PWS Standardized Patient.docx

PERFORMANCE WORK STATEMENT (PWS) FOR STANDARDIZED PATIENTS

AT THE ANDERSON SIMULATION CENTER

1. GENERAL: This is a non-personal services contract to provide actors to serve as standardized patients (SPs) for the Standardized Patient Program (SPP) at the Andersen Simulation Center (ASC). 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.

1.1. Description of Services/Introduction: The Contractor shall provide all personnel to perform as SPs for the ASC as defined in this PWS. The Contractor will provide all work related resources except for those items specified as government furnished property and services. The Contractor shall perform to the standards in this contract.

1.2. Background: The ASC supports Graduate Medical Education (GME), Nursing and Medic training at Madigan Army Medical Center (MAMC) through Simulation Based medical training, while also supporting the training of health care professionals within the Western Region Medical Command. The goals of the ASC include promoting patient safety through realistic simulated training, providing training that enhances efficiency and competency, and increasing provider confidence and skill level. The use of SPs provides further opportunity for quality clinical skill development. Standardized patients have become a valuable tool in training health care professionals, including medical residents, nursing students, and psychology interns. SPs allow repeated practice for the trainee and minimizes harm to patients from hands-on training of high stakes clinical events. There is a need to develop a reliable pool of actors who are able to portray individuals in need of care in an accurate and standardized manner.

1.3. Objectives: Contractor shall provide the following:

1.3.1. Identify and select potential actors to serve as SPs.

1.3.2. Manage scheduling of actors.

1.3.3. Monitor actor reliability and performance in coordination with PSW work standards and actor performance feedback from the learners and program directors.

1.3.4. Oversee and be responsible for the conduct of actors serving as SPs at all times while employees are at JBLM, WA.

1.3.5. Provide replacement and additional actors as needed.

1.4. Scope: The Contractor shall provide actors who meet the training needs of the program. The Contractor shall coordinate actor schedules, review and ascertain their credentials, track and document work hours, and serve as contact for remuneration for services performed by actors. The Contractor is responsible for ensuring that actors are punctual, participate in mandatory SP trainings, and engage appropriately with health care trainees/staff during simulated sessions. The Contractor shall provide between one and ten actors per SPP work day who are able to simulate current problems, affect/behavior, and physical findings in a standardized, accurate, and reliable manner. This contract will be for 500 on-site actor hours, with a minimum of three hours per scheduled work day. All SP initial events require a minimum of 3 hours scheduled time for GME activities. GME activities do not include travel time or gate passes but can include preparation time for moulage or review of script prior to event start time. Repeated events is defined as an actor performing the same scenario within the last year for same clinic with same script. It is up to the discretion of Medical Director based on feedback from clinic/event provided by Curriculum Developer whether an actor will be suitable for role in future or additional training may be required by the SP Educator/Curriculum Developer. Future repeated events may be limited to a one hour scheduled rehearsal time. Telephonic communication or email is not considered appropriate mechanism for a rehearsal for SPP events.

1.5. Qualifications: The Contractor shall provide actors who meet criteria set forth by the ASC SPP as follows:

1.5.1. Be able to provide a means of transportation to and from ASC and MAMC to include have a valid annual gate pass at no cost to government.

1.5.2. Be between the ages of 18 and 85.

1.5.3. Arrive on time for scheduled work and have appropriate gate pass to gain access to post.

1.5.4. Maintain flexibility and reliability with on-call as well as part-time scheduling and assignments.

1.5.5. Demonstrate good communication and interpersonal skills, to include fluency in reading, writing and speaking English.

1.5.6. Accurately and consistently recreate the history, personality, physical findings, and emotional structure and response pattern of a patient of varying age (adolescent, adult, to geriatric) and status in the Service (active duty, retiree or military dependent) at a particular point in time.

1.5.7. Accept ongoing feedback from Standardized patient educator (SPE) or facilitator and incorporate into case simulation.

1.5.8. Consistently simulate a case scenario in a standardized, accurate, and reliable manner.

1.5.9. Be comfortable working at a military medical facility

1.5.10. Be comfortable working in a medical environment.

1.5.11. Be of legal status to work in the U.S.

1.5.12. Be able to complete an evaluative checklist accurately and consistently.

1.5.13. Be able to recall learner performance based on standards and checklists and provide verbal feedback to learners and staff in a constructive manner from the patient’s perspective.

