Attach 6_PWS_ANESTHESIA SERVICES- Final 11-03-2023.pdf

AUG 22

Attachment 6 Anesthesia Services

William Beaumont Army Medical Center, (WBAMC) Fort Bliss, El Paso Texas

PERFORMANCE WORK STATEMENT (PWS)

Revised 03 November 2023

Part 1 General Information

1. General: It is expressly agreed and understood that this contract is a non-personal services contract (as defined by Federal Acquisition Regulation (FAR) Subpart 37.401), under which the professional services rendered by the Contractor are rendered in its capacity as an independent contractor personnel of any independent company that may be a part to this contract. The Government may evaluate the quality of professional and administrative services provided, but retains no control over professional aspects of the services rendered, including by example, the Contractor's professional medical judgment, diagnosis, or specific medical treatments. The Contractor shall be solely liable for and expressly agrees to indemnify the Government with respect to any liability producing acts or omissions by it or by its personnel or agents. The Contractor shall maintain during the term of the contract liability insurance by a responsible insurance carrier.

1.1 Description of Services/Introduction: This source selection is being conducted in FAR Part 12 and 15. This is a non-personal service(s) contract to provide Anesthesia Services. The Contractor shall provide (10) Certified Registered Nurse Anesthetist (CRNA) and (1) Physician – Anesthesiologist in support for the Department of Anesthesia at William Beaumont Army Medical Center (WBAMC), EL Paso Texas. The services will be of a nature and scope described in the paragraphs below.

1.2 Background: This is a recurring requirement that provide consistent coverage to the increasing tempo in support of 10 Operating Rooms (OR), the Hybrid OR, Labor and Delivery, Out of OR areas: (Gastrol Intestinal (GI) endoscopy Intensive Care Unit (ICU) /Magnetic Resonance Imaging (MRI) /Computed Tomography (CT)/Pulmonary) Urology Clinic, and Phase 2 Nurse Anesthesia Resident program for the Army.

1.3 Scope: The Contractor shall provide qualified Health Care Personnel (HCP) necessary to perform Anesthesia services in accordance with industrial best practices applicable to Department of Defense guidance and in accordance with their medical licensure. The Government designated official is the department Chief or designated representative.

1.4 Objectives: The objective of this requirement is to provide quality of care provided by the Contractor HCP meeting or exceedingly recognized national standards as established by the Joint Commission (JC), American Medical Association (AMA) and National Board of Medical Examiners (NBME), and established principles and ethics of the medical profession. Contractor HCP shall give the highest regard to patient dignity and observe the precepts of the American Hospital Association's Bill of Rights for Patients. The Contractor HCP shall abide by the Medical Treatment Facility (MTF) rules, regulations, and bylaws, including Medical Staff Bylaws, Defense Health Agency, as well as applicable Department of Defense regulations.

1.5 General Information:

1.5.1. Professional Liability: The government will not be liable for malpractice allegations against contract HCP’s based upon performance of this contract. The Contractor shall be required to carry malpractice insurance for its contract HCP’s at a level stated in the solicitation and included in any resulting contract for subject acquisition in tailored FAR Clause 52.237-7. Upon contract award, the Contractor shall provide evidence of insurance demonstrating the required coverage prior to commencement of performance. In accordance with Federal Acquisition Regulation (FAR) Clause 52.237-7, the Contractor will indemnify the Government for any liability producing act or mission by the contract HCPs and agents occurring during contract performance. If the Contractor uses subcontractor in the performance of this contract, the Contractor is required to ensure that its subcontractors maintain and provide proof of medical liability insurance, and any subcontract for healthcare services contain the requirements for FAR 52.237-7, including the maintenance of medical liability insurance.

1.5.1.2 Responsibility and Procedures: If any suit or action is filed or any claim is made against the Contractor HCP, which occurred as a result of work performed by the HCP under this contract, the HCP shall immediately notify the Contractor, the contracting officer and the chief of the appropriate services and promptly furnish them copies of all pertinent documents received.

1.5.1.3 Quality Control Plan (QCP): The Contractor shall develop and maintain a complete Quality Control Plan to ensure services are performed in accordance with (IAW) this PWS. The Contractor shall develop and implement procedures to identify, prevent, and ensure non-recurrence of defective services. The QCP is the means by which it assures that the services provide compiles with the requirement of the contract.

The Contractor’s Proposed comprehensive QCP shall be submitted electronically within thirty (30) calendar days after date of contract award to the Contracting Officer (KO) through the Contracting Officer Representative (COR) and within five

(5) working days when changes are made.

