B09_W90VN6-17-T-0020-0004.pdf

411TH CSB, KOREA - RCO OSAN

POC: MS. NAM, YUCHIN

011-82-31-661-5499

YUCHIN.NAM1.LN@MAIL.MIL

APO AP 96278-2039

UNITED STATES OF AMERICA (THE)

F3J4MD6335AQ01

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

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

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

30-105-04EXCEPTION TO SF 30

APPROVED BY OIRM 11-84

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

FAR (48 CFR) 53.243

The purpose of this amendment is to revise the performance of w ork statement (PWS) and to clarify the technical factors as per performance of w ork statement. Therefore, the solicitation is extended the closing date 3 April 2017, 1400 Hrs (Korean Time).

1. CONTRACT ID CODE PAGE OF PAGES

J 1 22

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

16C. DATE SIGNED

BY 29-Mar-2017

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

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

8. NAME AND ADDRESS OF CONTRACTOR (No., Street, County, State and Zip Code) X W90VN6-17-T-0020

X 9B. DATED (SEE ITEM 11)

31-Jan-2017

10B. DATED (SEE ITEM 13)

9A. AMENDMENT OF SOLICITATION NO.

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

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

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

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

or (c) By separate letter or telegram which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN

REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by telegram or letter, provided each telegram or letter makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

12. ACCOUNTING AND APPROPRIATION DATA (If required)

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

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

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

CONTRACT ORDER NO. IN ITEM 10A.

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

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

D. OTHER (Specify type of modification and authority)

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

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

10A. MOD. OF CONTRACT/ORDER NO.

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

6. ISSUED BY

3. EFFECTIVE DATE

27-Mar-2017

CODE

411TH CONTRACTING SUPPORT BRIGADE, KOREA

RCO OSAN, UNIT #2039

APO AP 96278-2039

UNITED STATES OF AMERICA (THE)

W90VN6 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE W90VN6

FACILITY CODECODE

EMAIL:TEL:

W90VN6-17-T-0020

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 1449 - CONTINUATION SHEET

SOLICITATION/CONTRACT FORM

The required response date/time has changed from 02-Mar-2017 02:00 PM to 03-Apr-2017 02:00 PM.

The following have been added by full text:

BASIS OF AWARD

EVALUATION FACTORS FOR AWARD

A. Basis for Contract Award

(1) This is a LPTA (Lowest Priced Technically Acceptable) source selection conducted in accordance with Federal Acquisition Regulation (FAR) 15. Award will be made to a single offeror who submitted the Lowest Priced Technically Acceptable quote that satisfies all terms and conditions of this solicitation.

B. Evaluation Criteria

(1) Evaluation criteria consist of following factors. The Quotes will be evaluated based on below evaluation factors.

FACTOR A – TECHNICAL CAPABILITY:

Sub-Factor 1- Family Nurse Practitioner (FNP)'s Prior Experience: The FNP shall have minimum one (1) year of experience within the last three (3) years in providing service for Family Nurse Practioner.

Resume must clearly identify information as required below:

- Proposed position title

- A description of qualifying work experience

- Company Name/Employer, email/phone number of validating point of contact (POC)

- Length of work experience (year/month/date - year/month/date)

Sub-Factor 2- Degree: The FPN shall have a certificate for Master Degree of Science in Nursing minimum requirement.

Sub-Factor 3- License: The FPN must have and maintain throughout course of the contract a current, active, valid, unrestricted license (with no limitations, stipulations or pending adverse actions) to practice as a RN Practitioner. License must be recognized and accepted by the State of practice in accordance with governing regulation.

Sub-Factor 4- Certificate of BLS/CPR: The FPN must maintain current certification in either the American Heart Association Basic Life Support (BLS) (Course C) or the American Red Cross CPR/BLS Course.

FACTOR II. Past Performance: Past performance will be rated on an "acceptable" or "unacceptable" basis.

Offerors are authorized to provide information on the problems encountered on the identified contracts and the Offeror’s corrective actions. The Government may ascertain past performance information on the Offeror from sources other than the references provided. In the case of an offeror without a record of relevant past performance or for whom information on past performance is not available or so sparse that no meaningful past performance rating can be reasonably assigned, the offeror may not be evaluated favorably or unfavorably on past performance (see FAR 15.305 (a)(2)(iv)). Therefore, the offeror shall be determined to have unknown past performance. In the context of acceptability/unacceptability, "unknown" shall be considered "acceptable."

The offeror shall have recent and relevant past performance in LPN Services. Recent past performance is within the last five (5) years as of the opening date of the solicitation. Relevant past performance are those that are the same or similar services based on size, scope, complexity, and contract type.

