Performance_Work_Statement_OHWS-175WG_PWSv1.0.docx

Maryland ANG 175th Wing Performance Work Statement (PWS) for 175th Operations Group

Optimizing the Human Weapon System-175WG v1.0 (OHWS) Services

Final Date: 2 Apr 2019

PERFORMANCE WORK STATEMENT (PWS) FOR

Optimizing Human Weapon System (OHWS) Services

1. General:

1.1. Introduction/Background: This is a new requirement from Combat Air Forces (CAF) and Air Combat Command (ACC) to support the 175th Wing (WG) located in Middle River, MD. Up to 85% of Air Force fighter aircrew surveyed reported some type of spine discomfort during their career. The OHWS program is designed to meet the unique physical needs of the rated fighter aircrew. Conditioning is accomplished through a comprehensive, coordinated, multidisciplinary “pre-habilitative” physical training program with focused strength and conditioning, physical therapy and athletic training. The contractor shall provide all personnel, equipment, tools, materials, supervision, and quality control necessary, except as specified in Paragraph 15 as Government Furnished, to perform on or off-base injury prevention and mitigation, pre-habilitation services, and human performance optimization services to rated personnel assigned to the 175th WG. 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 aircrew.

1.2. Task Order Objective: The objective of the OHWS program is to keep Specialists in close proximity to aircrew 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 aircrew production, and support fighter aircrew retention.

1.3. Period of Performance (PoP): The Period of Performance shall be one Base Year of 12 months and 1 12-month option period.

2. General Information:

2.1. 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)).

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

2.2.1. New Year’s Day: January 1st

2.2.2. Martin Luther King, Jr.’s Birthday

2.2.3. President’s Day

2.2.4. Memorial Day

2.2.5. Independence Day: July 4th

2.2.6. Labor Day

2.2.7. Columbus Day

2.2.8. Veteran’s Day: November 11th

2.2.9. Thanksgiving Day

2.2.10. Christmas Day

2.3. Place and Performance of Services: The contractor shall provide services between the hours set forth by the 175WG (typically Tuesday – Friday 0700-1730). On scheduled weeks involving late take-off/land times for aircrew (e.g. “night flying”), the standard times will fluctuate based on the exact flying schedule, but will not be in excess of a 10-hour day. Other non-standard hours may include recognized US holidays. The Unit will provide at least two weeks’ notice requiring a change to the standard operating hours. Performance, will be executed at the contractor’s place of business. The facility must possess a rehabilitation gym appropriate for treating neck and spine conditions and or injuries, a gym appropriate for elite athlete training and must be within 10 miles of the 175 Operations Group(OG) (2701 Eastern Blvd, Middle River, MD, 21220). Additionally, aircrew members will have access to the facility to execute the physical training plan set forth by the contractor. 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 appropriately licensed to begin immediate implementation of the contract’s requirements to avoid any delay in services.

3. Special Qualifications:

3.1. Athletic Trainer and Physical Therapist medical/preventive services will be determined by the unit commander (commander may delegate this authority to unit medical personnel) based on local medical laws. Contractor is required to provide résumés detailing experience and qualifications sufficient to perform the requirements of this PWS, including, at a minimum, Bachelors of Science in Athletic Training and/or Masters of Science in Physical Therapy, NATA Member (if Athletic Trainer), ATC and PT License, Cardiopulmonary Resuscitation (CPR) to include Automated External Defibrillator (AED) training/certification, NATA and PT continuing education compliant, evidence (s)he has worked directly with workers’ compensation employees under the supervision of a Licensed Physician or Physical Therapist. Please include any pertinent continuing education and conference attendance within the last three years that support the practice. These qualifications are necessary in order to work with pre-habilitative industrial employees who fall under the jurisdiction of the Federal Employees Compensation Act and the special needs of working with United States DoD fighter aircrew.

3.2. The Physical Therapist must be a current Licensed Physical Therapist and hold a degree from an American Physical Therapy Association (APTA) accredited institution specifically for “Physical Therapy.” No other degree will be accepted for this position. The Physical Therapist must have experience working with professional and/or collegiate athletes, or equivalent. A minimum of four (4) years’ experience is desired. The Physical Therapist must have experience working in an orthopedic out-patient physical therapy clinic or sports medicine clinic. A minimum of four (4) years’ experience is desired. Past experience working with musculoskeletal spinal injuries is strongly preferred.

3.3. The Athletic Trainer must be a current Licensed Athletic Trainer and hold 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.” No other degree will be accepted for this position. The Athletic Trainer must have experience working with professional and/or collegiate athletes. A minimum of four (4) years’ experience is desired. The Athletic Trainer of must have experience working in an orthopedic out-patient physical therapy clinic. A minimum of three (3) years’ experience is desired. Past experience working with combat related injuries is strongly preferred.

