SOW - USAFE Medical Training Dated 17 Dec 2026.pdf

Statement of Work (SOW)

For

USAFE

Home Station Medical Response (HSMR)

2-Day Training and Exercise

Request for Proposal (RFQ) Number:

FA564126Q0001

Purchase Order Number:

TBD

Date: 17 December 2025 https://conit.cce.af.mil/suite/sites/procurement-personnel-home/page/records/record/lYBNS8-f6ETGDot5nK8tbMCURjLhMTxvHGhs43hsgGZu6PrUV_Yrai1I4KfEu-KEA-xyjIkyNKNpz1goYDiW73hfbGQjSw-VMWMCAsMln8fVRctMGuKuw/view/summary

Page 2 of 30 Statement of Work (SOW) HSMR SOAR Training

RFQ Number FA564126Q0001

Table of Contents

1. Aircraft Mishap

1.1 Course Description: HSMR Aircraft Mishap Training and Exercise Course

1.2 Aircraft Mishap Concept of Operations (CONOPS)

1.3 Specific Tasks for Contractor

1.4 Security Clearance

1.5 Period of Performance

1.6 Government/Contractor Furnished Facilities, Equipment and Information

1.7 Travel

1.8 Reporting Requirements

2. C-CBRN

2.1 Course Description: HSMR C-CBRN Exercise and Training

2.2 C-CBRN Concept of Operations (CONOPS)

2.3 Specific Tasks for Contractor

2.4 Security Clearance

2.5 Period of Performance

2.6 Government/Contractor Furnished Facilities, Equipment and Information

2.7 Travel

2.8 Reporting Requirements

3. Public Health Emergency

3.1 Course Description: HSMR Public Health Emergency Exercise and Training

3.2 Public Health Emergency Concept of Operations (CONOPS)

3.3 Specific Tasks for Contractor

3.4 Security Clearance

3.5 Period of Performance

3.6 Government/Contractor Furnished Facilities, Equipment and Information

3.7 Travel

3.8 Reporting Requirements

4. Active Shooter and COOP

4.1 Course Description: Active Shooter and COOP Training and Exercise Course

4.2 Active Shooter and COOP Concept of Operations (CONOPS)

4.3 Specific Tasks for Contractor

4.4 Security Clearance

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Page 3 of 30 Statement of Work (SOW)

RFQ Number FA564126Q0001

4.5 Period of Performance

4.6 Government/Contractor Furnished Facilities, Equipment and Information

4.7 Travel

4.8 Reporting Requirements

Acronym List https://conit.cce.af.mil/suite/sites/procurement-personnel-home/page/records/record/lYBNS8-f6ETGDot5nK8tbMCURjLhMTxvHGhs43hsgGZu6PrUV_Yrai1I4KfEu-KEA-xyjIkyNKNpz1goYDiW73hfbGQjSw-VMWMCAsMln8fVRctMGuKuw/view/summary

Page 4 of 30 Statement of Work (SOW)

RFQ Number FA564126Q0001

The HSMR 2-Day Training and Exercise can consist of one (1) out of four (4) themes: 1. Aircraft Mishap, 2. Counter-Chemical, Biological, Radiological, and Nuclear (C-CBRN), 3. Public Health Emergency, or 4. Active Shooter and Continuity of Operations (COOP). Upon contract award, United States Air Forces in Europe (USAFE)/ Surgeon General (SG) X will determine the location and which of the four (4) exercises will take place. The following comprise what each training and exercise course is made up of. The contractor shall submit a written training and exercise plan for each of the aforementioned trainings.

1. Aircraft Mishap

1.1 Course Description: HSMR Aircraft Mishap Training and Exercise Course

This two-day training and exercise event is designed to assess Air Force Medical Treatment Facilities (MTF) and train Medical Group (MDG) personnel on HSMR program capabilities with a two-day focus on the ability to respond to an aircraft mishap incident resulting in a significant mass casualty event (i.e. greater than 30 victims at USAF clinics and over 50 victims at USAF hospitals and medical centers). All training and exercise events are designed to operationalize the use of the Air Force’s Response Training and Assessment Program (RTAP) material and to reinforce the use of RTAP tools with disaster team chiefs. Furthermore, all training and exercise events are based on aircraft mishap and medical emergency management requirements and expected capabilities in Department of Defense (DoD) and USAF guidelines to include Defense Health Agency (DHA) Administrative Instruction 6055.02, Emergency Management Program, DoD Instruction (DoDI) 6055.17, DoD Emergency Management Program, Department of the Air Force Instruction (DAFI) 10-2501, Emergency Management Program, DAFI 41-106, Air Force Medical Readiness Program, and Air Force Tactics, Techniques and Procedures (AFTTP) 3-42.32, Installation Medical All Hazards Response.

1.2 Aircraft Mishap Concept of Operations (CONOPS)

Training and exercise events will cover expected MTF and disaster team capabilities derived from AFTTP 3-42.32, the above listed policy documents, and RTAP tools to include tactical drills, team chief guides, and the RTAP Incident Response Matrix. The CONOPS that will be trained and exercised to include the following:

1.2.1 Ability of the MTF to establish medical command and control within the Air Force Incident Management System (AFIMS), activate the Medical Command and Control Center (MCC), activate HSMR and Medical Contingency Response Plan (MCRP) disaster teams, and deploy responding teams to the incident site and at the MTF when requested through AFIMS.

