Draft_PWS_Clinical_Nurse_Support_Services.docx

PERFORMANCE WORK STATEMENT (PWS)

Clinical Nurse Education Support Services Vision Statement (United States Army Institute of Surgical Research) (USAISR) To be the nation’s premier joint research organization planning and executing registry-based and translational research providing innovative solutions for burn, trauma, and combat casualty care from the point of injury through rehabilitation.

1.0. Introduction

The USAISR is part of the U.S. Army Medical Research and Materiel Command. The USAISR is dedicated to both laboratory and clinical trauma research. Its mission is to provide requirements-driven combat casualty care medical solutions and products for injured soldiers from self-aid through definitive care across the full spectrum of military operations; provide state-of-the-art trauma, burn, and critical care to Department of Defense beneficiaries around the world and civilians in our trauma region; and provide Burn Special Medical Augmentation Response Teams.

1.1. Mission – Optimizing Combat Casualty Care

1.2. Background

The Systems of Care for Complex Patients Task Area research efforts focus on defining best evidence-based combat casualty care practice through research on practice variability and patient outcomes in all military echelons of care. The goal of the Task Area is to provide evidence based practice recommendations for the management of poly-trauma combat casualties by the multi-disciplinary care team from injury to definitive care in the United States.

1.3. Scope

This PWS contains no services that are inherently governmental functions, as defined in FAR Part 2.1. The Government shall neither supervise contractor employees nor control the method by which the contractor performs the required tasks. Under no circumstances shall the Government assign tasks to, or prepare work schedules for, individual contractor employees. It shall be the responsibility of the contractor to manage its employees and to guard against any actions that are of the nature of personal services, or give the perception of personal services. If the contractor believes that any actions constitute, or are perceived to constitute personal services, it shall be the contractor’s responsibility to notify the Contracting Officer (KO) immediately.

1.4. Organizational Conflicts of Interest (OCI)

1.4.1. The USAMRMC has categorized all service procurements into one of the following three categories as defined below, for the purpose of identifying, avoiding or mitigating Organizational Conflicts of Interest (OCI) in accordance with (IAW) Federal Acquisition Regulation (FAR) Subpart 9.5. These categories are defined as follows:

Category 1: Command Wide Internal Support: Services which, by their very nature, give the Contractor access to non-public procurement sensitive data about the contract requirements, other contractors’ proprietary information, or put the contractor in a position to influence the award decision on a contract in which they are participating. Services would be characterized as having access to Command Wide procurement sensitive information, or work that could likely have an influence over follow-on awards or contracts with subordinate directorates/Commands.

Category 2: Program Management Support: Services which assist USAMRMC in planning and managing an organization’s activities and programs. These include, for example: requirements analysis, acquisition support, budget planning and management, business process reengineering, program planning and execution support, and independent technical management support. Services would be characterized as having access to only Directorate or Subordinate Command level procurement sensitive information or work that would have little influence on follow-on requirements or requirements of other directorates/Subordinate Commands.

Category 3: Product Support. Services or end items required to meet the mission requirements of the organization’s activities and programs. These include, for example: concept exploration and development, system design, system development and integration, COTS procurement and integration, internal development testing, deployment, installation, operations, and maintenance. Services can be characterized as having little or no access to procurement sensitive information other than the immediate requirement and little chances of follow-on work that can be influenced by the immediate requirement.

1.4.2. OCI Certification. USAMRMC OCI Category 2 is applicable for this acquisition The Contractor shall perform a thorough comparative analysis of the potential new work against all current and previous works performed in support of the USAISR organization and ascertain whether they have a possible conflict of interest. If there is a conflict of interest or the appearance of a conflict of interest, the Contractor shall provide a comprehensive OCI Mitigation Plan. The Contractor shall complete the OCI Certification at time of proposal submission.

2. General Requirements:

a. Place of Performance. All work contained in this PWS shall be performed at the contractor facility. Site visits to DoD Military Treatment Facilities as necessary to perform consultation and training throughout the period of performance.

b. Period of Performance. Contract Period of performance will be a one year base period with two one year option periods.

