Statement of Work RFI.docx

STATEMENT OF WORK (SOW)

1. The Contractor shall be responsible for the overall performance of the contract and provide all necessary resources to meet contract requirements. All work completed under this contract shall comply with contract requirements. All deliverables under this contract shall not be marked proprietary or confidential or with any other markings limiting the Government’s use, unless otherwise specified by the Government.

2. The Contractor shall provide an “Air Ambulance Medical Evacuation” (medevac) service in response to a worldwide medical emergency for International Space Station (ISS), Johnson Space Center (JSC), or other travelers identified by NASA (referred to as ‘traveler(s)’ throughout) on a pre-paid basis regardless of traveler’s home location or country of origin.

“Air Ambulance Medical Evacuation” (medevac) service includes, but is not limited to, comprehensive air and surface medical transport services appropriate for the condition of a sick or injured traveler; providing medical personnel, medical escorts, equipment and transportation that are fully certified and licensed, in accordance with local laws and regulations where operations are performed, to ensure the sick or injured traveler is provided the proper services to be stabilized prior to and during air and surface medical transport. Medevac transport is to NASA’s hospital of choice, which may be in the United States (U.S.) or elsewhere, for the traveler who is experiencing a medical condition when any of the following conditions are met:

i. Traveler requires in-patient hospitalization or

ii. Traveler requires out-patient definitive medical care or

iii. Traveler requires a medical escort for the medical condition or

iv. Traveler has a medical condition and cannot safely travel by commercial means.

3. The Contractor shall transport the injured or ill traveler to nearest appropriate medical facility that practices U.S. standards of medical care. This is defined as facilities with treating physicians and nurses who are trained in the US/Europe or are US/Europe board certified.

In the event that the medical facility does not meet the U.S. standards of medical care, the Contractor shall provide sufficient rationale to the NASA/JSC Chief Medical Officer and NASA Contracting Officer Representative (COR) for using the proposed facility.

4. The Contractor shall provide transportation for three accompanying travelers specified by NASA on the same transport as the injured/ill individual requiring a medevac.

In the event that the same transport cannot accommodate all three accompanying travelers, at least one accompanying traveler specified by NASA shall be accommodated on the same transport.

The Contractor shall provide sufficient rationale to the NASA Contracting Officer Representative (COR) why it cannot transport all accompanying travelers and provide alternate transportation for the remaining accompanying travelers within 24 hours to the same location as the injured or ill traveler.

This alternate transportation requirement is applicable to a maximum of five medevacs per year.

5. The Contractor shall provide additional medical travel services for the travelers on worldwide travel. These services include the following:

a. Provide transportation of patient from site of injury to appropriate medical facilities;

b. Coordinate with medical providers to ensure timely access to medical care;

c. Provide pharmacy assistance;

d. Obtain medical monitoring;

e. Provide assistance obtaining medications, vaccines, blood transfers, and medical devices;

f. Obtain medical referrals and consultations with English-speaking doctors;

g. Provide patient advocacy;

h. Provide bed side case management services such as in-person interaction and care;

i. Provide medical translation and interpretation services to include telephonic language assistance with medical incidents and medical translations of medical records to the extent required to resolve the medical emergency;

j. Coordinate uninterrupted hospital admittance and discharge;

k. Coordinate hospital payments including direct billing between insurer, medical provider and traveler, without any involvement or responsibility of the Government;

l. Coordinate insurance information between the patient, insurers, and medical providers, without any involvement or responsibility of the Government;

m. Provide guarantee of payment (GOP) services and pay as agent for the traveler the costs associated with the traveler’s medical care to ensure traveler receives required medical services and discharge without delay. After the Contractor provides the timely GOP and pays as agent for the traveler, the Contractor and the traveler will directly organize the reimbursement of the GOP and costs the contractor paid as agent for the traveler, without any involvement or responsibility of the Government;

n. Provide repatriation of mortal remains for travelers to the location specified by NASA;

NASA will co-develop with the Contractor the notification process for timely communication and dissemination of confidential medical reports.

6. The Contractor shall participate in NASA Contingency Tabletop simulations of evacuation events to validate communication and operations plans and decision-making procedures (estimate twice per year).

7. The Contractor shall report their operational readiness to provide services prior to every launch and/or landing based on current worldwide events and capabilities.

8. The Contractor shall conduct a program status meeting each contract year with NASA management and JSC’s Chief Medical Officer, with the first meeting happening within 90 days of the start of the contract.

9. The Contractor shall provide and update each contract year the Russia and Kazakhstan medical facilities points of contact, capabilities, admittance and use process, GOP and discharge process, whether facility accepts US Government employee medical insurance plans and use recommendations for the medical facilities identified by NASA.

10. The Contractor shall establish, within 60 days of contract start and maintain for the duration of the contract, the GOP advance service agreements with the specific medical facilities that NASA identifies as critical medical facilities in Russia and Kazakhstan. If the Contractor cannot establish a GOP advance service agreement at one of NASA’s identified medical facilities in Russia/Kazakhstan by the end of that 60-day period, then the Contractor shall notify the NASA COR and provide an alternate course of action to meet the intent of the GOP advance service agreement. Annually on December 15, the Contractor shall provide a written summary report on the status of GOP advance service agreements for the NASA identified hospitals.

