PWS.docx

PERFORMANCE WORK STATEMENT

Kirk U.S. Army Health Clinic (KUSAHC), Aberdeen Proving Ground, MD 21005

Family Medicine Physician and Physician Assistant (PA) Services

TABLE OF CONTENTS

TITLE

1.0. Introduction

1.1. General

1.2. Standard of Performance

1.3. Schedules/Period of Performance

1.4. Personal Appearance

1.5. Health and Immunization Requirements

1.6. Credentialed Personnel

1.7. Mobilization and Other Contingency Planning

1.8. Contractor HCP Furnished Supplies/Services

1.9. Government Furnished Services / Supplies

1.10. Government Furnished Services

1.11. Description of Work. (See Attachment 1)

1.12. Deliverables

2.0. Definitions/Acronyms

2.1. Definitions

2.2. Acronyms

3.0. Applicable Technical Orders, Manuals, Regulations, Directives and Forms

4.0. Clauses Incorporated into PWS

5.0. Attachments/Technical Exhibit List

1. 0. INTRODUCTION.

1.0.1. The Contractor shall provide health care support for Kirk U.S. Army Health Clinic (KUSAHC), Aberdeen Proving Ground, MD. The vendor may also be required to provide services to any of the Military Treatment Facilities located in the National Capital Region serviced by the Regional Health Command - Atlantic (Provisional) [RHC-A (P)]. The services will be of a nature and scope described in the paragraphs below. The contract Health Care Provider (HCP) will work in conjunction with other health care providers, professionals, and non-contract personnel. The Contractor HCP shall provide the personal services of Family Practice Physician and Physician Assistant (PA) to perform services of the nature and scope described in this Performance Work Statement (PWS).

1.0.1.1. The quality of care provided by the Contractor HCP shall be of a quality meeting or exceeding currently recognized national standards as established by the Joint Commission (JC). Contractor HCP 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 HCP shall abide by the Medical Treatment Facility (MTF) rules, regulations and by laws, including Medical Staff By laws, as well as applicable Army regulations governing such things as medical records.

1.1. GENERAL.

1.1.1. This contract is a personal services contract and is intended to create an employer-employee relationship between the Government and the individual contract health care providers only to the extent necessary for providing the healthcare services required under this contract. The performance of healthcare services by the individual contract health care providers under a personal services contract are subject to day-to-day supervision and control by healthcare facility personnel comparable to that exercised over military and civil service health care providers engaged in comparable healthcare services. Any personal injury claims alleging negligence by the individual contract health care providers within the scope of the health care provider’s performance of the personal services contract shall be processed by Department of Defense (DoD) in the same manner as claims alleging negligence by DoD military or civil service health care providers. 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 contract health care provider may be associated. The authority for this contract is 10 United States Code 1089 and 10 United States Code 1091.

1.1.2. 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.

1.1.3. Responsibility and Procedures. If any suit or action is filed or any claim is made against the Contractor 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.

1.1.4. The contractor and Contractor 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 Contractor HCP may, at the Contractor HCP’s own expense, participate in defense of such claim or litigation.

1.1.5. Confidentiality / HIPAA. The Contractor HCP shall abide by AR 40-3 and AR 40-66 concerning the nature of limited privileged communication between patient and health care provider for security and personnel reliability programs. The Contractor HCP shall abide by AR 40-66 concerning the confidentiality of patient records, as embodied in federal statutes including the Privacy Act of 1974 and the Drug and Alcohol Act, Public Law 92-129 and HIPAA. The Contractor HCP shall direct all requests for medical information on patients to the Chief, Patient Administration Division. The Contractor HCP shall not release any medical or personal information on a patient without first receiving written approval from the government. Government will provide the regulations upon request by the Contractor HCP.

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

1.1.6.1. 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 AR 40-68. A review of the basis for removal will be made by the Contracting Officer within 3 working days after the COR directed the removal.

1.1.6.2. If, after any investigation deemed necessary by the Contracting Officer and discussions with the contractor's representative, the Contracting Officer concludes that the Contractor HCP’s impairment requires permanent removal from performance under the contract, the Contracting Officer will 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 Contractor HCPs, the decision of the Contracting Officer will 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 Contractor HCP in accordance with the terms and conditions of this contract.

1.1.6.3. 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. AR 40-68 outlines the adverse clinical privileging and practice actions for privileged personnel and adverse practice actions and peer review for non-privileged personnel.

