E.01 W91YTZ20R00750001 AMENDMENT.docx

W91YTZ20R0075

W91YTZ20R0075

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 1449 - CONTINUATION SHEET

The following have been added by full text:

PERFORMANCE WORK STATEMENT

Keller Army Community Hospital West Point, NY 10996 Emergency Room Physician Services

1. 0. INTRODUCTION.

1.0.1. The Contractor shall provide health care support for Keller Army Community Hospital, West Point, NY. 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 Emergency Medicine Physician 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.

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

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 HIP AA. 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 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.

1.2. STANDARDS OF PERFORMANCE.

1.2.1. The government requires that the contractor shall provide technically competent providers (Emergency Medicine Physicians) 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 annually 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 Management System (PPIMS).

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 patient 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. Trusted Agent Sponsorship System (TASS) will be utilized for contractors at Army Facilities to obtain a CAC card.

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 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.

1.2.23. The contractor is responsible for absences of contract service providers. Such absences shall not relieve the contractor of its obligation to perform the health care services required under this contract.

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

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

1.3. SCHEDULES/PERIOD OF PERFORMANCE

1.3.1. The Contractor HCP shall be required to work :

Monday – Friday: 1600-0800 [16 hour coverage] Saturday, Sunday, Federal Holidays, and Training Holidays: 0800 – 0800 [24 hours coverage] Special circumstances due to changes with the mission may cause the ER to not have coverage by regular KACH staff. When these situations occur the Contractor will get as much advanced notice as possible that the ER will need one of the contract physicians on the schedule.

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 due to emergency shall be called into the COR and if other than regular business hours Contractor HCP must contact the Emergency Room at 845-938-4004.

1.3.4. 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.

1.3.5. 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.

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

1.3.7. 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.

1.3.8. 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.

1.3.9. 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.

1.3.10. 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.

1.3.11. OVERTIME IS NOT AUTHORIZED.

1.3.12. 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 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.

1.3.13. 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 a 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.

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 an annual 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, Keller Army Community Hospital, West Point, NY.

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 45 working days of the receipt of packets based on the contents evidencing that all qualification requirements are met.

Keller Army Community Hospital Credentialing Office ATTN: Chris Jerez or Kathy McCue 900 Washington Road, Room 2F35 West Point, NY 10996 845-938-0153/3470 Telephone 845-938-6660 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. Documentation Requirements for Privileging for Keller Army Community Hospital, West Point, NY, will be provided upon contract award. The MTF Commander is the final authority for approving or denying clinical privileges for all contract providers.

1.6.5. 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.

1.6.6. 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.

1.6.7. 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.

1.6.8. 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.

1.6.8.1. 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.

1.6.8.2. 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.

1.6.9. Privileged providers must in process with the Keller Army Community Hospital Credentials Office prior to seeing patients.

1.6.10. 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 and/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 Department Chief. (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 prior to providing any patient care.

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 performing services under this contract. If the government elects to provide such training, the government will provide such training at no additional expense to the contractor or to the Contractor HCP. When directed by the contracting officer, Contractor HCPs 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 Contractor HCP fails to satisfy the performance commitment after the Contractor HCP 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 Contractor HCP 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.

1.9.1.7. The contractor shall ensure all service providers receive Sexual Harassment/Assault Response and Prevention (SHARP) training not later than 60 calendar days after contractor personnel begin performance under this contract. Training can be obtained either online or in person. Contractor personnel should check with the contract COR for MTF class date/time and availability. If the employee has an AKO account, they can access online the Team Bound Self Study course through Army Learning Management System (ALMS) at http://www.atsc.army.mil/tadlp/delivery/alms.asp

1.9.1.8. Hours for attending any of the above shall be compensated at the regular hourly rate established in the contract.

1.10. GOVERNMENT FURNISHED SUPPLIES.

1.10.1. The Government will provide the use of all available MTF facilities and support services, materials, publications and forms, and equipment required for contract performance (except as designated). Contractor HCP shall keep Government furnished supplies, equipment and work areas in a safe, orderly and clean condition. Contractor HCP shall notify the Government whenever maintenance of equipment is required. Contractor HCP shall abide by all MTF and Army requirements for physical security of Army property and equipment.

