Att_2_TRIOSS_TO_1_MSTC_PWS.doc

Performance Work Statement (PWS)

TRIOSS Task Order Two (T.O. 1) - Medical Simulation Training Center (MSTC)

12 March 2018

31 Introduction

1.1.1.2 Mission

1.2.1 Background

1.3.1.2 Scope

2 General Requirements 3 Performance Requirements 4 Special Requirements 5 Deliverables 6 Related Documents

Performance Work Statement (PWS) TRIOSS Task Order Two (T.O. 2) - Medical Simulation Training Center (MSTC)

1.0 Introduction

This PWS defines the work required to provide Instructor/Operator (I/O) personnel for Task Order (TO) 2, Medical Simulation Training Center (MSTC). All requirements in the Training Instructor Operator Support Services (TRIOSS) Base PWS, as well as sub-paragraphs, apply to this PWS. Only additional or revised requirements are identified in this TO PWS. As a result, this PWS paragraph numbering may appear out of sequence or some paragraphs skipped, this is only because there are no changes from the TRIOSS Base PWS requirements. The term “Instructor/Operator” (I/O) refers to the individual Instructor performing the tasks/services at each MSTC location.

1.1.1.2 Mission

MSTC systems are an Army training asset with a regional training requirement and are located at various military installations in both the Contiguous United States (CONUS) and Outside Contiguous United States (OCONUS). They deliver effective medical training with a standardized training platform for both classroom and simulated battlefield conditions. The MSTC program supports training for medical and non-medical personnel including Active Duty, Reserve, and National Guard, with priority given to deploying units. The MSTC’s goal is to better prepare Soldiers for the application of medical interventions under combat conditions.

1.2.1 Background

The MSTCs are standardized Army training assets located at various military installations worldwide, delivering effective medical training with a standardized training platform to better prepare military members for application of medical interventions under combat conditions. The MSTC provides medical training and education on new battlefield procedures and equipment, while affording military members the ability to provide comprehensive training in several formats such as the classroom setting, practical hands-on training simulation, trauma lanes, and distance learning. Each MSTC configuration consists of a Virtual Patient System (VPS) that contains all of the MSTC training devices and critical technologies. Training devices include bleed/breath patient simulators, dead-weighted simulators, airway management simulators, partial task trainers and moulage kits that replicate the trauma of multiple wound sites on a single patient. The mission of the Combat Medic is to provide the medical treatment necessary to sustain the combat Soldier in support of the mission. Training Soldiers, leaders and units is the vital ingredient that ensures the readiness of the force to accomplish this mission. To be effective, training must provide Combat Medics with opportunities to practice their skills in a simulated operational environment. Conditions are tough and realistic as well as physically and mentally challenging. The MSTC uses scenarios and situational training exercises to train and evaluate Soldiers, Combat lifesavers and Combat Medics in medical, trauma and evacuation skills. The use of Tactical Combat Casualty Care (TCCC or TC3) in tactics, techniques and procedures is required to reinforce care under fire and tactical field care.

1.3.1.2 Scope

The primary requirement described in this PWS is to provide I/O support for the MSTCs’ classroom management services as well as support for other miscellaneous courses and training events located at facilities throughout the CONUS and OCONUS and includes all Army, Army Reserve, and Army National Guard sites. The requirements described in this PWS are primarily to facilitate Combat Medics enhancing their skills and honing their tactics, techniques and procedures, Military Occupation Specialties (MOS) proficiency and skills to complete their wartime mission.

MSTCs’ primary training focus is on Combat Medic (68W Military Occupational Specialty (MOS)) sustainment training. This training includes Medical Education and Demonstration of Individual Competence (MEDIC) (TC8-800 Tables), Tactical Combat Casualty Care (TCCC or TC3), and National Registry of Emergency Medical Technician (NREMT) training (all levels). Additional training provided at the MSTC includes Combat Life Saver (CLS) initial training and sustainment training to non-medical personnel.

MSTC locations are only funded for training of US Army personnel (e.g. Active Army, Army Reserve/National Guard (ARNG), United States Army Reserve (USAR), and Department of Army Civilians (DAC's)).

2.0 General Requirements

See TRIOSS base PWS.

