W81K0020R0008_Amendment 0001.pdf

SEE SCHEDULE

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

15A. NAME AND TITLE OF SIGNER (Type or print)

30-105-04EXCEPTION TO SF 30

APPROVED BY OIRM 11-84

STANDARD FORM 30 (Rev. 10-83) Prescribed by GSA

FAR (48 CFR) 53.243

Amendment 0001 is issued to publish answ ers to vendor questions and to remove references to personal services from the PWS. No other changes to the solicitation are made.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 43

16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)

16C. DATE SIGNED

BY 02-Jul-2020

16B. UNITED STATES OF AMERICA15C. DATE SIGNED15B. CONTRACTOR/OFFEROR

(Signature of Contracting Officer)(Signature of person authorized to sign)

8. NAME AND ADDRESS OF CONTRACTOR (No., Street, County, State and Zip Code) X W81K0020R0008

X 9B. DATED (SEE ITEM 11)

08-Jun-2020

10B. DATED (SEE ITEM 13)

9A. AMENDMENT OF SOLICITATION NO.

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

X The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offer is extended, X is not extended.

Offer must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended by one of the following methods:

(a) By completing Items 8 and 15, and returning 1 copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted;

or (c) By separate letter or telegram which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN

REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by telegram or letter, provided each telegram or letter makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

12. ACCOUNTING AND APPROPRIATION DATA (If required)

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS.

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE

CONTRACT ORDER NO. IN ITEM 10A.

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, appropriation date, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(B).

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority)

E. IMPORTANT: Contractor is not, is required to sign this document and return copies to the issuing office.

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

10A. MOD. OF CONTRACT/ORDER NO.

2. AMENDMENT/MODIFICATION NO. 5. PROJECT NO.(If applicable)

6. ISSUED BY

3. EFFECTIVE DATE

02-Jul-2020

CODE

W40M USA HLTH CONTRACTING ACT

REGIONAL HEALTH CONTRACT OFF CENTRAL

2539 GARDEN AVENUE

FT SAM HOUSTON TX 78234-0000

W81K00 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

W81K0020R0008

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 1449 - CONTINUATION SHEET

The following have been added by full text:

ANSWERS TO VENDOR QUESTIONS

Ground Ambulance Services William Beaumont Army Medical Center

Fort Bliss, TX

ANSWWERS TO QUESTIONS FROM VENDORS

1. Incumbent Contractor: United Medevac Solutions, Inc., CAGE 4KML4

Contract Number: W91YU0-16-P-0123 Contract Expiration: 30 September 2020 Total Contract Value: $12,121,119.00

2. In the solicitation in section 52.237-7, it states the insurance coverages for the following amount per occurrence:

$1,000,000.00 per occurrence; $3,000,000.00 aggregate, is this for General Liability coverage? a. Is there any Auto Insurance Coverage necessary for this solicitation? b. Will a subcontractor’s GL Insurance Coverage in aggregate be acceptable coverage to meet the government’s requirement in the PWS?

ANSWER: The coverage required under FAR 52.237-7 Indemnification and Medical Liability Insurance, is medical liability insurance.

a. The Government will maintain auto insurance coverage for the ambulance vehicles.

b. As stated in 52.237-7(f), “The Contractor shall … require subcontractors to provide evidence of and maintain [medical liability] insurance in accordance with paragraph (a) of this clause. At least 5 days before the commencement of work by any subcontractor, the Contractor shall furnish to the Contracting Officer evidence of such insurance. Subcontractor GL insurance coverage is not sufficient to meet the Government’s requirement in the

PWS.

3. In the Performance Work Statement (PWS) it refers to a dispatcher being an EMT, is this team member stationed at the WBAMC command center 24/7/365?

a. If so, is this dispatcher responsible for dispatching the units similar to a municipal 911 system or Public Safety Answer Point (PSAP)?

b. Can this individual be stationed at an offsite or geographically separated location?

ANSWER: A. Yes, the dispatcher is stationed at WBAMC. Yes, the dispatching is similar to the 911 system. B.

The Operator should be stationed at WBAMC.

4. What is the transition or training period allowed by the government once the project is awarded?

a. How many hours does the government estimate it will take to train up the awarded contactor’s dispatch team members?

ANSWER: A. Allow one shift for training of dispatch team members.

5. In our DOD contracting experience, site visits are usually scheduled. Will there be site visit scheduled for this solicitation?

a. If so, what are the badging and safety requirements necessary to attend?

ANSWER: A. Due to the current COVID-19 restrictions, a pre-proposal site visit is not being conducted. A post-award site visit can be arranged. Visitor badges with an escort is required. Wearing of face masks is REQUIRED.

Considering current restrictions on visitation to the new WBAMC facility, at least 30 days notice would be required to arrange for an escort at the new site.

6. In the performance work statement section 1.4.8 discussing Field hours for further EMS coverage at events may include, but not limited to: MASCAL Exercises, Annual World Military Taekwondo Championship Tournaments, Military Air Shoes, etc.… Are these types of events to be costed under CLIN 0004 on Schedule B – Pricing? If so, please provide the estimated annual hours a truck(s) is required for this event support.

