Loren Data's SAM Daily™

FBO DAILY ISSUE OF MAY 01, 2008 FBO #2348
SOLICITATION NOTICE

U -- Prolonged Exposure Therapy and Cognitive Processing Therapy for Combat-Related PTSD Workshop

Notice Date

4/29/2008
 

Notice Type

Combined Synopsis/Solicitation
 

NAICS

611430 — Professional and Management Development Training
 

Contracting Office

Department of the Air Force, Air Force Materiel Command, HSW - 311 Human Systems Wing, 8150 Aeromedical Road, Brooks City-Base, Texas, 78235, United States
 

ZIP Code

78235
 

Solicitation Number

F1J4AH8084A001
 

Response Due

5/7/2008 3:00:00 PM
 

Point of Contact

Robert T Batkins,, Phone: 210-536-6252, Nora J Lopez,, Phone: 210-536-2626
 

E-Mail Address

robert.batkins@brooks.af.mil, nora.lopez@brooks.af.mil
 

Description

Request for Proposal, Performance Work Statement (PWS) Air Force Medical Operations Agency (AFMOA)/SG300 Office of the Surgeon General. Cognitive Process Therapy Clinical Training Workshops and Cognitive Processing Therapy Clinical Consultation Support. 1, The Government is contemplating the issuance of a Firm Fixed Price contract. The contract is for a one year period. Anticipated period of performance is 15 June 2008 through 14 June 2009. Please review the PWS dated 14 April 2008 and provide a complete proposal for the project. This is a "follow-on" requirement with an incumbent. The current effort is being provided by University of Texas Health Science Center, San Antonio Texas. 2, The period of performance is 12 months. We request you provide a proposal for this effort based on the attached PWS that addresses the following areas: • Comprehensive technical and management approach to accomplish the work effort. Describe knowledge and understanding the requirements as outlined in the PWS. The technical approach must identify the methodology and analytical techniques to be used to fulfill the technical requirements. The technical approach should clearly describe the following: o An overview of the proposed methodology in meeting the technical requirements identified in the PWS. o The logical sequence of tasks to be performed in order to accomplish the requirements. o Identify and describe the specific techniques and steps that will be applied during the accomplishment of all tasks of this project. o Any deliverables to be produced in response to project requirements. • Identify key personnel proposed for assignment to the project and skill level to include special qualifications of key personnel. Identify persons designated as Project Manager. Submit resumes of personnel; resumes should be no longer than 2 pages. • Describe the past performance that would qualify your firm for consideration. Describe corporate qualifications and capabilities related to the performance of the PWS requirements. Describe plan to staff and manage the service required in the PWS and include information detailing status reporting, location of management office and proposed teaming/subcontracting arrangements to be used in support of the requirement. • Provide a detailed cost estimate to include showing all labor categories, hourly rates and extended labor costs. Provide additional data to support any anticipated/proposed cost for Travel and Other Direct Costs. 3. The Government anticipates awarding a contract to the offeror whose proposal is the most advantageous to the Government, price and other factors considered. Award may be made to other than the lowest priced technically acceptable proposal. Technical proposals will be evaluated based on best value and the following factors with their relative weights: • Key Personnel qualifications.32 • Experience/Qualifications.27 • Technical Approach and clear understanding of the requirement.20 • Past Performance and corporate qualifications.14 • Cost/Price.07 Offeror price proposals will be evaluated to determine price realism and reasonableness. Prices that are excessively high or low may be considered unrealistic and unreasonable and may receive no further consideration. 4. Please e-mail Lt James Shaw a copy of your proposal and the cost proposal spreadsheets in Microsoft Excel format by 3:PM (CST) 9 May 2008. Performance on the work to be negotiated under this order shall not proceed until your firm receives a written notice from the Contracting Officer. 5. Should you require additional information, have questions or concerns, regarding the attached PWS or proposal requirements please forward them to this office so they can be addressed or clarified prior to submission of your proposal. Please contact James Shaw at Telephone number (210) 536-5774, FAX (210) 536-1918 or e-mail: james.shaw@brooks.af.mil if you have any other questions concerning the Request for Proposal. 1.0. INTRODUCTION. 1.1. The mission of the Air Force Medical Operations Agency (AFMOA) South is to support Department of Defense (DoD) health professionals in optimizing the health and wellness of their populations through appropriate, effective and efficient healthcare practices and service delivery. The United States Air Force (USAF) is committed to taking care of its own. Our Air Force (AF) members and their families deserve the best support possible. AF readiness targets combat stress reactions, deployment environment and deployment-related stressors. Tailored support of the base helping agencies targets deployment challenges and engages the services of base helping agencies. The AF community is represented by several agencies, one of which is the Office of the Surgeon General (SG), Community Behavioral Health Division (CBHD). 1.2. The USAF SG CBHD provides military readiness support through management of various programs engaged in individual, family and community health initiatives. These programs include Family Advocacy; Alcohol and Drug Abuse Prevention and Treatment/Demand Reduction; Education and Development Intervention Services/ Special Needs; and Suicide Prevention. Their objective is to address intervention and prevention strategies for common modifiable behavioral risk factors. 1.3. The challenge is recognizing the stressful situations of military members, specifically behaviors and concerns related to deployment stress. Congress has provided funding through the Department of Defense to the USAF to make available tailored support for pre-deployment, deployment, post-deployment, integration and combat stress reactions. There is an ongoing and urgent need to provide early psychological intervention as part of the first response to the traumatic events of pre- and post- deployment. 2.0. DESCRIPTION OF SERVICES. 