1.1.7. Conflict of Interest.

1.1.7.1. Contractor HCP shall not use patient care rendered pursuant to this agreement as a part of a study, research grant, or publication without the prior written consent of the MTF Commander.

1.1.7.2. Contractor HCP shall not bill the patient, an insurer, or anyone else for services rendered. The Contractor HCP is prohibited from receiving compensation of any kind for eligible patients treated, procedures performed, or any other actions performed, except under the terms and conditions of this contract, at the rate specified in the contract.

1.1.7.3. Contractor HCP shall not, while performing services under this contract advise, recommend, or suggest to persons eligible to receive medical care at Army expense that such persons should receive care from the Contractor HCP at any place other than at the MTF. The Contractor HCP will not refer any patients to any company or service to which they have a direct or indirect involvement (including partnership programs and ancillary services not offered by the MTF).

1.1.7.4. Contractor HCP shall not introduce new medical procedures or changes in standing operating procedures without first coordinating with the Chief of Services.

1.1.7.5. Contractor HCP is not prohibited by reason of his employment under this contract from conducting private practice, if there is no conflict with the performance of services under this contract.

1.1.7.6. Contractor HCP shall not use Government facilities or other Government property in connection with conducting a private practice.

1.1.7.7. Contractor HCP shall not be an employee of the United States Government if the employment would create a conflict of interest. The Contractor HCP who is an employee of the Department of Defense, either military or civilian, shall not be employed unless such person seeks and receives approval in accordance with DoD 5500.7-R and MEDCOM Reg 600-3.

(NOTE: 1.1.8. highlighted below changed with Amendment 1)

1.1.8. SCOPE OF WORK: The Contractor shall provide qualified personnel, services, materials, equipment, supplies and facilities necessary not otherwise provided by the Government (see PWS paragraph 1.9 and 1.10) to perform Family Practice Physician and Physician Assistant Services to support the US Army Medical Department Activity (USAMEDDAC), Fort George G. Meade (FGGM) at: Kirk U.S. Army Health Clinic (KUSAHC), Aberdeen Proving Ground, MD.

1.1.8.1 The Contractor shall comply with all applicable laws, rules and regulations, including but not limited to those included in Section 6 of the PWS.

1.1.8.2 SAFETY REQUIREMENTS: The Contractor HCP shall maintain safety and health standards compliant with requirements of the Occupational Safety and Health Administration (OSHA).

1.1.8.3. CRIME CONTROL ACT OF 1990. No performance under this contract will be allowed without full compliance with the Crime Control Act of 1990 and Department of Defense Instruction 1402.5 dated 19 January 1993. All contract providers having access to Government computer systems and/or providing care to children (17 years of age and under) must be subject of a favorable background investigation of a favorable background investigation. Background checks will be based on fingerprints of individuals obtained by a law enforcement officer and inquiries will be made, based on the Standard Form 85-P completed by the contract provider through the Federal bureau of Investigation (FBI) and state criminal history repositories. All individuals who are required to complete the Standard Form 85-P Questionnaire for Public Trust Position (including individuals who will access CHCS) shall provide the SF85-P documentation on a 3 ½” computer diskette or as otherwise required by the MTF.

1.1.9. SECURITY REQUIREMENTS. The MTFs are restricted access military installations. HCPS shall not begin performance until the complete documentation for a Personnel Background Investigation has been submitted. An identification (ID) badge, the Common Access Card (CAC) and the vehicle registration will not be issued until complete documentation has been submitted to the appropriate Installation, MTF, or other Security Manager (s), as required at the facility. The CAC card is required for access to Government computer databases and also is presented to the security guards when entering the military installation. If a background investigation results in an unfavorable finding, the contracting officer will notify the contractor and the contract employee will not be granted access to the facility, will not be able to perform services at the facility, and must return all identification badges, CAC cards, and other items issued previously issued by the Government.

1.1.9.1. Security Identification Badges

1.1.9.1.1. Contract HCP shall comply with the local installation and MTF personnel identification and access requirements.

1.1.9.1.2. Each Contractor HCP shall wear a visible Security badge ID, provided by the Military Treatment Facility or the Military Installation in accordance with their guidance. The badge must show the full name, title and if required by the Military the words “Contractor” in front.

1.1.9.1.3. The contractor shall be responsible for ensuring all HCPs timely renew ID, CAC, and access documents. Absences due to the loss or expiration of such badges shall relieve and contractor of its obligation to perform the health care services required under this contract.

