SOW Ambulance Updated.pdf

Ambulance Statement of Work

Introduction:

The Federal Bureau of Prisons, Field Acquisition Office, Grand Prairie Texas, is seeking a contractor for the provision of Ambulance Services for the Adults in Custody (AIC) population at Federal Medical Center (FMC) Devens, Massachusetts. The contractor shall be prepared to provide qualified support staff as listed in the statement of work to meet FMC Devens anticipated need for services.

Description of FMC Devens

FMC Devens is an administrative prison housing approximately 1,000 male offenders who require specialized, long-term medical or mental healthcare. FMC Devens also administers a satellite camp which currently houses approximately 100 minimum security male inmates. Additional information regarding FMC Devens and the Bureau of Prison (BOP) may be located at www.bop.gov.

FMC Devens is a Care Level IV facility which may result in the fluctuation of ambulance services that is needed to properly care for the inmate population in accordance with the institutional mission. The contractor must have the ability to transport several inmates throughout the course of the day as there is no predicate forecast available to estimate the need of this service. There may be instances where more than one ambulance will be required at one time. The contractor shall be responsible for responsiveness, adherence to all service requests, technical quality of work, and commitment to customer satisfaction. The contractor shall ensure all personnel will respect and maintain the basic rights of the inmate population receiving services.

Scope of Services

The Contractor shall provide Basic Life Support and Advance Life Support ambulance services on an as needed basis for the inmate population at FMC Devens. These services will be required to include all necessary supplies, equipment, staff, licensing, and expertise.

The scopes of services include but are not limited to:

• The normal volume of trips typically consists of 1 or 2 ambulance services per day. However, due to the nature of the FMC, a situation may occur requiring numerous emergency services to be performed. Therefore, it is recommended the contractor develop a contingency plan in the event of an occurrence of a catastrophic incident.

The contractor will be expected to provide services equivalent to the increase in volume related to providing additional transportation of the inmate population.

• Services that are performed under the terms of this contract include pick up or drop off of an inmate. The trip will be considered complete when the inmate is delivered by ambulance with http://www.bop.gov/ ambulance personnel to the admitting/evaluation unit, a specified ward or unit, or to the location specified at the time the trip is ordered.

Unscheduled Emergency Medical Transport

The contractor shall provide ambulance transport services for inmates experiencing medical emergencies, requiring immediate care. Emergency transport will be on an as-needed basis, 24/7, with an established response time of no more than 15 minutes from the initial request.

EMTs and paramedics must meet state licensing and certification requirements. Ambulances provided must be appropriately equipped to handle the medical needs of inmates, including Basic

Life Support (BLS) and Advanced Life Support (ALS) units, depending on the medical condition of the inmate.

Scheduled Medical Transport

FMC Devens will require non-emergency scheduled transport of inmates to and from medical appointments at hospitals, specialized clinics or airports for air charter services. These scheduled trips may include transport to the hospital, return trips, or other related medical services, as requested. Each scheduled transport must adhere to an agreed-upon schedule, with allowances for adjustments as necessary due to health or security reasons. Scheduling of these transports will be conducted with as much notice as possible by the Government. However, there will be a minimum of 48 hours’ notice.

Place of Performance

The vendor will be responsible for transporting inmates to various locations as required by FMC

Devens. Most services are expected to occur, but are not limited to the following:

Transport inmates from the Federal Medical Center (FMC) located at 42 Patton Road, Devens, Massachusetts to:

• Beth Israel Deaconess Medical Center

330 Brookline Ave, Boston, MA.

• The University of Massachusetts Medical Center -Memorial Campus

119 Belmont Street, Worcester, MA.

UMass Memorial Medical Center – University Campus

55 Lake Ave. North, Worcester, MA 01655

• UMass Memorial Hospital

60 Hospital Road, Leominster, MA,

• Burbank Campus

275 Nichols Road, Fitchburg, MA, 01420

• Clinton Campus

201 Highland St. Clinton MA, 01510

• UMass Memorial Medical Center - Hahnemann Campus

281 Lincoln St. Worcester, MA, 01655

• Holy Family Hospital – Methuen

70 East Street

Methuen, MA 01844

• Holy Family Hospital – Haverhill

140 Lincoln Avenue

Haverhill, MA 01830

• Brigham and Women’s Hospital (BWH)

75 Francis Street, Boston, MA 02113

• Massachusetts Eye and Ear Infirmary (MEEI)

243 Charles Street, Boston, MA 02114

• Massachusetts General Hospital (MGH)

55 Fruit Street, Boston, MA 02114

• St. Elizabeth’s Medical Center (SEMC)

736 Cambridge Street, Brighton, MA 02135

• Boston Medical Center (BMC)

One Boston Medical Center Place, Boston, MA 02118

• St. Joseph Hospital

172 Kinsley St, Nashua, NH 03060

• Vibra Hospital of Western Massachusetts – Central Campus

111 Huntoon Memorial Highway, Rochdale, MA 01542

• Worcester Regional Airport - ORH

375 Airport Dr, Worcester, MA 01602

• Fitchburg Municipal Airport – KFIT

567 Crawford Street, Fitchburg, MA 01420

This list is not all encompassing. The contractor will agree to transport inmates to the destination requested by the FMC regardless of if another hospital is a shorter distance from the

Federal Medical Center.

Scheduled Ambulance Services- Alternate Drop Off

On occasion, services will occur at an alternate pick-up location and be requested to transport the inmate from the location to FMC Devens. Transportation from the alternate pick-up location to

FMC Devens may occur at, but are not limited to:

• Worcester Regional Airport - ORH located at 375 Airport Dr, Worcester, MA 01602

• Fitchburg Municipal Airport – KFIT

567 Crawford Street, Fitchburg, MA 01420

These alternate pick-up services are rare throughout the year. FMC Devens will notify the contractor, with as much advance notice as possible, as to the pickup of these inmates.