ANSWER: Estimated man-hours per period of performance can be up to 500 hours to cover various events throughout the year. Each event is different on man-hours requested for coverage.

7. How many hours does the Sexual Harassment/Assault Response and Prevention (SHARP) training last? Will this training be required each project year as a refresher?

ANSWER: Each training session is approximately one hour. Training is required to be performed annually and can be accomplished during a shift.

8. How many hours will the government provide for the training of dispatch personnel? Are there annual refresher training hours required?

ANSWER: 8 hours for the initial training of dispatch personnel. 8 hours per year can be used as a refresher as needed.

9. Who is the incumbent contractor?

ANSWER: Refer to question #1.

10. Is the incumbent contractor an 8(a) firm?

ANSWER: Information on the incumbent contractor’s 8(a) status can be viewed at https://sam.gov or through the SBA’s Dynamic Small Business Search function.

11. We noticed that this project still has at least one option period left on the project. Why is the government moving forward with a new project instead of issuing the final option period?

ANSWER: There are no option periods remaining on the current contract.

12. Has the scope of the project change significantly from what has previously been performed?

a. If so, please provide the major changes.

ANSWER: The scope of any previous contract is not relevant to the solicited requirement.

13. Please provide the total annual cost of the current project for the last three fiscal years.

ANSWER: Refer to answer #1.

14. Please provide the corresponding PWS or Statement of Work for the last three fiscal years.

ANSWER: The PWS for the previous three fiscal years is not relevant to the solicited requirement and will not be provided.

15. Statement 4.1 The contractor shall provide or ensure personnel has their own rubber stamp containing their full name and EMT certification #. Is this rubber stamp to be used on all paper forms, i.e., patient care reports?

ANSWER: Yes.

16. Is there not an electronic patient care reporting (ePCR) system? If not, will the contractor be allowed to provide their ePCR software for patient care reporting while fulfilling any paper reporting requirements?

ANSWER: No, there is not an ePCR system. Yes, the contractor may provide their own system.

17. Is there an electronic daily ambulance inspection form or is it a paper-driven process?

ANSWER: A daily inspection of ambulances is expected. The inspection form can be paper or electronic provided the form is provided in a consistent format.

18. Would the government accept the contractor’s electronic daily ambulance inspection software for use on the project?

ANSWER: Yes

19. Is there an electronic narcotic usage log, or is that a paper-driven process? Would the government allow the contractor to provide and use their electronic narcotic usage log? Electronic narcotic log forms can be set to notify COR and project manager every time a narcotic is used.

ANSWER: Electronic narcotic usage log is preferred. Paper is allowable so long as it is consistent and inspectable.

The electronic method must be able to provider paper reports for inspection

20. Are there currently available safes for narcotic storage? If not, is the contractor able to provide biometric access narcotic safes that will provide instant notification to COR and project manager each time the safe is accessed?

ANSWER: Each ambulance is fitted with a manual narcotics safe. We are flexible with which safe is used but any retrofits would require coordination to fit the ambulance with the new safes.

21. Does the installation provide narcotic safes in the ambulances, or is it the contractor’s responsibility to provide narcotics safes?

ANSWER: There are narcotic safes on the ambulances. When used narcotics are directly resupplied through WBAMC pharmacy so no storage at the contractors office area would be required.

22. Does the installation currently use a Computer Aided Dispatch (CAD) software? Will the government allow the contractor to use their CAD?

ANSWER: Unsure. We are open to its use however if run on DoD computers any such software would require clearance by WBAMC IMD as it is being run on a federal grid.

23. If the installation provides and uses their own CAD will the contractor have access to the reporting portion to track the contractual obligation of one (1) minute shoot times and 30 minute response times?

ANSWER: If used that access would be expected to ensure teams were meeting hit times.

24. Will all staffing locations (fire stations) have a dedicated crew room for contracted staff?

ANSWER: Yes. All fire stations have separate rooms for contracted staff separated from the post fire department crews.

25. Sections 1.1 outlines and requires, “a residency trained/board certified Emergency Medicine Physician that will serve as a Medical Director.” The Texas Medical Board requires all EMS Medical Directors to be registered under a Texas Department of State Health Services designated Emergency Medical Services Provider License. Does this contract require proper provisioning as underlined above for a responsive industry response to this solicitation;

i.e. acquiring and maintaining Texas Department of State Health Services (DSHS) designated Emergency Medical Services Provider License?

ANSWER: The expectation is that a civilian medical director will maintain all TMB requirements including registering as a medical director.

26. Section 1.1.2 clarifies “this is a non-personal service requirement.” While this is congruent with Section 1.3.1 that “this is not a locum tenens procurement,” due to the 24/7/365 nature of mandatory EMS coverage. However, Section 1.3.2 regarding the “compensation” for a “personal services contract” is inconsistent with these prior two sections. The remaining PWS language indicates a requirement for a Texas Licensed EMS Provider for the management of this “non-personal services” contract requirement. This statement is further validated in Sections 5.3 through 5.3.3 whereby the EMS Medical Director must “maintain EMS provider qualifications, skills, and competency in accordance with the National EMS Scope of Practice Model.” This section is consistent the Texas Medical Board standards outlined in its registry requirements. Can you please clarify any differences across Sections 1.1.2, 1.3.1 and 1.3.2? Is a State of Texas EMS Provider License required with EMS Medical Director oversight in accordance with proper registries under these descriptions?