3.4. The Strength and Conditioning Specialist must possess a Bachelor’s Degree (Master’s preferred) in an accredited exercise science, health science, Exercise Physiology, or physical education-related discipline. A minimum of five (5) years of experience is desired. 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. Demonstrated sustained experience working with elite athlete populations is highly desired. Creditable specialized experience includes: developing long and short- range planning and coordination of sport/mission specific performance programs resulting in attributable results with elite athletes (e.g., Division I collegiate, Olympic, professional level athletes or Special Operational Forces- specific tactical military professionals). The contractor shall be physically proficient to demonstrate all prescribed exercises. Contractor must be able to lift and manipulate loads and plates up to 25 kilograms.

4. Post Award Conference/Periodic Progress Meetings:

4.1. The contractor agrees to attend any post award conference convened by the KO in accordance with Federal Acquisition Regulations Subpart 42.5. The KO, COR and other Government personnel, as appropriate, may meet periodically with the contractor to review the contactor’s performance. At these meetings, the KO will apprise the contractor of how the Government views the contractor’s performance and the contractor shall apprise the Government of problems, if any. The contractor shall resolve outstanding issues raised by the Government, as soon as possible. Contractor attendance at these meetings shall be at no additional cost to the Government.

4.2. 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, (or the KO if a COR is not assigned), 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.

5. 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 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.

6. 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.

7. 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.

8. Definitions and Acronyms:

8.1. 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.

8.2. 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.

8.3. 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.

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

8.5. DELIVERABLE. Anything that can be physically delivered and includes non- manufactured things such as meeting minutes or reports.

8.6. 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.

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

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

8.9. QUALITY ASSURANCE SURVEILLANCE PLAN (QASP). An organized written document specifying the surveillance methodology to be used for surveillance of contractor performance.

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

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

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

8.13. WORK WEEK. Monday through Friday including drill weekends (typically first weekend of month 11 months per year), unless specified otherwise. Service times will be coordinated 14 days in advance with specific services agreed to 7 days in advance. Additionally, capability for just-in-time services may be available depending on contractor availability.

9. Materials: None.

10. Equipment: None.

11. Services:

11.1. The Government will assist in aircrew scheduling, working together with contractor’s scheduler and contractor as appropriate.

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

12.1. General: The contractor shall furnish everything required to perform these services as indicated in Paragraph 1.1. The contractor must accomplish the goals of the OHWS program to meet the specifics of high-G aircraft and must provide their own equipment to meet the technical needs of the OHWS program. At a minimum, the contractor must have equipment to assess, monitor, and strengthen the neck, back, and spine.

12.2. Health Insurance Portability and Accountability Act (HIPAA) compliant software to perform all functions and communication of Electronic Medical Records.

13. SPECIFIC TASKS: Services provided by the contractor shall include the following: initial assessment of each aircrew, care for personnel who individually seek (or are medically or command-directed to engage) the services of OHWS Specialist services; subject matter expertise concerning pre-habilitation evaluation/assessment, injury prevention, accommodation processes and implementation, ergonomic assessment and implementation, remedial training, and optimized performance physical training (e.g. strength and conditioning for fighter aircrew). At the discretion of the government, the contractor shall provide the following resources under this contract: licensed Physical Therapist and/or licensed Athletic Trainer and/or licensed Strength and Conditioning coach. In addition the government will have full access to all data and records associated with this program.

13.1. Primary Injury Pre-habilitation: Evaluate and provide pre-rehabilitation of all affected aircrew who request the services of the OHWS Specialist. Fully communicate with referring provider (if necessary), unit medical staff, and unit management in a fully HIPAA compliant fashion during the full duration of sessions in regards to personnel’s progress and return to duty status.

13.2. Each aircrew shall receive an initial appointment as soon as practical and/or when referred for OHWS services by member’s medical treatment provider and/or at the discretion of the aircrew’s Commander. Follow up appointments will be based on need, pre-habilitative plans, and any potential coordination with members’ military and/or civilian healthcare team.

13.3. Contractor is to provide an evaluation and assessment to the Flight Medicine Clinic after initial appointment.

13.4. Contractor is responsible for referring aviators with duty-limiting conditions or diagnoses to the Flight Medicine Clinic.

13.5. The contractor shall track the status of all aircrew who are currently being followed in the OHWS program. Due no later than the final business day of each month, the contractor shall provide the COR a status report which will include an aggregate number of (1) “new aircrew” (in the program less than one week) and (2) “progressing aircrew” (whose progress is on track). Briefing date(s) shall be coordinated with unit medial staff.

13.6. Medical referral activity supports the member, with oversight and management by squadron medical personnel as required. Medical information documented on the member is available to outside sources through coordination with the member and the military medical personnel. Contractor shall analyze all cases for potential secondary injury likelihood and impacts based on presenting assessment. These factors will be considered in all coordinated care 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 support 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.

