Occupational Health Physician and Medical Services
This is a SOURCES SOUGHT SYNOPSIS and NOT a solicitation announcement. Sources Sought Number: W9127824L0007 Classification: Q201 Medical-General Health Care NACIS: 621111 Offices of Physicians (except... This is a SOURCES SOUGHT SYNOPSIS and NOT a solicitation announcement. Sources Sought Number: W9127824L0007 Classification: Q201 Medical-General Health Care NACIS: 621111 Offices of Physicians (except Mental Health Specialists) Sources Sought Notice for provider of Occupational Health Physician/Clinical/Lab Services This market research and Sources Sought notice is not a solicitation announcement and will not constitute any commitment by the Government. A market survey is being conducted to gain knowledge of potential qualified sources to determine if they can effectively compete for award of an Indefinite Delivery Indefinite Quantity (IDIQ) contract with a five-year ordering period and an estimated $49 million capacity. The US Army Corps of Engineers (USACE), National Occupational Health Center (NOHC), anticipates future procurement requirements for an established provider of Occupational Health Physician and Medical Services with at least ten (10) years' experience in the occupational health industry. The company's primary business must provide a wide range of occupational health services to support employers in maintaining a healthy, safe workforce to include deployment, pre-placement, travel health, fitness for duty, medical surveillance, and wellness programs, vaccinations, laboratory supply/collection/processing. The company must have an on staff board-certified occupational health physician to review work provided by contracted health care providers and provide standing orders, oversight, consultant for nurses, and US Army Corps of Engineers Occupational Health Standard Operating Procedures. The company must have credentials and maintain a contracted database of a large number of health care providers at and maintain locations to serve the USACE to include any state of the Continental US, and Alaska, Hawaii, and Puerto Rico. Services will be provided to federal employees of participating agencies in accordance with Occupational Safety and Health Administration (OSHA), Department of Defense (DoD), Department of Transportation (DOT) standards, USACE regulations, NOHC protocols and other applicable directives. It is the intent for federal employees to commute to local physicians' offices or clinics within a 50-mile distance (unless a further distance is approved) of a Corps District or field office for medical services specified by the government for occupational health examinations or components. Laboratory services are needed to execute program medical surveillance, deployment, disaster response and fitness for duty programs throughout the continental United States, Alaska, Hawaii, and Puerto Rico. USACE Occupational Health Governance. Vendor Service Capability must include the Licensure and oversight to adhere to USACE Applicable Publications and Other Pertinent Data. Vendor must be able to provide a multi-level and multi-disciplinary team to meet USACE Standardized Occupational Health requirements from Medical Director and Oversight to the end-user 29 Code of Federal Regulation (CFR) 1910, Occupational Safety and Health Standards 29 CFR 1910.95, Occupational Noise Exposure (Most Current Version) 29 CFR 1910.134, Respiratory Protection, (Most Current Version) 29 CFR 1910 Subpart Z- Toxic and Hazardous Substances (Most Current Version) AR 40-5, Army Public Health Program (12 May 2020) EM 385-1-1, Corps of Engineers Safety and Health Requirements Manual (30 Nov 2014) New manual 385-1-1, Corps of Engineers Safety and Occupational Health Manual (15 Mar 2024) Public Law 104-191, Health Insurance Portability and Accountability Act of 1996 (HIPPA), 21 Aug 1996 ER 385-1-86, U.S. Army Corps of Engineers Dive Program (20 Sep 2010) ER 385-1-40, Corps of Engineers Occupational Health Program (20 September 2010). ER 385-1-89, Corps of Engineers Hearing Conversation Program (15 October 2012). ER 385-1-90, Respiratory Protection Policy (30 Apr 2020) ER 385-1-92, Safety and Occupational Health Requirements for Environmental Cleanup Projects (1 Nov 2018) DoDI 6055.05-M Occupational Medical Examinations and Surveillance Manual (2 May 2007, Changes 3, 31 August 2018). AR 600-63, Army Health Promotions (14 April 2015). U.S. Army Pamphlet (DA Pam) 40-11, Army Public Health Program (18 May 2020) Department of the Army Pamphlet (DA Pam) 40-501, Army Hearing Program (8 Jan 2015) Department of the Army Pamphlet (DA) 40-503, The Army Industrial Hygiene Program (2 Apr 2013) AR 40-66, Medical Record Administration and Healthcare Documentation (17 Jun 2008, RAR 4 January 2010) DoDI 6055.12, Hearing Conservation Program (14 Aug 2019) DoDD 6490.02E, Comprehensive Health Surveillance (28 Aug 2017) 2. Physical Examinations. The USACE National Occupational Health Program complies with Occupational Safety and Health Administration (OSHA), Department of Army, U.S. Corps of Engineers, and all applicable Federal and State regulations. Pre-placement examinations are used to ensure that potential employees are fit for duty (e.g., Crane operator, Commercial Driver, US Coast Guard) and to provide a baseline physical parameter for subsequent medical surveillance comparisons (e.g., audiogram, cholinesterase). Periodic medical examinations are utilized to ensure that employees are able to perform his or her assigned task, detect early signs of exposures to workplace hazards, and provide early detection of any physical conditions that could progress to stages resulting in medical disability. Physical examinations and evaluations are conducted prior to reassignment, retirement, resignation, transfer, or termination when employees have been enrolled in medical surveillance or specific fitness for duty exams. Return to work post injury or illness fitness for duty exams may be required in specific incidents. These examinations may or may not require a human performance evaluation by physical therapy. Off-site clinic Medical Services Process Employee’s name with relevant information, type of exam, exam components and clinic location needed will be provided to the Contract Implementation Team. The vendor will provide an exam protocol (authorization of services) to the requesting USACE team member within 48 hours of the request. 2. Examination components have been established and based on federal and state mandates for the employee position and exposure. Exam components and frequency meet the requirements of the Corps of Engineers Occupational Health Program, ER 385-1-40. Exams typically consist of the following components with variations as regulations mandate: History and Physical Vision – Near and Far (Titmus Screening normally required) Audiogram EKG Chest X-Ray – CXR (Two (2) view with interpretation when indicated) B-reader for CXR Blood Chemistry Panel and CBC using with other labs such as Heavy Metals when applicable. Urinalysis Collection using Pulmonary Function Test (baseline for respirator users) Specific surveillance history (e.g., welding, respiratory, Hazardous/Toxic/ Radioactive Waste (HTRW) 3. The National Occupational Health Center shall coordinate the preparation of examination packets to be provided to the employee to take to the exam appointment. 4. The examination packets shall include USACE Standard Occupational Health Forms in addition to State or Nationally mandated forms such as DOT. It is the expectation that the vendor and all subcontracted clinics and physicians be efficient in and have documented agreement to the adherence of use of provided USACE Standard Occupational Health Forms. 5. The Health Care Provider (HCP) conducting the physical examination and medical history review will be a Licensed Physician-MD or DO, Certified License Nurse Practitioner, or Physician Assistant-Certified. The Prime Vendor will provide USACE a Medical Director and Final Disposition Review Team to ensure standardization of all exams and processes with all physicians and clinics within network. The Vendor will endure the burden of informing all physicians, labs, and clinics within network on any governing regulation policy changes. 6. General physical assessment will include evaluation of eyes, nose, mouth, ears, thyroid, heart, lungs, abdomen, reflexes, generalized skin condition, circulation, spine, back, hernias. Prostate, testicular, and digital exam for males and breast exam for females are performed for deployment exams. 7. Physical Exams for Department of Transportation (DOT) – When employee is required to have a Commercial Driver’s License (CDL), the examining physician shall be a Certified Medical Examiners (NRCME). All components of examination and testing shall be as prescribed by 49 CFR Parts 350, 383, 390, and 391 and meet certifications as required by the Federal Motor Carrier Safety Administration (FMCSA) physical qualification standard and guidelines. The examining physician shall document driver fitness determination on DOT Form 649-F (6045). 8. Physical Exams for Coast Guard License- When employee is required to have a Merchant Mariner Physical Examination, the examiner shall be a certified physician (MD or DO), Physician Assistant/ Nurse Practitioner. All components of examination and testing shall be as prescribed by Navigation and Vessel Inspection Circular 04-08 (NVIC), Medical and Physical Evaluation Guidelines for Merchant Mariner Credentials. The examining health care provider shall document physical evaluations on US Coast Guard Form CG-719K in conjunction with NVIC 04-08. 9. Physical Exams for Crane Operators- When an employee is required to have a Crane Operator clearance, the clearance must be reviewed and co-signed by a Medical Doctor (M.D.) or Doctor of Osteopathy (D.O.)] stating that the operator has had a physical examination that meets USACE medical requirements when the direct examiner is a physician assistant or nurse practitioner. 10. The health care examiner shall review and evaluate all medical examinations, tests, and findings for completeness, accuracy, and indicate the need for any additional follow-up examinations to determine the employee's ability to meet the physical requirements of the job. The examiner shall note if abnormal findings are job or exposure related. 11. When job exposures are questionable and/or action levels are uncertain, the examiner shall request the Occupational Health Nurse to coordinate workplace assessments by a USACE Industrial Hygienist to quantify exposure and exposure potential. 