2.1. Summary of Services Required. This contract will involve the implementation of Outside the Continental United States (OCONUS) three-day clinical training workshops, Continental United States (CONUS) two-day and three-day entry level clinical training workshops and four-day master clinician training workshops for military mental health provider (MHP), which include psychologists, psychiatrists, social workers, mental health nurses, and mental health technicians. The goal of these workshops is to train military MHP to provide prolonged exposure therapy (PET) and Cognitive Processing Therapy (CPT) in both deployed locations and in garrison for active duty military members with combat-related anxiety stress disorder (ASD) and PTSD. In addition, the programs will be evaluated to monitor training effectiveness (e.g., pre/post testing for knowledge), use of PE/CPT by clinicians (survey active duty clinicians who have been trained), and other outcome measures (e.g., providing consultation on use of the PCL-M). Authorization for delivering continuing education (CE) credits should be gained by the contractor and CE offered to all eligible workshop participants. The contractors will provide their own equipment for the presentations, including a laptop and projector for running slides, as well as audio support, wires and cables as needed to put on a workshop as described above. The contractors chosen for the delivery of these services will have had deployment training and experience in treating active duty service members returning from OIF/OEF. Contractors with experience treating exclusively retirees or those discharged from the military will not meet the requirements of this contract. 2.2. Workshop Materials will be updated and specifically tailored for the PET/CPT treatment of combat-related ASD and PTSD in United States (U. S.) military personnel in both deployed and garrison settings. This will include the creation and updates of workshop handouts, reprints of scientific publications, clinical assessment materials, psychological measures and a provider's treatment manual. The contractor will provide clinical training workshop and consultation materials during training to each attendee in hard copy and/or electronic media form. 2.3. CONUS PET/CPT Clinical Training Workshops: The contractor will conduct 8 PET three-day CONUS clinical training workshops and 1 PET four-day CONUS master clinical development workshop at the following locations and dates. The contractor will also conduct 3 CPT two-day CONUS clinical training workshops and 1CPT four-day CONUS master clinician development workshop. All costs associated with travel, food, lodging, creating and transporting the manual or handouts, and miscellaneous expenditures are to be borne by the contractor and are assumed to be covered in the agreed upon cost per workshop. The workshops will include a review of evidence-based interventions for ASD and PTSD with a specific emphasis on PET. Approximately twenty-five to fifty military providers will attend each workshop and attendees will receive workshop type training in the assessment and PET treatment of ASD and PTSD in CONUS and deployed locations. Clinical case examples, including audiotapes and video of treatment sessions of active-duty military patients with ASD and PTSD who were treated in Iraq, will be reviewed. Portions of the training will also target non-provider positions such as mental health technicians in order to give them some idea about what their role might be in the delivery of care in a deployed setting. Attendees will be provided copies of assessment tools and a treatment manual for PET treatment of combat-related ASD and PTSD. The Government reserves the right to readjust the workshop dates in accordance with military and ops tempo demands Planned PTSD Provider Training Training Dates Location Master Clinician Development Course (PET) 28 - 31 July 09 San Antonio, TX PET 12-14 Aug 08 Scott, AFB CPT 14-15 Aug 08 Hill, AFB PET 9-11 Sept 08 Tinker, AFB PET 23 - 25 Sep 08 Peterson, AFB CPT Master Clinician Development Course 6-9 Oct 08 San Antonio, TX PET 7-9 Oct 08 Pope, AFB PET 21-23 Oct 08 Charleston, AFB CPT 3-4 Nov 08 Tinker, AFB PET 4-6 Nov 08 Offutt, AFB PET 18-20 Nov 08 Nellis, AFB CPT 2-3 Dec 08 Dover, AFB PET 2-4 Dec 08 Edwards, AFB 2.4. OCONUS PET Clinical Training Workshop. The contractor will conduct 4 PET three-day OCONUS clinical training workshops at the following locations and dates. All costs associated with travel, food, lodging, creating and transporting the manual or handouts, and miscellaneous expenditures are to be borne by the contractor and are assumed to be covered in the agreed upon cost per workshop. The contractor will be compensated for one rest day prior to the start of the OCONUS workshops to allow for jet lag. The workshops will include a review of evidence-based interventions for ASD and PTSD with a specific emphasis on PET. Approximately twenty-five to fifty military providers will attend each workshop and attendees will receive workshop type training in the assessment and PET treatment of ASD and PTSD in CONUS and deployed locations. Clinical case examples, including audiotapes and video of treatment sessions of active-duty military patients with ASD and PTSD who were treated in Iraq, will be reviewed. Portions of the training will also target non-provider positions such as mental health technicians in order to give them some idea about what their role might be in the delivery of care in a deployed setting. Attendees will be provided copies of assessment tools and a treatment manual for PET treatment of combat-related ASD and PTSD. The Government reserves the right to readjust the workshop dates in accordance with military and ops tempo demands. Planned PTSD Provider Training Training Dates Location USAFE PET 18-20 Jun 08 Ramstein, AFB USAFE PET 23-25 Jun 08 Lakenheath, AFB PACAF PET 12-14 Aug 08 Elmendorf, AFB PACAF PET 13-15 April 09 Kadena, AFB 2.5 PET/CPT Training Evaluation. The contractor will implement a PET/CPT training evaluation for all attendees. Demographic evaluation will be collected on each participant including but not limited to training location, training dates, name, rank, branch of service, duty station, MAJCOM, professional discipline, email address, prior experience treating patients with PTSD, prior training experiences in treating PTSD. A pre/post knowledge assessment will be conducted with each workshop participant in order to evaluate learning, motivation, and confidence for using the PET/CPT techniques upon returning to the Military Treatment Facility (MTF). A follow-up evaluation of all attendees will be conducted within 6 months in order to assess motivation and confidence to use the PET/CPT model, number of patients treated, and patient outcomes, as measured by the PCL-M. 2.6 Telephone Consultation for PET Trainees. The Contractor will provide ongoing clinical consultation for all PET workshop participants, including psychologists, psychiatrists, social workers, and mental health technicians upon completion of the three-day PET training workshop. Telephone consultation will be used and a military call-in line will be provided when requested (e.g., Meet Me Line). The contractor will regularly send out notification emails of the phone number and times available for consultation in order to facilitate as much participation as possible. Consultation will be provided for the military MHP as they begin to see clinical cases (patients) at their assigned MTF, whether they are located within CONUS, OCONUS, or deployed to Iraq, Afghanistan or other locations in support of OIF and OEF. For all consultation activities, guidelines will be followed to ensure privacy and confidentiality of all patient information. For consultation with deployed providers, proper guidance and procedures will be followed in accordance with Communications and Information Management Guidance and Responsibilities (CIMGR), Air Force Instruction (AFI) 33-101 and Communications Security (COMSEC), AFI 33-201, Volume (V) 1. Consultation times will be available for up to twenty hours per month and will be arranged at times that are convenient to the MHP and consultant. This teleconsultation format will allow for both individual, as well as, small group consultation. 