Inactive Total Small Business Set-Aside (FAR 19.5)

Solicitation number: FY19-001-SS Notice Type: Sources Sought Synopsis: USPFO-WA, is conducting a Sources Sought Synopsis Notice for Market Research purposes only. The results of this Market Research w... Solicitation number: FY19-001-SS Notice Type: Sources Sought Synopsis: USPFO-WA, is conducting a Sources Sought Synopsis Notice for Market Research purposes only. The results of this Market Research will contribute to determining the method of procurement. There is no solicitation available at this time. Requests for solicitation will receive no response. Please send all correspondence to christopher.e.martin6.mil@mail.mil Contract type anticipated: Firm Fixed Price Anticipated Period of Performance: Base year, plus four option years. Estimated delivery date of 01 September 2019. Information is being collected from all potential sources at this time. Firms responding to this announcement should indicate whether they are a large business, small business, small disadvantaged business (SDB), woman-owned small business (WOSB), 8(a)-certified business, service-disabled veteran-owned small business (SDVOSB), veteran-owned small business (VOSB), or Historically Underutilized Business small business (HUBZone). The anticipated National American Industry Classification System (NAICS) code for this action is 621399; " Offices of All Other Miscellaneous Health Practioners" All prospective contractors must be registered in the System for Award Management (SAM) database to be awarded a DoD contract. USP&FO has not yet determined the acquisition strategy for this requirement, including whether a set-aside strategy is applicable. Note that a key factor in determining an acquisition to be a Small Business Set Aside is that small business prime contractors must perform over 50% of the effort, as defined in Federal Acquisition Regulation (FAR) clause 52.219-14. The Capability Statement shall succinctly address the following three items to demonstrate the contractor's capability to perform the requirements of this Performance Work Statement: (1) The contractor's ability to manage, as prime contractor, the types and magnitude of tasking in the PWS; and (2) The contractor's technical ability, or potential approach to achieving technical ability, to perform at least 50% of the cost of the contract incurred for personnel with its own employees; and (3) The contractor's capacity, or potential approach to achieving capacity, to conduct the requirements of the PWS. For the purposes of this Capability Statement, capacity shall refer to matters such as the magnitude of the tasking, the amount of equipment or facilities involved, and the size of the staff needed. Demonstrated ability to manage, technical ability and capacity may include citing and describing the same or similar relevant performance, but does not limit the interested contractor's approach to demonstrate capability." PERFORMANCE WORK STATEMENT OCCUPATIONAL HEALTH PROCUREMENT OF MEDICAL SURVEILLANCE EXAMINATIONS 1. GENERAL The Performance Work Statement (PWS) supports the Washington Army National Guard (WAARNG) for Occupational Medical Surveillance Examination Program in accordance with the Occupation Safety and Health Association (OSHA) and other regulations. There is one location that requires this service: Yakima, WA. The estimated number of personnel to be examined is 60. The Government has the right to increase and/or decrease the number of employees/military personnel and the locations for service. 2. PURPOSE 2.1. The purpose of the Occupational Medical Surveillance Examination Program is to provide job-related Medical Surveillance Examinations and Occupational Health Services to the WAARNG full-time support (FTS) and/or temporary personnel who are or could potentially be exposed to health hazards in the work environment. The examination shall include personnel assigned to positions requiring specific standards of physical fitness. Personnel not included under these examinations are State Employees, civilian contractors, and the part-time traditional Soldiers. 2.2. The Government may evaluate the quality of professional and administrative services provided, but retain no control over the medical professional aspects of services rendered such as testing procedures, etc. The Contractor will provide Board Certified Occupational Health Physician(s), supervision, all labor, tools, materials, equipment, and incidentals required to conduct the Medical Surveillance Examination / Occupational Health Services for the WAARNG. 