PWS_-_Final.pdf

(Ver. Jun 2014)

PERFORMANCE WORK STATEMENT (PWS) FOR

Human Performance Program Services

1.0 General:

1.1 Scope: The contractor shall provide all personnel, equipment, tools, materials, supervision, and quality control necessary, except as specified in Paragraph 3.0 as Government Furnished, to perform on-base injury prevention and mitigation, rehabilitation services, and human performance optimization services to rated personnel assigned to the 173 Fighter Wing (FW), Kingsley Field, Klamath Falls, OR, USA. The Contractor shall furnish consultation and reports, similar to the range of services found in a commercial facility, as well as services specialized to meet the needs of fighter pilots. Performance shall be in accordance with the professional standards of the Accreditation Association for Ambulatory Health Care (AAAHC), and as defined in this PWS.

1.2 Background: 100% of the 173 FW rated pilots have experienced some type of spine discomfort during their career. According to a study performed by the Unites States Air force School of Aerospace Medicine, Neck pain is a significant factor impacting pilot performance and quality of life, and rates of injury have increased over the years. The Human Performance Program (HPP) is designed to meet the unique physical needs of the rated pilots. Conditioning is accomplished through a comprehensive, coordinated, multi-disciplinary “pre-habilitative” physical training program with focused strength and conditioning, performance nutrition, and physical therapy. The purpose of placing HPP Specialists on base is to reduce frequency and severity of injuries and time lost from service, improve long term quality of life, optimize human performance/ readiness, avoid injury prior to occurrence, increase pilot production, and support pilot retention.

1.3 Period of Performance (PoP): The Period of Performance shall be one Base Year of 12 months and four 12-month option periods.

1.4 General Information:

1.4.1 Quality Assurance (QA): The Government will evaluate the contractor’s performance under this contract in accordance with the Quality Assurance Surveillance Plan (QASP). 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 acceptable quality level(s) (defect rate(s)).

1.4.2 Recognized Holidays: The following are recognized US holidays. The contractor shall not perform services on these days:

1.4.2.1 New Year’s Day: January 1st

1.4.2.2 Martin Luther King, Jr.’s Birthday

1.4.2.3 President’s Day

1.4.2.4 Memorial Day

1.4.2.5 Independence Day: July 4th

1.4.2.6 Labor Day

1.4.2.7 Columbus Day

1.4.2.8 Veteran’s Day: November 11th

1.4.2.9 Thanksgiving Day

1.4.2.10 Christmas Day

1.4.3 Place and Performance of Services: The contractor shall provide services between the hours of 7:00AM-4:00PM Monday through Friday and during 173 FW Regularly Scheduled Drills (RSDs), except on recognized US holidays or when the Government facility/installation is closed due to local or national emergencies, administrative closings, or similar Government-directed facility/installation closings. On scheduled night weeks, the standard times will fluctuate based on the flying schedule, but will not be in excess of a 9 hour day, during the summer months, the schedule could be as late as 3:00PM-12:00AM.

The 173 FW will provide at least two weeks’ notice requiring a change to the standard operating hours.

Performance shall be at Kingsley Field Air National Guard Base, OR current facilities are housed in building 243. The contractor shall, at all times, maintain an adequate work force for the uninterrupted performance of all tasks defined within this PWS when the Government facility/installation is not closed for the above reasons. When hiring personnel, the contractor shall keep in mind that the stability and continuity of the work force are essential. At the time of contract award, the Contractor must have hired personnel licensed in Oregon to begin immediate implementation of the contract’s requirements to avoid any delay in treatment or services. Telecommuting is not authorized.

1.4.3.1 Unscheduled gate closures by the Security Police may occur at any time causing all personnel entering or exiting a closed installation to experience a delay. This cannot be predicted or prevented.

Contractors are not compensated for unexpected closures or delays. Vehicles operated by contractor personnel are subject to search pursuant to applicable regulations. Any moving violation of any applicable motor vehicle regulation may result in the termination of the contractor employee’s installation driving privileges.

