W81K04-22-R-0005 Amendment 0001.pdf

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

15A. NAME AND TITLE OF SIGNER (Type or print)

30-105-04EXCEPTION TO SF 30

APPROVED BY OIRM 11-84

STANDARD FORM 30 (Rev. 10-83) Prescribed by GSA

FAR (48 CFR) 53.243

The purpose of the amendment is as follow s:

1. Post Amendment 1 Attachment 3 – Questions and Answ ers W81K04-22-R-0005 Neurocognitive Assessment Testing and Support Services as of 3 Mar 2022;

2. Provide Revision 1 –Attachment 8 PAQ Cover Letter;

3. Provide Revised Performance Work Statement dated 2 Mar 2022, paragraph 1.7.1.1. Experience Level.

4. The proposal due date remains 18 March 2022, 12 p.m. Central Standard Time. The point of contact for this amendment is Ms. Tracy Blake at tracy.a.blake2.civ@mail.mil. All other terms and conditions remain the same.

1. CONTRACT ID CODE PAGE OF PAGES

S 1 34

16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)

16C. DATE SIGNED

BY 03-Mar-2022

16B. UNITED STATES OF AMERICA15C. DATE SIGNED15B. CONTRACTOR/OFFEROR

(Signature of Contracting Officer)(Signature of person authorized to sign)

8. NAME AND ADDRESS OF CONTRACTOR (No., Street, County, State and Zip Code) X W81K0422R0005

X 9B. DATED (SEE ITEM 11)

16-Feb-2022

10B. DATED (SEE ITEM 13)

9A. AMENDMENT OF SOLICITATION NO.

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

X The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offer is extended, X is not extended.

Offer must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended by one of the following methods:

(a) By completing Items 8 and 15, and returning 1 copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted;

or (c) By separate letter or telegram which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by telegram or letter, provided each telegram or letter makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

12. ACCOUNTING AND APPROPRIATION DATA (If required)

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS.

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE

CONTRACT ORDER NO. IN ITEM 10A.

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, appropriation date, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(B).

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority)

E. IMPORTANT: Contractor is not, is required to sign this document and return copies to the issuing office.

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

10A. MOD. OF CONTRACT/ORDER NO.

2. AMENDMENT/MODIFICATION NO. 5. PROJECT NO.(If applicable)

6. ISSUED BY

3. EFFECTIVE DATE

03-Mar-2022

CODE

W40M USA HLTH CONTRACTING ACT

CTR FOR HEALTH CARE CONTR

2199 STORAGE ST BLDG 4197 STE 68

JBSA FT SAM HOUSTON TX 78234-5074

W81K04 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

W81K0422R0005

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 1449 - CONTINUATION SHEET

SUPPLIES OR SERVICES AND PRICES

CLIN 0001

The CLIN extended description has changed from:

Automated Neuropsycholoical Assessment Metrics (ANAM)/Neurocognitive Assessment Tool (NCAT) Neurocognitive Testing Services. In accordance with the Performance Work Statement (PWS) dated 2/10/2022.

To:

Automated Neuropsycholoical Assessment Metrics (ANAM)/Neurocognitive Assessment Tool (NCAT) Neurocognitive Testing Services. In accordance with the Performance Work Statement (PWS) dated 3/2/2022.

CLIN 1001

Automated Neuropsychological Assessment Metrics (ANAM)/ Neurocognitive Assessment Tool (NCAT) Neurocognitive Testing Services. In accordance with the Performance Work Statement (PWS) dated 2/10/22.

Neurocognitive Testing Services. In accordance with the Performance Work Statement (PWS) dated 3/2/2022.

CLIN 2001

Neurocognitive Testing Services. In accordance with the Performance Work Statement (PWS) dated 2/10/2022.

Neurocognitive Testing Services. In accordance with the Performance Work Statement (PWS) dated 3/2/2022.

CLIN 3001

Neurocognitive Testing Services. In accordance with the Performance Work Statement (PWS) dated 2/10/22.

Neurocognitive Testing Services. In accordance with the Performance Work Statement (PWS) dated 3/2/2022.

CLIN 4001

Neurocognitive Testing Services. In accordance with the Performance Work Statement (PWS) dated 2/10/22.

Neurocognitive Testing Services. In accordance with the Performance Work Statement (PWS) dated 3/2/2022.

TABLE OF CONTENTS

The Table of Contents has changed from:

Exhibit/Attachment Table of Contents

DOCUMENT TYPE DESCRIPTION PAGES DATE

Attachment 1 Attachment 1 - Quality

Assurance Surveillance Plan

Attachment 10 Attachment 10 - Government Furnished Property

Attachment 11 Exhibit A - Performance Requirements Summary

Attachment 12 Exhibit B - Reports and Deliverables

Attachment 13 Exhibit C - Army Sites Attachment 14 Exhibit D - Navy and

Marine Corps Sites

Attachment 15 Exhibit E - Air Force Sites

Attachment 16 Exhibit F - Service Contract Labor Standards

Attachment 17 Exhibit G - Incidental Property Services Listing

Attachment 18 Exhibit H - Site Addresses and Points of Contact

Attachment 2 Attachment 2 - Historical FTEs by Location

Attachment 3 Attachment 3 - Questions and Answer Template

Attachment 4 Attachment 4 - Cross Reference Matrix

Attachment 5 Attachment 5 - Subcoontractor Teaming Partner Consent Letter

Attachment 6 Attachment 6 - Subcontractor Teaming Partner Table

Attachment 7 Attachment 7 - Customer Reference Information

Attachment 8 Attachment 8 - Performance Assessment Questionnaire Cvr Ltr

Attachment 9 Attachment 9 - Performance Assessment Questionnaire to:

