2 PERFORMANCE WORK STATEMENT 10-24-24.pdf

PERFORMANCE WORK STATEMENT

Removal and Disposal of Medical

Material US Army Medical Material Center, Korea (USAMMC-K) Camp

Carroll

TABLE OF CONTENTS

SECTION TITLE

1.0 INTRODUCTION

2.0 BACKGROUND

3.0 SCOPE OF WORK

4.0 QUALITY MANAGEMENT

5.0 REQUIRED SERVICE

6.0 APPLICABLE TECHNICAL ORDERS, SPECS, REGULATIONS, AND MANUALS

7.0 ACRONYMS AND DEFINITIONS

1.0. INTRODUCTION.

1.1. The contractor shall furnish non-personal services for the removal and destruction of medical materials at the US Army Medical Materiel Center, Korea (USAMMC-K), located at Camp Carroll, Korea. As part of this service, the contractor shall collect medical materials from USAMMC-K at a minimum frequency of every two months. By doing so, USAMMC-K will be able to promptly respond to customer requests for destruction and disposal, while also ensuring compliance with local environment regulation and maintaining adequate disposal capacity.

1.2. All services shall be provided in accordance with established standards, principles and ethics of the profession and applicable professional specialty organizations, applicable Department of Defense (DoD) and Army specific regulations, directives, and policies, and USAMMC-K specific policies, procedures, and job descriptions.

1.3. This contract is a non-personal services contract under which the personnel rendering the services are not subject, either by the contract’s terms or by the manner of its administration, to the supervision and control usually prevailing in relationships between the government and its employees.

2.0. BACKGROUND.

2.1. The mission of the military healthcare system (MHS) is to ensure the nation has available at all times a healthy military force supported by a combat ready healthcare system. Health care services for eligible MHS beneficiaries are provided at military treatment facilities (MTFs) located on or near military installations or posts.

The military treatment facility may be a clinic, Hospital, or Medical Center. Clinics are outpatient facilities offering primary care or simple specialty care (routine exams, tests, treatments). The Clinic may be a stand-alone site or a satellite of a larger Clinic, Hospital, or Medical Center. Army Community Hospitals (ACH) offer more complex, resource-intensive secondary care (e.g. inpatient care, surgery under anesthesia) and primary care at outpatient clinics inside and outside the hospital. Army Medical Centers (MEDCENs) offer tertiary (sophisticated diagnosis/treatment of any ailment), secondary, and primary care, hospital services, preventive services, blood bank, and other services. In addition, all MEDCENs offer graduate medical education programs for physicians.

2.2 The supported MTFs by USAMMC-K are as follow.

Brain D. Allgood Army Community Hospital (BDAACH), 68 Bed/ serving 65,000 active-duty personnel, family members, and other eligible beneficiaries at Camp Humphreys offering a full array of Primary Care, Pediatrics, Internal Medicine, Flight Medicine, OB/GYN, Physical Medicine and Rehabilitation, Physical Therapy, Occupational Therapy, Nutrition Care, Radiology, Pharmacy, Laboratory, and Specialty Care Service. Specialty care encompasses Audiology, ENT (Ear, Nose, and Throat) Clinic, Optometry, Behavioral Health, Dermatology, Urology, Orthopedic Surgery, And Sleep Medicine, as well as full inpatient care service.

SGT Shin Woo Kim Clinic Soldier Center Medical Home (SCMH) at Camp Humphreys, No bed / Immunizations, Laboratory, Pharmacy, Internal Behavioral Health Consultant, Nutritional Services, Audiology, Specialty care (by referral), Nurse Case Management, Nurse Advice Linen.

Camp Casey Health Clinic SCMH, No bed / Triage and Transport Care (TTC), Adult Primary Care, Clinical Pharmacy, Adult Immunizations, Clinical Laboratory, Radiology, Optometry, Physical Therapy, Nurse Case Management, Public Health Nurse, COVID Testing.

K-16 Medical Clinic SCMH, No bed / Pharmacy/Clinical Pharmacist, Physical Therapy, Laboratory.

