W91YU0-11-R-0001.doc

Section SF 1449 - CONTINUATION SHEET

JOINT COMMISSION READINESS

FFP

JOINT COMMISSION ACCREDITATION CONSULTATION AND EDUCATION SERVICES FOR THE WESTERN REGIONAL MEDICAL COMMAND (WRMC). IN ACCORDANCE WITH PERFORMANCE WORK STATEMENT. BASE PERIOD OF PERFORMANCE: 01 FEB 2011 - 31 JAN 2012

FOB: Destination

PURCHASE REQUEST NUMBER: W91L890146N0W1A

NET AMT

0001AA

Surveyor Days for Operational Assessment

On site (MTF) assessment of Joint Commission Readiness - number and type of surveyors determined by TJC accreditation, volumes and services provided (to be determined by Contract Manager). Days are calculated per person, for example, two surveyors for two days equals 4 one-day units total.

NET AMT

0001AB

Travel - CR

Travel and Pier Diem of surveyors to MTF on site locations. Reimbursement for actual travel cost up to the Joint Travel Regulation (JTR) limits. DO NOT ENTER PRICE.

NET AMT

0001AC

Educational Support

Two days educational presentation to MTF staff at central location on accreditation readiness - content to be approved by Contract Manager

NET AMT

0001AD

Teleconference

Quarterly teleconference for MTFs

NET AMT

0001AE

Telephone Support

Telephone and e-mail consultation and resource support as coordinated with the Project Manager.

NET AMT

0001AF

Post-Survey on-site consultation

Post-survey on-site consultation and/or training visits. The contractor will provide post-survey on-site consultation training on select joint commission topics as requested by the Project Manager.

NET AMT

0001AG

Written Report

Written Report of operational assessment aligned to TJC standards, Element of Performance with suggestions for improvement.

NET AMT

0001AH

Feedback Tool - Electronic

Contractor will develop and use an end-user feedback form after each interaction (operation assessment, follow-up visit, educational offering) and provide roll up of feedback.

NET AMT

0001AJ

Educational Audio

Educational audio conference comprising of three (3) three-hour sessions, 2 hours of educational information followed by a one hour question and answer period.

NET AMT

Contract Manpower Report

Contract Manpower Report

NET AMT

FFP

JOINT COMMISSION ACCREDITATION CONSULTATION AND EDUCATION SERVICES FOR THE WESTERN REGIONAL MEDICAL COMMAND (WRMC). IN ACCORDANCE WITH PERFORMANCE WORK STATEMENT. BASE PERIOD OF PERFORMANCE: 01 FEB 2012 - 31 JAN 2013

NET AMT

1001AA

FFP

On site (MTF) assessment of Joint Commission Readiness - number and type of surveyors determined by TJC accreditation, volumes and services provided (to be determined by Contract Manager). Days are calculated per person, for example, two surveyors for two days equals 4 one-day units total.

NET AMT

1001AB

FFP

Travel and Pier Diem of surveyors to MTF on site locations. Reimbursement for actual travel cost up to the Joint Travel Regulation (JTR) limits. DO NOT ENTER PRICE.

NET AMT

1001AC

FFP

Two days eduactional presentation to MTF staff at central location on accreditation readiness - content to be approved by Contract Manager

NET AMT

1001AD

FFP

Quarterly teleconference for MTFs

NET AMT

1001AE

FFP

Telephone and e-mail consultation and resource support as coordinated with the Project Manager.

NET AMT

1001AF

FFP

Post-survey on-site consultation and/or training visits. The contractor will provide post-survey on-site consultation training on select joint commission topics as requested by the Project Manager.

NET AMT

1001AG

FFP

Written Report of operational assessment aligned to TJC standards, Element of Performance with suggestions for improvement.

NET AMT

1001AH

FFP

Contractor will develop and use an end-user feedback form after each interaction (operation assessment, follow-up visit, educational offering) and provide roll up of feedback.

NET AMT

1001AJ

FFP

Educational audio conference comprising of three (3) three-hour sessions, 2 hours of educational information followed by a one hour question and answer period.

