A21_W91QVN-17-R-0143-0002.pdf

411TH CSB, KOREA - SERVICE TEAM

POC: MR. YI, SUNG YONG

TEL: 02-7914-7641

SUNGYONG.YI.LN@MAIL.MIL

APO AP 96205-5289

UNITED STATES OF AMERICA (THE)

F2L4MG7146A001

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

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

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

30-105-04EXCEPTION TO SF 30

APPROVED BY OIRM 11-84

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

FAR (48 CFR) 53.243

The purpose of this amendment is for the follow ing:

a. Add Training/TDY CLINs (1002, 2002, 3002, 4002) for Air Force BHCF Training.

b. To include PWS Paragraph 5.3.1 for Air Force BHCF Training.

c. All other terms and conditions remain unchanged.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 38

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

16C. DATE SIGNED

BY 11-Aug-2017

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

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

8. NAME AND ADDRESS OF CONTRACTOR (No., Street, County, State and Zip Code) X W91QVN-17-R-0143

X 9B. DATED (SEE ITEM 11)

28-Jul-2017

10B. DATED (SEE ITEM 13)

9A. AMENDMENT OF SOLICITATION NO.

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

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

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

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

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

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

12. ACCOUNTING AND APPROPRIATION DATA (If required)

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

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

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

CONTRACT ORDER NO. IN ITEM 10A.

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

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

D. OTHER (Specify type of modification and authority)

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

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

10A. MOD. OF CONTRACT/ORDER NO.

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

6. ISSUED BY

3. EFFECTIVE DATE

11-Aug-2017

CODE

411TH CONTRACTING SUPPORT BRIGADE, KOREA

RCC YONGSAN, UNIT #15289

APO AP 96205-5289

UNITED STATES OF AMERICA (THE)

W91QVN 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE W91QVN

FACILITY CODECODE

EMAIL:TEL:

W91QVN-17-R-0143

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION B - SUPPLIES OR SERVICES AND PRICES

CLIN 1002

This CLIN has been renumbered to CLIN 1003.

CLIN 1003

This CLIN has been renumbered to CLIN 1004.

CLIN 2002

This CLIN has been renumbered to CLIN 2003.

CLIN 2003

This CLIN has been renumbered to CLIN 2004.

CLIN 3002

This CLIN has been renumbered to CLIN 3003.

CLIN 3003

This CLIN has been renumbered to CLIN 3004.

CLIN 4002

This CLIN has been renumbered to CLIN 4003.

CLIN 4003

This CLIN has been renumbered to CLIN 4004.

CLIN 1002 is added as follows:

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

1002 1 Job OPTION Air Force BHCF training

FFP

Training and Travel (TDY), para 5.3.1 of PWS

Actual cost for Government required training specified in PWS. Training will be reimbursed at actual cost. Costs submitted for payments shall be substantiated by receipts or other verifiable evidence to determine allowability.

Actual cost for Government required travel. Travel will be reimbursed at actual cost and as limited in FAR 31.205-46 and Joint Federal Travel Regulation (JFTR). Costs submitted for payments shall be substantiated by receipts or other verifiable evidence to determine allowability. The Government will not pay for any unauthorized travel.

FOB: Destination

NET AMT

CLIN 2002 is added as follows:

2002 1 Job OPTION Air Force BHCF training

FFP

Training and Travel (TDY), para 5.3.1 of PWS

Actual cost for Government required training specified in PWS. Training will be reimbursed at actual cost. Costs submitted for payments shall be substantiated by receipts or other verifiable evidence to determine allowability.

Actual cost for Government required travel. Travel will be reimbursed at actual cost and as limited in FAR 31.205-46 and Joint Federal Travel Regulation (JFTR).

Costs submitted for payments shall be substantiated by receipts or other verifiable evidence to determine allowability. The Government will not pay for any unauthorized travel.

CLIN 3002 is added as follows:

3002 1 Job OPTION Air Force BHCF training

FFP

Training and Travel (TDY), para 5.3.1 of PWS

Actual cost for Government required training specified in PWS. Training will be reimbursed at actual cost. Costs submitted for payments shall be substantiated by receipts or other verifiable evidence to determine allowability.