1.2.2 Ability of the Field Response Team (FRT) to activate personnel, gather response supplies to include the 886J Allowance Standard (AS) (Field Response) and associated “go-bags,” utilize a safe-route to quickly arrive at the incident command post, rapidly triage evacuated victims effectively, perform life-saving interventions and medical care to stabilize patients, and document patient tracking activities for all transported victims from the incident scene.

1.2.3 Ability of the Bioenvironmental Engineering (BEE) Team to activate personnel, gather response equipment including 886H AS (Bioenvironmental Engineering), utilize a safe-route to quickly arrive at the incident command post, and provide subject matter expertise to the Incident Commander, https://conit.cce.af.mil/suite/sites/procurement-personnel-home/page/records/record/lYBNS8-f6ETGDot5nK8tbMCURjLhMTxvHGhs43hsgGZu6PrUV_Yrai1I4KfEu-KEA-xyjIkyNKNpz1goYDiW73hfbGQjSw-VMWMCAsMln8fVRctMGuKuw/view/summary

Page 5 of 30 Statement of Work (SOW)

RFQ Number FA564126Q0001

Emergency Management personnel, and first responders regarding on-scene hazards, recommended Personal Protective Equipment (PPE) measures. In addition, the BEE Team will conduct a Health Risk Assessment (HRA) based on hazards to the aircraft mishap incident, to include potential health hazards of airborne carbon fibers during combustion of aircraft components. The HRA will include risk communication on health hazards to firefighting, aircraft mishap investigation, cleanup personnel exposed to combustion products, and medical responders providing transport and medical care to incident victims.

1.2.4 Ability of the MCC to conduct command and control of all medical assets on behalf of the MTF commander during an aircraft mishap response, to activate appropriate HSMR teams immediately when directed or upon notification of a suspected incident, to keep team chiefs informed about threat hazards, mission support requirements, the number of patients being sent or transported from the incident site to the medical unit, and other required Command and Control (C2) actions, such as coordination of medical support, consolidation of details of dead, injured, missing personnel, coordination of delayed, immediate, minimal, and expectant patients, organizing and directing MCRP teams, and briefing both up and down the chain of the pertinent details of the incidents and recommendations of actions to come.

1.2.5 Ability of MTF Emergency Operations Center (EOC) representatives to perform required medical

Emergency Support Function roles (e.g. Emergency Support Function (ESF) 8), manage essential elements of information, track medical resource and information needs routed to the EOC, monitor patient tracking and movement data for patients transported from the incident scene to the MTF and to off-base facilities for care, and support the medical representative to the Crisis Action Team (CAT).

1.2.6 Ability of the Patient Administration (PAD) Team to conduct patient tracking activities on 100% of victims from the incident scene, communicate patient numbering data to the MCC, perform medical administration documentation for patients transported to the MTF, locate patient evacuation routes for all victims transported off base, and provide patient tracking data to the MCC and MTF/CC as requested.

1.2.7 Ability of the Clinical Team to respond to a major mass casualty incident, integrate AS 886L (Clinical) capabilities into MCRP procedures, and provide clinical response, which includes treatment of casualties, reporting patient casualties to the MCC, stabilization of casualties awaiting emergency transport, clinical sample collection, assisting in coordination with civilian treatment facilities, hospitalization of victims, prophylaxis dispensing, and disposition of casualties after emergency treatment.

1.2.8 Ability of the Triage Team to support a major mass casualty incident, integrate AS 886K (Triage) capabilities into MCRP procedures, and perform medical triage operations to include supporting clinical teams by receiving and performing primary triage of casualties who self-present at the Entry Control Point (ECP) of the MTF. In the event of hazardous agent contamination of victims occurring with an aircraft mishap, the Triage Team dons and utilizes PPE appropriately and establishes primary and secondary triage in the patient decontamination area of operations. For non-contaminated incidents, the Triage Team coordinates with the Clinical Team to control patient flow into the MTF and prioritize patient movement into the clinical areas.

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Page 6 of 30 Statement of Work (SOW)

RFQ Number FA564126Q0001

1.2.9 Ability of the Disaster Mental Health (DMH) Team to provide Psychological First Aid (PFA) and mental health support to victim survivors, first responders at the incident site, HSMR teams at the MTF, and any other responders involved in disaster response. DMH support for an Mass Casualty Incident (MCI) is accomplished through preparatory and ongoing education for first responders, clinicians, staff, and the general populace as needed through the use of screenings and interventions.

The DMH Team will use the range of mental health support activities to a high operational stress environment including the use of PFA and the utilization of referrals in collaboration with base agencies and clinical staff.

1.2.10 Ability of Laboratory, Pharmacy, Manpower Security, Public Health, Medical Logistics, and other

MCRP disaster teams as needed to conduct support operations to the MTF’s response to an aircraft mishap mass casualty incident. Support operations include conducting ancillary medical support to the stabilization and care of patients in the field and at the MTF, providing manpower support for patient movement activities and other areas where manpower support is requested or required, and delivering medical support activities to the response such as risk communication, movement of medical material, etc.

1.3 Specific Tasks for Contractor

1.3.1 Contractor shall provide a training and exercise schedule for the two-day aircraft mishap training course to include times, subjects, and required personnel. The Government Client (MTF) will provide the locations for the training and exercise events.

1.3.2 The Contractor shall conduct a Major Accident Response (i.e. Aircraft Mishap) Full-Scale Exercise and Training Event based upon required Training and Exercise Objectives using HSMR AS Equipment and Supplies.