1.1.9.1.4. The contract HCP shall immediately report any lost or stolen security badges to the COR.

1.1.9.1.5. The contractor HCP shall be responsible for safeguarding all Government property provided or obtained in connection with this contract. The contractor shall safeguard information of a confidential or sensitive nature. Neither the contractor nor any of its contract HCPs 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 breaches the requirements of the Federal Privacy Act of 1974. However, the contractor may be required to provide testimony in legal or administrative procedures. Such participation must be consistent with the disclosure requirements imposed in this contract and coordinated with the contracting officer.

1.1.9.1.6. The contract HCP under this contract shall have access to and/or process information requiring protection under the Privacy Act of 1974. These positions are considered “Automated Data Processing (ADP) Sensitive” positions. Compliance with DoD Directive 5200.2, DoD 5200.2-R, AR 25-2 and AR 380-67 (for Army), and applicable regulations for other services, it mandatory for ADP sensitive positions.

1.1.9.1.7. 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 health care services under this contract. The contractor shall not release any of the above information without prior written consent of the KO. The contractor and contract HCPs shall prepare medical records forms and documents as required, in accordance with the regulations and established guidelines listed in the contract and those established by the MTF commander.

1.1.9.1.8. The contractor and contract HCPs shall abide by federal and local MTF regulations and requirements concerning the nature of personnel reliability programs. They shall also abide by federal and local MTF regulations concerning the confidentiality of patient records, to include but not limited to the Privacy Act of 1974 and the Health Insurance Portability & Accountability Act (HIPAA) of 1996. All regulations referenced are available for review from the COR, MTF, or the KO. All medical records and reports will remain property of the Government.

1.1.9.1.9. Contractor HCP shall turn in the MTF badge and Civilian ID Card to the COR upon termination of their services under this contract.

1.1.9.1.10. Security/ (IT) Requirements

1.1.9.1.11. In accordance with (IAW) Army regulation 525-13, paragraph 5-19, all prospective contract HCPs will undergo a verification process to determine the trustworthiness and suitability prior to being granted access to federal property. Limited access with escort may be granted (at the installation’s discretion) for an interim period while investigations are being conducted.

1.1.9.1.12. IAW AR 25-2 and HSPD-12, Installation Security Office will submit all background investigations on prospective contract HCPs requiring Common Access cards (CAC), network access.

1.1.9.1.13. Upon notification, the Provost Marshall Office will conduct background checks on all other contract HCP personnel when there isn’t a requirement for a CAC and /or IT requirements in the contract.

1.1.9.1.14. Complete disclosure of any past incidents in the contract HCP professional duties or of incidents which might be considered to impact on his/her professional standing, such as charges (unless acquitted) involving either felonies or misdemeanors (other than minor traffic violations), is a necessary part of the competency process. This disclosure must also specifically include reports of any actions, claims, charges, of malpractice ever brought against the contract HCP (either individually or as a part of a group), as well as the outcome (or current status) of any such case. The MTF will evaluate any such incident and determine whether it should be disqualifying.

1.1.9.1.15. Contract HCP is advised to make full disclosure under this paragraph as a condition of employment. Failure to make a full disclosure will result in a determination that the provider’s services were unsatisfactory.

1.1.9.1.16. If at any time during the contract period it is discovered through a medical center investigation or any investigation, that the contract HCP is currently pending charges, or has previously been convicted of any of the aforementioned incidents, that contract HCP may be removed from service under the contract.

1.1.9.1.17. ANTITERRORISM (AT) TRAINING.

1.1.9.1.18. AT Level 1 Training. All Contract Service Providers (CSPs), to include subcontractor CSPs, requiring access to Army installations, facilities and controlled access areas shall complete AT Level I awareness training within 90 calendar days after contract start date. The contractor shall submit certificates of completion for each affected CSP and subcontractor CSP, to the COR or the contracting officer, if a COR is not assigned, within 30 days after completion of training by all CSPs and subcontractor CSP. AT Level 1 awareness training is available at the following website: CAC HOLDERS: https://Jkodirect.jten.mil. Login and Search for the course on the Course Catalog tab via the number or key word, enroll, and Launch. FOR NON-CAC HOLDERS: http://jko.jten.mil/courses/atl1/launch.html.