(a) Contract references. For each Past Performance submission as required in the below format:

- FPN’s name and nationality

- A description of work completed

- Name of the Client Organization or Requiring Activity

- Length of contract/project (year/month/date – year/month/date)

- Complete name, e-mail and phone number of point of contact (POC) at Client Organization

FACTOR III. Price Proposal: The Offeror shall provide complete price proposal to include:

(a) Schedule of Services (CLIN) of the RFP

The following have been modified:

ADDENDUM TO FAR 52.212-1

Addendum to FAR Provision 52.212-1 Instructions to Offerors – Commercial Items (Apr 2014)

1. CONTRACT AWARD:

1.1. The Government intends to execute Firm Fixed Price (FFP) CLINs for personal service. Award will be made to the responsible Offeror submitting the Lowest Price Technically Acceptable (LPTA) offer in accordance with the Federal Acquisition Regulation (FAR) Parts 12 and 13.5 that satisfies all terms and conditions of the solicitation.

Offers will be evaluated for acceptability, but not ranked using the non-cost factors/subfactors. All non-cost factors and subfactors will be rated as either “acceptable” or “unacceptable”. In order to be considered for award, there must be an “acceptable” rating in every non-price factor/subfactor. In other words, a rating of “unacceptable” for any factor or subfactor will result in the entire offer being rated “unacceptable”.

1.2. In accordance with FAR 52.212-1 “Instructions to Offerors-Commercial Items (APR 2014), the Government reserves the right, based on the Government’s best interests, to make a determination to: 1) award without discussions; 2) make a single award for this requirement; 3) establish a competitive range in order to conduct discussions; and/or 4) make no award if, upon evaluation, none of the proposals are deemed likely to meet the requirements.

2. PROPOSAL SUBMISSION: Offerors’ proposals shall adhere to the following instructions:

2.1. These instructions are designed to ensure submission of essential information in order for the Government to understanding and evaluate proposals. Offerors are cautioned to follow the detailed instructions fully and carefully, as the Government reserves the right to make award based on initial offers received, without discussions with Offerors.

2.2. Offerors are cautioned to submit adequate information to enable the Government team to fully ascertain each Offeror’s capability to perform all of the requirements identified in the solicitation. All commitments made in the proposal shall become a part of the resultant contract.

2.3. Offerors are required to submit complete proposals (Technical Proposal, Past Performance Proposal, and Price Proposal) and below Paragraphs 2.4. - 2.7. through Federal Business Opportunities (FBO) (https://www.fbo.gov/) by 14:00 hours (Local Korea Time) on the closing date of the Request for Proposal (RFP). All questions should be emailed to the Contract Specialist at yuchin.nam1.ln@mail.mil within 7 calendar days after the solicitation is issued. Questions received after this date and time may not be answered.

FACTOR A – TECHNICAL CAPABILITY:

Sub-Factor 1- Family Nurse Practitioner (FNP)'s Prior Experience: The FNP shall have minimum one (1) year of experience within the last three (3) years in providing service for Family Nurse Practioner.

Resume must clearly identify information as required below:

- Proposed position title

- A description of qualifying work experience

- Company Name/Employer, email/phone number of validating point of contact (POC)

- Length of work experience (year/month/date - year/month/date)

Sub-Factor 2- Degree: The FPN shall have a certificate for Master Degree of Science in Nursing minimum requirement.

Sub-Factor 3- License: The FPN must have and maintain throughout course of the contract a current, active, valid, unrestricted license (with no limitations, stipulations or pending adverse actions) to practice as a RN Practitioner. License must be recognized and accepted by the State of practice in accordance with governing regulation.

Sub-Factor 4- Certificate of BLS/CPR: The FPN must maintain current certification in either the American Heart Association Basic Life Support (BLS) (Course C) or the American Red Cross CPR/BLS Course

FACTOR II. Past Performance: Past performance will be rated on an "acceptable" or "unacceptable" basis.

Offerors are authorized to provide information on the problems encountered on the identified contracts and the Offeror’s corrective actions. The Government may ascertain past performance information on the Offeror from sources other than the references provided. In the case of an offeror without a record of relevant past performance or for whom information on past performance is not available or so sparse that no meaningful past performance rating can be reasonably assigned, the offeror may not be evaluated favorably or unfavorably on past performance (see FAR 15.305 (a)(2)(iv)). Therefore, the offeror shall be determined to have unknown past performance. In the context of acceptability/unacceptability, "unknown" shall be considered "acceptable."

The offeror shall have recent and relevant past performance in LPN Services. Recent past performance is within the last five (5) years as of the opening date of the solicitation. Relevant past performance are those that are the same or similar services based on size, scope, complexity, and contract type.

(a) Contract references. For each Past Performance submission as required in the below format:

- FPN’s name and nationality

- A description of work completed

- Name of the Client Organization or Requiring Activity

- Length of contract/project (year/month/date – year/month/date)

- Complete name, e-mail and phone number of point of contact (POC) at Client Organization

FACTOR III. Price Proposal: The Offeror shall provide complete price proposal to include:

(a) Schedule of Services (CLINs/SubCLINs) of the RFP

2.4. FAR Clause 52.212-3, Alt I, OFFEROR REPRESENTATIONS AND CERTIFICATIONS- Commercial Items: The offeror shall provide a complete FAR 52.212-3, Alt 1, (h) & (k).