NET AMT

FFP

Contract Manpower Report

NET AMT

FFP

JOINT COMMISSION ACCREDITATION CONSULTATION AND EDUCATION SERVICES FOR THE WESTERN REGIONAL MEDICAL COMMAND (WRMC). IN ACCORDANCE WITH PERFORMANCE WORK STATEMENT. BASE PERIOD OF PERFORMANCE: 01 FEB 2013 - 31 JAN 2014

NET AMT

2001AA

FFP

On site (MTF) assessment of Joint Commission Readiness - number and type of surveyors determined by TJC accreditation, volumes and services provided (to be determined by Contract Manager). Days are calculated per person, for example, two surveyors for two days equals 4 one-day units total.

NET AMT

2001AB

FFP

Travel and Pier Diem of surveyors to MTF on site locations. Reimbursement for actual travel cost up to the Joint Travel Regulation (JTR) limits. DO NOT ENTER PRICE.

NET AMT

2001AC

FFP

Two days eduactional presentation to MTF staff at central location on accreditation readiness - content to be approved by Contract Manager

NET AMT

2001AD

FFP

Quarterly teleconference for MTFs

NET AMT

2001AE

FFP

Telephone and e-mail consultation and resource support as coordinated with the Project Manager.

NET AMT

2001AF

FFP

Post-survey on-site consultation and/or training visits. The contractor will provide post-survey on-site consultation training on select joint commission topics as requested by the Project Manager.

NET AMT

2001AG

FFP

Written Report of operational assessment aligned to TJC standards, Element of Performance with suggestions for improvement.

NET AMT

2001AH

FFP

Contractor will develop and use an end-user feedback form after each interaction (operation assessment, follow-up visit, educational offering) and provide roll up of feedback.

NET AMT

2001AJ

FFP

Educational audio conference comprising of three (3) three-hour sessions, 2 hours of educational information followed by a one hour question and answer period.

NET AMT

FFP

Contract Manpower Report

NET AMT

FFP

JOINT COMMISSION ACCREDITATION CONSULTATION AND EDUCATION SERVICES FOR THE WESTERN REGIONAL MEDICAL COMMAND (WRMC). IN ACCORDANCE WITH PERFORMANCE WORK STATEMENT. BASE PERIOD OF PERFORMANCE: 01 FEB 2014 - 31 JAN 2015

NET AMT

3001AA

FFP

On site (MTF) assessment of Joint Commission Readiness - number and type of surveyors determined by TJC accreditation, volumes and services provided (to be determined by Contract Manager). Days are calculated per person, for example, two surveyors for two days equals 4 one-day units total.

NET AMT

3001AB

FFP

Travel and Pier Diem of surveyors to MTF on site locations. Reimbursement for actual travel cost up to the Joint Travel Regulation (JTR) limits. DO NOT ENTER PRICE.

NET AMT

3001AC

FFP

Two days eduactional presentation to MTF staff at central location on accreditation readiness - content to be approved by Contract Manager

NET AMT

3001AD

FFP

Quarterly teleconference for MTFs

NET AMT

3001AE

FFP

Telephone and e-mail consultation and resource support as coordinated with the Project Manager.

NET AMT

3001AF

FFP

Post-survey on-site consultation and/or training visits. The contractor will provide post-survey on-site consultation training on select joint commission topics as requested by the Project Manager.

NET AMT

3001AG

FFP

Written Report of operational assessment aligned to TJC standards, Element of Performance with suggestions for improvement.

NET AMT

3001AH

FFP

Contractor will develop and use an end-user feedback form after each interaction (operation assessment, follow-up visit, educational offering) and provide roll up of feedback.

NET AMT

3001AJ

FFP

Educational audio conference comprising of three (3) three-hour sessions, 2 hours of educational information followed by a one hour question and answer period.

NET AMT

FFP

Contract Manpower Report

NET AMT

FFP

JOINT COMMISSION ACCREDITATION CONSULTATION AND EDUCATION SERVICES FOR THE WESTERN REGIONAL MEDICAL COMMAND (WRMC). IN ACCORDANCE WITH PERFORMANCE WORK STATEMENT. BASE PERIOD OF PERFORMANCE: 01 FEB 2015 - 31 JAN 2016

NET AMT

4001AA

FFP

On site (MTF) assessment of Joint Commission Readiness - number and type of surveyors determined by TJC accreditation, volumes and services provided (to be determined by Contract Manager). Days are calculated per person, for example, two surveyors for two days equals 4 one-day units total.

