SOURCES SOUGHT
Q -- Tactical Emergency Medical Support
- Notice Date
- 3/8/2010
- Notice Type
- Sources Sought
- NAICS
- 541611
— Administrative Management and General Management Consulting Services
- Contracting Office
- U.S. Department of State, Office of Logistics Management, Acquisition Management, P.O. Box 9115, Rosslyn Station, Arlington, Virginia, 22219
- ZIP Code
- 22219
- Solicitation Number
- DOSRFI0012010
- Archive Date
- 4/7/2010
- Point of Contact
- Vincent J Sanchez, Phone: 703-875-6629
- E-Mail Address
-
SanchezVJ@state.gov
(SanchezVJ@state.gov)
- Small Business Set-Aside
- N/A
- Description
- BACKGROUND: The U.S. Department of State's Office of Mobile Security Deployments (MSD) is the Bureau of Diplomatic Security's (DSS) crisis response force when an immediate armed response is required to protect Department employees, facilities and missions. MSD is responsible for providing crisis response to overseas posts and high-threat protective details, both domestically and abroad. MSD conducts three main missions in support of DSS. Security Support Teams (SST), Tactical Support Teams (TST), and Mobile Training Teams (MTT) MSD teams are small, mobile units that are prepared to deploy to anywhere in the world with 24-hour notice. Operations are currently being performed in operational OCONUS environments. These teams are usually supported by small mobile operational medical elements that have limited diagnostic, operative, holding, and resupply capability. Evacuation may entail an extremely long transport, in excess of 24-hours, from point of wounding to the forward/host country surgical team, then another long transport directly to a Level IV/V medical facility. Air superiority may be in question, especially the use of helicopters for initial patient evacuation. In these situations the tactical, logistic, and physiologic integration of triage concepts becomes of paramount importance SST and TST deployments are normally to high or critical threat areas where specialized security skills are required to protect life and ensure the safety of American Citizens living / working overseas. These areas are generally austere and medically remote. SST and TST personnel must maintain the highest operational skill levels with regard to dealing with life-threatening traumatic and medical casualties, in tactical environments, coupled with prolonged transport times Domestic CONUS TST operations occur on a regular basis for high-threat protectees and may be supported by MSD TEMS as well. OBJECTIVE: The purpose of this Request for Information (RFI) notice is to survey the medical industry for potential sources of Tactical Emergency Medical Support to team with MSD to provide mission critical emergency medicine trainning, supplies and professional medical expertise. The objective of this medical control relationship is to provide individuals assigned to the Office of Mobile Security Deployments’ Tactical Emergency Medical Support team (TEMS) with a medical director, allowing those individuals to function to the fullest scope of their Operational Medical Training and to give those individuals the authority to train and certify Diplomatic Security employees as medical providers with Advanced Operational Skill Sets and place those employees under MSD’s medical direction and enable all medical providers, that meet required criteria, to perform life-saving interventions in austere, medically deprived, and remote areas of the world. In addition, this medical control relationship will provide them the ability to obtain a clinical hospital venue in order to practice and maintain their operational medical skill sets: Scope of Work: The Contractor shall establish a medical control relationship between MSD TEMS and a board certified physician to be the designated medical director under whose responsibility, all operational and pre-hospital care by MSD and DS personnel, designated and certified by MSD TEMS, is rendered. If so desired, the Medical Director may delegate responsibilities of medical control to another fully licensed and credentialed physician or physician’s assistant, within the contractor company who shall be designated as the Deputy Medical Director. All contractor personnel who are to have direct interface with MSD TEMS personnel and/or operational needs will have to be eligible to have at least a Secret US government security clearance. The DS/T/MSD TEMS Program Manager (also functioning as the COTR for this contract) or the designated MSD TEMS Assistant Team Leader will maintain the duties of the direct and sole liaison for MSD and DS to the Deputy and Medical Director of the contractor for the purposes of supervision, coordination, maintaining, evaluating, and certifying activities of operational and training personnel in areas of Tactical and Operational medicine, including certified medical providers within MSD and DS. In addition, authorizing and/or certifying courses of medical instruction for MSD and DS. On-line medical control consultation via telephone and/or internet must be available at all times every day for the duration of the contract. Off-line medical control must be available for the term of the contract. This includes the development of standing order type medical protocols for all levels of MSD TEMS and DS operational medical providers within 60 days of contract award and subsequent monitoring and refinement as necessary. These protocols will reflect a tiered system of approach to a casualty and should enable the MSD TEMS medical system to be as autonomous as possible. These protocols will equip MSD TEMS and DS medical personnel with skill levels adequate to effectively deal with routine “sick-call” as well as life-threatening emergencies within the providers scope of practice within austere and medically deprived areas of the world with prolonged evacuation times (24 hours or more) dovetailing the current