Actual cost for Government required travel. Travel will be reimbursed at actual cost and as limited in FAR 31.205-46 and Joint Federal Travel Regulation (JFTR).

Costs submitted for payments shall be substantiated by receipts or other verifiable evidence to determine allowability. The Government will not pay for any

CLIN 4002 is added as follows:

4002 1 Job OPTION Air Force BHCF training

FFP

Training and Travel (TDY), para 5.3.1 of PWS

Actual cost for Government required training specified in PWS. Training will be reimbursed at actual cost. Costs submitted for payments shall be substantiated by receipts or other verifiable evidence to determine allowability.

Actual cost for Government required travel. Travel will be reimbursed at actual cost and as limited in FAR 31.205-46 and Joint Federal Travel Regulation (JFTR).

Costs submitted for payments shall be substantiated by receipts or other verifiable evidence to determine allowability. The Government will not pay for any

SECTION C - DESCRIPTIONS AND SPECIFICATIONS

The following have been modified:

PERFORMANCE WORK STATEMENT

BEHAVIORAL HEALTH OPTIMIZATION PROGRAM (BHOP)

INTEGRATED PRIMARY CARE –

CLINICAL PSYCHOLOGIST AT 8th MEDICAL GROUP

KUNSAN AIR BASE,

KOREA

TABLE OF CONTENTS

SECTION TITLE

1.0 INTRODUCTION

2.0 BACKGROUND

3.0 SCOPE OF WORK

4.0 QUALITY ASSURANCE SURVEILLANCE PLAN

5.0. Specific Duties/Tasks. CLINICAL PSYCHOLOGIST - INTEGRATED PRIMARY CARE

6.0 APPLICABLE TECHNICAL ORDERS, SPECS, REGULATIONS, AND MANUALS

7.0 ACRONYMS AND DEFINITIONS

1.0. INTRODUCTION.

1.1. The contractor shall provide the personal services of one (1) Clinical Psychologist to support the Air Force Behavioral Health Optimization Program (BHOP) in 8th MEDICAL GROUP KUNSAN AIR BASE, KOREA, also referred as the “Medical Treatment Facilities” (MTFs). The Contractor shall provide all services and labor required to accomplish the performance of Clinical Psychologist duties as specified, in strict accordance with all terms, conditions, general and special provisions, specifications, attachments, etc., contained herein or incorporated by reference. The Contractor shall furnish all management, tools, equipment, reports, consultation and labor necessary to ensure that the Contractor provides one (1) clinical psychologist for the 8th Medical Group, Kunsan Airbase, Republic of Korea. Performance shall be according to the requirements contained in this performance-based work statement (PWS).

1.2. All services shall be provided in accordance with established standards, principles and ethics of the profession and applicable professional specialty organizations, The Joint Commission (JC) standards, the Accreditation Association for Ambulatory Health Care (AAAHC), applicable Department of Defense (DoD) and shall comply with Air Force Instructions (AFI) 44-171, 44-173, AF Guide to Population Health, DoD Medical Management Guide and Medical Group Instruction (MDGI) 44-106. These documents are available in the MTF and maintained by the Government. Supplements or amendments to instructions or publications from any organizational level may be issued during the life of the contract. The Contractor shall immediately implement those changes. Contract health care providers (contract personnel) shall give the highest regard to patient dignity and observe the precepts of the American Hospital Association’s Bill of Rights for Patients. The Contractor shall provide services for clinical psychologist services in accordance with established principles and ethics of the clinical psychologist profession, the national standards established by the JC, and the professional standards at the medical treatment facility (MTF). The Contractor shall be held accountable for compliance to the standards listed in the Comprehensive Accreditation Manual for Hospitals (CAMH) dated 2011 or current version.