1.1.9.1.19. iWatch Training. The contractor and all associated sub-contractors shall brief all CSPs on the local iWatch program (training standards provided by the MTF antiterrorism officer). This local developed training will be used to inform CSPs of the types of behavior to watch for and instruct CSPs to report suspicious activity to the COR. This training shall be completed within 14 days of contract award and within 14 calendar days of new CSPs commencing performance with the results reported to the COR NLT 30 calendar days after contract award.

1.1.9.1.20. CSPs Who Require Access to Government Information Systems. All CSPs with access to a government information system must successfully complete the DOD Information Assurance Awareness training, available online as the Cyber Awareness Challenge, prior to access to information systems and annually thereafter. The Cyber Awareness Challenge can be completed at the following website: https://ia.signal.army.mil/dodiaa/default.asp.

1.1.10. Vehicle Registration

1.1.10.1. All Contractor HCPs must register their vehicles with the Provost Marshal’s Office to gain access onto the military installation. A valid driver’s license, government-furnished civilian ID, proof of insurance and current registration must be presented to the Provost Marshal’s Office, at which time a Department of Defense decal may be issued. If issued, the decal shall be placed on the vehicle’s front windshield in accordance with instructions.

1.1.10.1.2. Vehicles, with or without a DoD decal, are subject to search. Contractor HCP 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. Contractor HCP should plan accordingly and report to work at their scheduled duty time, at their appointed place of duty within the MTF.

1.1.10.1.3. Contractor HCP shall follow installation procedures for removal and turn-in of the vehicle decal upon termination of services under this contract.

1.1.11. ADP Security. The Contractor HCP under this contract shall have access to and/or process information requiring protection under the Privacy Act of 1974. These positions are considered “ADP Sensitive” positions. Compliance with DoD Directive 5200.28, DoD 5200.2-R, AR 25-2 and AR 380-67 (for Army), and applicable regulations for other services, is mandatory for ADP Sensitive positions.

1.1.12. MEDIA INQUIRIES. The contractor shall not respond to any media inquiries. Any inquiries from the media shall be immediately relayed to the COR who will relay them to the MTF Commander. There shall be no interviews, comments, or any other response without the knowledge and approval of the MTF commander. Other than routine inquiries for external agencies, all other inquiries and complaints shall be brought to the attention of the contractor and contractor employee.

1.1.13. Sexual Harassment/Assault Response and Prevention (SHARP)

1.1.13.1. The contractor shall comply with OTSG/MEDCOM Policy Memo 13-062, Policy for Reporting Incidents of Sexual Assault and Sexual Harassment under the Sexual Assault Prevention and Response Program (SHARP), 12 Nov 2013. The SHARP reporting requirements apply only to knowledge obtained by contractor personnel while performing services under this contract.

1.1.13.2. The contractor shall require all Contract Service Providers (CSP) with knowledge of an incident of sexual assault occurring on a Government facility, to include a Government leased facility, where the contractor is providing services under this contract, to report the incident to the contractor who shall immediately (within 24 hours) report the incident in writing to the government's COR. All incidents shall be reported whether they involve contractor personnel or Government personnel, or other individuals.

1.1.13.3. The contractor shall require all CSPs with knowledge of an incident of sexual harassment occurring on a Government facility, to include a Government leased facility, where the contractor is providing services under this contract, to report the incident to the contractor who shall immediately (within 24 hours) report the incident in writing to the government's COR. All incidents shall be reported whether they involve contractor personnel or Government personnel, or other individuals.

1.2. STANDARDS OF PERFORMANCE.

1.2.1. The government requires that the contractor shall provide technically competent providers (Family Practice Physician and Physician Assistant Services) who will provide services at a standard enabling the MTF to provide a high level of quality health care.

1.2.2. JC Standards. Contractor shall take part in Department or MTF programs as required to meet JC standards.

1.2.3. Other performance evaluation factors will be monitored that are not quantified by numerical measurements which include: contractor providing personnel exceeding the minimum qualification standards; patient customer service comments; provider and contractor relationship with hospital staff/government contracting personnel; compliance with hospital policy and procedures.

1.2.4. Performance Reports, will be provided by the COR monthly to ensure acceptable performance of the contract; annual reports provided by COR to Contracting Officer after completion of each performance period will be reported to the DOD Past Performance Information Retrieval System (PPIRS).

1.2.5. MTF Formulary. Contractor HCP authorized to prescribe pharmaceuticals shall do so according to the availability of drugs listed therein. The pharmacy services will provide instructions to all prescribing contract physicians on substitutions and generic drugs for prescribed drugs. The Contractor HCP shall follow the procedures of the MTF when prescribing drugs.