Exhibit/Attachment Table of Contents

DOCUMENT TYPE DESCRIPTION PAGES DATE

Attachment 8 Attachment 8 PAC Cover

Letter

1 02-MAR-2022

The following have been modified:

PERFORMANCE WORK STATEMENT

Performance Work Statement (PWS) Neurocognitive Assessment Testing (NCAT) and Support Services

2 March 2022

1. GENERAL.

1.1. This is a non-personal services requirement to provide neurocognitive assessment and support services for the U. S. Army Medical Command’s (MEDCOM’s) neurocognitive assessment program for all Department of Defense (DOD) agencies (Army, Navy/Marine Corps, and Air Force) and the U. S. Coast Guard. The contractor will provide NCAT report requests and technical Support/customer services to the Department of Veterans Administration (VA).

The contractors will perform Technical Support/Customer service for DOD research sites and computers maybe sent to DOD researchers, when approved by the Contracting Officer (KO). The DOD’s neurocognitive assessment program is designed to provide baseline neuropsychological testing for deploying military and DOD civilian personnel. This support involves the administration of computer-based testing of neurocognitive function (e.g., reaction time, short-term memory and information processing, and calculations). Currently, the DOD uses the

Automated Neuropsychological Assessment Metrics (ANAM), a specific type of Neurocognitive Assessment Tool (NCAT); however, the DOD reserves the right to adopt another NCAT during the performance of this contract. The contractor will perform testing on all individuals who present themselves for testing (i.e. Pre-deployment, Post deployment, Clinical or for any purpose where testing is requested.

1.1.1. The Government shall not exercise any supervision or control over the non-personal service contractor personnel performing the services herein. The services being rendered 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. The contract personnel shall be accountable solely to the Contractor who, in turn, is responsible to the Government.

1.2. BACKGROUND. The Assistant Secretary of Defense (ASD) for Health Affairs has mandated that all Government military and civilian personnel must have a pre-deployment neurocognitive assessment within 12 months of deployment (DODI 6490.13). This includes Navy personnel that are assigned to sea duty afloat. The current emphasis on neurocognitive assessment of military and DoD civilian personnel is a direct result of injury mechanisms related to contemporary enemy warfare tactics involving explosive devices. Exposure to a blast can result in mild to severe traumatic brain injury. With mild traumatic brain injury (mTBI), the individual often has no apparent external injuries and does not personally perceive any injury or reduction in performance; however, cognitive function changes associated with mTBI include slower reaction time, impaired decision-making, impaired judgment, and reduced information processing capability. Changes in neurocognitive capability in a variety of areas may result from Traumatic Brain Injury (TBI) or exposure to a variety of environmental risk factors.

Neurocognitive testing provides quantitative and objective measures of individual Warrior neurocognitive capabilities. The NCAT may be used to assess cognitive health status prior to deployment and if necessary post deployment. Cognitive health status is documented using appropriate Military Health System (MHS) forms and automated information systems.

1.2.1. This program is part of a larger DOD effort to improve access and quality of care; transition of care among DOD, VA and other sources of care, and evaluation of and recommendations for the development of best practices for surveillance and screenings.

1.3. SCOPE OF WORK. The contractor shall provide all services necessary to support the DOD NCAT Program with NCAT testing of military and DOD civilian personnel. The contractor shall test 100 % who present themselves for testing. The services shall consist of functional, technical, and administrative services, to include any necessary equipment (not elsewhere provided), materials, supplies, facilities, logistical, and scheduling services necessary to support the DOD NCAT Program. The contractor will perform testing on all individuals who present themselves for testing (i.e. Pre-deployment, Post deployment, Clinical or for any purpose where testing is requested. Currently, neurocognitive testing is required within 12 months prior to a Service Member’s deployment.

1.4. The contractor shall provide professional, technical, and administrative services, and equipment, materials, and supplies, not listed elsewhere in the PWS as government provided, necessary to provide NCAT services, including logistical and scheduling support. The contractor shall provide functional management and technical support to the entire program, which includes training of NCAT users. The contractor shall conduct data collection and reporting, and shall provide information (database) management, logistics, test result tracking and trending, and maintenance of software and information technology (IT) equipment for the NCAT Program; to include ANAM/NCAT server management and maintenance. The testers shall ensure that all forms are filled out accurately and completely prior to any entry into the Medical Protection System (MEDPROS), Armed Forces Health Longitudinal Technology Application (AHLTA), Electronic Health Record or Composite Health Care System (CHCS) as directed by the KO and the COR.

