3 PERFORMANCE WORK STATEMENT AMD 0001.pdf

PERFORMANCE WORK STEMENT

LICENSED VOCATIONAL NURSE (LVN)/LICENSED PRACTICAL NURSE (LPN)

51st Medical Group, Osan Air Base, Korea

TABLE OF CONTENTS

SECTION TITLE

1.0 INTRODUCTION

2.0 BACKGROUND

3.0 SCOPE OF WORK

4.0 PERFORMANCE REQUIREMENTS SUMMARY

5.0 POSITION DESCRIPTIONS

6.0 APPLICABLE TECHNICAL ORDERS, SPECS, REGULATIONS, AND MANUALS

7.0 ACRONYMS AND DEFINITIONS

1. INTRODUCTION.

1.1 The contract personnel shall provide the personal services of Licensed Vocational Nurse (LVN)/Licensed Practical Nurse (LPN) services. The LVN/LPN shall provide significant contributions to Flight and Operational Medicine Clinic by researching recommendations for improvement and implementation of sound policies and procedures throughout the Medical Treatment Facility (MTF), thereby enhancing the quality of care for all healthcare beneficiaries at the 51st Medical Group, Osan Air Base, Korea. As a condition of employment, contract providers must meet all applicable credentialing requirements outlined in this PWS and all Government regulatory guidelines and be fully qualified to perform independently within the scope of their practice.

1.2 All services shall be provided in accordance with established standards, principles and ethics of the profession and applicable professional specialty organizations, The Joint Commission (JC) standards, applicable Department of Defense (DoD), Defense Health Agency (DHA) specific regulations, directives, and policies, and military treatment facilities (MTF) specific policies, procedures, and job descriptions. Contract health care providers (contract personnel) 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 shall be held accountable for compliance to the standards listed in the Comprehensive Accreditation Manual for Hospitals (CAMH) dated January 2025 or current version.

1.3 The contract employees shall provide services in conjunction with other non-contract providers to include physicians, nurse practitioners, physician assistants, registered and licensed practical nurses, and support personnel.

All contract employees shall perform essentially the same functions, within the scope of acceptable practice for the specific specialty or position, as those required by MTF or Government service health care professionals of similar experience and in similar duty assignments. The scope of services provided in military treatment facilities cover the same range of services as those that are provided in civilian treatment facilities of similar size and scope of services.

1.4 This contract is a personal services contract (PSC) and is intended to create an employer-employee relationship between the Government and the individual contract health care worker (HCW) only to the extent necessary for providing the healthcare services required under this contract. Individual compensation is limited for all personal services contracts to a statutory pay cap of $400,000 annually as required by 10 USC 1091, 3 USC 102, and DHA Procedural Instruction 6025.05, paragraph 3g. The performance of healthcare services by the HCW under a PSC are subject to day-to-day supervision and control by healthcare facility personnel equivalent to that exercised over military and civil service the HCW engaged in comparable healthcare services. Any personal injury claims alleging negligence by the individual contract HCW within the scope of the HCW performance of the personal services contract shall be processed by DoD in the same manner as claims alleging negligence by DoD military or civil service HCW. The contract does not create an employer-employee relationship between the Government and any corporation, partnership, business association or other party or legal entity with which the contract HCW may be associated. The authority for this contract is 10 United States Code 1089 and 10 United States Code 1091.

1.4.1 Professional Liability.

Pursuant to 10 USC 1089(a), DoD shall process any personal injury claim alleging negligence by the HCW within the scope of the HCW performance under this contract as claims alleging negligence by DoD military or civil service HCW. The contractor or the HCW is not required to maintain medical malpractice liability insurance, and the Government will not reimburse or otherwise pay for such insurance should any be purchased.

1.4.2 Responsibility and Procedures.

1.4.2.1 If any suit or action is filed or any claim is made against the contract HCW which occurred as a result of work performed by the HCW under this contract, the HCW 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.

1.4.2.2 The contractor and HCW shall cooperate with the government, without further compensation, in the processing, review, settlement, or defense of the suit, action, or claim; and authorize government representatives to settle or defend the claim and to represent the HCW in, or take charge of, any litigation involved in such an action.

The HCW may, at the HCW own expense, participate in defense of such claim or litigation.