2.5. Local Clause 5152.204-4032, REPRESENTATIONS AND CERTIFICATIONS: The offeror shall provide a complete Local clause 5152.204-4032

2.6. Point of Contact (POC): Name(s) and telephone number, and e-mail address of person(s) authorized to conduct discussions/negotiations and to financially bind the company.

2.7. Signed Solicitation and Amendment: Signed first page of the solicitation (SF1449) and each amendment

(SF30) (if any amendment were issued)

3. RATINGS:

The following ratings will be used in evaluating all non-price factors and subfactors except Past Performance:

Acceptable Proposal clearly meets the minimum requirements of the solicitation Unacceptable Proposal does not clearly meet the minimum requirements of the solicitation

The following ratings will be used in evaluating Past Performance:

Acceptable Based on the Offeror’s performance record, the Government has a reasonable expectation that the Offeror will successfully perform the required effort, or the Offeror’s performance record is unknown (See note below)

Unacceptable Based on the Offeror’s performance record, the Government has no reasonable expectation that the Offeror will be able to successfully perform the required effort

4. PRE-AWARD SURVEY

A pre-award survey may be conducted on all firms, to include joint venture partners and subcontractors indicating firm commitments to this acquisition, submitting proposals. The pre-award survey is to determine the prospective contractor’s responsibility in accordance with FAR Part 9.104-1. Information may be requested as required by the Contracting Officer and the information shall be submitted within three working days of the request.

PWS

PERFORMANCE WORK STATEMENT

Deployment-Related Health Assessment (DRHA)/ Annual Mental Health Assessment (MHA)

Family Nurse Practitioner (FNP)

FLIGHT MEDICINE

51ST AEROSPACE MEDICINE SQUADRON

51ST MEDICAL GROUP

OSAN AIR BASE,

REPUBLIC OF KOREA

TABLE OF CONTENTS

SECTION TITLE

1 INTRODUCTION

2 BACKGROUND

3 SCOPE OF WORK

4 QUALITY ASSURANCE SURVEILLANCE PLAN

5 POSITION DESCRIPTIONS

6 APPLICABLE TECHNICAL ORDERS, SPECIFICATIONS, REGULATIONS, AND

MANUALS

7 ACRONYMS AND DEFINITIONS

1.0. INTRODUCTION.

1.1. The contractor shall provide the services of one family nurse practitioner (FNP). The FNP shall conduct all duties of the FNP following all terms, conditions, general and special provisions, specifications, and attachments contained herein or incorporated by reference. In addition to the education, certification, and experience listed in the basic contract and in the position description, the Family Nurse Practitioner shall perform deployment-related health assessments and annual mental health assessments that comply with applicable Department of Defense (DoD) and Air Force policy and guidance, to include required standards of care and clinical practice guidelines. Additionally, the Family Nurse Practitioner must have a working knowledge of Microsoft Office applications and must become proficient in the use of the following computer systems: Composite Health Care Systems (CHCS), Armed Forces Health Longitudinal Technology Application (AHLTA), Aeromedical Services Information Management System (ASIMS), and the electronic medical record systems that may eventually replace these computer systems.

Performance shall be in accordance with the requirements contained in this performance-based work statement.

1.2. All services shall be provided in accordance with established standards, principles, and ethics of the FNP profession and applicable professional specialty organizations. All services provided shall be in accordance with The Joint Commission (TJC) standards, the Accreditation Association for Ambulatory Health Care (AAAHC), Department of Defense instructions, Air Force Instruction (AFI) 40-701, and the professional standards at the military treatment facility (MTF). These documents are available in the MTF and are maintained by the United States Government. Supplements or amendments to instructions or publications from any organizational level may be issued during the life of the contract. The Contractor shall immediately implement those changes. Contract health care providers (contract personnel) shall give the highest regard to patient dignity and observe the precepts of the American Hospital Association’s Bill of Rights for Patients. The Contractor shall be held accountable for compliance to the standards listed in the Comprehensive Accreditation Manual for Hospitals (CAMH) dated 2017 or current version.

1.3. The contract personnel shall provide services in conjunction with other non-contract personnel to include physicians, nurse practitioners, physician assistants, registered and licensed practical nurses, and support personnel.

All contract personnel shall perform essentially the same functions, within the scope of acceptable practice for the specific specialty or position, as those required by Air Force or Government service health care professionals of similar experience and in similar duty assignments. The scope of services provided in MTFs cover the same range of services as those that are provided in civilian treatment facilities of similar size and scope of services.

1. 4. This is a personal services contract (as defined by FAR Subpart 37.104) and is intended to create an employer-employee relationship between the Government and the individual health care providers only to the extent necessary for providing the health care services required under the contract. The performance of health care services by individuals under a personal services contract are subject to day-to-day supervision and control by health care facility personnel comparable to that exercised over military and civil service individuals engaged in comparable health care services. Any personal injury claims alleging negligence by personnel within the scope of performance of the personal services contract shall be processed by DoD in the same manner as claims alleging negligence by DoD military or civil service personnel. The contract does not create an employer-employee relationship between the Government and any corporation, partnership, business association or other party or legal entity with which the individual may be associated. The authority for this contract is Title 10 United States Code (USC) 1089 and Title 10

USC 1091.