1.5.14. Be willing to participate in physical examinations in which learners may listen to heart and lungs with a stethoscope; press on abdomen, neck, face, and limbs to assess for tenderness; use a scope to look in ears, eyes, nose, and throat; take pulse and blood pressure; check muscle strength, reflexes, range of motion, and gait; and non-invasive direct contact during physical examinations.

1.5.15. Be willing to be moulaged for certain trauma related cases.

1.5.16. Be willing to participate in sessions that are audio or video recorded for training purposes.

1.5.17. Complete scheduled (paid) SP specific training and debriefing curriculum as directed and scheduled by the Standardized Patient Educator.

1.5.18. Actors with military experience/knowledge preferred but not mandatory.

1.5.19. Acting experience preferred but not mandatory.

1.5.20. Invasive procedures will not be performed.

1.6. General Information

1.6.1. Quality Control: The Contractor shall develop and maintain an effective quality control program (QCP) to ensure services are performed in accordance with this Performance Work Statement (PWS). The Contractor shall develop and implement procedures to identify, prevent, and ensure non-recurrence of defective services. The Contractor’s QCP is the means by which work complies with the requirements of the contract. The QCP shall be delivered within 30 days after contract award. Three copies of a comprehensive written QCP shall be submitted to the Contracting Officer (KO) and the Government Point of Contract (GPOC) within 5 working days when changes are made thereafter. After acceptance of the QCP, the Contractor shall receive the KO’s acceptance in writing of any proposed change to the QC system.

1.6.2. Quality Assurance: The government shall evaluate the Contractor’s performance under this contract in accordance with the Quality Assurance Surveillance Plan. This plan is primarily focused on what the Government must 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 minimum acceptable defect rate(s).

1.6.3. Performance Requirements Summary: The Contractor service requirements are summarized into performance objectives that relate directly to mission essential items. The performance threshold briefly describes the minimum acceptable levels of service required for each requirement. These thresholds are critical to mission success.

1. The Contractor shall provide qualified actors to serve as standardized patients to support the ASC.

PWS items 1.5 and 1.6.8

2. The Contractor shall provide approved actors to serve as SPs given at least one 24 hour period’s notice (one business day) and at the time specified during scheduling.

PWS items 1.6.4, 1.6.8 and 1.5.4

observation: Monthly track both the attendance rate and the arrival time for SPs.

3. The Contractor shall provide actors to serve as SPs who shall adhere to ASC standardized patient performance guidelines.

PWS items 1.5, 1.5.2, 1.5.6, 1.5.8, 1.5.12, and 1.5.13

4. The Contractor shall meet all MTF and installation policies and requirements.

PWS items 1.6.8.2 and 1.6.8.3

GPOC monitors. Continuing education folders managed by the contractor.

1.6.4. Hours of Operation: The Contractor is responsible for the provision of on call part time actors serving as standardized patients between the hours of 0530 and 1800, Monday thru Friday except Federal holidays or when the Government facility is closed due to local or national emergencies, administrative closings, or similar Government directed facility closings. The Government Point of Contact (GPOC) will notify the contractor at least 24 hours (one business day) in advance to schedule SPs. Actors serving as SPs will work a minimum of three hours per work day. For other than firm fixed price contracts, the Contractor will not be reimbursed when the government facility is closed for the above reasons. The Contractor must at all times maintain an adequate workforce 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 are essential.

1.6.5. Recognized Holidays: Contractor is not required to perform services on federal holidays.

1.6.6. Place of Performance: The work to be performed under this contract will be performed at MAMC and ASC at Joint Base Lewis-McChord (JBLM), Washington. JBLM is a United States military reservation located in Pierce and Thurston Counties, Washington.

1.6.7. Type of Contract: The government will award a firm fixed price contract.

1.6.8. Security Requirements: Contract personnel will have no contact with patients while performing duties, nor will they have access to or contact with protected health information or patient’s personally identifying information.

1.6.8.1 Physical Security: Contractor personnel will work in a secure, non-patient care area at the ASC or an area at point of care but will have minimal or no contact or interaction with MAMC patients and be escorted by ASC/MAMC staff. Actors are required to have visible their Annual Base Pass.

