Amendment 0001 PWS HEC FT Campbell 12 OCT 2023.docx

PERFORMANCE WORK STATEMENT

BLANCHFIELD ARMY COMMUNITY HOSPITAL

FORT CAMPBELL, KY

SECTION 1

1. General. This performance work statement (PWS) is for healthcare environmental cleaning and related services at Blanchfield Army Community Hospital (BACH), Fort Campbell, KY and multiple medical treatment facilities (MTF) in the health service area (HSA) of BACH. As a performance based contract, the requirements are stated in terms of desired results with associated quality standards.

Healthcare environmental cleaning shall be performed in a manner that will maintain a satisfactory facility condition and present a clean, neat, and professional appearance.

1.1. Description of Services. The contractor shall furnish all personnel, training, labor, equipment, tools, supplies, management, administration, and services, except as may be expressly set forth as government furnished, and otherwise do all things necessary to perform and provide the work efforts described in the

PWS.

1.2. Background. Blanchfield Community Hospital is a general medical and surgical hospital located at building 650 Joel Drive, FT Campbell, KY. Section 702 of the FY17 National Defense Authorization Act (NDAA) established the Defense Health Agency (DHA) as responsible for administration of the military MTFs starting on 1 October 2018 and it is accredited by the Joint Commission (JC). The mission of BACH is to provide world-class healthcare to the military personnel and their families in safe, clean, and aesthetically-pleasing MTF. BACH is located on a 70-acre site bordered by Oak Grove, KY.

1.2.1. The medical center complex consists of a six operating room suites, 50 total beds, seven labor rooms to include four Triage rooms and two transition nurseries. Clinics and services include: emergency room, laboratory, obstetrical/gynecology, ophthalmology /optometry, orthopedics, pharmacy, physical therapy, radiology, MRI, Cardiology, Inpatient and Outpatient Behavioral Health. The command suite and other healthcare administrative support functions include: outpatient records, outpatient pharmacy, admissions and dispositions, One Family Medical Home, and multiple specialty care clinics are located within the complex. There are an additional 33 facilities located on Fort Campbell and in the city of Clarksville, Tn. Exhibit C provides a complete listing of facilities supported by this contract

1.3. Objective. The contractor shall provide healthcare environmental cleaning services that prioritize infection control while optimizing cleaning practices in support of BACH’s mission of providing quality healthcare in safe, hygienic, and aesthetically-pleasing MTFs.

1.4. Scope. Scope. The contractor shall provide healthcare environmental cleaning services to BACH to include all MTFs within the HSA of Fort Campbell, Ky. Requirements for this effort are determined by square feet (SF) of designated spaces to be cleaned. The estimated SF quantity for BACH and multiple MTFs in the HSA is ___676,009.70_____SF. There may be reduced or additional SF for newly constructed buildings and/or building expansions that will require services as they are completed or a reduction of SF for facilities closing as a result of consolidation of services.

1.4.1. The following are projects currently undergoing construction or renovation: None

1.4.2. The following are facilities currently programed to close: None

1.5. Ordering Period. The ordering period is five years from date of contract award. Task Orders (TO) will be funded by annual appropriations and each TO will not exceed one year except when authorized by law or by exercise of TO option periods.

1.6. Commercial Standards/Advisory Recommendations. The following commercial standards and advisory recommendations are applicable to this effort:

1.6.1. Association for the Healthcare Environment (AHE) Practice Guidance for Healthcare Environmental Cleaning, 3rd Edition eBook.

1.6.2. International Sanitary Supply Association (ISSA) and Cleaning Industry Management Standard for Green Buildings (CIMS-GB). The contractor shall maintain ISSA CIMS-GB certification throughout the contract period.

1.6.3. Advisory recommendations of the Association of PeriOperative Registered Nurses (AORN).

1.6.4. Advisory recommendations of the Centers for Disease Control and Prevention (CDC) and The Healthcare Infection Control Practices Advisory Committee (HICPAC), "Guidelines for Environmental Infection Control in Health-Care Facilities”.

1.6.5. Clinical Nursing Skills and Techniques, 8th edition, Perry, Potter, Ostendorf.

1.6.6 .American National Standards Institute/Association for the Advancement of Medical Instrumentation publication (ANSI/AAMI) ST65:2008, “Processing of reusable surgical textiles for use in health care facilities.”

1.6.7 The United States Pharmacopeial 797 Pharmaceutical Compounding – Sterile Preparations

1.7. Hours of Operations. As healthcare operations include a wide range of services from inpatient to outpatient care, the healthcare environmental cleaning program must accommodate differing work hours. Normal operating hours are 6:30 am – 5:00 pm local time, Monday through Friday, except where otherwise specified in this PWS. In some areas, due to the volume of personnel, type of operation, or other considerations, cleaning shall be accomplished at times other than during normal operating hours. See Exhibit D for details of building/room by square footage, type of services, and operational hours and shifts.