NET AMT

4001AB

FFP

Travel and Pier Diem of surveyors to MTF on site locations. Reimbursement for actual travel cost up to the Joint Travel Regulation (JTR) limits. DO NOT ENTER PRICE.

NET AMT

4001AC

FFP

Two days eduactional presentation to MTF staff at central location on accreditation readiness - content to be approved by Contract Manager

NET AMT

4001AD

FFP

Quarterly teleconference for MTFs

NET AMT

4001AE

FFP

Telephone and e-mail consultation and resource support as coordinated with the Project Manager.

NET AMT

4001AF

FFP

Post-survey on-site consultation and/or training visits. The contractor will provide post-survey on-site consultation training on select joint commission topics as requested by the Project Manager.

NET AMT

4001AG

FFP

Written Report of operational assessment aligned to TJC standards, Element of Performance with suggestions for improvement.

NET AMT

4001AH

FFP

Contractor will develop and use an end-user feedback form after each interaction (operation assessment, follow-up visit, educational offering) and provide roll up of feedback.

NET AMT

4001AJ

FFP

Educational audio conference comprising of three (3) three-hour sessions, 2 hours of educational information followed by a one hour question and answer period.

NET AMT

FFP

Contract Manpower Report

NET AMT

INSPECTION AND ACCEPTANCE TERMS

Supplies/services will be inspected/accepted at:

NOTE

ALTHOUGH THE SHIP TO ADDRESS INDICATES WESTERN REGIONAL MEDICAL COMMAND, PERFORMANCE MAY BE COMPLETED AT OTHER MILITARY TREATMENT FACILITIES WITHIN WESTERN REGIONAL MEDICAL COMMAND – SEE PWS.

DELIVERY INFORMATION

31-JAN-2012

GREENFIELD, NANCY

2006 LIGGETT AVE

BLDG 2006

JOINT BASE LEWIS-MCCHORD WA 98433-9500

253-967-5246

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CLAUSES INCORPORATED BY REFERENCE

CLAUSES INCORPORATED BY FULL TEXT

ADDENDUM TO 52.212-4

Paragraphs (c) is amended as follows:

(u) UNILATERAL MODIFICATIONS

1. The Contracting Officer may unilaterally reduce and de-obligate any quantities not supplied/performed at the end of the contract period.

2. The Government may make unilateral modifications considered administrative in nature. These include, but are not limited to, changes in the accounting and appropriation data, payment and issuing office addresses, and other corrections that have no effect on the terms and conditions of the contract.

(v) The non-FAR Part 12 discretionary FAR, DFARS, AFARS, and LOCAL clauses included herein are incorporated into this contract either by reference or in full text. If incorporated by reference, see clause 52.252-2 herein for locations where full text can be found.

CLAUSES INCORPORATED BY REFERENCE

CLAUSES INCORPORATED BY FULL TEXT

52.216-18 Ordering. (OCT 1995)

(a) Any supplies and services to be furnished under this contract shall be ordered by issuance of delivery orders or task orders by the individuals or activities designated in the Schedule. Such orders may be issued from 01Febuary 2011 through 31 January 2016.

(b) All delivery orders or task orders are subject to the terms and conditions of this contract. In the event of conflict between a delivery order or task order and this contract, the contract shall control.

(c) If mailed, a delivery order or task order is considered "issued" when the Government deposits the order in the mail. Orders may be issued orally, by facsimile, or by electronic commerce methods only if authorized in the Schedule.

· 01 February 2012 – 31 January 2013, First Option Period

· 01 February 2013 – 31 January 2014, Second Option Period

· 01 February 2014 – 31 January 2015, Third Option Period

· 01 February 2015 – 31 January 2016, Fourth Option Period

(End of clause)

CLAUSES INCORPORATED BY FULL TEXT

52.216-19 Order Limitations. (OCT 1995)

(a) Minimum order. When the Government requires supplies or services covered by this contract in an amount of less than $5,000.00, the Government is not obligated to purchase, nor is the Contractor obligated to furnish, those supplies or services under the contract.

(b) Maximum order. The Contractor is not obligated to honor:

(1) Any order for a single item in excess of $400,000.00;

(2) Any order for a combination of items in excess of $800,000.00; or

(3) A series of orders from the same ordering office within 30 days that together call for quantities exceeding the limitation in subparagraph (1) or (2) above.