1.4.1. Regular Work Hours. Contract services will be provided during regular duty hours from 7:30 a.m. to 4:30 p.m. Monday through Friday excluding Federal holidays or when the Government facility is closed. During surge activities regular duty hours may be modified. Duty on weekends and outside normal clinic hours may be required based on mission requirements. The contractor will be required to accommodate changes in the required hours of operation which may also change from day-to-day. The KO will notify the contractor of such changes a minimum of 12 hours in advance.

1.4.2. Test requirements. Military and DOD civilian personnel are required to test by utilization of a laptop while in a seated position. Military and DOD civilian personnel taking the test are required to complete the patient demographics module, which takes less than ten minutes. Assessment requests can be for the ANAM Standard Battery or the Expanded Battery. The Standard Battery includes "seven performance tests, two subjective scales, and one survey (TBI questionnaire)". The Expanded Battery now includes "ten performance tests, two subjective scales, and three surveys (TBI questionnaire, Neurobehavioral Symptoms Inventory, PTSD checklist)". The briefing slides used to familiarize personnel with the structure of the assessment are approved by the Government.

Once the test starts, military and DOD civilian personnel are required to complete the test in one session. Individual test modules can be restarted at the Service Member’s request if instructions are not understood. All military and DOD civilian personnel who have taken the test will have their Soldier Readiness Processing (SRP) or equivalent records stamped by the NCAT tester. Testing services performed by the contractor shall be provided at Government provided facilities listed as embedded or isolated sites in Exhibits C, D, and E to the PWS.

1.4.2.1. The Technical Support/Customer Service shall operate from a Government facility at Fort Sam Houston/San Antonio, TX. Technical Support/Customer Service operations must be available 24/7, with a 1 hour or less average turnaround time for filling NCAT report requests.

1.5. BASELINE ASSESSMENTS. The computer-based neuropsychological assessment is more effective if an individual’s baseline cognitive function can be established prior to any risk factor exposure. Following exposure, a second assessment may be performed by the contractor to determine any reduction in cognitive capability.

Additional assessments may be performed by the contractor throughout recovery as a means of monitoring treatment effectiveness and progress. The current NCAT is administered via a stand-alone computer laptop with Windows OS. It requires approximately 30 minutes administration time and less than 10 minutes of instructional time per individual. The test may be administered in a group format.

1.6. OCCUPATIONAL HEALTH REQUIREMENTS. All Contract Service Providers (CSPs) performing health care services under this contract shall comply with the local MTF Occupational Health Policy.

1.6.1. Upon failure of a CSP to meet the health requirements stated herein, the Contracting Officer (KO) may, upon the advice of the MTF commander or his/her clinical staff, determine that such CSP is not an acceptable individual to perform services under this contract.

1.7. QUALIFICATIONS/EDUCATION/LICENSURE/CERTIFICATION/REGISTRATION REQUIREMENTS.

1.7.1. Qualifications for NCAT Testers. The contractor shall provide NCAT testers. The testers shall have adequate experience to present in a professional manner and be familiar with both engaging in and documenting encounters with military and DOD civilian personnel. The Contractor shall ensure testers are highly proficient as users of office automation equipment, and be able to collect and upload data from NCAT computer systems as required. NCAT testers must have completed at a minimum an ANAM certificate program. NCAT testers who have completed at least the equivalent of an associate’s degree or have equivalent experience and/or have completed additional specific Government-directed training in neuropsychological testing will be designated NCAT Psychometrists.

1.7.1.1. Experience Level. The NCAT testers must have experience in direct health care related to neurocognitive testing for at least six (6) months within the last five (5) years or have equivalent training.

1.7.1.2. Communication. The CSP shall be able to read, write, understand, and speak English clearly and to effectively communicate.

1.7.2. Qualifications for Information Assurance Personnel. The Contractor must maintain at least one individual who works with the data repository server who has a designation of Information Assurance Technical level II (IAT- II), and another individual who has the designation Information Assurance Management level II (IAM-II), and another individual who has the designation of Information Technology Manager (IT Manager). The individuals who fill the IAT-II, IAM-II and IT Manager positions must hold current appropriate training certificates to meet the government regulations and requirements that pertain to performing the Information Technology requirements for the NCAT data repository server. It is the contractor’s responsibility to ensure that all certifications and training are current and up to date and meet the requirements and intent of DOD Directives regarding server security and maintenance 8140.01 and 8570.01.

1.8. CONFLICT OF INTEREST. The contractor and/or CSPs shall not use patient care rendered pursuant to this contract as a part of a study, research grant, or publication without the prior written consent of the KO.

1.8.1. All contractors providing services on a Government facility, answering Government telephones, attending meetings, or working in other situations where their contractor status is not obvious to third parties are required to identify themselves as Contractor employees. All documents or reports produced by the contractor shall be marked as contractor products and contractor participation appropriately disclosed. Contractor personnel are prohibited from using their retired or reserve component military rank or title in all written or verbal communications associated with the contract under which they provide services.

