Attachment_1_DRAFT_PWS_W9124J-19-R-0004_v1.2.doc

Contract number TBD OPEN COMPETE

PERFORMANCE WORK STATEMENT (PWS)

Tactical Combat Medical Care Course

(TCMC) Development and Instructor Services Part 1

General Information

1. GENERAL: This is a non-personal services contract to provide instructional design services at Fort Sam Houston, Texas, in support of the, Curriculum Development Division, Academy of Health Sciences (AHS), U.S. Army Medical Department Center and School (AMEDDC&S).

Description of Services/Introduction: The contractor shall provide all personnel, supervision, and other items and non-personal services necessary for contract staff to perform curriculum review and evaluation, coordination, and execution of course support services TCMC as defined in this Performance Work Statement except for those items specified as government furnished property and services. The contractor shall perform to the standards in this contract.

1.2 Background: The AMEDDC&S has a requirement for an increase in pre-deployment training, services and products to support military medical training throughout the US Army Medical Command (MEDCOM). AMEDDC&S is responsible for training and educating medical personnel. To accomplish this mission, AMEDDC&S must provide trained and ready medical personnel to support worldwide contingency operations; produce concepts, doctrine and organizational structure that meets current and future force requirements; create integrated and relevant training strategies, products and programs and make them available for use; and support the Readiness and Managed Care missions of the Military Health System.

1.3 Objectives: This is a non-personal services contract to provide Physician Assistant (PA) Technical Instructor Writer/SME III instructor services for the TCMC training program

1.4 Scope: The contractor shall provide instructors to augment TCCC program personnel in the delivery and execution of standardized instruction and testing for Health Care Providers (Physicians, Physician Assistants, Nurses, and Nurse Practitioners) and 68W40 senior medics in Tactical Combat Casualty Care (TCCC) and Role 1 Aid Station operations. Instructors must have Physician Assistant Certification from NCCPA or higher. Number of instructors must meet the 1:4 instructor to student ratio requirement to support classes of 64 students per iteration.

Course length is forty hours/5 days (up to 50 iterations annually). The Tactical Combat Medical Care course is based upon the injury patterns of combat casualties and the constraints to deliver medical care on the modern battlefield. Students will train on the concepts of Tactical Combat Casualty Care (TCCC) given realistic scenarios to include Army equipment, supplies and evacuation capabilities during combat.

The course includes didactic instructional support in casualty care at the point of injury, triage, primary and secondary survey of combat casualties to include, airway management, extremity trauma, chest trauma, thermal burns, blood transfusions, wound management, antibiotics and pain control in the combat environment, splinting and dressing workshop, and fluid maintenance. Practical exercises are conducted in airway management, treatment of extremity trauma, treatment of chest wounds, packing of medical treatment bags, treatment of a combat casualty in a Battalion Aid Station, life-saving emergency surgical skills, and the evaluation and management of mass casualties utilizing simulated combat casualty scenarios.

Contract personnel shall adhere to the instructional strategies, techniques, processes, plans of instructions, and activities in accordance with the current, established TCMC program of instruction. Government (program civilian and military staff) will provide program/curriculum-specific training, assign tasks, assign activities, define training objectives, sets priorities and deadlines, and assist with unusual situations that do not have clear precedents within the instructional program. The instructors must carry out assignments in accordance with accepted TCMC practices or established policies.

Contractor is primarily assigned to the Center for Pre-hospital Medicine (CPHM) to fulfill the training mission and then further assigned to one of the Center's teaching branches during defined times of student training rotations, or will be required to meet with the Director, CPHM or his/her designee. These branches may include the Brigade Combat Team Trauma Training Course (BCT3) and the Tactical Combat Medical Care Course (TCMC), Contractor must be able to report and be accountable directly to the TCMC OIC (or NCOIC) and the COR and/or designated program manager. Contract resource support will be provided at Fort Sam Houston, Texas, in support of CPHM and the U.S. Army Medical Department Center and School (AMEDDC&S). Contractor will augment current staff for the, TCMC or other CPHM AMEDDC&S/MEDCOM taskings and other critical, internal training support (which may include revisions) projects are successfully completed and training executed.

1.4.1 Contract Physician Assistant Instructor Requirements:

1.4.1.1 All contract instructors shall complete a Workplace Occupational Health Assessment with a licensed medical and/or occupational health provider within 30 days of start date. Government will provide the required checklist/approval forms for completion.

1.4.1.2 Contractor shall have a National Association of Emergency Medical Technicians (NAEMT) site code.

1.4.1.3 Contract Instructor staff shall have an active affiliation with NAEMT and a training background in Tactical Combat Casualty Care (TC3)

1.4.1.4 Contractor shall be a member of the American Association for Laboratory Animal Science (AALAS), and have an active ALAAS account to ensure Instructor contract staff has access to the required ALAAS online training certification. Contractor must complete ALAAS training within 10 days of contract award and before reporting to TCMC program office.

1.4.1.5 Contract Instructor staff shall complete Animal Use Protocol (AUP) training within 14 days of contract award.

1.4.1.6 It is recommended that 20% of contract staff shall have Special Operations Forces (SOF) background (active duty assignments, training, deployments).