1.6.8.2 All contractor employees, to include subcontractor employees, requiring access Army installations, facilities and controlled access areas shall complete AT Level I awareness training within 30 calendar days after contract start date 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 GPOC or to the contracting officer within 30 calendar days after completion of training by all employees and subcontractor personnel. AT level I awareness training is available at the following website: https://atlevel1.dtic.mil/at.

1.6.8.3 Contractor and all associated sub-contractors 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, HQDA and/or local policy. In addition to the changes otherwise authorized by the changes clause of this contract, should the Force Protection Condition (FPCON) at any individual facility or installation change, the Government may require changes in contractor security matters or processes.

1.6.8.4 The contractor and all associated sub-contractors shall brief all employees on the local iWATCH program (training standards provided by the requiring activity ATO). This local 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 contract award and within 30 calendar days of new employees commencing performance with the results reported to the 45 calendar days after contract award.

1.6.8.5 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.

1.6.8.6 AT Awareness Training for Contractor Personnel Traveling Overseas. US based contractor employees and associated sub-contractor employees to make available and to receive government provided area of responsibility (AOR) specific AT awareness training as directed by AR 525-13. Specific AOR training content is directed by the combatant commander with the unit ATO being the local point of contact.

1.6.9. Qualifications: Qualifications of proposed Standardized Patients/actors will be determined by the contractor. The contractor is responsible for hiring actors and ensuring all mandatory training and base access requirements are completed. The contractor will match qualifications of SP/actor(s) to the requirements for each training event. Qualifications will be reviewed by SPP staff during SP training sessions and ongoing monitoring of SP encounters with learners. Feedback will be done on Memorandum For Record provided to the contractor. All mandatory training will be completed and monitored. The Contractor shall be able to schedule actors for service with 24 hours’ notice (one business day).

1.6.10. Post Award Conference/Periodic Progress Meetings: The Contractor agrees to attend any post award conference convened by the contracting activity or contract administration office in accordance with Federal Acquisition Regulation Subpart 42.5. The Contracting Officer, GPOC, 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 will 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.

1.6.11. Government Point of Contract (GPOC): The GPOC monitors all technical aspects of the contract and assists in contract administration The GPOC 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, specifications: monitor Contractor's performance and notifies both the Contracting Officer and Contractor of any deficiencies; coordinate availability of government furnished property, and provide site entry of Contractor personnel. The GPOC cannot give changes in cost or price, estimates or changes in delivery dates, only the contracting officer can change the terms and conditions of a contract.

1.6.12. Key Personnel: The following personnel are considered key personnel by the government. The Contractor shall provide a contract manager who shall be responsible for the performance of the work. The name of this person and an alternate who shall act for the Contractor when the manager is absent shall be designated in writing to the contracting officer. Contractor manager/delegate: in the event the contractor or delegate is not available an electronic and verbal system for communication needs to be in place 24 hours prior to an anticipated absence to be sent to the SP educator/Curriculum Developer and the COR. The contract manager or alternate shall have full authority to act for the Contractor on all contract matters relating to daily operation of this contract. The contract manager or alternate shall be available between 0530 and 1800, Monday thru Friday except Federal holidays or when the government facility is closed for administrative reasons. The contract manager must have the ability to coordinate schedules of actors serving as SPs and have the communication skills to complete all telephonic and written communications with the ASC staff and GPOC.

1.6.13. Identification of Contractor Employees: All contract personnel working in situations where their Contractor status is not obvious to third parties are required to identify themselves as such to avoid creating an impression in the minds of members of the public that they are Government officials. The Contractor must also ensure that all documents or reports produced by the Contractor are suitably marked as Contractor products or that Contractor participation is appropriately disclosed. Contractor personnel will be required to obtain and wear badges issued by the Contractor in the performance of this service.

2. DEFINITIONS AND ACRONYMS:

2.1. DEFINITIONS:

2.1.1. CONTRACTOR. A supplier or vendor awarded a contract to provide specific supplies or service to the government. The term used in this contract refers to the prime.

2.1.2. CONTRACTING OFFICER (KO). A person with authority to enter into, administer, and or terminate contracts, and make related determinations and findings on behalf of the government. Note: The only individual who can legally bind the government.