2.1. Non-Personal Services

This PWS identifies services that are strictly non-personal in nature, as defined by FAR Part 37 and to ensure there is not an appearance of such this contract will have an identified COR. The Government shall neither supervise contractor employees nor control the method by which the contractor performs the required tasks. Under no circumstances shall the Government assign tasks to, or prepare work schedules for, individual contractor employees. It shall be the responsibility of the contractor to manage its employees and to guard against any actions that are of the nature of personal services, or give the perception of personal services. If the contractor believes that any actions constitute, or are perceived to constitute personal services, it shall be the contractor's responsibility to notify the Contracting Officer (KO) immediately.

2.2. Business Relations

2.2.1. The contractor shall successfully integrate and coordinate all activity needed to execute the requirement. The contractor shall manage the timelines, completeness, and quality of problem identification. The contractor shall seek to ensure customer satisfaction and professional and ethical behavior of all contractor personnel. The Contracting Officer’s Representative (COR), with the approval of the KO, may require the contractor to remove from the job site any employee working under the influence of alcohol, drugs, or other incapacitating agents. Contract employees will be subject to dismissal from the premises upon determination by the COR and the KO that such action is in the best interest of the Government.

2.3. Contract Management and Administration

2.3.1. Contract Management

The contractor shall establish clear organizational lines of authority and responsibility to ensure effective management of the resources assigned to the requirement. The contractor must maintain continuity between the support operations at stated on-site and the contractor’s corporate offices. Off-site work is authorized during site visits for the purpose of consultation or training.

2.3.1.1. Contract Management Activities

a. Government Management of the Contract. The KO will officially designate a Contracting Officer’s Representative (COR) to oversee this Contract. The Government’s COR will have responsibility for:

Clinical Nurse Education Support Services

BASE PERIOD

3.3. Objective 1: Develop a standardize specialty nurse competency program platform for the enterprise in preparation for combat readiness.

3.3.1. Key Task 1: Standardized, comprehensive competency program to ensure all nursing specialties demonstrate competency in core clinical skills throughout military career in preparation for combat readiness.

3.3.2. Key Task 2: Identify and adapt USAISR and Contractor Created tools as needed to standardize a framework for pre-deployment competencies program applicable for Tri-Service medical system competency for an enterprise-wide specialty nurse competency program.

3.3.3. Key Task 3: Collaborate with military educators to develop a universal Competency-based Assessment Tool (CAT) and pre-deployment specific CATs that meet Army and Tri-service policies in support of skills related to combat casualty care.

3.3.4. Key Task 4: Develop Clinical Coaching Plans (CCP) for competency domains related to core clinical and combat causality care skills as identified by SME’s.

CCP domains include the following:

· Wounded and Amputation/Fixation Management

· Head and Spine Injury

· Torso Trauma

· Transfusion and Resuscitation

· Airway and Breathing

· Critical Care/Prevention

· Military Other

· Universal Domains Objective 1 Performance Standard: Completed as required 100% of the time Objective 1 Acceptable Quality Level (AQL): Completed as required 98% of the time Objective 1 Deliverable due:

1) Contractor will provide PI with pre-deployment clinical coaching plans draft due in base year.

3.4. Objective 2: Create a standardize preceptor toolkit for developing preceptors to provide the ability to evaluate individual readiness and competency in core clinical and combat casualty care skills.

3.4.1. Key Task 1: Develop and modify tools for preceptor toolkit as needed.

Objective 2 Performance Standard: Completed as required 100% of the time Objective 2 Acceptable Quality Level (AQL): Completed as required 98% of the time Objective 2 Deliverable due:

1) Standardized Perceptor Toolkit

3.5. Objective 3: Develop self-paced content for multi-media on-line learning modules for preceptors to support the introduction and sustainment of nursing core clinical skills and combat casualty care skills.

3.5.1. Key Task 1: Identify topic areas and create advanced preceptor development course content for self-paced multimedia modules.

3.5.2. Key Task 2: Create train-the-trainer content for a self-paced module.

3.5.3. Key Task 3: Identify topic areas and create OIC/ Unit leaders self-paced course modules in the form of a video presentation.

3.5.4. Key Task 4: Create a self-paced module in the form of a video presentation of the overview of the specialty nurse competency program for executive leaders.

Objective 3 Performance Standard: Completed as required 100% of the time Objective 3 Acceptable Quality Level (AQL): Completed as required 98% of the time Objective 3 Deliverable due:

1) Contractor will provide the PI with the list of topic areas and draft of advance preceptor course content at the end of base year.