1.8. Holidays. The following is a list of legal federal holidays as referred to elsewhere in the contract and PWS:

New Year’s Day, January 1st Martin Luther King’s Birthday, 3rd Monday in January Presidents’ 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, December 25th

1.8.1. The contractor shall provide healthcare environmental cleaning services on federal holidays as a regular working day in the Labor and Delivery, Mother Baby Unit, Newborn Intensive Care Unit, Emergency Room (ER), Dining Facility, Pathology, Radiology, Medical Surgical Ward, Psychiatric Ward, Surgical Processing Department, Intensive Care Unit and Pediatric Ward.

1.8.2. Military training holidays are not considered federal holidays. The contractor shall provide healthcare environmental cleaning services on military training holidays as a regular working day. The failure of the contractor to provide healthcare environmental cleaning services on military training holidays is considered a violation of the terms and conditions of this contract.

1.8.3. Any of the above 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.

1.9. Key Personnel. The contractor shall provide sufficient management to ensure that this task is performed efficiently, accurately, on time, and in compliance with the requirements of this document. Specifically, the contractor shall designate a single manager to oversee this task and supervise staff assigned to this task. The contractor shall provide sufficient contract service providers (CSPs) experienced in the conduct of similar hospital operations. Key personnel consist of the executive housekeeper (EH) and assistant executive housekeeper (AEH).

1.9.1. Executive Housekeeper The contractor shall provide an executive housekeeper to serve solely at BACH and the MTFs in the HSA of FT Campbell. The executive housekeeper shall serve as the onsite manager and represent the contractor in performing all duties to ensure compliance with the provisions of the contract.

1.9.1.1. Certification and Experience Requirements. The executive housekeeper shall meet or exceed the following:

Certified by the AHE as a Certified Healthcare Environmental Services Professional (CHESP) or the International Executive Housekeeper's Association (IEHA) as a Certified/Registered Environmental Services Executive (C/RESE). All certifications shall be maintained active and current throughout the term of the contract. The executive housekeeper shall possess a minimum of two years of specific healthcare environmental cleaning experience within the last five years in an MTF of comparable size and services as BACH or an equivalent civilian MTF (not general healthcare environmental cleaning.

1.9.1.2. Absence from Duty. The contractor shall provide oral notification no later than two hours after commencement of the designated shift, followed by written notification within 24 hours, to the Contracting Officer’s Representative (COR) for any unscheduled absence of the executive housekeeper. For scheduled absences, the contractor shall notify the COR in writing at least seven calendar days before any scheduled absence. Extended absences; e.g., four or more consecutive weeks, or the ongoing use of substitute personnel at the MTF, shall constitute nonperformance.

1.9.2. Assistant Executive Housekeeper (AEH). The contractor shall provide an AEH. The AEH shall serve as the acting on-site manager in the absence of the executive housekeeper and shall represent the contractor in performing all duties to ensure compliance with all provisions contained in this PWS. The AEH shall be capable of temporarily assuming executive housekeeper duties during his or her absence.

1.9.2.1. Certification and Experience Requirements. The AEH shall possess at least one year of experience in healthcare environmental cleaning within the last three years in an MTF of comparable size and services as BACH (not general healthcare environmental cleaning). AEH shall meet or exceed comparable industry certification

(CHESP, C/REH).

1.9.3. Replacement of Key Personnel. All proposed replacement of key personnel shall be submitted in writing to the Contracting Officer (KO) and the COR at least 15 calendar days prior to the proposed replacement. All proposed replacements shall meet the minimum qualifications of the person being replaced prior to assuming the position.

1.9.4. Availability of Key Personnel. The executive housekeeper shall be available to meet with the COR on site during normal operating hours within one hour of notification. The contractor shall provide the KO and COR phone numbers for the executive housekeeper during duty and non-duty hours (to include evenings, holidays, and weekends). After duty hours, the executive housekeeper shall be available on site within two hours of notification.

1.10. Miscellaneous Contract Service Personnel (CSP) Requirements. The contractor shall maintain satisfactory standards of CSP competency, conduct, appearance, and integrity and shall be responsible for taking such disciplinary action with respect to CSPs as may be necessary. The contractor shall ensure that CSPs do not disturb papers on desks, open desk drawers or cabinets, or use government telephones, except as authorized.

1.10.1. The contractor shall ensure CSPs are able to speak, read, and write in English in order to effectively communicate with government personnel.

1.10.2. Personnel Roster: The contractor shall submit a monthly, written updated personnel/CSP roster to the COR not later than the 5th calendar day of each month (See Exhibit B, Deliverables, Paragraph 3.e.). New CSPs and any proposed new hires that have not been cleared (background checks and all immunizations) by the COR but listed on the personnel roster shall not be allowed to work in the MTF until approved by the COR.