2.7 Telephone Consultation for PET/CPT Master Clinician Trainees. This contract will also involve providing consultation to approximately twenty-five military MHP; which include psychologists, psychiatrists, mental health nurses, and social workers, upon completion of the four-day master clinician PET/CPT training workshop on evidence-based treatment of PTSD. These individuals will be training to serve as future PTSD trainers and case supervisors. The Master Clinicians will require more extensive consultation than those attending the three-day workshop. Telephone consultation for Master Clinicians will include the review of audiotape/videotape assessment and treatment cases for which patients provide written consent for this clinical consultation. The contractor will regularly send out notification emails of the phone number and times available for consultation in order to facilitate as much participation as possible. Consultation will be provided for the military MHP as they begin to see clinical cases (patients) at their assigned MTF, whether they are located within CONUS, OCONUS, or deployed to Iraq, Afghanistan or other locations in support of OIF and OEF. For all consultation activities, guidelines will be followed to ensure privacy and confidentiality of all patient information. For consultation with deployed providers, proper guidance and procedures will be followed in accordance with Communications and Information Management Guidance and Responsibilities, (CIMGR), Air Force Instruction (AFI) 33-101 and Communications Security, (COMSEC), AFI 33-201, Volume (V) 1. Consultation times will be available for up to twenty-five hours per month and will be arranged at times that are convenient to the supervisee and supervisor. The teleconsultation format will allow for both individual and small group consultation. 2.8 SPECIFIC REQUIREMENTS. The contractor shall provide the following: 2.8.1. Ability to deliver 3 day PET trainings, 2-day CPT, and 4 day Master Clinician trainings 2.8.2. Workshops will be presented in a format relevant for many different disciplines including psychiatry, psychology, social work, nurses, and mental health technicians 2.8.3. Demonstrate at least 3 years experience in delivering PET to patients 2.8.4. Ability to demonstrate at least 1 year of personal experience in training others to use the principals of PET 2.8.5. Conduct a program evaluation including pre/post knowledge test 2.8.6. Conduct an outcome survey with those trained 2.8.7. Keep track of demographic information for all participants 2.8.8. Provide a manual for training in PET/CPT that is specifically tailored to AD mental health providers providing the latest information on combat related stress, Acute Stress Disorder, and PTSD in those participating in OIF/OEF 2.8.9. Provide own equipment for all presentations both CONUS and OCONUS 2.8.10. Demonstrated experience in developing protocols or conducting research in the area of Post Traumatic Stress Disorder 2.8.11. Provide audio and or video of PET case examples as well as scientific publications and training on PTSD assessment 2.8.12. Demonstrated history and or ability to provide Teleconsultation services as described above (e.g. Curriculum Vitae or cover letter) 2.8.13. The trainers must have a Doctoral Degree in Clinical Psychology with appropriate licensure in his/her state. 3.0. SERVICES SUMMARY (SS). The Government will periodically evaluate the contractor's performance by appointing a representative(s) to monitor performance to ensure services are received. The Government representative will evaluate the contractor's performance through inspection of deliverables and receipt of all complaints from customers. The Government may inspect each task as completed or increase the number of quality control inspections if deemed appropriate because of repeated failures discovered during quality control inspections or because of repeated customer complaints. Likewise, the Government may decrease the number of quality control inspections if performance dictates. The Government representative shall make final determination of the validity of customer complaints(s). See Table 1 - Services Summary below: Performance Objectives PWS Paragraph Performance Threshold Surveillance Method Prepare and Submit Monthly Status Teleconsultation Financial Report. 8.1.1 No more than 1 Missing/late report during 6-month period. Periodic Surveillance Monthly Quarterly Report and End of FY Summary Report Describing All Activities Conducted 8.2 No more than 1 Missing/late report during 6-month period. Periodic Surveillance Quarterly Table 1 - Services Summary 4.0. GOVERNMENT FURNISHED SUPPORT. The Government will provide the location and space at the medical treatment facilities. If space is not available at the MTF then alternate locations will be provided by the Government. 5.0. GENERAL INFORMATION. 5.1. PLACE OF PERFORMANCE. Work will be conducted on-site at the medical treatment facilities and at identified conference locations. 5.2. PERIOD OF PERFORMANCE (POP). The POP for this contract will be for a period of one (1) year, hereto referred to as the Base Period. The resulting contract will include 1 one-year option period, which may be unilaterally exercised by the Government. All terms and conditions applicable to the base period shall extend to the option period. 5.3. HOURS OF OPERATION. Normal duty hours are 7:30 am to 4:30 pm, Monday through Friday (excluding Federal Holidays), unless mutually agreed upon by Government and contractor personnel. Due to mission need or due to unforeseen acts of nature or emergency, the Government and contractor may agree to different duty hour/work days. Overtime is not authorized. 6.0. TRAVEL. Travel is required during the performance period of this contract. Dates and destinations are written in the contract but may be subject to change based on the military operational tempo and the needs of the Government. If and when travel occurs, the contractor will be required to arrange transportation and other travel-related requirements to ensure attendance by appropriate contract personnel at the best value for the Government and in accordance with Federal Acquisition Regulations (FAR) 31.205-46 Travel costs, available at http://farsite.hill.af.mil/vffara.htm. Travel will be performed only at the request and approval of the Government, within the scope of this contract. 