2.0 BACKGROUND.

2.1 The mission of the military healthcare system (MHS) is to ensure the nation always has available a healthy military force supported by a combat ready healthcare system. Health care services for eligible MHS beneficiaries are provided at Military Treatment Facilities (MTF) 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, and treatments).

2.2 The 51st Medical Group’s (MDG) mission is to seamlessly transition from community healthcare to contingency operations and respond to a full spectrum of health requirements, prepare medically ready forces, expand medical capabilities, and sustain war reserve materiel in support of 7 Air Force and US Forces Korea. The contractor uses a multi-disciplinary and collaborative approach with other key service providers, to ensure total force readiness.

3.0 SCOPE OF WORK.

3.1 To support the Flight and Operational Medical Clinic (FOMC), 51st Medical Group has a requirement for LVN/LPN services. The contractor shall provide all labor, materials, tools, equipment, transportation, and materials necessary to recruit, qualify and retain the LVN/LPN. The LVN/LPN shall perform vitals, collect samples, administer mediations, perform tests and clinical exams as trained.

3.1.1 The provider shall follow the methods for controlling and preventing disease as described in the American Public Health Association publication, Control of Communicable Diseases Manual, and the Centers for Disease Control and Prevention (CDC) Publication, Morbidity and Mortality Weekly Report (MMWR), and its supplements.

Where applicable, the most recent guidelines from these publications are utilized as the standard. The Contractor shall be required to replace any providers that are not in compliance with these recommendations.

3.2 Administrative.

3.2.1 Contractor Representative. The Contractor shall designate, in writing, a primary point of contact (POC) for contract coordination and implementation not later than five business days after receiving notice of contract award.

Changes in the primary 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 at the MTF level. The Contractor’s representative shall be available to discuss any problems that the Contractor’s HCW 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.

3.2.3 Contractor shall not include or use non-compete provisions with respect to the performance of Government medical service contracts in its employment, consultant, or third-party contract agreements (hereafter agreements) with its HCW that are effective beyond the period of contract performance. Non-compete provisions shall not prevent the HCW from being interviewed, employed, or accepting offers of employment or making other arrangements with potential competitors for follow-on contracts. Additionally, non-compete provisions shall not prevent HCW workers from accepting offers of employment or making other arrangements with any contractors who provide services to the Government, or from accepting offers of employment with the US Government, following the period of contract performance. Inclusion of such non-compete or similar conditions in agreements with the HCW will result in an offeror’s proposal being determined unacceptable and may be grounds for termination of any awarded contract or task order. Preventing the HCW from accepting these offers will hinder the Government’s ability to accomplish the mission of providing medical care to its beneficiaries.

3.2.4 The Contractor and contract HCW shall abide by all MTF standards, rules, and procedures including requirements for any licensure, credentialing and quality assurance requirements. Such regulations include, but are not limited to, general safety, fire prevention, waste disposal, infection control, JC, and patient safety initiatives.

3.2.5 Media and Other Inquiries. The Contractor or contract HCW shall not respond to any media inquiries. Any inquiries from the media, third parties, or public agencies shall be immediately relayed to the COR, who will relay them to the MTF Public Affairs Officer or, after duty hours, to the Administrative Officer of the Day (AOD). There shall be no interviews, comments, or any other response without the knowledge and approval of the MTF Director.

Other than routine inquiries from external agencies, all other inquiries and complaints shall be brought to the attention of the COR.

3.2.6 Emergency health care for contract personnel. The MTF will provide emergency healthcare for injuries or life-threatening medical emergencies occurring while on duty at the MTF. The Contractor shall reimburse the Government for such services as billed by the MTF.

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

3.3 Conflict of Interest.

3.3.1 The Contractor or contract HCW shall not bill the patient for services rendered under this contract. The Contractor or contract HCW 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 The Contractor or contract HCW 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 HCW 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 or contract HCW shall not use patient care rendered pursuant to this contract as part of a study, research project, or publication. The contract HCW 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 contract HCW.

3.3.5 The contract HCW shall not use Government facilities, supplies, or equipment in private practice or for any purpose other than providing the healthcare services required under this contract.

http://oig.hhs.gov/fraud/exclusions.asp

3.4 Security.

3.4.1 Security Identification Badges. The Contractor and contract HCW shall comply with the local installation and MTF personnel identification and access requirements while on site.