1.10.2.1. Person Hour Reports. The contractor shall submit a written man-hour report to the COR not later than the 5th calendar day of each month. The man-hour report shall include the total number of hours worked by direct labor CSPs during the previous month. Direct labor is CSPs who are directly involved in the production of goods or services. Indirect labor is CSPs (such as supervisors, administrative support, quality control, etc.) who do not directly produce goods or services, but who make their production possible or more efficient (See Exhibit B, Deliverables, Paragraph 3.c).

1.10.3. The contractor shall utilize only female CSPs in the Labor and Delivery Units, Women’s Health Center and Mother-Baby Units to include patient rooms with the exception of scheduled project/cycle work and floor maintenance services, which may be done by either male or female CSPs. The contractor shall ensure that CSPs check first with the charge nurse in the Labor and Delivery Units, Women’s Health Center and Mother-Baby Units, to ensure that it is permissible for them to enter the room of a patient.

1.10.4. Uniforms. The contractor shall comply with the Hospital Commander’s policy number 25. All CSPs shall wear distinctive uniform clothing for ready identification. Uniforms shall be neat, clean, and in good condition, and have a badge or monogram with the contractor's name on it. CSPs shall wear contractor-provided approved uniforms at all times while performing healthcare environmental cleaning duties except when working in areas requiring government-furnished surgical garments. CSPs shall not wear artificial nails, tips, or extensions and must be in compliance with BACH Hospital Commander’s Policy number 25 and the Centers for Disease Control and Prevention’s (CDC) Guideline for Hand Hygiene in Health-Care Settings. Fingernails (no longer than ¼”) shall be clean and free of dirt.

1.10.5. RESERVED

1.10.5.1. RESERVED

1.10.5.2. 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 of gaining knowledge of the incident) report the incident in writing to the government's COR. This reporting policy also applies to sexual harassment incidents involving DHA/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.

(See Exhibit B, Deliverables, Paragraph 5.o).

1.11. Installation Access.

1.11.1. Access and General Protection/Security Policy and Procedures. All contractor and sub-contractor CSPs performing tasks on 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 also 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 BACH Security Office. CSPs shall comply with all personal identity verification requirements as directed by the Department of Defense (DOD), DHA, 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 government may require changes in contractor security matters or processes.

1.11.2. Trusted Associated Sponsorship System (TASS).

1.11.2.1. 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.

1.11.2.2. 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.

1.11.2.3. The contractor shall ensure compliance with the provisions set forth below. For purposes of the Federal Acquisition Regulation (FAR) Clause 52.204-9, the government will designate a Trusted Agent (TA) for this contract. The government reserves the right to amend or supplement these provisions pursuant to the FAR 52.212-4(c) clause in the contract.

1.11.2.4. 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.

1.11.2.5. The government will sponsor the EH and AEH only for a Defense Enterprise Email Online (DEE) account. The CSP e-mail addresses will identify them as a contractor and use the format firstname.lastname.ctr@mail.mil. The DEE will be discontinued by the government when the CSPs no longer require access.

1.11.2.6. The government TA will send a notice through the TASS to the EH and AEH’s e-mail address provided in accordance with (IAW) the above requirement. The EH and AEH’s user ID and password will be provided in the e-mail and will be 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.

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

1.11.2.8. 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 EH and AEH’s e-mail address within 48 hours after submission. If the application is returned or rejected, the EH and AEH shall contact the TA and comply with the TA’s guidance to attempt to correct and resolve the issue(s).

1.11.2.9. Upon approval of the application, the EH and AEH will receive an e-mail 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 EH and AEH 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.

1.11.2.10. Revalidation Requirements. The TA is required to revalidate the EH and AEH in the TASS, every 6 months. In the event revalidation is denied, the CAC credentials shall be revoked and the CAC will not be useable to log in.

1.11.2.11. Out-processing Requirements. When a EH and AEH’s performance under this contract ceases, the EH and AEH shall personally bring the CAC to the TA and complete the DA Form 2962. The TA will revoke the CAC from the TASS.

1.12. Removal from Contract Work. The KO or COR may request the contractor immediately, temporarily or permanently, remove an CSP(s) from the work site when it is determined that the CSP’s behavior is contrary to the public interest, inconsistent with the best interests of security, or is identified as a potential threat to the health, safety, security, general wellbeing or operational mission of the facility and its population.

1.12.1. The contractor shall comply with any removal request. For clarification, a determination to remove a CSP will be made for, but is not limited to, incidents involving the most immediately identifiable types of misconduct or delinquency as set forth below:

1.12.2. The KO will make all determinations regarding the removal of any CSP(s) from work site(s), except under certain conditions. When a KO is not available, either during the day or after hours, or in situations where a delay would not be in the best interest of the government or is identified as a potential threat to the health, safety, security, general wellbeing or operational mission of the facility and its population, the COR will have the authority to request immediate removal of the CSP from the work site.

