 2017) (section 743 of Division E, Title VII, of the Consolidated and Further Continuing Appropriations Act, 2015 (Pub. L. 113-235) and its successor provisions in subsequent appropriations acts (and as extended in continuing resolutions)).

(2) 52.204-23, Prohibition on Contracting for Hardware, Software, and Services Developed or Provided by Kaspersky Lab and Other Covered Entities (Nov 2021) (Section 1634 of Pub. L. 115-91).

(3) 52.204-25, Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment. (Nov 2021) (Section 889(a)(1)(A) of Pub. L. 115- 232).

(4) 52.209-10, Prohibition on Contracting with Inverted Domestic Corporations (Nov 2015).

(5) 52.232-40, Providing Accelerated Payments to Small Business Subcontractors (Mar 2023) (31 U.S.C. 3903 and 10 U.S.C. 3801).

(6) 52.233-3, Protest After Award (Aug 1996) (31 U.S.C. 3553).

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(7) 52.233-4, Applicable Law for Breach of Contract Claim (Oct 2004) (Public Laws 108-77 and 108-78 (19 U.S.C. 3805 note)).

(b) The Contractor shall comply with the FAR clauses in this paragraph (b) that the Contracting Officer has indicated as being incorporated in this contract by reference to implement provisions of law or Executive orders applicable to acquisitions of commercial products and commercial services:

[Contracting Officer check as appropriate.]

_x_ (1) 52.203-6, Restrictions on Subcontractor Sales to the Government (Jun 2020), with Alternate I (Nov 2021) (41 U.S.C. 4704 and 10 U.S.C. 4655).

__ (2) 52.203-13, Contractor Code of Business Ethics and Conduct (Nov 2021) (41 U.S.C.

3509)).

__ (3) 52.203-15, Whistleblower Protections under the American Recovery and Reinvestment Act of 2009 (Jun 2010) (Section 1553 of Pub. L. 111-5). (Applies to contracts funded by the American Recovery and Reinvestment Act of 2009.)

_x_ (4) 52.204-10, Reporting Executive Compensation and First-Tier Subcontract Awards (Jun 2020) (Pub. L. 109-282) (31 U.S.C. 6101 note).

__ (5) [Reserved].

_x_ (6) 52.204-14, Service Contract Reporting Requirements (Oct 2016) (Pub. L. 111-117, section 743 of Div. C).

__ (7) 52.204-15, Service Contract Reporting Requirements for Indefinite-Delivery Contracts (Oct 2016) (Pub. L. 111-117, section 743 of Div. C).

_x_ (8) 52.204-27, Prohibition on a ByteDance Covered Application (Jun 2023) (Section 102 of Division R of Pub. L. 117-328).

_x_ (9) 52.209-6, Protecting the Government’s Interest When Subcontracting with Contractors Debarred, Suspended, or Proposed for Debarment. (Nov 2021) (31 U.S.C. 6101 note).

_x_ (10) 52.209-9, Updates of Publicly Available Information Regarding Responsibility Matters (Oct 2018) (41 U.S.C. 2313).

__ (11) [Reserved].

__ (12) 52.219-3, Notice of HUBZone Set-Aside or Sole-Source Award (Oct 2022) (15 U.S.C.

657a).

__ (13) 52.219-4, Notice of Price Evaluation Preference for HUBZone Small Business Concerns (Oct 2022) (if the offeror elects to waive the preference, it shall so indicate in its offer) (15 U.S.C. 657a).

__ (14) [Reserved]

Request for Quote AHRQ-23-10010 (RFQ v. July-2022) Page 14 of 31

_x_ (15) (i) 52.219-6, Notice of Total Small Business Set-Aside (Nov 2020) (15 U.S.C. 644).

__ (ii) Alternate I (Mar 2020) of 52.219-6.

__ (16) (i) 52.219-7, Notice of Partial Small Business Set-Aside (Nov 2020) (15 U.S.C. 644).

__ (ii) Alternate I (Mar 2020) of 52.219-7.

_x_ (17) 52.219-8, Utilization of Small Business Concerns (Oct 2022) (15 U.S.C. 637(d)(2) and (3)).

