R -- Telemedicine Subject Matter Expert (SME) Support

1.0 INTRODUCTION. The Air Force Medical Support Agency (AFMSA) is a forward operating agency of the Headquarters United States Air Force Surgeon General (HQ USAF/SG). This organization advises the AF/SG, the Secretary of the Air Force (SAF) and Air Force Chief of Staff, as well as the Office of Assistant Secretary of Defense for Health Affairs (OASDHA)) on matters pertaining to the medical aspects of the air expeditionary force and the health of Air Force (AF) personnel and beneficiaries. This organization is responsible for the development of plans, programs and procedures to support worldwide medical service missions as well as identifying shortfalls within current program plans and budget in order to field new technologies and services. 2.0 DESCRIPTION OF SERVICES. 2.1 SUMMARY OF SERVICES REQUIRED. The Contractor shall support the AFMSA mission by providing a full range of Advisory and Assistance Services (A&AS) in providing support as a subject matter expert in telemedicine especially in the area of telehealth and teleradiology. Services required are within disciplines consistent with the AFMSA roles and responsibilities in supporting the Air Force/Surgeon General (AF/SG) programs and services. The contractor employees shall be proficient in the application of federal, state, and/or local regulations and statutes, AF and Department of Defense (DoD) regulations and other regulatory documents within their field of expertise. The goal is to provide excellent customer service to the AFMSA internal and external customers. The contractor shall ensure quality assurance of its products and services. Travel may be required of the contractor support personnel. 2.2 GENERAL REQUIREMENTS. The contractor shall provide personnel to accomplish the following support services. The contractor shall: 2.2.1 Analyze, compile, summarize and document progress in meeting established goals; developing, evaluating, advising, providing feedback and improving the efficiency and effectiveness of cost estimates, schedules, performance of contract requirements and risk management. 2.2.2 Ensure coordination of products/services in accordance with applicable policies or procedures. 2.2.3 Utilize technical writing skills to prepare, review and/or to provide inputs, edits, formats changes to a wide variety of documents/reports. 2.3 SPECIFIC REQUIREMENTS. 2.3.1 SUBJECT MATTER EXPERT (SME) SUPPORT. The purpose of the SME is to provide an enterprise architect who will have the specific task of coordinating Headquarters United States Air Force Surgeon General Research and Development Division (AF/SGRS) activities with Clinical Information Technology Program Office (CITPO), Tri-Service Medical Agency (TMA), Resource Information Technology Program Office (RITPO), Veteran?s Administration and others agencies to help work out ENTERPRISE archiving and storage issues in collaboration with Health Informatics Division?s in-house architectural team. The primary technical activities include conduct ?due diligence? on telehealth and teleradiology activities to ensure the solution can be Integrated with the DoD Military Health System (MHS) Enterprise Architecture.and Bi- Directional Health Information Exchnage (BHIE). The contractor SME shall provide the telehealth and teleradiology program architecture expertise during the deployment of an AF integrated solution to key DoD sites. The contractor SME shall: 2.3.1.1 Define an enterprise network architecture plan based on a distributed archive Model that will satisfy all project deliverables and in compliance with AF/SG CIO Office and AF Information Assurance. 2.3.1.1.2 Conduct network bandwidth analysis that will address the current challenges for Wide Area Network connectivity, AF network and base firewall security procedures concerning all AF MTFs. 2.3.1.1.3 Maintain open dialogue with AF Picture Archiving Communication Systems (PACS) Program Office to ensure our projects line up with their long term objectives 2.3.1.2 Provide architecture expertise to address the following issues: 2.3.1.2.1 Storage, retention and long-term archival of information and images. 2.3.1.2.2 Hardware/software/ middleware integration. 2.3.1.2.3 Scalability and interoperability with multiple hospital information systems and radiological information systems. 2.3.1.2.4 Ensure AF information assurance (DIACAP), Federal Drug Administration (FDA) and any other agency compliance is integrated with technical solution . 2.3.1.2.5 Provide architecture expertise on an as-needed basis for deployment of Air Force integrated solution to key DoD sites. 2.4 PERSONNEL QUALIFICATIONS. The Government reserves the right to approve/disapprove education or similar work experience as a substitute for certain required qualifications. 2.4.1 GENERAL QUALIFICATIONS. All contractor positions shall meet or exceed stated qualifications. The SME shall have the ability to: 2.4.1.1 Adapt to a dynamic team environment with continuous challenges and changing priorities. 2.4.1.2 Communicate both orally and in writing, clearly, concisely, and with technical accuracy with all levels of personnel, both within and outside of the organization. 2.4.1.3 Work independently in a business environment requiring xcellent Interpersonal skills, tact and diplomacy. 2.4.1.4 Be self-motivated and able to take the initiative to see complex tasks through to completion. 2.4.2 SPECIFIC.QUALIFICATIONS. All contractor positions shall meet or exceed stated qualifications. The SME shall have the ability to: 2.4.2.1 10 years experience utilizing skill sets in Enterprise Architecture, IPv6 Transition, Net Centricity, Interoperability and Service Oriented Architecture (SOA). 