1.4.1.7 It is recommended that 20% of contract instructors shall have previous experience as instructors (one year minimum) or graduates of the TCMC course.

1.4.2 Contract Instructor Staff shall be physically fit to the extent they can perform all tasks required of the students and to the same standard

1.4.3 Contract Instructor Staff shall be able to complete the required instructional tasks to deliver high quality instruction in accordance with TCMC standards and protocols. Refer to Section 5.0 for description of instructional tasks.

1.5. NON-PERSONAL SERVICES

1.5.1. The Contractor shall provide professional, qualified personnel that possess the necessary experience, knowledge and skills to perform the tasks outlined in this PWS. Due to the unique nature of the TCMC Course, program-specific training will be provided. The Government and the Contractor understand and agree that the services to be delivered are non-personal services and both parties recognize and agree that no employer-employee or master servant relationships exist between the Government and the Contractor and/or between the Government and the Contractor’s employees. Contractor personnel performing under this contract shall not be placed in a position where they are employed by a Federal Officer or are under the supervision, direction, or evaluation of a Federal Officer, military or civilian.

1.5.2. Upon completion of program specific training and also processes, the Contractor shall perform independent of and without the supervision of any Government official. Contract staff will work under the CPHM animal use protocol and AMEDDC&S IACUC policies. Contractor will provide a Contract Program Manager needed to effectively supervise contract staff provided. Contract management will ensure that contract personnel adhere to the instructional strategies, techniques, processes, plans of instructions, and activities in accordance with the current, established TCMC program of instruction. Government (program civilian and military staff) will provide program/curriculum-specific training to ensure instructional practices are carried out in accordance with the established program of instruction. The actions created by the Contractor in performing of the services herein may not be interpreted or implemented in any manner that results in creating or modifying Federal policy or obligating the appropriated funds of the Government, overseeing the work of Federal employees, providing direct personal services to any Federal employee or otherwise violating the prohibitions set forth in Parts 7.5 and 37.1 of the Federal Acquisition Regulation (FAR).

1.5.3. The Contractor shall designate a Contract Program Manager and alternate to manage/supervise contract staff. The Program Manager shall be the primary point of contact for the Contracting Officer and the Contracting Officer’s Representative (COR) and customer Program Manager. The Contract Program Manager shall have full authority to act for the Contractor on all matters relating to daily performance of employees performing services under this PWS. The name of the Program Manager and alternate shall be provided in writing to the Contracting Officer and COR within 5 days of award and whenever there is a change. The Program Manager or the designated alternate shall be available to the COR via telephone between the core hours of 07:00 AM to 15:00 PM CST and other time zones if travel is required, Monday through Friday, to include potentially all Federal Government holidays. The Program Manager the designated alternate shall be available during normal duty hours to meet or communicate with the Contracting Officer and/or authorized OIC/NCOIC or member of permanent government personnel within one (1) hour to discuss problem areas with government personnel, as necessary to maintain satisfactory performance and to resolve other issues pertaining to Government/Contractor procedures.

1.5.4. The Contracting Officer shall require the Contractor to remove from the job site any employee who is identified as a potential threat to the health, safety, security, general wellbeing or operational mission of the installation and its population.

1.5.5. Appropriate Appearance/Conduct: The Contractor shall conform to standards of conduct and code of ethics, which are consistent with those applicable to Government employees as provided in the Joint Ethics Regulation 5500.7.R. Contractor personnel shall present a neat professional appearance and be easily identified. This shall be accomplished by wearing distinctive clothing as listed below:

1.5.5.1 PA Instructors shall wear standard clothing as follows:

1.5.5.1.1 During classroom instruction, dark collared shirts, no-rip pants, and non-slip, close-toed shoes

1.5.5.1.2 During lab instruction dark scrubs (top and bottom) and footwear designated for lab use only

1.5.5.1.2 Additional Items for Laboratory classroom support include:

1.5.5.1.2.1 Eye protection (Prescription or Safety glasses)

1.5.5.1.2.2 Access to head lamp

1.5.5.1.2.3 Stethoscope

1.5.6. General Requirements: The Contractor shall meet the following general requirements:

1.5.6.1 Be able to read, write, and speak English fluently.

1.5.6.2 Possess excellent written and oral communication and presentation skills.

1.5.6.3 Be capable of learning and utilizing current and emerging military and commercial medical treatment.

1.5.6.4 Be proficient with the Microsoft Office suite and incorporated programs to include Excel, PowerPoint, Word, Outlook, and Access and be able to troubleshoot basic computer hardware and software required for services being provided under each individual task order.

1.5.6.5 Be able to work around and with farm animals.

1.5.7. Special Qualifications/Certifications: The Contractor shall ensure all required professional certifications/licenses (current and valid) for each applicable occupation category before commencement of work.

1.6 Period of Performance: The period of performance shall be for 6 months (TBD hours/CTE; through 19 March 2019) from award date with one option year.