operational medical guidelines. Establish criteria, support instruction, and provide MSD TEMS personnel a certification of curriculum for a Tactical First Responder course, to be offered 2 times per year by MSD TEMS or their designated medical instructor with a class size of approximately 10 to 20 (+/-) students per class. Provide MSD with, or assist in obtaining, an EMT-B training course for 10-18 students per year to be billed as utilized. Establish criteria, support instruction, and provide MSD medical personnel an EMT refresher course or certification of curriculum to be taught, in its entirety, using operational and tactical modalities, appropriate for 25-30 MSD personnel to apply for recertification through the National Registry of Emergency Medical Technicians at the EMT-B level. To be billed as utilized. Provide a hospital clinical site to support MSD medic training, and continuing education for EMT-B and the more advanced of MSD medical providers. This clinical site should allow for the practice of all operational skill sets and will be within a reasonable distance from MSD headquarters. Provide expert advice on force protection medical countermeasures for threats found through medical threat assessments (MTA’s), conducted by MSD TEMS, on an as-needed basis. Provide deployable medical personnel assets for operational support of high risk, rural tactical operations to be reimbursed as utilized. Provide assistance with the procurement of appropriate medications and medical equipment to support MSD TEMS operations, including making available the medical director’s DEA and state licensure for purchase of controlled items and items that require a physician’s authorization. MSD TEMS will purchase the required medications and equipment through registered vendors outside of this contract, but with the assistance and oversight of the Medical Director. The contractor shall set-up a drug dispensing log book and accountability system to ensure control in compliance with DEA Diversion Investigators Manual policy. The MSD TEMS Program Manager and in his/her absence the TEMS Assistant Team Leader will be designated as the narcotic custodian for MSD. The contractor shall provide recommendations regarding the medical equipment and supplies utilized by MSD TEMS and DS operational medical providers in various missions. Provide certification of curriculum for advanced operational skill set training and testing to be conducted by MSD TEMS medical personnel. A system of case review, data collection and patient care evaluation shall be established and maintained to ensure proper quality control of rendered treatments and provide constructive feedback to the providers. At a mutually agreed upon schedule the contractor shall provide a 2 day, properly sanctioned and supervised, table top and TAC-EX live tissue training (LTT) in culmination of the 40-hour Tactical First Responder course utilizing the shoat model with weights approximate to tactical operators. This training may also couple as the final exam for advanced operational skill sets taught by MSD TEMS. This training should consist of realistic, scenario based exercises including all levels of MSD operational medical providers at their appropriate tier level during the training evolution. This training shall reflect MSD medical protocols. The contractor should send the appropriate number of personnel to provide close supervision and interaction with the students. This requirement includes, but is not limited to the following types of activities: During the table top exercise on day one, significant emphasis should be placed on the successful execution of the standard skill sets. During the TAC-EX on day two, significant emphasis should be placed on a tactical team approach to the casualty. The contractor is responsible for providing all equipment and supplies to cover this training, with the exception of the training medical supplies which will be the responsibility of MSD TEMS. All instructor personnel need to have the current medical credentials, background, skills, and ability to provide this training. The LTT training will take place at sites close to Quantico, Virginia or other mutually agreed upon locations. MSD TEMS will provide all classroom instruction, except for LTT, with an open invitation to the contractor to monitor to ensure compliance with agreed upon protocols and procedures. Coordination of an appropriate LTT site is the responsibility of the contractor. All equipment and supplies to cover training and travel costs are at the expense of the contractor. At a mutually agreed upon schedule the contractor shall provide a one day, properly sanctioned and supervised, TAC-EX live tissue training (LTT) utilizing the shoat model with weights approximate to tactical operators. This training may also couple as the final exam for advanced operational skill sets taught by MSD TEMS, Sustainment training and the EMT-B refresher final exercise for MSD medical personnel. This training should consist of realistic, scenario based exercises including all levels of MSD operational medical providers at their appropriate tier level during the training evolution. This training shall reflect MSD medical protocols. The contractor should send the appropriate number of personnel to provide close supervision and interaction with the students. This requirement includes, but is not limited to the following types of activities: During the TAC-EX, significant emphasis should be placed on a tactical team approach to the casualty. The contractor is responsible for providing all equipment and supplies to cover this training, with the exception of the training medical supplies which will be the responsibility of MSD TEMS. All instructor personnel need to have the current medical credentials, background, skills, and ability to provide this training. The LTT training will take place at sites close to