3. PROCEDURES and STANDARDS 3.1. This contract is for "Non Personal" Health Care "Services", as defined in 37.101. In accordance with FAR Part 37.4 the Government may enter into a non-personal health care services contract with physicians, dentists and other health care providers under authority of 10 U.S.C. 2304 and 41 U.S.C. 253. The Government shall evaluate the quality of professional and administrative services provided, while the Government retains no control over the medical, professional aspects of services rendered. The Contractor will indemnify the Government for any liability producing act or omission by the Contractor, its employees and agents occurring during contract performance. The Contractor will maintain medical liability insurance, in a coverage amount acceptable to the Contracting Officer, which is not less than the amount normally prevailing within the local community for the medical specialty concerned. The Contractor is required to ensure that its subcontractors, if any, for provisions of health care services, contain the requirements of the clause at 52.237-7, Indemnification and Medical Liability Insurance, including the maintenance of medical liability insurance. 3.2. Contractor shall ensure all procedures are conducted in accordance with applicable American Board of Occupational and Environmental Medicine (ABOEM), American Association of Occupational Health Nurses (AAOHN), U.S. Department of Labor, Occupational Safety and Health Administration (OSHA), and the National Institute for Occupational Safety and Health (NIOSH) Standards. 3.3. Contractor shall ensure all clinical laboratory services are performed by a laboratory licensed through the U.S. Department of Health and Human Services (DHHS), Health Care Financing Administration pursuant to the terms of the Clinical Laboratories Improvement Act of 1967 (42 U.S.C. 263a) and the College of American Pathologies. 3.4. Contractor shall provide a Board eligible or Certified Occupational Medicine Physician to conduct job-related medical surveillance physical examinations and occupational health consultation services. 3.5. Contractor shall arrange for the opportunity to consult with an Occupational Health Manager of the WAARNG by telephone to coordinate or resolve issues that might arise before, during, and after the testing period. 3.6. Contractor shall perform a comprehensive review and evaluation within 30 days following the conclusion of testing. The Contracting Officer's Representative will contact and schedule a follow-up review and evaluation meeting to discuss positive and negative aspects of testing. 3.7. Contractor will provide vital signs to include height, weight, blood pressure, pulse and respirations. 3.8. Contractors will provide a Job Functional Analysis or Kraus-Weber that includes back strength and flexibility. Note any pain or recommended lifting limitations if less than 50 lbs. 3.9. Contractor shall ensure audiogram must be certified by the Council for Accreditation in Occupational Hearing Conservation (CAOHC) or the equivalent military Defense Occupational and Environmental Health Readiness System-Hearing Conservation (DOEHRS-HC) training in accordance with 29 CFR 1910.95. The estimated number of personnel to receive audiograms are 60. a. Hearing screenings will be conducted only on employees exposed to occupational noise > 85 dBA or 140 dBA impact noise. a. All hearing tests will be entered into DOEHRS-HC. b. Otoscopic Exam. c. Test Only 500, 1000, 2000, 3000, 4000 and 6000. d. Hearing aids must be removed. e. Employee must be noise free for at least 14 hours prior to screening. f. All hearing screenings besides the baseline will be compared against the employee's baseline to determine if there is a Significant Threshold Shift (STS) and retested immediately and if there is still a STS notify the Occupational Health Manager within 10 days so that timely retesting can be scheduled. 