SOW_Child_and_Adolescent_Behavioral_Health_Diagnosis_Database_Subscription_DRAFT_082718.pdf

STATEMENT OF WORK

Web-Based Evidence-Based Practices Evaluation Database and Practitioner Guides Subscription in Support of the U.S. Army Medical Command

1. General. The contractor shall provide web-based access to a document management system (DMS) that provides access to manufacturers’ online modular cognitive behavioral therapy for anxiety, depression, conduct problems, and trauma for children and adolescents; child and adolescent behavioral health (C&A BH) research evaluation database; and evidence-based practitioner guides for C&A BH psychosocial treatments.

1.1. Background/Objectives. The U.S. Army Medical Command (MEDCOM) Behavioral Health Service Line (BHSL) has mandated that the Child and Adolescent Behavioral Health System (CAFBHS) disseminate and implement the standardized CAFBHS Evidence-based Practices (EBP) Model. The CAFBHS EBP Model incorporates modular cognitive behavioral treatment elements and treatment pathways, clinical-decision making strategies requiring translating clinical research into practice using a web-based database, and evidence-based practitioner guides with step-by-step session guidelines and patient/parent handouts. The MEDCOMs BHSL CAFBHS is the service line/clinical program responsible for transforming, centrally standardizing, and optimizing child and adolescent behavioral health services across Army Medicine. The BHSL addresses current MEDCOM needs by developing, implementing, evaluating, and sustaining a C&A BH services model that optimizes productive, efficient, and financially sustainable delivery of behavioral health care and increasing access to value-based quality care for beneficiaries across all Medical Treatment Facilities (MTF). The Government’s requirement is to obtain a group subscription for certain online information resources which will provide decision support to MEDCOM’s Child, Adolescent, and Family Behavioral Health Office throughout its worldwide system of care. The subscription must provide for evidence-informed service delivery through linking the resources with the current MEDCOM information infrastructure and provide decision support to health service providers throughout its system of care. Elements of the group subscription must consist of: 1) a searchable database offering child-specific synopsis from published treatment research that meets specific standards for scientific quality. The database must be updated periodically to reflect the most up-to-date treatment research findings; 2) expert practitioner guides outlining common procedures among evidence-based practices and logic models for establishing key facets of service delivery. The library of practitioner guides should be updated periodically to continue expanding the range of diagnoses addressed; and 3) a modular approach to therapy for children with the most common mental health or behavior problems (anxiety, depression, conduct problems, trauma) that provides a protocol that offers comprehensive flowcharts able to guide the process of care, and streamlining treatment to fit the child’s requirements while nurturing individualization to address comorbidity or therapeutic barriers. The system must also provide clear step-by-step instructions, activities, example scripts, time-saving tips, monitoring forms, and easy-to-read descriptive aids and worksheets for children and their parents. The BHSL recognizes that no standardized C&A BH web-based evidence-based practices document management system exists within the Army Medical Command. The objective of this requirement is to acquire access to a commercial enterprise-wide C&A BH web-based document management system that provides MTFs across the MEDCOM with 24 hour web-based access to a C&A BH evidence-based practice document management system that directly supports the CAFBHS EBP Model and BH care for Military Children and Adolescents.

1.2. Scope of Work. The scope of this contract includes web-based access to an enterprise-wide document management system which includes an evidence-based practices database and practitioner guides that provides access to manufacturers’ online modular cognitive behavioral therapy for anxiety, depression, conduct problems, and trauma for children and adolescents; child and adolescent behavioral health (C&A BH) research evaluation database; and evidence-based practitioner guides for C&A BH psychosocial treatments for use throughout all MEDCOM MTFs.

1.3. POLICY FOR REPORTING INCIDENTS OF SEXUAL ASSAULT AND SEXUAL HARRASSMENT

UNDER SEXUAL ASSAULT PREVENTION AND RESPONSE PROGRAM (SHARP).

1.4. The contractor shall comply with Office of the Surgeon General (OTSG)/MEDCOM Policy Memo 16-033, Policy for Reporting Incidents of Sexual Assault and Sexual Harassment under the Sexual Assault Prevention and Response Program (SHARP), 29 March 2016. The SHARP reporting requirements apply only to knowledge obtained by contractor personnel while providing the required supplies under this contract.

1.5. The contractor shall require all Contract Service Providers (CSPs) 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. This reporting policy also applies to sexual assault incidents involving MEDCOM personnel that occur on the contractor’s owned or leased facility under this contract. All incidents shall be reported whether they involve contractor personnel or Government personnel, or other individuals, when the incidents occur on a Government facility or a Government leased facility.