12. The examination results shall be discussed with the employee after the examination by the HCP. The examining HCP should note any duty restrictions or job limitations on the provided USACE Clearance Disposition form. The USACE Occupational Health Nurse may be contacted when duty clarification is needed. Employees with non-work-related health concerns are to be referred to their personal physician, dentist, or other community health resources. 13. When an employee is found to have a work or non-work-related condition that may adversely affect performance, the examining HCP shall immediately notify the ordering Occupational Health Nurse. Immediate notification shall be by telephone and email and shall contain a recommended course of action to included duty limitations, follow- up examination or referrals. The notification shall be followed up with a written report of findings to the National Occupational Health Center and the employee within three working days. 14. The Health Care Provider will complete the employee physical examination forms and indicate review of tests and medical reports by initialing the reports. 15. Examination results and all components (e.g., x-rays, audiograms, and immunizations) must be provided to the NOHC in an electronic format compatible with Microsoft Office product within seven (7) days of examination. 3. Hearing Conservation. The contractor shall provide an audiologist, otolaryngologist, or a licensed occupational health physician who is trained and experienced in hearing conservation to serve as the Professional Audiometric Data Reviewing Official for medical oversight of the USACE Hearing Conservation Program. Medical oversight will comply with Occupational Safety and Health Administration's (OSHA) 2. Occupational Noise Exposure standard 29 CFR 1910.95, ER 385-1-89, DODI 6055, AR 40-5, DA Pam 40-501, and DA Pam 40-11and focuses on assuring compliance with appropriate regulations. Audiometric testing is to be provided by a trained and certified Audiometric Technician. Audiometric test equipment must meet the specifications of and be maintained and used in accordance with ANSI S3.6-1996. Rooms use for audiometric testing shall not have background sound pressure levels exceeding those in 29 CFR 1910.95 Table D-3 when measured by equipment conforming at least to the Type 2 requirements of American National Standard Specification for Sound Level Meters, S1.4-1971 (R1976), and to the Class II requirements of American National Standard Specification for Octave, Half-Octave, and Third-Octave Band Filter Sets, S1.11-1971 (R1976). Audiometer Daily Inspection, Functional Test, Annual Acoustical Calibration and Biennial Exhaustive Calibrations shall be done per ER 385-1-89 requirements. Results from field clinics are to be provided to the Audiometric Data Reviewing Official within 48 hours of completion. The Audiometric Data Reviewing Officer will conduct a comparison of the baseline and subsequent audiograms to determination whether a Standard Threshold Shift have occurred and provide a baseline revision when indicated. The comparison will not utilize age adjustment factors. A report on each employee’s evaluation shall be provided to the ROHC within 72 hours (excluding weekends) of receipt of the raw data. The report will include a letter to the employee describing the results of his/her evaluation and a report showing the individual’s baseline audiogram in comparison to the current audiogram, hearing threshold averages in the speech and high frequencies, as well as the average threshold at 2K, 3K and 4K. Timely reporting of Standard Threshold Shifts is essential to permit retesting of the employee within the 30-day time frame for retesting specified in USACE regulation. Past audio records will be provided to the contractor at the onset of the contract period. The Audiometric Data Reviewing Officer will make a determination of the work- relatedness of the threshold shifts; identify and communicate potential medical issues; make recommendations if further evaluation is necessary; and identify if the threshold shift meets OSHA criteria as a recordable injury (10 decibel shift and 25 decibels above audiometric zero). The Audiometric Data Reviewing Officer shall review a minimum of 20% of the normal audiograms and all the threshold shift audiograms to ensure they meet OSHA/USACE audiogram standards. The Reviewing Officer will be available for telephonic and/or email consultation with the NOHC and OHN staff as needed. Employees that experience a Standard Threshold Shift on the annual audiogram, shall be scheduled to see an Audiologist within 30 days for a retest audiogram and audiological evaluation. The Ordering Occupational Health Nurse will contact the contractor for scheduling and protocol. Audiological evaluations should determine and document the following: Is the hearing loss permanent? Is the hearing loss noise related? Is medical follow up indicated? Is alternative hearing protection recommended? Is employee allowed to return to work in hazardous noise areas with hearing protection? 13. Contractor will provide comprehensive data for monthly upload in a format compatible with Microsoft Office software. 14. An annual summary report based on the previous calendar year shall be provided no later than January 15th of the following calendar year and will include an employee roster; the number of employees with normal audiograms, the number of OSHA standard threshold shifts, and number of OSHA recordable shifts. 