2.7.2 Location and Hours of Work

The Contractor shall be responsible for providing training and training activities during normal business hours of not less than 8 hours per day Monday through Friday, excluding U.S. federal holidays. Maximum use of flex time shall be used to meet training requirements when necessary to cover weekend operations. The Contractor shall at all times maintain sufficient workforce for the uninterrupted performance of all tasks defined within this TO PWS. To accommodate changing training schedules, it may be necessary to reschedule these training events, or be impacted by federal or state labor laws or policies that cause any of the forty hours to be premium time, however the Contractor will not be required to exceed a forty hour work week. The Contractor shall be provided two weeks’ notice of schedule changes Performance Standards

a) STD: Supports a flexible work schedule that facilitates site/user training requirements during times of: certification cycles, pre-deployment training, ARNG/USAR Inactive Duty Training (IDT, also known as Drill Weekends), or ARNG/USAR Annual Training periods.

b) STD: Contractor representative attends training/coordination meetings or coordinates with the Government representative a minimum of two weeks prior to week of training execution and then on a daily basis, prior to the following days training.

2.7.3 Surge Support Requirements

Surge labor requirements in excess of 40 hours per week will be negotiated on an as needed basis and shall require funding and approval by the Procuring Contracting Officer (PCO) prior to execution.

2.16.5 Army Training Certification Tracking System (ATCTS)

All Contractor employees with access to Government Information Systems must be registered in the ATCTS at commencement of services, and must successfully complete the DoD Information Assurance (IA) Awareness training prior to access to the Information System (IS) and then annually thereafter.

2.16.6 Threat Awareness and Reporting Program (TARP)

All Contractor employees with security clearances must receive annual TARP training by a counterintelligence agent or other trainer as specified in AR 381-12, Threat Awareness and Reporting Program, Paragraph 2-4b.

3.0 Performance Requirements

The following section specifies the Performance Objectives and Performance Elements for the contract.

3.4 General Core Task Order requirements are as follows, but not limited to:

Program Management includes all execution, coordination, oversight, and management functions to perform the TRIOSS contract.

3.4.1 The Contractor shall comply with the following medical certification standards

Combat medic 68W, 18D (Special Forces Medical Sergeant Military Occupation Specialty), Corpsman and 4NOX1 (Aerospace Medical Service Military Occupation Specialty) experience of the specialties described in the standards below:

Performance Standards

a) STD: Medical I/Os shall be current in and maintain National Registry Emergency Medical Technician (NREMT) with a level of Emergency Medical Technician (EMT) or higher.

b) STD: Medical I/Os shall comply with one of the following requirements:

· A former 68W or 18D Noncommissioned Officer (NCO) Advanced Leader Course (ALC) Graduate)

· A former Navy Enlisted Classification (NEC) 8404 or Navy Independent Duty Corpsman E-6 or above

· A former Air Force 4NOX1, or an Aerospace Medical Service (4NOX1) E-6 or above

· Currently licensed Registered Nurse, Physician Assistant or Physician

c) STD: All I/Os must maintain Basic Life Support-Health Care Provider (BLS-HCP) certification and complete TC 8-800 (all tables) or the most current TC3 instructor course offered by the Army Medical Department (AMEDD). All I/Os must complete TC 8-800 skills validation annually.

d) STD: I/Os teaching BLS-HCP shall maintain their BLS-HCP Instructor certification requirement

e) STD: The Contractor shall maintain at least (1) BLS-HCP instructor certification at all sites.

f) STD: The Contractor shall maintain at least (1) Advanced Cardiovascular Life Support (ACLS) instructor certification at all MSTC locations.

g) STD: The I/O shall be knowledgeable and capable of operating computer hardware, Windows software to include Microsoft PowerPoint for classroom presentations and Microsoft Excel for reports.

h) STD: The Contractor shall be responsible for the costs associated with the recertification of all instructor cards and NREMT recertifications.