1.7 General Information

1.7.1 Quality Control: The Contractor is responsible for all quality control to assure the requirements of the contract are provided as specified. The Contractor’s management shall ensure that employee’s properly comply with the performance standards outlined in the PWS (paragraph 1.4) with a government approved Quality Control Plan (QCP). The Contractor shall provide quality services/products and management oversight of all government approved processes. The Contractor shall provide accurate data/reports and meet contract objectives, with emphasis on overall success and positive impact to the acquisition program and organizational mission. The Contractor shall provide for the management and support of personnel, to include training, guidance, and supervision of qualified personnel to accomplish the task order The Government will control access to the facility and will perform the inspection and acceptance of the completed work and hours worked.

1.7.2 Quality Assurance: The government shall evaluate the contractor’s performance under this contract in accordance with the Quality Assurance Surveillance Plan. This plan is primarily focused on what the Government must do to ensure that the contractor has performed in accordance with the performance standards. It defines how the performance standards will be applied, the frequency of surveillance, and the minimum acceptable defect rate(s). The surveillance method may include, but is not limited to, the following:

1. COR Inspections (100% or Periodic)

2. Monthly Reports

3. Customer Feedback

4. Customer complaints with COR verification

17.3 Recognized Holidays: Training activities on Federal holidays are anticipated under this contract. Prior to requirement, the contractor will be notified by the KO or the Government Program Manager/NCOIC/OIC/COR, and will be provided as much advance notice of the requirement as practicable. Absent such requirements, holiday activities will not be permitted without prior authorization from the KO. A list of the designated U.S. Federal holidays, as of the date of this document, is as follows:

New Year’s Day Labor Day Martin Luther King Jr.’s Birthday Columbus Day President’s Day Veteran’s Memorial Day Thanksgiving Day Independence Day Christmas Day

1.7.4 Hours of Operation: The contractor is responsible for conducting business, between the hours of 0700 – 1700, Monday thru Friday and holidays or when the Government facility is OPEN unless the facility is closed due to local or national emergencies, administrative closings, or similar Government directed facility closings. However, this contract may require personnel to work varying hours and days depending on the instructional needs. For other than firm fixed price contracts, the contractor will not be reimbursed when the government facility is closed for the above reasons. The Contractor shall at all times maintain an adequate workforce for the uninterrupted performance of all tasks defined within this PWS when the Government facility is not closed for the above reasons. When hiring personnel, the Contractor shall keep in mind that the stability and continuity of the workforce are essential. Any services performed by contractor personnel outside the normal duty hours shall be coordinated in advance with the Government Program Manager/COR.

1.7.5 Place of Performance: Services for this contract will be provided at government facilities to include a classroom, office, field setting, and in a simulation laboratory setting that are adequately lighted, heated, and ventilated. Frequently work may be performed in a field environment outdoors where there is exposure to climatic conditions that may involve inclement weather and high temperatures. The field training may also involve environmental conditions such as rugged or uneven ground.

1.7.6 Training: Contractor employees may be required to attend program/project-specific and AMEDD-specific training to include, but not limited to; American Association for Laboratory Animal Science (AALAS) for Instructors, Common Faculty Development-IC (CFDP-IC) 9E-S15K/920-SQI8, Training Development Capability (TDC) as needed, Ethics, Prevention of Sexual Harassment, Equal Opportunity, Operations Security (OPSEC), Threat Awareness Reporting Program (TARP), and Antiterrorism Level 1Training.

1.7.6.1 Instructor/Facilitator Training: Contract instructors/facilitators shall meet the certifications identified in TRADOC Pamphlet 350-70-3, Table 4.1.

The student instructor/facilitator attends the current foundational, CAC-T, ATSC-provided instructor/facilitator course or CAC-T, ATSC-approved equivalent course as required by TR 350-18, TR 350-70, and the AR 600 series.

Common Faculty Development - Instructor Course, 9E-SI5K/920-SQI8 Excerpt from Text Prerequisites: Students enrolled in CFDP-IC must be military E6 or above (Active Component/Reserve Component/National Guard Bureau) assigned or pending assignment as an instructor or Department of the Army civilian or authorized contract personnel assigned as training/education instructors, developers, training managers, and writers.

Common Faculty Development - Developer Course, 7B-SI7Q/570-SQI2 Excerpt from Course Scope and Special Information: The Course (CFD-DC) is relevant to all Army developers including ... authorized contractors who are assigned to development curriculum for training and education in Initial Military Training, the Noncommissioned Officer, Warrant Officer, Officer, and Civilian Education Systems and functional courses.

(1) During course, the student instructor/facilitator uses materials from the course he or she will be presenting.

(2) The student instructor/facilitator completes instruction on any special equipment or devices he or she will use during implementation of the course.

(3) The student instructor/facilitator observes an expert instructor/facilitator delivering course.

(4) The student instructor/facilitator completes instruction on how to minimize the learning product's impact on the environment, covering environmental issues in AARs, and identifying environmental lessons learned.

(5) The student instructor/facilitator adequately uses the risk management process to identify and assess potential hazards, properly implements adequate controls to reduce or eliminate those hazards, and completes instruction on significant safety concerns. AR 385-10, paragraph 1-6 directs all personnel to apply composite risk management procedures in each phase of the training management cycle to identify hazardous conditions and correct shortcomings responsible for these conditions.

(6) The student instructor/facilitator will be able to analyze the elements of the operational environment and incorporate them into the course.