ANSWER: The expectation is the civilian medical director would register with TMB as an EMS medical director and retain all pertinent qualifications to maintain that registration.

27. Section 1.2.5 qualification standards for “Physician – Emergency Medicine (EMS Medical Director)” differs from the registry standards and requirements of the Texas Medical Board (TMB). The “Off-line Medical Director” registry is referenced in the following TMB publication as such: Caution-http://www.tmb.state.tx.us/page/renewal-physician-EMS). TMB board rules state that an EMS off-line medical director shall be a physician licensed to practice in Texas and who is registered as an EMS medical director with the Texas Department of State Health Services; familiar with the design and operation of EMS systems; experienced in prehospital emergency care and emergency management of ill and injured patients; actively involved in: the training and/or continuing education of EMS personnel, under his or her direct supervision, at their respective levels of certification; the medical audit, review, and critique of the performance of EMS personnel under his or her direct supervision; the administrative and legislative environments affecting regional and/or state prehospital EMS organizations; knowledgeable about local multi-casualty plans; familiar with dispatch and communications operations of prehospital emergency units; and knowledgeable about laws and regulations affecting local, regional, and state EMS operations. Which standard applies from the above details: Section 1.2.5 or the Texas Medical Board and Department of State Health Service minimum standards for EMS Off-line Medical Directors?

ANSWER: The Texas Medical Board minimum standards.

28. Texas Administrative Code Title 25, Part 1, Chapter 157, Subchapter B,Rule §157.11 outlines the acquisition, issuance, and maintenance of the Texas (DSHS) EMS Provider License as delegated in the EMS practice of medicine under the Occupations Code §157.003. This is an EMS “non-personal services” contract. Should industry respondents to this solicitation at least meet basic EMS license and provisioning requirements with demonstrated compliance upon submission to this solicitation?

ANSWER: Yes.

29. Section 4.3 outlines the requirement to “provide for each ambulance unit at least one injectable opiate pharmaceutical product for acute pain and one injectable benzodiazepine pharmaceutical product for acute seizure activity or anxiety, in accordance with the protocols approved by the medical director.” This is yet another indicator of the Texas EMS Provider Licensing requirement with proper storage and local control procedures for managing Schedule I and II narcotics. Based on the Government Furnished Equipment and office space provided, what is the essential shipping address and anticipated storage address for the main cache of these controlled substances? Does the Government have proper main cache storage controls within the Government furnished office space? Are Government provided ambulances capable of the same such storage and if so, what are the anticipated methods of storage and narcotics controls expected on each ambulance?

ANSWER: The government controlled ambulances are capable of storing these medications. All supply comes directly from WBAMC on an as-needed basis from WBAMC pharmacy with used supplies replenished after each run. There is no large outside of WBAMC storage location nor is that a requirement.

30. Section 5.1.14 requires the contract HCP’s to “attend patients during medical evacuation, ground and helicopter.” Does this mean drive the ambulance into or onto the airfield? If so, will the ambulances be required to enter controlled movement areas? Will flight-line drivers be required to acquire airfield driver clearance through an approved airfield driver program management office?

ANSWER: Yes. If the patient is driven onto the airfield they are escorted by Fort Bliss Fire units so no 483 is currently required. Generally, transfer occurs in a hanger with no additional requirements.

31. In conformance with Army Airfield regulations: Will the contractor be required to service and maintain its own ADPM program for compliance with Army airfield safety regulations? Or is 483 training and currency upkeep provided by the Government for EMS airfield drivers?

ANSWER: Refer to question #30

32. Sections 5 “Specific Tasks” through 5.1.16.6 highlight basic and advanced level EMS care from contractor HCP’s. Will the submittal of an approved Texas Department of State Health Services EMS Provider License and Medical Director EMS Protocol or clinical operating guideline suffice for submittal purposes to answer these EMS requirements?

33. Are there any shared mutual-aid response arrangements between this Government EMS site and adjoining Government EMS sites?

34. Are there any shared government furnished equipment items, supplies, vehicles, radios, dispatch equipment, consoles, telephones, dispatch personnel services, or any other cross-contract service or materials arrangements between this Government EMS site and any adjoining Government EMS sites? If so, what are they and in the interest of maintaining conformity and communication between locations, does the Government have a phase-in plan to mitigate delays and maintain continuous response conformity across all EMS locations?

ANSWER: No. Site equipment is separate.

35. Is it the intent of contracting office to fully implement WD 2015-5230 Revision 11 and Service Contract Act, making employee MINIMUM payable hourly rate of $14.64 plus $4.54 in Health & Welfare for EMT-Basic and EMT-Paramedic? And payment of required OT time @ 1.5 rate for all hours over 40 hours per week per DOL?

ANSWER: The Wage Determination is fully incorporated into the solicitation.

