W91QVN-20-R-0003, Amendment 1 (PD2).pdf

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

See Next Page

1. CONTRACT ID CODE PAGE OF PAGES

1 34

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

16C. DATE SIGNED

BY 12-Nov-2019

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 W91QVN20R0003

X 9B. DATED (SEE ITEM 11)

25-Oct-2019

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

12-Nov-2019

CODE

411TH CONTRACTING SUPPORT BRIGADE, KOREA

SERVICES DIV, UNIT #15289

APO AP 96271

UNITED STATES

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

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

W91QVN20R0003

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 30 - BLOCK 14 CONTINUATION PAGE

The following have been added by full text:

AMENDMENT 1

1. The purpose of this amendment is to respond to the questions as shown below.

2. All other terms and conditistion remain unchanged.

Q1, Q2, Q3, Q4, On page 44/86 of the solicitation, it says Sub-Factor (4): English Language Requirement (If Applicable/Local Hires):

The offeror shall provide a copy of the SNC's Test of English for International Communication (TOEIC) test score if the SNC candidate is a foreign national. TOEIC score must be equal to or greater than 550.

Question 1. What if SNC candidate is a foreign national, but his/her native language is English (e.g. Australia, New Zealand, Canada)? Do we have to submit a test score?

Answer 1. No. The offeror does not need to submit a test score.

Question 2. What if SNC candidate is not a foreign national (i.e. US citizen), but his/her native language is also not English (e.g. Dual citizenship)? Do we have to submit a test score?

Answer 2. Yes. The offeror shall submit a test score.

Question 3. Are IELTS or TOEFL scores also acceptable? If so, what are the minimum required scores?

Answer3. No, only Test of English for International Communication (TOEIC) test scores will be accepted. TOEIC score must be equal to or greater than 550.

Question 4. Will the TOEIC score that is greater than 550 but has passed its expiration date be considered?

Answer 4: No. The expiration date of TOEIC score will not be considered.

Question 5: 5.1.3.14. License/certification. Social work license is not required.

Sub Factor (3): License, Certification Registration or Authorizing Documents. The offeror shall provide documents which demonstrates that the SNC has 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 line with this, we would like to ask below question:

Question 5-1: If our potential candidate is a graduate of Master of Social Work and Social work license is not required under section 5.1.3.14, what type of license information does he/she need to provide in order to suffice Sub Factor (3)?

Answer 5-1: Sub Factor (3) is changed to add “Social Work License from any states of U.S.” as shown below.

Sub Factor (3): License, Certification Registration or Authorizing Documents. The offeror shall provide documents which demonstrates that the SNC has current, active, valid and unrestricted Social Work License from any states of U.S.; 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 as specified in the sub factor (3).

Answer 5-1. Paragraph 5.1.3.14 of PWS is revised as shown below:

PWS: 5.1.3.14. License/certification. Social worker shall has current, active, valid and unrestricted Social Work License from any states of U.S.; 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.

Question 6: I wanted to inquire to if holding a BSN from a Korean University rather than an American University would be an issue.

Answer 6: Bachelor of Science in Nursing (BSN) from Korean University will be acceptable.

SECTION SF 1449 - CONTINUATION SHEET

The following have been modified:

PWS

PERFORMANCE WORK STATEMENT

Medical Social Worker Special Needs Coordinator (SNC) at 8th Medical Group, Kunsan AB

1. GENERAL.

The Contractor shall provide the personal services of one Medical Social Worker Special Needs Coordinator (SNC) at Kunsan Air Base, Republic of Korea which shall contribute to a stable workforce tasked with providing quality health care services to a diverse beneficiary population.

1.1 Description of Services/Introduction:

1.1.1. All services shall be provided in accordance with established standards, principles and ethics of the profession and applicable professional specialty organizations, The Joint Commission on Accreditation of Healthcare Organizations (JC) standards, applicable Department of Defense (DoD) and Army specific regulations, directives, and policies, and military treatment facilities (MTF) specific policies, procedures, and job descriptions. 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 varied healthcare specialties in accordance with established principles and ethics of the medical profession, the national standards established by the JC, the professional standards at the medical treatment facility (MTF), and the American Board of applicable specialty. The Contractor shall be held accountable for compliance to the standards listed in the Comprehensive Accreditation Manual for Hospitals (CAMH) dated 02 Sep 2006 or current version.