1.6. The contractor shall require all CSPs with knowledge of an incident of sexual harassment 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. This reporting policy also applies to sexual harassment incidents involving MEDCOM personnel that occur on the contractor’s owned or leased facility under this contract. All incidents shall be reported whether they involve contractor personnel or Government personnel, or other individuals, when the incidents occur on a Government facility or a Government leased facility.

2. Definitions/Acronyms.

2.1. Contracting Officer. An individual with authority to enter into, administer, and /or terminate contracts and make related determinations and findings. This individual is the only person with authority to bind the Government.

2.2. Contracting Officer’s Representative. An employee of the U.S. Government appointed by the contracting officer to administer the contract. Such appointment shall be in writing and shall state the scope of authority and limitations. 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.

2.3. Acronyms.

AMC Army Medical Center BHSL Behavioral Health Service Line BH Behavioral Health CAFBHS Child and Family Behavioral Health System COR Contracting Officer’s Representative CSP Contract Service Provider DMS Document Management System EBP Evidence-based Practices FT Fort KO Contracting Officer MEDCEN Medical Center MEDCOM U.S. Army Medical Command MTF Medical Treatment Facility OTSG Office of the Surgeon General POC Point of Contact SHARP Sexual Assault Prevention and Response Program

3. Government Responsibilities

3.1. U.S. Army Medical Command (MEDCOM) Unique Training

3.1.1. Sexual Harassment/Assault Response and Prevention (SHARP). The contractor shall ensure contractor personnel associated with this contract receive Sexual Harassment/Assault Response and Prevention (SHARP) training not later than 60 calendar days after the effective date of this contract. Training can be obtained either online or in person. Contractor personnel can attend SHARP training provided by MEDCOM on an every other month basis by contacting (210) 221-8361 for class date/time and availability. If contract individuals have an AKO account, they can access online the Team Bound Self Study course through Army Learning Management System (ALMS) at http://www.atsc.army.mil/tadlp/delivery/alms.asp

4. Contractor Furnished Items and Responsibilities. The Contractor shall furnish all supplies, equipment, facilities and services required to perform work under this contract that are not listed under section 3 of this statement.

5. Description of Work.

5.1. The contractor shall provide multiple, simultaneous access via the Internet/World Wide Web to its EBP clinical products and system to include modular cognitive behavior therapy elements and treatment pathway, research evaluation database, and EBP practitioner guides document management system.

5.1.1. The contractor shall ensure the subscription includes web based modular cognitive behavior therapy treatment pathway guidelines for treatment of C&A anxiety, depression, conduct problems and trauma. Each practice element will include comprehensive practitioner guidelines for in session practices and activities, parent and child handouts, and clinical decision-making tools. In addition to being available online, practitioner guides and therapist handouts will be available in downloadable pdf formats.

5.1.2. The contractor shall ensure the subscription includes a web-based database that evaluates the research literature on evidence-based psychosocial treatments for children and adolescents, providing an evaluation of those protocols, identifying levels of empirical support, the patient population studied, the protocol used, practice elements that compose those protocols, and the research citation. The database will be updated on a periodic basis (i.e., every 6 months).

5.1.3. The contractor shall ensure the subscription includes web based practitioner guides that provide in-session step-by-step guidance to therapists regarding implementation of practice elements identified in the web-based database that show the best evidence of support. In addition to being available online, practitioner guides will be available in downloadable pdf formats.

5.1.4. Subscription will include training materials to support the CAFHS EBP training curriculum.

5.1.5. User Accessibility. Access to the contractor’s Web site shall be available to the Government users and the MTF and will be accessible via the IP authentication or user IDs/passwords assigned to their site.

Internet/Web/PDA (mobile) access is available 24 hours a day from MTF’s/organizations (via IP authentication) as well as from remote locations (home, office, TDY, deployment) via user name and password.

5.2. The contractor shall ensure an Internet browser, such as Microsoft's Internet Explorer, Mozilla Firefox, and/or Google Chrome, enables sites/authorized users to search and retrieve EBP documents.

5.3. The contractor shall ensure access with the following capabilities:

5.3.1. Accessibility to the users 24 hours a day, 7 days a week, excluding website maintenance requirements.

The contractor shall provide 15 days prior notice of accessibility unavailability resultant from upgrade or other electronic maintenance requirements. Notice shall be accomplished:

- by submission of an email to the Government POC, and

- by posting of a notice to the website.