36. Is this bid Personal or Non-Personal services? Both are listed in the solicitation.

ANSWER: The services are non-personal. Reference to 10 U.S.C. 1091 Personal Services Contracts is removed from the PWS.

37. Can the Government please provide the current shift schedule?

ANSWER: Yes, as needed.

38. Can the Government please provided the current incumbent and contract number?

ANSWER: Refer to question #1.

39. Are all shifts currently covered?

40. Can the Government provide the annual call volume at each of the 5 stations?

ANSWER: In 2019 (more accurate given no COVID), total volume was:

WBAMC back up unit-Medic 8 - 224 calls WBAMC Medic 1 - 757 calls WBAMC Medic 3 - 1523 calls WBAMC Medic 4 - 484 calls WBAMC Medic 5 - 613 calls WBAMC Medic 9 - 629 calls

41. Can the Government disclose how many EMTs and paramedics are working per shift/per station?

ANSWER: Each crew is 2 medics, generally one EMT and one paramedic, per station. Five stations.

42. Will the Government accept past performance from subcontractors as part of the evaluation?

ANSWER: In accordance with the terms of the solicitation, the offeror must submit at least two (2) projects performed by the offeror either as a prime contractor or as a subcontractor. (Past performance by a sister or subsidiary company is not acceptable.) The offeror may submit additional projects performed by its subcontractor to supplement the projects performed by the offeror, provided the subcontractor is proposed to perform as a subcontractor on the solicited requirement and the subcontractor is identified in the proposal. However, if fewer than 2 projects are submitted for the offeror, the subcontractor projects will not be considered.

43. It appears current past performance relevancy rating is very restrictive which limits competition. Will the Government consider changing the requirements to allow for any current/recent past performance in EMT/EMS staffing and program management or a reduction in the number of stations managed/staffed thresholds?

ANSWER: The parenthetical information contained in the description for relevancy ratings is to provide examples of the type of information that may be considered when determining the scope, magnitude and complexity of the past performance project. The examples provided are not all inclusive and do not constitute restrictions under which past performance will be considered. It is up to the offeror to detail on the Past Performance Information (PPI) sheet how its referenced project relates to the solicited requirement, which details will be considered.

44. Can the Government provide historical data on the money that has been allocated to the CLIN for controlled substances that the contractor needs to provide?

ANSWER: No, historical data cannot be provided.

45. How frequently are the controlled substances used on the ambulances and how frequently do they need to be replenished?

ANSWER: Variable

46. How long are the shelf lives of the controlled substances?

ANSWER: Variable based on the medications used as dictated by medical direction.

47. Referencing section 1.4.1 are the current Paramedics/EMTS on 48/72 hour modified schedule or a 24/48-hour schedule.

ANSWER: The contractor is responsible for the scheduling to ensure 24/7 coverage at each station.

48. Referencing section 1.4.1 is there any overtime allowed on this contract?

ANSWER: Overtime is not included in this contract.

49. Referencing section 1.4.3 Are there stations designed for the HCP’s to take a break, lunch, store food, spend down time if they are on 12-hour shifts?

50. Referencing section 4.3 is there current data to suggest anticipated amount of injectable opiate and injectable benzodiazepine pharmaceutical products used monthly per truck?

ANSWER: Specific data is not available; however, the usage is not especially frequent when compared to a large urban center.

51. Referencing section 4.4 are there any other required narcotics other than Valium and Morphine to carry in the trucks?

ANSWER: This can be arranged per medical directions wishes and comfort.

52. Referencing section 4.4 are Epi pens required on every truck?

53. Referencing section 5.1.5 what is the current monthly call volume?

ANSWER: Refer to question #40.

54. Referencing section 5.1.5 do the dispatcher work 8- or 12-hour shifts?

ANSWER: Variable as long as there is 24/7 coverage.

55. Referencing section 5.3.3 What is the Medical director’s role and responsibilities in regard to the narcotics?

ANSWER: Authorization of used narcotics. Creation and maintenance of protocols for their use. Ensuring continued training and proper use of medications while in the medical director role.

56. Referencing section 52.237-7 is the contractor required to carry medical Malpractice insurance?

ANSWER: Refer to question #2.

The following have been modified:

PERFORMANCE WORK STATEMENT

PERFORMANCE WORK STATEMENT

GROUND AMBULANCE SERVICES

WILLIAM BEAUMONT ARMY MEDICAL CENTER

FT. BLISS, TX

1. GENERAL.

1.1. Description of Work. The Contractor shall provide Ground Ambulance Services in support of the Department of Emergency Medicine at William Beaumont Army Medical Center (WBAMC), Texas, and Fort Bliss, Texas.

Services shall include staffing two (2) ambulance units at WBAMC and three (3) additional ambulance units at different locations within Fort Bliss. Coverage for the five (5) stations will be 24 hours per day, 7 days per week, 365 days per year. Staffing shall include Emergency Medical Technicians (EMT), Emergency Medical Technician- Paramedics (EMT-P), EMTs to perform Dispatcher services, a Senior Level EMT-Paramedic that will serve as an On-Site Program Manager, and a residency trained/board certified Emergency Medicine Physician that will serve as a Medical Director.

