Exhibit C Performance Requirements Summary H2F 21Oct20.pdf

EXHIBIT C: PERFORMANCE REQUIREMENTS SUMMARY (PRS)

Objective Areas PWS Key Requirements Performance Standards Acceptable Quality

Levels (AQLs)

Incentives /

Disincentives

(Performance above or below the standard will be documented in

CPARS)

1.8.3. Phase-in /

Phase-out

Contractor shall have personnel on board, during the 90-day transition periods.

100% compliance. Performance above or below the standard will be documented in the Contractor

Performance

Assessment

Reporting

System

(CPARS).

Performance below the standard may result in financial penalties to the contractor.

Personnel

1.8.1.

Contractor Representative

Contractor shall provide a Contractor Representative no later than (NLT) 10 business days after award.

100% compliance with established timeline.

Performance above or below the standard will be documented in the

Contractor Performance

Assessment Reporting

System (CPARS).

Performance below the standard may result in financial penalties to the contractor.

1.5.9.-

1.5.9.2.

AT Staffing/Absences

All requests for time off coordinated in writing with the

ACOR at least 14 calendar days prior to the requested days off

IAW local procedures.

Unplanned absence notifications to ACOR

NLT 2 hours prior to shift IAW local procedures.

Contractor notify

ACOR within 2 hours when substituting ATs for absences >3 days

95% compliance with established timeliness and notification standards.

95% compliance with established timeliness and standards for notifications.

100% compliance with established replacement timelines.

90% overall qualified

AT staffing rate and no location vacancies in excess of 30 days.

Performance above or below the standard will be documented in the

Contractor Performance financial penalties to the

1.14. -

1.15.

AT

Qualifications/Credentials

ATs must possess and maintain a valid license, credentials, and 2 years relevant AT work experience within last 5 years.

Contractor responsible for submitting all AT qualification and credential documents to the COR prior to the start date and annually thereafter. Credentialing packets shall be complete and free of errors.

100% of ATs maintain and submit proof of all applicable licenses and certifications annually.

95% of submissions are on time and free of errors. No more than 2 packets returned for Contractor-related errors in a contract year.

be documented in the

Contractor Performance financial penalties to the contractor.

5.1.2.8. Competency Each AT successfully

demonstrates the skills in the Competency Checklist prior to assignment and annually thereafter.

Contractor to replace AT within 10 business days of

AT not successfully passing retest.

100% compliance.

95% replacement rate within the established timeline.

Performance above or below the standard will be documented in the

Contractor Performance

Athletic Trainers

(ATs)

Lead AT

1.12.12.

5.1.2.1.-

5.1.2.5.

Screenings/Clinical Duties Screen target population

IAW local procedures and prepare physical profile to document functional limitations up to 7 days with no more than additional 7-day extension.

Each AT shall have not more than two substantiated complaints per contract year.

95% compliance for screenings completed

IAW local procedures.

90% compliance.

below the standard will be documented in the

Contractor Performance financial penalties to the contractor.

1.12.3.

5.1.2.7.

Peer Reviews Participate in and document peer reviews of

AT health care records

IAW local procedures.

95% of peer reviews completed IAW local timelines.

No more than 2 Peer

Review Forms returned for AT-related errors in a contract year.

be documented in the

Contractor Performance financial penalties to the contractor.

5.1.2.10

5.1.4.6 –

5.1.4.9

Briefings/Meetings Participate in and document meetings with battalion leadership, staff members, medical personnel etc. as requested.

95% attendance at agreed-upon meetings.

Performance above or below the standard will be documented in the

Contractor Performance financial penalties to the contractor.

5.1.2.6 Documentation/Reporting Complete required

Electronic Health Record

(EHR) documents IAW

AR 40-66 within 72 hours.

Provide input into the

Monthly Status Report on best practices and lessons learned.

95% of EHR documents submitted within 72 hours.

No more than 2 EHR documents returned for

AT-related errors in a contract year.

85% compliance monthly.

Performance above or below the standard will be documented in the

Contractor Performance