The Government will review and either notify the Contractor in writing of acceptance of the plan or return their comments to the Contractor within (5) calendar days. If the Government has provided comments, the Contractor shall then have (5) calendar days to submit a Final QCP. After receipt of the Final QCP, the Contractor may receive the Contracting Officer’s acceptance in writing. Any proposed changes to the accepted QCP are required to be resubmitted for acceptance by the Contracting Officer no later than (5) calendar days prior to the anticipated change and before implementation by the Contractor. The timeline noted above will apply for review and acceptance for proposed changes. At a minimum, the QCP shall include and answer the following to be acceptable:

(a) A chart showing the organizational structure and lines of authority, the names, qualifications, duties, responsibilities, and classification of each member of the Contractor's Quality Control Team;

(b) How the Contractor will monitor work to ensure performance complies with all deliverables (etc.

timelines, deadlines, and goals);

(c) How the Contractor will monitor work to ensure performance complies with all specifications and requirements of the contract, including the contract’s clauses;

(d) How the Contractor will monitor and ensure staff qualifications remain current and valid including Department of Defense (DoD) Contractor Personnel Office (DOCPER) processes/approvals throughout contract performance;

(e) How the Contractor will ensure all keys issued will remain controlled items

(f) How the Contractor will inventory and track maintenance of all Government Provided Equipment / Materials;

(g) How the Contractor will identify, investigate, and correct any non-conforming performance and prevent similar deficiencies in the future; and

(h) How the Contractor will file and save all Quality Control related documents for the life of the contract plus 5 years.

1.5.1.4 The Contractor shall inform the COR of issues or potential issues that might affect the performance immediately of identifying those issues. Verbal reports shall be followed up by written reports within two (2) calendar days.

1.5.1.5 Point of Contact: No Later than three (3) business days after contract award, the Contractor shall provide both the Contracting Officer and the COR the name, local telephone number and designation letter of the individual who shall act as the Contractor's designated representative. The designation letter shall include any limitations on the Contractor's designated representative ability to bind the Contractor to changes and/or adjustments. The Contractor's designated representative shall be responsible for the overall management and coordination of the contract with the designated COR.

The Contractor’s representative may be a staff member performing services under this contract. However, the provider shall not perform administrative duties as project manager while scheduled to provide patient care. The Contractor's representative shall meet (may be via telephone) with the COR as requested to discuss any problems with the performance of the Contractor's HCPs. Problems experienced by the Government with the Contractor's performance will be discussed and resolved. Unresolved problems will be referred to the KO for resolution.

1.5.2 Quality Assurance: The Government will evaluate the Contractor’s performance under this contract in accordance with the Quality Assurance Surveillance Plan (QASP). This plan is primarily focused on what the Government will do to ensure that the Contractor has performed in accordance with the performance standards. It defines how the performance standards will be applied, the frequency of surveillance, and the acceptable quality levels (performance thresholds).

1.5.3 Recognized Holidays: The following provides information on recognized holidays for the purpose of the PWS. If submittal of any documentation (e.g. deliverables, submittals, etc.) deadlines fall on a holiday, the closest work day prior to the holiday will apply as the deadline for submittal.

1.5.3.1 U.S. Holidays: Work shall be performed on U.S. federally recognized holidays occurring during the normal workweek unless otherwise directed by the Contracting Officer. When a U.S. holiday occurs on a Saturday or a Sunday, the holiday is observed on the preceding Friday or following Monday, respectively.

New Year’s Day January 1st M. L. King Memorial Day 3rd Monday in Jan Presidents Day 3rd Monday in February Memorial Day last Monday in May Juneteenth June 19th Independence Day July 4th Labor Day 1st Monday in September Columbus Day 2nd Monday in October Veteran’s Day November 11th Thanksgiving Day 4th Thursday in November Christmas Day December 25th

1.5.4 Operating Hours: The Government facility office hours, facility operating hours, and the Contractor support hour requirements often coincide, however, they may differ. Please refer to the following:

1.5.4.1 Government Facility Office Hours: The Government facility office hours are 0730 to 1630, and days Monday through Friday except U.S. Holidays identified in paragraph 1.5.3.1 above or when the Government facility is closed due to local or national emergencies, administrative closings, or similar Government directed facility closings.

1.5.4.2 Government Facility Operating Hours: The Government facility operating hours is 24/7 operations. The Government facility may be opened during local or national emergencies, administrative closings, or similar Government directed facility closings. The Government facility is open for operations during the recognized U.S. Holidays identified in paragraph 1.5.3.1 above. The Government facility may close due to local or national emergencies, administrative closings, or similar Government directed facility closings and will be communicated by the Contracting Officer to the Contractor.

1.5.4.3 Contractor Support Hours: The Contractor shall provide support to accommodate the 24/7operations (including Federal Holidays and Government Designated training holidays). To maintain staff privileges at WBAMC, each contract HCP shall work an average of four shifts per month during each period of performance (twelve month period). Contractor shall be required to work 8-24 hours shifts. Contract providers shall not be scheduled to work any shift within a minimum of 8 hours of completing a previous work shift at WBAMC or at any other military or civilian treatment facility. The Contractor shall maintain an adequate workforce at all times, for the uninterrupted performance of all tasks defined within this PWS when the Government facility is not closed for the above reasons. When hiring personnel, the Contractor shall keep in mind that the stability and continuity of the workforce is essential.