1.3.3 The Contractor shall conduct a Patient Tracking in a MCI Training Session targeted towards the MCC, PAD Team, medical EOC members, the 4As (healthcare administrators)assigned to the FRT, and applicable representatives such as from the Clinical Team, Ambulance Services, or local Emergency Medical Services (EMS) representatives/agencies. Within the training the Contractor shall discuss the differences and challenges in patient tracking and patient numbering as well as the methods and best practices in patient tracking, patient numbering, and patient movement activities.

1.3.4 The Contractor shall deliver a Patient Tracking and Communications Functional Exercise involving the teams and representatives listed in paragraph 1.3.3 above. The objectives of the functional exercise will be to maintain consistent Delayed, Immediate, Minimal, Expectant (DIME) patient numbering information and patient tracking information across the PAD Team, MCC, and ESF8; demonstrate effective communications and command and control by the MCC and medical EOC representatives;

and manage communications, including resource requests, effectively across all participating teams.

1.3.5 The Contractor shall provide a Field Response Team Aircraft Mishap Operations Training Session that guides the FRT on response actions to an aircraft mishap event. Training objectives include field response roles of on-scene triage, treatment, and transport of casualties, evidence preservation at the scene and the medical unit, the need to make and document death declarations when appropriate, disposition of casualties after emergency treatment, coordination with civilian transporters and https://conit.cce.af.mil/suite/sites/procurement-personnel-home/page/records/record/lYBNS8-f6ETGDot5nK8tbMCURjLhMTxvHGhs43hsgGZu6PrUV_Yrai1I4KfEu-KEA-xyjIkyNKNpz1goYDiW73hfbGQjSw-VMWMCAsMln8fVRctMGuKuw/view/summary

Page 7 of 30 Statement of Work (SOW)

RFQ Number FA564126Q0001 treatment facilities, and preparation for medical evacuation. The Contractor shall provide particular emphasis on response in an aircraft mishap setting to include mass casualty triage, field treatment best practices, and FRT aircraft mishap procedures.

1.3.6 The Contractor shall provide a BEE Training Session that guides the BEE response team on HRA requirements and definitions, use of the HRA in a response environment, risk communication concepts and a risk communication practical drill. The BEE drill shall be based on conducting a HRA and providing risk communication based on hazards to the aircraft mishap incident, to include potential health hazards of airborne carbon fibers during combustion of aircraft components.

1.3.7 The Contractor shall provide a DMH Team Training Session with focused objectives on the DMH role in responding to an aircraft mishap incident. All individuals directly involved in all-hazard incidents with operational stress must be provided the opportunity to access DMH services, which may include pre-exposure preparation, education, screening, and referral. In addition, unit leaders may arrange for affected personnel to receive education. Within the training the Contractor shall also describe how to incorporate non-medical DMH team members into DMH support processes and how to utilize the range of mental health support activities to an aircraft mishap incident.

1.3.8 The Contractor shall conduct a Triage Team Training Session with teaching objectives focused on the ability of the Triage Team to support an aircraft mishap MCI. With the aircraft mishap focus, objectives will be targeted on primary triage processes and supporting field medical and MTF clinical teams. Primary triage processes covered will include the use of Sort, Assess, Lifesaving Interventions, Treatment, and Transport (SALT), Simple Triage and Rapid Treatment (START), and JumpSTART, for triaging children in disaster settings, and discussion on when to use each of the triage methodologies. The Contractor’s training objectives shall also include best practices for performing triage operations in a MCI, use of triage response bags and the equipment supplies in AS 886K (Triage), and hands-on functional drills for performing triage and lifesaving interventions.

1.3.9 The Contractor shall deliver a Clinical Team Training Session with training objectives for Clinical Team response in a MCI. Clinical Team topics include treatment of casualties using equipment supplies provided in 886L AS (Clinical), best practices in lifesaving interventions and Tactical Combat Casualty Care (TCCC) recommendations, stabilization and holding patients awaiting transport at the MTF, reporting patient data to the MCC, disposition of casualties after emergency treatment (including fatality management), coordination with civilian treatment facilities on patient-specific clinical information, patient movement techniques and preparation for medical evacuation, and disposition of victims to self or home-care. Within this training session the Contractor shall also include a walk-through of the Clinical Team sub-group areas (i.e. DIME treatment areas), staging of Clinical Team equipment in each area, and the flow of patients throughout the MTF clinical areas.

1.3.10 The Contractor shall conduct a walkthrough of the Aircraft Mishap Exercise site location and provide guidance and recommendations on full-scale exercise staging activities including placement of actor victims, location of mass casualty incident site, establishment of incident command post and first responder staging locations (for simulations or installation participation), ambulance and patient transfer flow routes, and the establishment of a safe route to the incident scene. The Contractor shall also provide a Medical Wing Inspection Team (WIT) exercise preparation session that highlights the use of RTAP tactical drills during exercise evaluation activities, the collection of objective data to https://conit.cce.af.mil/suite/sites/procurement-personnel-home/page/records/record/lYBNS8-f6ETGDot5nK8tbMCURjLhMTxvHGhs43hsgGZu6PrUV_Yrai1I4KfEu-KEA-xyjIkyNKNpz1goYDiW73hfbGQjSw-VMWMCAsMln8fVRctMGuKuw/view/summary

Page 8 of 30 Statement of Work (SOW)

RFQ Number FA564126Q0001 evaluate patient care and response activities, and integration with the exercise team by response area or team staging location.