6.1. Ability to travel to multiple CONUS and OCONUS locations. 6.2. Travel throughout CONUS/OCONUS infrastructure MTF will be required. 6.3. The contractor shall prepare and provide administrative documents sufficient to accomplish Government travel when required. 7.0. SECURITY. The contractor will not have access to Government computers or patient information. 7.1. The contractor personnel will work out of the contractors facilities and will not be using Government systems/computers. The contractor will come on base (various bases) only to conduct training. The contractor personnel will be escorted in the buildings where the training will be conducted. SGRM checked with AFMOA/CCE Security and as long as the trainers are escorted no National Agency Check (NAC) will be required for the trainers. 7.2. Contractor personnel will be escorted on base while performing under this effort. They will not require usage of e-mail nor a government computer. 7.3. Work performed under the contract is unclassified. However, the technical and medical privacy data used within the scope of this contract requires adherence to security/privacy requirements imposed by the Government, DoD, AF and other applicable security clearance requirements as applicable to this contract. The contractor shall handle and protect all data as directed and implemented by the AFMSA enterprise and its implementation of the Health Insurance Portability and Accountability Act of 1996 (HIPAA). (Appendices B). 7.4. Contractor personnel shall not release any personnel or medical/patient information to include patient/person-level content with personal health information, during the course of this contract. Information shall be treated IAW the following: 7.4.1. The Privacy Act of 1974 (5 U.S.C. § 552a), which includes Public Law 100-503, Department of Defense Directive (DoDD) 5400.11, and DoDD 5400.11-R and must be treated as FOR OFFICIAL USE ONLY. 7.4.2. The Health Insurance Portability and Accountability Act of 1996 (Public Law 104-191), which includes DoDD 6025.18-R and is FOR OFFICIAL USE ONLY. (Appendix B). 7.4.3. Other Military Health Services, AFMSA, Federal and State laws may also be applicable. 7.4.4. Contractor shall be required to furnish the Government Technical point of contact (POC) with signed Non-disclosure agreements, provided by the Government for each contract employee. (Appendix D). 7.4.5. Contractor shall provide patient information only to Government employees, Government Contractor, and subcontractors having a need-to-know such information in the performance of their duties for this project. 7.4.6. The COR must be kept abreast of issues dealing with the security clearances and/or certifications. No foreign national candidates shall be utilized within the scope of this contract without prior approval of the Government. 7.5. DATA RIGHTS. All products (software, coding, documentation, reports, or any other item developed under this contract) resulting from this contract shall be the property of the Government with unlimited rights, except as pursuant to 15 U.S.C. § 3710a(c)(7)(A) & (B), the Freedom of Information Act, 5 U.S.C. § 552, et seq. 7.6. INSPECTION AND ACCEPTANCE. Final inspection and acceptance of all work performed, reports, and other deliverables will be performed at the place of delivery or location designated by the COTR. Analysis and reporting work will be inspected at delivery to ensure requirements have been met. 7.7. CONTRACT PROGRAM MANAGER (PM) POC. The Contractor shall provide a POC for tasking, who shall be responsible for the performance of the work. The point of contact shall have full authority to act for the Contractor on all matters relating to the daily operation of this contract. The Contractor shall designate this individual, in writing, to the CO and the COR before the contract start date. An alternate may be designated, but the Contractor shall identify those times when the alternate shall be the primary point of contact. 7.8. PERFORMANCE EVALUATION MEETING. The Government may request the Contractor or his representative to meet with the CO, COR, COTR, contract administrator, Quality Assurance Personnel (QAP), and/or other Government personnel at least quarterly, or as often as deemed necessary. The Contractor may request a meeting with the Government when he deems it is necessary. Meetings will be documented in the contract file with written minutes signed by the contract manager or contract administrator. Should the Contractor not concur with the minutes, such non-concurrence shall be provided in writing to the COR and COTR within ten (10) calendar days of receipt of the minutes. 7.9. NON-DISCLOSURE AGREEMENT (NDA). The contractor shall adhere to the AF/SG NDA. The NDA shall be delivered and accepted prior to the period of performance. An NDA must be signed by each contractor personnel assigned to this acquisition prior to starting their designated tasks. (Appendix D). 7.10. Contactor personnel shall meet the requirements of this contract without further training, except for familiarization of Air Force policies and procedures. 8.0. DATA REPORTING REQUIREMENTS. 8.1. MONTHLY STATUS TELECONSULTATION FINANCIAL REPORT. 8.1.1. The contractor shall prepare and submit a monthly status Teleconsultation financial report identifying all tasks performed, future teleconsultation schedule, and demographics of teleconsultaiton participants as well as projected barriers to training consistent with the performance work statement (PWS) no later than the 10th day of the following month. Contractor Data Requirements List (CDRL) CDRL 0001. 8.1.2. A copy of this report shall be submitted to the Program Manager (PM) or the Contracting Officer (CO) by the tenth working day of the month following the end of the reporting period. 8.1.3. Specific format of the report shall be coordinated with the Program Manager and delivered in an electronic format mutually agreed upon by the contractor and the Government. 8.2. QUARTERLY AND END OF FISCAL YEAR STATUS REPORTS 8.2.1. Quarterly report and an end of FY summary report describing all activities conducted including the number of trainings (where and when), numbers trained, demographics of all individual trainees (i.e., service, duty station, MAJCOM, profession, email address, type of training attended, and date trained), summary of pre/post test scores across trainings, summary of evaluation feedback, and a summary of information gained from the outcome measures taken from trainees surveyed at the 6 month mark. 8.2.2. Status of COTR-generated action items, if any, from previous report and the resultant impact and schedule changes, if any. 8.3. STUDENT FEEDBACK. Each student will be provided a student feedback form at the end of each training workshop and these student feedback forms will be collected by the instructor and a summary report will be provided to the Program Manager. 9.0 CONTINUATION OF MISSION ESSENTIAL SERVICES (MES). The performance of these services is not considered to be MES during time of crisis. Should a crisis be declared, the contracting officer (CO) or his/her representative will verbally advise the contractor of the revised requirements, followed by written direction. 