1.5.4.3.1 Contractor Duty Schedule Plan:

a. Contractor shall provide services during twenty-hour shifts per day, seven days per week.

b. In order to provide continuity of operations throughout each day, the number and length of breaks shall be coordinated with the other Anesthesia Board Runner or its representative; as time permits. Work hours and days will be determined by the MTF. Schedules are subject to change due to cancellations, hospital staff changes, organization day, emergencies, exodus, training holidays and unexpected events. The Contractor shall only be paid for actual hours worked.

c. Hours worked do not include travel time to reach the MTF or other place of performance.

d. Substitute HCPs. If the Contractor substitutes permanent HCPs for a temporary period of time, the substitute shall meet the same qualification standards and health requirements. Substitutions will be required when the permanent HCP is unavailable for more than 10 calendar days.

e. The Contractor HCP may be required to extend the duty hours to ensure completion of the scheduled patient treatment or in cases of emergencies. Contractor HCP shall be paid the contract hourly rate until the Contractor HCP leaves the MTF premise. Hours worked do not include travel to and from the MTF.

f. Unscheduled Absences. If the HCP becomes ill while on duty, or is otherwise unable to fulfill his/her obligation to work, the Contractor shall ensure the Department Chief or his/her designee are notified as soon as possible.

In cases of unscheduled absences or illness prior to the beginning of the shift, the Contractor shall ensure the Department Chief or his/her designee are notified within the first hour prior to each duty day that the HCP is unable to report to work. The Contractor shall provide a replacement HCP for unscheduled absences longer than 24 hours.

g. Facility Closures: During anticipated closure of the facility due to Command declared training holidays, administrative leave granted to the entire government staff, or other closure, Contractor HCPs may not be required to perform services, unless specifically scheduled. In the event of unplanned closure of the facility due to natural disasters, military emergency, or severe weather, HCP who are scheduled to work shall not report to work unless notified differently. If required by the Department Chief HCPs deemed essential personnel shallill be required to report for duty during Facility Closures.

h. Continuity of Services: The Contractor shall provide full coverage for the hours of performance shown in the contract. The Certified Registered Nurse Anesthetist (CRNA) and Physician – Anesthesiologist shall not end the workday without completing or transferring patient care responsibilities to the incoming physician in writing.

i. Federal Holidays: The Contractor will not be paid on federal holidays unless Contractor HCP is scheduled to work on a holiday and will be paid for hours worked at the hourly rate established in the contract.

j. Overtime is not authorized

1.5.5 Place of Performance: The work to be performed under this contract will be performed at William Beaumont Army Medical Center, Fort Bliss, El Paso, Texas.

1.6 Security Requirements: The following information is provided on security related matters.

1.6.1 Security Program The MTFs are restricted access military installations. HCPS shall not begin performance until the complete documentation for a Personnel Background Investigation has been submitted. An Identification (ID) badge, the Common Access Card (CAC) and the vehicle registration will not be issued until complete documentation has been submitted to the appropriate Installation, MTF, or other Security Manager(s), as required at the facility. The CAC card is required for access to Government computer databases and also is presented to the security guards when entering the military installation.

If a background investigation results in an unfavorable finding, the COR or Contracting Officer will notify the Contractor and the Contractor HCP will not be granted access to the facility, will not be allowed to perform services at the facility, and shall return identification badges, CAC cards, and other items previously issued by the government.

a. Upon award of the contract, the Contractor shall immediately contact the COR for processing procedures to meet the security requirements, for information needed to access the installation/MTF initially, as well as in-processing forms.

1.6.2 Personnel Security Clearance Requirements:IAW Defense Health Agency Administration Instructions (DHA-AI), Installation Security Office will submit all background investigations on prospective contract HCPs requiring Common Access Cards (CAC), network access.

a. Upon notification, the Provost Marshal Office will conduct background checks on all contract HCP personnel when there isn't a requirement for CAC and/or IT requirements in the contract.

b. Complete disclosure of any past incidents in the contract HCP professional duties or of incidents which might be considered to impact his/her professional standing, such as charges (unless acquitted) involving felonies or misdemeanors (other than minor traffic violations), is a necessary part of the competency process. This disclosure shall also specifically include reports of any actions, claims, charges, of malpractice ever brought against the contract HCP (either individually or as a part of a group), as well as the outcome (or current status) of any such case. The MTF will evaluate any such incident and determine whether it should be disqualifying.

c. Contract HCP is advised to make full disclosure under this paragraph as a condition of providing services under contract. Failure to make a full disclosure will result in a determination that the provider's services were unsatisfactory.

d. The HCP may be removed permanently or temporarily from service under the contract if at any time during the contract period it is discovered that the contract HCP is currently pending charges or at the MTF Leadership desecration, concerning suitability, it is in the best interest of the Government.