1.1.1. The Ambulance Services include, but are not limited to: advanced life support ambulance service, transportation of remains, administrative transfers, transports to and from aero-medical evacuation sites, patient transports, and field ambulance services as defined in Army Regulation (AR) 40-3, Chapter 13 - Emergency Medical Services. The AR can be found at http://www.apd.army.mil. The Contractor shall provide personnel who are competent, qualified, and adequately trained to perform the assigned duties.

1.1.2 This is a non-personal service requirement to provide support to the Department of Emergency Medicine (DEM). The Government shall not exercise any supervision or control over the contract service providers performing the services herein. Such contract service providers shall be accountable solely to the contractor who, in turn is responsible to the Government. The contractor shall provide all personnel with supervision and other items as defined in this Performance Work Statement except for those items specified as government furnished property.

The contractor shall perform and shall adhere to the standards in this contract.

1.1.3. Performance Measurements Requirement Summary. The following performance objectives and measures will be used to evaluate Contractor performance and compliance under the contract. This information will be used to prepare annual past performance evaluations. See Exhibit 1, Quality Assurance Surveillance Plan (QASP), for additional details.

PERFORMANCE

REQUIREMENT

PERFORMANCE

STANDARD

PERFORMANC

E LEVEL

SURVEILLANCE METHOD

Staffing for Department. PWS 1.4.2

Fill all shifts. Fill Rate – 95 % minimum

Review requested and filled shift data.

EMS Director/Supervisory Program Manager monitors and provides feedback to COR.

Patient and Customer satisfaction. PWS 1.1.5.

Maintain a high level of patient and customer satisfaction.

Max of two substantiated complaints per staff member per year.

Review assessment of customer complaints. EMS Director and provides feedback to COR.

Provide patient care IAW MTF policies and procedures.

PWS 5.

Complete an accurate assessment of patients.

Meets – 100 % Patient complaints, review records to ensure properly completed. EMS Director Monitors and provides feedback to COR.

Documentation of patient treatment using MTF electronic record keeping system

PWS 1.3.4.4.

Document charts completely and accurately.

All required documentation completed 100% of the time.

EMS Director/Supervisory Program Manager monitors.

Contractor Manpower Report

(CMR). PWS 9.

Complete Contractor Manpower Report and notify COR.

Completed report. Review CMR records to ensure completion. COR Monitors.

Adhere to Security OPSEC & Info Assurance requirements. PWS 1.3.7.5

Complete all required security, OPSEC & IA training requirements

Meets 100% COR Monitors

Accountability and Control. PWS 3.6.

Complete a unit check twice daily at shift change. Unit checklists are to be maintained

Meets 100% Supervisory Program Manager to monitor.

Combating Trafficking in persons (awareness program)

FAR Clause 52.222-50 and FAR Subpart 22.1703

100% compliance (zero tolerance regarding trafficking in persons policy).

COR documentation and program review. Any non-compliance must be brought to the immediate attention.

1.1.4. The inspection and acceptance point for all services rendered under this contract will be by the Department of Emergency Medicine. The performance by the HCP, the quality of services rendered, and any documentation or written material in support of same, shall be subject to continuous inspection, surveillance and review for acceptance by the Contracting Officer Representative (COR) or designated representative. Any services rendered by the HCP(s) to patients or interaction with military/civilian personnel deemed unprofessional/threatening/dangerous by the Department Chief will be considered as grounds for immediate removal of the HCP and termination under the clause 52.212-4 (m) Termination for Cause. Quality Assurance procedures established by the Military Treatment Facility (MTF) shall be used for continuous monitoring. Other performance evaluation factors will be monitored that are not quantified by numerical measurements, which include: administering medications as provided by the MTF; Contractor providing personnel not meeting the minimum qualification standards; administering inappropriate medications; patient customer service comments; HCP and Contractor relationship with clinic staff/government contracting personnel; compliance with clinic policy and procedures. Services provided by the HCP shall be reviewed and rated in accordance with the MTF by-laws and Joint Commission (JC) standards. A poor rating shall be grounds for immediate removal of the HCP(s).

1.1.5. HCP’s will comply and meet all patients and customer service, HCP’s will meet and maintain a high level of patient and customer satisfaction and all times. No more than two substantiated complaints per year will be permitted.

1.2. Requirements and Qualifications.

1.2.1. The Contractor shall ensure that all Contractor personnel providing services meet the following requirements:

1.2.1.1. The Contractor shall not employ any individual to provide direct healthcare services who is listed on the Health and Human Services (HHS) list of providers excluded from federally funded healthcare programs. The list may be found at http://oig.hhs.gov/fraud/exclusions.asp.

1.2.1.2. The HCP shall have sufficient skills, knowledge, and experience to perform the specific tasks (see Paragraph 5. of this Performance Work Statement).

1.2.1.3. The Contractor and the Contractor personnel shall abide by all clinical standards, rules, and procedures including requirements for licensure, credentialing and quality assurance programs.

1.2.1.4. The Contractor shall ensure its Contractor personnel perform and maintain required training indicative towards working in and around an MTF setting.

1.2.1.5. Contract personnel shall provide proof of U.S. Citizenship or otherwise meet the requirements of AR 25-2, Information Assurance.