10.0 APPENDICES: 10.1. Appendix A. Performance Work Statement Acronyms. 10.2. Appendix B. Health Insurance Portability and Accountability Act (HIPAA) of 1996. 10.3. Appendix C. HQ USAF/SGR Organization Conflict of Interest. 10.4. Appendix D. HQ USAF/SGR Non-Disclosure Agreement (NDA). 10.5. Appendix E. Customer Feedback Form. APPENDIX A: PERFORMACE WORK STATEMENT ACRONYMS ACRONYM DEFINITIONS AD Active Duty AF Air Force AFI Air Force Instruction AFMOA Air Force Medical Operations Agency AFMSA Air Force Medical Service Agency ASD Anxiety Stress Disorder CBHD Community Behavioral Health Division CDRL Contractor Data Requirements List CE Continuing Education CFR Code of Federal Regulations CIMGR Communications and Information Management Guidance and Responsibilities CO Contracting Officer COMSEC Communications Security CONUS Continental United States COR Contracting Officer Representative COTR Contracting Officer Technical Representative CPT Cognitive Processing Therapy CSF Critical Success Factors DISA Defense Information System Agency DoD Department of Defense DoDD Department of Defense Directive FAR Federal Acquisition Regulation GFI Government Furnished Information HIPAA Health Insurance Portability and Accountability Act of 1996 HQ USAF/SG Headquarters United States Air Force Surgeon General JTR Joint Travel Regulation MAJCOM Major Command MES Mission Essential Services MHP Mental Health Provider MTF Military Treatment Facility NAC National Agency Check NDA Non-Disclosure Agreement OASD(HA) Office of Assistant Secretary of Defense for Health Affairs OCI Organizational Conflict of Interest OCONUS Outside the Continental United States OEF Operation Enduring Freedom OIF Operation Iraqi Freedom PCL-M Post Traumatic Stress Disorder Checklist-Military Version PE Prolonged Exposure PET Prolonged Exposure Therapy PHSD Population Health Support Division PM Program Manager POC Point of Contact POP Period of Performance PTSD Post Traumatic Stress Disorder PWS Performance Work Statement QAP Quality Assurance Personnel QCP Quality Control Plan SS Services Summary TO Task Order SAF Secretary of the Air Force SG Surgeon General USAF United States Air Force APPENDIX B: HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT (HIPAA) OF 1996 HIPAA is comprised of several different sections, each to be implemented by the Dept. of Health and Human Services. The medical facilities of the military services and the DOD health plans are specifically listed as covered by HIPAA. Currently, HIPAA Privacy and Security Rules, as set forth in the Code of Federal Regulations, are in effect for all MTFs. The specific implementation of HIPAA Privacy for DOD medical facilities is set forth in DOD 6025.18-R, and for HIPAA Security, the requirements for AF MTFs are contained in DOD 8580.02-R and AFI 41-217, which also contains additional Information Assurance requirements for all AF MTFs. DOD 6025.18-R, DOD 8580.02-R and AFI 41-217 are incorporated herein by reference. MTFs are responsible to insure overall compliance with HIPAA requirements, which includes incorporation of certain requirements in contracts entered or amended after the respective implementation dates. IAW these regulations, the Contractor and its employees meet the definition of Business Associates. Therefore, a Business Associate Agreement is required by law to comply with both the HIPAA Privacy and Security regulations. This clause serves as that agreement for each MTF, whereby the Contractor and its employees agree to abide by all HIPAA Privacy and Security requirements regarding health information as defined in this clause, DoD 6025-18-R, DOD 8520.02-R and AFI 41-217. Additional HIPAA requirements will be addressed when implemented. Introduction (a) Definitions. As used in this clause generally refer to the Code of Federal Regulations (CFR) definition unless a more specific provision exists in DOD 6025.18-R, DOD 8520.02-R or AFI 41-217. Individual has the same meaning as the term "individual" in 45 CFR 164.50 1 and 164.103 and shall include a person who qualifies as a personal representative in accordance with 45 CFR 164.502(g). Privacy Rule means the Standards for Privacy of Individually Identifiable Health Information at 45 CFR part 160 and part 164, subparts A and E. Protected Health Information has the same meaning as the term "protected health information" in 45 CFR 164.501, limited to the information created or received by The Contractor from or on behalf of the Government. Electronic Protected Health Information has the same meaning as the term "electronic protected health information" in 45 CFR 160.103. Required by Law has the same meaning as the term "required by law" in 45 CFR 164.501 and 164.103. Secretary means the Secretary of the Department of Health and Human Services or his/her designee. Security Rule means the Health Insurance Reform: Security Standards at 45 CFR part 160,162 and part 164, subpart C. Terms used, but not otherwise defined, in this Agreement shall have the same meaning as those terms in 45 CFR 160.103, 160.502, 164.103, 164.304 and 164.501. (b) The Contractor agrees to not use or further disclose Protected Health Information other than as permitted or required by the Contract or as Required by Law. c) The Contractor agrees to use appropriate safeguards to prevent use or disclosure of the Protected Health Information other than as provided for by this Contract. (d) The Contractor agrees to use administrative, physical, and technical safeguards that reasonably and appropriately protect the confidentiality, integrity, and availability of the electronic protected health information that it creates, receives, maintains, or transmits in the execution of this Contract. (e) The Contractor agrees to mitigate, to the extent practicable, any harmful effect that is known to the Contractor of a use or disclosure of Protected Health Information by the Contractor in violation of the requirements of this Contract. (f) The Contractor agrees to report to the Government any security incident involving protected health information of which it becomes aware. (g) The Contractor agrees to report to the Government any use or disclosure of the Protected Health Information not provided for by this Contract of which the Contractor becomes aware of. (h) The Contractor agrees to ensure that any agent, including a subcontractor, to whom it provides Protected Health Information received from, or created or received by the Contractor on behalf of the Government agrees to the same restrictions and conditions that apply through this Contract to the Contractor with respect to such information. (i) The Contractor agrees to ensure that any agent, including a subcontractor, to whom it provides electronic Protected Health Information, agrees to implement reasonable and appropriate safeguards to protect it. (j) The Contractor agrees to provide access, at the request of the Government, and in the time and manner designated by the Government to Protected Health