(c) If this is a requirements contract (i.e., includes the Requirements clause at subsection 52.216-21 of the Federal Acquisition Regulation (FAR)), the Government is not required to order a part of any one requirement from the Contractor if that requirement exceeds the maximum-order limitations in paragraph (b) above.

(d) Notwithstanding paragraphs (b) and (c) above, the Contractor shall honor any order exceeding the maximum order limitations in paragraph (b), unless that order (or orders) is returned to the ordering office within 30 days after issuance, with written notice stating the Contractor's intent not to ship the item (or items) called for and the reasons. Upon receiving this notice, the Government may acquire the supplies or services from another source.

(End of clause)

CLAUSES INCORPORATED BY FULL TEXT

52.216-21 REQUIREMENTS (OCT 1995)

(a) This is a requirements contract for the supplies or services specified, and effective for the period stated, in the Schedule. The quantities of supplies or services specified in the Schedule are estimates only and are not purchased by this contract. Except as this contract may otherwise provide, if the Government's requirements do not result in orders in the quantities described as "estimated'' or "maximum" in the Schedule, that fact shall not constitute the basis for an equitable price adjustment.

(b) Delivery or performance shall be made only as authorized by orders issued in accordance with the Ordering clause. Subject to any limitations in the Order Limitations clause or elsewhere in this contract, the Contractor shall furnish to the Government all supplies or services specified in the Schedule and called for by orders issued in accordance with the Ordering clause. The Government may issue orders requiring delivery to multiple destinations or performance at multiple locations.

(c) Except as this contract otherwise provides, the Government shall order from the Contractor all the supplies or services specified in the Schedule that are required to be purchased by the Government activity or activities specified in the Schedule.

(d) The Government is not required to purchase from the Contractor requirements in excess of any limit on total orders under this contract.

(e) If the Government urgently requires delivery of any quantity of an item before the earliest date that delivery may be specified under this contract, and if the Contractor will not accept an order providing for the accelerated delivery, the Government may acquire the urgently required goods or services from another source.

(f) Any order issued during the effective period of this contract and not completed within that period shall be completed by the Contractor within the time specified in the order. The contract shall govern the Contractor's and Government's rights and obligations with respect to that order to the same extent as if the order were completed during the contract's effective period; provided, that the Contractor shall not be required to make any deliveries under this contract after 31 July 2016.

(End of clause)

CLAUSES INCORPORATED BY FULL TEXT

52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)

The Government may require continued performance of any services within the limits and at the rates specified in the contract. These rates may be adjusted only as a result of revisions to prevailing labor rates provided by the Secretary of Labor. The option provision may be exercised more than once, but the total extension of performance hereunder shall not exceed 6 months. The Contracting Officer may exercise the option by written notice to the Contractor within 30 calendar days before expiration of the contract.

(End of clause)

CLAUSES INCORPORATED BY FULL TEXT

52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000)

(a) The Government may extend the term of this contract by written notice to the Contractor within 30 calendar days before expiration of the contract; provided that the Government gives the Contractor a preliminary written notice of its intent to extend at least 60 days before the contract expires. The preliminary notice does not commit the Government to an extension.

(b) If the Government exercises this option, the extended contract shall be considered to include this option clause.

(c) The total duration of this contract, including the exercise of any options under this clause, shall not exceed

5 years.

(End of clause)

52.223-18 CONTRACTOR POLICY TO BAN TEXT MESSAGING WHILE DRIVING (SEP 2010)

(a) Definitions. As used in this clause--

Driving—

(1) Means operating a motor vehicle on an active roadway with the motor running, including while temporarily stationary because of traffic, a traffic light, stop sign, or otherwise.

(2) Does not include operating a motor vehicle with or without the motor running when one has pulled over to the side of, or off, an active roadway and has halted in a location where one can safely remain stationary.

Text messaging means reading from or entering data into any handheld or other electronic device, including for the purpose of short message service texting, e-mailing, instant messaging, obtaining navigational information, or engaging in any other form of electronic data retrieval or electronic data communication. The term does not include glancing at or listening to a navigational device that is secured in a commercially designed holder affixed to the vehicle, provided that the destination and route are programmed into the device either before driving or while stopped in a location off the roadway where it is safe and legal to park.