(7) The student instructor/facilitator is provided a reasonable time based upon the institution's guidelines (normally less than 90 days) to rehearse, using actual materials and equipment (or mockups), until the student feels confident and prepared.

1.7.7 Security Requirements: Work under this PWS is UNCLASSIFIED but sensitive in nature and a security clearance will not be required however, standard security clearance is required per paragraph 1.7.10. Contractor personnel shall comply with all applicable Department of Defense (DoD) security regulations and procedures during the performance of work. Contractor personnel shall not disclose and must safeguard computer systems and data, Privacy Act data, and other Government documents and work products that are obtained or generated in the performance of this PWS. This includes dissemination of protocols and papers not generally available through the public literature. Should contractor personnel come into contact with classified material, the contractor shall notify the Contracting Officer or COR immediately. The Contractor shall not disclose or disseminate any information concerning operations of military activities. Such action(s) could result in violation of the contract and possible legal actions. All contract staff must sign a Non-Disclosure Agreement (NDA) prior to participation in program orientation and training activities.

1.7.7.1 Physical Security: The contractor shall be responsible for safeguarding all government equipment, information and property provided for contractor use. At the close of each work period, government facilities, equipment, and materials shall be secured.

1.7.7.2 Key Control: The Contractor shall establish and implement methods of making sure all keys/key cards issued to the Contractor by the Government are not lost or misplaced and are not used by unauthorized persons. NOTE: All references to keys include key cards. No keys issued to the Contractor by the Government shall be duplicated. Such procedures shall include turn-in of any issued keys by personnel who no longer require access to locked areas. The Contractor shall immediately report any occurrences of lost or duplicate keys/key cards to the Contracting Officer.

1.7.7.2.1 In the event keys, other than master keys, are lost or duplicated, the Contractor shall, upon direction of the Contracting Officer, re-key or replace the affected lock or locks; however, the Government, at its option, may replace the affected lock or locks or perform re-keying. When the replacement of locks or re-keying is performed by the Government, the total cost of re-keying or the replacement of the lock or locks shall be deducted from the monthly payment due the Contractor. In the event a master key is lost or duplicated, all locks and keys for that system shall be replaced by the Government and the total cost deducted from the monthly payment due the Contractor.

1.7.7.2.2 The Contractor shall prohibit the use of Government issued keys/key cards by any persons other than the Contractor. The Contractor shall prohibit the opening of locked areas by Contractor to permit entrance of persons other than Contractor engaged in the performance of assigned work in those areas, or personnel authorized entrance by the Contracting Officer.

1.7.7.3 Lock Combinations: The Contractor shall establish and implement methods of ensuring that all lock combinations are not revealed to unauthorized persons. The Contractor shall ensure that lock combinations are changed when personnel having access to the combinations no longer have a need to know such combinations. These procedures shall be included in the Contractor’s Quality Control Plan.

1.7.8 Installation Passes: The COR, will coordinate the issue of required installation passes to contractor personnel. Contractor personnel will obtain the required vehicle pass for access to Fort Sam Houston during the performance of required work. The issued vehicle access authorization will only be used for the intended purposes and will be relinquished immediately following completion of the required services. Contractor personnel will require issuance of a Common Access Card for the purpose of computer access in conjunction with this PWS.

1.7.9 Special Qualifications: The COR, if applicable, will coordinate the issue of the required base credentials for access onto Joint Base San Antonio (JBSA) during the performance of required work for contractor personnel. Contractor personnel will require issuance of a Common Access Card for the purpose of computer access in conjunction with this PWS. All contract personnel requiring issue of a CAC will need to be added into the Contract Verification System (CVS) for processing by an AMEDDC&S, HRCoE Trusted Agent (TA)..

1.7.10 Background Checks: In accordance with HSPD-12, all DoD contractors must submit a National Agency Check plus Written Inquiries and Credit Check (NACI) background investigation (SF 85) to the AMEDD Center and School Security Office (G2). A favorable background investigation is required before gaining access to a U.S. Government Local Area Network (LAN). Each Facility Security Officer (FSO) must set up a profile in the Joint Personnel Adjudicative System (JPAS) for each contractor within 5 working days of employment. The contractor, when notified of an unfavorable determination by the Government, shall withdraw the individual from consideration from working under the contract.

1.7.11 In-Out Processing Requirements. Contractor personnel shall report to Building 2840, Aabel Hall, room 101 for in and out processing instructions. Contractor personnel will need to obtain a Common Access Card (CAC) for network and installation access to JBSA, Fort Sam Houston, TX. In-processing must be completed before contracted individual begins work.

1.7.12 Post Award Conference/Periodic Progress Meetings: The Contractor shall attend any post award conference convened by the contracting activity or contract administration office in accordance with Federal Acquisition Regulation Subpart 42.5. The contracting officer, Contracting Officers Representative (COR), and other Government personnel, as appropriate, will meet periodically, quarterly as a minimum, with the contractor to review the contractor's performance. At these meetings the contracting officer will apprise the contractor of how the government views the contractor's performance and the contractor will apprise the Government of problems, if any, being experienced. Appropriate action shall be taken to resolve outstanding issues. These meetings shall be at no additional cost to the government.