2.1.3. GOVERNMENT POINT OF CONTRACT (GPOC). An employee of the U.S. Government authorized by the contracting officer to administer the contract. This individual has authority to provide technical direction to the Contractor as long as that direction is within the scope of the contract, does not constitute a change, and has no funding implications. This individual does NOT have authority to change the terms and conditions of the contract.

2.1.4. DEFECTIVE SERVICE. A service output that does not meet the standard of performance associated with the Performance Work Statement.

2.1.5. DELIVERABLE. Anything that can be physically delivered, but may include non-manufactured things such as meeting minutes or reports.

2.1.6. KEY PERSONNEL. Contractor personnel that are evaluated in a source selection process and that may be required to be used in the performance of a contract by the Key Personnel listed in the PWS. When key personnel are used as an evaluation factor in best value procurement, an offer can be rejected if it does not have a firm commitment from the persons that are listed in the proposal.

2.1.7. PHYSICAL SECURITY. Actions that prevent the loss or damage of Government property.

2.1.8. QUALITY ASSURANCE. The government procedures to verify that services being performed by the Contractor are performed according to acceptable standards.

2.1.9. QUALITY ASSURANCE Surveillance Plan (QASP). An organized written document specifying the surveillance methodology to be used for surveillance of Contractor performance.

2.1.10. QUALITY CONTROL. All necessary measures taken by the Contractor to assure that the quality of an end product or service shall meet contract requirements.

2.1.11. SUBCONTRACTOR. One that enters into a contract with a prime Contractor. The Government does not have privity of contract with the subcontractor.

2.1.12. WORK DAY. The number of hours per day the Contractor provides services in accordance with the contract.

2.1.13. WORK WEEK. Monday through Friday, unless specified otherwise.

2.2. ACRONYMS:

3. GOVERNMENT FURNISHED ITEMS AND SERVICES:

3.1. Services: The Government will provide training instructors to train the actors to serve as SPs to specific clinical scenarios.

3.2. Facilities: The Government will provide classrooms and examination rooms where the SP will train and provide their service at the ASC and MAMC. The SP may travel via government vehicle to field training environments at JBLM if required by a given clinical scenario script. SP may not travel in staff personal vehicles.

3.3. Equipment: The Government will provide all examination tables, chairs and medical equipment required for a clinical scenario. Telephones will be available to standardized patients as needed on a limited basis.

3.4. Materials: The Government will provide all training equipment, hospital gowns, moulage and written scripts necessary to make realistic clinical scenario. The Government will provide guidelines and standard operating procedures or the SPP and clinical scenario scripts.

4. Specific Tasks:

4.1. Basic Services: The Contractor shall provide SPs for the ASC at JBLM. The service provided includes selecting potential actors to be approved by the ASC SPP staff, coordinating the presence of actors serving as SPs, and monitoring the quality of the services provided IAW the QCP.

4.2. Standardized Patients: The Contractor shall provide actors to serve as SPs at the ASC. The Contractor shall forward a written summary of qualifications, as defined in 1.6.8, for each potential actor to the ASC prior to the potential actor presenting for training. If ASC personnel determine that a potential actor does not meet qualifications the reasons for lack of qualification will be provided to the Contractor by the GPOC.

4.3. Coordinating Actors’ Scheduling: The Contractor shall oversee coordination of scheduling of potential and approved actors serving as SPs. The Contractor shall return all communication from ASC representatives within one business day. The Contractor shall provide approved actors to serve as SPs within one business day (24 hours) of being scheduled.

4.4. Actors Serving as Standardized Patients: Actors serving as SPs at the ASC shall participate in SPP training to include serving as Standardized Patient and providing verbal and brief written feedback to students and staff.

4.5. Monitoring Quality of Actors’ Job Performance: The government will provide feedback on an actor’s performance. If an actor’s performance is not consistent with the qualifications listed in section 5.2., the Contractor shall identify replacement actors to serve as SPs. Comment by NOLASCO.ALFONSO.CIV.1168451845: Please update.

4.6. Annual Gate Pass: Contractor will submit current requirements for each SP actor within in 30 days of incorporation to the ASC staff for processing to meet JBLM requirements for gate passes. An initial 90-day pass will be authorized for sponsorship by ASC staff. This activity will not be at the expense of the government. Once individual is approved as detailed in paragraph 1.6.9 and mandatory training is complete an annual gate pass will be submitted for approval for the SP to have access to JBLM for training activities/events and this also will not be at the expense to the government.