1.8.1.1. The contractor and/or CSPs shall not bill the patient, an insurer, or anyone else for services rendered under this contract. The contractor is prohibited from receiving compensation of any kind from any actions performed except under the terms and conditions of this contract.

1.9. SECURITY. The contractor and/or CSPs shall follow the security guidelines of each installation. The contractor shall be responsible for the security of all Service Member and DoD civilian employee information.

1.9.1. Neither the contractor nor any of its CSPs shall disclose or cause to disseminate any information concerning operations of military activities. Such action(s) could result in violation of the contract and possible legal actions.

1.9.2. All inquiries, comments, or complaints arising from any matter observed, experienced, or learned of because of or in connection with the performance of this contract, the resolution of which may require the dissemination of official information, shall be directed to the Contracting Officer’s Representative (COR) and the KO.

1.9.3. The contractor shall only conduct business with designated government personnel listed as points of contact (POCs). Names of authorized personnel shall be provided to the contractor by the KO, in writing, and updated as necessary throughout the contract.

1.9.4. Copies of original results and reports, government records, verified original data, corrected data, and corrected supporting final reports are maintained by the contractor, but remain the property of the U.S. Government, and will be supplied to the KO as required/requested.

1.9.5. Communications Security (COMSEC) Notice. All communications with DOD organizations are subject to COMSEC review. Contractor personnel shall be aware that telecommunications networks are continually subject to intercept by unfriendly intelligence organizations. The DOD has authorized the military departments to conduct COMSEC monitoring and recording of telephone calls originating from, or terminating at, DOD organizations.

Therefore, contractor personnel are advised that any time they place a call to, or receive a call from, any organization, they are subject to COMSEC procedures. The contractor is responsible for ensuring wide and frequent dissemination of this information to all employees dealing with official DOD information.

1.9.6. Release of Information. The contractor shall not hold any discussions or release any information relating to this contract without the written consent of the KO. This restriction applies to all news releases of information to the public, industry, or Government agencies, except information for actual or potential subcontractors or vendors, necessary for the contractor’s performance of this contract; or information to be supplied to a duly authorized representative of the KO. The Rehabilitation and Reintegration Division (R2D) is responsible for the management of the data and for its use for clinical, administrative, or research purposes. R2D, will advise the KO on the contractor’s request to use these data for other than routine clinical care.

1.9.7. Vehicle Registration. The contractor shall ensure that all CSPs comply with the local installation requirements for vehicle registration and operation on the military installation.

1.9.8. Installation Access.

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

1.9.8.2. Access and Protection/Security Policy and Procedures. All contractor and sub-contractor CSPs performing tasks with this PWS shall comply with applicable installation, facility, and area commander installation/facility access and local security policies and procedures, which will be provided to the contractor by a government representative within five working days of contract award. The Contractor shall provide all information required for background checks to meet installation access requirements as performed by the installation Provost Marshal Office, Director of Emergency Services, or Security Office.

1.9.8.3. For access to the applicable installation, the contractor and all associated sub-contractor CSPs shall provide all information required for background checks to meet all installation access requirements to the COR. The documents will be forwarded to the installation Provost Marshal Office or Medical Treatment Facility Security Office to be processed by the installation Provost Marshal Office, Director of Emergency Services, or Security Office. CSPs shall comply with all personal identity verification requirements as directed by DOD, Headquarters Department of the Army (HQDA), and/or local policy. In addition to the changes otherwise authorized by the changes clause of this contract, should the Force Protection Condition (FPCON) at any individual facility or installation change, the KO may require changes in contractor security matters or processes.

1.10. TRUSTED ASSOCIATE SPONSORSHIP SYSTEM (TASS).

1.10.1. 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.

1.10.2. The contractor shall comply with agency personal identity verification procedures in all subcontracts when the subcontractor is required to have physical access to a federally-controlled facility or access to a Federal information system.

1.10.3. The contractor shall ensure compliance with the provisions set forth below. For purposes of Federal Acquisition Regulation (FAR) 52.204-9, the government will designate a Trusted Agent (TA) for this contract. The government reserves the right to amend or supplement these provisions pursuant to the changes clause in the contract.

1.10.4. The contractor is responsible for absences of CSPs 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.

1.10.5. The government will sponsor the CSPs for an Army Knowledge Online (AKO) account. All CSP email addresses will identify them as a contractor and use the format firstname.lastname.ctr@mail.mil. Army Knowledge Online accounts will be discontinued by the government when the CSPs no longer require access.

1.10.6. The Government TA will send a notice through TASS to the AKO e-mail address provided IAW the above requirement. The CSP’s user ID and password will be provided in the email and shall require a change at first log-

in. In the event the e-mail message is not received, the contractor may request the username and password from the TA and proceed to the website https://www.dmdc.osd.mil/tass to complete the process.

1.10.7. The CSP shall log into TASS and complete the verification process by submitting the application to the TA for approval.

1.10.8. The application will be accepted, returned, or rejected by the TA. Notice as to whether the application has been accepted, returned, or rejected will be provided to the individual's e-mail address within 48 hours after submission. If the application is returned or rejected, the CSP shall contact the TA and comply with the TA's guidance to attempt to correct and resolve the issues.