3.4.1.1 While on site, each contract HCW shall wear a visible security badge identification, provided by the military installation or the MTF, on the front of his/her outer clothing. The badge must show the full name, title and the word “Contractor”. The COR will provide the paperwork to request identification badges.

3.4.1.2 The Contractor is responsible for absences of contract HCW due to expired identification and access documents. Such absences shall not relieve the Contractor of its obligation to perform the healthcare services required under this contract.

3.4.1.3 The contract HCW shall immediately report any lost or stolen badges to the COR.

3.4.1.4 The contract HCW shall turn in all identification badges to the COR, or his/her designated representative upon termination of their services under this contract.

3.4.2 Vehicle Registration. The MTFs are located on restricted access military installations. The contract HCW shall comply with the local installation requirements for vehicle registration and operation on the military installation.

3.4.2.1 All vehicles are subject to search. Contract HCW may encounter long delays for vehicle inspection and identification checks upon entering and exiting the installation. The Government will not reimburse the Contractor for time spent at installation checkpoints. Contract HCW must plan accordingly and report to work at their scheduled duty time, at their appointed place of duty within the MTF.

3.4.3 Keys. The Contractor shall be responsible for any keys issued by the Government to contract HCW for use in the MTF. The keys shall not be duplicated. The Contractor shall be financially responsible for the replacement of any lost keys and any associated locks. Lost keys and/or locks shall be reported to the issuing party, Department Chief, or COR immediately upon recognition of the loss.

3.4.4 Safeguarding Material. The contract HCW shall be responsible for safeguarding all Government property. The Contractor shall safeguard information of a confidential or sensitive nature. All patient related information is considered confidential and sensitive. If working remotely, contractor HCW are prohibited from reproducing patient information in any way. This includes printing. Neither the Contractor nor any of its contract HCW 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 breach the requirements of the Federal Privacy Act of 1974. However, the Contractor may be required to provide testimony or disposition in cases of due process action.

3.5 Orientation and Training.

3.5.1 MTF in-processing checklist. When commencing work under this contract, the contract personnel shall obtain in-processing checklist(s) from the COR or designated office. All contract personnel are required to complete the applicable items on the checklist and turn it in to the designated office. Upon completion of the duty assignment, the contract personnel need to complete an out-processing checklist and return it to the designated office.

3.5.2 MTF and Unit Orientation. The contract personnel shall be provided with a Government paid orientation to familiarize the contract personnel with the policies and procedures of the MTF, assigned department and specific unit.

3.5.2.1 Orientation shall be completed within 45 days.

3.5.3 Annual training requirements. Contract personnel shall complete all online and offline mandatory annual training and Job Safety Training requirements in accordance with MTF procedures within 30 days of hire and annual training 30 days before annual hire date.

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

3.5.5 Computer Training. Contract HCW who have any interaction with the MTF computer systems must receive training for the applicable system(s). The COR will coordinate the necessary computer training. The training will be on-site and during normal duty hours. This training will be at no cost to the Contractor. These systems include but are not limited to:

3.5.5.1 MHS GENESIS contains the MTF’s appointment scheduling program, pharmacy, lab, and radiology ordering system and is interlinked with other departments in the MTF. In addition, it contains the electronic medical records for MHS beneficiaries and provides an integrated health record across the continuum of care.

3.5.6 RESERVED

3.5.7 AT/OPSEC REQUIREMENTS

3.5.7.1 Anti-Terrorism (AT) Level I Training: 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 KO, if a COR is not assigned, within five 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.

3.5.7.2. Access and General Protection/Security Policy and Procedures: Contractor and all associated sub-contractors employees shall 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 (FAR clause 52.204- 9, Personal Identity Verification of Contractor Personnel) as directed by DOD, DHHQ 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.

3.5.7.3 For contractors requiring Common Access Card (CAC). Before CAC issuance, the contract HCW requires, at a minimum, a favorably adjudicated National Agency Check with Inquiries (NACI) or an equivalent or higher investigation in accordance with DHA-AI 5200.04. The contract HCW 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 six 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.

3.5.7.4 AT Awareness Training for Contractor Personnel Traveling Overseas: Specific AOR training content is directed by the combatant commander, with the unit ATO being the local point of contact.