1.4.1. Professional Liability. Pursuant to 10 USC 1089(a), DoD shall process any personal injury claim alleging negligence by the FNP within the scope of the FNP’s performance under this contract as claims alleging negligence by DoD military or civil service personnel. The contractor or individual is not required to maintain medical malpractice liability insurance, and the Government will not reimburse or otherwise pay for such insurance should any be purchased.

1.4.2. Responsibility and Procedures.

1.4.2.1. If any suit or action is filed or any claim is made against the contract individual, which occurred as a result of work performed by the FNP under this contract, the FNP shall immediately notify the contractor, the contracting officer, and the chief of the appropriate services and promptly furnish them copies of all pertinent documents received.

1.4.2.2. The contractor and contract FNP shall cooperate with the government, without further compensation, in the processing, review, settlement, or defense of the suit, action, or claim; and authorize government representatives to settle or defend the claim and to represent the FNP in, or take charge of, any litigation involved in such an action.

The contract FNP may, at the contract FNP’s own expense, participate in defense of such claim or litigation.

1.5. Contractor Responsibility.

1.5.1. The Contractor shall accomplish the assigned work by employing and utilizing a qualified candidate with appropriate combinations of education, experience, knowledge, training, abilities and skills.

1.5.2. The provider will begin performance in the MTF at the earliest possible date, but not more than 120 days from contract award. All status of forces agreement (SOFA) or host nation requirements, health, security and credentialing/privileging requirements shall be met prior to start of performance by an initial or replacement provider.

1.5.3. The Contractor is responsible for obtaining all passports, visas, or other documents necessary for the provider to enter and/or exit the foreign country where performance is required.

1.5.4. Substitute or temporary coverage for a permanent provider is required for unplanned absences over 160 consecutive hours. All SOFA or host nation requirements, health, security and credentialing/privileging requirements shall be met prior to start of performance by an initial or replacement provider.

1.5.5. The Contractor shall provide internal, Air Force-specific orientation to the provider to include the following topics:

Purpose of contract Personnel qualifications, responsibilities, and duties Work hours o MTF-specific o Vacation, sick or paid time off

Dress code MTF point of contact/Quality Assurance Evaluator responsibilities Security policies o Automated Data Processing (ADP) III /Standard Form (SF) 85P Submission o Health Insurance Portability and Accountability Act (HIPAA)

Host nation information and processing Specific contractor/subcontractor requirements Military Customs and Courtesies Chain of command for problem identification/resolution o Pertinent to contract o Pertinent to the Air Force (AF) and the MTF

Working environment at the MTF and becoming part of the MTF team

2.0. BACKGROUND.

2.1. The mission of the military healthcare system (MHS) is to ensure the nation has available, at all times, a healthy military force supported by a combat ready healthcare system. Health care services for eligible MHS beneficiaries are provided at military treatment facilities (MTFs) located on or near military installations or posts.

The military treatment facility may be a Clinic, Hospital, or Medical Center. Clinics are outpatient facilities offering primary care or lower-complexity specialty care (routine exams, tests, treatments). The Clinic may be a stand-alone site or a satellite of a larger Clinic, Hospital, or Medical Center. The purpose of the Mental Health Assessments (MHA) is to identify and assess post-traumatic stress disorder (PTSD), depression, suicidality, and other mental health conditions to include but not limited to risky alcohol use, emotional issues, social issues that may affect the member’s overall health or capacity to function. The purpose of the deployment-related health assessment (DRHA) Program is to identify and to address Service members’ health care needs related to deployment. DRHAs assist with the early identification and management of deployment-related health concerns and conditions that may surface in the months before or the months to years after deployment. DRHAs are a vital component of the Air Force’s ability to provide effective care and treatment for members with deployment-related health concerns.

There are four key elements of the DRHA Program mission:

2.1.1. Outreach. Positive outreach messages demonstrate the understanding that deployments can impact health, deployers efforts are respected, and their quality of life is important. Leadership engagement in outreach is vital;

studies show that unit Commanders can have a direct impact on Service members’ willingness to seek assistance for deployment health concerns.

2.1.2. Early Identification. Early, proactive identification of health concerns facilitates definitive treatment and reduces probability of chronic issues, increased health care costs, and individual distress.

2.1.3. Education. DRHAs rely heavily on the delivery of multiple levels of education to multiple audiences, including deployers, leaders, and clinicians. Educating patients about their deployment-related health concerns and treatment options is critical.

2.1.4. Access to Care. Effective education and outreach ensure deployers know the range and avenue for accessing care, receive assistance in finding easy access to timely appointments, and obtain appropriate referral or follow-up care.