1.10.9. Upon approval of the application, the CSP shall receive an e-mail sent to the address provided stating the Common Access Card (CAC) application was approved. The applicant must then go to a Real-Time Automated Personnel Identification System (RAPIDS) Issuing Facility to have the government credential issued. The CSP 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.

1.10.10. Revalidation Requirements. The TA is required to revalidate all CSPs through TASS every 180 days. In the event revalidation is denied, the CAC credentials shall be revoked and the CAC will not be usable to login.

1.10.11. Out-processing Requirements. When a CSP's performance under this contract ceases, the CSP shall personally bring the CAC to the TA and complete the Department of the Army (DA) Form 2962. The TA will revoke the CAC from TASS.

1.10.12. The CSP shall immediately report any lost or stolen badges to the COR within 24 hours or next business day.

1.11. QUALITY CONTROL.

1.11.1. The contractor shall have a comprehensive Quality Control Plan (QCP) to ensure the requirements are provided as specified in this contract. Within 15 calendar days after contract award, a copy of the comprehensive written Quality Control Plan (QCP) shall be submitted to the COR and the KO, and within five (5) working days when changes are made thereafter.

1.11.2. The contractor shall conduct quality control on all data collection techniques IAW the standards specified in the Performance Requirements Summary (PRS) and shall ensure all NCAT testing procedures conducted by all Government and contract Service Providers are utilizing the appropriate software and hardware, and that CSPs are appropriately trained in its use.

1.12. ACCESS CONTROL FOR KEY AND KEY CARDS.

1.12.1. The contractor shall implement methods of ensuring all keys/key cards issued to contractor personnel are safeguarded, secure, and not released by contractor personnel to unauthorized individuals for use. In the event keys/key cards, other than master keys, are lost and require duplication, the contractor shall immediately notify the COR and the KO. Upon contractor notification of lost or stolen keys, the COR or the KO shall direct the contractor to re-key or replace the affected lock or locks. However, the government, at its option, may replace the affected lock or locks or perform re-keying. When government replacement of locks or re-keying is performed, the total cost of re-keying or the replacement of the lock or locks shall be deducted from the monthly payment due the contractor.

In the event a master key is lost or duplicated, all locks and keys for that system shall be replaced by the Government and the total cost deducted from the monthly payment due the Contractor.

1.12.2. The contractor shall prohibit the use of Government issued keys/key cards by any persons other than the contractor’s employees. The contractor shall prohibit the opening of locked areas by contractor employees to permit entrance of persons other than contractor employees engaged in the performance of assigned work in those areas, or personnel authorized entrance by the KO.

1.12.3. Lock Combinations. The contractor shall establish and implement methods of ensuring that all lock combinations are not revealed to unauthorized persons. The contractor shall ensure that lock combinations are changed when personnel having access to the combinations no longer have a need to know such combinations.

1.13. IDENTIFICATION OF PRIVACY ACT. This contract requires the development of a system of records in accordance with the Privacy Act of 1974.

1.14. CONTRACTOR BEHAVIOR IN THE WORKPLACE. The contractor will ensure that its employees refrain from misconduct, to include working under the influence of alcohol, drugs, or other incapacitating agents. The Contractor will make every effort to ensure its personnel comport themselves in a professional manner.

1.15. REMOVAL OF CONTRACT SERVICE PROVIDERS. At the direction of the KO, the contractor may be required to remove immediately any CSP whose actions or impaired state raises reasonable suspicion that clear and present danger or physical harm exists to a Service Member, other contractor employees, government personnel, or the impaired individual.

1.16. DATA RIGHTS. The Government will retain unlimited rights to all data produced under this contract, as services are provided for deploying, training, and supporting NCAT. The Government retains the right to make an unrestricted release of technical data or any other information technology work product resulting from contractor performance of this contract. The contractor shall not mark the system or any upgrade, modification, or enhancement to the system as proprietary or the property of the contractor.

1.17. CONTINGENCY OPERATIONS. In the event of natural or man-made disaster or other emergency conditions, both parties must make use of the resources and tools available to continue contracted functions to the maximum extent possible under emergency circumstances. In the event that any disruption of normal, daily operations occurs, the contractor and Government shall promptly open an effective means of communication and verify:

Key points of contact (Government and contractor), Temporary work locations (alternate office spaces, telework, virtual offices, etc.), Means of communication available under the circumstances (e.g., email, webmail, telephone, facsimile (FAX), courier, etc.), Essential work products expected to continue by priority.

1.18. FACILITY CLOSURES.

1.18.1. Anticipated Facility Closure. During anticipated closure of the facility due to Command declared training holidays and/or administrative leave granted to the entire government staff, contract employees are required to perform services.

1.18.2. Un-anticipated Facility Closure. In the event of unplanned closure of the facility due to natural disasters, military emergency, or severe weather, CSPs who are scheduled to work, shall not report to work unless considered mission essential (e.g., Technical Support/Customer Service).