3.5.7.5 For contracts that require a formal Operational Security (OPSEC) program. The contractor shall develop an OPSEC Standing Operating Procedure (SOP)/Plan within 90 calendar days of contract award, to be reviewed and approved by the responsible Government OPSEC officer. This plan will include a process to identify critical information, where it is located, who is responsible for it, how to protect it and why it needs to be protected. The contractor shall implement OPSEC measures as ordered by the commander. In addition, the contractor shall have an identified certified Level II OPSEC coordinator per DHA-AI 5200.03.

3.5.7.6 For Contracts that Require OPSEC Training: Per DHA-AI 5200.03, Operations Security, the contract HCW must complete Level I OPSEC Awareness training. New employees must be trained within 30 calendar days of their reporting for duty and annually thereafter.

3.5.7.7 For Information assurance (IA) and/or information technology (IT) training. All contract HCW must complete the DoD Cyber Awareness training before issuance of network access and annually thereafter. All contractor employees working IA/IT functions must comply with DoD requirements DoD 8570.01 and DoD 8570.01-M within six months of appointment to IA/IT functions. DoD Cyber Awareness Challenge Training is available at the following website:

https://jkodirect.jten.mil/Atlas2/page/login/Login.jsf?ORG=NAVSEA , DOD Course US1364-22 DOD Cyber Awareness Challenge 2024.

3.5.7.8 For information assurance (IA) and/or information technology (IT) certification. Per DoD 8570.01-M , DFARS 252.239.7001, the contractor employees supporting IA/IT functions shall be appropriately certified upon contract award. The baseline certification as stipulated in DoD 8570.01-M must be completed upon contract award.

3.5.7.9 For Contractors 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.

3.5.7.10 Controlled Unclassified Information (CUI). Include DFARS clause 252.204-7012, which requires the contractor to comply with NIST 800-171. Also include DFARS provision 252.204-2019 into solicitations.

Acquisition officials should follow procedures outlined in DFARS 204.73 and verify vendors have an adequate NIST SP 800-171 summary assessment score within the Supplier Performance Risk System (within PIEE). If the score doesn't show a medium- or high-level assessment with a score of 110 or better (as described in the "NIST SP 800-171 DoD Assessment Methodology"), include clause 252.204-7020 and obtain the vendor's "system security plan" and "plan of action" for NIST SP 800-171 verification and assurance by Army security officials.

DHA-US1339 Controlled Unclassified Information (CUI) - Refresher Training (30 mins) DHA-US1338 Controlled Unclassified Information (CUI) - Initial Training (45 mins)

3.6 MTF HOURS OF OPERATION

3.6.1 51st MDG provides services 24 hours a day, 365 days a year (366 days during leap years) including holidays.

Clinics have designated operating hours.

3.6.1.1 Flight and Operational Medicine Clinic Hours of Operation: 0700 to 1700 hours, Monday through Friday.

3.6.2 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.

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, 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

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.

3.6.3 Contract HCW shall report to work as scheduled during emergencies, disasters or during adverse weather conditions. Contract services are still required during these situations.

3.6.4 Closures. During anticipated closure of the facility due to Command declared training holidays or during unplanned closure of the facility due to natural disasters, military emergencies, severe weather, or otherwise, the contractor shall not invoice the Government for services not performed and the Government will not be liable to the contractors for any such closures.

3.7 HOURS OF PERFORMANCE.

3.7.1 Scheduling process: The contract HCW shall be available to work from 0700 to 1700 in 51 MDG. Monday through Friday. Contract HCW are only mandated to work eight hours shifts, not including authorized one hour lunch break daily. Duty hours may include base exercise days where limited military staffing is available and foreign holidays.

3.7.2 The COR or their designee will be responsible for communicating with the contract HCW regarding scheduling issues. The shift supervisor may act as point of contact after normal duty hours, weekends and holidays.

In such cases, the COR shall confirm all actions on the next normal working day.

3.7.3 Absences and leave:

3.7.3.1 The contractor shall notify the COR when a scheduled contract HCW cannot fill a shift due to illness or emergency. Notification shall be as early as possible, but no later than 2 hours prior to start of scheduled shift.

3.7.3.2 The contractor shall have sufficient qualified HCW available so that all services are provided in the event a contract HCW scheduled to work becomes ill, resigns, is terminated, or is otherwise unavailable to work. The proposed substitutes shall have at least the minimum qualifications required for the position and shall begin performance in the MTF within six weeks of notification that the permanent provider will be absent for over 160 consecutive hours, resigns, is terminated, or is otherwise unavailable to work.

