Technical Exhibit 3.7 _ 16-17 May 2020 Chipley.pdf
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- Attached to
- PHA and Dental Services 3Q and 4Q Federal contract opportunity
- Solicitation number
- W911YN-20-Q-0010
About this file
This document contains a technical exhibit outlining the required services and estimated workload for a Preventive Health Assessment and dental services event to take place on May 16-17, 2020 in Chipley, Florida. The event will require setup on May 15 and services including blood draws, vision and hearing screenings, EKGs, immunizations, dental exams, and dental treatment for an estimated 220 to 240 Soldiers over the two days. Specific services and estimated volumes are outlined, along with event schedules, points of contact, and instructions for delivering lab results after the event completion.
The related federal contract opportunity solicitation seeks quotes to provide PHA and dental examination services as well as dental treatment at eight Florida National Guard locations between April and August 2020. Itemized requirements include examination and treatment events at Crystal River, West Palm Beach, Eustis, Miramar, Starke, Pensacola, Jacksonville, and Chipley on various dates. Quotes are requested with pricing broken out by location and service. The solicitation notes the last day for questions is March 12, 2020.
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Text version
TECHNICAL EXHIBIT 3
ESTIMATED WORKLOAD DATA
ITEM
EVENT DATA
1 Place of Performance (Address):
749 7th Street Chipley Florida 32428
Start Date/Time End Date/Time 2 Set Up Date: 15 MAY 2020
3 Dates of Event : 16 MAY 2020 17 MAY 2020 4 Scheduled Times 0730 1530 5 Dental Treatment Times: 0800 COMPLETE
6 Number of Soldiers: MIN: 220 MAX: 240
7 Daily percentage of Soldiers attending event: Day 1 60%
Day 2 40%
EVENT SCHEDULE
Event Day 1
Setup 0600
Check in/briefing military/civilian 0645
Blood draws* (over 40) 0730
All stations prepared to receive Soldier (Minus Dental Treatment) 0730
Dental treatment begins 0900
Status report of patient flow and services 1000
Status report of patient flow and services 1300
Contracted PHA/dental exam services complete 1530
Dental treatment complete 1800
Event Day 2 & 3
Setup 0600
Check in/briefing military/civilian 0645
Dental treatment begins 0700
All other stations prepared to receive Soldiers 0730
Blood draws* (over 40) 0730
Status report of patient flow and services 1000
Contracted PHA/dental exam services complete 1530
Dental treatment complete 1630
*POC for event Set Up or clarification at anytime during the event if the POCs on the ground are unable to assist with an issue please call (numbers to be given upon award of the contract).
*POC during event (to be provided after contract is awarded) Services are coordinated through the Florida National Guard Office of the State Surgeon, hosting units are responsible for ship equipment and site set up.
INDIVIDUAL SERVICES
9 Male and Female 40 and over Blood draws - All blood draws will be completed at the beginning of the day within the first 2 hours so Soldiers will be able to eat after fasting in a timely manner
Total: 33
10 Vision: ( to include DD Form 771, *NOSTRA Standard*) Total: 240
11 Hearing Screenings: Annual audiogram only no reference audiograms authorized. Must be live DOEHRS
Total: 240
12 Possible Sprint/CAE: Total: 40
13 Vitals: All stations must be able to conduct vitals to patient traffic flowing
Total: 240
14 EKGs 40 and over: An EKG will be done for all Soldiers over 40 who do not have a base line EKG in their file or who are determined to need an EKG more frequently than every 5 years by a provider. EKGs will be conducted in accordance with guidance from AR 40-501. Civilian provider review for over 40 services.
Total: 33
15 DNA: Contractor ships, military provides supplies Total: 0
16 HIV(must be within 120 days of mobilization date): Contractor ships, military provides supplies. Military personnel must do quality check to ensure HIV draw and labeling process is being done correctly. Annual HIV draws will be done for all Soldier designated to be on orders for 30 days or more during the year following the event.
Total: 50
17 G6PD: Total: 0
18 Blood Type: Total: 0
19 Dental Exams: Including digital panograph and bitewings Total: 240
20 Dental Treatment Hours: Including dental treatment trailer Total: 16
21 Urine HCG: testing all females receiving immunization with potential of becoming pregnant
Total: 24
27 Immunizations as needed: Military will provide immunizations as needed based on MEDPROs task force.
Total: 100
28 Deployment Health Assessment Program DA Form 2900 completed as needed:
Required
29 Behavioral Health Services: All above processes and services will be discussed for clarification Thursday and Friday immediately before the event
Required
All above processes and services will be discussed for clarification Thursday and Friday immediately before the event
Ship all lab results to CPT Kimberly Quinn within a maximum 14 business days after completion of the event, see address below or via coordination of secure fax or encrypted email/email document.
P.O. Box Deliveries Physical deliveries
Office of the State Surgeon Office of the State Surgeon
ATTN: LTC Valerie Petrosky ATTN: LTC Valerie Petrosky
5629 State Road 16 W, BLDG 2127 5629 State Road 16 W, BLDG 2127
Starke, FL 32091 Starke, FL 32091
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