(b) This clause implements Executive Order 13513, Federal Leadership on Reducing Text Messaging while Driving, dated October 1, 2009.

(c) The Contractor should--

(1) Adopt and enforce policies that ban text messaging while driving--

(i) Company-owned or -rented vehicles or Government-owned vehicles; or

(ii) Privately-owned vehicles when on official Government business or when performing any work for or on behalf of the Government.

(2) Conduct initiatives in a manner commensurate with the size of the business, such as--

(i) Establishment of new rules and programs or re-evaluation of existing programs to prohibit text messaging while driving; and

(ii) Education, awareness, and other outreach to employees about the safety risks associated with texting while driving.

(d) Subcontracts. The Contractor shall insert the substance of this clause, including this paragraph (d), in all subcontracts that exceed the micro-purchase threshold.

(End of clause)

52.232-18 AVAILABILITY OF FUNDS (APR 1984)

Funds are not presently available for this contract. The Government's obligation under this contract is contingent upon the availability of appropriated funds from which payment for contract purposes can be made. No legal liability on the part of the Government for any payment may arise until funds are made available to the Contracting Officer for this contract and until the Contractor receives notice of such availability, to be confirmed in writing by the Contracting Officer.

(End of clause)

52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

This contract incorporates one or more clauses by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. Also, the full text of a clause may be accessed electronically at this/these address(es):

http://www.farsite.hill.af.mil (End of clause)

52.252-6 AUTHORIZED DEVIATIONS IN CLAUSES (APR 1984)

(a) The use in this solicitation or contract of any Federal Acquisition Regulation (48 CFR Chapter 1) clause with an authorized deviation is indicated by the addition of "(DEVIATION)" after the date of the clause.

(b) The use in this solicitation or contract of any DoD FAR Supplement (48 CFR Chapter 2) clause with an authorized deviation is indicated by the addition of "(DEVIATION)" after the name of the regulation.

(End of clause)

252.212-7001 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT STATUTES OR EXECUTIVE ORDERS APPLICABLE TO DEFENSE ACQUISITIONS OF COMMERCIAL ITEMS (JUN 2010) (DEVIATION)

(a) In addition to the clauses listed in paragraph (b) of the Contract Terms and Conditions Required to Implement Statutes or Executive Orders--Commercial Items clause of this contract (FAR 52.212-5) (JUL 2010) (DEVIATION), the Contractor shall include the terms of the following clause, if applicable, in subcontracts for commercial items or commercial components, awarded at any tier under this contract:

(End of clause)

WIDE AREA WORKFLOW (WAWF) ARMY ELECTRONIC INVOICING INSTRUCTIONS

Electronic Submission of Payment Request

Contractor shall submit payment request using the following method as mutually agreed to by the Contractor, the Contracting Officer, the contract administration office, and the payment office.

_[X]__ Wide Area Workflow –Receipt and Acceptance (WAWF-RA) (see instructions below)

DFAS POC and Phone: Customer Service at 800-553-0527 WAWF-RA is the method to electronically process vendor request for payment. This application allows DOD vendors to submit and track Invoices and Receipt/Acceptance documents electronically. Contractor electing to use WAWF-RA shall (i) register to use WAWF-RA at https://wawf.eb.mil and (ii) ensure an electronic business point of contract (POC) is designated in the Central Contractor Registration site at http://www.ccr.gov within ten (10) calendar days after award of this contract/order.

WAWF- RA Instructions

Questions concerning payments should be directed to the Defense Finance and Accounting Service (DFAS)[fill in DFAS location here](Block 18a of your purchase order/contract) at [fill in DFAS vendor pay phone number here] or faxed to [fill in DFAS vendor pay fax phone number here]. Please have your purchase order/contract number ready when calling about payments.

You can easily access payment and receipt information using the DFAS web site at http://www.dfas.mil/money/vendor. Your purchase order/contract number or invoice number will be required to inquire status of your payment.

The following codes and information will be required to assure successful flow of WAWF-RA documents.