5. ANTI-TERRORISM/OPERATION SECURITY (AT/OPSEC) Comment by NOLASCO.ALFONSO.CIV.1168451845: Please correct numbering on this section and ensure it is in line with the Antiterrorism/OPSEC Cover Sheet.

5.1 OPERATION SECURITY (OPSEC) TRAINING. 8.1. Antiterrorism (AT) Level I Training. 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 5 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.

5.2 Access and General Protection/Security Policy and Procedures. 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.

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 35 calendar days calendar days after contract award.

5.4. Contractor Employees Who Require Access to Government Information Systems (IS). All Contractor employees with access to a government information 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.

5.5. 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.

5.6. 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. All Contractor employees working IA/IT functions must comply with DoD and Army training requirements in DoDD 8570.01, DoD 8570.01-M and AR 25-2 within six months of employment.

5.7. AT Awareness Training for Contractor Personnel Traveling Overseas. This standard language text required US based contractor employees and associated sub-contractor employees to make available and to receive government provided area of responsibility (AOR) specific AT awareness training as directed by AR 525-13. Specific AOR training content is directed by the combatant commander with the unit ATO being the local point of contact.

5.8. For contractors requiring Common Access Card (CAC). Before CAC issuance, the contractor employee requires, at a minimum, a favorably adjudicated National Agency Check with Inquiries (NACI) or an equivalent or higher investigation in accordance with Army Directive 2014-05. The contractor employee will be issued a CAC only if duties involve one of the following: (1) Both physical access to a DoD facility and access, via logon, to DoD networks on-site or remotely; (2) Remote access, via logon, to a DoD network using DoD-approved remote access procedures; or (3) Physical access to multiple DoD facilities or multiple non-DoD federally controlled facilities on behalf of the DoD on a recurring basis for a period of 6 months or more. At the discretion of the sponsoring activity, an initial CAC may be issued based on a favorable review of the FBI fingerprint check and a successfully scheduled NACI at the Office of Personnel Management.

5.9. For contractors that do not require CAC, but require access to a DoD facility or installation. Contractor and all associated sub-contractors employees shall comply with adjudication standards and procedures using the National Crime Information Center Interstate Identification Index (NCIC-III) and Terrorist Screening Database (TSDB) (Army Directive 2014-05/AR 190-13), applicable installation, facility and area commander installation/facility access and local security policies and procedures (provided by government representative), or, at OCONUS locations, in accordance with status of forces agreements and other theater regulations.

6. CONTRACTOR MANAGEMENT REPORTING (CMR): The contractor shall report ALL contractor labor hours (including subcontractor labor hours) required for performance of services provided under this contract for Madigan Army Medical Center via a secure data collection site. The contractor is required to completely fill in all required data fields using the following web address: http://www.ecmra.mil/

Reporting inputs will be for the labor executed during the period of performance during each Government fiscal year (FY), which runs October 1 through September 30. While inputs may be reported any time during the FY, all data shall be reported no later than October 31 of each calendar year, beginning with 2020. Contractors may direct questions to the help desk at help desk at: http://www.ecmra.mil.

(End of Performance Work Statement)

QUALITY ASSURANCE AND SURVEILLNCE PLAN FOR STANDARDIZED PATIENTS

AT THE ANDERSON SIMULATION CENTER

A. OBJECTIVE: This plan provides a quality surveillance strategy for Standardized Patients. The primary purpose of this plan is to provide a basis for the government’s evaluation of the Contractor’s key areas of performance under this contract. The Contracting Officer (KO), in conjunction with input provided by the Government Point of Contact (GPOC), will evaluate the Contractor’s performance. Oversight of the Contractor’s performance will assure quality and consistency of contract performance.

B. PERFORMANCE MEASUREMENT OBJECTIVE: The key area(s) of the Contractor’s performance that will be evaluated during the term of the contract. The PWS reference will be provided for each performance measurement objective.

C. ASSESSMENT METHOD: Contractor performance is inspected and evaluated on key areas of performance: fill rate monthly; turnover rate and substantiated patient/staff complaints annually; qualified candidates as needed. Method of surveillance is 100% inspection.