Information in a Designated Record Set, to the Government or, as directed by the Government, to an Individual in order to meet the requirements under 45 CFR 164.524. (k) The Contractor agrees to make any amendment(s) to Protected Health Information in a Designated Record Set that the Government directs or agrees to pursuant to 45 CFR 164.526 at the request of the Government or an Individual, and in the time and manner designated by the Government. (1) The Contractor agrees to make internal practices, books, and records relating to the use and disclosure of Protected Health Information received from, or created or received by the Contractor on behalf of, the Government, available to the Government, or at the request of the Government to the Secretary, in a time and manner designated by the 'Government or the Secretary, for purposes of the Secretary determining the Government's compliance with the Privacy Rule. (m) The Contractor agrees to document such disclosures of Protected Health Information and information related to such disclosures as would be required for the Government to respond to a request by an Individual for an accounting of disclosures of Protected Health Information in accordance with 45 CFR 164.528. (n) The Contractor agrees to provide to the Government or an Individual, in time and manner designated by the Government, information collected in accordance with this Clause of the Contract, to permit the Government to respond to a request by an Individual for an accounting of disclosures of Protected Health Information in accordance with 45 CFR 164.528. General Use and Disclosure Provisions Except as otherwise limited in this Agreement, the Contractor may use or disclose Protected Health Information on behalf of, or to provide services to, the Government for treatment, payment, or healthcare operations purposes, in accordance with the specific use and disclosure provisions below, if such use or disclosure of Protected Health Information would not violate the HIPAA Privacy Rule, DOD 6025.18-R, the HIPAA Security Rule, or DOD 8580.02-R if done by the Government. Specific Use and Disclosure Provisions (a) Except as otherwise limited in this Agreement, the Contractor may use Protected Health Information for the proper management and administration of the Contractor or to carry out the legal responsibilities of the Contractor. (b) Except as otherwise limited in this Agreement, the Contractor may disclose Protected Health Information for the proper management and administration of the Contractor, provided that disclosures are required by law, or the Contractor obtains reasonable assurances from the person to whom the information is disclosed that it will remain confidential and used or further disclosed only as required by law or for the purpose for which it was disclosed to the person, and the person notifies the Contractor of any instances of which it is aware in which the confidentiality of the information has been breached. (c) Except as otherwise limited in this Agreement, the Contractor may use Protected Health Information to provide Data Aggregation services to the Government as permitted by 45 CFR 164.504(e)(2)(i)(B). (d) Contractor may use Protected Health Information to report violations of law to appropriate Federal and State authorities, consistent with 45 CFR 164.502(j)(1). Obligations of the Government Provisions for the Government to Inform the Contractor of Privacy Practices and Restrictions (a) Upon request the Government shall provide the Contractor with the notice of privacy practices that the Government produces in accordance with 45 CFR 164.520, as well as any changes to such notice. (b) The Government shall provide the Contractor with any changes in, or revocation of, permission by Individual to use or disclose Protected Health Information, if such changes affect the Contractor's permitted or required uses and disclosures. (c) The Government shall notify the Contractor of any restriction to the use or disclosure of Protected Health Information that the Government has agreed to in accordance with 45 CFR 164.522. Permissible Requests by the Government The Government shall not request the Contractor to use or disclose Protected Health Information in any manner that would not be permissible under the HIPAA Privacy Rule, DOD 6025.18R, the HIPAA Security Rule, or DOD 8580.02-R, if done by the Government, except for providing Data Aggregation services to the Government and for management and administrative activities of the Contractor as otherwise permitted by this clause. Termination (a) Termination. A breach by the Contractor of this clause, may subject the Contractor to termination under any applicable default or termination provision of this Contract. (b) Effect of Termination. (1) If this contract has records management requirements, the records subject to the Clause should be handled in accordance with the records management requirements. If this contract does not have records management requirements, the records should be handled in accordance with paragraphs (2) and (3) below. (2) If this contract does not have records management requirements, except as provided in paragraph (3) of this section, upon termination of this Contract, for any reason, the Contractor shall return or destroy all Protected Health Information received from the Government, or created or received by the Contractor on behalf of the Government. This provision shall apply to Protected Health Information that is in the possession of subcontractors or agents of the Contractor. The Contractor shall retain no copies of the Protected Health Information. (3) If this contract does not have records management provisions and the Contractor determines that returning or destroying the Protected Health Information is infeasible, the Contractor shall provide to the Government notification of the conditions that make return or destruction infeasible. Upon mutual agreement of the Government and the Contractor that return or destruction of Protected Health Information is infeasible, the Contractor shall extend the protections of this Contract to such Protected Health Information and limit further uses and disclosures of such Protected Health Information to those purposes that make the return or destruction infeasible, for so long as the Contractor maintains such Protected Health Information. Miscellaneous (a) Regulatory References. A reference in this Clause to a section in DOD 6025.18-R, HIPAA Privacy Regulation or DOD 6025.18-R, HIPAA Security Regulation, or any CFR or AFI provision means the section as currently in effect or as amended, and for which compliance is required. (b) Survival. The respective rights and obligations of Business Associate under the "Effect of Termination" provision of this Clause shall survive the termination of this Contract. (c) Interpretation. Any ambiguity in this Clause shall be resolved in favor of a meaning that permits the Government to comply with DOD 6025.18-R, the CFR HIPAA Privacy Rule, DOD 8520.02-R, the CFR HIPAA Security Rule and AFI 41-217. APPENDIX C. HQ USAF/SGR