TYPE OF DOCUMENT

[X the appropriate block]

___ Commercial Item Financing

___ Construction Invoice (Contractor Only)

___ Invoice (Contractor Only)

___ Invoice and Receiving Report (COMBO) _[X]__ Invoice as 2-in-1 (Services Only) ___ Performance Based Payment (Government Only)

___ Progress Payment (Government Only)

___ Cost Voucher (Government Only) ___ Receiving Report (Government Only)

___ Receiving Report With UID Data (Government Only)

___ Summary Cost Voucher (Government Only)

CAGE CODE:

SEE BLOCK 17A OF SF 1449

ISSUE BY DODAAC:

SEE BLOCK 9 OF SF 1449

ADMIN BY DODAAC:

SEE BLOCK 16 OF SF 1449

INSPECT BY DODAAC:

SEE BLOCK 15 OF SF 1449

ACCEPT BY DODAAC:

SEE BLOCK 15 OF SF 1449

SHIP TO DODAAC:

SEE BLOCK 15 OF SF 1449

LOCAL PROCESSING OFFICE DODAAC:

NOT USED. IF REQUIRED BY WAWF ENTER DODAAC FROM BLOCK 15 OF SF 1449

PAYMENT OFFICE FISCAL STATION CODE:

SEE BLOCK 18A OF SF 1449

For more information contact Linda Calahan at 253-968-5419 or linda.s.calahan@us.army.mil

(End of clause)

52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT STATUTES OR EXECUTIVE ORDERS--COMMERCIAL ITEMS (JUL 2010) (DEVIATION)

(a) Comptroller General Examination of Record. The Contractor agrees to comply with the provisions of this paragraph (a) if the contract was awarded using other than sealed bid, is in excess of the simplified acquisition threshold, and does not contain the clause at 52.215-2, Audit and Records-Negotiation.

(1) The Comptroller General of the United States, or an authorized representative of the Comptroller General, shall have access to the right to examine any of the Contractor's directly pertinent records involving transactions related to this contract.

(2) The Contractor shall make available at its offices at all reasonable times, the records, materials, and other evidence for examination, audit, or reproduction, until 3 years after final payment under this contract or for any shorter period specified in FAR Subpart 4.7, Contractor Records Retention, of the other clauses of this contract. If this contract is completely or partially terminated, the records relating to the work terminated shall be made available for 3 years after any resulting final termination settlement. Records relating to appeals under the disputes clause or to litigation or the settlement of claims arising under or relating to this contract shall be made available until such appeals, litigation, or claims are finally resolved.

(3) As used in this clause, records include books, documents, accounting procedures and practices, and other data, regardless of form. This does not require the Contractor to create or maintain any record that the Contractor does not maintain in the ordinary course of business or pursuant to a provision of law.

(b)(1) Notwithstanding the requirements of any other clause in this contract, the Contractor is not required to flow down any FAR clause, other than those in this paragraph (b)(i) in a subcontract for commercial items. Unless otherwise indicated below, the extent of the flow down shall be as required by the clause-

(i) 52.203-13, Contractor Code of Business Ethics and Conduct (APR 2010) (Pub. L. 110-252, Title VI, Chapter 1 (41 U.S.C. 251 note).

(ii) 52.219-8, Utilization of Small Business Concerns (May 2004) (15 U.S.C. 637(d)(2) and (3)), in all subcontracts that offer further subcontracting opportunities. If the subcontract (except subcontracts to small business concerns) exceeds $550,000 ($1,000,000 for construction of any public facility), the subcontractor must include 52.219-8 in lower tier subcontracts that offer subcontracting opportunities.

(iii) Reserved.

(iv) 52.222-26, Equal Opportunity (MAR 2007) (E.O. 11246).

(v) 52.222-35, Equal Opportunity for Special Disabled Veterans, Veterans of the Vietnam Era, and Other Eligible Veterans (SEP 2006) (38 U.S.C. 4212).

(vi) 52.222-36, Affirmative Action for Workers with Disabilities (JUN 1998) (29 U.S.C. 793).

(vii) Reserved.

(viii) 52.222-41, Service Contract Act of 1965 (Nov 2007) (41 U.S.C. 351, et seq.).

(ix) 52.222-50, Combating Trafficking in Persons (FEB 2009) (22 U.S.C. 7104(g)).

Alternate I (AUG 2007) of 52.222-50 (22 U.S.C. 7104(g)).

