D
2000 MMRS Contract Deliverable Evaluation Instrument



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Preparing for Terrorism: Tools for Evaluating the Metropolitan Medical Response System Program D 2000 MMRS Contract Deliverable Evaluation Instrument

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Preparing for Terrorism: Tools for Evaluating the Metropolitan Medical Response System Program 2000 MMRS Contract Deliverable Evaluation Instrument

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Preparing for Terrorism: Tools for Evaluating the Metropolitan Medical Response System Program 01 Deliverable #1: Meeting with Project Officer. Contract Reference: (2000 Statement of Work #1) Meet with Project Officer to discuss the purpose of this contract and review key aspects of the accepted proposal. This meeting to be held not more than one month after the award of the contract. (2000 Statement of Work #1) Indicators of Fulfillment: 01.01 Did the contracted city meet with the project officer to discuss the purpose of the contract and review key aspects of the accepted proposal within 1 month of the award of the contract? 01.02 Notes: 02 Deliverable #2: MMRS Development Plan. Contract Reference: (2000 Statement of Work #2) Create a MMRS Development Plan to outline the approach to the creation of an enhanced ability to deal with a terrorist use of a weapon of mass destruction (WMD), and to identify how the Public Safety, Public Health, and Health Services sector responses to an N/B/C terrorist incident will be coordinated. This MMRS Development Plan should detail the proposed leadership and membership of the development team and the philosophy underlying the proposed approach, along with a description of the geographic area that the plan will cover. The plan must also include a roster of the Steering Committee membership, representing the relevant organizations, that will assist in the planning and development of the MMRS. Consideration should be given to the following Steering Committee membership: EMS, EMS Project Medical Directors, public and private hospital representation, hospital ER representation from major receiving hospitals, Local and State Emergency Management, Local Emergency Planning Committees (LEPCs), National Guard, Local and State Public Health departments (infectious disease representation), Mental Health, 911, Poison Control Centers, Medical Examiner, local lab representation, Police/ FBI (including bomb squad), American Red Cross, and local federal agency representatives (i.e., DoD, VA, DOE, EPA, FEMA) where available. This development plan shall be completed in consultation with

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Preparing for Terrorism: Tools for Evaluating the Metropolitan Medical Response System Program the Project Officer not more than three months after contract award. (2000 Statement of Work #2) Indicators of Fulfillment: 02.01 Does the plan indicate that the MMRS represents an enhanced ability to deal with a terrorist use of a WMD? 02.02 Does the plan identify how the Public Safety, Public Health, and Health Services sector responses to an N/B/C terrorist incident will be coordinated? 02.03 Does the plan detail the proposed leadership and membership of the development team? 02.04 Does the plan detail the philosophy underlying the proposed approach? 02.05 Does the plan contain a description of the geographic area that the plan will cover? 02.06 Does the plan include a roster of the Steering Committee membership, representing the relevant organizations, which will assist in the planning and development of the MMRS? (i.e., Command & Control, MMST or Capability, Emergency Patient Transportation, Hospital Emergency Services, Mental Health Services, Mass Fatality Management, Forward Movement via NDMS.) 02.07 Is the Steering Committee membership inclusive of a broad base of emergency response disciplines? (i.e., EMS, EMS Project Medical Directors, public and private hospital representation, hospital ER representation from major receiving hospitals, Local and State Emergency Management, Local Emergency Planning Committees [LEPCs], National Guard, Local and State Public Health departments infectious disease representation, Mental Health, 911, Poison Control Centers, Medical Examiner, local lab representation, Police/FBI [including bomb squad], American Red Cross, and local federal agency representatives [i.e., DoD, VA, DOE, EPA, FEMA] where available) 02.08 Has the MMRS development plan been completed in consultation with the Project Officer not more than three months of contract award?