1.6.3 Installation Access: Access to U.S. installations, buildings and controlled areas is limited to personnel who meet security criteria and are authorized. Failure to submit required information/data and obtain required documentation or clearances will be grounds for denying access to U.S. installations, buildings, and controlled areas. The Contractor shall ensure that any subcontractors used in performance of this contract complies with these requirements and that all Contractor HCPs, of both the Contractor and any subcontractor utilized by the Contractor, are made aware of and comply with these requirements.

a. The Contractor shall be aware of and comply with the requirements associated with Installation Access Control. The Government is not liable for any costs associated with performance delays due solely to a firm’s failure to comply with Installation Access Control System (IACS) processing requirements.

b. The Contractor shall return installation passes to the issuing IACS office when the contract is completed or when a

Contractor Personnel no longer requires access.

1.6.3.4 Common Access Cards (CAC) and CAC Log: The Contractor shall provide the following information: Last, First and Middle Names, government issued personal identifier (e.g. Social Security Number, Federal Identification Number, or Tax Identification Number), date of birth, primary email address (this email address will be used to contact the individual) and any other necessary information required to obtain a CAC or installation access card, to the COR after the personnel is cleared to provide services. The Contractor shall ensure safeguarding of Personally Identifiable Information (PII) and comply with requirements under 1.22.5.

1.6.4 Background Checks:. The Contractor shall ensure Healthcare Personnel comply with the security requirements in accordance with DHA-AI 5200.01.

1.6.4.1 U.S. Citizen: Contractors that work with or teach youth under the age of 18 years are subject to U.S background checks. The Requiring Activity Manager will determine the extent of background checks required. The Contractor personnel may begin performance of the contract after receiving a favorable local background check. The Contractor agrees to replace the personnel should results of the background check, if required, be unfavorable as determined by the Requiring Activity Manager. The Contractor’s replacement of the personnel with the unfavorable background check shall be within a timeframe provided by the Requiring Activity Manager. The Contractor shall also replace personnel whose background check, during their tenure of employment, renders them with an unfavorable local or stateside background check, as determined by the Requiring Activity Manager. The Contractor shall forward a copy to the COR and the Requiring Activity Manager of each favorable background check within 48 hours of receipt by the Contractor, identifying such with the appropriate contract number. The Contractor shall forward a copy to the COR and the Requiring Activity Manager of each unfavorable background check within 48 hours of receipt by the Contractor, identifying such with the appropriate contract number. When the Government awards a non-personal services contract directly to an individual, the failure of the individual to provide a favorable background check would be grounds for termination.

1.6.5 Physical Security Program: The Contractor shall safeguard all Government equipment, information, and property provided for Contractor use. At the close of each work period, Government facilities, equipment, and materials shall be secured IAW the Dod 5200.08-R.

1.6.6 Operations Security (OPSEC) Requirements: Healthcare Personnel shall adhere to facility security policies and restrictions. The Contractor shall immediately report suspicious activities to security personnel. Government issued access badges shall not be worn outside designated facilities where visible to the general public.

1.7 Key Control: The Contractor shall establish and implement methods of making sure all keys issued to the Contractor by the Government are not lost or misplaced and are not used by unauthorized persons. NOTE: All references to keys include key cards. No keys issued to the Contractor by the Government shall be duplicated. The Contractor shall immediately report any incidents of lost or duplicate keys to the COR. In the event keys, other than master keys, are lost or duplicated, the Contractor shall, upon direction of the Provost Marshall, re-key or replace the affected lock or locks; however, the Government, at its option, may replace the affected lock or locks or perform re-keying. When the replacement of locks or re-keying is performed by the Government, the total cost of re-keying or the replacement of the lock or locks shall be deducted from payment due to the Contractor. In the event a master key is lost or duplicated, all locks and keys for that system shall be replaced by the Government and the total cost deducted from the payment due to the Contractor. The Contractor shall prohibit the use of Government issued keys by any persons other than the Contractor’s personnel. The Contractor shall prohibit the opening of locked areas by Contractor personnel to permit entrance of persons other than Contractor personnel engaged in the performance of assigned work in those areas, or personnel authorized entrance by the Department Chief and/or Supervisor. The Contractor shall establish and implement methods of ensuring that all lock combinations are not revealed to unauthorized persons. The Contractor shall ensure that lock combinations are changed when personnel having access to the combinations no longer have a need to know such combinations. These procedures shall be included in the Quality Control Plan.

1.8 Post Award Conference/Periodic Progress Meetings: The Contractor shall attend any post award conference convened by the contracting activity or contract administration office in accordance with FAR Subpart 42.5. The Contracting Officer, COR, and other Government personnel, as appropriate, may meet periodically with the Contractor to review the Contractor's performance. At these meetings the Contracting Officer will apprise the Contractor of how the Government views the Contractor's performance and the Contractor shall apprise the Government of problems, if any, being experienced.