Camp Carroll SCMH, No bed / Pharmacy/Clinical Pharmacist, Physical Therapy, Laboratory, Radiology, TRICARE, Patient Administration, Nutritional Services, Behavioral Health Consultant, Occupational Health.

Camp Walker Wood PCMH, No bed / Pharmacy/Clinical Pharmacist, Physical Therapy, Laboratory, Ophthalmology, dermatology, Primary care to eligible personnel.

3.0. SCOPE OF WORK.

3.1. The Contractor shall provide all services of supervision, labor, tools, equipment, and transportation for the removal and destruction of medical material required by US Army Medical Material Center, Korea (USAMMC-K) at Camp Carroll, Korea, as defined in this Performance Work Statement. The contractor shall perform to the standards in this contract.

3.1.1. The medical material subject to removal and destruction includes sharps, flammable materials, corrosive substances, regular regulated waste, and pathological items.

3.2. Administrative.

3.2.1. Contractor Representative. The Contractor shall designate, in writing, a primary point of contact for contract coordination and implementation not later than five business days after receiving notice of contract award. Changes in the primary point of contact (POC), at any time, shall require the Contractor to notify the Contracting Officer (KO) of the new representative at least five working days prior to the change. This notification shall be in writing and shall state the name and contact information for the new point of contact.

3.2.2. The Contracting Officer’s Representative (COR) will be the KO’s authorized representative in administering the contract for USAMMC-K. The Contractor’s representative shall be available to discuss any problems that the Contractor’s personnel may be experiencing during the performance of this contract. 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.

3.3. CONFLICT OF INTEREST

3.3.1. The Contractor or contract personnel shall not bill the patient for services rendered under this contract. The Contractor or contract personnel shall not request or accept compensation of any kind for patients treated, procedures performed, or any other actions performed, except under the terms and conditions of this contract, at the rate specified.

3.3.2. Contractor or contract personnel shall not, while performing services under this contract, advise, recommend, or suggest to persons eligible to receive medical care at Government expense that such persons should receive care from the Contractor or contract personnel or from any third party at any place other than as designated under this contract.

3.3.3. Confidentiality of Information. Unless otherwise specified, all financial, statistical, personnel, and/or technical data, which is furnished, produced or otherwise available to the Contractor during the performance of this contract are considered confidential business information and shall not be used for purposes other than performance of healthcare services under this contract. The Contractor shall not release any of the above information without prior written consent of the KO. The Contractor/contract personnel shall not use patient care rendered pursuant to this contract as part of a study, research project, or publication. The contract personnel shall prepare medical records, forms and documents as required, in accordance with the regulations and established guidelines listed in the contract.

3.3.4. The Contractor shall abide by federal employment statutes and the Federal ethics regulations in the selection and hiring of contractor personnel.

3.4. AT/OPSEC REQUIREMENTS

3.4.1. AT Level 1. This standard language is for contractor employees with an area of performance within an DHA-controlled installation, facility, or area. All contractor employees, including subcontractor employees, requiring access to DHHQ, Direct Reporting Markets (MTFs), Small Markets and Stand Alone (SSO) 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 and annually thereafter. The contractor shall submit certificates of completion for each affected contractor employee and subcontractor employee, to the COR or to the contracting officer, if a COR is not assigned, within 05 calendar days after completion of training by all employees and subcontractor personnel. AT level I awareness training is available at the following website: http://jko.jten.mil.

http://jko.jten.mil/

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), 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.

3.4.2. For contracts that require OPSEC Training. Per DHA-AI 5200.03, Operations Security, the contractor employees must complete Level I OPSEC Awareness training. New employees must be trained within 30 calendar days of their reporting for duty and annually thereafter.

3.4.3. For Contract Requiring Performance or Delivery in a Foreign Country, DFARS Clause 252.225- 7043, Antiterrorism/Force Protection for Defense Contractors Outside the US. The clause shall be used in solicitations and contracts that require performance or delivery in a foreign country. This clause applies to both contingency and non-contingency support. The key AT requirement is for non-local national contractor personnel to comply with theater clearance requirements and allows the combatant commander to exercise oversight to ensure the contractor's compliance with combatant commander and subordinate task force commander policies and directives.