11. The Contractor shall provide a written medevac plan of action/response for locations that NASA frequently visits to include Moscow, Russia; Baikonur, Kazakhstan; Karaganda, Kazakhstan; Nordwijk, Netherlands; Montreal, Canada; Tsukuba, Japan; and Tanegashima, Japan. The plan shall be updated annually for currency throughout the life of the contract and after any major changes. The plan shall include:

a. Specific points of contact the Contractor will utilize to access restricted airports or facilities;

b. Unique country and local specific requirements for medevac services and plans on how to address each;

c. Specific facilities, capabilities and transport services in country the Contractor will utilize for bed-to-bed medical transport;

d. Whether selected medical providers accept U.S Government employee medical insurance plans

e. List of data and documentation the Contractor requires NASA to provide to support medevac.

12. The Contractor shall provide a secure electronic registration capability that:

a. Provides travelers with a description of the scope of Contractor’s services in accordance with this SOW.

b. Educates travelers on specific instructions to follow should a medical incident or emergency occur and traveler’s responsibilities in accordance with this SOW.

c. Captures critical information from travelers that expedites medical assistance and evacuation when necessary.

d. Meets industry standards for data protection, accessibility, storage and retention requirements of private medical and personal information (e.g. Personally Identifiable Information, Health Insurance, etc.)

The Contractor shall provide NASA with up-to-date weekly access to this enrollment and critical traveler information.

Travelers will not be required to be pre-enrolled or registered in a Contractor’s system in order for the Contractor to provide services covered under this contract.

13. The Contractor provided services shall meet the Commission on Accreditation Medical Transport Services (CAMTS) and European Aero-Medical Institute (EURAMI) accreditation standards or equivalent for personnel and assets. Any deviations must be reported to the JSC Chief Medical Officer and Contracting Officer Representative (COR), and approved by NASA prior to implementation, unless otherwise specified by the Contracting Officer.

14. The Contractor shall provide services globally without exception. In the event that the Contractor cannot provide a medevac in specific parts of the world, then the Contractor shall provide sufficient rationale to the NASA COR why it cannot and provide an alternate solution at no additional cost beyond the prepaid amount.

15. Evacuation and Additional Medical Travel Services Cost Responsibility

a. If a medical event occurs, all costs for evacuation and additional medical travel services shall be the responsibility of the Contractor and no additional cost beyond the prepaid amount will be incurred by NASA or its travelers.

b. The Contractor shall be responsible for all medevac and medical travel service costs. This excludes personal medical bills accrued by the traveler which are not arranged for or provided by Contractor are the responsibility of the injured or ill traveler.

c. The Contractor shall collect the necessary insurance information from the traveler when required and coordinate payment of medical expenses directly with the injured or ill traveler and his or her insurer without NASA involvement.

d. NASA will not provide arbitration or remediation to resolve disputes between the Contractor and traveler regarding reimbursements of uncovered expenses.

16. Decision to Evacuate The decision to evacuate is NASA’s sole decision when the Reservation/Call-Up task under SOW Section 19 is enacted. In all other cases, the decision to perform a medevac shall be made jointly (50/50) by NASA and the Contractor, who will apply U.S. standards of medical care. In the case of disagreement on medical evacuation between the NASA and the Contractor, an independent third party will be consulted. This independent third party will be mutually agreed upon within 30 days of contract award.

17. The Contractor shall provide group membership as specified in Clause 5 Firm Fixed Price (FFP) Group Membership.

18. The Contractor shall provide a medical evacuation using a Portable Medical Isolation Unit (e.g. infectious disease) upon request by NASA. This requirement is priced in accordance with Tables 1.b and 2.b in Clause 5 Firm Fixed Price (FFP) Group Membership.

19. The Contractor shall provide a reservation and call-up service for medical transport via air ambulance for Soyuz crew landing event.

a. If a reservation occurs, NASA will unilaterally revise the order based on price per Terms and Conditions Section 5, paragraph 3.a. NASA will order the reservation at least 10 days prior to the Soyuz crew landing event.

b. If a call-up of the reserved aircraft occurs, NASA will unilaterally revise the order based on price per Terms and Conditions Section 5, paragraph 3.b. The decision to implement the call-up of the reserved aircraft to medically transport via air ambulance will be NASA’s sole decision. NASA will provide call-up notification to the Contractor no later than 36 hours prior to the Soyuz crew landing event. The crew member and the associated NASA flight surgeon shall be transported to Houston, Texas.

20. The Government does not assume liability that results from claims that arise from their direct performance of this contract. The Contractor shall indemnify the Government for any occurrence, action, or claim that might trigger the Government's liability; unless the Government is found to be liable. The rights and obligations of the parties under this clause shall survive the termination, expiration, or completion of this contract.

(End of SOW)