1.2.1. Period of Performance: The period of performance shall be for one (1) Base Period and four (4) 12-month option years. The Period of Performance reads as follows:

Base Period: 29 September 2017 – 31 October 2017 1st Option Year: 1 November 2017 – 31 October 2018 2nd Option Year: 1 November 2018 – 31 October 2019 3rd Option Year: 1 November 2019 – 31 October 2020 4th Option Year: 1 November 2020 – 31 October 2021

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

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

1. 4. This is a personal services contract (as defined by FAR Subpart 37.104) and is intended to create an employer-employee relationship between the Government and the individual health care providers only to the extent necessary for providing the health care services required under the contract. The performance of health care services by the individual HCPs under a personal services contract are subject to day-to-day supervision and control by health care facility personnel comparable to that exercised over military and civil service HCPs engaged in comparable health care services. Any personal injury claims alleging negligence by the individual HCPs within the scope of the HCP’s performance of the personal services contract shall be processed by DoD in the same manner as claims alleging negligence by DoD military or civil service HCPs. The contract does not create an employer-employee relationship between the Government and any corporation, partnership, business association or other party or legal entity with which the HCP may be associated. The authority for this contract is 10 United States Code 1089 and 10 United States Code 1091.

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

1.4.2. Responsibility and Procedures.

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

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

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

1.5. Contractor Responsibility.

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

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

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

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

1.5.5. The Contractor shall provide AF specific orientation as part of their internal program for the provider to include, but not limited to, the following topics:

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

Dress code MTF POC/QAE responsibilities Security policies o ADP III /SF 85P Submission o HIPAA

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

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

2.0. BACKGROUND.

2.1. The mission of the military healthcare system (MHS) is to ensure the nation has available at all times a healthy military force supported by a combat ready healthcare system. Health care services for eligible MHS beneficiaries are provided at military treatment facilities (MTFs) located on or near military installations or posts. The military treatment facility may be a clinic, Hospital, or Medical Center. Clinics are outpatient facilities offering primary care or simple specialty care (routine exams, tests, treatments). The Clinic may be a stand-alone site or a satellite of a larger Clinic, Hospital, or Medical Center.

2.2. The 8th Medical Group’s mission is to seamlessly transition from community healthcare to contingency operations and respond to a full spectrum of health requirements, prepare medically ready forces, expand medical capabilities, and sustain war reserve materiel in support of 7 AF and USFK. The Clinical Psychologist works with other members of the Medical Management Team, all clinical and patient administrative areas of the MTF to provide individualized care and promote a positive outcome for the beneficiaries through collaborative and effective counseling.

3.0. SCOPE OF WORK.

3.1. To support the Air Force Behavioral Health Optimization Program (BHOP), 8th Medical Group has a requirement for one (1) clinical psychologist. The contractor shall provide all labor, materials, tools, equipment, transportation, and materials necessary to recruit, qualify and retain the clinical psychologist for a one (1) month performance period with four (4) 12-month option periods.

3.2. Administrative.

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

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

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

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

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

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

3.3. Conflict of Interest.

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

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

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

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

3.4. Security.

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

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

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

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

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

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

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

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

3.4.2.3. Security. The contractor shall notify the 8th FW Security Forces Squadron at Kunsan AB, 30 days before on-base performance of the contract begins. The notification shall include:

a. Name, Address, and Telephone Number of Contractor

b. The contract number and contracting agency

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

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

e. The date contract performance begins

f. Any change to information previously provided under this paragraph

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

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

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

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

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

e. AF Form 75, Visitor/Vehicle Pass

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

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

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

3.4.4. Safeguarding Material. The contract personnel shall be responsible for safeguarding all Government property.

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

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

3.4.6. National Agency Check (NAC). As a minimum, Contractor personnel shall successfully complete a NAC before operating government-furnished workstations that have access to Air Force automated information systems.

Requests for personnel hired at the beginning of the contract, shall be submitted to the Government not later than 45 working days from the contract start date. Requests for personnel hired subsequent to the contract start date shall be submitted to the Government not later than five (5) workdays from the first duty day. Contractor personnel receiving unfavorable NACs shall not be employed. The government will submit requests for investigations on AF Form 2583, “Request for Personnel Security Action”, at no additional cost to the contractor. The contractor shall comply with the requirements of DoD 5200.2-R, Personnel Security Program, and AFI 33-119, Electronic Mail (E- Mail) Management and Use.