5.3.2. Access to this product is protected by IP address authentication or password.

5.4. The contractor shall provide to the Government POC their technical point of contact for this contract.

Customer service shall be available to troubleshoot Web site/connectivity issues via phone, email, etc. during http://www.atsc.army.mil/tadlp/delivery/alms.asp normal duty hours approximately 0800-1700 Eastern time, 5 days per week, responding within 24 hours after receiving request for assistance.

6. Advisory publications

6.1. Army Regulation 600-20, Army Command Policy, 06 Nov 2014.

6.2. OTSG/MEDCOM Policy Memo 16-033, Sexual Harassment/Assault Response and Prevention (SHARP) Program, 29 Mar 2016

7. Exhibits/Attachments:

Exhibit A – MEDCOM MTFs Per Region

Attachment 1 – Historical Number of Users Per MEDCOM MTF

Exhibit A – MEDCOM MTFs Per Region

RHC-P

TRIPLER AMC - FT SHAFTER

SCHOFIELD BARRACKS

BG CRAWFORD SAMS AHC-CAMP ZAMA

BRIAN ALLGOOD ACH-SEOUL

MADIGAN AMC-JB LEWIS-MCCHORD

BASSETT ACH-FT WAINWRIGHT

RHC-E

LANDSTUHL REGIONAL MEDCEN

BAVARIA MEDDAC

RHC-C

SAMMC-JBSA

BAYNE-JONES ACH-FT. POLK

DARNALL AMC-FT. HOOD

REYNOLDS ACH-FT. SILL

EVANS ACH-FT. CARSON

L.WOOD ACH-FT-LEONARD WOOD

WILLIAM BEAUMONT AMC-FT. BLISS

R W BLISS AHC-FT. HUACHUCA

MUNSON AHC-FT. LEAVENWORTH

WEED ACH-FT. IRWIN

IRWIN ACH-FT. RILEY

RHC-A

KIMBROUGH AMB CAR CEN-FT. MEADE

IRELAND ACH-FT. KNOX

GUTHRIE ACH-FT. DRUM

KELLER ACH-WEST POINT

WOMACK AMC-FT. BRAGG

MCDONALD AHC-JB LANGLEY-EUSTIS

KENNER AHC-FT. LEE

BLANCHFIELD ACH-FT. CAMPBELL

WINN ACH-FT. STEWART

MONCRIEF ACH-FT. JACKSON

EISENHOWER AMC-FT. GORDON

FOX AHC-REDSTONE ARSENAL

LYSTER AHC-FT. RUCKER

MARTIN ACH-FT. BENNING

(End of Exhibit A)

Attachment 1 – Historical Number of Users Per MEDCOM MTF

CAFBHS FAP

RHC-P 1

TRIPLER AMC - FT SHAFTER 27 4

SCHOFIELD BARRACKS 10 13

BG CRAWFORD SAMS AHC-CAMP ZAMA 0 1

BRIAN ALLGOOD ACH-SEOUL 5 10

MADIGAN AMC-JB LEWIS-MCCHORD 33 28

BASSETT ACH-FT WAINWRIGHT 5 5

RHC-E 1

LANDSTUHL REGIONAL MEDCEN 20 15

BAVARIA MEDDAC 13 13

RHC-C 1

SAMMC-JBSA 14 0

BAYNE-JONES ACH-FT. POLK 5 5

DARNALL AMC-FT. HOOD 26 24

REYNOLDS ACH-FT. SILL 5 8

EVANS ACH-FT. CARSON 18 23

L.WOOD ACH-FT-LEONARD WOOD 11 7

WILLIAM BEAUMONT AMC-FT. BLISS 9 16

R W BLISS AHC-FT. HUACHUCA 1 3

MUNSON AHC-FT. LEAVENWORTH 4 4

WEED ACH-FT. IRWIN 2 3

IRWIN ACH-FT. RILEY 7 13

RHC-A 1

KIMBROUGH AMB CAR CEN-FT. MEADE 9 15

IRELAND ACH-FT. KNOX 8 4

GUTHRIE ACH-FT. DRUM 4 13

KELLER ACH-WEST POINT 2 3

WOMACK AMC-FT. BRAGG 17 34

MCDONALD AHC-JB LANGLEY-EUSTIS 1 0

KENNER AHC-FT. LEE 1 4

BLANCHFIELD ACH-FT. CAMPBELL 12 23

WINN ACH-FT. STEWART 17 16

MONCRIEF ACH-FT. JACKSON 5 4

EISENHOWER AMC-FT. GORDON 8 7

FOX AHC-REDSTONE ARSENAL 2 1

LYSTER AHC-FT. RUCKER 2 3

MARTIN ACH-FT. BENNING 8 10

TOTALS 311 336

(End of Draft SOW)