13.7. Personnel choosing the OHWS Specialist for secondary prevention shall receive an initial evaluation within two weeks of referral unless for reasons outside the contractor’s control. Justifiable reasons for delay include installation closure, employee vacation, and Unit Drill schedule in the case of geographically distant Traditional Guardsmen, contractor capacity restraints, or acts of God.

13.8. Injury Prevention Services: Provide all forms of “primary” injury (acute and/or duty-limiting) prevention services; to include but not limited to: physical capacity as well as new member assessments, personnel health education. Any diagnosis of injury will be coordinated with 175 Medical Group.

13.9. New member evaluations shall be performed at initiation of the contract or as the 175 WG gain new aircrew. At the time of new member evaluations, contractor shall explain to members the current OHWS (SCS, PT, AT) capabilities and limitations, describe how care is accessed through OHWS, and brief member which OHWS personnel are best-qualified in the subject areas described in 3.1.

13.10. Individual Training Plans will 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 based on the physical performance status of the aircrew.

13.11. Advise management on provision of medical accommodation in accordance with Americans with Disabilities Act (ADA) and Equal Employment Opportunity Commission (EEOC). These services are to include but not limited to: services to meet job requirements from physical capacity assessments, fitness training, and ergonomics.

13.12. The contractor shall coordinate aircrew appointment schedules with government representative, individual OHWS Specialist work schedules, and reporting of all members who fail to attend their scheduled appointments in writing or E-mail to the COR within 24 hours of the missed appointment.

13.13. The contractor is responsible for the preventive services of spinal injuries, when appropriate, utilizing necessary equipment to support affected areas.

13.14. OHWS Specialist services are only available for military members, with priority of access given to aircrew. At the OG Commander’s discretion, on a case- by-case basis, in coordination with OHWS Specialists, limited access to OHWS Specialist services may be granted to non-rated military personnel. At no point will non- rated utilization of OHWS services negatively impact rated operators’ access to OHWS services. Any data collected regarding injury trending and related metrics of aircrew will be separated from data collection and reporting on rated members only. The contractor will be given a list of individuals authorized under this program.

13.15. “Human Performance” and “Pre-habilitative Trending” Metrics. NLT the last business day of each month, the contractor shall produce an “Pre-habilitative Trending” metrics written report to include but not limited to: musculoskeletal pain within the local unit aircrew populace, duration of pain, origin of pain, types of pain, deployed vs. non- deployed pain, cost analysis of pain pre-habilitation sessions, comparative billing of each pre-habilitation session, cancellation/no-show rates, pain that requires surgery, and trends of musculoskeletal pain over periods of time. Metrics will also capture lost duty time due to aeromedical disposition of Duties Not Including Flying (DNIF) as well as personal removal from flying schedule (i.e. # days and/or sorties). “Human Performance” metrics shall be gathered bi-yearly (NLT 31 March & 30 September) to assess aircrew compliance with the OHWS program. The factors for the “Human Performance” metrics will be low back strength, neck strength, and spine strength measured at varying weights and angles as well as number of missions able to execute at a subjective 100% (i.e. not limited by pain). However, these metrics may be adjusted with concurrence of the contractor and Government.

13.16. Contractor Manpower Reporting Application (CMRA):

Contractor Manpower Reporting is an Army Initiative and System that was implemented on Mar 8, 2005. It is a business process designed to obtain better visibility of the contractor service workforce from Contractors supporting the Army. The process was created to collect information on funding source, contracting vehicle, organization supported, mission and function performed, and labor hours and costs for contracted efforts.

Please read the implementation language below, it will include the web-site address in which the information is entered.

"The Office of the Assistant Secretary of the Army (Manpower & Reserve Affairs) operates and maintains a secure Army data collection site where the contractor will report ALL contractor manpower (including subcontractor manpower) required for performance of this contract. The contractor is required to completely fill in all the information in the format using the following web address: https://contractormanpower.army.pentagon.mil <https://contractormanpower.army.pentagon.mil/>.

Reporting period will be the period of performance not to exceed 12 months ending 30 Sep of each government fiscal year.

Information must be reported within 30 business days after the completion of this contract.

The following is what you will need to add Location Information to your contract:

*Contract Number: TBD *FSC Code: S10 (Services) *Direct Labor Hours: estimated time spent working at the site *Direct Labor Dollars: money spent for the direct labor assistance *Fiscal Year of Labor Dollars/Hours: defaulted to the current Fiscal Year *Country: defaulted to the United States *State: select the state the service was rendered by clicking on the drop down box *Zip Code: type in the zip code with four-digit extension of where the service was rendered *City or Installation of Service: type the city of where the service was rendered

* Unit Identification Code (UIC): W912K6

14. CONTRACT ASSUMPTIONS: Assumptions 30 customers, approx. 2 strength training periods per month per customer, Pre-habilitative Physical Therapy 2 times every 2 months, Athletic Training as desired. These training intervals could increase or decrease at the discretion of the government. Contractor is not required to provide all three services to submit a bid for this contract (for example: the contractor could submit for Strength Training and Physical Therapy only).