1.7.13 Contracting Officer Representative (COR): The (COR) will be identified by separate letter. The COR monitors all technical aspects of the contract and assists in contract administration The COR is authorized to perform the following functions: assure that the Contractor performs the technical requirements of the contract: perform inspections necessary in connection with contract performance: maintain written and oral communications with the Contractor concerning technical aspects of the contract: issue written interpretations of technical requirements, including Government drawings, designs, specifications: monitor Contractor's performance and notifies both the Contracting Officer and Contractor of any deficiencies; coordinate availability of government furnished property, and facilitate site entry of Contractor personnel. A letter of designation issued to the COR, a copy of which is sent to the Contractor, states the responsibilities and limitations of the COR, especially with regard to changes in cost or price, estimates or changes in delivery dates. The COR is not authorized to change any of the terms and conditions of the resulting order.

1.7.14 Performance Issues and Ethics: All inquiries, comments or complaints arising from any matter observed, experienced, or learned of as a result of or in connection with the performance of this contract, the resolution of which may require the dissemination of official information, shall be directed to the COR and the Contracting Officer (KO). The Contractor shall only conduct business with designated government personnel listed as points of contact (POCs). Contractor personnel shall conform to standards of conduct and a code of ethics, which are consistent with those applicable to Government employees as provided by the Joint Ethics Regulation 5500.7.R.

1.7.15 Key Personnel: The following personnel are considered key personnel by the government: Contract Program Manager. The contractor shall provide a contract program manager who shall be responsible for the performance of the work. The name of this person and an alternate who shall act for the contractor when the manager is absent shall be designated in writing to the contracting officer. The program manager or alternate shall have full authority to act for the contractor on all contract matters relating to daily operation of this contract. Exceptions include specified Federal holidays, when the government facility is closed for administrative reasons or permanent staff is not present in the facilities.

1.7.16 Identification of Contractor Employee’s: Contract personnel shall wear a badge that clearly identifies them as a contract employee. The badge will contain a personal picture, name of employee, and contractor's name. Badges shall be worn on the outer garment in full view at all times, attached to the outer shirt or jacket pocket by a button or clip or worn around the neck secured by an appropriate identification card lanyard. All contract personnel attending meetings, answering Government telephones, and working in other situations where their contractor status is not obvious to third parties are required to identify themselves as such to avoid creating an impression in the minds of members of the public that they are Government officials. They must also ensure that all documents or reports produced by contractors are suitably marked as contractor products or that contractor participation is appropriately disclosed.

1.7.17 Contractor Travel: Travel within the local vicinity is required. Travel reimbursements for local travel are not authorized. Government-furnished vehicles will be used for official purposes only. Procedures for managing the allocation, use, operation, maintenance, and recordkeeping of all Army–owned or controlled motor vehicles are applicable to vehicles furnished to contractors in accordance with AR 58-1.

1.7.18 Other Direct Costs: The contractor may be required to incur other direct costs in support of this PWS. This category includes, but not limited to, travel (outlined in paragraph 1.4 and 1.7.17). Other direct costs are known in advance and will be negotiated at the task order level.

1.7.18 Data Rights: The Government has unlimited rights to all documents/material produced under this contract. All documents and materials, to include the source codes of any software, produced under this contract shall be Government owned and are the property of the Government with all rights and privileges of ownership/copyright belonging exclusively to the Government. These documents and materials shall not be used or sold by the contractor without written permission from the Contracting Officer. All materials supplied to the Government shall be the sole property of the Government and may not be used for any other purpose. This right does not abrogate any other Government rights. Recording devices of any kind ARE NOT authorized in lab areas and other areas as directed by the government personnel (GS/AD).

1.7.19. Deliverables: All deliverables shall be submitted to the Government Program Manager/COR unless otherwise noted. Specific deliverables may include such items as work reports, training materials (lesson plans, POIs, storyboards), videos, DVDs, and supporting source files. All deliverables will comply with Army and AMEDDC&S, instructional design doctrine to include TRADOC regulation 350-70 and supporting TRADOC Pamphlets.

1.7.20. General Report Requirements and Acceptance Criteria: Final inspection and acceptance of all work performed, reports and other deliverables will be performed at the place of delivery by the COR. General quality measures, as set forth below, will be applied to each individual contract task order received from the Contractor. Work shall be accurate in presentation, technical content, and adherence to accepted elements of style. Work shall be clear and concise. All diagrams and graphics shall be easy to understand and be relevant to the supporting narrative. The Contractor must be able to provide reports in electronic (i.e., source and .pdf formats) and hard copy formats. Electronic copies provided must be compatible with Microsoft Office or other Microsoft computer-based software applications. All text and diagrammatic files shall be editable by the Government. The Contractor must be able to accept and send document files electronically. The Contractor shall provide deliverables as specified in each individual task order. Deliverables that are technical reports and analyses involving data collection shall present feasible and insightful interpretations of the findings and the rationale for choosing a specific solution, methodology, and considered alternatives. For deliverables that are technical reports and analyses, the findings and conclusions must be logically presented, transparent and repeatable. At the time of the draft and final report deliverable due dates, the contractor shall provide all back-up data that was used in the development of the technical reports in an organized manner with an index of provided data and a short description of its purpose. This data shall include, but not be limited to items, such as copies of spreadsheets showing results and calculations/formulas that were used to obtain the results or copies of database tables and queries showing the data tables, results, and what queries were used to get the results in the tables in the report. Any technical reports that are not transparent and repeatable, fail to adequately address the performance objectives, or require major revisions in content and editing shall be considered unacceptable.