3.4.2 MSTC Site Lead Qualification Requirements

Performance Standards

a) STD: The Site Lead shall meet and maintain all instructor qualification requirements as well as:

· Minimum 10 years of work experience within the applicable medical scope

· Nationally Registered Paramedic (NRP) certification

3.4.3 Exceptions and Waivers

If a position is unable to be filled due to a regional lack of qualified applicants, a lesser qualified person may be employed on a probationary period, to extend no longer than one year, and may remain past that year if their performance meets the standards IAW and not limited to this PWS. Applicants considered for probationary employment are required to have at least five full-time equivalent years of EMT work experience, which may be calculated as a combination of military and civilian time, and must complete TC 8-800 or the most current TC3 instructor certification. The Contractor may formally request a waiver for qualification requirements to the PCO. The waiver request must explain how the I/O will perform to the requirements of the contract, why no qualified personnel are available, and what actions the Contractor is taking to qualify the candidate. The PCO will reject waiver requests with insufficient justification.

3.4.4 MSTC Training Performance Parameters

Performance Standards

a) STD: The Contractor shall provide I/Os per MSTC site to meet a projected throughput of at least 2500 68W students annually. Throughput is considered as a 68W Combat Medic attending and completing an US Army Emergency Medical Services (EMS) approved course or training event. Exceptions will be handled on a case by case basis.

b) STD: The Contractor shall not count Borrowed Military Manpower or Government civilian Medical Trainers in its staffing calculations to meet minimum throughput capabilities.

3.4.5 Training Foci

MSTCs’ primary training focus is on Combat Medic (68W) sustainment training. This training includes MEDIC TC8-800 Tables, TC3, and NREMT training (all levels). Additional training provided at the MSTC includes CLS initial training and sustainment training to non-medical personnel.

3.4.6 Authority for Programs of Instruction

Performance Standards

a) STD: The instructional services provided will follow the guidance and approval of the Army Medical Department Center and School (AMEDDC&S) Programs of Instruction (POIs), curriculum, and training support packages. Training includes medical training of Combat Medics, supporting the CLS trained Soldiers preservation of perishable skills.

b) STD: All training will follow the training principles and objectives outlined within the MSTC Capability Production Document (CPD). The approval of the site training calendar is the responsibility of the local Course Coordinator, who will also determine training event prioritization when conflicts arise due to limited resources.

3.4.7 Training and Instruction Courses

Performance Standards

a) STD: The Contractor shall provide the following training and instruction:

· Conduct and instruct TC 8-800 sustainment training; conduct NREMT recertification training/validation Instruct CLS in accordance with Army Institute of Professional Development (AIPD) guidelines to units that have minimal medical assets

· Conduct CLS recertification training/validation

· Courses will focus on skills performance in a training scenario, not didactic instruction

· Conduct other sustainment training including but not limited to BLS-HCP

· Operate MSTC training devices in support of 68W led sustainment training, TC 8-800 validation and other 68W training

· Conduct 68W NCO Train the Trainer training

· Medical Just-In-Time-Training (JITT) within MSTC capabilities properly approved by US Army EMS Programs Management Division in support of local commanders

· Assist with maintaining records of training conducted at the MSTC in accordance with US Army EMS Standard Operating Procedures (SOP)

3.4.8 I/O Training Capabilities

I/Os shall be capable of instructing, demonstrating skills and testing Soldiers in all areas of the 68W Sustainment, EMT levels, as well as CLS courses. The NREMT NRP sustainment training shall be provided at all MSTC locations as approved by US Army EMS.

Performance Standards

a) STD: I/Os shall be capable of instructing a mixed population of Soldiers, both inexperienced and seasoned, in class sizes not to exceed the instructor /student ratios as directed by the AMEDDC&S. The training may be conducted in a classroom or a field training/evaluation environment. Proper Instructor to Student ratios (in accordance with Appendix C – US Army EMS Programs Management Division SOP) shall be maintained during training and testing to ensure safety and efficiency. Standard ratios (Instructor: Student) are as follows:

· Classroom lecture: 1:24

· Classroom practical exercise: 1:6

· Invasive procedures: 1:1 (direct observation)

· Skills validation testing: 1:1 (direct observation, per casualty)

b) STD: I/O requested training to attend a class or course during scheduled work hours is authorized, shall be AT NO COST TO THE GOVERNMENT, and must be coordinated by the Course Coordinator and approved by US Army EMS for any of the following:

· Basic Life Support- Health Care Provider (BLS-HCP) recertification or instructor, Pre Hospital Trauma Life Support (PHTLS), Advanced Cardiac Life Support (ACLS), Pediatric Advanced Life Support (PALS), or TCCC provider/instructor courses or other courses as deemed necessary by the Course Coordinator or as required for site accreditation by US Army EMS.