CSPs that are removed from contract work shall be required to leave the work site immediately. The CAC card and any Government issued badges of the CSP shall be collected by the contractor before departure of the CSP.

1.12.3. Law enforcement officers of the Military Police/Department of Homeland Security (DHS)/Immigration and Customs Enforcement (ICE)/Federal Protective Service (FPS) will have the authority to immediately remove any CSP from the work site when delay in removal would not be in the best interest of the government, security, or is identified as a potential threat to the health, safety, security, general well-being or operational mission of the facility and its population. The KO and COR will be notified as soon after the incident as practical or at the beginning of the next business day if an action happened after hours. The KO will make all official notifications to the contractor.

1.12.4. The contractor shall meet the terms and conditions of the contract, to include the PWS standards, regardless of CSP(s) removal from the work site.

1.13. Training: The contractor shall maintain a training program and documentation in the format prescribed in AR 40-68, Clinical Quality Management and MEDDAC Regulation 350-2 Policy Plan for Orientation, Education, Training and Competency of Staff. The contractor shall provide initial training and developmental training in healthcare environmental cleaning topics to all CSPs. The contractor shall provide a monthly, written report of training conducted to the COR not later than 5th calendar day of each month. The training report shall include dates training conducted, names of CSPs in attendance, and subjects of training. The contractor shall provide a copy of all lesson plans to the KO and/or COR at least 15 days prior to the scheduled training date (See Exhibit B, Deliverables, Paragraph 3.d).

1.13.1. CSPs not previously trained in healthcare environmental cleaning, including infection prevention and control, and safe handling and management of Regulated Medical Waste (RMW), may not perform work in a government MTF until this training requirement is completed. CSPs with previous and documented healthcare environmental cleaning training, including infection prevention and control, and safe handling and management of RMW shall complete retraining and/or specified training within two weeks after starting work.

1.13.2. Asbestos Awareness Training. The contractor shall comply with training requirements of 29 Code of Federal Regulations (CFR) 1910.1001. The contractor shall ensure all CSP, to include subcontractor CSPS, complete training required by 29 CFR 1910.1001 prior to or at the time of initial assignment and annually thereafter. The contractor shall submit documentation of completed training within 30 calendar days of CSPs starting work or initial assignment to an asbestos-containing material (ACM) area and within five calendar days of the annual training. (See Exhibit B, Deliverables, Paragraph 4.f and 5.q).

1.13.3. Government Provided Training. Due to the computer requirements necessary to perform government provided training (with the exception of 1.13.3.1), the contractor shall coordinate government-provided training requirements with the COR as needed for new CSPs and annual requirements. The contractor shall document all government-provided training of CSPs to include orientation and annual training requirements. The contractor shall additionally ensure all CSPs accomplish government-provided training as identified below:

1.13.3.1 The contractor shall comply with AR 350-1 Army Training and Leader development Regulation and MEDDAC 650-2 Policy Plan for Orientation, Education, Training and Competency of Staff The contractor shall ensure all CSPs attend BACH’s required orientation training within 30 calendar days of the CSP starting work.

BACH’s training will be provided monthly for all new CSPs. The contractor will be provided training schedules and shall ensure that all required CSPs attend.

1.13.3.2. Regulated Medical Waste (RMW) Packaging Training. All CSPs involved in the packaging of RMW for commercial shipment shall complete the Army Public Health Center, Medical Waste Transport Course (initial and refresher) IAW DOD 4500.9-R, Defense Transportation Regulation – Part II, Cargo Movement, chapter 204, paragraph D and 49 CFR 172.704, Training Requirements.

1.13.3.3. Antiterrorism (AT) Training.

1.13.3.3.1. 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 contracting officer, if a COR is not assigned, within 30 calendar days after completion of training by all CSPs and subcontractor CSP (See Exhibit B, Deliverables, Paragraphs 1.c., 4.b, and 5.h). AT Level I awareness training is available at the following website:

https://jkodirect.jten.mil. CSPs without a CAC can complete the training and obtain their certificate at the following website: http://jko.jten.mil/courses/atl1/launch.html.

1.13.3.3.2. IWATCH Training. The contractor and all associated sub-contractors shall brief all CSPs on the local iWATCH program (training standards provided by the MTF antiterrorism officer). This local 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. The contractor shall submit documentation of iWatch training completion to the COR within 30 calendar days after contract award. The contractor shall report IWATCH training of new hires with monthly training reports (See Exhibit B, Deliverables, Paragraphs 1.d. and 3.d.).