2.2. The 51st Medical Group mission is to transition smoothly from community healthcare to contingency operations and respond to a full spectrum of health requirements, prepare medically ready forces, expand medical capabilities, and sustain war reserve materiel in support of 7 AF and USFK.

3.0. SCOPE OF WORK.

3.1. To support the DRHA and MHA programs, the 51st Medical Group has a requirement for one (1) FNP. The contractor shall provide all labor, materials, tools, equipment, transportation, and materials necessary to recruit, qualify and retain the social worker for one (1) year.

3.2. Administrative.

3.2.1. Contractor Representative. The Contractor shall designate, in writing, a primary point of contact for contract coordination and implementation not later than five business days after receiving notice of contract award. Changes in the primary point of contact, at any time, shall require the Contractor to notify the Contracting Officer (KO) of the new representative at least five working days prior to the change. This notification shall be in writing and shall state the name and contact information for the new point of contact.

3.2.2. The Contracting Officer’s Representative (COR) will be the KO’s authorized representative in administering the contract at the MTF level. The Contractor’s representative shall be available to discuss any problems that the Contractor’s personnel may be experiencing during the performance of this contract. Problems experienced by the Government with the Contractor’s performance will be discussed and resolved. Unresolved problems will be referred to the KO for resolution.

3.2.3. The Contractor may use non-compete provisions in its employment agreements to prevent the loss of personnel by the Contractor during the period of performance of this contract. However, the Contractor shall not use non-compete provisions in its employment agreements that would prevent its contract personnel from being employed by or from accepting offers of employment from the new Contractor of the follow-on contract. It would hinder the Government’s ability to accomplish the mission of providing medical care to its beneficiaries.

3.2.4. The Contractor and contract personnel shall abide by all MTF standards, rules, and procedures including requirements for any licensure, credentialing, and quality assurance requirements. Such regulations include, but are not limited to, general safety, fire prevention, waste disposal, infection control, TJC, and patient safety initiatives.

3.2.5. Media and Other Inquiries. The Contractor shall not respond to any media inquiries. Any inquiries from the media, third parties, or public agencies shall be immediately relayed to the COR, who will relay them to the MTF Public Affairs Officer or, after duty hours, to the Administrative Officer of the Day. There shall be no interviews, comments, or any other response without the knowledge and approval of the MTF Commander. Other than routine inquiries from external agencies, all other inquiries and complaints shall be brought to the attention of the COR.

3.2.6. Emergency health care for contract personnel. The MTF will provide emergency healthcare for injuries or life threatening medical emergencies occurring while on duty at the MTF. The Contractor shall reimburse the Government for such services as billed by the MTF.

3.3. Conflict of Interest.

3.3.1. The Contractor or contract personnel shall not bill the patient for services rendered under this contract. The Contractor or contract personnel shall not request or accept compensation of any kind for patients treated, procedures performed, or any other actions performed, except under the terms and conditions of this contract, at the rate specified.

3.3.2. The Contractor or contract personnel shall not, while performing services under this contract, advise, recommend, or suggest to persons eligible to receive medical care at Government expense that such persons should receive care from the Contractor or contract personnel or from any third party at any place other than as designated under this contract.

3.3.3. Confidentiality of Information. Unless otherwise specified, all financial, statistical, personnel, and/or technical data which is furnished, produced or otherwise available to the Contractor during the performance of this contract are considered confidential business information and shall not be used for purposes other than performance of healthcare services under this contract. The Contractor shall not release any of the above information without prior written consent of the KO. The Contractor or contract personnel shall not use patient care rendered pursuant to this contract as part of a study, research project, or publication. The contract personnel shall prepare medical records, forms and documents as required, in accordance with the regulations and established guidelines listed in the contract. The provider will comply with all Air Force Medical Service requirements for safe keeping, handling, release, and disposal of any of the above information.

3.3.4. The contract personnel shall not use Government facilities, supplies, or equipment in private practice or for any purpose other than providing the healthcare services required under this contract.

3.4. Security.

3.4.1. Security Identification Badges. The Contractor and contract personnel shall comply with the local installation and MTF requirements for on-site personnel identification and access requirements.

3.4.1.1. While on site, each contract personnel shall wear a visible security badge identification, provided by the military installation or the MTF, on the front of his/her outer clothing. The badge must show the full name, title and, if required by the Military, the word “Contractor” in front. The COR will provide the paperwork to request identification badges.

3.4.1.2. The Contractor is responsible for absences of contract personnel due to expired identification and access documents. Such absences shall not relieve the Contractor of its obligation to perform the healthcare services required under this contract.

3.4.1.3. The contract personnel shall immediately report any lost or stolen badges to the COR.

3.4.1.4. The contract personnel shall turn in all identification badges to the COR, or their designated representative upon termination of their services under this contract.