1.7.22 Organizational Conflict of Interest: Contractor and subcontractor personnel performing work under this contract may receive, have access to or participate in the development of proprietary or source selection information (e.g., cost or pricing information, budget information or analyses, specifications or work statements, etc.) or perform evaluation services which may create a current or subsequent Organizational Conflict of Interests (OCI) as defined in FAR Subpart 9.5. The Contractor shall notify the Contracting Officer immediately whenever it becomes aware that such access or participation may result in any actual or potential OCI and shall promptly submit a plan to the Contracting Officer to avoid or mitigate any such OCI. The Contractor’s mitigation plan will be determined to be acceptable solely at the discretion of the Contracting Officer and in the event the Contracting Officer unilaterally determines that any such OCI cannot be satisfactorily avoided or mitigated, the Contracting Officer may affect other remedies as he or she deems necessary, including prohibiting the Contractor from participation in subsequent contracted requirements which may be affected by the OCI.

1.7.23 PHASE IN /PHASE OUT PERIOD: To minimize any decreases in productivity and to prevent possible negative impacts on additional services, the Contractor shall have personnel on board as follows: Contractor must have 50% of personnel on board within 14 days of contract award; 100% of personnel on board within 30 days of contract award.

PART 2

DEFINITIONS & ACRONYMS

2. DEFINITIONS AND ACRONYMS:

2.1 DEFINITIONS:

2.1.1 CONTRACTOR. A supplier or vendor awarded a contract to provide specific supplies or service to the government. The term used in this contract refers to the prime.

2.1.2 CONTRACTING OFFICER. A person with authority to enter into, administer, and or terminate contracts, and make related determinations and findings on behalf of the government. Note: The only individual who can legally bind the government.

2.1.3 CONTRACTING OFFICER'S REPRESENTATIVE (COR). An employee of the U.S. Government appointed by the contracting officer to administer the contract. Such appointment shall be in writing and shall state the scope of authority and limitations. This individual has authority to provide technical direction to the Contractor as long as that direction is within the scope of the contract, does not constitute a change, and has no funding implications. This individual does NOT have authority to change the terms and conditions of the contract.

2.1.4 DEFECTIVE SERVICE. A service output that does not meet the standard of performance associated with the Performance Work Statement.

2.1.5 DELIVERABLE. Anything that can be physically delivered, but may include non-manufactured things such as meeting minutes or reports.

2.1.6 KEY PERSONNEL. Contractor personnel that are evaluated in a source selection process and that may be required to be used in the performance of a contract by the Key Personnel listed in the PWS. When key personnel are used as an evaluation factor in best value procurement, an offer can be rejected if it does not have a firm commitment from the persons that are listed in the proposal.

2.1.7 PHYSICAL SECURITY. Actions that prevent the loss or damage of Government property.

2.1.8 QUALITY ASSURANCE. The government procedures to verify that services being performed by the Contractor are performed according to acceptable standards.

2.1.9 QUALITY ASSURANCE Surveillance Plan (QASP). An organized written document specifying the surveillance methodology to be used for surveillance of contractor performance.

2.1.10 QUALITY CONTROL. All necessary measures taken by the Contractor to assure that the quality of an end product or service shall meet contract requirements.

2.1.11 SUBCONTRACTOR. One that enters into a contract with a prime contractor. The Government does not have privity of contract with the subcontractor.

2.1.12 WORK DAY. The number of hours per day the Contractor provides services in accordance with the contract.

2.1.12 WORK WEEK. Monday through Friday, and as specified in paragraph 1.4.

2.2. ACRONYMS:

ACOR

Alternate Contracting Officer's Representative AFARS Army Federal Acquisition Regulation Supplement

AR

Army Regulation

CCE

Contracting Center of Excellence

CFR

Code of Federal Regulations

CONUS

Continental United States (excludes Alaska and Hawaii)

COR

Contracting Officer Representative

COTS

Commercial-Off-the-Shelf

DA

Department of the Army

DD250

Department of Defense Form 250 (Receiving Report) DD254 Department of Defense Contract Security Requirement List DFARS Defense Federal Acquisition Regulation Supplement DMDC Defense Manpower Data Center

DOD

Department of Defense

FAR

Federal Acquisition Regulation

HIPAA

Health Insurance Portability and Accountability Act of 1996

JFCTMC

JOINT Forces Combat Trauma Management Course

KO

Contracting Officer

OCI

Organizational Conflict of Interest

OCONUS

Outside Continental United States (includes Alaska and Hawaii) ODC Other Direct Costs

PIPO

Phase In/Phase Out

POC

Point of Contact

PRS

Performance Requirements Summary

PWS

Performance Work Statement

QA

Quality Assurance

QAP

Quality Assurance Program

QASP

Quality Assurance Surveillance Plan

QC

Quality Control

QCP

Quality Control Plan

TE

Technical Exhibit

TCMC

Tactical Combat Medical Care Course

TCCC

Tactical Combat Casualty Care

BCT3

Brigade Combat Team Trauma Training

AUP

Animal Use Program

AALAS

American Association of Laboratory Animal Science

IACUC

Institutional Animal Care and Use Committee

POI

Point of Injury

OIC

Officer In-Charge

NCOIC

Non-commissioned Officer In-Charge

PA

Physician Assistant

M.D.