1.4.3.2 The contractor’s employees shall become familiar with and obey the regulations of the installation; including fire, traffic, safety and security regulations while on the installation. Contractor employees should only enter restricted areas when required to do so and only upon prior approval. All contractor employees shall carry proper identification with them at all times. The contractor shall ensure compliance with all regulations and orders of the installation which may affect performance.

1.4.4.1 General requirements.

The contractor shall comply with all applicable installation/facility access and local security policies and procedures, which may be obtained from the Contracting Officer’s Representative (COR). The contractor shall also provide all information required for background checks to meet installation access requirements to be accomplished by installation Provost Marshal Office, Director of Emergency Services or Security Office. The contractor shall ensure compliance with all personal identity verification requirements as directed by DOD, HQDA and/or local policy. Should the Force Protection Condition (FPCON) change, the Government may require changes in contractor security matters or processes.

1.4.4.2 COMSEC/IT Security. All communications with DOD organizations are subject to communications security (COMSEC) review. All telephone communications networks are continually subject to intercept by unfriendly intelligence organizations. DOD has authorized the military departments to conduct COMSEC monitoring and recording of telephone calls originating from, or terminating at, DOD organizations. Therefore, the contractor is advised that any time contractor place or receive a call they are subject to COMSEC procedures. The contractor shall ensure wide and frequent dissemination of the above information to all employees dealing with DOD information. The contractor shall abide by all Government regulations concerning the authorized use of the Government's computer network, including the restriction against using the network to recruit Government personnel or advertise job openings.

1.4.4.3 Use of Government Information Systems (IS) and access to Government networks is a revocable privilege, not a right. Users are the foundation of the DoD strategy and their actions affect the most vulnerable portion of the AEI. Contractor employees shall have a favorable background investigation or hold a security clearance and access approvals commensurate with the level of information processed or available on the system. Contractor employees shall:

a. Comply with the command's Acceptable Use Policy (AUP) for Government owned IS and sign an

AUP prior to or upon account activation.

b. Complete initial and/or annual Information Assurance (IA) training as defined in the IA Best Business Practices (BBP) training (https://informationassurance.us.army.mil).

c. Mark and safeguard files, output products, and storage media per classification level and disseminate them only to individuals authorized to receive them with a valid need to know.

d. Protect IS and IS peripherals located in their respective areas in accordance with physical security and data protection requirements.

e. Practice safe network and Internet operating principles and take no actions that threaten the integrity of the system or network.

1.4.4.4 Protection of Personally Identifiable Information (PII). The contractor shall protect all Personally Identifiable Information (PII) encountered in the performance of services in accordance with DFARS 224.103 and DoDD 5400.11, Department of Defense Privacy Program, and DoD 5400.11-R. If a PII breach results from the contractor’s violation of the aforementioned policies, the contractor shall bear all notification costs, call-center support costs, and credit monitoring service costs for all individuals who’s PII has been compromised.

a. Since the health care workers under this contract have access to and/or process information requiring protection under the privacy act of 1974, compliance with DoD Directive 8500.1, DoD Directive 5200.2, AFI 31-501 and AFI 33-202 is mandatory. Therefore, a National Agency Check with Inquiries (NACI) is required for each health care worker under this contract. The Contractor shall fully adhere to the provisions of referenced publications by having each of their employees who are performing under this contract make an appointment (through the COR) with the appropriate security organization at the installation where service is provided. Each individual will be fingerprinted and required to complete the appropriate forms, usually a Standard Form 85-P, Questionnaire for Public Trust Positions. The contractor shall advise their employees that a favorable report is a required condition of employment under this contract. The Contractor shall apply for the NACI prior to the start of performance for each health care worker.