1.2.1.6. Contractor personnel shall not have been convicted of a felony.

1.2.1.7. Contractor personnel shall successfully complete a criminal history background check in accordance with paragraph 7.4. of the PWS.

1.2.1.8. Contractor personnel shall be able to read, write, and speak English well enough and enunciate with sufficient clarity to effectively communicate with patients and various HCPs.

1.2.1.9. Possess sufficient initiative, interpersonal relationship skills, and social sensitivity such that the HCP can relate to a variety of patients from diverse backgrounds.

1.2.1.10. Able to operate a personal computer utilizing Microsoft applications, such as Word, Excel, and efficiently utilize an Electronic Medical Record.

1.2.1.11. Contractor personnel shall be required to meet Continuing Education (CE) requirements as determined by the Emergency Medical Technicians (EMT) State of licensure, whichever is more stringent. The Government will not reimburse for these costs.

1.2.2. Qualifications – Emergency Medical Technicians (EMT) and Dispatchers shall meet the following qualifications:

1.2.2.1. Requirements. It is the Contractor’s responsibility to ensure this is accomplished in a timely manner. The HCP shall obtain any certification to perform the contract requirements. EMT personnel shall have certification corresponding to the individual's level of training. Each EMT shall possess a valid Texas driver’s license. EMT personnel shall meet all requirements established by the State of Texas or the State of and the National Registry of Emergency Medical Technicians (NREMT). EMT personnel shall be qualified to practice as an EMT in the State of Texas and obtain the National Registry of Emergency Medical Technicians (NREMT) Certification within 180 days of employment. The Contractor shall ensure that if any EMT is not NREMT certified, NREMT certification shall be obtained within 180 days of the date that the individual starts employment under this contract. The HCP shall obtain at his or her expense any permits or licenses to conduct this contract.

1.2.2.2 Certification. EMT Personnel shall have and maintain current Basic Life Support (BLS), Advanced Cardiac Life Support (ACLS). The American Heart Association is the only program accepted. The Contractor shall ensure that if any EMT is not PALS certified, PALS certification shall be obtained within 180 days of the date the individual starts employment under this contract.

1.2.2.3 Experience. EMT personnel shall have a minimum of one year’s EMT experience within the last two years.

1.2.3. Qualifications – Emergency Medical Technician-Paramedics (EMT-P) shall meet the following qualifications:

1.2.3.1 Requirements. It is the Contractor’s responsibility to ensure this is accomplished in a timely manner. The HCP shall obtain any certification to perform the contract requirements. EMT-P personnel shall have certification corresponding to the individual's level of training. Each EMT-P shall possess a valid driver’s license. EMT-P personnel shall meet all requirements established by the State of Texas and the National Registry of Emergency Medical Technicians (NREMT). Depending on duty location; EMT-P personnel shall be qualified to practice as an EMT-P in the State of Texas and obtain the National Registry of Emergency Medical Technicians (NREMT) Certification within 180 days of employment. For any EMT-P not NREMT certified, the Contractor shall ensure that NREMT certification shall be obtained within 180 days of the date that the individual starts employment under this contract. The HCP shall obtain at his or her expense any permits or certification to conduct this contract.

1.2.3.2 Certification. EMT-P personnel shall have and maintain current Basic Life Support (BLS), Advanced Cardiac Life Support (ACLS), and Pediatric Advanced Life Support (PALS) certifications. The American Heart Association is the only program accepted. The Contractor shall ensure that if any paramedic is not PALS certified, PALS certification shall be obtained within 180 days of the date the individual starts employment under this contract.

1.2.3.3 Experience. EMT-P personnel shall have a minimum of one year’s EMT experience within the last two years. EMT-P personnel shall have a minimum of six months of paramedic experience within the last year.

1.2.4 Qualifications – Senior Level EMT-Paramedic (On-Site Program Manager) is a Senior Level Emergency Medical Technician-Paramedic which shall meet the qualifications as stated in 1.2.2.1 thru 1.2.2.3 along with management level experience in planning, directing, and evaluating an Emergency Medical Services (EMS) Systems operational, clinical and training performance of front-line EMS staff. The SPM will have oversight of the efforts, actions, and duties of all WBAMC EMS line staff.

1.2.5 Qualifications – Physician – Emergency Medicine (EMS Medical Director). The contractor schedule will be filled by emergency physicians that are Residency Trained/Board Certified (BP/BC) or Residency Trained/Board Eligible in Emergency Medicine. Non-Residency Trained/Board Certified physicians will be considered, but are not preferred. The Certifying Board for Emergency Medicine must be approved by the nationally accrediting agencies for all allopathic or osteopathic specialty boards, such as the American Medical Association (AMA), the American Board of Medical Specialties (ABMS), and the American Osteopathic Associations (AOA). Shall have a minimum of two year experience within the last two years working as an Emergency Room Physician. Residency training counts as experience. At least two years’ experience in the ED management of acutely ill or injured patient

1.3. Administrative.

1.3.1. This is not locum tenens procurement; therefore the use of short-term rotating HCPs seriously detracts from continuity of patient care that is of utmost importance. Periods of not less than six months duration shall be provided by any primary HCP working under this contract. Substitutes are permitted during scheduled or unscheduled absences of the primary HCP. The Contractor shall have adequate pre-credentialed/pre-privileged replacement HCPs available in such instances so a lapse in coverage does not occur. Substitutes shall be as qualified and privileged as the primary HCP. Substitutes are not allowed so the HCP can accept another assignment or to meet the needs of the Contractor. The credentialing/ privileging process takes between 30-45 days. Any lapse in coverage may be considered grounds for termination for cause.

