Exhibit 14e InClinic Services By Service Date 4_4_4_18.xlsx

XLSX spreadsheet 72 KB Posted

Attached to
Special Notice-Amendment 0009
Solicitation number
W15QKN-17-R-1042
Issued by

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This document provides details of a federal contract opportunity for Reserve Health Readiness Program III health readiness services. The Department of the Army Contracting Command - New Jersey, on behalf of the Defense Health Agency, is seeking to award an indefinite delivery indefinite quantity contract for five years to provide health readiness services to Service Components of the Reserve Components. Services required include immunizations, physical examinations, pre-deployment health assessments, post-deployment health reassessments, mental health assessments, dental examinations and x-rays, dental treatment, laboratory services, occupational health services, Periodic Health Assessments, and separation history and physical examinations. The anticipated solicitation number is W15QKN-17-R-1042, with an anticipated issue date of September 30, 2017. The contract will have firm-fixed-price and cost reimbursement terms, and will be awarded to a single contractor.

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Legend

RHRP II - Deliverable 2
MPR: FY In-Clinic Services By Service Date

Date Selection Range: 10/1/2015 to 4/30/2016

Report Legend
As part of the MPR, the Contractor shall supply reports as required by the COR and SCs including but not limited to the number of services by service type and location (group event vs. in-clinic [i.e., within the Contractor network]) provided to members of each Component.
Definitions
Requested = Requested Quantity
Performed = Number of performed services
Canceled = Any service which has been canceled and services not performed. Canceled services do not include No Shows, rescheduled, or pending services.
NoteAudio H1, H2, H3 may not equal Audio Services total

Deliverable 2 - OnSite_InClinic Services By Service Date Database: MedNetProd 5/13/2016 1:23:51 PM

Deliverable 2 Summary

RHRP II - Deliverable 2
MPR: FY In-Clinic Services By Service Date

Date Selection Range: 10/1/2015 to 4/30/2016

All Service ComponentsOctober 2015November 2015December 2015January 2016February 2016March 2016April 2016Total
RequestedPerformedCancelledRequestedPerformedCancelledRequestedPerformedCancelledRequestedPerformedCancelledRequestedPerformedCancelledRequestedPerformedCancelledRequestedPerformedCancelledRequestedPerformedCancelled
Audio ServicesAudio Services
Audiograms
H1
H2
H3
Total
Behavioral HealthBehavioral Health
MHAs
Total
PDHRAPDHRA
Total
Blood DrawsHIV
Total
Dental ServicesBite Wing X-Rays
Dental Exams
Dental Treatment
Panograph X-Rays
Total
EKGsEKGs
Total
EyewearEyewear
Total
ImmunizationsFlu Shots
Vaccinations
Total
Lab ServicesDNA
G6PD
Lab Services
Total
PHAPHA
PHA Lite
Total
Physical ExamPhysical Exam
Total
Vision ServicesVision Services
Total
Total

Deliverable 2 - OnSite_InClinic Services By Service Date 5/13/2016 1:23:51 PM

Air National Guard

RHRP II - Deliverable 2
MPR: FY In-Clinic Services By Service Date

Date Selection Range: 10/1/2015 to 4/30/2016

Air National GuardOctober 2015November 2015December 2015January 2016February 2016March 2016April 2016Total
RequestedPerformedCancelledRequestedPerformedCancelledRequestedPerformedCancelledRequestedPerformedCancelledRequestedPerformedCancelledRequestedPerformedCancelledRequestedPerformedCancelledRequestedPerformedCancelled
Behavioral HealthMHAs
Total
PDHRAPDHRA
Total
Dental ServicesBite Wing X-Rays
Dental Exams
Panograph X-Rays
Total
Total

Deliverable 2 - OnSite_InClinic Services By Service Date 5/13/2016 1:23:51 PM

Army National Guard

RHRP II - Deliverable 2
MPR: FY In-Clinic Services By Service Date

Date Selection Range: 10/1/2015 to 4/30/2016

Army National GuardOctober 2015November 2015December 2015January 2016February 2016March 2016April 2016Total
RequestedPerformedCancelledRequestedPerformedCancelledRequestedPerformedCancelledRequestedPerformedCancelledRequestedPerformedCancelledRequestedPerformedCancelledRequestedPerformedCancelledRequestedPerformedCancelled
Audio ServicesAudio Services
Audiograms
H1
H2
H3
Total
Behavioral HealthBehavioral Health
Total
PDHRAPDHRA
Total
Blood DrawsHIV
Total
Dental ServicesBite Wing X-Rays
Dental Exams
Dental Treatment
Panograph X-Rays
Total
EKGsEKGs
Total
EyewearEyewear
Total
ImmunizationsFlu Shots
Vaccinations
Total
Lab ServicesG6PD
Lab Services
Total
PHAPHA
PHA Lite
Total
Physical ExamPhysical Exam
Total
Vision ServicesVision Services
Total
Total