__ (18) (i) 52.219-9, Small Business Subcontracting Plan (Oct 2022) (15 U.S.C. 637(d)(4)).

__ (ii) Alternate I (Nov 2016) of 52.219-9.

__ (iii) Alternate II (Nov 2016) of 52.219-9.

__ (iv) Alternate III (Jun 2020) of 52.219-9.

__ (v) Alternate IV (Sep 2021) of 52.219-9.

__ (19) (i) 52.219-13, Notice of Set-Aside of Orders (Mar 2020) (15 U.S.C. 644(r)).

__ (ii) Alternate I (Mar 2020) of 52.219-13.

_x_ (20) 52.219-14, Limitations on Subcontracting (Oct 2022) (15 U.S.C. 637s).

__ (21) 52.219-16, Liquidated Damages—Subcontracting Plan (Sep 2021) (15 U.S.C.

637(d)(4)(F)(i)).

__ (22) 52.219-27, Notice of Service-Disabled Veteran-Owned Small Business Set-Aside (Oct 2022) (15 U.S.C. 657f).

_x_ (23) (i) 52.219-28, Post Award Small Business Program Rerepresentation (Mar 2023) (15 U.S.C. 632(a)(2)).

__ (ii) Alternate I (Mar 2020) of 52.219-28.

__ (24) 52.219-29, Notice of Set-Aside for, or Sole-Source Award to, Economically Disadvantaged Women-Owned Small Business Concerns (Oct 2022) (15 U.S.C. 637(m)).

__ (25) 52.219-30, Notice of Set-Aside for, or Sole-Source Award to, Women-Owned Small Business Concerns Eligible Under the Women-Owned Small Business Program (Oct 2022) (15 U.S.C. 637(m)).

__ (26) 52.219-32, Orders Issued Directly Under Small Business Reserves (Mar 2020) (15 U.S.C. 644(r)).

_x_ (27) 52.219-33, Nonmanufacturer Rule (Sep 2021) (15U.S.C. 637(a)(17)).

_x_ (28) 52.222-3, Convict Labor (Jun 2003) (E.O.11755).

Request for Quote AHRQ-23-10010 (RFQ v. July-2022) Page 15 of 31

__ (29) 52.222-19, Child Labor-Cooperation with Authorities and Remedies (Dec 2022) (E.O.13126).

_x_ (30) 52.222-21, Prohibition of Segregated Facilities (Apr 2015).

_x_ (31) (i) 52.222-26, Equal Opportunity (Sep 2016) (E.O.11246).

__ (ii) Alternate I (Feb 1999) of 52.222-26.

_x_ (32) (i) 52.222-35, Equal Opportunity for Veterans (Jun 2020) (38 U.S.C. 4212).

__ (ii) Alternate I (Jul 2014) of 52.222-35.

_x_ (33) (i) 52.222-36, Equal Opportunity for Workers with Disabilities (Jun 2020) (29 U.S.C.

793).

__ (ii) Alternate I (Jul 2014) of 52.222-36.

_x_ (34) 52.222-37, Employment Reports on Veterans (Jun 2020) (38 U.S.C. 4212).

_x_ (35) 52.222-40, Notification of Employee Rights Under the National Labor Relations Act (Dec 2010) (E.O. 13496).

_x_ (36) (i) 52.222-50, Combating Trafficking in Persons (Nov 2021) (22 U.S.C. chapter 78 and E.O. 13627).

__ (ii) Alternate I (Mar 2015) of 52.222-50 (22 U.S.C. chapter 78 and E.O. 13627).

_x_ (37) 52.222-54, Employment Eligibility Verif ication (May 2022) (Executive Order 12989).

(Not applicable to the acquisition of commercially available off-the-shelf items or certain other types of commercial products or commercial services as prescribed in FAR 22.1803.)

__ (38) (i) 52.223-9, Estimate of Percentage of Recovered Material Content for EPA– Designated Items (May 2008) (42 U.S.C. 6962(c)(3)(A)(ii)). (Not applicable to the acquisition of commercially available off-the-shelf items.)

__ (ii) Alternate I (May 2008) of 52.223-9 (42 U.S.C. 6962(i)(2)(C)). (Not applicable to the acquisition of commercially available off-the-shelf items.)

__ (39) 52.223-11, Ozone-Depleting Substances and High Global Warming Potential Hydrofluorocarbons (Jun 2016) (E.O. 13693).

__ (40) 52.223-12, Maintenance, Service, Repair, or Disposal of Refrigeration Equipment and Air Conditioners (Jun 2016) (E.O. 13693).