1.2.6. The Contractor shall be responsible for the security of all military and civilian information.

1.2.7. Neither the Contractor nor any of its contract service providers shall disclose or cause to disseminate any information concerning operations of military activities. Such action(s) could result in violation of the contract and possible legal actions.

1.2.8. All inquiries, comments or complaints arising from any matter observed, experienced, or learned of as a result of or in connection with the performance of this contract, the resolution of which may require the dissemination of official information, shall be directed to the contracting officer representative (COR) and the contracting officer.

1.2.9. The Contractor shall only conduct business with designated government personnel listed as points of contact (POCs). Names of authorized personnel shall be provided to the Contractor by the Government, in writing, and updated as necessary throughout the contract period.

1.2.10. U.S. Government records, copies of original results and reports, verified original data, corrected data, and corrected supporting final reports are maintained by the Contractor, but remain the property of the U.S. Government. These files/results must be surrendered to the COR.

1.2.11. Contractor Verification System (CVS) for contractors at Army Facility

1.2.12. 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.

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

1.2.14. 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.

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

1.2.16. 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).

1.2.17. The contract service providers 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.

1.2.18. 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.

1.2.19. 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.

1.2.20. 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.

1.2.21. 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, the individual must present with two forms of ID, one must be a picture ID. The e-mail will contain a URL to download the form. Acceptable forms of ID to include: Driver’s License, Military ID, Contractor Company ID with picture and expiration date, charge card with picture imprinted, and passport.

1.2.22. 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 CAC will not be useable to login.

1.2.23. 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 contracting officer.

1.2.24. The contractor is responsible for absences of contract service providers due to expired identification and access documents. Such absences shall not relieve the contractor of its obligation to perform the health care services required under this contract.

1.2.25. The contract health care providers shall immediately report any lost or stolen badges to the COR.

1.2.26. IDENTIFICATION OF PRIVACY ACT. This contract requires the development of a system of records in accordance with the Privacy Act of 1974.

1.3. SCHEDULE/PERIOD OF PERFORMANCE

1.3.1. The Contractor HCP shall be required to work a 40 hours per week, except as indicated below. Duty hours are for a predetermined scheduled period not to exceed 8 consecutive hours per day, plus an unpaid lunch break. The normal hours of work are Monday through Friday, between the hours of 0730 – 1630 hours (excluding federal holidays). The exact hours of duty will be coordinated between the Contractor and the COR.

1.3.2. Absences. When anticipated Contractor HCP have not reported for duty, have become ill, or are unable to work during a scheduled shift they must contact the Contractor who will in turn notify the COR.

1.3.3. Absences such as vacations, shall be coordinated and approved at least 30 days in advance and mutually agreed upon by the COR and the Contractor. Scheduled absences shall be limited to two (2) weeks.

1.3.4. Contractor HCP working under this contract shall be paid only for hours actually worked at the hourly rates established in the contract. Contractor HCP will have a one hour or 30 minute unpaid lunch period. Payment to the Contractor will not be made for temporary work stoppage due to circumstances beyond the control of the Medical Treatment Facility, such as acts of god, inclement weather, power outages, or temporary closing of facilities.

1.3.5. Interviews. There will be no interviews conducted by government personnel.

1.3.6. Facility 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 will not be liable to the contractors for any such closures.

1.3.7. Federal Holidays. The Contractor will not be paid on federal holidays unless Contractor HCP is scheduled to work on a holiday and will be paid for hours worked at the hourly rate established in the contract.

1.3.8. Holidays. The following is a list of legal federal holidays as referred to elsewhere in the contract/task order. Contractor HCP may be required to work on legal holidays as determined by the Department Chief.

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: Any of the above holidays falling on a Saturday will be observed on the preceding Friday; holidays falling on a Sunday will be observed on the following Monday. 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 Contractor HCP is scheduled to work is closed due to the holiday 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.

1.3.9. The Contractor HCP may be required to extend the duty hours to ensure completion of the scheduled patient treatment or in cases of emergencies. Contractor HCP shall be paid the contract hourly rate until the Contractor HCP leaves the MTF premise. Hours worked do not include travel to and from the MTF.

1.3.10. OVERTIME IS NOT AUTHORIZED.

1.3.11. PERFORMANCE QUALITY. The Contractor shall establish and maintain a complete Quality Control Plan that shall ensure the requirements of the contract are provided as specified in Section 5 of the PWS. Within thirty calendar days after contract award, three copies of a comprehensive written QCP shall be submitted to the COR and within 5 working days when changes are made thereafter.