1.1.2. The Contractor or contract employees 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 employees shall perform essentially the same functions, within the scope of acceptable practice for the specific specialty or position, as those required by Army 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.

1.1.3. 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 SNCs 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 SNCs engaged in comparable health care services. Any personal injury claims alleging negligence by the individual SNCs within the scope of the SNC’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 SNCs. 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 SNC may be associated. The authority for this contract is 10 United States Code 1089 and 10 United States Code 1091.

1.1.3.1. Professional Liability.

1.1.3.1.1. Pursuant to 10 USC 1089(a), DoD shall process any personal injury claim alleging negligence by the SNC within the scope of the SNC’s performance under this contract as claims alleging negligence by DoD military or civil service SNC. The contractor or SNC 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.

1.1.3.1.2. Responsibility and Procedures.

1.1.3.2.1. If any suit or action is filed or any claim is made against the contract SNC, which occurred as a result of work performed by the SNC under this contract, the SNC 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.

1.1.3.2.2. The contractor and contract SNC 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 SNC in, or take charge of, any litigation involved in such an action. The contract SNC may, at the contract SNC’s own expense, participate in defense of such claim or litigation.

1.2. Background.

1.2.1. 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. Army Community Hospitals (ACH) offer more complex, resource- intensive secondary care (e.g. inpatient care, surgery under anesthesia) and primary care at outpatient clinics inside and outside the hospital. Army Medical Centers (MEDCENs) offer tertiary (sophisticated diagnosis/treatment of any ailment), secondary, and primary care, hospital services, preventive services, blood bank, and other services. In addition, all MEDCENs offer graduate medical education programs for physicians.

1.2.2. The 8 MDG is a clinic that delivers primary care to approximately 2,600 active duty beneficiaries. Annually, the 8 MDG delivers approximately 24,000 patient visits across primary care services. It is staffed by 7 physicians, 3 nurses, 24 medical technicians, and based on mission requirements. It also refers approximately 2,000 patient visits per year for specialty care and sub-specialty care.

1.3. Scope of Work.

1.3.1. The SNC shall oversee and manage the Exceptional Family Member Program—Medical (EFMP-M) IAW DoD and Air Force (AF) policy, and any subsequent implementing guidance.

The SNC uses a multi-disciplinary and collaborative approach with other key service providers, such as installation youth and childcare facilities, and officer and enlisted spouses groups, to ensure effective outreach and identification of special needs. Ensures AF sponsors assigned to the installation, or whose personnel functions are handled at the installation, are “Q-coded” (EFMP-enrolled) regardless of location of family members.

1.4. Period of Performance.

Base Year 23 Dec 2019 – 22 Dec 2020 or date of award 1st Option Year 23 Dec 2020 – 22 Dec 2021 2nd Option Year 23 Dec 2021 – 22 Dec 2022 3rd Option Year 23 Dec 2022 – 22 Dec 2023 4th Option Year 23 Dec 2023 – 22 Dec 2024

1.5. Quality Control.

1.5.1. Quality Management.

1.5.1.1. The Contractor shall have a planned and systematic quality management process for monitoring and analyzing its contract performance.

1.5.1.2. The Contractor shall ensure that all contract employees comply with the MTF quality management/process improvement activities.

1.5.2. Quality Assurance Surveillance Plan.

The inspection and acceptance point for all services rendered under this contract will be the COR in accordance with paragraph 7, Performance Requirement Summary. The performance by the contract personnel, the quality of services rendered, and any documentation or written material in support of same, shall be subject to continuous inspection, surveillance and review for acceptance by the KO or COR. Any services rendered by the contract personnel to patients or interaction with military/civilian personnel deemed unprofessional, threatening, or dangerous by the KO shall be grounds for immediate termination for default or cause. Quality Assurance procedures established by the MTF shall be used for continuous monitoring. Other performance evaluation factors shall be monitored that are not quantified by numerical measurements which include: Contractor providing personnel not meeting the minimum qualification standards;

inappropriate prescriptions; patient customer service comments; Contractor relationship with clinic staff/Government contracting personnel; compliance with clinic healthcare policies and procedures.