1.3.2. In no case shall the total amount of compensation paid to an individual in any year under a Personal Services Contract exceed the full time equivalent rate of $400,000.00 as established under Section 102 of title 3, chapter 2, United States Code. RESERVED.

1.3.3. The use of non-compete conditions in employment agreements or in subcontracts (to prevent loss of personnel by the contractor) effective only during the period of the contract performance is acceptable. However, the use of non-compete conditions in employment agreements and/or in subcontracts that prevent employees and/or subcontractors of the incumbent from being interviewed by, employed, or accepting offers of employment and/or subcontracts by the new contractor on the follow-on contracts is unacceptable. It hinders the government’s ability to accomplish the mission of providing medical care to beneficiaries. Inclusion of such conditions in an employer’s employment agreement and/or subcontracts will result in an offeror’s proposal being unacceptable. Awardee, and their subcontractors, may not include such conditions in employment agreements and/or subcontracts while performing under this contract.

1.3.4. Orientation and Training.

1.3.4.1. Prior to working, HCPs will be provided a Government paid orientation to familiarize HCPs with the policies and procedures of the MTF. Orientation attendance will be required of all HCPs and will be scheduled by the COR or Department Chief during normal duty hours.

1.3.4.2. The Contractor shall ensure that each HCP is are knowledgeable of the policies and procedures of his/her specific place of duty and of the medical activity. The Contractor shall ensure HCPs receive any staff training required by the MTF as a precondition/condition to performance. Such training may include instruction on automation processing, quality assurance policies and local in-service and safety briefings. This training shall be conducted during the scheduled shift of the HCP.

1.3.4.3. Government Unique Training. The Government may elect to provide unique Government training to HCPs who are performing services under this contract. If the Government elects to provide such training, the Government will provide such training at no additional expense to the Contractor or to the HCP. When directed by the Contracting Officer (KO), HCPs shall attend all such training in a paid status as part of the normal services required and billed under the contract. Such training shall require a performance commitment by the Contractor and the Contractor shall reimburse the Government (by means of a reduction in an invoice) if a HCP fails to satisfy the performance commitment after the HCP receives the unique Government training. The amount of the reimbursement shall be the prorated cost of training, calculated based on the total cost of the training and the number of months by which the HCP fails to complete the performance commitment. The length of the performance commitment shall be 12 months or until the end of all performance under this contract, whichever occurs first.

Details of any subsequent training agreement will be agreed upon by all parties, and such training agreements will be designated by modification to the contract.

1.3.4.4. Electronic Medical Record Keeping Systems. The Government will provide training to HCPs in the Electronic Medical Record Keeping Systems and other procedures that the medical activity's staff is required to use.

Access to such patient data systems is an "Automated Data Processing Sensitive" position requiring compliance with AR 25-2 and AR 380-67. Refer to the Additional Information section “ADP Security Requirements” in this contract for further guidance.

1.3.4.4.1. Composite Healthcare Computer System (CHCS) and Armed Forces Health Longitudinal Technology Application (AHLTA). CHCS contains the MTF’s appointment scheduling program, pharmacy, lab, and radiology ordering system and is interlinked with other departments in the MTF. The Government will provide training to HCPs in the CHCS/AHLTA and/or other procedures that the medical activity’s staff is required to use. Access to such patient data systems is an “Automated Data Processing Sensitive” position requiring compliance with AR 380- 19 and AR 380-67.

1.3.4.4.2. Ambulatory Data System (ADS). This computer system produces forms on which the providers identify the appropriate billing codes for diagnoses and procedures for each patient.

1.3.4.4.3. Training for CHCS/AHLTA and other computer training will be scheduled through the COR prior to the HCPs providing direct patient care. The training will be on-site and during normal duty hours. This training will be at no cost to the Contractor.

1.3.4.4.4. If additional training is needed due to mission changes, the MTF Information Management Office will conduct required computer training. This training will be at no cost to the Contractor. The COR will schedule this training. The MTF will not reimburse the Contractor for any expenses incurred while undergoing any computer training.

1.3.5. Reports. The Contractor shall submit reports to the COR as requested for use in monitoring Contractor performance. Such reports may include, but are not limited to, personnel recruitment/credential status, projected losses, HCP locations.

1.3.5.1. Weekly Progress Report. Until the HCP is performing duties at the MTF and any other period where a replacement HCP is required, the Contractor shall provide to the KO and the COR, on a weekly basis, a progress report indicating the candidate’s name, date identified by the Contractor, date the résumé was submitted to the Government for review, date the credentials package was submitted to the Government, date the MTF privileged the provider, and the targeted start date.