1.10.2. Telephones, facsimile machines, copiers and computer equipment are authorized for transaction of official Government business only and shall not be used for personal business. Personal long distance calls are not authorized and the cost of all personal long distance calls made may be deducted from the Contractor's invoice payments. Telephones, facsimile machines and computer equipment are subject to communications security monitoring at all times.

1.10.3. Space used by Contractor HCP in performance of services may be used for other purposes during their absence. Items of clothing, personal effects, or equipment cannot be secured during their absence. The Government will not incur any liability for theft, damage to, or loss of such personal items.

1.10.4. Contractor HCP may be issued keys. The Contractor HCP shall safeguard the keys from loss, theft or destruction, and must display all keys signed for at scheduled or unscheduled key control inspections. The Contractor shall be required to reimburse the Government for lost keys, or lockset (if locksets are required to be replaced) as a result of lost keys. The cost of replacement of keys/locksets may be deducted from payments to the Contractor.

1.10.5. Pagers. If pagers are issued, the Contractor HCP shall safeguard the pagers from loss, theft or destruction, and must display the pager for a scheduled or unscheduled control inspection. The Contractor shall be required to reimburse the Government for lost pagers. The cost of replacement of pagers may be deducted from payments to the Contractor.

1.10.6. Protective Clothing. The MTF will supply special protective clothing and shoe covers when required. 1.10.7. Items issued will remain the property of the Government and will not be removed from the hospital. They are to be used, turned in, or disposed of as directed.

1.10.7. Emergency Healthcare. The MTF will provide emergency healthcare for injuries occurring while on duty. The Contractor shall reimburse the Government for such services.

1.11. DESCRIPTION OF WORK. [See Attachment 1].

1.12. DELIVERABLES.

1.12.1. The Contractor shall submit reports to the COR and/or the Contracting Officer as requested for use in monitoring Contractor HCP performance. Such reports will include, but are not limited to, current license status, initial and/or monthly/annually immunizations, and certification status per 1.0.10 in Professional Qualifications, and Contractor Manpower Reporting.

1.12.2. Contractor Manpower Report. The Office of the Assistant Secretary of the Army (Manpower & Reserve Affairs) operates and maintains a secure Army data collection site where the Contractor will report ALL Contractor manpower (including subcontractor manpower) required for performance of this contract. The Contractor is required to completely fill in all the information in the format using the following web address https://cmra.army.mil/ . The required information includes: (1) Contracting Office, Contracting Officer, Contracting Officer's Technical Representative; (2) Contract number, including task and delivery order number; (3) Beginning and ending dates covered by reporting period; (4) Contractor name, address, phone number, e-mail address, identity of Contractor employee entering data; (5) Estimated direct labor hours (including sub-Contractor); (6) Estimated direct labor dollars paid this reporting period (including sub-Contractor); (7) Total payments (including sub- Contractor); (8) Predominant Federal Service Code (FSC) reflecting services provided by Contractor (and separate predominant FSC for each sub-Contractor if different); (9) Organizational title associated with the Unit Identification Code (UIC) for the Army Requiring Activity (the Army Requiring Activity is responsible for providing the Contractor with its UIC for the purposes of reporting this information); (10) Locations where Contractor and sub-Contractors perform the work (specified by zip code in the United States and nearest City, Country, when in an overseas location, using standardized nomenclature provided on website); (11) Presence of deployment or contingency contract language, and, (12) Number of Contractor and sub-Contractor employees deployed in theater this reporting period (by country). (13) As part of its submission, the Contractor will also provide the estimated total cost (if any) incurred to comply with this reporting requirement. Reporting period will be the period of performance not to exceed 12 months ending September 30 of each Government fiscal year and must be reported by 31 October of each calendar year. The Contractor shall notify the Contracting Officer's Representative (COR) by the 5th working day of November whether or not they have completed this report. If the COR is unavailable, the Contractor will notify the Contracting Officer.

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

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.

1.13.2. 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.

1.13.3. 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.