1.3.11 The Contractor shall conduct a post exercise hotwash session to engage team chiefs, Medical WIT, Medical Readiness, and MTF leadership on lessons learned, observations and challenges during the full-scale exercise, areas needing corrective action plans, aircraft mishap operation recommendations, and strengths identified.

1.3.12 The Contractor shall provide an in-brief and out-brief session for MTF executive staff and leadership on objectives of the two-day aircraft mishap training and exercise event and findings and recommendations from the training and exercise sessions.

1.3.13 The Contractor shall provide full scale exercise materials to include scenario briefing material, patient/actor simulation cards, exercise Master Event Scenario Listing (MSEL), actor briefing, and safety briefing. The MTF will provide HSMR AS equipment, moulage for actors, exercise vests for WIT and responders, and signage and safety marking materials.

1.3.14 The Contractor shall perform white cell communications and exercise controlling activities to include delivery of activation injects and control the flow of the exercise MSEL. The Medical WIT will perform exercise evaluation and write up a unit specific After Action Report (AAR) in order to obtain exercise credit in accordance with (IAW) Air Force policy. The Contractor shall assist Medical WIT with evaluation observations throughout the exercise.

1.3.15 The Contractor shall deliver a Base Visit AAR at the end of each visit with a summary of the training and exercise events accomplished, detailed information on the Contractor’s exercise evaluation, and an assessment of the unit’s abilities to meet objectives described in this SOW, and provide recommendations for future unit focus areas in aircraft mishap and HSMR training and exercise activities.

1.4 Security Clearance

Not required.

1.5 Period of Performance

1.5.1 The period of performance will be based on contract award date.

1.5.2 Work will be performed at the following USAFE installations: Royal Air Force (RAF) Lakenheath

(48th Medical Group), United Kingdom; Spangdahlem Air Base (AB) (52d Medical Group), Germany; Ramstein AB (86th Medical Group), Germany; Incirlik AB (39th Medical Group), Turkiye, and Aviano AB (31st Medical Group), Italy.

1.6 Government/Contractor Furnished Facilities, Equipment and Information

1.6.1 The Contractor shall furnish:

1.6.1.1. The necessary personnel to schedule all training events and manage curriculum.

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RFQ Number FA564126Q0001

1.6.1.2. Provide available training dates.

1.6.1.3. Conduct 120-day, 60-day, and 7-day base visit planning meetings to review the objectives of the two-day aircraft mishap training and exercise event and describe and review the planning and logistics support endeavors needed by the MTF for a successful base visit (e.g. scheduling of training locations, blocking schedules of MTF personnel, acquiring actors for the major accident exercise, etc.). The Contractor shall adjust the timeframe of the planning meetings based on the needs of the

MTF.

1.6.1.4. One highly qualified Lead Instructor / Lead Exercise Controller and no less than two additional staff with expertise in HSMR operations, aircraft mishap full scale exercise response operations, and subject matter expertise for all training and exercise sessions.

1.6.1.5. All training and exercise support materials (e.g., briefings, MESEL, patient/actor simulation cards, etc.), contractor staff travel, and other services required to perform the tasks.

1.6.2 The Government will provide:

1.6.2.1 Name, phone, and e-mail of the MTF’s base visit Point of Contact (POC) for the Contractor to work with at the start of the planning cycle. Note: Close coordination between the Contractor and the MTF base visit POC is essential to keep scheduling on track.

1.6.2.2 Location of full-scale exercise site and other training agenda items.

1.6.2.3 On-base access for contractor staff.

1.6.2.4 Reimbursement for any of Contractor’s travel commitments if a Base “scheduled for training” cancels or re-schedules. The Contractor shall book flights for personnel at 45 days prior to the base visit. If the first training is within the 45 day window after contract award, the contractor shall book flights as soon as possible.

1.6.2.5 Information and access to uniquely available equipment and government-owned applications and information required to accomplish task objectives.

1.7 Travel

1.7.1 Travel to various U.S. Air Force installations Outside Continental United States (OCONUS) to provide the training is anticipated:

1.7.1.1 Trip/Base Name: RAF Lakenheath (48th Medical Group), Spangdahlem AB (52d Medical Group), Ramstein AB (86th Medical Group), Incirlik AB (39th Medical Group), Aviano AB (31st Medical Group).

1.7.1.2 Type of Training: HSMR Aircraft Mishap Two-Day Training & Exercise https://conit.cce.af.mil/suite/sites/procurement-personnel-home/page/records/record/lYBNS8-f6ETGDot5nK8tbMCURjLhMTxvHGhs43hsgGZu6PrUV_Yrai1I4KfEu-KEA-xyjIkyNKNpz1goYDiW73hfbGQjSw-VMWMCAsMln8fVRctMGuKuw/view/summary

Page 10 of 30 Statement of Work (SOW)

1.7.1.3 Number of Instructors: minimum of 3 (see 1.6.1.4.)

1.7.1.4 Days of Prep & Training: For each instructor, approximately 8 hours travel to base location, 8 hours travel return from base location, 16 hours two-day training and exercise event, 40 hours of prep that includes conducting planning meetings with MTF, updating slide sets and training material to be specific to each base, updating base specific exercise materials, rehearsing training and exercise material for each session, coordination meetings with teams, booking travel, on site walk throughs, and developing the after action report.

1.7.2 Travel costs shall comply with DoD Per Diem Rates listed at:

https://www.travel.dod.mil/

1.8 Reporting Requirements

The Contractor shall provide a base visit AAR based on the preference of the Government Client each time an installation receives an Aircraft Mishap Two-Day Training and Exercise event to the established POC within 15 working days of event completion.