1.3.12. PHASE IN /PHASE OUT PERIOD. To minimize any decreases in productivity and to prevent possible negative impacts on additional services, the Contractor shall have personnel on board, at no additional cost to the government, during the ninety (90) days phase in/ phase out periods. During the phase in period, the Contractor shall become familiar with test requirements in order to commence full performance of services on the contract start date.

1.4. PERSONAL APPEARANCE.

1.4.1. The Contractor shall present a neat and clean appearance.

1.4.2. All outer clothing shall be laundered or dry cleaned as appropriate, well fitting and fresh each workday.

1.4.3. Shoes shall cover the foot to meet sanitation and safety requirements. Open-toe shoes or sandals shall not be worn.

1.4.4. Fingernails shall be clean and not extend one quarter of an inch beyond the flesh tips. Acrylic nails or overlays are prohibited.

1.4.5. Hair shall be neatly groomed. The length and bulk of hair shall not be unkempt, or of extreme appearance.

1.4.6. Contractors shall wear dresses, pants or slacks, shirt or blouses with collar and sleeves, shoes and socks. Tank tops, cut-off pants, shower shoes or similar items of apparel are specifically prohibited. In all cases, contractor employees shall conform to the established personal appearance policy of MTF.

1.5. HEALTH AND IMMUNIZATION REQUIREMENTS.

1.5.1. Health. Contractor individual performing services under this contract shall comply with the health and immunization requirements as stated below at the time of initial request for clinical privileges and annually thereafter. The expense for all physical examinations to comply with the health requirements shall be borne by the contractor individual at no additional cost to the government.

1.5.2. Contractor individual performing direct healthcare services under the contract shall receive a general physical examination with their credentialing package. The certificate shall state the date on which the examination was completed, and the name of the physician who performed the examination. The physician performing the examination shall sign this certification. For the purpose of this paragraph, a physical examination administered more than 45 days prior to submitting credentialing package will not be considered adequate. The physical exam shall include the following:

a. A history to show that the HCP has completed a primary series of immunization with tetanus and diphtheria toxoids and that a booster dose is current (within the past 10 years.).

b. A test for immunity to the hepatitis (Type B) virus with documentation of the results. A profile shall be established to show immune status to hepatitis. Non-immune Healthcare workers (lacking anti-HB(c) or anti-HB(s)) shall be required to complete an immunization series with a Hepatitis –B vaccine (e.g., Recombivax, Energix).

c. Serologic evidence of immunity to measles and rubella or documentation of immunization with measles, mumps, and rubella (MMR) vaccine using the following guidelines.

(1) Employees born before 1957 without documentation of previous vaccination with MMR should receive one dose.

(2) Employees born in or after 1957 who have received one dose of MMR previously shall receive on booster dose.

(3) Employees born in or after 1957 without documentation of any previous vaccination with MMR should receive two doses of vaccine, separated by no less than one month.

d. Serologic evidence of immunity to varicella or documented history of illness or immunization.

e. For personnel who do not have proof of having completed a primary series, completion with enhanced potency inactivated poliovirus vaccine (eIPV) is recommended. Reliable history of spending early childhood and attending elementary schools in the United States since may suffice as clinical history of polio immunization, but requires physician documentation in the record of the history and examination.

f. Contractor individual shall be screened before employment and annually for tuberculosis by a tuberculin skin test using the Mantoux technique. (The TINE test is disallowed as a substitute.) A skin test result of 10 mm of indurations or more shall be required to have a chest roentgenogram and an evaluation performed. A tuberculin skin test of 10 mm of indurations or more will require documentation providing an assessment of the patient (status of infection-active, inactive; need for preventive treatment or not as determined by age, history of BCG (Bacillus Calmette-Guerin) vaccination; duration of skin test positivity, etc).

1.5.3. If all of the immunization and test set forth in the preceding paragraphs have been completed, the contractor shall issue a certificate providing evidence of immunizations and tests that have been completed or started and shall provide a schedule for the completion of unfinished immunizations and lab tests. After the schedule is completed, the contractor must provide an updated and complete certificate. Failure to complete the immunizations as scheduled may be grounds for the Contracting Officer, upon the advice of the MTF commander or his clinical staff, to determine that such contractor individual is not an acceptable individual to perform services under this contract.