1.4.4.5 CAC Requirements: The Common Access Card (CAC) is the Department of Defense (DOD) Federal Personal Identity Verification (PIV) credential. In accordance with Directive Type Memorandum (DTM) 08-003, December 1, 2008, incorporating Change 5, October 8, 2013, Initial issuance of a CAC requires at a minimum, the completion of FBI fingerprint check with favorable results reflecting "No Record" and submission of a National Agency Check with Inquiries (NACI) to the Office of Personnel Management (OPM), or a DoD-determined equivalent investigation. The issuance of a CAC will be based on four criteria; (a) eligibility for a CAC; (b) verification of DoD affiliation from an authoritative data source; (c) completion of background vetting requirements according to the Federal Information Processing Standards Publication 201-1, Personal Identity Verification (PIV) of Federal Employees and Contractors, March 2006, and DOD Regulation 5200.2-R, Department of Defense Personnel Security Program, January 1987, and (d) verification of a claimed identity. CAC eligible personnel must be registered in the Defense Enrollment Eligibility Reporting System (DEERS) through either an authoritative personnel data feed from the appropriate Service or Agency or Trusted Associate Sponsorship System (TASS).

a. HSPD-12 Background Investigation Requirements: The contractor ensure Common Access Cards (CACs) are obtained by all contract or subcontract personnel assigned to work on the Government site and by personnel requiring access to a DoD network (and other eligible populations as specified in DTM-08-003 Attachment 3, paragraph 3a.) are required to, at a minimum, have received a favorable FBI fingerprint check and must have submitted to the Office of Personnel Management (OPM) a National Agency Check with Inquiries (NACI) or equivalent/higher investigation. It is the responsibility of the contractor to ensure that all employees requiring an initial background investigation complete a Personnel Security Investigation Portal (PSIP) form at attachment (TBD), at the earliest possible date and that this form is forwarded to the COR immediately. The COR will review the form for completeness and accuracy and forward to the NGB Personnel Security manager who will initiate the investigation process via the PSIP. Contractor personnel will then receive two e-mail messages;

the first will confirm that the request has been received by the Office of Personnel Management, and the second will provide instructions for the completion of the appropriate form via the Electronic Questionnaires for Investigations Processing (e-QIP) system. Upon completion of the e-QIP questionnaire and submittal of all required documents, including fingerprint card to the security manager, the BI will be initiated. The contractor shall ensure all instructions regarding background investigation processing, including those provided verbally, by e-mail or via a Government system are complied with immediately. The contractor is cautioned that the entire process from submittal of the PSIP form to return of the FBI fingerprint check may routinely take from 2-6 weeks and shall factor this lead time into its hiring/placement process. The contractor shall make all reasonable efforts to ensure that contractor employees meet CAC eligibility standards upon assignment to the contract and shall be held responsible for delays, failure to meet performance requirements or decreases in efficiency in accordance with the applicable inspection clause.

b. Trusted Associate Sponsorship System (TASS): The contractor is responsible for processing applications for Common Access Cards (CAC) for every contractor employee who deploys with the military force OR who has need to access any government computer network in accordance with FAR 52.204-9, "Personal Identity Verification of Contractor Personnel."

1.4.4.6 AT Level 1 Awareness Training (AT): All contractor employees requiring access to Army Installations, facilities, and controlled access areas shall complete Level 1 AT within 30 calendar days after contract start date and within 30 calendar days of new employees commencing performance. The contractor shall submit certificates of completion for each affected contractor and subcontractor employee, to the COR, within 15 calendar days after completion of training. Level 1 AT is available athttps://atlevel1.dtic.mil/at/.

1.4.4.7 Information Assurance (IA)/Information Technology (IT) Training: All contractor employees shall complete the DoD IA Awareness Training before issuance of network access and annually thereafter. All contractor employees performing services involving IA/IT functions shall comply with DoD and Army training requirements in DoDD 8570.01, DoD 8570.01-M and AR 25-2 within six months of the start of contract performance. In accordance with DoD 8570.01-M , DFARS 252.239.7001 and AR 25-2, contractor employees performing services supporting IA/IT functions shall be appropriately certified upon contract award. The baseline certification as stipulated in DoD 8570.01-M shall be completed upon contract award.

1.4.4.8 OPSEC Training. In accordance with AR 530-1, Operations Security, new contractor employees shall complete Level I OPSEC training within 30 calendar days of their reporting for duty and annually thereafter. The contractor shall submit certificates of completion for each affected contractor employee to the COR within 15 calendar days after completion of training. Level 1 OPSEC training is available athttp://cdsetrain.dtic.mil/opsec/.