1.13.3.4. DOD Cyber Awareness Training. All CSPs with access to a government information system must successfully complete the DOD Information Assurance Awareness training prior to access to the information systems and then annually thereafter. The contractor shall submit course certificates to the COR within five calendar days of completion for each affected CSP (See Exhibit B, Deliverables, Paragraphs 1.f., 4.d., and 5.j.).

1.13.3.5. The contractor shall comply with OTSG/MEDCOM Policy Memo 16-035, Privacy Act and Health Insurance Portability and Accountability Act (HIPAA) Privacy and Security Training, 11 May 2016. 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. (See Exhibit B, Deliverables, Paragraphs 4h and 5r ).

1.13.3.6. Operations Security (OPSEC) Training. The contractor shall ensure all CSPs complete OPSEC training within 30 calendar days of hire and annually thereafter IAW AR 530-1, Operations Security. OPSEC training is available online at http://cdsetrain.dtic.mil/opsec/index.htm. The contractor shall submit course certificates to the COR within five calendar days of completion for each affected CSP (See Exhibit B, Deliverables, Paragraphs 1.e., 4.c., and 5.i.).

1.13.4. RESERVED

1.13.5. The COR will arrange for training space on the MTF premises, as necessary.

1.14. Health Requirements. The contractor’s CSPs shall meet all health requirements under this contract. The following requirements are, except where otherwise indicated, considered the minimum essential for performance of this contract:

1.14.1. CSPs shall be properly screened and medically cleared (to include required immunizations) with proper and complete documentation prior to working on-site at any of the collective MTFs. Prior to physical performance of services by the CSPs, but no earlier than 60 days prior to physical performance of services, the Contractor shall provide documentation certifying health requirements such as immunizations, annual vaccinations, medical testing (i.e., tuberculosis, N95 particulate respirator fit testing) when required at the time of initial placement and annually thereafter, as required. The expense for all health requirements, to include monitoring and tracking annual requirements, shall be borne by the Contractor at no additional cost to the Government. Medical clearances or certificates issued by a source approved by the State shall be maintained by the contractor for each CSP and available for government inspection by the KO or COR at all times.

1.14.2. Annual Immunizations: The Contractor shall ensure CSPs are immunized annually with the seasonal influenza vaccine and any other vaccine recommended by the Advisory Committee on Immunization Practices (ACIP) of the Centers for Disease Control (CDC) for CSPs or service/MTF specific guidance as outlined in DoD 6205.02e, Policy and Program for Immunizations to Protect the Health of Service Members and Military Beneficiaries. The annual influenza vaccine may be provided by the Government, if available, as determined by the MTF. If the CSPs chooses to be immunized by the Government, the CSPs shall sign a waiver releasing the Government from the legal liability IAW local procedures and policies. Alternately, the CSPs may obtain the vaccine at another facility, at no cost to the Government, and provide proof of vaccination to the Government. If the CSPs declines vaccination, a signed declination form will be provided to the COR IAW CDC recommendations and MTF policy.

1.14.2.1 Immunization Tracking: The Contractor shall maintain their own process and system of tracking the compliance of health immunizations and shall not rely on the Government for ensuring the CSPs are in compliance.

1.14.3. A CSP considered by government Occupational Health to be infectious to patients or to healthcare facility personnel IAW CDC recommendations and the MTF’s employee health policies and regulations, and shall not be permitted within the premises. The contractor shall present a medical release or certification to return to work for the affected CSP to Occupational Health prior to their working under the provisions of this contract.

1.14.4. BACH will provide emergency treatment to prevent loss of life or limb, or prevent undue suffering to the contractor’s CSPs working at Blanchfield Army Community Hospital. The contractor shall reimburse the government for medical services provided IAW current policies regarding civilian emergencies for CSP. Required follow up medical examinations and treatment for all job related injuries or illness shall be the responsibility of the contractor.

1.14.5. CSPs who have accidental percutaneous (needle stick); ocular or mucous membrane exposure to blood or other body fluids will receive initial treatment at BACH IAW BACH MEDDAC Regulation 40-5-4 Bloodbourne Pathogens. The contractor shall be responsible for payment of follow-up treatment/monitoring of CSP.

1.15. Building Security and Key Control Management. The contractor shall comply with Army Regulations 190-13, 190-21, BACH Commander’s Policy Number 44 and US Army Medical Command (MEDCOM) Regulation 190-1, Key Control and Physical Security Standards.

1.15.1 Key Control. The contractor shall maintain the approved key control procedures for all keys issued to the contractor by the government. The contractor shall orally report not later than one hour after discovery any lost, stolen or duplicated keys to the COR followed by a written report within 24 hours. If lost during hours when COR is not available, the oral report shall be given to the Administrative Officer of the Day (AOD), and followed up on the next business day with a written report to the COR.