D. ACCEPTABLE QUALITY LEVEL (AQL): The degree to which the Government will allow the Contractor’s key areas of performance to vary; the variance from the standard that the Contractor is allowed and the grading/measurement associated with deviation from the specific performance standard.

E. KEY AREAS OF PERFORMANCE:

The following Quality Assurance Surveillance Plan applies. The Government may modify inspection methods in accordance with site specific requirements.

1. The Contractor shall provide qualified actors to serve as standardized patients to support the ASC.

PWS items 1.5 and 1.6.8

2. The Contractor shall provide approved actors to serve as SPs given at least one 24 hour period’s notice (one business day) and at the time specified during scheduling.

PWS items 1.6.4, 1.6.8 and 5.4

observation: Monthly track both the attendance rate and the arrival time for SPs.

3. The Contractor shall provide actors to serve as SPs who shall adhere to ASC standardized patient performance guidelines.

PWS items 1.5.6, 1.5.13 and 5.2

4. The Contractor shall meet all MTF and installation policies and requirements.

PWS items 1.6.8.2 and 1.6.8.3

F. CONTRACTOR PERFORMANCE ASSESSMENT REPORT. This report shall be submitted to the KO monthly (unless otherwise agreed upon between the KO and the GPOC).

G. REPERFORMANCE OF SERVICES. If any of the services do not conform to contract requirements, the Government will require the contractor to re-perform the services in conformity with contract requirements, at no additional cost to the Government. When the defects in services cannot be corrected due to circumstances, the Government may (1) require the contractor to take necessary action to ensure that future performance conforms to contract requirements and (2) reduce the contract price to reflect the reduced value of the services performed. The KO may exercise appropriate contractual remedy should the contractor fail to promptly take the necessary action to ensure future performance is in conformity with contract requirements.

When apparent non-satisfactory work is identified, the COR shall prepare a Contract Discrepancy Report (CDR) and submit to the KO for review, use DD Form 2772. The Contractor shall then be required to respond to the CDR. The contractor shall explain reasons for substandard performance, how performance will be returned to acceptable levels, and how recurrence of the same or like problems will be prevented. The KO will evaluate the Contractor's explanation, assess its validity, and determine whether it is acceptable.

The contractor shall be required to correct/eliminate any deficiencies in services in a timely manner. Notification begins when pertinent documents (e.g., Customer Complaint Record or CDR) are issued to the contractor. Time of notification and correction of all applicable deficiencies should be entered on all Government documents and retained in the contract file. The Government may execute a deduction in payment for non-compliance when validated by the KO.

H. PERFORMANCE RATINGS.

The Government will rate past performance using the following performance standards.

PWS Attachment # 1

TOBACCO FREE MEDICAL CAMPUS (TFMC)

In accordance with Army Regulation 600-63, paragraph 7-3, 14 April 2015; Operations Order 15-48 (Army Medical Command (MEDCOM) Tobacco Free Living – USAMEDCOM), 8 May 2015; and any Operations Order, regulation or other instruction implementing, defining or otherwise addressing the Tobacco Free Medical Campus (TFMC) on any military installation or DoD-controlled location, Contractor personnel are prohibited from using any tobacco product on or within any TFMC while performing under this contract. TFMCs are established at each installation or DoD-controlled location and include: (1) any property or non-residential building that is operated, maintained or assigned to support medical activities, including but not limited to, hospitals, medical laboratories, outpatient clinics (including medical, dental, and veterinary facilities), or aid stations operating for the primary purpose of delivering medical care and services for DOD eligible beneficiaries and /or meeting the mission of the Army Medical Command; (2) all other facilities in which medical activities or administration take place, to include HQ MEDCOM and Defense Health Headquarters; (3) all internal roadways, sidewalks and parking lots; and (4) all sidewalks, parking lots and grounds external but adjacent to the building or related to the migratory corridors surrounding the medical facility. The Contractor shall obtain from the COR any orders, regulations, instructions or other documents implementing, defining or otherwise addressing the TFMC for any given installation or DoD-controlled location where Contractor personnel may perform under this contract and shall instruct Contractor personnel on the TFMC limitations for installations or DoD-controlled locations where they may perform under this contract.