2.4.2.2 10 years experience working AF, VA, TMA or other DOD agencies enterprise architecture processes and procedures to include development of architecture and design documentation in accordance with applicable AF, DoD and other required regulations. 2.4.2.3 10 years experience working with AF, VA, or TMA medical programs such as CHCS. 2.4.2.4 10 years experience in project/program management. 2.4.2.5 10 years experience in Government/military IT environment. 2.4.2.6 10 years experience with AF or DoD principles, policies, legal Requirements, and practices of IT systems acquisition and program Management. The Government will consider other IT acquisition/ Program management experience. 2.4.2.7 Substitution of Experience for Education: Successful completion of a Bachelors Degree/Doctorate program, in a field of study appropriate to the position is required. 2.4.2.8 Knowledge of a full range of network systems design principles, methodologies, and approaches used in developing, testing, installing, operating, managing, and maintaining network services that support functional requirements. 2.4.2.9 Knowledge of the activities and purpose of functional support personnel and ability to coordinate such aspects of systems acquisition as engineering, contracting, program control, configuration, test, manufacturing, and integrated logistics support to effectively implement program management and direction. 2.4.2.10 Knowledge of the missions, roles, functions, organizational structures, and operation of the DoD, AF, VA and user commands that govern, interface with, and/or influence the systems acquisition process and integrated life-cycle management. 2.5 DATA REPORTING REQUIREMENTS. 2.5.1 MONTHLY STATUS/FINANCIAL REPORT. 2.5.1.1 The contractor shall prepare and submit a monthly status/financial report identifying all tasks performed, status, issues, and anticipated actions consistent with the performance work statement (PWS). Contract Data Requirements List (CDRL), (CDRL 0001). 2.5.1.2 One hard copy of this report shall be submitted to the Contracting Officer (CO) and an electronic copy to the Contracting Officer Representative (COR), Contracting Officer Technical Representative (COTR) and program manager (PM) by the tenth working day of the month following the end of the reporting period. (CDRL 0001). 2.5.1.3 Specific content of the report shall be coordinated with the COTR and delivered in an electronic format mutually agreed by the contractor and the Government. (CDRL 0001). 2.5.1.4 The report shall include the following items: (CDRL 0001). 2.5.1.4.1 Highlights of the previous month?s activities. (CDRL 0001). 2.5.1.4.2 Any issues or anticipated/current problems with each task. (CDRL 0001). . 2.5.1.4.3 Planned work for the next period; deliverable status information on all active tasks. (CDRL 0001). 2.5.1.4.4 Status of COTR-generated action items, if any, from previous report and the resultant impact and schedule changes, if any. (CDRL 0001). 2.5.1.4.5 This report shall also keep the Government informed of all funds expended to-date and a forecast of future costs for each effort. (CDRL 0001). 2.5.2 OTHER DATA REQUIREMENTS. In addition to the monthly status reports, the contractor shall provide the following data deliverables: 2.5.2.1 Data architecture to combine the capabilities of COHORT and AHLTA Critical Design Review (CDR). 2.5.2.2 Integrate MHS EA capabilities with existing Air Force EA in support of AF Telehealth Program activities. 2.5.2.3 Activities log will be submitted monthly with the monthly status report. (CDRL 0001). 2.5.2.4 Submit request for authorization for travel ten working days prior to trip unless notification was received after that period. 2.5.2.5 Submit travel vouchers with invoices and any trip reports, if requested five working days after the trip. 2.5.2.6 Develop and maintain a complete Quality Control Plan (QCP). Initial QCP shall be provided during the proposal phase and any updates as they become final during the entire performance period. 2.5.2.7 Provide a project management plan within 10 days of contract award and any updates as they are required. (CDRL 0005). 2.5.2.8 Submit technical reports as specified within the individual task descriptions. Any draft copies and final copies will be delivered both electronically and one hard copy to COTR in accordance with project milestones. (CDRL 0002). 2.5.2.9 Submit presentations as specified within the individual task descriptions. Any draft copies and final copies will be delivered both electronically and one hard copy to COTR in accordance with project milestones. (CDRL 0003). 2.5.2.10 Submit project planning charts with input from COTR and program manager as specified within the individual task descriptions. Any draft copies and final copies will be delivered both electronically and one hard copy to COTR in accordance with project milestones. (CDRL 0004). 2.5.2.11 Submit project status reports/briefings as specified within the individual task descriptions. Any draft copies and final copies will be delivered both electronically and one hard copy to COTR in accordance with project milestones. (CDRL 0001). 3.0 SERVICES SUMMARY (SS) Performance Objectives PWS Paragraph Performance Threshold Surveillance Method Excellent Customer Service - Communication with the program/project office and customers was good. 2.1, 2.2.1, 2.3.1.1.3, 2.4.1.2 No more than 3 substantiated negative customer feedbacks during 6-month period. Customer Feedback. Cost/Financial Management - Provided accurate Financial documentation and cost performance data. 2.5.1. - 2.5.1.4.5 No more than 3 substantiated errors during 6-month period. 