1.15.1.1 In the event keys, other than master keys, are lost, stolen, or duplicated the contractor shall, upon direction of the KO, reimburse the government for the cost to re-key or replace the affected lock or locks. The government may re-key or replace the affected lock or locks, at its option. In the event a master key is lost, stolen, or duplicated, all locks and keys for that area shall be replaced by the government and the cost shall be charged to the contractor.

The contractor shall reimburse the government IAW FAR 52.245-1.

1.15.1.2 The contractor shall prohibit the use of government-issued keys by any persons other than contractor’s CSPs. The CSPs shall unlock only the doors and windows necessary for the cleaning function. The contractor shall prohibit the opening of locked areas by CSPs to permit entrance of persons other than contractor’s CSPs engaged in the performance of assigned work in those areas or personnel authorized entrance by the COR.

1.15.2. All rooms or areas a CSP unlocks shall not be left unattended and unlocked during the cleaning process. The contractor's CSPs shall lock all doors and windows when they finish the cleaning process. CSPs shall report difficulty in closing and locking doors or windows to the supervisor on duty. The supervisor on duty shall immediately report such difficulty to the COR or AOD.

1.16. Safety and Health Plan. The contractor shall comply with Occupational Safety and Health Administration (OSHA) standards as a minimum level of safety and health performance and establish more stringent standards where necessary for effective CSP protection. At a minimum, the contractor’s safety and health program shall address the following PWS-specific safety and health requirements:

1.16.1. The contractor shall develop and maintain an Exposure Control Plan fully compliant with OSHA Blood borne Pathogen Standard (29 CFR 1910.1030) not later than 30 days after contract award. A copy of this document shall be made available to the COR upon request. (See Exhibit B, Deliverables, Paragraph 5.b.)

1.16.2. The contractor shall comply with the OSHA Hazard Communication Standard (29 CFR 1910.1200 HCS 2012) and BACH MEDDAC Regulation 40-5-11-6 Hazardous Waste/Waste Management Program and BACH MEDDAC Regulation 40-5-4,Bloodborne Exposure Control Plan.

1.16.3. The contractor shall comply with the BACH MEDDAC Regulation 385-10, MEDDAC Safety, National Fire Protection Association (NFPA) 101, Life Safety Code and all other applicable codes shall be considered mandatory and enforceable throughout the term of this contract. All CSPs shall participate in quarterly, or as required, fire drills when on duty.

1.16.4. The contractor shall comply with the provisions set forth below and FAR Clause 52.236-13 (with Alternate I), Accident Prevention. The contractor shall comply with the BACH Safety Program outlined in BACH MEDDAC Regulation 385-10. The contractor shall submit accident, injury and incident reports on contractor’s form. A copy of all accidents, injuries and incidents shall be submitted within one working day of incident to the COR. (See Exhibit B, Deliverables, Paragraph 5f).

1.16.4.1. When a contractor’s CSP detects a condition that may cause injury or illness, an oral report shall be made without delay to the immediate supervisor. The supervisor shall take immediate corrective action within thirty minutes of being notified about conditions under contractor control and immediately report all unsafe or unhealthful conditions in person to the AOD and COR within one hour.

1.16.5. ACM, to include but not limited to insulation, flooring, and other building materials, may be encountered by the contractor during the performance of healthcare environmental cleaning. The locations of ACM are identified by building and area in Exhibit K, ACM Locations. On an as needed basis when changes occur regarding locations of ACM, the government will provide the contractor with an updated Exhibit K not later than five working days after changes.

1.16.5.1. The contractor shall comply with 29 CFR 1919.1001, Asbestos in the performance of healthcare environmental cleaning in areas containing ACM. In the event that ACM is disturbed in the performance of healthcare environmental cleaning (e.g., floor care), the contractor shall telephonically notify the COR and KO within two hours and in writing within 24 hours of disturbance (Ref. Exhibit B, Deliverables, Paragraph 5p). Upon notification of disturbance by the contractor, the COR and KO will provide further guidance to the contractor regarding performance of services in the disturbed ACM location.

1.17. Emergency Management Plan (EMP). The contractor’s key personnel shall be thoroughly familiar with BACH Emergency Management Plan. All contractor CSPs shall be trained by the contractor to fully understand their responsibilities relative to each emergency plan. Healthcare environmental cleaning are considered “mission-essential functions” and must be performed under all circumstances. The contractor shall be required to perform the services required by the contract and as identified by the COR to the extent allowed during all emergency situations including but not limited to fires, accident and rescue operations, CSP strikes, other service contractors on strike, civil disturbances, natural and man-made disasters, and utility service outages.

1.18. Healthcare Environmental Cleaning Procedures Manual. The contractor shall submit a written healthcare environmental cleaning procedures manual to the KO and COR not later than 15 calendar days after contract award date. As necessary, the contractor shall update/revise the Healthcare Environmental Cleaning Procedures Manual and submit the updated/revised document to the KO and COR for review/approval before implementation. (See Exhibit B, Deliverables, Paragraphs 1.g. and 5.d).