ORGANIZATIONAL CONFLICT OF INTEREST ORGANIZATIONAL CONFLICT OF INTEREST Revised: 30 Aug 2007 The purpose of this clause is to accomplish the following three objectives: (1) to inform prospective Offerors that AF/SGR presumes that award of this contract or task order may give rise to real or apparent OCIs with respect to other requirements or contracts within AF/SGR or the AFMS; (2) to assist current contractors and prospective Offerors in developing their own business strategies regarding participation in AF/SGR or AFMS requirements and in identifying and, where possible, avoiding or mitigating against OCIs; and (3) to ensure that all current contractors and prospective Offerors are afforded the maximum practicable opportunity to compete for all AF/SGR and AFMS requirements consistent with the restrictions required under FAR Subpart 9.5, Government Accountability Office (GAO) or Court of Federal Claims (COFC) decisions, and sound business practices. The Contractor and all of its agents (including officers, managers, employees, consultants, and subcontractors) will fully comply with the Special Terms and Conditions Organizational Conflict of interest (OCI) required for efforts in support of AF/SGR activities. Contractor will ensure that all confidential and sensitive information will be fully protected. Such information will include, but not be limited to, all source selection sensitive information, government plans or strategies, and all proprietary information of other companies during contract performance. The disclosure of information shall not constitute a grant of any species of right, title, interest, or property in or to said information. The Contractor understands and appreciates the absolute need to prevent conflicting roles that could or may bias its support to the AF/SGR office and its AF-wide responsibilities. To ensure that any support provided by the Contractor, its personnel, or its agents, is free of any bias in judgment or objectivity and to preclude the Contractor, its personnel, or its agents, from any unfair competitive advantage in current or future acquisitions, the Contractor will implement the following: • Organizational Isolation • Company Wide Policy Implementation • Non-Disclosure Agreements Contractor participation in a requirement or contract with AF/SGR programs may give rise to an unfair competitive advantage in other AF/SGR procurement actions because of access to advance acquisition planning, source selection sensitive or proprietary information. Furthermore, contractor participation in one area may give rise to a real or apparent loss of contractor impartiality and objectivity where its advisory or planning assistance in one area potentially affects its present or future participation in another area. For purposes of identifying, avoiding and/or mitigating against OCIs, AF/SGR will examine all its requirements and acquisitions for potential OCI or ethical problems, regardless of the cognizant contracting activity (e.g., AFDW, VA, GSA, other agency Multiple Award Schedules, etc.) or the type of contract vehicle used (e.g., FSS order, Multiple Award ID/IQ Contracts, BPAs, FAR Part 15 competitively awards, etc.). An Offeror/Contractor wishing to submit an offer for this procurement, or any Offeror/Contractor which provides or previously has provided support to AF/SGR, must include the following as pan of its offer: • Perform a comparative analysis of the potential new work against all current and previous work performed in support of AF/SGR. The comparative analysis must be included in the proposal for the new work, and must include a statement certifying whether the contractor believes that its performance of the proposed new work would create a real or apparent OCI. If the contractor believes that no real or perceived OCI will result from an award of the proposed work, no additional action by the contractor is required. • If the Offeror/Contractor believes that a real or apparent OCI may exist as a result of an award, the contractor shall also submit an OCI Avoidance or Mitigation Plan with its proposal. Inclusion of the comparative analysis and OCI Avoidance or Mitigation Plan will not be counted against any offer page limitations otherwise stated in the solicitation. The Contracting Officer (and when applicable the appropriate program office, acquisition manager, and legal counsel) will review the comparative analysis and, if provided, the Avoidance or Mitigation Plan, in accordance with the requirements of FAR Subpart 9.5 (Organizational Conflict of Interest) to make an independent determination of whether award to that Offeror would be consistent with those requirements. If it is unilaterally determined by the Contracting Officer that no OCI would arise or that the OCI Avoidance or Mitigation Plan adequately protects the interests of the government in the event of award to that Offeror, the Offeror will be determined, for purposes of this clause, to be eligible for award. If the Offeror/Contractor knows of no OCI in accepting work under this contract, it shall certify its OCI status and submit the certification at the end of this clause with its proposal and any later award, if awarded the contract. The Contractor shall also obtain a similar certification of OCI status from all subcontractors, teaming partners or consultants prior to tasking any such party under this contract. The Contractor shall appropriately modify and include this clause, including this paragraph, in all consulting agreements and subcontracts of any tier to preserve the rights of the Government. For breach of any of the above restrictions or for nondisclosure or misrepresentation of any relevant facts required to be disclosed concerning this contract, the Government may terminate this contract, disqualify the Contractor from subsequent related contractual efforts, and pursue any remedies as may be permitted by law or this contract. Prior to a contract modification involving a change to the Performance Work Statement, or an increase in the level of effort or extension of the term of the contract, the Contractor shall submit any applicable organizational conflict of interest disclosure or an update of the previously submitted disclosure or representation. The Offeror/Contractor should review the considerations below in determining whether or not a conflict of interest exists. • Does the Offeror or any intended subcontractors, teaming partners, proposed employees, or affiliates have Unequal Access to Information? Would award to the Offeror result in the Offeror having the opportunity to access nonpublic information that may give the Offeror a competitive advantage in a later competition for a government contract? Specifically, will the Offeror/Contractor have access to any of the following information: o Budget(s), or Budget Information? o Acquisition Sensitive Information related to the procurement process to include, but not limited to Acquisition Plans, Requirements, Statements of Work, or Evaluation Criteria? • Does the Offeror or any intended subcontractors, teaming partners, proposed employees, or