2. C-CBRN

2.1 Course Description: HSMR C-CBRN Exercise and Training

This two-day training and exercise event is designed to assess Air Force MTF and train Medical Group personnel on HSMR program capabilities with a two-day focus on the ability to respond to a Chemical, Biological, Radiological, or Nuclear (CBRN) event. Training includes instruction on USAF and Air Force Medical Service (AFMS) procedures for installation medical response to an incident involving the intentional or accidental release of CBRN agents.

All training and exercise events are designed to operationalize the use of the Air Force’s RTAP material and to reinforce the use of RTAP tools with disaster team chiefs. Furthermore, all training and exercise events are based on medical emergency management requirements and expected capabilities in Department of Defense (DoD) and USAF guidelines to include Defense Health Agency (DHA) Administrative Instruction 6055.02, Emergency Management Program, DAFI 10-2501, Emergency Management Program, DAFI 41-106, Air Force Medical Readiness Program, and AFTTP 3-42.32, Installation Medical All Hazards Response.

2.2 C-CBRN Concept of Operations (CONOPS)

AFTTP 3-42.32, the above listed policy documents, and RTAP tools to include tactical drills, team

2.2.1 Ability of the In Place Patient Decontamination (IPPD), Manpower and Unit Security (MUS), and

Triage teams to work together to establish a patient decontamination area of operations, prioritize patients for processing through decontamination, performing necessary lifesaving interventions, perform patient hand offs to other HSMR teams, assist patient movement activities such as performing litter carries, document triage status via a patient triage card, and assist with needed medical countermeasure patient interventions. The three teams will work together to remove surface CBRN https://conit.cce.af.mil/suite/sites/procurement-personnel-home/page/records/record/lYBNS8-f6ETGDot5nK8tbMCURjLhMTxvHGhs43hsgGZu6PrUV_Yrai1I4KfEu-KEA-xyjIkyNKNpz1goYDiW73hfbGQjSw-VMWMCAsMln8fVRctMGuKuw/view/summary

Page 11 of 30 Statement of Work (SOW)

RFQ Number FA564126Q0001 and industrial contamination from patients at the medical unit in order to protect the patient, the medical staff, and the environment of care at the medical unit.

2.2.2 Ability to perform a scene size up at the patient decontamination area of operations, as well as to assess self-presenters arriving at the perimeter of the MTF, in order to detect potential CBRN hazards and perform presumptive analysis and decision-making utilizing numerous sources of information.

2.2.3 Ability to recognize the signs and symptoms of CBRN agents on patients presenting to the MTF as well as an understanding of the associated medical interventions and countermeasures necessary to aid the victim.

2.2.4 Ability to utilize the assets of HSMR AS 886A (Patient Decontamination) to provide a stand-alone capability to decontaminate a maximum of 100 people, based on supplies. AS 886A provides a tent and equipment to perform patient decontamination procedures and delivers PPE to support 24 personnel if using the TVI 4-lane system, or 16 personnel if using the Zumro 2-lane system.

2.2.5 Ability to utilize the assets of HSMR AS 886M (Manpower and Security) to provide the MUS Team the capability to perform incident response activities to include providing security support for the patient decontamination team (or mass prophylaxis dispensing locations), securing the medical unit and controlling vehicular access with the intent to provide crowd control for up to 300 casualties, utilizing Level C PPE in CBRN threat environments, and implementing barriers for patient flow and vehicle control.

2.2.6 Ability to utilize the assets of HSMR AS 886K (Triage) to provide the Triage Team the equipment and supplies necessary to perform primary triage and secondary triage of up to 300 casualties, utilize response bags to perform necessary medical and life saving interventions, and utilize Level C PPE in a CBRN threat environment.

2.2.7 Ability to understand first receiver PPE requirements and utilize Level C PPE when working in the MTF decontamination zone and the patient decontamination area of operations. Students demonstrate the ability to don and doff PPE quickly and efficiently as well as showing task proficiency of team CONOPS while wearing PPE.

2.2.8 Ability to stage AS 886A (Patient Decontamination), 886K (Triage), and 886M (manpower and Security) equipment and materials to facilitate rapid activation and deployment to the MTF decontamination zone, perform PPE inspections and Powered Air Purifying Respirator (PAPR) flow checks, and document and report equipment challenges through Medical Readiness Decision Support System (MRDSS) and Defense Medical Logistics Standard Support (DMLSS).

2.2.9 Ability of the IPPD Team to perform patient decontamination activities including setting up the decontamination shelter, staging all patient decontamination equipment, establishing a heated water supply for operations and an ability to collect contaminated materials and wastewater, and demonstrate a capability to perform patient decontamination for 6-10 litter patients and 25 ambulatory patients per hour.

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RFQ Number FA564126Q0001

2.2.10 Ability of the FRT to provide on-scene response in a C-CBRN environment and demonstrate appropriate staging and utilization of AS 886J (Field Response). FRT response actions include activation, scene size up of victims and hazards, appropriate use of PPE, performing triage, stabilization, and treatment of CBRN MCI victims, prioritizing victims for patient movement, conducting patient hand offs with EMS partners, and documenting triage and patient tracking actions.