FMC Devens staff will escort both ALS/BLS trips from FMC Devens to the hospitals and

Alternate pickup locations from the airport to FMC Devens.

Special Qualifications Required

The contractor must hold and retain a current state license that permits the vendor to operate a

Basic Life Support and Emergency Advance Life Support Ambulance Service in the State of

Massachusetts. In addition, the contractor shall meet the requirements of Federal, State, and City codes regulating the operations of this type of service.

The vendor will be responsible for maintaining full compliance with all standards and regulations designated by the DHH 105 CMR 170.305 (c). These requirements are in regard to staffing a Paramedic-level ambulance with a Paramedic and EMT-Intermediate (Paramedic-

Intermediate), a paramedic and Advanced EMT (Paramedic-Advanced), or Paramedic and EMT-

Basic (Paramedic Basic) configuration.

The contractor must be able to perform and meet all requirements identified by ensuring the ambulance service has the necessary equipment and personnel to furnish services in the volume required by this contract.

EMT(s), paramedics and ACLS (advanced cardiac life support) staff providing emergency services on any ambulance serving the facility must be able to perform all required duties in accordance with regulations governing the institution. It is the contractor's responsibility to ensure their employees are properly trained and are provided updated training regarding changes or updates in all Statewide Treatment Protocols, service policy, and procedures. This includes but is not limited to utilizing all equipment that is required to perform within the basis of this contract.

The contractor must be certified, licensed, or otherwise officially recognized as required by the local, state, regional government, or public entity where the emergency ambulance service is operated or by which it is governed. A copy of the license and/or certification must be furnished to the Contracting Officer. The contractor must be insured and will be required to provide insurance certificates to FMC Devens. All personnel must have the appropriate educational experience in those areas of medicine that are commensurate with the medical transport service.

The contractor must have the mechanisms to provide the appropriate care required for inmates who are being transported in a safe and secure manner. This includes providing medical supplies and equipment consistent with the scope of care. Medical transport personnel shall ensure that all medical equipment/supplies are in working order.

The Government expects the contractor to perform at the acceptable levels throughout the life of the contract. The Government will periodically evaluate the Contractor's performance by appointing a Contracting Officer's Representative (COR) to monitor performance to ensure services are received in an adequate manner.

Performance:

Scheduled Trips:

There will be a 48-hour minimum for all scheduled trips. These trips will be coordinated with the Contracting Officer Representative and a contractor focal point of contact for all scheduled trips.

Emergency trips:

• Availability: Ambulance services will be available 24/7, with response times meeting the standards defined in the contract.

• Timeliness: Emergency transports must arrive at FMC Devens rear gate within a specified window of 15 minutes or less.

• Communication: The contractor must maintain open communication with the designated contact person at the prison and report any delays, issues, or deviations from schedule immediately.

• Emergency Response: In case of emergency, the contractor will provide services in line with industry best practices, ensuring that care is given promptly and professionally.

Public Resources: Due to the closing of local hospital Nashoba Valley Medical Center, there is additional strain on local public resources. Therefore, the contractor commits to a minimum private service ambulance requirement.

Scheduled and Unscheduled Advance Life Support/Basic Life Support:

A minimum of 75% of all scheduled and unscheduled ALS/BLS trips will be provided by the contracted ambulance company, or another private ambulance company, to ensure the Federal

Government is not producing additional strain on the public resources of the Devens Fire

Department and surrounding communities public emergency response resources. The contractor will submit a monthly summary report to show they are meeting this goal.

FAILURE TO FOLLOW THIS REQUIREMENT WILL RESULT IN CONTRACT NON-

PERFORMANCE.

Response Procedures:

Prior to contract effective award date, the contractor will provide a dispatch number in which to call in unscheduled ambulance services.

When FMC Devens determines it needs an ambulance, the contractors provided phone number will be called by FMC Devens Operational Lieutenant or Control Room Officer. The correctional services staff will state a brief nature of the emergency and any known conditions.

The contractor will respond to FMC Devens Rear Gate (42 Patton Road, Ayer MA) within 15 minutes of this call.

Once at FMC Devens Rear Gate, an FMC Devens officer will screen the ambulance in. Cell phones will not be allowed inside FMC Devens and will have to be held by FMC Devens staff while contractor staff are inside FMC Devens prison fence line. The Government reserves the right to inspect any ambulance used to provide services under this contract and reject equipment, without advance notification.

The ambulance will be escorted to the designated dock area to collect and transport the inmate to the designated medical facility.

At all times the contractor must allow and make space available in the ambulance for an FMC

Devens staff member to ride along with the inmate in order to maintain constant supervision in accordance with institutional policy. Furthermore, a Government Vehicle with an FMC Devens armed or unarmed staff member will travel directly behind the ambulance. The contractor must follow all security procedures as mandated by FMC Devens and the Federal Bureau of Prisons' institutional security policies.

Equipment/Supplies

The contractor will be responsible for furnishing all supplies necessary for the vendor to provide the required services that is needed by the institution. The inmate may be secured on a government owned back board prior to the contractor's arrival. In such cases, the contractor must leave a back board to replace the Government owned back board. This can be described as a one-for-one agreement. Unless specifically identified as Government furnished property (i.e.

restraints, handcuffs, etc.), the contractor shall supply all necessary requirements to perform the services listed in the SOW. Equipment and supplies can include, but are not limited to:

paramedics, drivers, ambulances, supplies for ambulances, stretchers, etc.