3.7.3.2.1 The Contractor shall maintain a low turnover rate. Not to exceed 25 % for full executed contract period.

3.7.3.3 When the contractor cannot fill a position, the contractor shall notify the COR.

3.7.4 Scheduled absences of contract HCW shall be coordinated with the COR at least 30 calendar days in advance.

Depending on how the hours are specified will determine whether or not the contractor supplies a substitute. The contractor will only be paid for hours actually worked.

3.7.5 The contractor is responsible for submitting an accurate invoice. The contractor may only invoice and be paid for the services actually rendered. If the Contractor performs fewer services than are provided in the contract schedule, the Government may, at the end of the applicable contract period, de-obligate the excess quantities.

3.8 LICENSE VERIFICATION AND CREDENTIALS REVIEW OR PRIVILEGING.

3.8.1 The contractor shall follow Defense Health Agency-Procedures Manual (DHA-PM) 6025-13 Medical Quality Operations for all healthcare services provided in the MTFs. DHA Instruction DHA-PM 6025-13 is located on the internet at website https://www.esd.whs.mil/Portals/54/Documents/DD/issuances/dodm/602513m.pdf?ver=2020-07-23-113226-083.

The COR will designate the offices responsible for license verification for non-privileged personnel and the Credentials Office is responsible for credentialing and privileging actions. If the contractor is providing privileged health care providers, the contractor shall check with the Credentials Office to determine their credentialing/privileging process and timelines so that the health care providers can be privileged prior to the start of work.

The Contractor shall accomplish the assigned work by employing and utilizing a qualified candidate with appropriate combinations of education, experience, knowledge, training, abilities and skills. The provider will begin performance in the MTF at the earliest possible date, but not more than 120 days from contract award. All status of forces agreement (SOFA) or host nation requirements, health, security and credentialing/privileging requirements shall be met prior to start of performance by an initial or replacement provider. The Contractor is responsible for obtaining all passports, visas, or other documents necessary for the provider to enter and/or exit the foreign country where performance is required. Substitute or temporary coverage for a permanent provider is required for unplanned absences over 160 consecutive hours. The substitute or temporary coverage contract HCW shall begin performance in the MTF within six weeks of notification that the permanent HCW will be absent for over 160 consecutive hours. See supplement to the PWS.

3.8.1.1 The contractor shall perform all primary source verifications and include all verifications with the credentials package or competency assessment folder information for non-privileged staff in accordance with DHA-PM 6025-

13. The contractor shall obtain all paperwork, letters of reference, approvals, work history, etc. required by the MTF credentialing or licensure verification processes. The MTF staff will not assist the contractor in obtaining any needed information for initial credentialing. The contractor is responsible for the current competence of contract HCW used to provide healthcare services under this contract.

3.8.1.2 Licensure, certification, registration, or authorizing documents. Contract workers requiring licensure shall have and maintain a current, valid, unrestricted license specific to the position (with no limitations, stipulations or pending adverse actions). Additional licenses held by the HCW must be in good standing whether they are inactive, expired, or limit the HCW practice to a military setting. The HCW license(s) must remain current, valid and unrestricted throughout the duration of the contract worker performance. The DHA PM 6025.13, vol 4, is the governing directive for all licensure, registration, and certification. Adherence to the outlined requirements within the DHA PM 6025.13, vol. 4, shall be met.

3.8.1.2.1. Personal services: Contract HCW under a personal services arrangement requiring licensure may maintain a license in any U.S. jurisdiction as outlined in DHAPM 6025-13, Volume 4.

3.8.1.3 Privileges are facility specific, and the department chair or service chief develops the criteria to award privileges. The forms required for the privileging process are outlined in DHA-PM 6025.13 and will be provided by the Credentials Office. The HCW who require privileging shall not provide healthcare services until they have been granted privileges at the MTF.

3.8.1.4 The Credentials Committee may have questions which they will wish to present to the HCW verbally or in writing. The HCW shall answer questions presented by the Credential’s Committee either verbally or in writing.

3.8.1.5 The Contractor shall contact the Credential Office for current credentialing process. The 51 MDG Credential Office contact numbers are Com 011-82-31-661-8717 and/or DSN (315) 784-8717. Non-credentialed providers shall contact the Education and Training office at DSN: (315) 784-0786 or Com 011-82-31-661-0786 for guidance.