1.5.4. The Contracting Officer, with the explicit case-by-case approval of the MTF commander, is empowered to make exceptions to these requirements, for example, in the event of vaccine shortage or bona fide religious exceptions, but nothing herein shall be construed as an imperative or directive upon the Contracting Officer to make such exceptions.

1.5.5. Contractor individual performing direct healthcare services under this contract, which experience a parenteral (e.g., needle-stick or cut) or mucous membrane exposure (e.g.. splash to the eye or mouth) to blood or bloody body fluids, shall receive prompt treatment. The medical treatment facility (MTF) will evaluate the source of exposure for risk of Hepatitis-B, Hepatitis-C. And Human Immunodeficiency virus (HIV) and will provide a report of the findings to the contractor and the contract HCP. It shall be the contractor’s responsibility to provide appropriate treatment as needed to possibly include Tetanus-Diphtheria booster, Immune Globulin, Hepatitis-B vaccine booster, or Hepatitis-B Immune Globulin. The contractor shall be responsible for providing the contract HCP with initial testing and if the source of exposure was unknown, positive, or confirmed at high risk for HIV infection, follow-up testing 3, 6, and 12 months after exposure. In event of a confirmed or highly suspected parenteral exposure to HIV, the contractor individual shall receive appropriate counseling and is referred immediately to a private infectious disease specialist for consideration of any post exposure prophylaxis (e.g., AZT). The Government may require the contractor individual to provide evidence of the status of treatment and testing of the individual contractor under the contract.

1.5.6. Contractor individual shall receive the current influenza immunization from a non-Government physician and present evidence of the shot to the COR unless documented by a physician to be medically contraindicated.

1.5.7. Failure to meet the requirements stated herein, or when test results determine a contractor individual has a contagious disease, the Contracting Officer may, upon advice of the MTF commander of his clinical staff, determine that such a contractor individual is not an acceptable individual to perform services under this contract.

1.5.8. The Government offers vaccine for occupational exposed hazards, i.e., smallpox, anthrax, etc.

1.6. CREDENTIALED PERSONNEL.

1.6.1. IAW MTF procedures, the Contractor shall submit a credentials application and qualify for privileging by the Commander, Kimbrough Ambulatory Care Center, Fort Meade, MD.

1.6.2. No later than 10 days after award, the Contractor must submit credential package to the Credentialing Coordinator and the COR for approval, along with copies of qualifying degrees, certifications, licenses, and BLS/training, and other documentation as specified, to the credentialing office. The COR will notify the contractor of acceptance or non-acceptance of proposed employees within 3 working days of the receipt of packets based on the contents evidencing that all qualification requirements are met.

Kimbrough Ambulatory Care Center Credentialing Office ATTN: Ms. TiAna Griffith 2480 Llewellyn Ave, Suite 5800 Fort George G. Meade, MD 20755-5129 301-677-8145 Telephone 301-677-8176 Fax

1.6.3. Medical privileges will be granted by the MTF Commander. Compliance with the privileging requirements as stated in this section is essential to the performance under this contract. Failure to meet any of these privileging requirements is considered nonperformance and may result in termination of the contract. The Contractor shall submit all required privileging requirements to the COR. The COR will forward the credentials packet to the credentials office for action. The failure to submit completed credentials application packets 45 days prior to commencement of performance may result in the contract health care provider not being privileged in time to perform.

1.6.4. Privileged Providers must provide privileging packet and items as listed in paragraph 1.6.

1.6.4.1. Privileged Providers must provide documentation as listed on the form: Documentation Requirements for Privileging for Kimbrough Ambulatory Care Center, Fort Meade, MD will be provided upon contract award.

1.6.4.2. The privileging process is subject to the provisions of AR 40-68 and all subsequent changes to that regulation or any successor regulations that might evolve. The credentials committee established at the MTF is the sole agency authorized to approve Contractor submitted privilege requirement applications and to make recommendations to the MTF Commander on the granting of privileges. The MTF Commander is the final authority for approving or denying clinical privileges for all contract providers.

1.6.4.3. The MTF Commander is the sole authority that can revoke or otherwise restrict the privileges of any contract provider whom he/she determines is not qualified to perform the contract services IAW AR 40-68.

1.6.4.4. Once privileges are granted by the MTF Commander, subsequent actions taken concerning the privileges of contract providers, including any limitation on privileges will be governed by the procedures in AR 40-68.