3.5. USAMMC-K HOURS OF OPERATION

3.5.1. USAMMC-K is operable from 0730 to 1620, Monday thru Friday, excluding US and Korean holiday and at other times as determined by USAMMC-K commander.

3.5.2. Holidays. The following is a list of legal federal holidays. Any of the federal holidays falling on a Saturday will be observed on the preceding Friday, holidays falling on a Sunday will be observed on the following Monday. Contract personnel may be required to work on legal holidays as determined by the COR.

US Holidays

New Year’s Day, January 1st

Martin Luther King’s Birthday, 3rd Monday in January President’s Day, 3rd Monday in February Memorial Day, Last Monday in May Juneteenth Day: June 19th Independence Day, July 4th Labor Day, 1st Monday in September Columbus Day, 2nd Monday in October Veteran’s Day, November 12th Thanksgiving Day, 4th Thursday in November Christmas Day, December 25th

Korean Holidays

New Year, 1 and 2 January Lunar New Year, 31 December, 1 and 2 January on the Lunar Calendar Independence Movement Day, 1 March Labor Day, 1 May Children's Day, 5 May Buddha's Birthday, 8 April on the Lunar calendar Memorial Day, 6 June Juneteenth, 19 June Liberation Day, 15 August Chu-Suk, 14, l5 and 16 August on the Lunar Calendar National Foundation Day, 3 October Korean Language Day, 9 October 25 December (Christmas Day)

NOTE 1: Any holidays that are declared by Presidential Executive Order shall be observed in the same manner as the holidays listed above. If the area in which a contract employee is scheduled to work is closed due to the holiday and the employee is not required to report in, payment will not be made for those hours. Closures of the installation due to inclement weather or other such acts of God shall be handled in the same manner.

3.5.3. Closures. During anticipated closure of the facility due to Command declared training holidays or unplanned closure of the facility due to natural disasters, military emergencies, severe weather, or otherwise, the

Contractors will only be paid for the actual hours that were worked.

3.6. HOURS OF PERFORMANCE.

3.6.1. The hours for pick-up and removal of medical materials shall be between 0800hrs-1530hrs, to which 1130hrs-1230hrs shall be considered lunch time for Government personnel. Overtime or Compensation time is not authorized. The time for the pick-up and removal of medical materials will be coordinated with the COR within the working hours.

3.6.2 The COR or their designee shall be responsible for communicating with the contractor regarding scheduling issues. The COR or their designee will contact the contractor at least 2 weeks prior to the pick-up and removal of medical materials for scheduling purposes.

QUALITY MANAGEMENT

4.1. The Contractor shall have a planned and systematic quality management process for monitoring and analyzing its contract performance.

4.2. The Contractor shall ensure that all contract employees comply with USAMMC-K quality management/process improvement activities.

4.3. PERFORMANCE REQUIREMENTS SUMMARY: See Attachment 01.

4.3.1. Inspection. The inspection and acceptance point for all services rendered under this contract will be the COR. The performance by the contract personnel, 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 KO or COR. Any services rendered by the contract personnel to patients or interaction with military/civilian personnel deemed unprofessional, threatening, or dangerous by the KO may be grounds for immediate termination for default or cause. Quality Assurance procedures established by the MTF shall be used for continuous monitoring. Other performance evaluation factors will be monitored that are not quantified by numerical measurements which include: Contractor providing personnel not meeting the minimum qualification standards; inappropriate prescriptions; patient customer service comments; Contractor relationship with hospital staff/Government contracting personnel; compliance with hospital healthcare policies and procedures.

5.0 REQUIRED SERVICES:

Removal and Disposal of Medical Material US Army Medical Material Center, Korea (USAMMC-K) Camp Carroll

5.1. Reports to: COR

5.2. Qualifications

5.2.1. If destruction and disposal occur in Korea: The contractor shall be authorized and licensed by the ROK Environmental Law Office for the destruction and disposal of hazardous waste material if performance of these services are in Korea. The contractor shall utilize rotary kiln type incinerator(s) with burning temperature over 1,100 degrees centigrade, and with treatment capacity over 1,500 Kilograms per hour, and 36,000 Kilograms per day.