1.4.5 Physical Security. The contractor shall safeguard all Government property provided for contractor use. At the close of each work period, Government facilities, equipment and materials shall be secured.

1.4.6 Special Qualifications: Certification from the National Athletic Trainer’s Association (NATA) and the license to practice in the State of Oregon and current license from the Oregon State Board of Physical Therapy (PT) are required for workers under this contract. Other requirements include Certified Athletic Trainer (ATC) and PT License for State of Oregon, CPR/AED Certified, NATA and PT continuing education compliance, and workers must have worked directly with workers’ compensation patients under the supervision of a Licensed United States Physician or Physical Therapist.

1.4.6.1 Contractor employed Physical Therapists must be current Oregon Licensed Physical Therapists by the Oregon Physical Therapy Association (OPTA) and hold a degree from an American Physical Therapy Association (APTA) accredited institution specifically for “Physical Therapy”.

1.4.6.2 Contractor employed Athletic Trainers must be current Oregon Licensed Athletic Trainers by the OATA, have a current Athletic Trainer (AT) Certification from the National Athletic Trainers’ Association (NATA), and hold a degree from an NATA accredited institution specifically for “Athletic Trainer”.

1.4.6.3 Contractor employed Strength and Conditioning Specialists must possess a Bachelor’s Degree in an accredited exercise science, health science, or physical education-related discipline. The contractor shall possess and maintain current certification by the National Strength and Conditioning Association (NSCA) as a Certified Strength and Conditioning Specialist (CSCS). Maintenance of this certification shall be an enduring element of the requirement. Contractor shall possess current certification in basic Cardiopulmonary Resuscitation (CPR) to include Automated External Defibrillator (AED) training.

1.4.7 Post Award Conference/Periodic Progress Meetings: The contractor agrees to attend any post award conference convened by the KO in accordance with Federal Acquisition Regulations Subpart 42.5.

The KO, Contracting Officer’s Representative (COR), and other Government personnel, as appropriate, may meet periodically with the contractor to review the contactor’s performance. At these meetings, the Contacting Officer will apprise the contractor of how the Government views the contractor’s performance and the contractor shall apprise the Government of problems, if any, being experienced The contractor shall resolve outstanding issues raised by the Government. Contractor attendance at these meetings shall be at no additional cost to the Government.

1.4.8 Contract Manager (CM): The contactor shall designate a CM who shall ensure performance under this contract. The name of this person, and an alternate who shall act for the contractor when the CM is absent, shall be designated in writing to the KO. The CM or alternate shall have full authority to act for the contractor on all contract matters relating to daily operation of this contract. The CM shall work through the COR, to resolve issues, receive technical instructions, and ensure adequate performance of services. The CM shall ensure that contractor employees do not perform any services outside the scope of the contract without an official modification issued by the KO. The CM shall ensure contractor employees understand that services performed outside the scope of the contract are performed wholly at the expense of the contractor.

1.4.9 Identification of Contractor Employees: All contractor 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 that they are

Government employees. The contractor shall ensure that all documents or reports produced by contractor personnel are suitably marked as contractor products or that contractor participation is appropriately disclosed. The contractor’s status as a “contractor” shall be predominantly displayed in all correspondence types (to include signature blocks on e-mail) and dealings with Government or non- Government entities/ Contractor personnel shall wear identification badges distinguishing themselves as such. The badges shall have the company name, employee name and the word “contractor” displayed.

The contractor shall retrieve all identification media (including vehicle passes) from their employees who depart employment for any reason. All identification media (i.e., badges and vehicles passes) shall be returned to the KO within 14 days of an employee’s departure.

1.4.10. Combating Trafficking in Persons: The United States Government has adopted a zero tolerance policy regarding trafficking in persons. Contractors and contractor employees shall not engage in severe forms of trafficking in persons during the period of performance of the contract; procure commercial sex acts during the period of performance of the contract; or use forced labor in the performance of the contract. The Contractor shall notify its employees of the United States Government’s zero tolerance policy, the actions that will be taken against employees for violations of this policy. Such actions may include, but are not limited to, removal from the contract, reduction in benefits, or termination of employment. The contractor shall take appropriate action, up to and including termination, against employees or subcontractors that violate the US Government policy as described at FAR 22.17.