3.10. Contractor shall ensure Pulmonary Function Tests (PFTs) are performed by a licensed physician, Certified Pulmonary Function Technologist, or Registered Respiratory Therapist in accordance with 29 CFR 1910.1001. The estimated number of personnel to receive PFTs are 3. a. Screenings will only be conducted on employees exposed to respiratory hazards that will require a respirator to mitigate their hazards that are above the action level. b. Test will include as a minimum Forced Expiratory Volume in one second (FEV1), Forced Vital Capacity (FVC), comparison with recognized normal for the individual's height and weight, sex, race, age and a documented interpretation by a pulmonologist or certified Occupational Health physician. c. Follow NIOSH and ATS-ERS standard requirements: 1. Continue testing individual when the patient is improving until improvement is <30ml. 2. Test results are acceptable with a minimum of three acceptable maneuvers that are free from a leak, obstructed mouthpiece, hesitation, false starts, cough, glottis closure, early termination, and have a good curve of at least 6 seconds duration. 3. Test results are reproducible in that they have the same result from the individual (two largest FVCs are within 0.150 L of each other and two largest FEV1's are within 0.150 L of each other) when the test is repeated several times. Testing is continued until criteria are met or 8 trials are attempted, or the employee being tested cannot or should not continue. 4. If three (3) acceptable and two (2) repeatable tests cannot be obtained, the technician performing the PFT must document the reason the standard could not be met. 5. Always use measured height not reported height by the nearest half inch without footwear. 6. Always indicate source of reference value on reports for adjusted predicted value 7. No smoking within 1 hour prior 8. No cold, flu or allergies within two weeks 9. No inhaler use prior to test that would still be in the patient's system c. Specifications regarding equipment guidelines and calibration, test administration, and test interpretation must meet applicable OSHA and ANSI standards. Supporting documentation will be provided to this office daily or annually depending on manufacturing guidelines of spirometer. d. Respirator clearance documented and a copy given to employee at time of visit. 3.11. Contractor will provide quantitative fit testing in accordance with 29 CFR 1910. 134 appendix A. The estimated number of personnel to receive fit testing is 3. a. The masks/respirator will be brought to the testing site by the individual employee who has one assigned to him/her for their utilization. 3.12. Contractor will ensure that vision screenings are in accordance with DA PAM 40-506 using multiphasic vision screening equipment to measure the following primary visual skills. a. Visual acuity for distance and near. b. Lateral phorias for distance and near. c. Vertical phorias for distance and near. d. Depth perception. e. Color perception. f. Peripheral vision. 3.13. Contractor shall ensure laboratory tests will be processed by certified clinical laboratories and performed by personnel certified under the American Society of Clinical Pathology. The supporting laboratory will provide employee instruction and equipment necessary for tests requiring special collection methods and/or containers. Document that employee has been counseled by examining provider about laboratory test results. Provide a copy of lab results to employee for their primary care physician. Tests include: a. Blood Chemistries (serum) with H&H, BUN and Creatinine. Estimated quantity 60 b. Liver Function to include AP and if abnormal include GGTP. Estimated quantity: 60 3.14. Contractor shall ensure dermatological examinations must be performed by a physician and include an inspection of the entire integumentary system with emphasis on areas most likely to be affected by the employee's occupational (i.e. radiation) exposures. Documentation will include the presence of any dermatomes or lesions of the skin. 3.15. Contractors shall ensure that chest X-rays will be performed by a certified X-ray technician. The interpretation and classification will be performed by a B-reader, or a board eligible or certified radiologist meeting the requirements of 29 CFR 1910.1001 Appendix E: The estimated number of personnel to receive chest X-rays are 10. a. Chest X-rays are only performed for asbestos exposed employees. b. Chest X-rays will be posterior-anterior and left lateral view. 3.16. Contractor shall ensure instrumentation must meet or exceed appropriate performance standards, and accuracy must be verified in accordance with current Occupational Medicine Certification standards. 3.17. Contractor shall provide the Contracting Officer's Representative with a Quality Assurance Medical Surveillance Plan listing the procedures or processes, which shall be utilized to meet the requirements discussed in the PWS. 4. REFERENCES 4.1. Title 29, Code of Federal Regulations, Part 1910: Occupational Safety and Health Standards. 