__ (41) (i) 52.223-13, Acquisition of EPEAT®-Registered Imaging Equipment (Jun 2014) (E.O.s 13423 and 13514).

__ (ii) Alternate I (Oct 2015) of 52.223-13.

__ (42) (i) 52.223-14, Acquisition of EPEAT®-Registered Televisions (Jun 2014) (E.O.s 13423 and 13514).

Request for Quote AHRQ-23-10010 (RFQ v. July-2022) Page 16 of 31

__ (ii) Alternate I (Jun2014) of 52.223-14.

__ (43) 52.223-15, Energy Efficiency in Energy-Consuming Products (May 2020) (42 U.S.C.

8259b).

__ (44) (i) 52.223-16, Acquisition of EPEAT®-Registered Personal Computer Products (Oct 2015) (E.O.s 13423 and 13514).

__ (ii) Alternate I (Jun 2014) of 52.223-16.

_x_ (45) 52.223-18, Encouraging Contractor Policies to Ban Text Messaging While Driving (Jun 2020) (E.O. 13513).

__ (46) 52.223-20, Aerosols (Jun 2016) (E.O. 13693).

__ (47) 52.223-21, Foams (Jun2016) (E.O. 13693).

__ (48) (i) 52.224-3 Privacy Training (Jan 2017) (5 U.S.C. 552 a).

__ (ii) Alternate I (Jan 2017) of 52.224-3.

__ (49) (i) 52.225-1, Buy American-Supplies (Oct 2022) (41 U.S.C. chapter 83).

__ (ii) Alternate I (Oct 2022) of 52.225-1.

__ (50) (i) 52.225-3, Buy American-Free Trade Agreements-Israeli Trade Act (Dec 2022) (19 U.S.C. 3301 note, 19 U.S.C. 2112 note, 19 U.S.C. 3805 note, 19 U.S.C. 4001 note, 19 U.S.C. chapter 29 (sections 4501-4732), Public Law 103-182, 108-77, 108-78, 108-286, 108-302, 109-53, 109-169, 109-283, 110-138, 112-41, 112-42, and 112-43.

__ (ii) Alternate I [Reserved].

__ (iii) Alternate II (Dec 2022) of 52.225-3.

__ (iv) Alternate III (Jan 2021) of 52.225-3.

__ (v) Alternate IV (Oct 2022) of 52.225-3.

__ (51) 52.225-5, Trade Agreements (Dec 2022) (19 U.S.C. 2501, et seq., 19 U.S.C. 3301 note).

_x_ (52) 52.225-13, Restrictions on Certain Foreign Purchases (Feb 2021) (E.O.’s, proclamations, and statutes administered by the Office of Foreign Assets Control of the Department of the Treasury).

__ (53) 52.225-26, Contractors Performing Private Security Functions Outside the United States (Oct 2016) (Section 862, as amended, of the National Defense Authorization Act for Fiscal Year 2008; 10 U.S.C. Subtitle A, Part V, Subpart G Note).

__ (54) 52.226-4, Notice of Disaster or Emergency Area Set-Aside (Nov 2007) (42 U.S.C.

5150).

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__ (55) 52.226-5, Restrictions on Subcontracting Outside Disaster or Emergency Area (Nov2007) (42 U.S.C. 5150).

__ (56) 52.229-12, Tax on Certain Foreign Procurements (Feb 2021).

_x_ (57) 52.232-29, Terms for Financing of Purchases of Commercial Products and Commercial Services (Nov 2021) (41 U.S.C. 4505, 10 U.S.C. 3805).

__ (58) 52.232-30, Installment Payments for Commercial Products and Commercial Services (Nov 2021) (41 U.S.C. 4505, 10 U.S.C. 3805).

_x_ (59) 52.232-33, Payment by Electronic Funds Transfer-System for Award Management (Oct2018) (31 U.S.C. 3332).

__ (60) 52.232-34, Payment by Electronic Funds Transfer-Other than System for Award Management (Jul 2013) (31 U.S.C. 3332).

__ (61) 52.232-36, Payment by Third Party (May 2014) (31 U.S.C. 3332).

__ (62) 52.239-1, Privacy or Security Safeguards (Aug 1996) (5 U.S.C. 552a).

__ (63) 52.242-5, Payments to Small Business Subcontractors (Jan 2017) (15 U.S.C.

637(d)(13)).

__ (64) (i) 52.247-64, Preference for Privately Owned U.S.-Flag Commercial Vessels (Nov 2021) (46 U.S.C. 55305 and 10 U.S.C. 2631).