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

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

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

3.5. MTF ORIENTATION AND TRAINING.

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

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

3.5.3. Annual training requirements. The Contractor shall ensure that contract personnel complete any mandatory annual training requirements in accordance with 8th Medical Group procedures.

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

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

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

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

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

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

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

and Electronic Records. The contractor shall segregate the government-owned records from the company-owned records. Identify all records required to be created by the statement of work on the RIMS file plans. Upon completion of this contract, all government-owned/contractor-held records (regardless of media) received, created, maintained or provided in the performance of the statement of work shall be turned over to the Government.

Background electronic data and records specified for delivery to the contracting agency must be accompanied by sufficient technical documents to permit the Air Force to use the data. In the event of default or non-performance, the Government will have access to all records in order to ensure mission support is not interrupted.

3.5.7. Antiterrorism (AT) and Operations Security (OPSEC)

3.5.7.1. AT Level I Training: This provision/contract text is for contractor employees with an area of performance within an Army controlled installation, facility, or area. All contractor employees, to include subcontractor employees, requiring access to Army installations, facilities, and controlled access areas shall complete AT Level I awareness training within 50 calendar days after contract start date or effective date of incorporation of this requirement into the contract, whichever is applicable. The contractor shall submit certificates of completion for each affected contractor employee and subcontractor employee to the COR or to the KO, if a COR is not assigned within 20 calendar days after completion of training by all employees and subcontractor personnel.

3.5.7.2. Access and General Protection/Security Policy and Procedures: This standard language text is for contractor employees with an area of performance within an Army controlled installation, facility, or area. The contractor and all associated sub-contractors’ employees shall comply with applicable installation, facility, and area commander installation/facility access and local security policies and procedures (provided by government representative). The contractor shall also provide all information required for background checks to meet installation access requirements to be accomplished by installation Provost Marshall Office, Director of Emergency Services, or Security Office.

The contractor workforce must comply with all personal identity verification requirements as directed by DOD, HQDA, and/or local policy. In addition to the changes otherwise authorized by the changes clause of this contract, should the Force Protection Condition (FPCON) at any individual facility or installation change, the Government may require changes in contractor security matters or processes.

3.5.7.3. AT Awareness Training for Contractor Personnel Traveling Overseas: This standard language text required US based contractor employees and associated sub-contractor employees to make available and to receive government provided area of responsibility (AOR) specific AT awareness training as directed by AR 525-13.

Specific AOR training content is directed by the combatant commander with the unit Anti-Terrorism Officer (ATO) being the local point of contact.

3.5.7.4. iWATCH Training: This standard language is for contractor employees with an area of performance within an Army controlled installation, facility or area. The contractor and all associated sub-contractors shall brief all employees on the local iWATCH program (training standards provided by the requiring activity ATO). This local developed training will be used to inform employees of the types of behavior to watch for and instruct employees to report suspicious activity to the COR. This training shall be completed within 50 calendar days of contract award and within 50 calendar days of new employees commencing performance with the results reported to the COR NLT 60 calendar days after contract award.

3.5.7.5. For Contracts that Require an OPSEC Standing Operating Procedure (SOP)/Plan: The contractor shall develop an OPSEC SOP/Plan within 90 calendar days of contract award, to be reviewed and approved by the responsible Government OPSEC officer, per AR 530-1, Operations Security. This SOP/Plan will include the government's critical information, why it needs to be protected, where it is located, who is responsible for it, and how to protect it. In addition, the contractor shall identify an individual who will be an OPSEC Coordinator. The contractor shall ensure this individual becomes OPSEC Level II certified per AR 530-1.

3.5.7.6. For Contracts that Require OPSEC Training: Per AR 530-1, Operations Security, new contractor employees must complete Level I OPSEC training within 30 calendar days of their reporting for duty. All contractor employees must complete annual OPSEC awareness training.