4.2. Title 29, Code of Federal Regulations, Part 1960: Safety and Health Provisions for Federal Employees. 4.3. American National Standards Institute (ANSI) 288.6-1884, American National Standard for Respiratory Protection, Respirator Use, Physical Qualifications for Personnel. 4.4. Threshold Limit Values and Biological Exposure Indices (TLVs), American Conference of Governmental Industrial Hygienists (ACGIH), Cincinnati, Ohio. 4.5. Army Regulation 40-5, Preventive Medicine 25 May 2007 4.6. Department of Defense 6055.05M, Occupational Medical Surveillance Manual 2 May 2007 4.7. U.S. Department of Labor, Code of Federal Regulations 29 (CFR) 1910.120 (b) (5), (f), Medical Surveillance 4.8. Army Regulation 11-34, The Army Respiratory Protection Program 15 Feb 1990 4.8. Headquarters, Department of the Army Pamphlet (DA PAM) 40-501 Hearing Conservation 10 Dec 1998 4.9. Headquarters, Department of the Army Pamphlet (DA PAM) 40-506 Vision Conservation 15 Jul 2009 5. PERSONAL PROTECTIVE EQUIPMENT (PPE) 5.1. Contractor shall furnish and assure healthcare workers are provided with the appropriate PPE such as, but not limited to: gloves, protective eyewear, and etc., where there is a potential for exposure to blood or other potentially infectious materials. 5.2. Contractor shall ensure each healthcare worker complies with the requirements of 29 CFR 1910.1030 Blood Borne Pathogens Standard. 6. INFECTIOUS WASTE DISPOSAL 6.1. Disposal of all infectious waste shall be in accordance with local, state, and federal regulation and disposed of by the contractor unless other accommodations have been coordinated in writing. 6.2. Contractor shall ensure puncture resistant sharps containers are readily accessible to healthcare workers and located in all treatment areas where sharps could potentially be used. 7. MOBILE UNIT CONFIGURATION 7.1. Medical Surveillance screening shall be accomplished via mobile unit designed to ensure complete individual privacy. Features of the unit shall include, but are not limed to, a climate-controlled atmosphere, patient waiting / holding area for registration, changing room, on board restroom, testing / phlebotomy station, individual audiometric testing booth, and physical examination area. 7.2. Mobile units shall be equipped with a self-contained power source. The Government shall not provide power to the contractor's mobile unit unless other accommodations have been coordinated in writing. 8. MEDICAL REPORTS AND RECORDKEEPING 8.1. Contractors shall immediately notify the Occupational Health Nurse by telephone at 253-912-3179, or 253-912-3859 if results of medical surveillance screening(s), which are questionable and / or of critical significance and / or require follow-up. Contractor shall send all results to include all diagnostic tests, graphs, charts, reports, questionnaires, waivers, employee consent forms, physical findings, and examination results to the Occupational Health Nurse within 30 working days of completion of testing to: WA Army National Guard ATTN: Michelle Pletcher, OHN AASF 1, BLDG 3106 2nd Division Drive JBLM, WA 98433 8.2. Contractor shall identify all medical records with the employee's full name, social security number, date of birth, job code, and the name of the employee's work place or facility at a minimum. The contractor shall ensure work / health history forms and medical reports are complete and legible (typed / printed). 8.3. Contractor shall ensure that each employee signs the Privacy Act Statement (DD Form 2005) during the registration process. 9. EXAMINATION SCHEDULING 9.1. Coordination of scheduling shall be a joint effort between the Occupational Health Nurse and the Contractor, a draft copy of the scheduled will be initiated by the Occupational Health Nurse and sent to the Contractor for review and any needed adjustments. One patient/employee per 15 minute intervals. All workdays include a one-hour lunch break. No testing shall be performed between 1130 - 1230 hours. 9.2. In the event of a Contractor equipment failure, specific testing and / or parts of examinations that are not completed during the testing period shall be completed at a scheduled time mutually convenient for the Contractor, Occupational Health Nurse and the Facility(ies). 10. SERVICE DELIVERY SUMMARY (SDS) 10.1. The service delivery summary is designed to be a concise statement of key deliverables which are measured to determine the contractor's performance success or failure.