3.6. Objective 4: Implement program regionally then expand incrementally across the Enterprise

3.6.1. Key Task 1: Identify the appropriate variables to validate successful implementation of the specialty nurse competency program in a small Military Treatment Facility (MTF).

3.6.2. Key Task 2: Collaborates with the military treatment facilities executive leadership, unit leaders and educators to facilitate program implementation.

3.6.3. Key Task 3: Provides On-going supportive collaborative instruction for preceptors/educators, cyber –communication for consulting, tool development and further collaboration.

Objective 4 Performance Standard: Completed as required 100% of the time Objective 4 Acceptable Quality Level (AQL): Completed as required 98% of the time Objective 4 Deliverables due:

1) Provides a 3 day train-the-trainer course to the identified military treatment facility in base year.

2) Provide PI with executive level summary of implementation progress and collaboration due in base year

3) Provide Military Treatment Facility on-going support and guidance in base year

3.7. Objective 5: Provides quarterly progress report by the 15th day of the month following the end of the quarter.

Objective 5 Performance Standard: Completed as required 100% of the time.

Objective 5 Acceptable Quality Level (AQL): Completed as required 98% of the time Objective 5 Deliverable due:

1) Quarterly Progress Report OPTION YEAR 1 OBJECTIVES (Objectives 3.8 through 3.12 are applicable only if Option Year 1 is exercised)

3.8. Objective 1 (Option Year 1, if exercised): Develop a standardize specialty nurse competency program platform for the enterprise in preparation for combat readiness.

3.8.1. Key Task 1: Standardized, comprehensive competency program to ensure all nursing specialties demonstrate competency in core clinical skills throughout military career in preparation for combat readiness.

3.8.2. Key Task 2: Identify and adapt USAISR and Contractor Created tools as needed to standardize a framework for pre-deployment competencies program applicable for Tri-Service medical system competency for an enterprise-wide specialty nurse competency program.

3.8.3. Key Task 3: Collaborate with military educators to develop a universal Competency-based Assessment Tool (CAT) and pre-deployment specific CATs that meet Army and Tri-service policies in support of skills related to combat casualty care.

3.8.4. Key Task 4: Develop Clinical Coaching Plans (CCP) for competency domains related to core clinical and combat causality care skills as identified by SME’s.

CCP domains include the following:

· Wounded and Amputation/Fixation Management

· Head and Spine Injury

· Torso Trauma

· Transfusion and Resuscitation

· Airway and Breathing

· Critical Care/Prevention

· Military Other

· Universal Domains Objective 1 Performance Standard: Completed as required 100% of the time.

Objective 1 Acceptable Quality Level (AQL): Completed as required 98% of the time Objective 1 Deliverable due:

1) Contractor will provide the PI with Competency-based Assessment Tools (CAT) for nursing applicable draft due in option year 1.

3.9. Objective 2 (Option Year 1, if exercised): Create a standardize preceptor toolkit for developing preceptors to provide the ability to evaluate individual readiness and competency in core clinical and combat casualty care skills.

3.9.1. Key Task 1: Develop and modify tools for preceptor toolkit as needed.

Objective 2 Performance Standard: Completed as required 100% of the time.

Objective 2 Acceptable Quality Level (AQL): Completed as required 98% of the time Objective 2 Deliverable due:

1) Standardized Toolkit with modified tools developed for the Perceptor Toolkit at the end of Option Year 1.

3.10. Objective 3 (Option Year 1, if exercised): Develop self-paced content for multi-media on-line learning modules for preceptors to support the introduction and sustainment of nursing core clinical skills and combat casualty care skills.

3.10.1. Key Task 1: Identify topic areas and create advanced preceptor development course content for self-paced multimedia modules.

3.10.2. Key Task 2: Create train-the-trainer content for a self-paced module.

3.10.3. Key Task 3: Identify topic areas and create OIC/ Unit leaders self-paced course modules in the form of a video presentation.

3.10.4. Key Task 4: Create a self-paced module in the form of a video presentation of the overview of the specialty nurse competency program for executive leaders.

Objective 3 Performance Standard: Completed as required 100% of the time.