14.1. 100% of initial execution of contract at contractor’s facility. Bid must include access to facility for aircrew in the program to execute training program.

14.2. Include cost per 1 hour Strength and Conditioning training, 1 session of physical therapy, 1 session of Athletic training.

14.3. Graduated costs may be included (10 sessions/month = $X/session, 40 sessions = $Y/session) .

15. Applicable Publications: Publications applicable to this PWS are listed below:

TRICARE

publishing.af.mil/

OPERATIONS AND

PATIENT

ADMINISTRATION

FUNCTIONS

PERSONNEL

publishing.af.mil/

SECURITY

PROGRAM

MANAGEMENT

Technical Exhibit 1 - Service Delivery Summary

13.1

13.2

13.3

13.5

13.6

13.7

· Contractor performed initial assessment of current and new incoming aircrew members.

· Evaluate and provide preventive services to all affected personnel who request services of OHWS Specialist(s). Communicate with referring provider, unit medical staff, and host unit management during full duration of services

· Each member will receive an initial appointment as soon as practical and/or when referred for OHWS services by member’s military or civilian medical provider.

· Contractor is to provide an evaluation and assessment after initial appointment, and any change in flying status will be vetted by the medical decision authority.

· The Contractor will track the status of all aircrew who are currently being followed in the OHWS program. Provide at least a monthly status report of 1) new members, 2) progressing members, and 3) prolonged members. Brief squadron-assigned military medical personnel on the status of each prolonged members.

· Contractor shall establish and maintain relationships with local area (orthopedic) physicians and physical therapist who accept Tri-Care/Blue Cross Blue Shield medical coverage, to facilitate full-spectrum care, continuity of care, and coordinated case management.

· Personnel choosing the OHWS Specialist for secondary prevention shall receive an initial evaluation within two weeks of referral unless for reasons outside the Contractor’s control

· 100% of all personnel

· 100% of all occurrences

· 100% of the time

· At least once every calendar month (100%)

· 100% of all occurrences

· Monthly record/report reviews and client feedback

· Records review and client feedback

· Continuous monitoring and check ins with provider(s), and unit medical staff

· Review of Monthly reports and client feedback

· Monthly record/report reviews

· Review of Monthly reports and client feedback

· Continuous monitoring and check ins with provider(s), and unit medical staff

· Review of Monthly repoRTFS and client feedback

13.9

13.10

· Provide all forms of “primary” injury (acute and/or duty-limiting) prevention services; to include but not limited to: physical capacity as well as new member assessments, personnel health education, and nutrition advising.

· At the time of initial assessment, explain to each members the current OHWS capabilities and limitations, describe how care is accessed through OHWS, and brief member which OHWS personnel are best-qualified in the subject areas described in 5.1.2.

· Individual Training Plans will 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 based on the physical performance status of the aircrew.

· 100% of the time

· 100% of personnel

· Continuous monitoring and check ins with provider(s), and unit medical staff

· Continuous monitoring and feedback with clients

· Review of Monthly reports and client feedback

13.11

· Provide qualified/licensed Physical Therapist, Athletic Trainer, and Strength and Conditioning coach. Maintain excellent communication skills, customer service skills, and telephone etiquette. Maintain highest medical ethics.

· Advise management on provision of medical accommodation in accordance with Americans with Disabilities Act (ADA) and Equal Employment Opportunity Commission (EEOC).

· The Contractor is responsible for managing appointment schedules, managing individual OHWS Specialist work schedules, and reporting all members who fail to attend their scheduled appointments

· The Contractor is responsible for the preventive services of spinal injuries, when appropriate, utilizing necessary equipment to support affected areas.

· OHWS Specialist services are only available for military members, Unit Leadership/Staff and Combat Mission Support personnel. Allowable exceptions, as defined in contract’s Performance Work Statement section 5.5, will be documented by Contractor and COR.

· 100% of the time

· Continuous monitoring and feedback with clients

· Continuous monitoring and feedback with clients, medical staff, and 3rd party providers

· Review of Monthly reports

· Continuous monitoring and monthly review of reports

· Continuous monitoring and feedback with clients

Professionalism, And

· 100% of the time

13.13

13.14

· 100% of the time

· The contractor shall report ALL contractor labor hours (including subcontractor labor hours) required for performance of services provided under this contract for government collection sites. The contractor is required to completely fill in all required data fields using the following web ad-dress: http://www.ecmra.mil/.

· Review of Monthly reports

Professionalism, And qualifications

13.16

TECHNICAL EXHIBIT 2

Deliverables Schedule