Appropriate action shall be taken to resolve outstanding issues. These meetings shall be at no additional cost to the Government.

1.8.1 The Contractor shall attend, participate in, and furnish input to scheduled and unscheduled meetings, conferences, and briefings that relate to the functions and services herein as required by the Government to provide effective communication and impart necessary information. The Contract Manager or designated representative shall attend meetings as requested by the Government. Meeting attendees shall at times include Contractor managerial, supervisory, and other personnel knowledgeable of the subject matter. Meetings may start or end outside of regular duty hours.

1.9 Contracting Officer’s Representative (COR): Refer to Part 2 of this PWS for the definition of a COR. As determined by the Contracting Officer, a COR will be appointed and identified by letter of designation, a copy of which will be provided to the Contractor by the Contracting Officer. The designation letter states the responsibilities and limitations of the COR, especially with regard to changes in cost or price, estimates, or changes in delivery dates. The COR is not authorized to change any of the terms and conditions of the resulting order. The COR monitors all technical aspects of the contract and assists in contract administration. The COR is not authorized to obligate the Government. If the work is not written in the contract, the COR is not authorized to request new work. The COR is authorized to perform the following functions: assure that the Contractor performs the technical requirements of the contract, perform inspections necessary in connection with contract performance, maintain written and oral communications with the Contractor concerning technical aspects of the contract, issue written interpretations of technical requirements, including Government drawings, designs, specifications, monitor Contractor's performance and notifies both the Contracting Officer and Contractor of any deficiencies, coordinate availability of Government property, and coordinate site entry of Healthcare personnel.

1.10 Identification of Contractor Personnel: All Contractor HCP attending meetings, answering Government telephones, and working in other situations where their Contractor status is not obvious to third parties shall identify themselves, to include proper marking of signature blocks in correspondence, to avoid creating an impression in the minds of members of the public that they are Government officials. The Contractor shall ensure that all documents or reports, produced by Contractors are suitably marked as Contractor products or that Contractor participation is appropriately disclosed.

1.11 Contractor Identification Badges: Contractor personnel shall be easily identifiable through the display of badges IAW Contractor Identification (AE Reg. 27-715). The Contractor (to include subcontractors) shall provide each of their personnel an easily readable identification badge. The badge shall include the personnel name, the contractor’s company name, the functional area of assignment, and a recent color photograph of the personnel. Companies with U.S. Government contracts will require their personnel to wear these badges visibly when performing work at Government workplaces unless this would be impractical because of mission or safety considerations. The Contractor shall collect all ID Badges upon completion of the contract or termination of personnel. A listing of issued ID cards shall be furnished to the COR prior to the contract performance date and updated as needed to reflect Contractor personnel changes.

1.12 Quarterly Retention Bonus: A quarterly bonus is the amount full-time health care personnel shall be paid per individual upon completion of a three (3) month period with satisfactory performance. Full-time basis is considered a 40-hour work week through 365 days a year. Bonus does not apply to part-time health care personnel. If there are not three (3) months remaining on the contract the amount will be prorated based on the number of months remaining. * A quarterly retention bonus will be paid to a full-time personnel that meet the guidelines in para 1.12.

1.14 Data Rights: The Government has unlimited rights to all documents and materials produced under this contract. All documents and materials, to include the source codes of software, produced under this contract shall be Government owned and are the property of the Government with all rights and privileges of ownership and copyright belonging exclusively to the Government. These documents and materials may not be used or sold by the Contractor without written permission from the Contracting Officer. All materials supplied to the Government shall be the sole property of the Government and may not be used for any other purpose. This right does not abrogate any other Government rights.

1.16 Protection of Government and Contract Information: Per Public Use Notice of Limitations stated by Defense imagery Management operations Center and contained at www.dimoc.mil/resources/limitations/ , the Contractor shall not cite any information (e.g., contract information, pictures, locations, etc.) obtained through this contract on any hard copy or digital marketing tools to include its company website.

1.17 Organizational Conflict of Interest (OCI): Contractor and subcontractor personnel performing work under this contract may receive, have access to or participate in the development of proprietary or source selection information (e.g., cost or pricing information, budget information or analyses, specifications, or work statements, etc.) or perform evaluation services which may create a current or subsequent OCI as defined in FAR Subpart 9.5. The Contractor shall notify the Contracting Officer immediately whenever it becomes aware that such access or participation may result in any actual or potential OCI and shall promptly submit a plan to the Contracting Officer to avoid or mitigate any such OCI. The Contractor’s OCI Mitigation Plan will be determined to be acceptable solely at the discretion of the Contracting Officer. In the event the Contracting Officer unilaterally determines that any such OCI cannot be satisfactorily avoided or mitigated, the Contracting Officer may affect other remedies as he or she deems necessary, including prohibiting the Contractor from participation in subsequent contracted requirements which may be affected by the OCI.