2.2.11 Ability of the MCC to conduct command and control of all medical assets on behalf of the MTF commander during a CBRN MCI response, to activate appropriate HSMR teams immediately when directed or upon notification of a suspected incident, to keep team chiefs informed about suspected contaminants, perform incident patient tracking and resource management activities, communicate information and requirements with HSMR teams, the EOC, and the MTF/CC, and perform other required C2 actions, such as coordination of medical support, consolidation of details of dead, injured, missing personnel, coordination of delayed, immediate, minimal, and expectant patients, organizing and directing MCRP teams, and briefing both up and down the chain of the pertinent details of the incidents and recommendations of actions to come.

2.2.12 .

2.2.13 Ability of Clinical, Patient Administration, Pharmacy, Laboratory, Medical Logistics, Bioenvironment Engineering, Public Health, Disaster Mental Health, and other MCRP / HSMR teams to conduct C- CBRN operations during the full-scale exercise event consistent with expected actions in associated RTAP tactical drills on supporting C-CBRN and MCI operations.

2.3 Specific Tasks for Contractor

2.3.1 The Contractor shall provide a training and exercise schedule for the two-day C-CBRN training course to include times, subjects, and required personnel. The Government Client (MTF) will provide the locations for the training and exercise events.

2.3.2 The Contractor shall conduct a chemical agent and mass casualty incident full scale exercise and training event based upon required Training and Exercise Objectives using HSMR AS Equipment and Supplies.

2.3.3 The Contractor shall conduct a first responder and first receiver awareness training session that meets the training requirements for awareness level training in Occupational Safety and Health Administration (OSHA) Standard 1910.120 and OSHA Best Practices for Hospital Based First Receivers. This training is offered to members of DMH, FRT, IPPD, MUS, Triage, and Ambulance Services IAW DAFI 10-2501 and DAFI 41-106. Within the training topics the Contractor shall include providing an understanding of what hazardous substances are, the risks associated with them in an incident, an understanding of the potential outcomes associated with an emergency created when hazardous substances are present, the ability to recognize the presence of hazardous substances in an emergency, the role of the first responder awareness individual, and the ability to make appropriate notifications to the MCC.

2.3.4 The Contractor shall provide a first responder and first receiver operations level training session that meets the requirements for operations level training in OSHA Standard 1910.120 and OSHA Best Practices for Hospital Based First Receivers. This training is offered to the three teams operating in https://conit.cce.af.mil/suite/sites/procurement-personnel-home/page/records/record/lYBNS8-f6ETGDot5nK8tbMCURjLhMTxvHGhs43hsgGZu6PrUV_Yrai1I4KfEu-KEA-xyjIkyNKNpz1goYDiW73hfbGQjSw-VMWMCAsMln8fVRctMGuKuw/view/summary

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RFQ Number FA564126Q0001 the MTF’s patient decontamination zone (IPPD, MUS, and Triage teams). Within the training topics the Contractor shall include providing knowledge of the basic hazard and risk assessment techniques, how to select and use proper PPE provided to the first responder operational level, an understanding of basic hazardous materials terms, how to perform basic control, containment and/or confinement operations within the capabilities of the resources and PPE available, how to implement patient decontamination procedures, and an understanding of the relevant standard operating and termination procedures.

2.3.5 As part of the first receiver operations level training session, the Contractor shall provide a hands-on training session for members of the IPPD, MUS, and Triage teams to enhance familiarization with their PPE to include donning and doffing the equipment, conducting suit integrity checks and PAPR flow checks, documenting PPE checks on the AF Form 1071, and staging PPE for immediate response.

2.3.6 The Contractor shall deliver an MCC operations training session that teaches both MCC operations and C2 during a C-CBRN response. Training topics for the MCC include radio etiquette, C2 Common Operating Picture (COP), resource management during an all-hazards response, patient tracking and numbering requirements, MCC activation procedures, and an MCC and MTF activation drill during a CBRN response to activate teams and stand-up operations to protect the MTF’s environment of care.

2.3.7 The Contractor shall provide a FRT training session that instructs on the use of HSMR AS 886J (Field Response) and key considerations for conducting a medical response to a CBRN MCI. Training topics include activation of the FRT, assemblage and usage of medical response bags and associated equipment items from AS 886J, safe routes and transportation to the scene, methodology for conducting a scene size up upon arrival to the incident site, check in and communications with the Incident Commander (IC), PPE usage during a CBRN event, triage of CBRN MCI victims and prioritization of care, treatment of CBRN MCI victims to include medical countermeasures and lifesaving interventions, patient receiving handoffs from Fire Emergency Services (FES) and to ambulance crews or EMS, documentation of patient triage and patient movement activities, and deactivation of the FRT.

2.3.8 The Contractor shall conduct a patient decontamination functional exercise drill with the focus on patient care, prioritization, and patient decontamination procedures during a CBRN MCI with the appearance of self-presenting victims to the MTF. The drill shall emphasis protection of the perimeter by the MUS Team, prioritizing and lifesaving interventions by the Triage team, patient decontamination procedures by the IPPD team, and patient movements and handoffs across all three teams. In addition, the Contractor provided drill shall cover expected medical countermeasures for a specific chemical agent event, the use of copious water as a mode of patient care for a specific chemical agent event, thoroughness of patient decontamination procedures, patient lifting and moving into and out of the decontamination tent, and the handoff and performance of secondary triage into the cold zone area of the MTF decontamination zone.

2.3.9 The Contractor shall conduct a post exercise hotwash session to engage team chiefs, medical WIT, medical readiness, and MTF leadership on lessons learned, observations and challenges during the full-scale exercise, areas needing corrective action plans, CBRN and MCI operation recommendations, and strengths identified.