3.8.1.6 The Contractor shall provide a completed credential file of the accepted candidate within 60 days from contract award.

3.8.1.7 The Contractor shall have been granted privileges by the Director and commencement of services under this work statement shall be in place within 120 days from contract award.

3.8.2 The Contractor shall not provide direct health care services under this contract if, within the past five years:

3.8.2.1 Has had his/her clinical privileges limited, suspended, or revoked by any healthcare facility, public or private, anywhere in the world.

3.8.2.2 Is the subject of a current or pending hearing or appeal brought by any healthcare facility, public or private, anywhere in the world, which may result in the limitation, suspension, or revocation of the individual’s clinical privileges.

3.8.2.3 This prohibition does not apply to any individual whose clinical privileges, although originally limited, suspended or revoked by a healthcare facility where the individual was subsequently fully reinstated by the healthcare facility.

3.8.2.4 Limitation of clinical privileges, as used in this paragraph, refers to a partial withdrawal/reduction of clinical privileges as a result of a determination that or pending investigation to determine whether an individual has engaged in unprofessional conduct or substandard medical practice or is incompetent to perform certain medical practices.

3.8.3. List of Excluded Individuals and Entities (LEIE). For any provider (privileged and non-privileged) within the DoD, the List of Excluded Individuals and Entities (LEIE) on the Health and Human Services website (http://oig.hhs.gov/exclusions/exclusions_list.asp) must be queried to determine if the provider has been excluded from participation in Federal Health Programs. If the contract personnel’s name appears on this list, the provider is disqualified from working for the DoD, in any capacity.

3.8.4 Removal of Contract HCW. At any time during the performance of this contract, the KO or COR may direct the contractor to immediately remove any contract HCW whose actions or impaired state raises reasonable suspicion that clear and present danger of physical harm exists to a patient, other contract HCW government personnel or to the impaired individual. This provision will be used in emergency situations only and not for the purpose of bringing performance issues or other non-urgent concerns to the attention of the contractor.

3.8.4.1 If the need for a removal occurs, the COR will contact the contractor's point of contact and direct the contractor to remove that individual from the military facility and to not use that individual to perform any healthcare services required under this contract until the issue has been resolved by the KO. The contractor shall formally meet with the COR to discuss further action in accordance with the MTF Quality Assurance and Inspection (QA&I) Plan and DHA-PM 6025.13. A review of the basis for removal will be made by the Contracting Officer within 3 working days after the COR directed the removal.

3.8.4.2 If, after any investigation deemed necessary by the KO and discussions with the contractor's representative, the KO concludes that the contract HCW impairment requires permanent removal from performance under the contract, the KO will notify the HCW that permanent removal is required. In the event of disagreements between the government and the contractor's representative concerning matters of impaired contract HCW, the decision of the Contracting Officer will be final. During the period of time between the removal and the final decision of the KO, the contractor shall provide a backup/replacement contract HCW in accordance with the terms and conditions of this contract.

3.8.4.3 The Director has the prerogative to hold in abeyance, to deny, or to summarily suspend clinical privileges/practice when there is a reasonable cause to doubt the health care provider’s competence to practice or for any cause affecting the safety of patients or others. DHA-PM 6025.13 outlines the adverse clinical privileging and practice actions for privileged personnel and adverse practice actions and peer review for no privileged personnel.

3.8.5 Conduct.

3.8.5.1 Contract HCW shall comply with MTF policies regarding personal appearance and conduct.

3.8.5.2 Contract HCW shall abide by federal, state, and local MTF regulations and requirements concerning the nature of limited privileged communication between patients and the contract HCW as may be necessary for security and personnel reliability programs. They shall also abide by federal, state, and local MTF regulations concerning the confidentiality of patient records, as embodied in federal statutes including the Privacy Act of 1974 and the Health Insurance Portability and Accountability Act (HIPAA) of 1996. All medical records and reports will remain the property of the Government.

3.8.6 Contract HCW shall not introduce new procedures or services without prior approval of the Department Chief or representative. If disagreements or deviations from protocols or procedures occur, the Department Chief or representative shall be the deciding authority.