1.18 Phase In /Phase Out Period: To minimize decreases in productivity and to prevent possible negative impacts on additional services, the Contractor shall have personnel on board, during the thirty (30) day phase in/ phase out periods.

During the phase in period, the Contractor shall become familiar with performance requirements in order to commence full performance of services on the contract start date.

1.19 Safety: The Contractor HCP shall maintain safety and health standards compliant with requirements of the Occupational Safety and Health Administration (OSHA).

1.20 Required Training:

1.21 Anti-Terrorism (AT) Level I Training: All Contractor personnel, including subcontractor personnel, who are employed under the contract, shall complete AT Level I Training within 30 days after contract start date or effective date of incorporation of this requirement into the contract, whichever applies, or 30 days after employment of new personnel. The Contractor shall submit certificates of completion for each affected Contractor personnel and subcontractor personnel to the http://www.dimoc.mil/resources/limitations/

COR (or to the Contracting Officer, if a COR is not assigned) within 15 days after completion of this training by all personnel and subcontractor personnel. AT Level I awareness training is available at https://jkodirect.jten.mil. Contractor personnel shall complete refresher training every twelve (12) months except AOR specific AT Level I training which shall be completed as required by local AT policies.

If training cannot be conducted on the website, the Contractor shall coordinate with the COR who will contact the local AT Officer at their assigned location for classroom training. Contractor personnel completing training in the classroom will receive a certificate or the training attendance roster signed by the AT Officer. Verification of the training shall be provided to the COR within 30 days after completion of the training.

1.22 OPSEC Training: All Contractor personnel, including subcontractors, shall complete Level I OPSEC training within 30 days of employment under this contract. Verification of the training shall be provided to the COR within 30 days after completion of the training. OPSEC Level I training is available at http://www.cdse.edu/catalog/elearning/GS130.html.

Contractor personnel shall complete refresher training every 12 months. Verification of the training shall be provided to the COR within 30 days after completion of the training.

If training cannot be conducted on the website, the Contractor shall coordinate with the COR, who will contact the local OPSEC Officer at their assigned location for classroom training. Contractor personnel completing training in the classroom will receive a certificate or the training attendance roster signed by the OPSEC Officer. Verification of the training shall be provided to the COR within 30 after completion of the training.

1.23 iWATCH Training: The Contractor and all associated subcontractors shall brief all personnel on the local iWATCH program (training standards provided by the requiring activity ATO). This locally developed training will be used to inform personnel of the types of behavior to watch for and instruct personnel to report suspicious activity to the COR. This training shall be completed within 30 days after the contract is awarded and within 30 days after new personnel commence contract performance, with the results reported to the COR 30 after the contract is awarded and within 30 days after new personnel commence contract performance. Verification of the training shall be provided to the COR within 30 days after completion of the training. Training slides can be found on the Army OneSource we site:

http://www.myarmyonesource.com/familyprogramsandservices/iwatchprogram/default.aspx

1.24 Information Assurance (IA) Training

1.24.1 All Contractor personnel, including subcontractors, requiring access to Government information systems shall complete the DoD IA Cyber Awareness Training within 30 days after contract start date or effective date of incorporation of this requirement into the contract, whichever applies, or 30 days after employment of new personnel. Verification of the training shall be provided to the COR within 30 days after completion of the training.

1.24.2 All Contractor personnel, including subcontractors, working information technology (IT)/IA functions shall comply with DoD and Army training requirements per Information Assurance Training Certification and Workforce Management DoD Directive (DoDD) 8570.01, Information Assurance Workforce Improvement Program DoD 8570.01-M, and Information Assurance AR 25-2 within thirty (30) calendar days of employment. Training is available at https://ia.signal.army.mil/DoDIAA/default.asp .

1.24.3 Personally Identifiable Information (PII): Contractor personnel, including subcontractors, performing services under this contract with access to PII and Government information shall complete “Identifying and Safeguarding PII” within 30 calendar days of employment. Contractor personnel shall complete refresher training every twelve (12) months from initial completion. The Contractor shall provide the COR a copy of the training certificates for its personnel no later than five

(5) days after completion. Training is available at http://iatraining.disa.mil/eta/piiv2/launchPage.html

1.25 Government Property and Services: No Government Furnished Property will be provided under this contract however, the Government will provide the use of all available MEDCEN and support services, materials, publications and forms, and equipment required for contract performance (except as designated). Contractor shall keep Government furnished supplies, equipment and work areas in a safe, orderly and clean condition. Contractor shall notify the Government whenever maintenance of equipment is required. Contractor shall abide by all MEDCEN and DHA requirements for physical security of DHA property and equipment.

https://jkodirect.jten.mil/ http://www.cdse.edu/catalog/elearning/GS130.html http://www.myarmyonesource.com/familyprogramsandservices/iwatchprogram/default.aspx https://ia.signal.army.mil/DoDIAA/default.asp http://iatraining.disa.mil/eta/piiv2/launchPage.html