1.4.11 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 may not be used or sold by the contractor without written permission from the KO. 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.

1.4.12 Organizational Conflicts of Interest (OCI): The contractor and subcontractor personnel performing services 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 OCIs, as defined in FAR Subpart 9.5. The contractor shall notify the KO 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 KO to avoid or mitigate any such OCI. The contractor’s mitigation plan will be determined to be acceptable solely at the discretion of the KO and in the event the KO unilaterally determines that any such OCI cannot be satisfactorily avoided or mitigated, the KO 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.

2.0 Definitions and Acronyms:

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 (KO). 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 designated by the KO to monitor contractor performance. Such appointment will be in writing and will 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 and includes 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.

2.1.13 WORK WEEK. Monday through Friday, RSDs, unless specified otherwise. HPP Specialists will follow the published 173 FW work schedule.

2.2 ACRONYMS:

ACSM American College of Sports Medicine

ADA Americans with Disabilities Act

AFARS Army Federal Acquisition Regulation Supplement

AFI Air Force Instruction

AHLTA Armed Forces Longitudinal Technology Application

ANG Air National Guard

APTA American Physical Therapy Association

AR Army Regulation

AT/OPSEC Antiterrorism/Operational Security

ATC Certified Athletic Trainer

CFR Code of Federal Regulations

CHCS Composite Heath Care System

CONUS Continental United States (excludes Alaska and Hawaii)

COR Contracting Officer Representative

COR Contracting Officer’s Representative

COTS Commercial-Off-the-Shelf

CSCS Certified Strength and Conditioning Specialist

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

DoD Department of Defense

EEOC Equal Employment Opportunity Commission

FAR Federal Acquisition Regulation

GFP/M/E/S Government Furnished Property/Material/Equipment/Services

HIPAA Health Insurance Portability and Accountability Act

HPP Human Performance Program

IA Information Assurance

IS Information System(s)

KO Contracting Officer

MTF Military Treatment Facility

NATA National Athletic Trainers Association

NSCA National Strength & Conditioning Association

OCI Organizational Conflict of Interest

ODC Other Direct Costs

OMS Occupational Medical Services

ORANG Oregon Air National Guard

PII Personally Identifiable Information

PIPO Phase In/Phase Out

POC Point of Contact

PRS Performance Requirements Summary

PT Licensed Physical Therapist

PWS Performance Work Statement

QA Quality Assurance

QAP Quality Assurance Program

QASP Quality Assurance Surveillance Plan

QC Quality Control

QCP Quality Control Program

TE Technical Exhibit

USAF United States Air Force

3.0 Government Furnished Property, Material, Equipment and Services (GFP/M/E/S): The

Government will provide the property, material, equipment, and/or services listed below solely for the purpose of performance under this contract:

3.1 Property: The Government will furnish the necessary workspace for the contractor to perform services outlined in this PWS to include desk space, telephones, computers and other items necessary to maintain an office environment. Contractors should be prepared to work in a 300 sq. ft. facility. The Government may increase the work area at their discretion should space become available.

3.2 Materials: None.

3.3 Equipment: None.

3.4 Utilities: All utilities in the facility will be available for the contactor’s use in the performance of this contract. The contractor shall instruct employees in utilities conservation practices. The contractor shall operate under conditions that preclude the waste of utilities, which include turning off the water faucets or valves after using the required amount.

4.0 Contractor Furnished Property, Materials, and Equipment (CFP/M/E):

4.1 General: Except for those items specifically stated to be Government-Furnished in Paragraph 3.0, the contractor shall furnish everything required to perform these services as indicated in Paragraph 1.1.

4.1.1 Software capable of viewing MRI imaging performed at off-base medical facilities and access to Orthopedic M.D. who can assist in interpreting the images.

4.1.2 HIPAA compliant software to perform all functions and communication of Electronic Medical Records.

4.1.3 Equipment to meet the technical needs of the program. At a minimum, the Contractor must have equipment to strengthen the neck, back, and spine in a preventative manner.