1.6. MTF Hours of Operation.

1.6.1. 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

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 employee is scheduled to work is closed due to the holiday and the employee is not required to report in, payment shall 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.

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

1.6.3. Closures. During anticipated closure of the facility due to Command declared training holidays or during unplanned closure of the facility due to natural disasters, military emergencies, severe weather, or otherwise, the contractor shall not invoice the Government for services not performed and the Government shall not be liable to the contractors for any such closures.

1.6.4. Hours of Performance.

1.6.4.1. Scheduling process: The SNC shall provide services during the duty day, 0800-1700 with a one-hour unpaid lunch, during the normal work week Monday through Friday.

1.6.4.2. Any hours worked greater than the contracted 40-hour work week will be coordinated with the approval of the COR.

1.6.4.3. The COR or their designee shall be responsible for communicating with the contractor regarding scheduling issues. The shift supervisor 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.

1.6.4.4. Absences and leave:

1.6.4.4.1. 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.

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

1.6.4.4.3. Scheduled absences of contract personnel shall be coordinated with the COR at least 30 calendar days in advance. Backfill for the position must also be coordinated with the COR at least 30 calendar days in advance of a scheduled absence.

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

1.7. Administrative.

1.7.1. 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.

1.7.2. The Contracting Officer’s Representative (COR) shall 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 shall be discussed and resolved. Unresolved problems shall be referred to the KO for resolution.

1.7.3. 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.

1.7.4. 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.

1.7.5. 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.

1.7.6. Emergency health care for contract personnel. The MTF shall 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.

1.8. Conflict of Interest.

1.8.1. 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.

1.8.2. The Contractor or contract personnel shall not, while performing services under this contract, advice, 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.

1.8.3. 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.

1.8.4. The contractor shall not employ active duty military nor government civilian employees to perform services under this contract.

1.8.5. The Contractor or 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.

1.9. Security.

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

1.9.2. 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.

1.9.3. 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.

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

1.9.5. 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.

1.9.6. 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.

1.9.7. 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.

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

1.9.9. 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.

1.9.10. 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.

1.10. Orientation and Training.

1.10.1. 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.

1.10.1.1. 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.

1.10.1.2. Annual training requirements. The Contractor shall ensure that contract personnel complete any mandatory annual training requirements in accordance with MTF procedures.

1.10.1.3. Government unique training. The government may elect to provide unique government training to contract SNCs who are performing services under this contract. If the government elects to provide such training, the government shall provide such training at no additional expense to the contractor or to the contract SNC. When directed by the contracting officer, contract SNCs 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 SNC fails to satisfy the performance commitment after the contract SNC 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 SNC 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.

1.10.1.4. 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:

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

1.10.1.6. 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.

1.10.1.7. 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.

In addition, contract personnel working in Labor and Delivery will be trained on the Labor and Delivery Statistics System (LADS).

1.11. License Verification and Credentials Review or Privileging

1.11.1 The contractor shall follow AFI 44-119: Medical Quality Operations for all healthcare services provided in the MTFs. This instruction is located on Air Force e-pubs online. The COR will designate the offices responsible for license verification for non-privileged personnel and the Credentials Office is responsible for credentialing and privileging actions. If the contractor is providing privileged health care providers, the contractor shall check with the Credentials Office to determine their credentialing/privileging process and timelines so that the health care providers can be privileged prior to the start of work.

1.11.1.1. 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. 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 SNCs used to provide healthcare services under this contract.

1.11.1.2. Licensure, certification, registration, or authorizing documents (AFI 44-119).

1.11.1.2.1. 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.

1.11.1.3. See Minimum Qualifications for details. The forms required for the privileging process are outlined in AFI 44-119 and will be provided by the Credentials Office. SNCs who require privileging shall not provide healthcare services until they have been granted privileges at the MTF.

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

1.11.1.5. The Contractor shall contact the Credential Office for current credentialing process.

The TAMC Credential Office contact numbers are (808) 433-2459 and/or (808) 433-4393.

1.11.1.6. The Contractor shall provide a completed credential file of the accepted candidate within 60 days from contract award.