1.26 SAFEGUARDING MATERIAL AND CONFIDENTIALITY INFORMATION: The Contractor shall be responsible for safeguarding all Government property provided or obtained in connection with this contract. The contractor shall safeguard information of a confidential or sensitive nature. Neither the Contractor nor any of its contract HCPs shall disclose or cause to be disseminated any information concerning the operation of the MTF that could result in or increase the possibility of a breach in security or interrupt the continuity of operations or which breaches the requirements of the Federal Privacy Act of 1974. However, the contractor and/or Contractor HCPs may be required to provide testimony in legal or administrative procedures. Such participation shall be consistent with the disclosure requirements imposed in this contract and coordinated with the contracting officer.

a. The contract HCP under this contract shall have access to and/or process information requiring protection under the Privacy Act of 1974. These positions are considered "Automated Data Processing (ADP) Sensitive" positions. Compliance with DoD Directive 5200.2, DoD 5200.2-R, and applicable regulations for other services, is mandatory for ADP Sensitive positions.

b. Unless otherwise specified, all financial, statistical, personnel, and/or technical data which is furnished, produced or otherwise available to the Contractor and/or Contractor HCPs during the performance of this contract are considered confidential business information and shall not be used for purposes other than performance of health care services under this contract. The Contractor and/or Contractor HCPs shall not release any of the above information without prior written consent of the KO. The Contractor and contract HCPs shall prepare medical records, forms and documents as required, in accordance with the regulations and established guidelines listed in the contract and those established by the MTF Director.

c. The Contractor and Contractor HCPs shall abide by federal and local MTF regulations and requirements concerning the nature of privileged communication between patients and the HCP as may be necessary for security and personnel reliability programs. They shall also abide by federal and local MTF regulations concerning the confidentiality of patient records, to include but not limited to the Privacy Act of 1974 and the Health Insurance Portability & Accountability Act (HIPAA) of 1996. All regulations referenced are available for review from the COR, MTF, or the KO. All medical records and reports will remain the property of the Government.

1.27 STANDARDS OF PERFORMANCE: The Government requires that the Contractor shall provide technically competent certified personnel who will provide services at an acceptable national standard of productivity, patients per hour, patient satisfaction, and quality of chart review enabling the MTF to provide a high level of quality health care.

a. JC Standards. Contractor shall take part in Department and MTF programs as required to meet JC standards.

b. Other performance evaluation factors will be monitored that are not quantified by numerical measurements which include: Contractor providing personnel exceeding the minimum qualification standards; patient customer service comments; provider relationship with consultants; and Contractor relationship with hospital staff/government contracting personnel; compliance with hospital policy and procedures.

c. Performance Reports will be provided by the COR monthly to the Contracting Officer to ensure acceptable performance of the contract. The Contractor can request copies also be forwarded to the assigned Contractor POC. The Contractor POC will receive notice of UNACCEPTABLE PERFORMANCE within 7 days of the COR becoming aware of any unacceptable performance and will report it to the Contracting Officer.

d. The Contractor shall be responsible for the security of all patient information.

e. Neither the Contractor nor any of its contract service providers shall disclose or cause to disseminate any information concerning operations of military activities. Such action(s) could result in violation of the contract and possible legal actions.

f. All inquiries, comments or complaints arising from any matter observed, experienced, or learned of as a result of or in connection with the performance of this contract, the resolution of which may require the dissemination of official information, shall be directed to the contracting officer representative (COR) and the contracting officer.

g. The Contractor shall only conduct business with designated government personnel listed as points of contact (POCs). Names of authorized personnel shall be provided to the Contractor by the Government, in writing, and updated as necessary throughout the contract period. The contractor shall designate the point of contact prior to the start of contract performance.

h. U.S. Government records, copies of original results and reports, verified original data, corrected data, and corrected supporting final reports are maintained by the Contractor, but remain the property of the U.S.

Government. These files/results shall be surrendered to the COR.

i. Outcome: The Government requires that the Contractor provide qualified personnel who shall fulfill the performance requirements at a standard that meet DoD benchmarks for the Anesthesia Department which enables the MTF to provide a high level of quality health care.

1.28 Government Quality Assessment and Improvement (QA&I): The Government will monitor the Contractor's performance under this contract using the quality improvement/assessment procedures established by MTF. Additionally, the Contractor's performance is subject to scheduled and unscheduled review by a Quality Assurance Evaluator as defined by the MTF QA Plan & AR 40-68.

1.29 PRODUCTIVITY STANDARDS: Acceptable measures include:

a. Meet DoD Physician - Anesthesiology. This may include Relative Value Units (RVU), encounter volume, and encounter coding.

b. Department/clinic leadership personnel will monitor Contractor and personnel performance through

Government information systems, records, patient records, customer service information, Contractor reports and time sign-in/out sheets. Contractor performance will be monitored the same as other military and Government physicians with respect to MTF and department quality improvement processes.

c. Contractor shall maintain a fill rate of 98% for all scheduled hours.