(x) 52.222-51, Exemption from Application of the Service Contract Act to Contracts for Maintenance, Calibration, or Repair of Certain Equipment--Requirements (Nov 2007) (41 U.S.C. 351, et seq.).

(xi) 52.222-53, Exemption from Application of the Service Contract Act to Contracts for Certain Services--Requirements (FEB 2009) (41 U.S.C. 351, et seq.).

(xii) 52.222-54, Employment Eligibility Verification (JAN 2009).

(xiii) 52.226-6, Promoting Excess Food Donation to Nonprofit Organizations. (MAR 2009) (Pub. L. 110-247). Flow down required in accordance with paragraph (e) of FAR clause 52.226-6.

(xiv) 52.247-64, Preference for Privately Owned U.S.-Flag Commercial Vessels (FEB 2006) (46 U.S.C. Appx 1241(b) and 10 U.S.C. 2631). Flow down required in accordance with paragraph (d) of FAR clause 52.247-64.

(2) While not required, the contractor May include in its subcontracts for commercial items a minimal number of additional clauses necessary to satisfy its contractual obligations.

(End of clause)

PERFORMANCE WORK STATEMENT

Western Regional Medical Command

Operational Assessment of Military Treatment Facility Accreditation Readiness

Performance Work Statement

SCOPE

The Non-Personal Services Contractor shall provide an assessment of military treatment facility (MTF) current accreditation readiness status in relation to the MTF Joint Commission (TJC) accreditation program. The purpose of the assessment is to provide current organizational performance in relation to the applicable TJC standards (hospital, ambulatory, behavioral health) and elements of performance (EP) to maintain accreditation status and culminate in successful reaccreditation by TJC.

All activities and sub-ordinate locations, listed on the MTF Joint Commission (TJC) application, as outlined in Table 1, will be assessed in person, on-site. Some of the smaller, more remote locations may be assessed via video-teleconference, with prior approval by the Program Manager. These on-site assessments will be done with a full team of qualified surveyors consistent with Table 2.

Qualified surveyor is defined as training as a Joint Commission Surveyor with actual active, on-site surveying experience of at least one year in the last three years. Evidence of effective training, experience, proficiency and success as a consultant will be provided for each team member used.

The process of organizational assessment will mirror a Joint Commission survey using the appropriate patient and system tracers, following the format of the survey activity guide for the type of accreditation held by that MTF (Hospital, Ambulatory, and/or Behavioral Health). The team will engage in assessment, as well as consultation while on site, providing corrections, on-the-spot education, sharing of best practices, and methods for improvement.

Table 1. Identification of MTF by Location and Number of Surveyable Locations On and Off Post

Fairbanks, Alaska

Ft. Wainwright

Bassett Army Community

Hospital

(BACH)

Hospital

Out-patient medical clinics (3)

Community Mental Health Clinic

Alcohol and Substance Abuse Program

Out-Patient Medical Clinic

Alcohol and Substance

Abuse Program

Ft. Richardson, Anchorage, AK

Sierra Vista, Arizona

Ft. Huachuca

Raymond W. Bliss Army Health Clinic

(RWBAHC)

Multispecialty Health Clinic

Out-patient medical clinics (3)

Barstow, California

Ft Irwin

Weed Army Community

Hospital

(WACH)

Hospital

Out-patient medical clinics (1)

Out-patient medical clinic (1)

Abuse Program

Yuma Army Proving Ground

Yuma, AZ

Colorado Springs, Colorado

Ft Carson

Evans Army Community Hospital

(EACH)

Hospital

Out-patient medical clinics (9)

Community Mental Health Clinic

Alcohol and Substance Abuse Program Occupational Health Clinic

Pueblo Proving Ground

Pueblo, CO

Occupational Health Clinic

Dugway Proving Ground

Dugway, UT

Occupational Health Clinic

Tooele Army Depot

Tooele, UT

Junction City, Kansas

Ft Riley Irwin Army Community Hospital

(IACH)

Hospital

Out-patient medical clinics (4)

St. Robert, Missouri

Ft Leonard Wood Gen Leonard Wood Army Community Hospital

(GLWACH)

Hospital

Out-patient medical clinics (6)

Community Mental Health Clinic

Alcohol and Substance Abuse Program Occupational Health Clinic

St. Louis, MO

Leavenworth, Missouri

Ft Leavenworth

Leavenworth Munson Army Health Clinic

(MAHC)