3.4.2. Vehicle Registration. The MTFs are located on restricted access military installations. The Contractor or contract personnel shall comply with the local installation requirements for vehicle registration and operation on the military installation. All contract personnel must register their vehicles with the office responsible for vehicle registration to gain access onto the military installation. A valid driver’s license, Government-furnished civilian identification, proof of insurance, and current registration must be presented to the Provost Marshal’s Office, at which time a DoD decal will be issued. The decal shall be placed on the vehicle’s front windshield in accordance with instructions.

3.4.2.1. All vehicles, with or without a DoD decal, are subject to search. Contract personnel may encounter long delays for vehicle inspection and identification checks upon entering and exiting the installation. The Government will not reimburse the Contractor for time spent at installation checkpoints. Contract personnel must plan accordingly and report to work at their scheduled duty time, at their appointed place of duty within the MTF.

3.4.2.2. Contract personnel shall follow installation procedures for removal and turn-in of the vehicle decal upon termination of services under this contract.

3.4.2.3. Security. The contractor shall notify the 51st Security Forces Squadron at Osan Air Base, 30 days before on-base performance of the contract begins. The notification shall include:

a. Name, Address, and Telephone Number of Contractor

b. The contract number and contracting agency

c. The reason for the contract (i.e., the work to be performed)

d. The location(s) of contract performance and future performance, if known

e. The date contract performance begins

f. Any change to information previously provided under this paragraph

3.4.2.4. The contractor shall ensure the following pass and identification items required for contract performance are obtained for contractor and non-government owned vehicles:

a. DD Form 1172, Application for Uniformed Services Identification Card, if applicable

b. AETC Form 58, Civilian Identification Card, if applicable

c. AF Form 2219 (series), Registered Vehicle Expiration Tab

d. DD Form 2220, DoD Registered Vehicle and Installation Tab

e. AF Form 75, Visitor/Vehicle Pass

f. AF Form 1199, USAF Restricted Area Badge, or locally developed badge.

3.4.2.5. The contractor shall return all identification media, including vehicle decals, to the Pass & ID office upon completion/termination of the contract, as appropriate.

3.4.3. Keys. The Contractor shall be responsible for any keys issued by the Government to contract personnel for use in the MTF. The keys shall not be duplicated. The Contractor shall be financially responsible for the replacement of any lost keys and any associated locks. Lost keys and/or locks shall be reported to the issuing party, Department Chief, or COR immediately upon recognition of the loss.

3.4.4. Safeguarding Material. The contract personnel shall be responsible for safeguarding all Government property. The Contractor shall safeguard information of a confidential or sensitive nature. All patient related information is considered confidential and sensitive. If working remotely, Contractors are prohibited from reproducing patient information in any way. This includes printing. Neither the Contractor nor any of its contract personnel shall disclose or cause to be disseminated any information concerning the operation of the MTF that could result in or increase the possibility of a breach in security or interrupt the continuity of operations or which breach the requirements of the Federal Privacy Act of 1974. However, the Contractor may be required to provide testimony or disposition in cases of due process action.

3.4.5. Smoking In Facilities. Contractors are advised that the Commander has placed restrictions on the smoking of tobacco products in and around facilities. AFI 40-102, Tobacco Use in the Air Force, and its supplements, outline the procedures used by the commander to control smoking in our facilities. As of now, the medical treatment facility is a smoke free campus. Contract personnel and visitors are subject to the same restrictions as government personnel. Smoking is not permitted anywhere on the medical campus.

3.4.6. National Agency Check. As a minimum, Contractor personnel shall successfully complete a National Agency Check before operating government-furnished workstations that have access to Air Force automated information systems. Requests for personnel hired at the beginning of the contract, shall be submitted to the Government not later than 45 working days from the contract start date. Requests for personnel hired subsequent to the contract start date shall be submitted to the Government not later than five workdays from the first duty day. Contractor personnel receiving unfavorable National Agency Checks shall not be employed. The government will submit requests for investigations on AF Form 2583, “Request for Personnel Security Action”, at no additional cost to the contractor. The contractor shall comply with the requirements of DoD 5200.2-R, Personnel Security Program, and AFI 33-119, Electronic Mail (E-Mail) Management and Use.

3.4.7. The contractor shall comply with the requirements of Volume 1, AFI 71-101, Criminal Investigations, and paragraph 1.1 of Volume 2, Protective Service Matters. Contractor personnel shall report any information or circumstances of which they are aware that may pose a threat to the security of DoD personnel, contractor personnel, resources, and classified or unclassified defense information to the Chief, Pharmacology Services. The Contract personnel’s immediate supervisor shall brief him/her upon initial on-base assignment and as required thereafter.

3.4.8. Physical Security. The contractor shall safeguard all government property, including controlled forms provided for contractor use. At the close of each work period, government equipment, facilities, and other valuable materials shall be secured.

3.4.9. Entry Procedures to Controlled or Restricted Areas. The contractor shall implement local base procedures for entry to Air Force controlled or restricted areas where contractor personnel will work.