__ (ii) Alternate I (Apr 2003) of 52.247-64.

__ (iii) Alternate II (Nov 2021) of 52.247-64.

(c) The Contractor shall comply with the FAR clauses in this paragraph (c), applicable to commercial services, that the Contracting Officer has indicated as being incorporated in this contract by reference to implement provisions of law or Executive orders applicable to acquisitions of commercial products and commercial services:

[Contracting Officer check as appropriate.]

_x_ (1) 52.222-41, Service Contract Labor Standards (Aug 2018) (41 U.S.C. chapter 67).

_x_ (2) 52.222-42, Statement of Equivalent Rates for Federal Hires (May 2014) (29 U.S.C. 206 and 41 U.S.C. chapter 67).

__ (3) 52.222-43, Fair Labor Standards Act and Service Contract Labor Standards-Price Adjustment (Multiple Year and Option Contracts) (Aug 2018) (29 U.S.C. 206 and 41 U.S.C.

chapter 67).

_x_ (4) 52.222-44, Fair Labor Standards Act and Service Contract Labor Standards-Price Adjustment (May 2014) (29 U.S.C. 206 and 41 U.S.C. chapter 67).

Request for Quote AHRQ-23-10010 (RFQ v. July-2022) Page 18 of 31

__ (5) 52.222-51, Exemption from Application of the Service Contract Labor Standards to Contracts for Maintenance, Calibration, or Repair of Certain Equipment-Requirements (May 2014) (41 U.S.C. chapter 67).

__ (6) 52.222-53, Exemption from Application of the Service Contract Labor Standards to Contracts for Certain Services-Requirements (May 2014) (41 U.S.C. chapter 67).

_x_ (7) 52.222-55, Minimum Wages for Contractor Workers Under Executive Order 14026 (Jan 2022).

_x_ (8) 52.222-62, Paid Sick Leave Under Executive Order 13706 (Jan 2022) (E.O. 13706).

__ (9) 52.226-6, Promoting Excess Food Donation to Nonprofit Organizations (Jun 2020) (42 U.S.C. 1792).

(d) Comptroller General Examination of Record. The Contractor shall comply with the provisions of this paragraph (d) if this contract was awarded using other than sealed bid, is in excess of the simplif ied acquisition threshold, as defined in FAR 2.101, on the date of award of this contract, and does not contain the clause at 52.215-2, Audit and Records-Negotiation.

(1) The Comptroller General of the United States, or an authorized representative of the Comptroller General, shall have access to and right to examine any of the Contractor’s directly pertinent records involving transactions related to this contract.

(2) The Contractor shall make available at its offices at all reasonable times the records, materials, and other evidence for examination, audit, or reproduction, until 3 years after f inal payment under this contract or for any shorter period specified in FAR subpart 4.7, Contractor Records Retention, of the other clauses of this contract. If this contract is completely or partially terminated, the records relating to the work terminated shall be made available for 3 years after any resulting final termination settlement. Records relating to appeals under the disputes clause or to litigation or the settlement of claims arising under or relating to this contract shall be made available until such appeals, litigation, or claims are finally resolved.

(3) As used in this clause, records include books, documents, accounting procedures and practices, and other data, regardless of type and regardless of form. This does not require the Contractor to create or maintain any record that the Contractor does not maintain in the ordinary course of business or pursuant to a provision of law.

(e) (1) Notwithstanding the requirements of the clauses in paragraphs (a), (b), (c), and (d) of this clause, the Contractor is not required to flow down any FAR clause, other than those in this paragraph (e)(1), in a subcontract for commercial products or commercial services. Unless otherwise indicated below, the extent of the flow down shall be as required by the clause-

(i) 52.203-13, Contractor Code of Business Ethics and Conduct (Nov 2021) (41 U.S.C.

3509).

(ii) 52.203-19, Prohibition on Requiring Certain Internal Confidentiality Agreements or Statements (Jan 2017) (section 743 of Division E, Title VII, of the Consolidated and Further Continuing Appropriations Act, 2015 (Pub. L. 113-235) and its successor provisions in subsequent appropriations acts (and as extended in continuing resolutions)).

Request for Quote AHRQ-23-10010 (RFQ v. July-2022) Page 19 of 31

(iii) 52.204-23, Prohibition on Contracting for Hardware, Software, and Services Developed or Provided by Kaspersky Lab and Other Covered Entities (Nov 2021) (Section 1634 of Pub. L. 115-91).

(iv) 52.204-25, Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment. (Nov 2021) (Section 889(a)(1)(A) of Pub. L.

115-232).