Objective 3 Acceptable Quality Level (AQL): Completed as required 98% of the time Objective 3 Deliverables due:

1) Contractor will provide the draft of the “OIC/Unit leader” and “overview of the competency program for executive leaders” video presentation in option year 1.

2) Contractor will provide the PI with the train-the-trainer content due in option year 1.

3.11. Objective 4 (Option Year 1, if exercised): Implement program regionally then expand incrementally across the Enterprise

3.11.1. Key Task 1: Identify the appropriate variables to validate successful implementation of the specialty nurse competency program in a small Military Treatment Facility (MTF).

3.11.2. Key Task 2: Collaborates with the military treatment facilities executive leadership, unit leaders and educators to facilitate program implementation.

3.11.3. Key Task 3: Provides On-going supportive collaborative instruction for preceptors/educators, cyber –communication for consulting, tool development and further collaboration.

Objective 4 Performance Standard: Completed as required 100% of the time.

Objective 4 Acceptable Quality Level (AQL): Completed as required 98% of the time Objective 4 Deliverable due:

1) Report on the Variables

2) Provide PI with executive level summary of implementation progress and collaboration due at the end of option year 1

3) Provides Military Treatment Facility on-going support and guidance in option year 1

3.12. Objective 5 (Option Year 1, if exercised): Provides quarterly progress report by the 15th day of the month following the end of the quarter Objective 5 Performance Standard: Completed as required 100% of the time.

Objective 5 Acceptable Quality Level (AQL): Completed as required 98% of the time Objective 5 Deliverable due:

1) Quarterly Progress Report Acceptable Quality Level (AQL): Completed as required 98% of the time Monitoring Method: Periodic Inspection OPTION 2 OBJECTIVES (Objectives 3.13 through 3.17 are applicable only if Option Year 1 is exercised)

3.13. Objective 1 (Option Year 2, if exercised): Develop a standardize specialty nurse competency program platform for the enterprise in preparation for combat readiness.

3.13.1. Key Task 1: Standardized, comprehensive competency program to ensure all nursing specialties demonstrate competency in core clinical skills throughout military career in preparation for combat readiness.

3.13.2. Key Task 2: Identify and adapt USAISR and Contractor Created tools as needed to standardize a framework for pre-deployment competencies program applicable for Tri-Service medical system competency for an enterprise-wide specialty nurse competency program.

3.13.3. Key Task 3: Collaborate with military educators to develop a universal Competency-based Assessment Tool (CAT) and pre-deployment specific CATs that meet Army and Tri-service policies in support of skills related to combat casualty care.

3.13.4. Key Task 4: Develop Clinical Coaching Plans (CCP) for competency domains related to core clinical and combat causality care skills as identified by SME’s.

CCP domains include the following:

· Wounded and Amputation/Fixation Management

· Head and Spine Injury

· Torso Trauma

· Transfusion and Resuscitation

· Airway and Breathing

· Critical Care/Prevention

· Military Other

· Universal Domains Objective 1 Performance Standard: Completed as required 100% of the time.

Objective 1 Acceptable Quality Level (AQL): Completed as required 98% of the time Objective 1 Deliverable due:

1) Contractor will provide the PI with final drafts of CATs and Clinical Coaching Plans due at option year 2.

3.14. Objective 2 (Option Year 2, if exercised): Create a standardize preceptor toolkit for developing preceptors to provide the ability to evaluate individual readiness and competency in core clinical and combat casualty care skills.

3.14.1. Key Task 1: Develop and modify tools for preceptor toolkit as needed.

Objective 2 Performance Standard: Completed as required 100% of the time.

Objective 2 Acceptable Quality Level (AQL): Completed as required 98% of the time Objective 2 Deliverable due:

1) Contractor will provide PI with any modified tools developed for the Preceptor Toolkit at the end of option year 2.

3.15. Objective 3 (Option Year 2, if exercised): Develop self-paced content for multi-media on-line learning modules for preceptors to support the introduction and sustainment of nursing core clinical skills and combat casualty care skills.

3.15.1. Key Task 1: Identify topic areas and create advanced preceptor development course content for self-paced multimedia modules.

3.15.2. Key Task 2: Create train-the-trainer content for a self-paced module.

3.15.3. Key Task 3: Identify topic areas and create OIC/ Unit leaders self-paced course modules in the form of a video presentation.