3.5. MTF ORIENTATION AND TRAINING.

3.5.1. MTF in-processing checklist. When commencing work under this contract, the contract personnel shall obtain in-processing checklist(s) from the COR or designated office. All contract personnel are required to complete the applicable items on the checklist and turn it in to the designated office. Upon completion of the duty assignment, the contract personnel need to complete an out-processing checklist and return it to the designated office. The Contractor shall ensure that all contract providers participate in the MTF orientation procedures for newly assigned providers to include regulations specific to their professional specialty and hospital and Air Force policy and procedures.

3.5.2. MTF and Unit Orientation. The contract personnel shall be provided with a Government paid orientation to familiarize the contract personnel with the policies and procedures of the MTF, assigned department, and specific unit.

3.5.3. Annual training requirements. The Contractor shall ensure that contract personnel complete any mandatory annual training requirements in accordance with 51st Medical Group procedures.

3.5.4. Government unique training. The Government may elect to provide unique Government training to contract personnel who are performing services under this contract. If the Government elects to provide such training, the Government will provide such training at no additional expense to the Contractor or to the contract personnel.

When directed by the KO, contract personnel shall attend all such training in a paid status as part of the normal services required and billed under the contract. Such training shall require a performance commitment by the Contractor and the Contractor shall reimburse the Government (by means of a reduction in an invoice) if a contract personnel fails to satisfy the performance commitment after the contract personnel receives the unique Government training. The amount of the reimbursement shall be the prorated cost of training, calculated based on the total cost of the training and the number of months by which the contract personnel fails to complete the performance commitment. The length of the performance commitment shall be 12 months or until the end of all performance under this contract, whichever occurs first.

3.5.5. Computer Training. Contract personnel who have any interaction with the MTF computer systems must receive training for the applicable system(s). The COR will coordinate the necessary computer training. The training will be on-site and during normal duty hours. This training will be at no cost to the Contractor. These systems include but are not limited to:

3.5.5.1. Composite Healthcare Computer System (CHCS) is the military’s world-wide automated medical information system that interfaces with 40 plus external clinical and administrative systems.

3.5.5.2. Armed Forces Health Longitudinal Technology Application (AHLTA) contains the MTF’s appointment scheduling program, pharmacy, lab, and radiology ordering system and is interlinked with other departments in the MTF. In addition, it contains the electronic medical records for MHS beneficiaries.

3.5.5.3. Ambulatory Data System. This computer system produces forms on which the providers identify the appropriate billing codes for diagnoses and procedures for each patient.

3.5.6. Records. The contractor shall create and maintain Government-owned/contractor-held records, regardless of media, in accordance with AFI 33-119, Electronic Mail (E-mail) Management and Use, paragraph 8; AFI 33-202, Computer Security, paragraphs 3.5.1 and 3.6.1; AFI 33-322, Records Management Program, paragraphs 7,8,9 and 10 and supplements; AFMAN 37-123, Management of Records, Chapters 2 – 6, paragraphs 7.10 – 7.29, AFMAN 33-323, AFI 37-138, Records Disposition—Procedures and Responsibilities, Chapters 2, 3 and 6, and supplements;

and Electronic Records. The contractor shall segregate the government-owned records from the company-owned records. Identify all records required to be created by the statement of work on the Records Information Management System (RIMS) file plans. Upon completion of this contract, all government-owned/contractor-held records (regardless of media) received, created, maintained or provided in the performance of the statement of work shall be turned over to the Government. Background electronic data and records specified for delivery to the contracting agency must be accompanied by sufficient technical documents to permit the Air Force to use the data.

In the event of default or non-performance, the Government will have access to all records in order to ensure mission support is not interrupted.

3.6. MILITARY TREATMENT FACILITY HOURS OF OPERATION

3.6.1. The MTF provides services 24 hours a day, 365 days a year (366 days during leap years) including holidays.

Clinics have designated operating hours.

3.6.1.1. Hours of Operation: The Contractor shall be available to work in 51st Medical Group from 0730 to 1630.

Monday through Friday 8-hour workday, excluding lunch time. Work Schedules. A normal work week is 40 hours (8 hours per day). Duty hours will be dayshift hours, no weekends and no Federal Holidays. Duty hours may include Air Force down days or base exercise days where limited military staffing is available and foreign holidays.

The Contractor will be compensated only for time actually devoted to delivery of services in this contract unless a base or MTF closure prevents the provider from performing a normal, scheduled duty day. For all locations, there may be occasions when mission and workload changes require employees to adjust work schedules to meet demand.

The provider will not perform overtime or on-call duties under this contract. In the instance where the Government supervisor directs the provider to remain on duty in excess of their scheduled shift due to an unforeseen emergency or to complete patient treatment where lack of continuity of care would otherwise jeopardize patient health, the provider shall remain on duty. This provision is not intended to apply to the time required to complete routine tasks (e.g., completion of paperwork or routine administrative tasks at the end of a shift), which are to be completed as part of the normal shift. The provider’s schedule shall be adjusted for the additional hours such that the number of hours on the contract is not exceeded and no overtime is required.

3.6.2. Holidays. The following is a list of legal federal holidays. Any of the 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.