1.18.3. Federal Holidays. The following is a list of legal federal holidays. The contractor will not be paid for federal holidays unless services are scheduled by the department chief as a working holiday. Federal holidays are:

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.

1.18.4. Any of the above holidays falling on a Saturday will be observed on the preceding Friday; holidays falling on a Sunday will be observed on the following Monday. 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 declared by an Executive Order 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 Nature shall be handled in the same manner.

1.19. PHASE IN / PHASE OUT PERIOD. In the event a follow-on contract is awarded to other than the incumbent, the incumbent contractor shall cooperate fully to the extent required to permit an effective, orderly, and successful transition that will maintain mission continuity. The incumbent contractor shall furnish sufficient orientation, training, and equipment/system familiarization required by any follow-on contractor. This may include a collective daily discussion between the incumbent contractor, follow-on contractor, and the KO on the status of the phase-out.

All official files, manuals, charts, records, drawings, and other official documentation are the property of the Government and shall remain on location for use by the Government or follow-on contractor at the time of contract expiration. Reference FAR clause 52.237-3, Continuity of Service.

2. DEFINITIONS AND ACRONYMS.

2.1. DEFINITIONS.

2.1.1. Automated Neuropsychological Assessment Metrics (ANAM). ANAM is an acronym for “Automated Neuropsychological Assessment Metrics”. It is a legacy system developed by the DOD and licensed to the University of Oklahoma and VistaLife Sciences. It has been chosen as the pre-deployment NCAT.

2.1.2. COMPOSITE HEALTHCARE COMPUTER SYSTEM (CHCS). CHCS contains the MTF’s appointment scheduling program, pharmacy, lab, and radiology ordering system and is interlinked with other departments in the

MTF.

2.1.3. CONTRACTOR. The term as used in this contract refers to the prime contractor.

2.1.4. CONTRACTING OFFICER. An employee of the U.S. Government with warranted authority to enter into, administer, or terminate contracts. The KO can make related determinations and findings on behalf of the Government. Note: The only individual who can legally bind the Government.

2.1.5. CONTRACTING OFFICER’S REPRESENTATIVE (COR). An employee of the U.S. Government appointed by the KO to monitor Contractor performance. Such appointment shall be in writing and shall state the scope of authority and limitations. This individual does NOT have authority to change the terms and conditions of the contract.

2.1.6. CONTRACT SERVICE PROVIDER. Person employed by the contractor or subcontracted by the contractor to provide services under a contract.

2.1.7. DEPLOYMENT. All troop movement of Active and Reserve Component personnel resulting from a Joint Chief of Staff or unified command deployment for more than 30 continuous days to a location outside the United States that does not have a permanent medical treatment facility (funded by the Defense Health Program). This includes naval personnel afloat who might sustain concussive injuries.

2.1.8. EMBEDDED (deployment platforms) NCAT TESTING SITE. A Government location where contractor-assisted NCAT testing is ongoing on a regular basis due to the high volumes of deploying military and DOD civilian personnel. See Exhibits C-Army, D-Navy/Marine Corps, and E-Air Force.

2.1.9. ISOLATED NCAT TESTING SITE. A Government location where contractor teams may be sent to assist with and/or administer NCAT testing conducted on an as-needed basis.

2.1.10. LOCALLY STAFFED TESTING SITE. A Government location where testing is administered by Government personnel.

2.1.11. MEDICAL RECORDS. Those documents generated in conjunction with, or as a result of, an episode of preventive, diagnostic, or therapeutic and rehabilitative care.

2.1.12. MEDICAL PROTECTION SYSTEM (MEDPROS). The software program that tracks all immunization, medical readiness, and deployability data for all Active and Reserve components of the Army as well as DA Civilians, contractors, and others.

2.1.13. MEDICAL TREATMENT FACILITY (MTF). A military hospital or clinic to include dental and veterinary clinics.

2.1.14. NEUROCOGNITIVE ASSESSMENT TOOL (NCAT). A computer-based neuropsychological test program that measures human cognitive efficiency.

2.1.15. NCAT BASELINE. Cognitive function that is measured prior to any risk factor exposure; provides evidence of pre-injury function for disability determination.

2.1.16. NCAT PROGRAM. An existing program designed to provide baseline neuropsychological testing to deploying armed forces military and DOD civilian personnel.

2.1.17. PSYCHOMETRIST. An individual trained to administer Neuropsychological tests (other than ANAM or other NCAT) in a specific aspect of health care provision (i.e., cognitive evaluation and treatment) who is not licensed to practice independently and must therefore work under the supervision of a credentialed health care provider.

2.1.18. QUALITY. The degree of adherence to generally recognized contemporary standards of good practice and achievement of the anticipated outcome for a particular service, procedure, diagnosis, or clinical problem.

2.1.19. QUALITY ASSURANCE (QA). A formal and systematic monitoring and reviewing of medical care delivery and outcomes; designing activities to improve health care and overcome identified deficiencies in providers, facilities, or support systems; and carrying out follow-up steps or procedures to ensure that actions have been effective and no new problems have been introduced.

2.1.20. QUALITY CONTROL. All necessary measures taken by the contractor to assure that the quality of an end product or service meets contract requirements.