4. Bloodborne Pathogens Post Exposure Evaluation and Treatment. The contractor shall provide initial evaluation, testing and treatment of Bloodborne Pathogen Exposures for the USACE employees who have an inherent duty to render CPR and First (1st) Aid as part of their job positions. These employees may work evenings, weekends, and holidays schedules. The vendor must provide a Point of Contact that can be reached by all USACE Employees to activate Post Exposure Protocol. Post Exposure Evaluation. Currently medical evaluation is recommended within two (2) hours of exposure. When evaluation in the clinic setting is not possible, evaluation in an Emergency Department (ED) is necessary. It is recommended that a post-exposure hotline number be included to ensure rapidity of care. The medical evaluation is to be performed per current US Public Health Services (USPHS), CDC, and best practices guidelines and will include the following: physician’s review of the incident. determination of the risk of HIV, Hepatitis B and Hepatitis C. infection. treatment of exposure site when indicated due to injury. laboratory testing through accredited laboratory. patient counseling. prophylactic medications when indicated. If prophylactic medications are indicated, a five (5) day supply is to be provided with recommendations regarding follow up care and monitoring of potential adverse reactions. 3. Treating physician shall complete the USACE provided forms within 15 days. 4. This line item is a per incident event. 5. Physician Oversight of the Automated External Defibrillator (AED) Program. The National Occupational Health Center has implemented an AED Program for the entire organization. The program shall comply with all current established regulations which includes physician oversight. The Contractor shall have the ability to provide this oversight, which includes the following: Provide post cardiac event follow-up where AEDs are used. This involves reviewing the response documentation form, rescue data and the electrocardiograph tracing of the victim. When an AED is employed, the post event summary data will be reviewed by the physician providing oversight. Physician will determine overall AED system performance and provide a report to include any recommendations needed within 14 days of receipt of summary data. Provide consultation in all aspects of the program. Review AED program annually and update as needed. Prescription for the AED (Class III Medical Device) for all USACE AEDs. 6. Physician services for on-site clinic. The Contractor is to provide an onsite health care provider (HCP) who is a MD, DO, CRNP or PA-C as requested for an average of 16 hours a week for clinic hours as scheduled by the USACE OHN at various District Offices. Current Districts with immediate need for onsite physician clinical hours will include Savannah, GA, Vicksburg, MS, Louisville, KY, Tulsa, OK, and Huntington, WV. The On-site Health Care Provider will provide physical examinations for medical surveillance, deployment, pre-employment, post-exposure, fitness for duty, and return to work. Providers must be certified for Coast Guard, Diver, and DOT in addition to all other surveillance group exams. Physical examinations will follow guidance listed under paragraph 1. 7. USACE Physician Oversight. A Physician will serve as Medical Officer for the U.S. Army Corps of Engineers, National Occupational Health Center, and approximately 30 Federal Occupational Health Registered Nurses. As Medical Officer, the contract physician will provide medical oversight and gives guidance in form of written protocols for medical services, standing orders for occupational clinical services, and case review as requested. Medical Protocols. The Occupational Health Physician (OHP) will confirm and approve medical protocols for the District Occupational Health Nurses (OHN) who staff the USACE Clinics during all hours of operation when a Physician is or is not present. These protocols shall include but are not limited to injections, vaccines, over the counter medications, phlebotomies for specimens, EKGs, Audiograms, Pulmonary Functions testing, applications of dressings, general first aid and response to emergencies. Protocols shall also include the use of emergency prescription medications (nitroglycerin, oxygen, EpiPen) and the use of Automated External Defibrillators (AEDs) by employees trained in their use. 8. Physician Services for Disaster Response. The Contractor shall render medical guidance and directives to field nurses deployed during disaster response in any of the 50 states or US territories. Signed standing orders include provision of first aid, administration of required vaccines, and field case management of USACE employees working disaster response missions at Recovery Field Site operations (set up near disaster site). Orders will be written/revised by a physician licensed in the disaster affected state. 9. Health Promotion Program. The Health Promotion Program consists of medical screening for blood pressure, vision, blood/sugar, and cholesterol when funding allows. Each person screened shall be provided with a record of his or her results. Health promotions may include on-site flu vaccinations at locations of ten (10) or more employees. All vaccinations will be provided by Registered Nurses unless otherwise approved by ROHC. RN’s will be required to arrive at least 30 minutes prior to planned event. The RN’s rate will be a line-item price on bid schedule. 