1.6.4.5. Any action taken by the MTF Commander that suspends, revokes, places in abeyance, or otherwise restricts the privileges of contract providers, will result in that provider not being authorized to perform under the contract.

Such action does not release the contractor of the requirement to perform services specified herein. Replacement contract providers must be provided according to the terms of this contract.

1.6.4.6. Adverse actions on contract provider privileges, taken by the MTF Commander, are appealable to the MTF Commander by the contract provider under the provisions of AR 40-68. Final determinations by the MTF Commander are non-appealable by the contractor.

1.6.4.7. Should the Contractor need to add additional providers during the contract period, the same privileging process as stated in this section shall apply for each additional provider.

1.6.4.8. Privileged providers must in process with the Kimbrough Ambulatory Care Center Credentials Office prior to seeing patients.

1.6.4.9. Privileged providers must also out-process with the Credentials Office on leaving employment with the organization.

1.7. MOBILIZATION AND OTHER CONTINGENCY PLANNING.

1.7.1. The Contractor HCP may be expected to fill in for mobilized (deployed) staff. Such demands could require extended work hours and expansion of the contract workforce.

1.7.2. To ensure the Government operations can progress with no or only minimal disruption, the Contractor HCP shall anticipate the possibility of a mobilization or similar emergency and identify the steps it will need to take to rapidly expand its contract capabilities to meet the emergency.

1.8. CONTRACTOR HCP FURNISHED SUPPLIES/SERVICES.

1.8.1. SERVICES.

1.8.1.1. The Contractor HCP shall furnish all personnel and services to comply with the requirements of this contract, except where specifically identified as government-furnished supplies and services (paragraph 1.4).

1.8.1.2. Certificates/licenses/training shall be maintained in a current status at all times while performing services under this contract. If at any time during the contract the Contractor HCP does not renew any of the required certifications/licenses prior to the expiration date, he will not be allowed to work at a Military Treatment Facility, Hospital, or Clinic. This expense shall be borne by the Contractor and will not excuse the Contractor from fulfilling the requirements under this contract.

1.8.1.3. Point of Contact. Three calendar days prior to performance of services, the Contractor HCP shall designate, in writing, and provide to the Contracting Officer's Representative [COR] and Contracting Officer, the name, email address, and telephone number of the point of contact for all actions on this requirement.

1.8.2. EQUIPMENT/UNIFORMS.

1.8.2.1 ID Badge. The Contractor HCP shall wear an ID Badge furnished by the MTF. The ID Badge will be in compliance with, and in accordance with, MTF policy.

1.8.2.2. Uniforms/Stethoscopes. The contractor shall provide each contract employee his/her own uniform and /or stethoscope. The contractor shall ensure that, when worn, the uniform is clean and in good repair.

1.9. GOVERNMENT FURNISHED SERVICES / SUPPLIES.

1.9.1. Government Training / Orientation.

1.9.1.1. Staff Orientation - New Employee. Contractor HCP shall participate in all staff orientation and/or training. Contractor HCP will attend a government-sponsored initial orientation to familiarize them with the policies and procedures of the MTF. Orientation attendance will be scheduled by the COR. Such orientation may include instruction on automated processing, standard operating procedures, local in-services, quality improvement policies, communications, and occupational exposure to blood borne pathogens, safety programs, etc.

1.9.1.2. Annual Training Updates. Contractor HCP shall be required to complete an annual training update at the MTF Annual training updates may be accomplished via video or classroom instruction, computer-based instruction, or review of written materials.

1.9.1.3. Armed Forces Health Longitudinal Technology Application (AHLTA) Training (formerly known as CHCSII). Contractor HCP shall attend training in the use of AHLTA. The length of training will depend upon the computer skills of the individual Contractor HCP. This training will be coordinated and scheduled by the COR. (Access to such patient data systems is an “Automated Data Processing Sensitive” position requiring compliance with AR 25-2 and AR 380-67.)

1.9.1.4. HIPAA Privacy and Security Training (HIPAA 101). Contractor HCP shall be required to complete the On-Line Web-based Training Modules within the first 30 days of performance.

1.9.1.5. In addition to the specified courses listed above, Contractor HCP are required to attend or complete on-line any Department of Defense, Army, or Federal Government directed courses, which are not available to Contractor HCP outside of the MTF. Contractor HCP will participate in all mandatory training.

1.9.1.6. Government unique training. The government may elect to provide unique government training to Contractor HCPs who are…