1.30 CREDENTIALED PERSONNEL DOCUMENTATION.

a. Certified Registered Nurse Anesthetist (CRNA) and Physician-Anesthesiology shall be privileged by the Commander prior to providing services under this contract. Any failure to meet the credentialing and privileging requirements will result in the physician not being allowed to provide services under this contract.

b. The Contractor shall be required to begin full performance of the contract requirements within 90 days after award. It is absolutely critical that privileges be granted to meet the contract requirements by the commencement date. The date that the Contractor begins full performance is considered the commencement date. The Contractor shall submit completed credentials applications on those HCP’s, and proposed backup or replacement personnel, who will be performing services under this contract to the COR for submission to the Credentials Committee.

Credentials shall be submitted to COR.

c. Medical Privileges will be granted by the MTF Commander. Compliance with the privileging requirements as stated in this section is essential to the performance under this contract. Failure to meet any of these privileging requirements is considered nonperformance and may result in termination of the contract. The Contractor shall submit all required privileging requirements to the COR. The COR will forward the credential packets to the credential’s office for action. The failure to submit completed credentials application packets 45 days prior to commencement of performance may result in the contract health care provider not being privileged in time to perform. Privileged Providers shall provide packet and items as listed in DHA-PM 6025.13.

d. Privileged Providers shall provide documentation as listed on the form: Documentation Requirements for

Privileging for WBAMC will be provided upon contract award.

e. The Contractor shall take specific actions, including Primary Source Verification, to ensure that contract HCP applications submitted for privileging have the required requisites and do not have disqualifying impediments for privileges. This is the responsibility of the Contractor.

f. Privileging process is subject to the provision of DHA-PM (6025-13) Medical services, Quality Assurance Administration, and any subsequent changes to that regulation or any successor regulations that might evolve.

The Credential Committee established at the MTF is the sole agency authorized to accept applications for privileges submitted by the Contractor and to make recommendations to the Commander for the granting of privileges.

g. The MTF Commander is the sole authority that can grant, revoke, or otherwise restrict the privileges of any contract personnel whom he determines is not qualified to perform contract services.

h. Once privileges are granted by the MTF Commander, subsequent actions taken concerning the privileges of contract personnel, including any limitation on privileges, will be governed by the procedures in DHA-PM 6025-13, Volume 4..

i. Any actions taken by the MTF Commander that suspend, revoke, place in abeyance, or otherwise restrict the privileges of contract personnel result in not being authorized to perform under the contract. A replacement contract personnel, with the same qualifications, shall be provided according to the terms of this contract.

j. Adverse actions on contract provider privileges, taken by the Commander, are appealable to the MTF

Commander by the contract provider under the provision of DHA-PM 6025-13 Volume 4 Final determination by the MTF Commander are non-appealable by the Contractor.

k. Should the Contractor need to add additional providers during the contract period, the same privileging process as stated in this section shall apply for each additional provider.

l. Privileged providers shall in process with the WBAMC Credentials Office prior to seeing patients.

m. Privileged providers shall also out-process with the Credentials Office upon leaving employment with the organization.

n. Credentials Packet. Provides detailed explanation and delineation of the documents required for the completion of an application for the MTF Credentials Committee and Commander to grant privileges to the contract personnel proposed to actually perform the required contract services. The contract personnel shall obtain and submit a National Physician Identifier Number with the credential packet. The packet is sent to the Contractor upon award.

o. Incomplete credentials application will be promptly returned to the Contractor and will not be submitted to the

Credential Committee. A clear description of the deficiencies which render the credential application will be furnished.

p. Return of an incomplete credentials application for completion is not a waiver of the requirement to submit a complete application. More than two submissions of incomplete applications will be considered a failure to perform.

q. The COR will promptly notify the Contractor when privileging action has been determined. The COR may notify the Contractor either in writing, or verbally (in person or by telephone) followed by written confirmation.

1.31 PERSONAL APPEARANCE:

a. The Contractor shall present a neat and clean appearance.

b. All outer clothing shall be laundered or dry cleaned as appropriate, well-fitting and fresh each workday.

c. Shoes shall cover the foot to meet sanitation and safety requirements. Open-toe shoes or sandals shall not be worn.

d. Fingernails shall be clean and not extend one quarter of an inch beyond the flesh tips. Acrylic nails or overlays are prohibited.

e. Hair shall be neatly groomed. The length and bulk of hair shall not be unkempt, or of extreme appearance.

f. Contractors shall wear dresses, pants or slacks, shirt or blouses with collar and sleeves, shoes and socks. Tank tops, cut-off pants, shower shoes or similar items of apparel are specifically prohibited. In all cases, Contractor HCP shall conform to the established personal appearance policy of MTF.

g. Hospital scrubs shall be worn while assigned to department duties.

1.32 HEALTH AND IMMUNIZATION…