(End of TFMC)

PWS Attachment # 2 POLICY FOR REPORTING INCIDENTS OF SEXUAL ASSAULT AND SEXUAL HARASSMENT UNDER SEXUAL ASSAULT PREVENTION AND RESPONSE PROGRAM (SHARP)

1. The contractor shall comply with OTSG/MEDCOM Policy Memo 19-019, Sexual Harassment/Assault Response and Prevention (SHARP) Program, Mar 21, 2019. The SHARP reporting requirements apply only to knowledge obtained by contractor personnel while performing services under this contract.

2. The contractor shall require all HCPs with knowledge of an incident of sexual assault occurring on a Government facility, to include a Government leased facility, where the contractor is providing services under this contract, to report the incident to the contractor who shall immediately (within 24 hours) report the incident in writing to the government's COR. All incidents shall be reported whether they involve contractor personnel or Government personnel, or other individuals.

(End of SHARP)

PWS Attachment # 3____ Exclusion from Participation in Federal Health Care Programs (October 2015)

1. The Contractor shall not employ or contract with any individual or entity (hereinafter collectively referred to as “person”) to provide items or services that will be included in invoices submitted to the Government under this contract if such person is listed on the Department of Health and Human Services (HHS) Office of the Inspector General (OIG) List of Excluded Individuals and Entities (LEIE) or the TRICARE Sanctioned Provider List. The Government is legally prohibited from paying for provision of items or services by such persons. The prohibition extends to services beyond direct patient care, such as services of persons in executive or leadership roles and administrative and management services, whether or not such services are billed separately. The LEIE may be found at http://oig.hhs.gov/fraud/exclusions.asp, and the TRICARE Sanctioned Provider list at http://www.health.mil/Military-Health-Topics/Access-Cost-Quality-and-Safety/Quality-And-Safety-of-Healthcare/Program-Integrity/Sanctioned-Providers. The LEIE and TRICARE Sanctioned Provider List are hereinafter collectively referred to as “the Lists.”

2. Prior to start of contract performance, the Contractor shall (a) query the Lists to determine whether the name of any person the Contractor employs or contracts with to provide services or items for which payment may be made under this contract appears on the Lists, and (b) certify to the Contracting Officer that the Contractor has queried the Lists and no such names appear on either of the Lists.

3. During performance of the contract, and prior to persons other than those whose names were queried in accordance with paragraph 2, above, (hereinafter “new persons”) providing services or items under the contract, the Contractor shall (a) query the Lists as in paragraph 2, and (b) certify to the Contracting Officer that the names of such new persons do not appear on either of the Lists.

4. The Contractor is advised that during performance of the contract, MTF personnel will perform a recurrent recheck of the names of contractor personnel working in the MTF against the Lists, as specified in OTSG/MEDCOM Policy Memo 15-037. The Government will notify the Contractor in the event any contractor personnel working in the MTF appear on either of the Lists.

5. Should any person providing items or services under the contract appear on either of the Lists at any time during contract performance, the Contractor shall (a) in cases where the Contractor identified the person, notify the Contracting Officer, and (b) promptly remove that person from the contract.

6. Violation of any aspect of the above paragraphs shall be considered a material breach of the contract and may result in termination of the contract.

7. The Contractor is further advised that, in accordance with Civil Monetary Penalties Law [CMP] (codified at 42 USC § 1320a-7a):

a. There are steep civil monetary penalties associated with billing the Government for providing items or services by a person on either of the Lists, and with failing to return to the Government any overpayments received for provision of such items or services.

b. Billing under the contract for provision of items or services by a person on either List may also result in exclusion of the person that employs or contracts with such person.

8. HHS OIG has issued a Special Advisory Bulletin on the Effect of Exclusion from Participation in Federal Health Care Programs with additional information on the CMP. The Special Advisory Bulletin may be found at http://oig.hhs.gov/exclusions/files/sab-05092013.pdf.

(End of Attachment EPFHCP)

Other performance evaluation factors that will be monitored and documented in the contractor’s performance records but cannot be quantified by numerical measurements:

Contractor providing personnel exceeding the minimum qualification standards, and/or performance above or below the standard, for above factors, will be documented in the Contractor’s Performance Assessment Reporting System (CPARS) for the reporting period.

NOTE: This plan is provided for information purposes only. The QASP is not a part of the solicitation, nor shall it be part of any resulting contract. The Government has the right to change or modify inspection methods at its discretion.

(End of QASP)