3.8.7 The contractor shall ensure contract privileged providers providing medical services under this contract has his/her rubber stamp containing their full name, degree, title, DEA license number and company name (if applicable) or the word, "Contractor." The stamp shall be placed on all forms and documentation having the provider's signature:

EXAMPLES:

Jane J. Jones, APRN, BC John J. Jones, APRN, BC Family Nurse Practitioner Family Nurse Practitioner

DEA #123456 DEA #123456

Jones Healthcare Company Contractor

3.9. Health and immunization requirements. All contract HCW performing services under this contract shall comply with the health and immunization requirements as stated in the Health Requirements clause.

Backup/replacement contract HCW shall meet the same health and immunization requirements. The expense to comply with the health and immunization requirements shall be borne by the Contractor at no additional cost to the Government.

3.10. Criminal History Background Check Requirements. Contract HCWs involved in the delivery of health care to patients under the age of 18 must undergo a Child Care National Agency Check and Inquiries (CNACI) as part of a CHBC as stated in Procedures, Enclosure 3 of DoDI 1402.05. The Contractor Facility Security Officer (FSO) and/or Security POC shall initiate background investigations. At the discretion of the COR, the MTF security personnel may initiate background investigation requests.

3.11. MISSION PARTNER IDENTITY, CREDENTIAL AND ACCESS MANAGEMENT (MP ICAM)

3.11.1. The Contractor shall comply with agency personal identity verification procedures that implement Homeland Security Presidential Directive-12 (HSPD-12), Office of Management and Budget (OMB) guidance M- 05-24, and Federal Information Processing Standards Publication (FIPS PUB) Number 201.

3.11.2. The Contractor shall comply with agency personal identity verification procedures in all subcontracts when the contract personnel is required to have physical access to a federally controlled facility or access to a Federal information system.

3.11.3. The Contractor shall ensure compliance with the provisions set forth below. For purposes of the Federal Acquisition Regulation (FAR) Clause 52.204-9, the US Government (USG) will designate a Mission Partner Affiliation Sponsor (MPAS) and the Contractor shall designate a FSO for this contract. The USG reserves the right to amend or supplement these provisions pursuant to the Changes clause in the contract.

3.11.4. The Contractor is responsible for absences of HCWs due to expired identification and access documents.

Such absences shall not relieve the Contractor of its obligation to perform the services required under this contract.

3.11.5. In-processing Requirements. The HCWs are prohibited from performing services under this contract absent compliance with the in-processing requirements set forth below.

3.11.6. The USG will sponsor the contract HCWs with an e-mail address. All HCW e-mail addresses will be provided by the MTF to identify them as a Contractor.

3.11.7. The USG MPAS will send a notice through the MP ICAM to the e-mail address provided IAW the above requirement. The HCW’s user ID and password will be provided in the e-mail and will be require a change at first login. In the event the e-mail message is not received, the Contractor may request the username and password from the MPAS and proceed to the website https://mpartnerregweb.dmdc.osd.mil/mpartnerregweb to complete the process.

3.11.8. The HCW shall log into the MP ICAM and complete the verification process by submitting the application back to the MPAS for approval.

3.11.9. The application will be accepted, returned, or rejected by the MPAS. Notice as to whether the application has been accepted, returned, or rejected will be provided to the HCW’s e-mail address within 48 hours after submission. If the application is returned or rejected, the HCW shall contact the MPAS and comply with the MPAS’s guidance to attempt to correct and resolve the issue(s).

3.11.10. Upon approval of the application, the HCW will receive an e-mail stating the CAC application was approved. The applicant must then go to a RAPIDS Issuing Facility to have the USG credential issued. To make an appointment, the HCW will follow the instructions provided by the MPAS and contact the COR for instructions.

The HCW must present two acceptable forms of ID, which may include: Driver's License, Military ID, Contractor Company ID with picture and expiration date, charge card with picture imprinted, or passport.

3.11.11. Revalidation Requirements. The MPAS is required to revalidate all HCWs, in the MP ICAM, every six months. In the event revalidation is denied, the CAC credentials shall be revoked, and the CAC will not be useable to log in.

3.11.12. Out-processing Requirements. When a HCW’s performance under this contract ceases, the HCW shall personally bring the CAC to the Trusted Agent and complete the DA Form 2962. The TA will revoke the CAC from the MP ICAM.

3.12 QUALITY MANAGEMENT

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

3.12.2. The Contractor shall ensure that all contract employees comply with the MTF quality management/process improvement activities.

4.0 PERFORMANCE REQUIREMENTS SUMMARY:

4.1. 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 will 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. POSITION DESCRIPTIONS.