1.11.1.7. The contract SNC shall have been granted privileges by the Commander and commencement of services under this work statement shall be in place within 90 days from contract award.

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

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

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

1.11.3.2. 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.

1.11.3.3. 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.

1.11.3.4. 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.

1.11.4 Removal of Contract SNCs. At any time during the performance of this contract, the Contracting Officer or COR may direct the contractor to immediately remove any contract SNC whose actions or impaired state raises reasonable suspicion that clear and present danger of physical harm exists to a patient, other contract SNCs, 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.

1.11.4.1. 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 and AFI 44-119. A review of the basis for removal will be made by the Contracting Officer within 3 working days after the COR directed the removal.

1.11.4.2. If, after any investigation deemed necessary by the Contracting Officer and discussions with the contractor's representative, the Contracting Officer concludes that the contract SNC’s impairment requires permanent removal from performance under the contract, the Contracting Officer shall notify the contractor that permanent removal is required. In the event of disagreements between the government and the contractor's representative concerning matters of impaired contract SNCs, the decision of the Contracting Officer shall be final.

During the period of time between the removal and the final decision of the Contracting Officer, the contractor shall provide a backup/replacement contract SNC in accordance with the terms and conditions of this contract.

1.11.4.3. The Commander has the prerogative to hold in abeyance, to deny, or to summarily suspend clinical privileges/practice when there is a reasonable cause to doubt the health care provider’s competence to practice or for any cause affecting the safety of patients or others.

AFI 44-119 outlines the adverse clinical privileging and practice actions for privileged personnel and adverse practice actions and peer review for non-privileged personnel.

1.11.5. RESERVED

1.11.6. Conduct.

1.11.6.1. Contract personnel shall comply with MTF policies regarding personal appearance and conduct.

1.11.6.2. Contract personnel shall abide by federal, state, and local MTF regulations and requirements concerning the nature of limited privileged communication between patients and the contract personnel as may be necessary for security and personnel reliability programs.

They shall also abide by federal, state, and local MTF regulations concerning the confidentiality of patient records, as embodied in federal statutes including the Privacy Act of 1974 and the Health Insurance Portability and Accountability Act (HIPAA) of 1996. All medical records and reports shall remain the property of the Government.

1.11.7. Contract personnel shall not introduce new procedures or services without prior approval of the Department Chief or representative. If disagreements or deviations from protocols or procedures occur, the Department Chief or representative shall be the deciding authority.

1.11.8. The contractor shall ensure contract privileged providers providing medical services under this contract has his/her rubber stamp containing their full name, degree, title, DEA license number and company name (if applicable) or the word, "Contractor." The stamp shall be placed on all forms and documentation having the provider's signature:

EXAMPLES:

Jane J. Jones, APRN, BC John J. Jones, APRN, BC Family Nurse Practitioner Family Nurse Practitioner

DEA #123456 DEA #123456

Jones Healthcare Company Contractor

1.12. Health and immunization requirements. All contract personnel performing services under this contract shall comply with the health and immunization requirements as stated in the TAMC Health Requirements clause. Backup/replacement contract personnel shall meet the same health and immunization requirements. The expense to comply with the health and immunization requirements shall be borne by the Contractor at no additional cost to the Government.

1.13. Criminal History Background Check Requirements. Contract personnel determined by the MTF to be involved in the delivery of health care to children under the age of 18 on a frequent and regular basis must meet the requirements of the Crime Prevention Act of 1990, as specified in the Criminal History Background Check Requirements clause.

1.14. Contractor Verification System (CVS).

1.14.1. The Contractor shall comply with agency personal identity verification procedures identified in the contract that implement Homeland Security Presidential Directive-12 (HSPD- 12), Office of Management and Budget (OMB) guidance M-05-24, and Federal Information Processing Standards Publication (FIPS PUB) Number 201.

1.14.2. The Contractor shall comply with agency personal identity verification procedures in all subcontracts when the sub-contractor is required to have physical access to a federally-controlled facility or access to a Federal information system.

1.14.3. The Contractor shall ensure compliance with the provisions set forth below. For purposes of FAR Clause 52.204-9, the Government will designate a Trusted Agent (TA), and the Contractor shall designate a Facility Security Officer (FSO), for this contract. The Government reserves the right to amend or supplement these provisions pursuant to the Changes clause in the contract.