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

1.15. SECURITY.

1.15.1. Contractor Employee Suitability Determination

DODI 1400.25, Volume 731 Suitability and Fitness Adjudication for Employees, Dated August 24, 2012; 5 CFR Part 731 Executive Order (EO) 10450 (Security Requirements for Government Employment), EO 13467 Reforming Processes Related to Suitability for Government Employment, Fitness for contractor Employees, Homeland Security Presidential Directive - 12 (HSPD-12) Policy for a Common Identification Standard for Federal Employees and Contractors, requires suitability determinations for all employees. This program is separate from the national security program. Suitability refers to character and behavior of the individual to work for the government. It does not include a person’s qualifications, such as experience or ability. All employees and contractors must meet the suitability standard and criteria described in 5 CFR Part 731, Subpart B., to determine if persons satisfy the suitability criteria. Risk levels are assigned to positions and investigations are requested on candidates under 5 CFR Part 731. MTF Security Office will adjudicate the results on all employees, applicants, appointees, and contractor’s using the criteria in 5 CFR Part 731.202 and appendix B. The MTF Security Office reviews the OF 306, SF 85, SF85P, SF86 and any supporting documentation and will make a suitability and or fitness decision prior to selection of individuals.

1.15.2. Federal laws and Department of Defense Instruction (DODI) 1402.5, Criminal History Background Checks on Individuals in Child Care Services, 19 Jan 1993, requires that contractors who will be dealing with children undergo specific federal and state background checks. As a result of these laws, any contractor or contractor employee who will be working in any of the military medical treatment facilities may have to undergo a federal and state background clearance following the awarding of the contract by the Department of the Army. During the period when the background checks are in progress, specific security arrangements may have to be implemented by the Hospital Commander.

1.15.3. Criminal History Background Check Requirement. (Mandatory application for those personnel involved in the delivery of health care on a frequent and regular basis). The government will conduct criminal background checks on all contractors in accordance with the procedures set forth in Public Law 100-235, DoD Directive 5200.28,DoD Directive 5200.2-R, DoDI 1402.5 The contractor is responsible for ensuring background check submittals are initiated in accordance with the Statement of Work prior to employees providing services at the MTF. Background checks shall be based on fingerprints of individuals obtained by qualified government law enforcement or security personnel, inquiries conducted through the Federal Bureau of Investigation (FBI) and the State Criminal History Repository check, and a local Installation Record Check if required. The procedures for completing the required background check are outlined in the Department of Defense Instruction (DoDI) 1402.5 dated January 10, 1993; Subject: Criminal History Background Checks on Individuals in Child Care Services; Enclosure 6, paragraph E6.4, Government Contractors.

1.15.4. Fingerprinting will be performed by Keller Army Community Hospital Security Office or West Point Provost Marshall’s office. Fingerprints will be taken on a properly completed FD Form 258 or the Livescan Electronic Fingerprint machine (FBI, US Department of Justice Fingerprint Card). The COR shall coordinate with the Keller Army Community Hospital Security Office for finger printing of contract personnel. The fingerprint check requests are then sent by Keller Army Community Hospital Security Office or the West Point Provost Marshall’s office to the Personnel Security Investigative Service-Center of Excellence (PSIS-COE) for evaluation action. The contractor will ensure that his/her employees present themselves to the location designated by the COR for their completion of the fingerprint card.

1.15.5. MTFs are restricted access military installations. Contract HCP shall not begin performance until the complete documentation for a Personnel Background Investigation has been submitted. FBI fingerprint check validation will support employment of contract personnel if states do not respond within 60 days from the date of application for the SCHR check. An Identification (ID) badge, the Common Access Card (CAC) and the vehicle registration shall 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. An annual background check through the installation Provost Marshall is required for employment in the Pharmacy IAW AR 190-51. If a background investigation results in an unfavorable finding, the contracting officer shall notify the contractor and the contractor employee shall not be granted access to the facility, shall 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. The contractor shall be responsible for providing a replacement Contract HCP IAW the PBWS.

1.15.6. Complete disclosure of any past incidents in contractor employee's professional duties or of incidents which might be considered to impact on his 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 contractor (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.

1.15.7. Contractor 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 contract HCPs services were unsatisfactory.

1.15.8. If at any time during the contract period it is discovered through a MTF investigation or any investigation, that the employee is currently pending charges, or has previously been convicted of any of the aforementioned incidents, that contract contract HCP may be…