5.1 Position Title: Licensed Vocational Nurse (LVN)/Licensed Practical Nurse (LPN)

5.1.1. Assigned to: Osan Air Base, 51st Medical Group.

5.1.2. Reports to: The COR and Flight Director, Flight and Operational Medicine Clinic

5.1.3. Qualifications:

5.1.3.1 Education: Must have completed formal training program to allow full, unrestricted practice as a LVN/ LPN from a US jurisdiction.

5.1.3.2 The provider must provide current certification in either the American Heart Association Basic Life Support (BLS) or the American Red Cross Cardiopulmonary Resuscitation (CPR)/BLS, and Community Health Management, Tables 1.1 through 1.6. These certifications must remain valid for contract period. The MTF can provide BLS.

5.1.3.3. Licensure: Must provide and maintain throughout course of the contract a current, active, valid, unrestricted license (with no limitations, stipulations or pending adverse actions) to practice as a LVN/ LPN from a US jurisdiction.

5.1.3.3.1. U.S LVN/LPN License can be waived for ROK RN License.

5.1.3.4. Experience: A resume that reflects at least two years full-time experience in care coordination, discharge planning or case management in a medical setting within the last four years as a LVN/LPN. The resume shall provide evidence that includes the following information:

- The title of the contract/project

- A brief description of work completed

- Name of the Client Organization or Requiring Activity

- Period of contract/project (year/month/date – year/month/date)

- Complete name of point of contact at the Client Organization

- Phone number of the POC of the Client/RA

5.1.3.5. The Contract HCW shall be able to communicate in the English language at a proficiency level of a native speaker (as demonstrated by Test of English for International Communication (TOEIC) score greater than or equal to 850, which was obtained within the last three years and as exemplified in their written and verbal skills in the performance of their duties under this contract. The Government will assess language skills of all contract employees who are required by terms of this PWS to be proficient at speaking English through performance of services. If the Government, at its sole discretion, determines that the language skills of the contract HCW does not meet the language proficiency skills required of the position, the Government reserves the right to require the Contractor to provide a replacement contract HCW that does possess the required language proficiency skills required of the position, at no additional cost to the Government.

5.1.3.5.1. The English test (TOEIC) requirement will be waived for individuals who are native English speakers.

5.1.4. Specific Duties/Tasks:

5.1.4.1 The HCW shall manage patients in MHS GENESIS, ASIMS, AIMWTS, and PEPP

5.1.4.2 Plans, organizes, and implements medical standards activities for the SGP, as well as providing consultative services to the MTF on medical standard issues, medical standards training, deployment processing, and other Aerospace Medicine Standards related topics, as required. The duties shall be performed in accordance with established procedures and protocols, within the scope of practice. Duties include but are not limited to the following:

5.1.4.2.1 Performs administrative quality reviews of Duty Limiting Conditions (DLC), physical examinations, profiles, and appropriate clearances before these documents are forwarded/leave the MTF.

5.1.4.2.2 Assists the analysis, interpretation, and application of medical standards to include waiver actions.

5.1.4.2.3 Represents medical standards element with a variety of installation and functional area organizations.

5.1.4.2.4 Contract personnel shall ensure all records are returned to the appropriate location as defined by the MTF within a timely manner.

5.1.4.3 Performs established medical principles, practices, requirements, procedures and regulations and their application in a military health care setting primarily for active duty members as they relate to the specialized practice of Flight Medicine.

5.1.4.4 Perform assessment of members health status IAW DoD requirements. Identification of patients that required special medical and management; comprehensive collection of patient information and medical status; and continued evaluation of an established plan of care.

5.1.4.5 Provide and coordinate detailed consultation services and advice to, and gather information from health care professionals, paraprofessional personnel and non-medical personnel.

5.1.4.6 Shall provide and coordinate detailed consultation services and advice to, and gather information from, health care professionals, paraprofessional personnel, and non-medical personnel. Shall analyze, evaluate, reconcile contradictory requirements in, and draw conclusions from multiple sources of medical and technical information and analyze, interpret, and apply medical standards to general military population, aviators, and other special operational duty personnel as well as different functions and motivations of the employees or groups involved.

5.1.4.7 Schedule and Check in patients for appointments, including front desk administrative duties, obtaining vital signs, check in and basic history of present illness

5.1.4.8 Complete medical record…