1.19. Quality Control

1.19.1. Quality Management Standard. The contractor shall maintain ISSA CIMS-GB certification throughout the contract period.

1.19.2. Quality Control Program. The contractor shall maintain a quality control program that ensures healthcare environmental cleaning and related services are performed IAW commercial standards, advisory recommendations, and federal, state, installation, and BACH policies, procedures, and regulations as identified in this PWS. The contractor shall provide procedures to identify, prevent, and ensure non-performance and continual repetition of defective service does not occur.

1.19.3. Quality Control Plan (QCP). The contractor shall update/revise the QCP, as necessary, and submit the updated/ revised QCP to the KO and COR not later than 7calendar days for review/comments prior to implementation (See Exhibit B, Deliverables, Paragraph 1.a and 5.g.)

1.19.4. Quality Control Inspection Report. The contractor shall submit a monthly written report to the KO and COR not later than 5th calendar day of each month of contractor inspection results and actions in process to improve quality. Subject reports shall identify the performance/cleaning level based on the inspection performed. They shall also include (1) the type of task (machine scrub, etc.) inspected, (2) the day and shift the task was accomplished, (3) the facility number (4) inspection date/time/result (5) name of the inspector, and (6) action taken if applicable (See Exhibit B, Deliverables, Paragraph 3.b).

1.20. Contractor Manpower Reporting (CMR). NA

1.21. Post Award Conference/Periodic Progress Meetings: The contractor agrees to attend the post award conference convened by the contracting activity or contract administration office in accordance with FAR 42.5. The KO, COR, and other government personnel, as appropriate, may meet periodically with the contractor to review the contractor’s performance. At these meetings, the KO will apprise the contractor of how the government views the contractor’s performance and the contractor shall apprise the government of issues/concerns, if any, being experienced. Appropriate action shall be taken to resolve outstanding issues.

1.22. Phase-In/Phase-Out. As a successor, the contractor shall ensure a smooth 1 Month transition with the incumbent contractor during the phase-in period. The contractor will provide an orderly transition of work acceptance and accomplishment so that impact to services is minimized. As an incumbent, the contractor shall ensure a smooth transition with the successor during the phase-out period before completion of contractual performance. The contractor will provide an orderly transition of work acceptance and accomplishment so that full control by the successor is achieved by the end of the phase-out period (See Exhibit B, Deliverables, Para. 1.).

SECTION 2

2.1. DEFINITIONS. The following terms used throughout this PWS shall have the following meanings:

Acceptable Quality Level. AQL is the maximum allowable percentage of deviation from perfect performance for an individual service output.

Advisory Documents. Directives the contractor may use for information and guidance and which are not binding for compliance.

Asbestos-Containing Material. Any material containing more than 1% asbestos.

Bloodborne Pathogens Standard. The OSHA standard to eliminate or minimize occupational exposure to Hepatitis B Virus (HBV), Human Immunodeficiency Virus (HIV), and other blood borne pathogens.

Cleaning. The removal of visible soil and organic contamination from a device or surface using the physical action of scrubbing with a surfactant or detergent and water.

Common Access Card. Smart card-based technology and systems used to transform and improve security in DoD processes and mission performance thereby enhancing readiness while also improving business processes. The standard identification card for active duty Uniformed Services personnel (to include the Selected Reserve), DoD civilian employees, eligible contractor personnel, and eligible foreign nationals. The Department's primary platform for the public key infrastructure authentication token used to access DoD computer networks and systems in the unclassified environment and, where authorized by governing security directives, the classified environment. It is the principal card enabling physical access to installations. The CAC enables encrypting and cryptographically signing email facilitating the use of PKI authentication tools, and establishes an authoritative process for the use of identity credentials.

Community Based Primary Care Clinic. An MTF located off the installation in leased facilities managed by the parent MTF near the communities in which Soldiers and their families reside.

Continuous Policing. (See Steadfast Policing)

Contract Discrepancy Report. A report that requires the contractor’s response when performance is unsatisfactory.

The CDR requires the contractor to explain, in writing, why performance was unsatisfactory, how performance will be returned to satisfactory levels, and how recurrence of problems will be prevented.

Contracting Officer (KO). The individual with the authority to enter into, administer, and/or terminate contracts.

The KO is the exclusive government official authorized to execute changes and authorize deviations or variations from the contract.

Contracting Officer's Representative (COR). The medical facility person responsible for assisting in administration of the government's quality assurance portion of the contract. This person is designated in writing by the KO to be responsible for quality assurance, inspection, surveillance documentation and acceptance of the contractor's services.

A copy of the letter of designation will be provided to the contractor.