5 Requirements: Ultimate control of members’ medical referral activity is retained by the member, with oversight and management by squadron medical personnel, if required, and only at the discretion of the military member. No medical information documented on the client is available to outside sources, to include the government, unless explicitly released by the client or required by law or regulation.

5.0.1 The contractor shall be available for a minimum of eight scheduled appointments per day.

5.0.2 Treatment/appointment times may range from 15 minutes to 45 minutes per appointment.

5.0.3 Scheduling shall be flexible enough to allow for client rescheduling/substitution as needed with little or no notice.

5.1 Primary Injury Pre-habilitation: The Contractor shall evaluate and provide Pre-habilitation of all injured pilots who request the services to avoid secondary injuries. Fully communicate with referring provider (if necessary), unit medical staff, and unit management in a fully HIPAA compliant fashion during the full duration of treatment in regards to client’s progress and return to duty status.

5.1.1 Each client shall receive an initial appointment within one week after HPP services are requested for a 173 FW rated member/Instructor Pilot. Follow up appointments shall be based on medical need, treatment plans, and any potential coordination with client's military and/or civilian healthcare team.

5.1.1.1 Contractor shall provide an evaluation and prognosis after initial appointment, and coordinate with client's healthcare team to establish an expected Return to Full Duty Date (RFDD).

5.1.2 The Contractor shall track the status of all clients who are currently being followed in the HPP program.

Due no later than the final business day of each month, the Contractor shall provide the COR a status report which shall include an aggregate number and status/metrics of (1) “new clients” (in the program since last report), (2) “progressing clients” (whose progress is on track to recover by the RFDD), and (3) “prolonged clients” (who are not expected to recover by the RFDD).

5.1.3 The Contractor shall establish relationships with Klamath Falls/Medford/Bend, Oregon- area physicians who accept Tri-Care medical coverage, to facilitate full- spectrum treatment, continuity of care, and coordinated case management. Establishment and maintenance of such relationships shall include in-person and telephone communication. Contractor shall analyze all Primary Injury cases for potential Secondary Injury likelihood and impacts. These factors shall be considered in all treatment plans, and when identified, will be communicated in writing, or via E-Mail NLT the close of business of the same day of determination to unit medical staff. Contractor shall evaluate and provide secondary-prevention rehabilitation for all eligible members when requested by member or unit medical staff. This includes job-related and off duty musculoskeletal pain which is not duty-limiting at the time of analysis, but affects member quality of life at work and may lead to a lost-time or duty-limiting injury in the future.

5.1.4 Personnel choosing HPP services for secondary prevention shall receive an initial evaluation within two weeks of referral. Justifiable reasons for delay include installation closure, employee vacation, RSD schedule in the case of geographically distant Traditional Guardsmen, lack of appointment vacancy, or acts of God.

5.2 Injury Prevention Services: Provide all forms of “primary” injury (acute and/or duty- limiting) prevention services; to include: physical capacity as well as new member assessments, personnel health education, nutrition advising.

5.2.1 Individual Training Plans shall be initiated beginning at the contract start date and shall include individual fitness assessment results, feedback sessions, unique training plans, and any modifications to the plan due to injuries for the pilots in the 173 FW.

5.2.1.1 5Advise management on provisions of medical accommodation in accordance with Americans with Disabilities Act (ADA) and Equal Employment Opportunity Commission (EEOC) to meet job requirements from physical capacity assessments, fitness training, and ergonomics.

5.2.2 Initiate and maintain medical records in accordance with Air Force Instruction (AFI) 41-210 “Patient

Administration Functions” and AFI 41-211 “Management of Medical Information Services”, and any governing Air Force or Air National Guard Instructions which may supersede those AFIs.

5.2.2.1 Contractor shall continually chart all members’ treatment and progress using standard commercial charting methods/practices. Contractor shall provide chart notes when created or updated to unit medical staff or when required by military healthcare providers.

5.2.3 The Contractor shall manage client appointment schedules and respond to appointment requests NLT 24 hours after receipt. Report all patients who fail to attend their scheduled appointments in writing or E-mail to the COR within 24 hours of the missed appointment.