· Other requested training may be to attend Department of Transportation (DOT) or Training and Doctrine Command (TRADOC) instructor courses or a conference that has updated Emergency Medical Services (EMS) information to include products (simulators), procedures, curriculum, or recertification information that can be shared with the MSTC, and 68W and or CLS personnel.

3.4.9 Training Scenario Development

Performance Standards

a) STD: The Contractor site lead shall utilize approved simulation scenarios included in the course POI or as approved by US Army EMS.

b) STD: The Contractor shall ensure that the medical simulation scenarios are designed to be as realistic as possible; therefore, they will utilize moulage techniques, environmental control, and theatrical special effects to simulate the injuries and environment that the military medic or first responder may confront during various operational echelons and or theatres. Moreover, the I/O will assess the students’ critical thinking skills and psychomotor skills based on their ability to perform under these high fidelity situations. All medical training conducted in the MSTCs must be approved by US Army EMS. Any changes to training schedules, course content or doctrine must be approved by US Army EMS.

3.4.10 NRP Sustainment Course

Performance Standards

a) STD: The I/O shall be capable of instructing, demonstrating skills and testing Soldiers in all areas of the 68W Sustainment, EMT, and NREMT Nationally Registered Paramedic (NRP) level in support of EMT Sustainment Course, as well as CLS courses. All I/Os must meet the minimum Instructor qualifications for course they instruct.

b) STD: The I/O shall be comfortable instructing a mixed population of Soldiers, both inexperienced and seasoned, in class sizes not to exceed the instructor /student ratios as directed by the AMEDDC&S.

3.4.11 Other Training

Other Combat Medic sustainment, NREMT and miscellaneous courses and training events may be taught on a site-specific basis upon approval from the PCO and the US Army EMS.

3.4.12 Training Instructional Materials

The Government has unlimited rights in all materials developed at Government expense during the course of this requirement.

Performance Standards

a) STD: The Contractor shall immediately provide these materials upon verbal or written request from the Government.

Deliverable B011 DI-PSSS-81524C Training Evaluation Report

3.4.13 Training Supplies

Performance Standards

a) STD: The Contractor shall notify the COR when consumables are required.

b) STD: The Contractor shall inventory and manage consumable items (skins, synthetic blood, etc.) along with the Preventive Maintenance Checks & Services (PMCS) Kits.

c) STD: The I/Os at each MSTC location, shall be responsible for performing PMCS (daily maintenance) on all equipment. Repair and replacement of training equipment, beyond routine daily maintenance, is supported by Contractor warranties through the various Original Equipment Manufacturers (OEMs).

d) STD: The Contractor will initiate fielded equipment repair/condition status reports and keep the QAR and the Assistant Program Manager (APM)/COR apprised of any issues regarding equipment and patient simulators. The I/O shall follow OEM instructions for handling MSTC equipment/Training Aids, Devices, Simulators and Simulations (TADSS) requiring warranty repair.

e) STD: The Contractor shall notify the maintainer on the Associated Contractor Agreement(s) (ACAs) with the Army TADSS Maintenance Program (ATMP) contract for any equipment failure outside of the warranty period.

3.4.14 Test Support

As medical TCCC-training subject matter experts, the Contractor shall support testing of new medical equipment and procedures as approved by the U.S. Army EMS and coordinated by the QAR.

3.4.15 Units Conducting Unit-Led Training in MSTC Facilities

Performance Standards

a) STD: The I/O shall work with the training unit to assist the unit in preparing for training to include equipment use, preparation and clean up.

4.0 Special Requirements

See TRIOSS base PWS.

5.0 Deliverables

See TRIOSS base PWS.

6.1 Related Documents

The following documents are related to this project:

· Appendix A – MSTC Locations

· Appendix B – Acronyms

· Appendix C – US Army EMS Programs Management Division SOP (for the classroom sizes IAW PWS 3.4.8)