5.2.1.1. If destruction and disposal occur in the US: The contractor shall be authorized and licensed by the US Department of Transportation (DOT) to transport hazardous waste materials from Korea to the US. The contractor shall be authorized and licensed by the US Environment Protection Agency (EPA) for the destruction and disposal of hazardous waste material if performance of these services is in the US. The contractor shall utilize rotary kiln type incinerator(s) with burning temperature over 1,100 degrees centigrade, and with treatment capacity over 1,500 Kilograms per hour, and 36,000 Kilograms per day.

5.2.2. Requirements: The Contractor shall provide the removal and destruction of medical material required by US Army Medical Material Center, Korea (USAMMC-K) at Camp Carroll, Korea, furnishing all services of supervision, labor, tools, equipment, and transportation. USAMMC-K will provide forklifts and forklift drivers for the purpose of loading medical material onto contractor provided vehicle. The contractor is not required to provide containers or liners for storing the items

5.2.3. Experience: The Contractor shall provide a qualified Project Manager (PM) and Alternate Project Manager (APM) who shall be responsible for supervising the overall performance of the work. The PM and APM shall be able to speak, read, write, and understand English pertaining to the performance of assigned duties. The PM shall have at least two (2) years of experience as a project manager on the same or similar projects related to this requirement. The APM shall be designated to act for the PM during PM’s absence.

Written notification designating the APM shall be submitted for review and approval to the KO and COR 48 hours in advance. The Alternate PM shall have at least one (1) year of experience related to this requirement. The resume for the PM shall be submitted as part of the technical proposal.

5.3. Specific Duties/Tasks:

5.3.1 The contractor shall provide pick-up and removal from building #709, #715 USAMMC-K and building #955, APS-4 at Camp Carroll.

5.3.2. The minimum amount that the contractor shall pick up is 10 pallets of expired items per each pick up.

5.3.3. The maximum amount that the contractor shall pick up is 50 pallets of expired items per each pick up.

5.3.4. A total annual pallet number is 300, and the contractor is required to provide pick-up and removal service on a bi-monthly basis (every two months).

5.3.5. The Contractor shall perform all operations in a prudent, conscientious, safe and professional manner. At a minimum, the Contractor’s personnel and equipment shall comply with applicable Korean Government and US Government safety standards and installation safety regulations and procedures. The Contractor shall insure that its agents, employees, and subcontractors perform all operations in a safe manner. The Contractor shall ensure that all personnel involved in handling and packing the hazardous waste be trained for the level of expertise required of proper performance of the task and, in particular, in the areas of chemical incompatibility, general first aid procedures and spills. Handling and personnel protective equipment shall be provided by the Contractor and must be appropriate to ensure safe handling of the hazardous waste. The Contractor understands that their personnel and equipment are subject to safety inspections by Government personnel while on Federal property.

5.3.6. The contractor is responsible for any permit or fees associated with transporting and disposal of medical materials in this contract. After completion of disposal, the contractor shall submit a copy of the completed disposal certificate to COR.

5.3.7. The Contractor shall report all spills or leaks, regardless of quantity immediately upon discovery. A written follow-up report shall be submitted no later than 24 hours after the initial telephonic report. The written report shall be in narrative form and at a minimum must include the following.

5.3.7.1 Description of item(s) spilled (including type of product, quantity, etc.).

5.3.7.2 Amount spilled, whether the amount spilled is reportable by Korean law and if it was reported.

5.3.7.3. Exact time, location, and description of area affected by spill.

5.3.7.4 Containment procedures initiated.

5.3.7.5. Summary of any communications contractor had with the Korean Press or US Government Officials other than the Contracting Officer.

5.3.7.6. Description of clean up procedures employed or to be employed at the site including disposal location of spill residue.

5.3.7.7. Provide the name, address, and phone number of the person(s) involved in the spill or leak.

5.4. Requirements for all positions.

5.4.1. The Contractor shall ensure that all contract personnel providing services under this contract shall be able to read, write, and speak English well enough to effectively communicate with all parties and other health care providers.