3.15.4. Key Task 4: Create a self-paced module in the form of a video presentation of the overview of the specialty nurse competency program for executive leaders.

Objective 3 Performance Standard: Completed as required 100% of the time.

Objective 3 Acceptable Quality Level (AQL): Completed as required 98% of the time Objective 3 Deliverable due:

1) Contractor will provide the PI with all final drafts of the advance preceptor course content, OIC/Unit Leader video presentation, and overview of the program presentation at option year 2.

3.16. Objective 4 (Option Year 2, if exercised): Implement program regionally then expand incrementally across the Enterprise

3.16.1. Key Task 1: Identify the appropriate variables to validate successful implementation of the specialty nurse competency program in a small Military Treatment Facility (MTF).

3.16.2. Key Task 2: Collaborates with the military treatment facilities executive leadership, unit leaders and educators to facilitate program implementation.

3.16.3. Key Task 3: Provides On-going supportive collaborative instruction for preceptors/educators, cyber –communication for consulting, tool development and further collaboration.

Objective 4 Performance Standard: Completed as required 100% of the time.

Objective 4 Acceptable Quality Level (AQL): Completed as required 98% of the time Objective 4 Deliverable due:

1) After Action Report

2) Provide PI with executive level summary of implementation progress and collaboration due at option year 2.

3) Provides Military Treatment Facility on-going support and guidance in option year 2.

3.17. Objective 5 (Option Year 2, if exercised): Provides quarterly progress report by the 15th day of the month following the end of the quarter Objective 5 Performance Standard: Completed as required 100% of the time.

Objective 5 Acceptable Quality Level (AQL): Completed as required 98% of the time Objective 5 Deliverable due:

1) Quarterly Progress Report Acceptable Quality Level (AQL): Completed as required 98% of the time Monitoring Method: Periodic Inspection *The U.S. Government will own intellectual rights to Contractor tools, CATs, content for modules, video presentation and Clinical Coaching Plans (CCP) developed for the combat causality care project.

3.18. Contractor Manpower Reporting

"The contractor shall report ALL contractor labor hours (including subcontractor labor hours) required for performance of services provided under this contract for the US Army Institute of Surgical Research via a secure data collection site. The contractor is required to completely fill in all required data fields using the following web address: http://www.ecmra.mil/. Reporting inputs will be for the labor executed during the period of performance during each Government fiscal year (FY), which runs October 1 through September 30. While inputs may be reported any time during the FY, all data shall be reported no later than October 31 of each calendar year, beginning with 2015. Contractors may direct questions to the help desk at help desk at: http://www.ecmra.mil.

4. Special Requirements This section describes the special requirements and the subsections provide details of various considerations for this requirement.

4.1. Security and Safety

Contractor employee shall comply with all Department of Defense, U.S. Army, USAISR and other governmental regulatory requirements with special emphasis on safety and security.

4.2. Antiterrorism / Operations Security

4.2.1. Access and general protection/security policy and procedures. This standard language is for contractor employees with an area of performance within Army controlled installation, facility, or area. Contractor employees and all associated sub-contractors employees shall provide all information required for background checks to meet installation access requirements to be accomplished by installation Provost Marshal Office, Director of Emergency Services or Security Office. Contractor workforce must comply with all personal identity verification requirements (FAR clause 52.204-9, Personal Identity Verification of Contractor Personnel) as directed by DoD, 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.

4.2.2. The contractor shall ensure that its employees entering Army controlled installations or facilities have obtained access badges. Contractor personnel shall wear their Government issued facility badge while in/on the Government site. The badge will be properly displayed on the front upper torso and be visible at all times. A Common Access Card (CAC) is required for all employees. The CAC will be issued to eligible DoD contractor personnel. Assistance in the CAC will be provided by the COR. Regulations and directives are available from the Security Office.

4.3. Proprietary Information Assurance and Security

4.3.1. The contractor shall protect all data in the strictest confidence; prevent the unauthorized duplication, use and disclosure of information that is subject to the Privacy Act of 1974, HIPAA IAW applicable statutory, regulations, local policies and procedures.