Medical Doctor

D.O.

Doctor of Osteopathic

JTS

Joint Trauma System

CPG

Clinical Practice Guidelines

AD

Active Duty

GS

Government Service

PART 3

GOVERNMENT FURNISHED PROPERTY, EQUIPMENT, AND SERVICES

3. GOVERNMENT FURNISHED ITEMS AND SERVICES:

3.1. Services: Not applicable.

3.2 Facilities: The Government will provide adequate physical work-space and office equipment and supplies when the work is performed at Government facilities. Each individual task order will specify where the work is to be performed.

3.3 Utilities: All utilities in the facility will be available for the contractor’s use in performance of tasks outlined in this PWS. The Contractor shall instruct employees in utilities conservation practices. The contractor shall be responsible for operating under conditions that preclude the waste of utilities, which include turning off the water faucets or valves after using the required amount to accomplish cleaning vehicles and equipment.

3.4 Equipment: The Government will provide access to equipment and software to include: desk, computer equipment (to include all necessary hardware & software), an electronic mail (e-mail) account, use of the government telephone, facsimile machine, copier, and office supplies such as paper, pens, medical equipment for training purposes, etc. as required for the performance of work under the task order.

3.5 Materials: The Government will provide all relevant field manuals, technical manuals, student handouts, and all other reference materials necessary to support the required services. Each individual contract will specify where the work is to be performed.

PART 4

CONTRACTOR FURNISHED ITEMS AND SERVICES

CONTRACTOR FURNISHED ITEMS AND RESPONSIBILITIES:

4.1 General: Contractor shall provide the following equipment: Safety glasses for eye protection (Existing prescription eyewear meets the safety requirements), head lamps (or access to), and Stethoscopes.

4.2 Secret Facility Clearance: Not Applicable. The Contractor’s employees, performing work in support of this contract will be working at Government facilities.

4.3. Materials: Not Applicable

4.4. Equipment: Not Applicable

PART 5

SPECIFIC TASKS

5. Specific Tasks:

Basic Services: All tasks must completed in accordance with government approved, unit specific processes and standards and Army-wide training development and support task standards in accordance with applicable policies and regulations as listed in Part 6, Applicable Publications. The contractor shall provide instructors as indicated in paragraph 1.3 and 1.4 to augment TCMC program personnel in the delivery and execution of standardized instruction and testing for Health Care Providers (Physicians, Physician Assistants, Nurses, and Nurse Practitioners) and 68W40 senior medics in Tactical Combat Casualty Care and Role 1 Aid Station operations. Approved lesson plans are reviewed prior to presentation to students. Completed work is evaluated by analysis of end-of-course student critiques, analysis of student test results, or through occasional monitoring of the course in progress.

5.1. Technical Instructor/ Subject Matter Expert (PA, M.D./D.O.): The Contractor shall provide the following services:

5.1.1 The work consists of a variety of processes to include decision-making, problem solving, priority setting (many of which must be carried on simultaneously), analyzing data, developing plans of action, evaluating results, and adapting various methods to improve patient care within current program operational guidelines.

5.1.2 Provides standardized instruction and testing for Health Care Providers (Physicians, Physician Assistants, Nurses, and Nurse Practitioners) and 68W40 senior medics in Tactical Combat Casualty Care and Role 1 and 2, Aid Station operations, and Point of Injury Care (POI).

5.1.3 Conducts instruction in a variety of environments, which include classroom, laboratory, clinical, or field instruction outdoors on Fort Sam Houston, Camp Bullis, or other DoD installations.

5.1.4 Maintains current lesson plans with handbooks, study guides, and tests while ensuring content is current. Prepares, and keeps other instructional aids including flip charts, viewgraphs, slides, etc. up to date.

5.1.5 Utilizes up-to-date knowledge of advanced medical subjects (standards of care) and TCCC and current Clinical Practice Guidelines (CPG) processes, practices, procedures that are pertinent and applied in the program of instruction

5.1.6 Assists in instructional programs, through recommendations and suggestions, for Tactical Combat Medical Care (TCMC) program to include proofreading lesson plans that typically deal with trauma treatment using the tenants of tactical combat casualty care, limited primary care, medical evacuation, force protection, CBRN, trauma scenario development and warrior skills.

5.1.7 Conducts orientation and continuing education training sessions for newly assigned instructors as needed. Refresher training may include, but not limited to training methods and computer based training methods.

5.1.8 Participates in in-service refresher training sessions to learn the latest processes, procedures, and practices as the course curriculum/POI evolves that will enable the contract personnel to apply the best design and most effective instruction to students in limited primary care, advanced medical patient care, trauma skills, and field craft skills in accordance with current TCCC standards and Current applicable CPGs in addition to lessons learned from that current wars.