10. General Consultation. The Contractor shall provide 24/7 telephonic access to the OHP for general consultation as needed for all medical-related issues. Charges are to be based on an hourly rate in 30-minute increments. The contracted OHP will provide guidance to the NOHC and all USACE nurses, industrial hygienists, and safety personnel in the event of emergency exposures. Provide medical advice to safety and occupational health staff as needed for exposure determination. Review specific medical surveillance examinations based on work related exposures. The OHP shall be available to discuss abnormal findings with employees as needed by telephone, within 24 hours after notification, during normal duty hours. The OHP shall review physicals performed by other physicians when the District OHN requests clarification or recommendations on the employee’s ability to perform duties. The OHP shall render guidance as needed to the Occupational Health Nurses for the formation of new medical policies and procedures. 11. Qualifications. The Contractor shall have been engaged in occupational health medical services for a minimum of ten years and shall have oversight by a full-time board-certified occupational health physician. Occupational Health Physician (OHP). The OHP that provides Contractor oversight shall be Board Certified in Occupational Medicine or be eligible for certification by the Board. The OHP will provide oversight of services and competency of professional staff. Field Physicians or other licensed health care provider (LHCP includes Certified Nurse Practitioners and Certified Physician Assistants): The LHCP performing medical examinations and testing will hold a state license that is in good standing in their area of practice. Certification in Occupational Health Medicine or Nursing is preferred. The LHCP shall have been professionally employed in the practice of medicine for a minimum of three (3) years. 12. Invoicing. Invoices shall be submitted to the National Occupational Health Center no later than 30 days after the services have been provided. All invoices shall be on company letterhead reflecting the legal name of the company as it appears on the contract and state the word “invoice”. Monthly billing will be itemized by District, Employee, Testing or Procedure, Date of Service, Cost and centrally billed to the National Occupational Health Center (NOHC) in Mobile AL, with a separate sub-account for each of the districts. A separate, itemized invoice shall be submitted for each district office and will contain at minimum the following: Invoice unique number Name of employee Date of Service Date of Invoice Work location Total amount due Employee reference ID Itemized list of services Unit cost of services Contract number 2. Contractor will respond to accounting questions and concerns from the NOHC on an as needed basis. 13. Laboratory Services. 1. Establish on primary account covering all work under this contract (Itemized by employee/patient, medical care provider and lab procedure), centrally billed to the NOHC with a separate sub-account for each USACE district. Each sub-account would remain active throughout the period of the contract even when there is a lack of activity in any particular sub-account. 2. Provide start up procedures and timeline involved to set up the primary NOHC account and establish sub-accounts when contract awarded. 3. Provide list of established collection sites in Continental US, Hawaii, Alaska, and Puerto Rico. 4. The use of the contractor’s network of collection sites will be required. Network collection sites will charge collection fee and testing in accordance with bid scheduled pricing. 5. Provide lab report to the medical care provider no more than 24 hours after completion of the analytical test. 6. Collection kit quantities identified in bid schedule will be provided to the USACE Occupational Health Nurses and established network collection sites for remote collection by licensed healthcare professionals. 7. Collection kits will contain all testing components, pre-paid air bill, shipping supplies and collection and packing instructions. 8. Provide lab report to the medical care provider no more than 24 hours after completion of the analytical test. 9. Ensure all requisitions and diagnostic reporting secures Protected Health Information (PHI) IAW The Privacy Act of 1974 and HIPAA. 10. Provide a customized lab request form, including the primary account information, the sub-account Information, and item selection boxes. 11. Provide toxicology and/or professional medical support for the laboratory test interpretations and consultation if needed. 12. Promptly alert the medical care provider, ordering Occupational Health Nurse, and the NOHC of critical values identified during analyses. All samples will be processed as routine unless specified as STAT according to bid schedule for two (2) to (4) hour turnaround time. If STAT test results fall in critical range the results will be called to the ordering physician’s office immediately and followed with faxed results to NOHC as for any critical values identified in routine analysis. 