4.3.2. For any references regarding USAMRMC procedures regarding HIPAA, PHI and PII, please refer to Chapter 10. The Health Insurance Portability and Accountability Act (HIPAA) of the HQ USAMRMC IRB Policies and Procedures located at http://mrmc.amedd.army.mil/index.cfm?pageid=research_protections.irbo. Additional information regarding ethical principles, federal requirements and guidelines can be located in Appendix A of the same document. For further information, please contact USArmy.Detrick.MEDCOM-USAMRMC.Other.IRB-Office@mail.mil.

4.3.3 All data received, processed, evaluated, loaded, and created as a result of this contract shall remain the sole property of the Government and shall be returned to the Government at the conclusion of the contract, unless the KO grants a specific exception.

4.3.4. The contractor is prohibited from appropriation, disclosure, or unauthorized use of proprietary information that is acquired in the execution of this contract.

4.3.5. All products including files, software, and other information, which are created, produced, or developed during the period of performance is the property of the Government and shall be returned unless the Government grants the contractor permission to retain the materials and products for continued development or publication.

5.0. Deliverables

5.1. Delivery Address. All deliverables shall be submitted to the COR designated in the COR appointment letter.

5.2. Deliverable/Delivery Schedule. The Contractor shall provide deliverables as described in Table 2. The following abbreviations are used in the delivery/deliverable schedule:

Table 1: Abbreviations

A summary of deliverables follows. Copies are to be provided to the Government officials indicated in electronic file (E), and/or hard copy (H).

E: Electronic H: Hard Copy TBD: To Be Determined

Option Year 1 - Competency-based Assessment Tools for nursing applicable draft.

Option Year 2 – Provide final drafts of CARs and Clinical Coaching Plans

Option Year 1: Draft of OIC/Unit leader and overview of the competency program for executive leaders video presentation; Train-the-trainer content Option Year 2: Final draft of advance preceptor course content, OIC/Unit Leader video presentation, and overview of the program presentation

Option Year 1: Executive Level Summary of Implementation Progress and Collaboration; Military-Treatment Facility on-going support and guidance Option Year 2” Military Treatment Facility on-going support and guidance in option year 2.

5.3 Method of Delivery. All deliverables will be submitted by electronic copies via E-mail using Microsoft Office suite of tools (for example, MS Word, MS Excel, etc.)

5.4. Government Acceptance Period

5.4.1. The COR will have ten (10) workdays to review draft deliverables and make comments. The Contractor shall have five (5) workdays to make corrections. Upon receipt of the final deliverables, the COR will have two (2) workdays for final review prior to acceptance or providing documented reasons for non-acceptance. Should the Government fail to complete the review with the review period, the deliverable will become acceptable by default, unless prior to the expiration of the ten (10) workdays the Government notifies the Contractor in writing to the contrary. The final submission should be deemed approved if the Government has not rejected it in thirty (30) workdays.

5.4.2. The COR will have the right to reject or require correction of any deficiencies found in the deliverables that are contrary to the information contained in the Contractor’s accepted proposal. In the event of a rejected deliverable, the Contractor will be notified in writing by the COR of the specified reasons for rejection. The Contractor shall have five (5) workdays to correct the rejected deliverable and return it per delivery instructions.

6.0 Government Estimated Labor Categories and Equivalents to Federal Hires

6.1. Estimated Labor Categories: The Government estimates that this requirements will require an approximate level of effort and categories, as outlined below, to accomplish the tasks identified in the PWS. Please note that the Government estimate is only put in place for Offeror to ascertain the approximate or estimated level of effort for this PWS. However, this is not to be construed as either mandatory or necessarily the best technical approach. It is only in place as a reference to allow Offerors to better understand the general scope of this effort from the Government’s perspective. The Government is seeking the best level of effort and labor mix the offeror has determined is right to accomplish the mission contained in this task statement. Offeror is not bound to propose these labor categories or quantities, rather offerors are expected to provide the best solution citing the labor mix and quantity required to accomplish the PWS. If offeror has determined either the following labor categories or overall level of effort provided are not its best technical solution, offeror is strongly encouraged and expected to submit a level of effort consistent with all of the cost/price and non-cost/price aspects of its approach.

6.1.1.Executive Director of Education, GS 12

6.2. Qualification and Salaries Equivalents to Federal Hires: Contractor should be award of FAR 52.222-42 as incorporated in Section I.