100% Inspection of all contractor prepared data products, reports, spreadsheets, invoices and other financial documents. Quality? Technical products/deliverables were complete, accurate, clear and conformed to the requirements of the PWS. 2.5.2. - 2.5.2.11 No more than 3 substantiated errors during 6-month period. 100% Inspection of all contractor technical products/deliverables. Schedule ? Met major and minor milestones. 2.5.2.8 ? 2.5.2.11 Customer Feedback. 4.0 GOVERNMENT FURNISHED SUPPORT. The Government will provide access to military Internet and email. The Government will provide access to the applicable databases, software and hardware required within the scope of this contract. The contractor shall comply with local, AF and DoD policies concerning IT applications and connecting to authorized military systems. The Government shall furnish the space and equipment necessary to maintain the Database and access to the resident equipment. Space shall include a desk, office automation hardware and software, telephone and documentation for access to the USAF facility Office of the Air Force Surgeon General, 5201 Leesburg Pike, 5th Floor Falls Church, VA and the Defense Information System Agency (DISA) Mega Center repositories. 5.0 GENERAL INFORMATION. 5.1 PLACE OF PERFORMANCE. Work will be conducted at Government site unless Mission needs dictate alternate work location. Other temporary off-site locations may be necessary during the performance of this contract, if deemed necessary by the COTR 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 one (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 11:30 am 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/duty locations. No overtime is authorized. 5.4 SECURITY. 5.4.1 Documentation required for security certification will be the responsibility of the contractor and the client organization. Contract personnel must have a National Agency Check (NAC) investigation accomplished prior to beginning work. The contractor shall provide documentation received from the appropriate Government agency as to the verification of contract personnel?s NAC certification. In case the certification has been requested but not received, the contractor may provide documentation on any contractor employee where certification has been requested. In that instance, the contractor employee will be able to begin work in areas that would not conflict with Government security issues. 5.4.2 Contractor personnel shall wear a Government provided identification badge at all times, while performing under this effort. The email address will be NameCTR@BASE NAME.af.mil. When attending meetings and/or answering phones, the contractor employee will identify himself/herself as a contractor employee. 5.4.3 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 & C) 5.4.4. Contractor personnel shall not release any personnel or medical/patientinformation to include patient/person-level content with personal health information, during the course of this contract. Information shall be treated IAW the following: 5.4.4.1 The Privacy Act of 1974 (5 U.S.C. ? 552a), which includes Public Law 100-503, Department of Defense Directive (DoDD) 5400.11, and DoD 5400.11-R and must be treated as FOR OFFICIAL USE ONLY. 5.4.4.2 The Health Insurance Portability and Accountability Act of 1996 (Public Law 104-191), which includes DoD 6025.18-R and is FOR OFFICIAL USE ONLY. (Appendices B&C) 5.4.4.3 Other Military Health Services, AFMSA, Federal and State laws may also be applicable. 5.4.4.4 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) 5.4.4.5 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. 5.4.5 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. 5.5 SECTION 508 OF THE REHABILITATION ACT OF 1973. The contractor shall comply with Section 508. Electronic and information technology procured through this contract must meet the applicable accessibility standards at 36 Code of Federal Regulations (CFR) 1194, unless an agency exception to this requirement exists. 36 CFR 1194 implements Section 508 of the Rehabilitation Act of 1973, as amended and is viewable at http://www.access-board.gov/sec508/508standards.htm. The contractor shall indicate for each line item in the schedule whether each product or service is compliant or noncompliant with the accessibility standards at 36 CFR 1194. Further, the proposal must indicate where full details of compliance can be found (e.g., vendor's Web site or other exact location). 5.6 DATA RIGHTS. All products (software, coding, documentation, reports, or any other item developed under this Task Order (TO) resulting from this TO 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. 5.7 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. 5.8 TRAVEL. Travel may be required during the performance period of this contract. Dates and destinations are not available at this time. 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 Joint Travel Regulations (JTR) Travel will be performed only at the request and approval of Government, within the scope of this contract. 5.9 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 CO or his/her representative will verbally advise the contractor of the revised requirements, followed by written direction. 5.10 KEY PERSONNEL KEY TASK/SKILL SETS. Not applicable. 5.11 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. The Government has no preference to on-site or off-site PM POC. 5.12 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.