5.3 The Contractor shall provide treatment and preventative services of spinal injuries, when medically appropriate, utilizing MedX™ equipment or equal to include: Medical Lumbar, Medical Cervical, Exercise Rotary Torso, and Exercise Stretch. HPP services shall include soft tissue manipulation and/or joint manipulation as required for injury prevention and rehabilitation. Pilots may also request this form of treatment in their scheduled appointments, Post-Flight Flex Time, and/or during walk-ins.

5.4 The contractor will be given a list of individuals authorized care under this program. HPP services are only available for 173 FW rated members/Instructor Pilots. Any data collected regarding injury trending and related metrics of pilots will be separated from data collection and reporting on 173 FW rated members. The contractor is required to provide a report via e-mail to the COR NLT close of business each Friday containing the number of appointments scheduled for the following week, and the appointments actually filled during the current week, to include times and names for the scheduled appointments.

5.5 “Human Performance” and “Injury Trending” Metrics. NLT the last business day of each month, the contractor shall produce an “Injury Trending” metrics written report to include: injuries within the 173 FW pilot populace, age of injury types, origin of injury, types of injuries, deployed vs. non-deployed injuries, cost analysis of injury rehabilitation sessions, comparative billing of each injury rehabilitation session, cancellation/no-show rates, injuries which require surgery, and trends of injuries over periods of time. “Human Performance” metrics shall be gathered bi- yearly (NLT 31 March & 30 September) to assess fighter pilot’s compliance with the human performance program. The factors for the “Human Performance” metrics will be low back strength, neck strength, and spine strength measured at varying weights and angles. Should the metrics require modification, this will be accomplished via contract modification.

5.6 Most days there will be two flights (GOs); after the First and/or Second Go, the Contractor shall provide a

Post-Flight Flex Time, minimum of 60 minutes, but no longer than 90 minutes, that will allow for members to be seen after flying to tend to any immediate flying related injuries or problems. Post-Flight Flex Time shall be based off of the scheduled first takeoff of each flying go per day. The Post-Flight Flex Time shall begin one hour after the first scheduled takeoff of each go. This will allow and account for “Walk-ins” if there is a low demand for immediate triage during the Post-Flight Flex Time.

5.7 The contractor shall be physically proficient to demonstrate all prescribed exercises / techniques and to hike over rough terrain and function in austere environments. Contractor must be able to lift and manipulate load and plates up to 25 kilograms.

5.8 Housekeeping services will be provided by the Contractor in the immediate work area.

5.9 Contractor shall obtain appropriate malpractice insurance.

5.10 Contractor Manpower Reporting Application (CMRA): The contractor shall report ALL contractor labor hours

(including subcontractor labor hours) required for performance of services provided under this contract for both ARMY and AIR FORCE collection site. The contractor is required to completely fill in all required data fields using the following web ad-dress: http://www.ecmra.mil/. Reporting inputs will be for the labor executed during the period of performance during each Government fiscal year (FY), which runs October 1 through September 30. While inputs may be reported any time during the FY, all data shall be reported no later than October 31 of each calendar year. Contractors may direct questions to the help desk at http://www.ecmra.mil.

6.0 Applicable Publications: Publications applicable to this PWS are listed below:

Publication (Chapter/Page) Date of Publication

Mandatory or Advisory

Website

AFI 41-210, TRICARE

OPERATIONS AND PATIENT

ADMINISTRATION

FUNCTIONS

6-Jun-12 Mandatory http://www.e-publishing.af.mil/

AFI 41-211, MANAGEMENT OF

MEDICAL INFORMATION

23-Jun-17 Mandatory http://www.e-publishing.af.mil/

AFI 31-501, PERSONNEL

SECURITY PROGRAM

MANAGEMENT

27-Jan-05 Mandatory http://www.e-publishing.af.mil/

AFI 33-202 COMPUTER

SECURITY

30-Aug-01 Mandatory http://www.e-publishing.af.mil/

DoD 8570.01-M, INFORMATION ASSURANCE

WORKFORCE IMPROVEMENT

PROGRAM

19-Dec-05 Mandatory http://www.esd.whs.mil/DD/

AR 25-2, INFORMATION

ASSURANCE

24-Oct-07 Mandatory https://ia.signal.army.mil/docs

TECHNICAL EXHIBIT 1

Performance Requirements Summary (PRS)

Performance Objective

Performance Standard Acceptable Quality Levels (AQL)

Surveillance Method / By Whom

5.1 Primary Injury Pre-habilitation

The Contractor shall evaluate and provide services to all pilots who request the services each month.