Quantico, Virginia or other mutually agreed upon locations. MSD TEMS will provide all classroom instruction, except for LTT, with an open invitation to the contractor to monitor to ensure compliance with agreed upon protocols and procedures. Coordination of an appropriate LTT site is the responsibility of the contractor. All equipment and supplies to cover training and travel costs are at the expense of the contractor. Techniques and Methodologies of Training All courses of instruction should utilize contemporary presentation methods and practical exercises which allow students an opportunity for hands-on experience with simulated medical and traumatic emergencies. All medical courses of instruction should culminate with one of the four LTT training courses as stated under Scope of Work #13 and #14 All courses of instruction should include an adequate number of hands-on projects and demonstrations so at the conclusion of the course, students are confident performing all procedures within their scope of practice. Students, whom the instructor of training and the MSD TEMS Program Manager feel have not met the minimum standards to perform a procedure at the conclusion of training, must be provided additional training. The level of effort (maximum 4 hours per student) to be provided to students who require additional training will be determined either by the Director, Deputy Director, or Training Officer and the TEMS Program Manager of Mobile Security Deployments, in consultation with the instructors. Materials Needed: Moulage Medical Supplies and equipment for proper sustainment of LTT patients. Other learning adjuncts Government Furnished Equipment, Data or Services: Government Property and / or facilities: Classrooms Equipment: Medical training supplies, such as bandages, tourniquets, and chest seals. Contractor Qualification(s): Preference will be given to contractors that currently have an existing contract with a Federal Law Enforcement entity that involves overseas deployments operating in bellicose regions of the world, utilizing an SOF model of operational medical care. All contractor personnel in direct support of MSD TEMS, including the Medical Director and/or Deputy Medical Director shall have formal training and a lengthy (not less than 10 years) “Tier One” Military unit level operational medical background. Ability to provide medical direction with a board certified physician. Ability to assist us in obtaining all necessary medications including narcotics and other controlled drugs. Medical Director and/or Deputy Medical Director must have a minimum of ten years of “tier one” special operations medical experience. All contract personnel conducting training or deploying with MSD must have a minimum of 5 years of “tier one” special operations medical experience. Already posses a contract with a Federal Law Enforcement entity operating with small unit tactics in austere and medically remote areas of the world. Deployable medical assets to be rarely utilized and billed as utilized, to include but not limited to: A physician’s assistant (PA- with a minimum of 10 years of “tier one” special operations medical experience) and Paramedics (operational and/or 18D trained). Ability to regularly conduct realistic field training for levels of medical providers ranging from First Responder to Operational Paramedic. Hospital Clinical site to conduct skill sustainment for EMT and Operational Paramedics. This site must be located in Virginia or Maryland and be a reasonable distance from MSD headquarters (this clinical site may have to change due to the possibility of moving MSD headquarters location). All operational skill sets must be authorized to be performed under physician or PA supervision. A firm understanding of what advanced skill sets are necessary to operate in austere and medically remote areas of the world with prolonged evacuation times in excess of 24 hours. Instructions for Submitting a Response to this NOTICE: All interested parties are encouraged to prepare a response package to this notice which addresses the following elements: 1) "The Scope of Work": How does your firm's current mission align with that of this notice's scope of work as referenced? 2) "Techniques and Methodologies of Training": How does your firm's current techniques and methodologies of training apply to those as referenced in this notice? 3) "Contractor's Qualifications": How does your firm meet these qualifications as listed in the notice? Please address each qualification listed thoroughly providing past performance information and applicable references to substantiate your firm's claims. 4) All submittals of information must be either electronic via email sent to the point of contact listed or sent via courier services to the address listed to the attention of Vincent J. Sanchez A/LM/AQM U.S. Department of State: 1701 N. Fort Meyer Dr. 2nd Floor Arlington VA 22209 if sent via U.S. Postal Services please use the following P.O. BOX 9115 Rosslyn Station, Arlington VA 22219. PARTICIPATION IN THIS REQUEST FOR INFORMATION IS VOLUNTARY, NO COMPENSATION WILL BE PROVIDED. ALL QUESTIONS SHOULD BE SUBMITTED VIA EMAIL OR TELEPHONE TO THE POINT OF CONTACT LISTED. THIS IS NOT A REQUEST FOR PROPOSALS AND THIS IS FOR INFORMATIONAL PURPOSES ONLY. THERE IS NO GUARRANTEE A FUTURE SOLICITATION WILL RESULT FROM THIS NOTICE AND IT IS FOR MARKET RESEARCH PURPOSES ONLY.
- Web Link
-
FBO.gov Permalink
(https://www.fbo.gov/spg/State/A-LM-AQM/A-LM-AQM/DOSRFI0012010/listing.html)
- Place of Performance
- Address: Diplomatic Security Training Center (DSTC), Washington, District of Columbia, 20520, United States
- Zip Code: 20520
- Zip Code: 20520
- Record
- SN02086051-W 20100310/100308234850-f528c93064d5feb1445578de6e186f7b (fbodaily.com)
- Source
-
FedBizOpps Link to This Notice
(may not be valid after Archive Date)
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