Deliverable 2 - OnSite_InClinic Services By Service Date 5/13/2016 1:23:51 PM

Marine Forces Reserve

RHRP II - Deliverable 2
MPR: FY In-Clinic Services By Service Date

Date Selection Range: 10/1/2015 to 4/30/2016

Marine Forces ReserveOctober 2015November 2015December 2015January 2016February 2016March 2016April 2016Total
RequestedPerformedCancelledRequestedPerformedCancelledRequestedPerformedCancelledRequestedPerformedCancelledRequestedPerformedCancelledRequestedPerformedCancelledRequestedPerformedCancelledRequestedPerformedCancelled
Audio ServicesAudiograms
H1
H2
H3
Total
Behavioral HealthMHAs
Total
PDHRAPDHRA
Total
Dental ServicesBite Wing X-Rays
Dental Exams
Panograph X-Rays
Total
EyewearEyewear
Total
ImmunizationsFlu Shots
Vaccinations
Total
Lab ServicesG6PD
Lab Services
Total
PHAPHA
Total
Vision ServicesVision Services
Total
Total

Deliverable 2 - OnSite_InClinic Services By Service Date 5/13/2016 1:23:51 PM

United States Active Army

RHRP II - Deliverable 2
MPR: FY In-Clinic Services By Service Date

Date Selection Range: 10/1/2015 to 4/30/2016

United States Active ArmyOctober 2015November 2015December 2015January 2016February 2016March 2016April 2016Total
RequestedPerformedCancelledRequestedPerformedCancelledRequestedPerformedCancelledRequestedPerformedCancelledRequestedPerformedCancelledRequestedPerformedCancelledRequestedPerformedCancelledRequestedPerformedCancelled
Audio ServicesAudio Services
Audiograms
H1
H2
H3
Total
Behavioral HealthBehavioral Health
Total
PDHRAPDHRA
Total
Blood DrawsHIV
Total
EKGsEKGs
Total
EyewearEyewear
Total
ImmunizationsFlu Shots
Vaccinations
Total
Lab ServicesLab Services
Total
PHAPHA
Total
Physical ExamPhysical Exam
Total
Vision ServicesVision Services
Total
Total

Deliverable 2 - OnSite_InClinic Services By Service Date 5/13/2016 1:23:51 PM

United States Marine Corps

RHRP II - Deliverable 2
MPR: FY In-Clinic Services By Service Date

Date Selection Range: 10/1/2015 to 4/30/2016

United States Marine CorpsOctober 2015November 2015December 2015January 2016February 2016March 2016April 2016Total
RequestedPerformedCancelledRequestedPerformedCancelledRequestedPerformedCancelledRequestedPerformedCancelledRequestedPerformedCancelledRequestedPerformedCancelledRequestedPerformedCancelledRequestedPerformedCancelled
Behavioral HealthMHAs
Total
PDHRAPDHRA
Total
Total

Deliverable 2 - OnSite_InClinic Services By Service Date 5/13/2016 1:23:51 PM

US Air Force Reserve

RHRP II - Deliverable 2
MPR: FY In-Clinic Services By Service Date

Date Selection Range: 10/1/2015 to 4/30/2016

US Air Force ReserveOctober 2015November 2015December 2015January 2016February 2016March 2016April 2016Total
RequestedPerformedCancelledRequestedPerformedCancelledRequestedPerformedCancelledRequestedPerformedCancelledRequestedPerformedCancelledRequestedPerformedCancelledRequestedPerformedCancelledRequestedPerformedCancelled
Behavioral HealthMHAs
Total
PDHRAPDHRA
Total
Total