5.1.9 Subject Matter Expert Knowledge (PA, M.D./D.O.)

5.1.9.1 Advanced trauma treatment using the tenants of tactical combat casualty care (TCCC), current CPGs, limited primary care, medical evacuation, force protection, Chemical, Biological Radiological and Nuclear (CBRN) procedures and treatment, trauma scenario development and warrior skills.

5.1.9.2 Knowledge and skills presented by in TCCC standards and current CPG.

5.1.9.3 Knowledge and skills in POI care as it applies to TCCC and CPG.

5.1.9.4 Technical Instructor must possess and maintain current licensure PA, M.D., D.O.

5.1.9.5 Must be experienced in animal model laboratory training and familiar with performing critical surgical tasks as directed by the current AUP which is assigned to CPHM.

Contract personnel must complete the TRADOC Instructor Trainer's Course and obtain instructor certification as time and/or availability of contract personnel allows.

5.1.9.6 Instructors will need to be in good physical condition. Instructors will be required to demonstrate skills to be taught which will include lifting and carrying equipment (i.e. mannequins) and/or materials weighing up to 150 pounds. On occasion, the contractor instructor must carry this equipment up and down stairs and on uneven terrain in the normal functions of his/her job. Contract instructor must be able to demonstrate all hands on TCCC skills while in tactical gear (body armor, helmet, simulated weapon, gloves, knee pads, safety glasses and aid bag) outdoors and in inclement weather. The work requires long periods of standing while teaching in the classroom or field and in inclement weather. While participating in training, duty may require standing for an 8-hour shift or longer. The contract instructor will be required to wear personal protective equipment as needed during inclement weather.

5.1.9.7 Instruction includes didactic and psychomotor in both academic and field settings for the following areas and subjects; tactical combat casualty care (TCCC), clinical practice guidelines, combat trauma simulation and its application, medical evacuation, force protection, CBRN, austere medical care, treatment of deployment DNBI and aid station operations. Uses training aids including computer based material and devices approved by the Director, CPHM and listed in the Program of Instruction (POI) to execute and enhance training outcomes.

5.1.9.8 Certifications required for Physician Assistant – Certification from NCCPA, or M.D. or D.O.

5.2. Evaluation Criteria (Instructors):

5.2.1 Didactic Certification:

5.2.1.1 Receive all lesson plans and a copy of all power point presentations on a disc

5.2.1.2 Be prepared to instruct students on all lessons during a live class

5.2.1.3 Pass 2 formal evaluations by a member of the permanent staff for each lesson using the standard Instructor Evaluation form

5.2.1.4 Be subject to retraining and reevaluation at the discretion of the OIC with input from permanent staff if unable to pass formal evaluations

5.2.1.5 Continue to be evaluated even if certified for process improvement using peer to peer evaluations

5.2.1.6 Be accountable for conducting research on individual classes in order maintain an up to date curriculum

5.2.1.7 Attend first available Instructor Training Course (ITC)

5.2.1.8 Limits of advance:

5.2.1.8.1 Instructor unable to pass formal evaluations despite retraining no more than 3 times per subject or no more than 5 times total

5.2.1.8.2 Negative student critiques

5.2.1.8.3 Fail ITC

5.2.2 Skill Station Certification:

5.2.2.1 Observe one time a skill station during a live class presented by a member of the permanent staff

5.2.2.2 Be prepared to teach all skill stations during a live class

5.2.2.3 Pass 2 formal evaluations by a member of the permanent staff for each skill station using the attached form

5.2.2.4 Be subject to retraining and reevaluation at the discretion of the OIC with input from permanent staff if unable to pass formal evaluations

5.2.2.5 Continue to be evaluated even if certified for process improvement using peer to peer evaluations

5.2.2.6 Be accountable for the set up and tear down of skill stations

5.2.2.7 Limits of advance:

5.2.2.7.1 Instructor unable to pass formal evaluations despite retraining no more than 3 times per subject or no more than 5 times total

5.2.2.7.2 Negative student critiques

5.2.3 Table Certification:

5.2.3.1 Work as an operator on one of the tables during a TCMC class

5.2.3.2 Depending on hand skills will proceed to the next step or be asked to be an operator again

5.2.3.3 Observe at least 2 permanent staff on how to run a trauma table (emphasis on procedures, wounding, lab set up and tear down)

5.2.3.4 Run at least 2 tables with a member of the permanent staff evaluating

5.2.3.5 Be subject to retraining and reevaluation at the discretion of the OIC with input from permanent staff if unable to pass formal evaluations

5.2.3.6 Continue to be evaluated even if certified for process improvement using peer to peer evaluations

5.2.3.7 Be accountable for the set up and tear down of the lab

5.2.4.8 Limits of advance:

5.2.4.8.1 Instructor unable to pass formal evaluations despite retraining no more than 3 times per subject or no more than 5 times total

5.2.4.8.2 Negative student critiques

5.3Must have served in current theater of operations (For example: CENTCOM, AFRICOM) and/or served in a medical role I or II assignment totaling at least 24 months and this requirement is only applicable to PA, M.D., and D.O.

5.4 Program Deliverables:

5.4.1 Training Material Evaluation Reports

5.4.2 Complete all instructional/training tasks, activities and reports in…