2.1.21. QUALITY IMPROVEMENT (QI). An approach to the continuous study and improvement of the processes of providing health care services to meet the needs of individuals and others. Synonyms include continuous quality improvement, continuous improvement, organization-wide performance improvement, and total quality management.

2.1.22. QUALITY MANAGEMENT (QM). A systematic, organized, multidisciplinary approach to the ongoing assessment, monitoring, evaluation, and modification of the processes of health care and services to enhance quality.

These activities are associated with incremental and focused processes or process improvements to meet the health care needs and expectations of eligible beneficiaries.

2.1.23. RAPIDS. The Real-Time Automated Personnel Identification System is a United States DOD system used to issue the definitive credential within DOD. The system uses information stored in the DOD Defense Enrollment and Eligibility Reporting System (DEERS) when providing these credentials. Used together, these two systems are commonly referred to as DEERS/RAPIDS system or DEER/RAPIDS infrastructure.

2.1.24. SERVICE MEMBER. A person serving in the armed forces.

2.1.25. SURGE. A high volume or high flow rate of anticipated deployers that exceeds the reasonable capacity of the installation and necessitates supplemental assistance from external sources.

2.1.26. TESTER. An individual who proctors NCATs.

2.2. ACRONYMS:

AC Active Component

ACO Administrative Contracting Officer

ACOR Alternate Contracting Officer’s Representative

AD Active Duty

AFARS Army Federal Acquisition Regulations Supplement

AFHSC Armed Forces Health Surveillance Center

AFI

Air Force Instruction

AFMAN Air Force Manual

AHLTA Armed Forces Health Longitudinal Technology Application

ANAM Automated Neuropsychological Assessment Metrics

ANPMO Army NCAT Program Management Office

APA American Psychological Association

APLSS Army Provider Level Satisfaction Survey

AR Army Regulation

ASD Assistant Secretary of Defense

BLS Basic Life Support

CAC Common Access Card

CBHCO Community Based Health Care Organization

CCQAS Centralized Credentials Quality Assurance System

CDR Central Data Repository

CFR Code of Federal Regulations

CHCS Composite Health Care System

CLIN Contract Line Item Number

COMSEC Communications Security

CONUS Contiguous United States (excludes Alaska and Hawaii)

COR Contracting Officer's Representative

CQI Continuous Quality Improvement

CQM Clinical Quality Management

CQMP Clinical Quality Management Program

CVS Contractor Verification System

DA Department of the Army

DBA Database Administrator

DCAA Defense Contract Audit Agency

DCCS Deputy Commander for Clinical Services

DEA Drug Enforcement Administration

DEERS Defense Enrollment Eligibility Reporting System

DFARS Defense Federal Acquisition Regulations Supplement

DMDC Defense Manpower Data Center

DODI Department of Defense Instruction

DON Department of the Navy

EMR Electronic Medical Record

FAR Federal Acquisition Regulation

FSO Facility Security Officer

HA Health Affairs

HIPAA Health Insurance Portability & Accountability Act of 1996

HRR Health Readiness Record

IA Information Assurance

IAM-II Information Assurance Management Level II

IAT-II Information Assurance Technical Level II

IAW In accordance with

ICTB Inter-Facility Credentials Transfer Brief

IMR Individual Medical Record

IT Information Technology

JTR Joint Travel Regulation

KO Contracting Officer

MA Management Assistant

MEDCEN Medical Center

MEDCOM U.S. Army Medical Command

MEDDAC Medical Department Activity

MEDOPS Medical Operations, G-3 equivalent to MEDCOM

MEDPROS Medical Protection System, a database of medical information

MHS Military Health System

MRMC Medical Research and Materiel Command mTBI Mild Traumatic Brain Injury

MTF Medical Treatment Facility

NCAB NeuroCognitive Assessment Branch

NCAT NeuroCognitive Assessment Tool

NNPMO Navy NCAT Program Management Office

NTE Not-to-exceed

OCONUS Outside Contiguous United States (includes Alaska and Hawaii)

OMB Office of Management and Budget

OPNAV Operational Navy

PDHA Post-Deployment Health Assessment

PDHRA Post-Deployment Health Reassessment

PHA Periodic Health Assessment

PRS Performance Requirements Summary

PWS Performance Work Statement

QA Quality Assurance

QASP Quality Assurance Surveillance Plan

QC Quality Control

QCP Quality Control Plan

QI Quality Improvement

R2D Rehabilitation and Reintegration Division

RAPIDS Real-Time Automated Personnel Identification System

SECNAV Secretary of the Navy

SRP Soldier Readiness Processing

TA Trusted Agent

3. GOVERNMENT PROVIDED ITEMS AND SERVICES.

3.1. Equipment. The Government will provide equipment and materials consisting of NCAT software, NCAT field units (i.e. Computers) and Data Repository server, cell phone, internet connections, government email addresses, telephone lines, telephones, fax lines, printers, scanners, and copiers required for performance of pre-deployment testing unless elsewhere listed in the PWS. The contractor shall be responsible for the accountability of all issued government provided equipment. All Government provided non-consumable materials and equipment shall be safeguarded by the contractor. Any equipment lost or damaged by the contractor shall be reimbursed to the government if it is determined that such loss or damage was due to contractor negligence or malfeasance.