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RFQ Number FA564126Q0001

2.3.10 The Contractor shall provide an in-brief and out-brief session for MTF executive staff and leadership on objectives of the two-day C-CBRN training and exercise event, as well as findings and recommendations from the training and exercise sessions.

2.3.11 The Contractor shall provide full scale exercise materials to include scenario briefing material, patient/actor simulation cards, exercise MSEL, actor briefing, and safety briefing. The MTF will provide HSMR AS equipment and medical supplies and countermeasures.

2.3.12 The Contractor shall ensure functionality of unit’s patient decontamination equipment and supplies.

The Contractor shall validate set up of patient decontamination location, equipment, and supplies and advise team chiefs on equipment set up and operations.

2.3.13 The Contractor shall administer and control C-CBRN Full Scale Exercise: The Contractor shall provide staff to administer all aspects of the full-scale exercise to include providing exercise controllers to manage MSEL injects, the pace of exercise flow, and facilitate accomplishment of exercise objectives. The MTF will provide medical WIT staff to assist exercise observation, provide coverage to all responding team locations, and document MDG after action activities.

2.3.14 The Contractor shall deliver a Base Visit AAR at the end of each visit with a summary of the training an assessment of the unit’s abilities to meet objectives described in this SOW, and provide recommendations for future unit focus areas in C-CBRN and HSMR training and exercise activities.

2.4 Security Clearance

2.5 Period of Performance

2.5.1 The period of performance will be based on contract award date.

2.5.2 Work will be performed at the following USAFE installations: Royal Air Force (RAF) Lakenheath

2.6 Government/Contractor Furnished Facilities, Equipment and Information

2.6.1 The Contractor shall furnish:

2.6.1.1 The necessary personnel to schedule all training events and manage curriculum.

2.6.1.2 Provide available training dates.

2.6.1.3 Conduct 90-day, 60-day, and 7-day base visit planning meetings to review the objectives of the two-day C-CBRN emergency training and exercise event and describe and review the planning and logistics support endeavors needed by the MTF for a successful base visit (e.g. scheduling of training https://conit.cce.af.mil/suite/sites/procurement-personnel-home/page/records/record/lYBNS8-f6ETGDot5nK8tbMCURjLhMTxvHGhs43hsgGZu6PrUV_Yrai1I4KfEu-KEA-xyjIkyNKNpz1goYDiW73hfbGQjSw-VMWMCAsMln8fVRctMGuKuw/view/summary

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RFQ Number FA564126Q0001 locations, blocking schedules of MTF personnel, acquiring actors for the full-scale exercise, etc.).

The Contractor can adjust the timeframe of the planning meetings based on the needs of the MTF.

2.6.1.4 One highly qualified Lead Instructor / Lead Exercise Controller and no less than two additional staff with expertise in C-CBRN agent response, CBRN and MCI full scale exercise operations, and subject matter expertise for all training and exercise sessions.

2.6.1.5 All training and exercise support materials (e.g., briefings, MESEL, patient/actor simulation cards,

2.6.2 The Government will provide:

2.6.2.1 Name, phone, and e-mail of the MTF’s base visit POC for the Contractor to work with at the start of the planning cycle. Note: Close coordination between the Contractor and the MTF base visit POC is essential to keep scheduling on track.

2.6.2.2 Location of C-CBRN exercise site and other training agenda items.

2.6.2.3 On-base access for Contractor staff.

2.6.2.4 Reimbursement for any of Contractor’s travel commitments if a Base “scheduled for training” cancels or re-schedules. The Contractor shall book flights for personnel at 45 days prior to the base visit. If the first training is within the 45 day window after contract award, the contractor shall book

2.6.2.5 Information and access to uniquely available equipment and government-owned applications and

2.7 Travel

Travel to various U.S. Air Force installations Outside Continental United States (OCONUS) to provide the training is anticipated:

2.7.1.1 Trip/Base Name: RAF Lakenheath (48th Medical Group), Spangdahlem AB (52d Medical Group),

2.7.1.2 Type of Training: HSMR C-CBRN Two-Day Training & Exercise Event

2.7.1.3 Number of Instructors: minimum of 3 (see 2.6.1.4.)

2.7.1.4 Days of Prep & Training: For each instructor, approximately 8 hours travel to base location, 8 hours travel return from base location, 16 hours two-day training and exercise event, 32 hours of prep that includes conducting planning meetings with MTF, updating slide sets and training material to be specific to each base, updating base specific exercise materials, rehearsing training and exercise https://conit.cce.af.mil/suite/sites/procurement-personnel-home/page/records/record/lYBNS8-f6ETGDot5nK8tbMCURjLhMTxvHGhs43hsgGZu6PrUV_Yrai1I4KfEu-KEA-xyjIkyNKNpz1goYDiW73hfbGQjSw-VMWMCAsMln8fVRctMGuKuw/view/summary

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RFQ Number FA564126Q0001 and 8 hours of post base visit requirements including developing the after action report, completing a travel voucher, and post visit discussions with the Major Command (MAJCOM) and MTF.

2.7.2 Travel costs shall comply with DoD Per Diem Rates listed at:

2.8 Reporting Requirements

Contractor shall provide a Base Visit AAR based on the preference of the Government Client each time an installation receives a C-CBRN Two-Day Training and Exercise event to the established POC within 15 working days of event completion.