Diffusers. The outside (that part accessible to cleaning without removal) of HVAC registers, grills and covers.

Disinfection. A process that eliminates many or all pathogenic microorganisms, except bacterial spores, on inanimate objects. In health-care settings, objects usually are disinfected by liquid chemicals or wet pasteurization.

Unlike sterilization, disinfection is not sporicidal.

Disinfection Cleaning. Falls between the processes of physical cleaning and sterilization for the elimination of disease-producing microorganisms, but not spores, from inanimate objects via pasteurization or liquid chemicals.

The goal is to create a clean, safe, attractive environment for patients, staff, and visitors.

Facility Defects. Flaws in the physical building/facilities caused by age, breakdown, damage, or other causes.

These may be cosmetic or causing further damage to personnel. Defects will be identified as routine or emergency based upon urgency of repair.

Government Furnished Property. Government Furnished Property that is incidental to the place of performance, when the contract requires contractor personnel to be located on a Government site or installation, and when the property used by the contractor within the location remains accountable to the Government. Items considered to be incidental to the place of performance include, for example, office space, desks, chairs, telephones, computers, and fax machines

Hard Surface Floors. Floor surfaces that do not require application or removal of floor finish or polishing. Examples include grouted tile floors in restrooms and utility rooms.

Health Service Area. A geographical area in which a single MTF has responsibility for providing medical, dental, and veterinary services to eligible beneficiaries. The HSAs are titled after the name of the installation where the MTF is located.

Healthcare Acquired Infection. Infections patients acquire during the course of receiving treatment for other conditions within a healthcare setting.

Hospital Grade Disinfectant. A disinfectant registered with the Environmental Protection Agency (EPA) for use in hospital, clinics, dental offices, or any other medical-related facility. They have proven effectiveness minimally against Salmonella choleraesuis, Staphylococcus aurous, and Pseudomonas aeruginosa.

Healthcare Environmental Cleaning Procedures Manual. This is a manual published by the contractor for use by its CSPs as a guide in performing environmental cleaning functions required by this contract. It shall define the equipment, products, time, steps, and procedures to use/follow to achieve acceptable results and shall be approved by the Infection Prevention and Control (IPaC) Committee members.

Healthcare Environmental Cleaning Services. The environmental services department’s primary function is to develop and maintain a sanitary, safe, and aesthetically pleasing environment that will facilitate the primary mission of patient care.

Infection Control Committee. A designated group of hospital staff responsible for monitoring the total infection control program within the medical facility. (Environmental cleaning is considered part of the total infection control responsibilities by The Joint Commission (TJC) and The Surgeon General.)

Infection Prevention and Control Committee. A designated group of hospital staff responsible for monitoring the total Infection Prevention and Control Program within the medical facility.

Internal Emergency Clean Up. Emergency response by contractor employees may be required (over and above routinely scheduled work) to perform healthcare environmental cleaning related functions that facilitate patient and staff welfare and safety in the building as a result of mass casualty situations or natural disasters. Examples include:

facility defects, fire, mass illness or an injury situation. The hospital shall be maintained, as closely as possible, in a hygienically clean condition during emergency situations.

Joint Commission. A national organization dedicated to improving the care, safety, and treatment of patients in health care facilities, and publishers of the Joint Commission on Accreditation Manuals.

Key Personnel. Key personnel consist of the executive housekeeper and AEH.

Lock-In Area. An area in which the CSP/s is confined during their operational shift. Lock-In areas are generally limited to operating rooms and labor/delivery areas (Type I Service Areas) where movement in and out of the area is restricted , hospital scrub uniforms are required to be worn, work is continuous, response times are within 5 minutes of notification and failure to provide timely healthcare environmental cleaning services effects the healthcare mission of the area.

Mandatory Documents. Directives the contractor is obligated to comply.

Medical Department Activity. An organization which includes Army community hospital, Army health centers and those Army health clinics which are subordinate to another MTF, and which encompass associated activities responsible for providing health services to authorized persons within an assigned health service area. The MEDDAC may also be tasked to provide administrative and logistical support to other Army Medical Department organizations over which it does not exercise command and control.

Medical Treatment Facility (MTF). The collective term that refers to the integrated medical, dental, veterinary, and other healthcare services at a specified installation.

National Agency Check with Inquiries. The basic and minimum investigation required on all federal employees and CSPs; consists of a NAC with written inquiries and searches of records covering specific areas of an individual’s background during the past 5 years (inquiries sent to current and past employers, schools attended, references, and local law enforcement authorities). Coverage includes employment, 5 years; education, 5 years and highest degree verified; residence, 3 years; references; law enforcement, 5 years; and NACs.

Patient Discharge Cleaning. See Terminal Cleaning.

Personal Protective Equipment. A variety of barriers used alone or in combination to protect mucous membranes, skin, and clothing from contact with infectious agents.