3.1.1. Accountability. The contractor and the COR shall inspect and inventory government furnished property (GFP) within 30 calendar days after the start of the phase-in period, annually and ten calendar days prior to the end of the final performance period. The inspection and inventory shall detail the material condition and quantity of such GFP and determine the exact number, location and serviceability of GFP. The contractor shall notify the KO in writing, of any disagreement regarding the material condition and quantity of GFP within 10 calendar days of completion of inspection (See Exhibit B, Deliverables).

3.1.2. The contractor shall report verbally and by email all incidents of loss, damage, destruction, or theft of government furnished property immediately to the COR and KO and submit a full written report of investigation no later than five calendar days of occurrence to the COR and KO with the exception of government provided keys and CACs. The contractor shall verbally and by e-mail report loss, damage, destruction, or theft of government provided keys and CACs within one hour of discovery with a written report submitted to the KO and COR within 24 hours. If lost during hours when COR is not available, the contractor shall provide the written report to the COR on the next business day. (See Exhibit B, Deliverables.)

3.1.3. The contractor shall safeguard GFP and take reasonable precautions to prevent fraud, waste, and abuse.

3.2. Facilities/Supplies. The Government provided facilities are identified within this PWS, and in Exhibits C, D, and E (Service specific locations). NCAT testing will typically be done as augmentation to the existing military medical treatment facilities. The Government will provide office supplies to be furnished at Government-provided facilities.

3.2.1. The Government will provide facility/equipment/phone lines/e-mail to support the Technical Support/Customer Service desk.

3.2.2. The Government will provide space for contract personnel in support of the Program.

3.3. Training. Due to the computer requirements necessary to perform government-provided training, the contractor shall coordinate government-provided training requirements with the COR during phase-in and as needed thereafter for new CSPs and annual requirements. The COR shall coordinate with the applicable MTF personnel (e.g., security, training, etc.) for guidance in providing contractor training. The contractor shall document all government-provided training of CSPs to include orientation and annual training requirements and shall include the status of government-provided training of CSPs in the monthly Progress/Program Report (PPR) (see PWS 5.8.3.2). The contractor shall additionally ensure that all CSPs accomplish government-provided training as identified below:

3.3.1. The contractor shall ensure that all CSPs attend required installation orientation training within 30 calendar days of the CSP starting work. The contractor shall comply with applicable installation and MTF orientation and annual training requirements. Additional facility orientation at each MTF may be required and such attendance will be scheduled by a government designated representative. Orientation may include instruction on automated processing, standard operating procedures, local in-services, quality improvement policies, communications, and safety programs.

3.3.2. HIPAA Training. The contractor shall comply with OTSG/MEDCOM Policy Memo 20-059, Privacy Act and Health Insurance Portability and Accountability Act (HIPAA) Privacy and Security Training, 17 September 2020. All CSPs shall participate in government-provided training in proper procedures and responsibilities in regards to the safeguarding of protected health information IAW the contractor’s obligations as a business associate under the Health Insurance Portability and Accountability Act of April 2003 (HIPAA). The contractor shall ensure that all persons receive HIPAA training within 30 days of their assignment to the MTF and annually no later than the 12th month anniversary of their previous training. The contractor shall submit course certificates to the COR within five calendar days of completion for each affected CSP.

3.3.3. DOD Cyber Security Awareness Training. All CSPs with access to a government information system must successfully complete the DOD Cyber Security Awareness training prior to access to the information systems and then annually thereafter. The contractor shall submit, ongoing compliance with the requirement as a monthly report in the deliverables.

3.3.4. Antiterrorism (AT) Level I Training. All CSPs, to include subcontractor CSPs, requiring access to Army installations, facilities and controlled access areas shall complete AT Level I awareness training within 30 calendar days after contract start date and annually thereafter. The contractor shall ensure that all new CSPs complete AT Level I Training within 30 calendar days of starting work and annually thereafter. The contractor shall submit certificates of completion for each affected CSP and subcontractor CSP, to the COR or to the KO, if a COR is not assigned, within 30 calendar days after completion of training. AT Level I awareness training is available at the following websites: https://Jkodirect.jten.mil for CAC holders and http://jko.jten.mil/courses/atl1/launch.html for non-CAC holders.

3.3.5. Operations Security (OPSEC) Training. Per AR 530-1, Operations Security, the contractor employees must complete Level I OPSEC Awareness training or its equivalent depending on the service, site and local command directives. New employees must be trained within 30 calendar days of their reporting for duty and annually thereafter. The contractor shall submit course certificates to the COR within five calendar days of completion for each affected CSP.

3.3.6. iWATCH Training. The contractor and all associated subcontractors shall brief all CSPs on the local iWATCH program (training standards provided by the MTF antiterrorism officer). This locally developed training will be used to inform CSPs of the types of behavior to watch for and instruct CSPs to report suspicious activity to the COR.