2% failure to evaluate and provide services to pilots who request the services each month.

Monthly record/report reviews / COR

5.1.1 Initial

Appointments

Each client shall receive an initial appointment within one week after HPP services are requested.

No more than two clients per month receive initial appointment later than one week after care requested.

Monthly record/report reviews and client feedback

5.1.2 Client Tracking and Reporting

The Contractor shall provide the COR a status report which shall include an aggregate

Report is received later than the final business day of the month twice

Monthly record/report reviews / COR number of (1) “new patients” (in the program since last report), (2) “progressing patients” (whose progress is on track to recover by the RFDD), and (3) “prolonged patients” (who are not expected to recover by the

RFDD).

during the period of performance.

5.1.4 Secondary Prevention

Appointments

Personnel choosing HPP services for secondary prevention shall receive an initial evaluation within two weeks of referral.

No more than two clients per month receive initial appointment later than two weeks after referral.

Monthly record/report reviews and client feedback

5.2 Injury

Prevention Services

Provide all forms of “primary” injury (acute and/or duty-limiting) prevention services;

to include: physical capacity as well as new member assessments, personnel health education, nutrition advising.

No more than two instances of failure to evaluate and provide Injury Prevention Services each month.

Monthly record/report reviews / COR

5.2.2 Medical Records

Initiate and maintain medical records in accordance with all applicable regulations.

No more than two instances of failure to properly manage medical records each month.

Monthly record/report reviews / COR

5.3 Spinal Injury

Treatment

The Contractor shall provide treatment and preventative services of spinal injuries, when medically appropriate, utilizing MedX™ equipment or equal to include: Medical Lumbar, Medical Cervical, Exercise Rotary Torso, and Exercise Stretch. HPP services will include soft tissue manipulation and/or joint manipulation as required for injury prevention and rehabilitation.

No more than two instances of failure to evaluate and provide treatment and preventative services of spinal injuries each month.

Monthly record/report reviews / COR

5.5 “Human

Performance” and “Injury Trending”

Metrics

The Contractor shall produce an “Injury Trending” metrics written report to include:

injuries within the 173 FW pilot populace, age of injury types, origin of injury, types of injuries, deployed vs. non-deployed injuries, cost analysis of injury rehabilitation sessions, comparative billing of each injury rehabilitation session, cancellation/no-show rates, Report is received later than the final business day of the month twice during the period of performance.

injuries which require surgery, deployed injuries, and trends of injuries over periods of time.

5.6 Post-Flight Flex

Time

After the First and/or Second Go, the Contractor shall provide a Post-Flight Flex Time, minimum of 60 minutes, but no longer than 90 minutes, will allow for members to be seen after flying to tend to any immediate flying related injuries or problems.

No more than two instances of failure to evaluate and provide Post-Flight Flex Times after each GO during each month.

TECHNICAL EXHIBIT 2

Deliverables Schedule

PWS Reference / Deliverable Title

Frequency Number of Copies

Medium/Format Submit To

1.4.4.10 AT Level 1

Awareness Training Certificates

Provide within 15 calendar days after employee completes training.

1 Electronic Submission

COR

1.4.4.12 OPSEC

Training Certificates

Provide within 15 calendar days after employee completes training.

1 Electronic Submission

COR

1.4.10 Identification

Media

Return within 14 days of employee’s departure from contract performance.

Original(s) Hard Copy KO

5.1.3 Client Status

Report

Provide by last business day of every month 1 Electronic Submission

COR

5.6 “Human Performance” and “Injury Trending” Metrics

NLT 31 March & 30 September 1 Electronic Submission

COR

5.9 Malpractice

Insurance

Provide within 15 calendar days after contract award.

1 Electronic Submission

KO/COR