3.5.7.7. For Contractors Requiring Performance or Delivery in a Foreign Country, DFARS Clause 252.225-7043, Antiterrorism/Force Protection for Defense Contractors outside the US: The clause shall be used in solicitations and contracts that require performance or delivery in a foreign country. This clause applies to both contingencies and non-contingency support. The key AT requirement is for non-local national contractor personnel to comply with theater clearance requirements and allows the combatant commander to exercise oversight to ensure the contractor’s compliance with combatant commander and subordinate task force commander policies and directives

3.6. MTF HOURS OF OPERATION

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

Clinics have designated operating hours.

3.6.1.1. Hours of Operation: The Contractor shall be available to work from 0800 to 1700 in 8 MDG, Monday through Friday 8-hour workday, excluding lunch time. The provider shall perform eight patient care hours per day.

This will result in averaging approximately 8 patients per day or 40 patients per week if working in the mental health clinic. Providers working in BHOP will average approximately 10-12 patients per day or 50-60 patients per week. These target productivity standards should be attenuated in consideration of any meetings the provider is required to attend by their supervisor and/or the MTF. Work Schedules. A normal work week is 40 hours (8 hours per day). Duty hours will be dayshift hours, no weekends and no Federal Holidays. Duty hours may include Air Force down days or base exercise days where limited military staffing is available and foreign holidays. The Contractor will be compensated only for time actually devoted to delivery of services in this contract unless a base or MTF closure prevents the provider from performing a normal, scheduled duty day. For all locations, there may be occasions when mission and workload changes require employees to adjust work schedules to meet demand. The provider will not perform overtime or on-call duties under this contract. In the instance where the Government supervisor directs the provider to remain on duty in excess of their scheduled shift due to an unforeseen emergency or to complete patient treatment where lack of continuity of care would otherwise jeopardize patient health, the provider shall remain on duty. This provision is not intended to apply to the time required to complete routine tasks (e.g., completion of paperwork or routine administrative tasks at the end of a shift), which are to be completed as part of the normal shift. The provider’s schedule shall be adjusted for the additional hours such that the number of hours on the contract is not exceeded and no overtime is required.

3.6.2. Holidays. The following is a list of legal federal holidays. Any of the federal holidays falling on a Saturday will be observed on the preceding Friday, holidays falling on a Sunday will be observed on the following Monday.

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

New year’s Day, January 1st Martin Luther King’s Birthday, 3rd Monday in January President’s Day, 3rd Monday in February Memorial Day, Last Monday in May Independence Day, July 4th

Labor Day, 1st Monday in September Columbus Day, 2nd Monday in October Veteran’s Day, November 11th Thanksgiving Day, 4th Thursday in November Christmas Day, December 25th Wing Down Days/Family Days/Training Holidays/PACAF Holidays

NOTE 1: Any holidays that are declared by Presidential Executive Order shall be observed in the same manner as the holidays listed above. If the area in which a contract personnel is scheduled to work is closed due to the holiday declared by an Executive Order and the employee is not required to report in, payment will not be made for those hours. Closures of the installation due to inclement weather or other such acts of God shall be handled in the same manner. The contractor will also not have to provide services on PACAF’s family days or 8th Fighter Wing’s down days.

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

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

3.7. HOURS AND PLACE OF PERFORMANCE.

3.7.1. Scheduling process in 8 MDG: One (1) FTE will be assigned in 8th MEDICAL GROUP KUNSAN AIR BASE, KOREA. The Contractor shall be available to work 0800 - 1700, Monday through Friday 8-hour workday, excluding lunch time. Hours will be tracked and recorded according to the Contract Manpower Reporting Application (CMRA).

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

3.7.3. Absences and leave:

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

Absences will not excuse the performance of any duty under this contract. The contractor shall notify the COR when a scheduled contract personnel cannot fill a shift due to illness or emergency. Notification shall be as early as possible, but no later than 2 hours prior to start of scheduled shift. All scheduled absences, including sick absences and emergency absences, are unpaid.

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

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

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

3.7.5. Continuity of Services/Replacement Staff. The Contractor point of contact shall ensure qualified personnel are available to provide coverage during scheduled absences of primary contract provides or when they will be unable to provide services for three (3) or more scheduled duty day.