Deliverable 2 - OnSite_InClinic Services By Service Date 5/13/2016 1:23:51 PM

US Army Reserve

RHRP II - Deliverable 2
MPR: FY In-Clinic Services By Service Date

Date Selection Range: 10/1/2015 to 4/30/2016

US Army ReserveOctober 2015November 2015December 2015January 2016February 2016March 2016April 2016Total
RequestedPerformedCancelledRequestedPerformedCancelledRequestedPerformedCancelledRequestedPerformedCancelledRequestedPerformedCancelledRequestedPerformedCancelledRequestedPerformedCancelledRequestedPerformedCancelled
Audio ServicesAudio Services
Audiograms
H1
H2
H3
Total
Behavioral HealthBehavioral Health
Total
PDHRAPDHRA
Total
Blood DrawsHIV
Total
Dental ServicesBite Wing X-Rays
Dental Exams
Dental Treatment
Panograph X-Rays
Total
EKGsEKGs
Total
EyewearEyewear
Total
ImmunizationsFlu Shots
Vaccinations
Total
Lab ServicesDNA
G6PD
Lab Services
Total
PHAPHA
Total
Physical ExamPhysical Exam
Total
Vision ServicesVision Services
Total
Total

Deliverable 2 - OnSite_InClinic Services By Service Date 5/13/2016 1:23:51 PM

US Coast Guard

RHRP II - Deliverable 2
MPR: FY In-Clinic Services By Service Date

Date Selection Range: 10/1/2015 to 4/30/2016

US Coast GuardOctober 2015November 2015December 2015January 2016February 2016March 2016April 2016Total
RequestedPerformedCancelledRequestedPerformedCancelledRequestedPerformedCancelledRequestedPerformedCancelledRequestedPerformedCancelledRequestedPerformedCancelledRequestedPerformedCancelledRequestedPerformedCancelled
Audio ServicesAudiograms
H1
H2
H3
Total
Behavioral HealthMHAs
Total
PDHRAPDHRA
Total
Blood DrawsHIV
Total
ImmunizationsFlu Shots
Vaccinations
Total
Lab ServicesDNA
Lab Services
Total
PHAPHA
Total
Physical ExamPhysical Exam
Total
Vision ServicesVision Services
Total
Total

Deliverable 2 - OnSite_InClinic Services By Service Date 5/13/2016 1:23:51 PM

US Coast Guard Reserve

RHRP II - Deliverable 2
MPR: FY In-Clinic Services By Service Date

Date Selection Range: 10/1/2015 to 4/30/2016

US Coast Guard ReserveOctober 2015November 2015December 2015January 2016February 2016March 2016April 2016Total
RequestedPerformedCancelledRequestedPerformedCancelledRequestedPerformedCancelledRequestedPerformedCancelledRequestedPerformedCancelledRequestedPerformedCancelledRequestedPerformedCancelledRequestedPerformedCancelled
Audio ServicesAudiograms
H1
H2
H3
Total
Behavioral HealthMHAs
Total
PDHRAPDHRA
Total
Blood DrawsHIV
Total
Dental ServicesBite Wing X-Rays
Dental Exams
Total
ImmunizationsFlu Shots
Vaccinations
Total
Lab ServicesG6PD
Lab Services
Total
PHAPHA
Total
Physical ExamPhysical Exam
Total
Vision ServicesVision Services
Total
Total

Deliverable 2 - OnSite_InClinic Services By Service Date 5/13/2016 1:23:51 PM

US Navy Reserve

RHRP II - Deliverable 2
MPR: FY In-Clinic Services By Service Date

Date Selection Range: 10/1/2015 to 4/30/2016

US Navy ReserveOctober 2015November 2015December 2015January 2016February 2016March 2016April 2016Total
RequestedPerformedCancelledRequestedPerformedCancelledRequestedPerformedCancelledRequestedPerformedCancelledRequestedPerformedCancelledRequestedPerformedCancelledRequestedPerformedCancelledRequestedPerformedCancelled
Audio ServicesAudiograms
H1
H2
H3
Total
Behavioral HealthMHAs
Total
PDHRAPDHRA
Total
Dental ServicesBite Wing X-Rays
Dental Exams
Panograph X-Rays
Total
EKGsEKGs
Total
EyewearEyewear
Total
ImmunizationsFlu Shots
Vaccinations
Total
Lab ServicesDNA
G6PD
Lab Services
Total
PHAPHA
Total
Vision ServicesVision Services
Total
Total

Deliverable 2 - OnSite_InClinic Services By Service Date 5/13/2016 1:23:51 PM

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