(v) 52.204-27, Prohibition on a ByteDance Covered Application (Jun 2023) (Section 102 of Division R of Pub. L. 117-328).

(vi) 52.219-8, Utilization of Small Business Concerns (Oct 2022) (15 U.S.C. 637(d)(2) and (3)), in all subcontracts that offer further subcontracting opportunities. If the subcontract (except subcontracts to small business concerns) exceeds the applicable threshold specified in FAR 19.702(a) on the date of subcontract award, the subcontractor must include 52.219-8 in lower tier subcontracts that offer subcontracting opportunities.

(vii) 52.222-21, Prohibition of Segregated Facilities (Apr 2015).

(viii) 52.222-26, Equal Opportunity (Sep 2015) (E.O.11246).

(ix) 52.222-35, Equal Opportunity for Veterans (Jun 2020) (38 U.S.C. 4212).

(x) 52.222-36, Equal Opportunity for Workers with Disabilities (Jun 2020) (29 U.S.C. 793).

(xi) 52.222-37, Employment Reports on Veterans (Jun 2020) (38 U.S.C. 4212).

(xii) 52.222-40, Notification of Employee Rights Under the National Labor Relations Act (Dec 2010) (E.O. 13496). Flow down required in accordance with paragraph (f) of FAR clause 52.222-40.

(xiii) 52.222-41, Service Contract Labor Standards (Aug 2018) (41 U.S.C. chapter 67).

(xiv) (A) 52.222-50, Combating Trafficking in Persons (Nov 2021) (22 U.S.C. chapter 78 and E.O 13627).

(B) Alternate I (Mar 2015) of 52.222-50 (22 U.S.C. chapter 78 and E.O. 13627).

(xv) 52.222-51, Exemption from Application of the Service Contract Labor Standards to Contracts for Maintenance, Calibration, or Repair of Certain Equipment- Requirements (May 2014) (41 U.S.C. chapter 67).

(xvi) 52.222-53, Exemption from Application of the Service Contract Labor Standards to Contracts for Certain Services-Requirements (May 2014) (41 U.S.C. chapter 67).

(xvii) 52.222-54, Employment Eligibility Verification (May 2022) (E.O. 12989).

(xviii) 52.222-55, Minimum Wages for Contractor Workers Under Executive Order 14026 (Jan 2022).

(xix) 52.222-62, Paid Sick Leave Under Executive Order 13706 (Jan 2022) (E.O. 13706).

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(xx) (A) 52.224-3, Privacy Training (Jan 2017) (5 U.S.C. 552a).

(B) Alternate I (Jan 2017) of 52.224-3.

(xxi) 52.225-26, Contractors Performing Private Security Functions Outside the United States (Oct 2016) (Section 862, as amended, of the National Defense Authorization Act for Fiscal Year 2008; 10 U.S.C. Subtitle A, Part V, Subpart G Note).

(xxii) 52.226-6, Promoting Excess Food Donation to Nonprofit Organizations (Jun 2020) ( 42 U.S.C. 1792). Flow down required in accordance with paragraph (e) of FAR clause 52.226-6.

(xxiii) 52.232-40, Providing Accelerated Payments to Small Business Subcontractors (Mar 2023) (31 U.S.C. 3903 and 10 U.S.C. 3801). Flow down required in accordance with paragraph (c) of 52.232-40.

(xxiv) 52.247-64, Preference for Privately Owned U.S.-Flag Commercial Vessels (Nov 2021) (46 U.S.C. 55305 and 10 U.S.C. 2631). Flow down required in accordance with paragraph (d) of FAR clause 52.247-64.

(2) While not required, the Contractor may include in its subcontracts for commercial products and commercial services a minimal number of additional clauses necessary to satisfy its contractual obligations.

(End of clause)

HHSAR 352.232-71 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS (February 2022) 352.232-71 Electronic Submission of Payment Requests

(a) Definitions. As used in this clause— Payment request means a bill, voucher, invoice, or request for contract f inancing payment with associated supporting documentation. The payment request must comply with the requirements identif ied in FAR 32.905(b), “Content of Invoices” and the applicable Payment clause included in this contract.

(b) Except as provided in paragraph (c) of this clause, the Contractor shall submit payment requests electronically using the Department of Treasury Invoice Processing Platform (IPP) or successor system. Information regarding IPP, including IPP Customer Support contact information, is available at www.ipp.gov or any successor site.

(c) The Contractor may submit payment requests using other than IPP only when the Contracting Officer authorizes alternate procedures in…