5.4.2. Basic Computer Skills. The contract personnel shall possess knowledge, skills, and abilities required for the labor (i.e., medical terminology, basic computer skills, customer service expectations, telephone etiquette, and basic typing).

5.4.3. Physical Qualifications. Contract personnel shall be capable of meeting the physical demands of the position as outlined in the PWS. In most cases, the contract personnel may be asked to stand and/or sit for extended periods of time. However, the PWS may describe other physical demands such as lifting a specified weight or other physical activity.

5.4.4. The contract personnel shall have the required education, training, experience and documented current competence in the required specialty position description.

6.0 APPLICABLE TECHNICAL ORDERS, SPECIFICATIONS, REGULATIONS, AND MANUALS.

Following is a list of basic publications applicable to this performance-based statement of work. The Contractor is obligated to follow these publications.

Applicable Publications Public Law:

Public Law 91-596 Occupational Safety and Health Act of 1970 Public Law 104-191 Health Insurance Portability and Accountability Act of 1996 Accreditation Manuals:

The Joint Commission (TJC) Manual (Current Edition)

Defense Health Agency:

DHA-AI 001 Telework Program DHA-AI 003 Physical Security Program DHA-AI 034 Drug-Free Workplace Program DHA-AI 050 Accounting of Disclosures of Personally Identifiable Information (PII) and Protected Health

Information (PHI) DHA-AI 5015.01 Records Management DHA-AI 5200.02 Information Security Program DHA-AI 5200.03 Operations Security (OPSEC) Program

DHA-AI

DHAPI 6000.03 Life Support Training Certification Requirements and Guidance DHAPI 6010.02 MHS Prescription Drug Monitoring Program DHAPI 6015.02 Beneficiary Counseling and Assistance Coordinator (BCAC) and Debt Collection Assistance

Officer (DCAO) DHAPI 6025.04 Pain Management and Opioid Safety in the MHS DHAPI 6025.06 Standardized Templates for Primary Care Clinical Encounter Documentation DHAPI 6025.10 Standard Processes, Guidelines, and Responsibilities of the DoD Patient Bill of Rights and

Responsibilities in the Military Health System (MHS) Military Medical Treatment Facilities (MTFs)

DHAPI 6025.20 Medical Management (MM) Program within the Military Health System (MHS) DHAPI 6025.26 Standard Processes for the Military Health System (MHS) Nurse Advice Line (NAL) DHAPI 6025.27 Integration of Primary Care Behavioral Health (PCBH) Services into Patient-Centered Medical

Home (PCMH) and Other Primary Care Service Settings within the Military Health System

(MHS)

DHAPI 6025.28 Standard Processes and Procedures for Communication of Laboratory and Radiology Results DHAPI 6025.29 Provision of Human Immunodeficiency Virus (HIV) Pre-Exposure Prophylaxis (PrEP) for

Persons at High Risk of Acquiring HIV Infection DHAPI 6025.33 Acupuncture Practice in Military Treatment Facilities DHAPI 6025.39 Medical Ethics in the Military Health System DHAPI 6025.42 Routine Adult Transthoracic Echocardiogram (TTE) Standards for all Military Medical

Treatment Facilities (MTFs) DHAPI 6040.07 Medical Coding of the DOD Health Record DHAPI 6401.01 Dental Sedation Medical Management DHAPI 6490.02 Behavioral Health (BH) Treatment and Outcomes Monitoring DHAPM 6025.01Primary Care Behavioral Health (PCBH) Standards DHAPM 6025.13, Volumes 1-7 Clinical Quality Management in the Military Health System www.health.mil/Reference-Center/DHA-publications

Department of Defense (DoD):

DoD 5200.1-R Information Security Program DoD 5200.2 Personnel Security Program DoDI 5200.46 DoD Investigative and Adjudicative Guidance for Issuing the Common Access Card DoD 5210.42-R Nuclear Weapons Personnel Reliability Program (PRP) Regulation DoD 5400.7-R DoD Freedom of Information Act DoD 5400.11-R Department of Defense Privacy Program DoD 6010.13-M Medical Expense and Performance reporting System for Fixed Military Medical And Dental