1.14.4. In-processing Requirements. Contractor personnel are prohibited from performing services under this contract absent compliance with the in-processing requirements set forth below.

1.14.4.1. For every contract service provider, the FSO shall provide the following information to the TA for input into the DEERS/RAPIDS System:

(a) Last Name

(b) First Name

(c) Middle Name

(d) Social Security Number

(e) Date of Birth

(f) E-mail Address (may be either the e-mail address of the incoming individual or the

FSO).

1.14.4.2. The contract service provider shall have an Army Knowledge Online (AKO) account in order to submit the application. AKO registration may be accessed via https://www.us.army.mil .

1.14.4.3. The DEERS/RAPIDS Systems will send a notice to the e-mail address provided IAW the above requirement, in which the contract service provider’s user ID and password are provided. In the event the e-mail message is sent to the FSO, the FSO shall notify the Contractor of the contract service provider’s user ID and password.

1.14.4.4. The contract service provider shall log into the DEERS/RAPIDS System, and submit an application for acceptance into the System, using the user ID and password provided.

1.14.4.5. The application will be accepted, returned, or rejected by the TA. Notice as to whether the application has been accepted, returned or rejected will be provided to the individual’s e-mail address provided within 48 hours after submission. If the application is returned or rejected, the contract service provider shall contact the TA and comply with the TA’s guidance to attempt to correct and resolve the issues.

1.14.4.6. Upon approval of the application, the contract service provider shall receive an e-mail sent to the address provided stating the Common Access Card (CAC) application was approved and to proceed to the Verifying Office (VO) with two photo IDs to obtain a CAC.

For CAC issuance, a DD2842 must be completed and taken by the individual with two forms of picture ID. The e-mail will contain a URL to download the form. Acceptable forms of ID are: Driver’s License, Social Security Card, Military ID, Contractor Company ID with picture and expiration date, VISA charge card with picture imprinted, and passport.

1.14.4.7. Revalidation Requirements. The TA is required to revalidate all contract service providers, in the DEERS/RAPIDS System, every 6 months. In the event revalidation is denied, the CAC credentials shall be revoked and the Card will not be useable to login.

1.14.4.8. Out-processing Requirements. When a contract service provider’s performance under this contract ceases, the Contractor or FSO shall provide written notice to the TA. The TA will remove the contract service provider from the DEERS/RAPIDS System. The Contractor shall ensure the contract service provider’s CAC is turned in to the Government IAW the out-processing procedures and further guidance from the Pacific Regional Contracting Office.

1.15. Status of Forces Agreement.

The contractor shall comply with requirements generated by the Status of Forces Agreements (SOFA) with Korea http://www.us.army.mil/ and applicable countries. Contractor personnel who obtain SOFA status are eligible for logistics support as described in USFK Regulation 700-19. This support is based on availability of services and SOFA accreditation status. The contractor is responsible for and shall meet Korea and applicable countries government requirements for contractors working these respective countries to include accreditation compliance. SOFA status submissions, for both the contract and for the contractor employees, require additional planning time for processing the status requests. The contractor shall execute SOFA submission requirements in such a manner as to ensure there are no mission failures due to lack of adequate personnel with the proper skills and experience.

More information concerning SOFA requirements and submission procedures for Korea and applicable countries can be found at http://www.usfk.mil/usfk. Personnel designated as other than US Ordinarily Resident (OR) are not authorized logistical support. The government has no objections to the contractor hiring Ordinarily Resident contractor personnel who have the necessary prerequisites to perform work under this contract.

2. ACRONYMS AND DEFINITIONS.

2.1. Acronyms.

SNC Special Needs Coordinator JC Joint Commission on Accreditation of Healthcare Organizations DoD Department of Defense MTF Military treatment facilities CAMH Comprehensive Accreditation Manual for Hospitals MHS Military healthcare system HH Army Community Hospitals MEDCENs Army Medical Centers AOD Administrative Officer of the Day HIPAA Health Insurance Portability and Accountability Act AAHC Accreditation Association for Ambulatory Health Care TJC The Joint Commission FMRC Family Member Relocation Clearance IDS Delivery System AFPC Air Force Personnel Center EAMP-FS Exceptional Family Member Program – Family Support

3. ITEMS AND SERVICES: N/A.

4. CONTRACTOR FURNISED ITEMS AND RESPONSIBLITITES.

4.1 General: The Contractor shall furnish all supplies, equipment, facilities and services required to perform work under this contract that are not listed under Section 3 of this PWS.