3. Public Health Emergency

3.1 Course Description: HSMR Public Health Emergency Exercise and Training

This two-day training and exercise event is designed to assess Air Force Medical Groups (MDG) and train MDG personnel on HSMR program capabilities with a two-day focus on the ability to respond to a biological attack or a naturally occurring outbreak resulting in a public health emergency. All training and exercise events are designed to operationalize the use of the Air Force’s Response Training and Assessment Program (RTAP) material and to reinforce the use of RTAP tools with disaster team chiefs. Furthermore, all training and exercise events are based on public health emergency requirements and expected capabilities in Department of Defense (DoD) and USAF guidelines to include Defense Health Agency (DHA) Administrative Instruction 6055.02, Emergency Management Program, DoDI 6200.03, Public Health Emergency Management within the DoD, DAFI 10-2501, Emergency Management Program, DAFI 10-2519, Public Health Emergencies and Incidents of Public Health Concern, DAFI 41-106, Air Force Medical Readiness Program, and AFTTP 3-42.32, Installation Medical All Hazards Response.

3.2 Public Health Emergency Concept of Operations (CONOPS)

Training and exercise events will cover expected MDG and disaster team capabilities derived from AFTTP 3-42.32, the above listed policy documents, and RTAP tools to include tactical drills, team chief guides, and the RTAP Incident Response Matrix. That CONOPS that will be trained and

3.2.1 Ability to rapidly acquire, stage, and distribute medical countermeasures in a mass prophylaxis Point of Dispensing (POD) setting while meeting the needed scope and throughput capacity described in the Installation Mass Prophylaxis Plan and/or Disease Containment Plan.

3.2.2 Ability to utilize the assets of HSMR AS 886E (Laboratory Biological Detection) to provide medical countermeasures to protect initial victims, first responders, and prioritized personnel as well as to support POD operations.

3.2.3 Ability of the Pharmacy Team to expediently move the AS 886E cache and the ability of POD support teams to move HSMR material and needed operational supplies to a POD site location.

3.2.4 Ability of the BEE Team, to respond to a biological agent to include unknown substances, conduct biological hazard evaluation and identification, and develop a health risk assessment.

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3.2.5 Ability of the Laboratory Biological Detection Team (LBDT) to provide expertise in biological identification and risk analysis, collect and preserve evidence, conduct microbiology techniques, environmental testing, Laboratory Response Network (LRN) shipments, and utilize AS 886I and analytical platforms within MDG facility requirements.

3.2.6 Ability of the Public Health (PH) Team to utilize AS 886P (Public Health) and perform outbreak detection, foodborne illness investigations, respond to communicable disease outbreaks, and conduct surveillance activities for biological events including foodborne and vector borne disease outbreaks.

3.2.7 Ability of the MCC to conduct C2 of all medical assets on behalf of the MDG commander during a biological response, to activate appropriate HSMR teams immediately when directed or upon notification of a suspected incident, to keep team chiefs informed about suspected contaminants, the number of patients being sent or transported to the medical unit from the incident site or POD site, and other required C2 actions, such as coordination of medical support, consolidation of details of dead, injured, missing personnel, coordination of delayed, immediate, minimal, and expectant patients, organizing and directing MCRP teams, and briefing both up and down the chain of the pertinent details of the incidents and recommendations of actions to come.

3.2.8 .

3.2.9 Ability of Clinical, Disaster Mental Health, Immunizations, MCC, Manpower Security, Patient Administration, Pharmacy, Public Health, and Triage disaster teams to conduct mass prophylaxis planning and operational support consistent with expected actions in associated RTAP tactical drills on supporting POD operations.

3.3 Specific Tasks for Contractor

3.3.1 The Contractor shall provide a training and exercise schedule for the two-day public health emergency training course to include times, subjects, and required personnel. Government Client (MDG) will provide the locations for the training and exercise events.

3.3.2 The Contractor shall conduct a Mass Prophylaxis POD Full Scale Exercise and Training Event based upon required Training and Exercise Objectives in using HSMR AS Equipment and Supplies.

3.3.3 The Contractor shall conduct a Biological Agent Tabletop Exercise that provides an exercise scenario and trains MDG leadership, teams, and members on biological agent response, mass prophylaxis planning activities, and POD operations.

3.3.4 The Contractor shall deliver a POD walk through advising session to work with the POD Manager and other MDG leaders on POD site selection, stations and clinics within POD operations, patient flowchart by response type, needed supplies (including HSMR AS) and support, potential bottleneck areas and POD operations troubleshooting, and expected patient throughput of the POD.

3.3.5 The Contractor shall provide a BEE training session that guides the BEE response team on HRA requirements and definitions, use of the HRA in a response environment, risk communication concepts and a risk communication practical drill.

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3.3.6 The Contractor shall provide a BEE and LBDT joint training session on reviewing biological sampling strategies, coordination between BEE and LBDT teams, team equipment, and sampling strategies.

3.3.7 The Contractor shall provide a PH training session that instructs on the use of HSMR AS 886P and key considerations for conducting food sample submissions in order to test implicated foods for suspected foodborne agents during a foodborne illness investigation. In addition, the Contractor shall train on the use of 886P equipment in developing an installation vector borne disease surveillance plan and conducting vector surveillance activities during an outbreak investigation.

3.3.8 The Contractor shall conduct a foodborne illness exercise and training event that trains required personnel (including public health, emergency departments, primary care management teams, pro-staff, and lab personnel) and meets training and exercise credit as per DAFI 48-116, Food Protection Program.