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

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

3.8. LICENSE VERIFICATION AND CREDENTIALS REVIEW OR PRIVILEGING.

3.8.1. The contractor will follow Air Force Instruction 44-102 which is located on the internet at website http://www.e-publishing.af.mil/shared/media/epubs/AFI44-102.pdf. The COR will designate the offices responsible for license verification for non-privileged personnel.

3.8.1.1. The contractor shall perform all primary source verifications and include all verifications with the credentials package or competency assessment folder information for non-privileged staff in accordance with AFI 44-119. The contractor shall obtain all paperwork, letters of reference, approvals, work history, etc required by the MTF credentialing or licensure verification processes. The MTF staff will not assist the contractor in obtaining any needed information for initial credentialing. The contractor is responsible for the current competence of contract HCPs used to provide healthcare services under this contract.

3.8.1.2. Licensure, certification, registration, or authorizing documents (license and certification verification processes chapter 4 of AFI 44-119).

3.8.1.2.1. Personal services: All personal services contract health care providers must maintain a current, active, valid and unrestricted license or authorizing document from any U.S. state, District of Columbia; or U.S. territory or jurisdiction to provide health care within the scope of practice for a specific health care discipline. In addition, contract health care providers who write prescriptions for controlled substances must have a current Drug Enforcement Agency (DEA) certificate or Controlled Drug Substance number as appropriate. The contractor shall ensure that renewal actions are accomplished well before expiration of the provider’s license and/or DEA certification to ensure compliance with the contract. DEA certificates are not necessary at overseas locations.

3.8.1.3. Privileges are facility specific and the department chair or service chief develops the criteria to award privileges. The forms required for the privileging process are outlined in AFI44-119 and will be provided by the Credentials Office. HCPs who require privileging shall not provide healthcare services until they have been granted privileges at the MTF.

3.8.1.4. The Credentials Committee may have questions which they will wish to present to the contractor’s HCPs verbally or in writing. The Contractor’s HCPs shall answer questions presented by the Credential’s Committee either verbally or in writing.

3.8.2. If the contractor adds additional/or replacement HCPs during the contract period, the same qualification standards, credentialing/privileging and health requirements shall apply.

3.8.3. The contractor shall not provide direct health care services under this contract if that individual, within the past 5 years:

3.8.3.1. Has had his/her clinical privileges limited, suspended, or revoked by any healthcare facility, public or private, anywhere in the world.

3.8.3.2. Is the subject of a current or pending hearing or appeal brought by any healthcare facility, public or private, anywhere in the world, which may result in the limitation, suspension, or revocation of the individual’s clinical privileges?

3.8.3.3. This prohibition does not apply to any individual whose clinical privileges, although originally limited, suspended or revoked by a healthcare facility where the individual was subsequently fully reinstated by the healthcare facility.

3.8.3.4. Limitation of clinical privileges, as used in this paragraph, refers to a partial withdrawal/reduction of clinical privileges as a result of a determination that or pending investigation to determine whether an individual has engaged in unprofessional conduct or substandard medical practice or is incompetent to perform certain medical practices.

3.8.4. Removal of Contract personnel. At any time during the performance of this contract, the Contracting Officer or COR may direct the contractor to immediately remove any contract HCP whose actions or impaired state raises reasonable suspicion that clear and present danger of physical harm exists to a patient, other contract HCPs, government personnel or to the impaired individual. This provision will be used in emergency situations only and not for the purpose of bringing performance issues or other non-urgent concerns to the attention of the contractor.

3.8.4.1. If the need for a removal occurs, the COR will contact the contractor's point of contact and direct the contractor to remove that individual from the military facility and to not use that individual to perform any healthcare services required under this contract until the issue has been resolved by the Contracting Officer. The contractor shall formally meet with the COR to discuss further action in accordance with the MTF Quality Assurance and Inspection (QA&I) Plan. A review of the basis for removal will be made by the Contracting Officer within 3 working days after the COR directed the removal.

3.8.4.2. If, after any investigation deemed necessary by the Contracting Officer and discussions with the contractor's representative, the Contracting Officer concludes that the contract HCP’s impairment requires permanent removal from performance under the contract, the Contracting Officer will notify the contractor that permanent removal is required.