affiliates have "impaired objectivity" because the Offeror's ability to render impartial judgments may be compromised because of its conflicting role(s) on this effort and other government contracts? • Do "biased ground rules" exist? Most commonly, this would include a situation where the Offeror has, as a government contractor, written specifications or a statement of work for this effort, which could skew competition in favor of itself? • Is the Offeror aware of any other information relating to this proposed contract/order, which could reasonably be construed as creating an OCI? The Offeror/Contractor hereby certifies to the best of its knowledge its OCI status below: (Offeror: Choose one of the following two statements. Delete the statement that does not apply.) No real or perceived OCI, as defined in FAR 2.1 and discussed in FAR 9.5, will result from an award of the proposed work (there are no ‘Yes' responses to the questions above). A real or apparent OCI may exist as a result of an award and therefore an appropriate OCI Avoidance or Mitigation Plan is attached (Offeror shall include an appropriate OCI Avoidance or Mitigation Plan, as required by this clause, with its proposal to the Contracting Officer. [NOTE: Either delete statement #2, or delete the last phrase allowing them to submit it, or include following statement re Mitigation Plan f related to the AFDW BAA: Mitigation Plans are not permitted in order to resolve OCI issues involving contracts awarded under the AFDW A&AS contract and the AFDW BAA.). _________________________________ (Signature) ________________________ (Date) (Authorized Official / Sr. Mgr / Officer) _________________________________(Printed Name) ________________________ (Title) APPENDIX D: HQ USAF/SG NON-DISCLOSURE AGREEMENT REVISED: 30 AUG 2007 Purpose: The purpose of this Non-Disclosure Agreement (NDA) is to confirm in writing that the undersigned understands his/her responsibilities regarding protection of information and/or material that he/she may come in contact with in the course of work performed under this agreement. This NDA covers all forms of information made available as Government Furnished Information (GFI) or information/material developed under this agreement, whether in the form of working materials or as deliverable product. This NDA applies to unclassified Government information/material, proprietary information/material supplied by other vendors for use by the Government, and classified Government information/material and is intended to supplement, not replace, the DD Form 254. All information/material released to the contractor remains the property of the US Government and may be withdrawn at any time. Responsibility: As a condition of acceptability for work under this agreement with 311HSW/PK on behalf of AF/SGR, individuals are required to the attached NDA: NON-DISCLOSURE AGREEMENT FOR CONTRACTORJSUBCONTRACTOR EMPLOYEES, SENIOR MANAGERS OR CORPORATE OFFICERS (Agreement) I, ___________________________________________________________ (clearly print or type name), an employee, senior manager, or corporate officer of either _________________________ or a subcontractor to _____________________ under Prime Contract number ______________________; Task Order _____________________ awarded to ______________________ by the AF/SGR office (Customer) agree not to disclose to any third party or anyone who is not performing work for the Customer and who does not have a need to know such information, any proprietary, source selection sensitive information, programmatic, or budgetary information (Information) contained in or accessible through the AF/SGR programs and activities. Proprietary, programmatic, budgetary and source selection sensitive information and data will be handled in accordance with Government direction under the AF/SGR program and applicable Government laws and regulations, including Federal Acquisition Regulation (FAR) Sections 3.104 and 9.5. I understand that Information I may receive or possess, as a result of my assignment to work on AF/SGR activities under this Contract may be considered proprietary, source selection sensitive information, and/or For Official Use Only. The responsibilities of my employer for the proper use and protection from unauthorized disclosure of proprietary or source selection sensitive information are described in FAR 3.104. Pursuant to FAR 3.104, I agree that I shall not appropriate such information for my own use or release or discuss such information with third parties unless specifically authorized by the procedures set forth in FAR 3.104. This Agreement shall continue for a term of five (5) years from the date upon which I last have access to such information. Upon expiration of this Agreement, I have a continuing obligation not to disclose proprietary, programmatic, budgetary or source selection sensitive information to any person or legal entity unless that person or legal entity is authorized by the Government to receive such Information. I understand that any violation of my duty to protect proprietary or source selection sensitive information I was exposed to while working as an employee of _______________________ company working under the Prime Contract, subcontract, or task order as referenced above may subject me, and/or my employer, to administrative, civil and criminal sanctions. I understand that the United States Government may seek any remedy available to it to enforce this Agreement, including, but not limited to, application for a court order prohibiting disclosure of information in breach of this agreement. Court costs and reasonable attorney fees incurred by the United States Government may be assessed against me if I lose such action. I understand that another company might file a separate claim against me if I have misused its proprietary information. In the event that I seek other employment, I will reveal to any prospective employer the continuing obligation in this agreement prior to accepting any employment offer. If signing as a corporate officer of either the Prime or Subcontractor, I certify that I am a duly authorized representative with legal authority to bind the Company. Agreed and Accepted: _________________________________ _____________________ (Signature of Employee) (Date) ________________________________________________ _____________________ (Printed Name/Position) (Telephone Number) _________________________________ _____________________ (Signature of Employer Sr. Mgr/Officer) (Date) ________________________________________________ _____________________ (Printed Name/Position) (Telephone Number) ___________________________________________ (Printed Name of Employer) APPENDIX E: CUSTOMER FEEDBACK FORM CUSTOMER FEEDBACK RECORD DATE/TIME OF FEEDBACK CONTRACT NUMBER CONTRACTOR SOURCE OF FEEDBACK ORGANIZATION ADDRESS INDIVIDUAL PHONE NUMBER NATURE OF FEEDBACK CONTRACT REFERENCE VALIDATION ACCOMPLISHED CONTRACTOR INFORMED OF FEEDBACK (DATE/TIME/CONTRACT INDIVIDUAL CONTACTED ) ACTION TAKEN BY CONTRACTOR RECEIVED/VALIDATED BY
 

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