13. Provide a contingency plan for the contractor’s reaction to inoperative laboratory analytical equipment, such as gas chromatographs, etc. 14. Provide copies of licensure and applicable certifications held by your laboratory and any supporting laboratories if requested. 15. Provide resumes of key personnel, including Company Principals, Analytical Laboratory Director, Toxicologists, Consulting Occupational Health Physicians and Medical Records Managers. 16. List at least three other clients for whom you have recently performed similar work, including a reference POC with name and phone number, a description and per annum value of the services provided and the inclusive dates of the contract period. 14. Medical Records. All employee records are considered confidential and are maintained by the USACE Occupational Health Center Clinic. The Contractor shall provide the copy of the employee medical record to the US Army Corps of Engineers to be maintained as part of the employee’s permanent medical chart. All original medical records are the property of the Corps. All medical record keeping shall be in accordance with the following regulations: Privacy Act Statement of 1974 Health Information Portability and Accountability Act, 1996 American Recovery and Reinvestment Act, 23 Sept 2009 29 CFR 1910.1020. Access to Medical and Exposure Records 15. Quality Assurance. The contractor will provide a continuous quality assurance review of examination, forms, lab results and other testing to ensure records are completed prior to submitting results in the secure electronic portal. The contractor shall render review of field physician's medical reports when requested by the National Occupational Health Center. The Contractor’s Occupational Health Physician (OHP) shall provide periodic quality assurance to ensure that all required medical examinations, testing and evaluations are performed correctly by the examining physicians or other licensed health care provider. The Contractor shall evaluate annually, the Medical Surveillance Program elements provided to the Corps and provide a written summary. The summary shall contain the following: Demographics (sex distribution of employees examined, average age, minimum age, and maximum age). Exam summary (discussion of exam types performed, number of exams performed by month) by District. Performance statistics by the contractor (average turnaround by the contractor). Restrictions issued (name, location, date, and type of restriction). Special consultation (summary of special consultation that occurred). Trending reports. Recommendations for improvements. The Contractor shall permit USACE personnel to perform quality assurance visits of any subcontracted clinic without notice to the Contractor. These visits are primarily done in response to employee complaints and/or to ensure compliance with federal and state regulations. This is a Market Research and Sources Sought Notice only. No award will result from this Sources Sought Notice. There is no solicitation available at this time; therefore, do not request a copy of the solicitation. If a solicitation is released it will be synopsized in accordance with the Federal Acquisition Regulation and its supplements. It is the contractor's responsibility to monitor the Government Point of Entry for the release of any solicitation. Neither unsolicited proposals nor other kinds of offers will be considered in response to this Sources Sought Notice. This Source Sought Notice does not create an obligation on behalf of the Government to make an award of any contract pursuant to this announcement. The purpose of this sources sought synopsis is to determine the availability of qualified contractors to perform these services to include Certified Small Businesses, HUB Zone Certified Small Business Concerns, Section 8(a) contractors, Service-disabled Veteran-owned Small Businesses, Small Disadvantaged Businesses, Women-Owned Small Businesses and Large Business Concerns. The primary North American Industrial Classification System (NAICS) Code applicable to this requirement is 621111. The size standard for which is a concern, including its affiliates whose average annual gross revenue does not exceed $10.0 million for the past three fiscal years. Consideration shall be given in response to the following: Limitation of Subcontract - Under Federal Acquisition Regulation (FAR) guidelines [48 CFR 52.219-14(b) (1)], the prime contractor must have the capability to perform at least 50% of the contract work with his/her own employees. Does your firm meet this criterion? Answer: Yes or No. Medical Surveillance Examinations - Discuss how your network of board physicians can provide pre-employment exams on a 24 hour notice anywhere in US and Puerto Rico and provide results within 5 business days of examination. Availability of Physicians and Clinics in the Geographical Area - Discuss how your company will provide clinics within 50 miles of each field location of the US Army Corps of Engineers to include any state of the Continental U.S., and Alaska, Hawaii, and Puerto Rico. This should include: the number of nationwide credentialed and contracted clinics, data base of clinics with who you have association or contractual arrangement, timeline for credentialing clinics and the names of occupational health physicians availa...
Data sourced from SAM.gov.
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