Treatment Facilities Manual DoD 6010.15-M Military Treatment Facility Uniform Business Office (UBO) Manual http://www.health.mil/Reference-Center/DHA-publications

DoD 6015.1-M Glossary of Healthcare Terminology DoD 6025.18-R DoD Health Information Privacy Regulation DoD 6055.5-M Occupational Medical Examinations and Surveillance Manual DoD 8580.02-R HIPAA Security Rule DoDD 5144.02 Information Technology Standards in the DoD DoDD 5205.2 DoD Operations Security (OPSEC) Program DoDD 5400.11 DoD Privacy Program DoDD 5500.07 Standards of Conduct DoDD 6000.14 Patient Bill of Rights and Responsibilities in the Military Health System (MHS) DODM 6025.13 Medical Quality Assurance (MQA) in the Military Health System (MHS)DoDD 6040.41 Medical Records Retention and Coding at Military Treatment Facilities DoDD 6205.02E Policy and Program for Immunizations to Protect the Health of Service Members and Military

Beneficiaries DoDD 8190.3 Smart Card Technology DoDD 8500.01E Information Assurance DoDI 1100.22 Policy and Procedures for Determining Workforce Mix DoDI 1402.5 Criminal History Background Checks on Individuals in Childcare Services DoDI 3020.37 Continuation of Essential DoD Contractor Services During a Crises DoDI 5200.02 DoD Personnel Security Program (PSP) DoDI 6000.11 Patient Movement DoDI 6015.23 Delivery of Healthcare at Military Treatment Facilities: Foreign Service Care; Third Party

Collection; Beneficiary Counseling and Assistance Coordinators (BCACs) DoDI 6025.8 Ambulatory Procedure Visit (APV) DoDI 6025.13 Medical Quality Assurance (MQA) and Clinical Quality Management in the Military Health

System DoDM 6025.13 Medical Quality Assurance (MQA) and Clinical Quality Management in the Military Health

System (MHS) DoDI 6025.18 Privacy of Individual Identifiable Health Information in DoD Health Care Programs DoDI 6040.40 Military Health System Data Quality Management Control Procedures DoDI 6040.42 Medical Encounter and Coding at Military Treatment Facilities DoDI 6040.43 Custody and Control of Outpatient Medical Records DoDI 6205.2 Immunization Requirements DoDD 6459.01 Sexual Assault and Response (SAPR) Program

7.0 ACRONYMS AND DEFINITIONS.

ADM - Ambulatory Data Module ADS - Ambulatory Data System AHA - American Hospital Association AHLTA - Armed Forces Health Longitudinal Technology Application AKO - Army Knowledge Online AMA - American Medical Association AOD - Administrative Officer of the Day AR - Army Regulation CAC - Common Access Card CAMH - Comprehensive Accreditation Manual for Hospitals CFR - Code of Federal Regulations CHCS - Composite Health Care System CLIN - Contract Line-Item Number COR - Contracting Officer's Representative COTR - Contracting Officer’s Technical Representative CPT - Current Physicians Terminology DA - Department of the Army DoD - Department of Defense DODI - Department of Defense Instruction EFT - Electronic Funds Transfer FAR - Federal Acquisition Regulation FSO - Facility Security Officer FTE - Full Time Equivalent HCP - Healthcare Provider HIPAA - Health Insurance Portability & Accountability Act of 1996

HRP - Health Readiness Platform, i.e. Military Treatment Facility JC - The Joint Commission KO - Contracting Officer LADS - Labor and Delivery Statistics System MEDCENs - Army Medical Centers MEDCOM - Medical Command MHS - Military Healthcare System MTF - Military Treatment Facility OIC - Officer in Charge OSHA - Occupational Safety and Health Administration PAM - Pamphlet PAR - Performance Assessment Report POC - Point of Contact PWS - Performance Work Statement PL - Public Law QASP - Quality Assurance Surveillance Plan QC - Quality Control RVU - Relative Value Units SF - Standard Form TA - Trusted Agent TASS - Trusted Associated Sponsorship System UCAPERS - Uniform Charts of Accounts Personnel System

END OF PERFORMANCE WORK STATEMENT