Contract personnel may be required to work on legal holidays as determined by the COR.

New year’s Day, January 1st Martin Luther King’s Birthday, 3rd Monday in January President’s Day, 3rd Monday in February Memorial Day, Last Monday in May Independence Day, July 4th Labor Day, 1st Monday in September Columbus Day, 2nd Monday in October Veteran’s Day, November 11th Thanksgiving Day, 4th Thursday in November Christmas Day, December 25th Wing Down Days/Family Days/Training Holidays/Pacific Air Forces (PACAF) Holidays

NOTE 1: Any holidays that are declared by Presidential Executive Order shall be observed in the same manner as the holidays listed above. If the area in which a contract personnel is scheduled to work is closed due to the holiday declared by an Executive Order and the employee is not required to report in, payment will not be made for those hours. Closures of the installation due to inclement weather or other such acts of God shall be handled in the same manner. The contractor will also not have to provide services on PACAF’s family days or 51st Fighter Wing down days.

3.6.3. Contract personnel shall report to work as scheduled during emergencies, disasters or during adverse weather conditions. Contract services are still required during these situations.

3.6.4. Closures. During anticipated closure of the facility due to Command declared training holidays or unplanned closure of the facility due to natural disasters, military emergencies, severe weather, or otherwise, the Contractors will only be paid for the actual hours that were worked.

3.7. HOURS AND PLACE OF PERFORMANCE.

3.7.1. Scheduling process in 51st Medical Group: One full time equivalent (FTE) will be assigned in 51st Medical Group, Osan Air Base, Republic of Korea. The Contractor shall be available to work 0730 to 1630, Monday through Friday 8-hour workday, excluding lunch time.

3.7.2. Scheduling issues: The COR or their designee will be responsible for communicating with the contractor regarding scheduling issues. The Chief of Medical Staff may act as point of contact after normal duty hours, weekends and holidays. In such cases, the COR shall confirm all actions on the next normal working day. The US Government will pay the Contractor only for the hours actually worked.

3.7.3. Absences and leave:

3.7.3.1. Contractor personnel will be allowed 160 hours of absences per year for vacation, sick leave and miscellaneous reasons. The absences are to be coordinated with, and at the discretion of, the Health Care Integrator.

Absences will not excuse the performance of any duty under this contract. The contractor shall notify the COR when a scheduled contract personnel cannot fill a shift due to illness or emergency. Notification shall be as early as possible, but no later than two hours prior to start of scheduled shift. All scheduled absences, including sick absences and emergency absences, are unpaid.

3.7.3.2. When the contractor cannot fill a position, the contractor shall notify the COR.

3.7.3.3. Scheduled absences of contract personnel shall be coordinated with the COR at least 30 calendar days in advance. Depending on how the hours are specified will determine whether or not the contractor supplies a substitute.

3.7.4. The Contractor is responsible for submitting an accurate invoice.

3.7.5. Continuity of Services/Replacement Staff. The Contractor point of contact shall ensure qualified personnel are available to provide coverage during scheduled absences of primary contract provides or when they will be unable to provide services for three or more scheduled duty day.

3.7.6. PERFORMANCE OF SERVICES DURING CRISIS DECLARED BY THE NATIONAL COMMAND

AUTHORITY OR OVERSEAS COMBATANT COMMANDER. On occasion, services may be required to support an activation or exercise of contingency plans outside the normal duty hours. Emergency situations (i.e., accident and rescue operations, civil disturbances, natural disasters, military contingency operations, and exercises) may necessitate the contractor provide increased or reduced support as determined by the contracting officer. The Government will negotiate an equitable adjustment with the contractor for the cost of these emergency requirements.

3.8. LICENSE VERIFICATION AND CREDENTIALS REVIEW OR PRIVILEGING.

3.8.1. United States issued valid FNP license required.

3.8.2. Conduct

3.8.2.1. Contract personnel shall comply with MTF policies regarding personal appearance and conduct.

3.8.2.2. Contract personnel shall abide by federal, state, and local MTF regulations and requirements concerning the nature of limited privileged communication between patients and the contract personnel as may be necessary for security and personnel reliability programs. They shall also abide by federal, state, and local MTF regulations concerning the confidentiality of patient records, as embodied in federal statutes including the Privacy Act of 1974 and the Health Insurance Portability and Accountability Act (HIPAA) of 1996. All medical records and reports will remain the property of the Government.

3.8.2.3. HIPAA Compliance. The Contractor agrees to abide by all the requirements of the Health Insurance Portability and Accountability Act (HIPAA) as codified at 45 CFR Part 160 and Part 164, subparts A and E, and implemented by DoD 6025.18-R regarding the privacy and confidentiality of health records and information being provided and shared under the resulting contract. The Contractor shall also comply with the Business Associate Agreement listed in the appendix under Privacy of Protected Health Information and hereby incorporated into this performance-based work statement.

3.8.2.4. Patient Sensitivity. The contract personnel shall respect and maintain the basic rights of patients, demonstrating concern for…