Multispecialty Health Clinic

Out-patient medical clinics (2)

El Paso, Texas

Ft Bliss

William

Beaumont Army Medical Center

(WBAMC)

Hospital

Out-patient medical clinics (6)

Community Mental Health Clinic

Alcohol and Substance Abuse Program Out-patient medical clinic

White Sands Missile

Range, New Mexico

Out-patient medical clinic

McGregor Range

New Mexico

Tacoma, Washington

Joint Base Lewis-McChord

Madigan Army Medical Center

MAMC

Hospital

Out-patient medical clinics (5)

Out-patient medical clinic (2)

Abuse Program

Presidio of Monterey

Monterey, CA

Out-patient medical clinic

Sierra Army Depot

Herlong, CA

Occupational Health Clinic

Umatilla, OR

Table 2. Accreditation Program by MTF, Surveyor Type and Days for On-Post Surveyable Locations

RWBAHC

MAHC

MD = Physician; RN = Nurse; ADM = Administrator; AMB = Ambulatory Surveyor;

LSS = Life Safety Specialist; BH = Behavioral Health Specialist (includes drug and alcohol program)

A preliminary written report of findings will be provided at the completion of the on-site assessment, which will include a description of the findings, the standard and the element of performance related to the finding. A verbal out-brief will be provided to the local MTF Command, reviewing the findings and providing consultation on corrections. A full written report will be provided electronically, within 10 business days, stating the findings, standard, element of performance, whether the finding is a direct or indirect finding, and specific, tailored comprehensive recommendations for correction.

The Contractor will provide a quarterly video-teleconference with the regional staff and MTF contacts. The Contractor will present one annual educational conference per calendar year at a location chosen by the Program Manager with an expected audience of 50, with the potential to grow the audience to a maximum of 100 in future contract years.

The Contractor will provide a customer satisfaction tool that is a simple, user-friendly electronic process to evaluate each operational assessment, video-teleconference and educational offering and provide the results electronically.

The Contractor will be available for telephone and email consultation, answering all queries within 3 business days. The Contractor will annually provide a roll up of findings throughout the region, with recommendations for correction, leading edge practices and options for improvement. The Contractor will be responsible for all consultant travel costs and arrangements.

The Contractor will provide services and deliverables through on-site evaluation, consultation, technical assistance, analysis and evaluation. The resulting report of findings will assist MTFs in identifying strengths and vulnerabilities in relation to TJC standards and accreditation. Education and consultation will be customized in support of maintaining up-to-date understanding for the evolving standards changes. Leading edge practices will be shared.

BACKGROUND

The WRMC is commanded by a two-star general whose mission is to provide synchronized command and control, resource allocation and oversight of the region’s MTF to ensure a healthy military community and ready adaptive force. All MTFs are TJC accredited and will maintain that accreditation.

The WRMC’s area of responsibility encompasses 20 states that include: Alaska, Arizona, California, Colorado, Idaho, Iowa, Kansas, Minnesota, Missouri, Montana, Nebraska, Nevada, New Mexico, North Dakota, Oregon, South Dakota, Texas (West Texas only), Utah, Washington and Wyoming.

The primary installations to be surveyed include various subordinate elements, which may or may not be co-located, and will require coordinated travel arrangements.

TASKS/SERVICES

1. The Contractor shall provide an organizational assessment (mock survey) of the current performance of the MTF in relation to the Joint Commission accreditation program under with the MTF currently holds accreditation (hospital, ambulatory, behavioral health).

1.1 The Program Manager will determine which MTFs will be assessed during the contract year (maximum of 9/year, with expectation of 3-5/per contract year)

1.2 The Program Manager will identify for the Contractor the MTFs and projected dates for assessment at least 75 days prior to expected assessment

1.3 MTF assessment includes: all activities, at all locations, including subordinate locations, as listed on the MTF TJC application, as outlined in Table 1.

1.4 All assessments will be completed in person, on-site. Some of the smaller, more remote locations may be assessed via video-teleconference, with prior approval by the Program Manager.

2. Contractor will provide a consistent and qualified team to conduct the organizational assessment.

2.1 These on-site assessments will be done with a full team of qualified surveyors as outlined in Table 2.

2.2 Qualified surveyor is defined as training…