5. SPECIFIC TASKS

5.1 Position Description: Medical Social Worker Special Needs Coordinator (SNC)

5.1.1. Assigned to: 8 MDOS/SGH

http://www.usfk.mil/usfk

5.1.2. Supervised by: 8 MDOS/SGOW

5.1.3. Qualifications

5.1.3.1. Education. Masters of Social Work (MSW) degree from an accredited graduate school of social work or a Bachelor of Science in Nursing (BSN) degree from an accredited program.

5.1.3.2. Experience. A minimum of two years full-time experience in care coordination, discharge planning or case management in a medical setting within the last (5) years.

5.1.3.3. Must have knowledge and skills to effectively apply SNC functions: a) Assessment:

Identification of patients that need special medical and education needs/management;

comprehensive collection of patient information and medical status; and continued evaluation of an established plan of care; b) Planning: Collaboration with the patient, family/caregiver, primary provider and other members of the health care team for developing an effective plan of care; c) Facilitation: Care coordination and communication among all involved parties; d) Advocacy: Support for the patient and family/caregivers to ensure identified education and appropriate, timely care coordination is received.

5.1.3.4. Mastery of theories, principles, and methodologies underlying psychosocial practice.

5.1.3.5. Knowledge and understanding of developmental growth; dynamics of human behavior, family, and other social systems; and impact of illness and disability on social functioning.

5.1.3.6. Demonstrated abilities in program planning, implementation, and evaluation, and in conducting individual, family, group, and community assessments.

5.1.3.7. Strong capability to work with service members and/or veterans and their families who are experiencing a wide range of complicated mental, emotional, behavioral, physical, psychosocial, and environmental problems.

5.1.3.8. Working knowledge of medical privacy and confidentiality (Health Insurance Portability and Accountability Act [HIPAA]), and accreditation standards of Accreditation Association for Ambulatory Health Care (AAAHC) and The Joint Commission (TJC).

5.1.3.9. Working knowledge of computer applications/software to include Microsoft Office programs, MS Outlook (e-mail), and internet familiarity is required. The ability to input, extract and format data from established databases is desired.

5.1.3.10. Must demonstrate ability to communicate effectively both orally and written.

5.1.3.11. Must be skillful and tactful in communicating with people who may be physically or mentally ill, uncooperative, fearful, emotionally distraught, and potentially agitated.

5.1.3.12. Must demonstrate ability to apply critical thinking skills and expertise in resolving complicated healthcare, social, interpersonal and financial patient situations.

5.1.3.13. Must possess organization, problem-solving and communication skills to articulate medical requirements to patients, families/care givers, medical and non-medical staff in a professional and courteous way.

5.1.3.14. License/certification. Social work license is not required. Social worker shall has current, active, valid and unrestricted Social Work License from any states of U.S.; 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.

5.1.3.15. Work Environment/Physical Requirements include prolonged walking, standing, sitting or bending, and computer use. Position may require patient visitation at another medical treatment facility. May have exposure to communicable illnesses.

5.1.4. Specific duties/tasks include but are not limited to the following:

5.1.4.1. The SNC social worker oversees and manages the installation EFMP-M IAW DoD and AF policy and any subsequent implementing guidance.

5.1.4.2. Uses clinical assessment skills and maintains procedures to identify sponsors whose family members have special medical and educational needs in a timely manner. The SNC uses a multi-disciplinary and collaborative approach with other key service providers, such as installation youth and childcare facilities, and officer and enlisted spouses groups, to ensure effective outreach and identification of special needs. Ensures family members of the AF personnel or family of the AF member are appropriately “Q coded” (EFMP-enrolled).

5.1.4.3. Ensures all active duty sponsors known to the Air Force Personnel Center, and local Military Personnel Section (MPS) and/or Commander…