1.3.6. Safety. The Contractor shall ensure that its HCPs comply with all installation safety regulations. Such regulations include, but are not limited to, general safety, fire prevention, and waste disposal. Copies of these regulations are on file in the medical activity safety office or may be obtained through the COR.

1.3.7. Security.

1.3.7.1. The Contractor shall ensure that all HCPs comply with the local installation requirements for vehicle registration and operation on the military facility. Any vehicle operated by the Contractor or its employees in performance of this contract must have the minimum liability coverage required by the state in which the performance is located.

1.3.7.2. The Contractor shall ensure that its HCPs comply with installation and MTF personnel identification and access requirements. The Contractor is responsible for absences of HCPs due to expired identification and access documents.

1.3.7.3. The Contractor shall be responsible for any keys issued by the Government to HCPs for use in the MTF.

The keys shall not be duplicated. The Contractor shall be financially responsible for the replacement of any lost or duplicated keys and any associated locks. Lost or duplicated keys and/or locks shall be reported to the issuing party, Department Chief, or COR immediately upon recognition of the loss or duplication. No unauthorized personnel shall be allowed entry into the locked area. The Contractor shall ensure that its HCPs lock all areas for which they possess a key when they are not using the area and at the close of the work period.

1.3.7.4. Safeguarding Material. The Contractor shall be responsible for safeguarding all Government property provided for Contractor use. The Contractor shall safeguard information of a confidential or sensitive nature.

Neither the Contractor nor any of its HCPs shall disclose or cause to be disseminated any information concerning the operation of the MTF that could result in or increase the likelihood of the possibility of breach of security or interrupt the continuity of operations or which breach the requirements of the Federal Privacy Act of 1974.

However, the Contractor may be required to provide testimony or deposition in lawsuits or other administrative, civil, or criminal proceedings.

1.3.7.5. Antiterrorism/Operations Security (AT/OPSEC) Requirements.

1.3.7.5.1. Antiterrorism (AT) Level I Training. This text is for Contractor employees with an area of performance within an Army controlled installation, facility or area. All Contractor employees, to include subcontractor employees, requiring access to Army installations, facilities and controlled access areas shall complete AT Level I awareness training within 30 calendar days after starting performance under this contract or effective date of incorporation of this requirement into the contract, whichever is applicable. The Contractor shall submit certificates of completion for each affected Contractor employee and subcontractor employee, to the COR or to the KO within 30 calendar days after completion of training by all Contractor and subcontractor personnel. AT level I awareness training is available at the following website: https://atlevel1.dtic.mil/at.

1.3.7.5.2. Access and General Protection/Security Policy and Procedures. This standard language text is for Contractor employees with an area of performance within an Army controlled installation, facility or area.

Contractor and all associated subcontractors employees shall comply with applicable installation, facility and area commander installation/facility access and local security policies and procedures (provided by government representative). The Contractor shall also provide all information required for background checks to meet installation access requirements to be accomplished by installation Provost Marshal Office, Director of Emergency Services or Security Office. Contractor workforce must comply with all personal identity verification requirements as directed by DOD, Headquarter Department of the Army (HQDA) and/or local policy. In addition to the changes otherwise authorized by clause 52.212-4, should the Force Protection Condition (FPCON) at any individual facility or installation change, the Government may require changes in Contractor security matters or processes.

1.3.7.5.3. iWATCH Training. This standard language is for Contractor employees with an area of performance within an Army controlled installation, facility or area. The Contractor and all associated subcontractors shall brief all employees on the local iWATCH program (training standards provided by the requiring activity Antiterrorism Officer (ATO). This locally developed training will be used to inform employees of the types of behavior to watch for and instruct employees to report suspicious activity to the COR. This training shall be completed within 30 calendar days of contractor personnel starting performance and within 30 calendar days of new employees commencing performance with the results reported to the COR NLT 30 calendar days after contract award.

1.3.7.5.4. Contractor Employees Who Require Access to Government Information Systems (IS). All Contractor employees with access to a government info system must be registered in the ATCTS (Army Training Certification Tracking System) at commencement of services, and must successfully complete the DoD Information Assurance Awareness prior to access to the IS and then annually thereafter.

1.3.7.5.5. For Contracts that Require an OPSEC Standing Operating Procedure/Plan. The Contractor shall develop an OPSEC Standing Operating Procedure (SOP)/Plan within 90 calendar days of contract award, to be reviewed and approved by the responsible Government OPSEC officer, per AR 530-1, Operations Security. This SOP/Plan will include the government's critical information, why it needs to be protected, where it is located, who is responsible for it, and how to protect it. In addition, the Contractor shall identify an individual who will be an OPSEC Coordinator. The Contractor will ensure this individual becomes OPSEC Level II certified per AR 530-1.

1.3.7.5.6. For Contracts that Require OPSEC Training. Per AR 530-1, Operations Security, new Contractor employees must complete Level I OPSEC training within 30 calendar days of their reporting for duty. All Contractor employees must complete annual OPSEC awareness training.

1.3.7.5.7. For Information assurance (IA)/information technology (IT) training. All Contractor employees and associated subcontractor employees must complete the DoD IA awareness training before issuance of network access and annually thereafter.