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Preparing for Terrorism: Tools for Evaluating the Metropolitan Medical Response System Program 02.09 Notes: 03 Deliverable #3: Primary MMRS Plan. Contract Reference: (2000 Statement of Work #3) Develop a Primary Metropolitan Medical Response System (MMRS) Plan for managing the human health consequences of a terrorist incident involving the use of weapons of mass destruction (WMD), i.e., a nuclear, radiological, biological and/or chemical device capable of creating mass casualties. The MMRS is considered to be an enhanced local capability for an existing system. The MMRS plan must interface with the State plan, and should be coordinated with other appropriate political jurisdictions (e.g., county government), with nearby/neighboring emergency response systems, and with nearby/neighboring MMRS systems (within approximately 25 miles or those with whom mutual aid is anticipated to be used). This plan should identify and accommodate resident Federal/State assets that may be useful for the city/metropolitan area response plan. The MMRS should develop plans: for command and control, for notification and alert procedures, for management of public affairs, for provision of accurate and timely information, for centralized communication control, for control of transportation assets, for management/augmentation of medical personnel, for management of medical supplies and equipment, for emergency management of legal issues and credentialing, for emergency management of patient tracking/record keeping, for augmentation of epidemiological services and support, for laboratory support, for crowd control, protection of treatment facilities and personnel, for establishing a schedule for exercises, and for assigning responsibility for afteraction reports and addressing report findings. Mental health services should be designed for the care of emergency workers, victims and their families as well as others in the community who need special assistance in coping with the consequences of this type of event. Plans for the proper examination, care and disposition of any humans that do not survive the attack should be included. A completed plan, including the preceding, must be submitted to the Project Officer not more than six months after contract award. (2000 Statement of Work #3) Indicators of Fulfillment: 03.01 Does the plan detail the development of an MMRS for manag-

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Preparing for Terrorism: Tools for Evaluating the Metropolitan Medical Response System Program ing the human health consequences of a terrorist incident involving the use of a WMD? 03.02 Does the plan identify that the MMRS is considered an enhanced local capability for an existing system? 03.03 Does the plan interface with the State plan? 03.04 Has the plan been coordinated with other appropriate political, mutual aid, or other MMRS development jurisdictions (within approximately 25 miles)? 03.05 Does the plan identify and accommodate resident Federal/ State assets that may be useful for the city/metropolitan area response plan? 03.06 Does the plan identify command and control measures? 03.07 Does the plan detail notification and alert procedures? 03.08 Does the plan detail the management of public affairs? 03.09 Does the plan include provisions for accurate and timely information? 03.10 Does the plan establish centralized communications control? 03.11 Does the plan establish the control of transportation assets? 03.12 Does the plan detail the management/augmentation of medical personnel? 03.13 Does the plan detail the management of medical supplies and equipment? 03.14 Does the plan provide for emergency management of legal issues and credentialing? 03.15 Does the plan provide for emergency management of patient tracking/record keeping? 03.16 Does the plan provide for augmentation of epidemiological services and support?

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Preparing for Terrorism: Tools for Evaluating the Metropolitan Medical Response System Program 03.17 Does the plan provide for laboratory support? 03.18 Does the plan provide for crowd control? 03.19 Does the plan provide for protection of treatment facilities and personnel? 03.20 Does the plan establish a schedule for exercises? 03.21 Does the plan assign responsibility for after-action reports and addressing report findings? 03.22 Does the plan designate mental health services to care for emergency workers, victims and their families, and others in the community who need special assistance in coping with the consequences of a WMD event? 03.23 Does the plan provide for the proper examination, care and disposition of any humans that do not survive the attack? 03.24 Has a Primary MMRS plan been submitted to the Project Officer not more than 6 months of contract award? 03.25 Notes: 04 Deliverable #4: Component MMRS Plan for forward movement of patients utilizing the NDMS System. Contract Reference: (2000 Statement of Work #4) To the extent that local resources are insufficient to provide the definitive health care required for all of those directly affected by the attack, develop a component of the MMRS Plan for Forward Movement of Patients to other areas of the region or nation. An important consideration here is; who will make the decision to implement the forward movement of patients? This transportation and care would be provided by the National Disaster Medical System (this plan should be developed in coordination with the applicable Federal Coordinating Hospital FCH). These plans outlining how the contractor is going to accomplish the preceding shall be completed in consulta-

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Preparing for Terrorism: Tools for Evaluating the Metropolitan Medical Response System Program tion with the Project Officer within eight months of the award of the contract. (2000 Statement of Work #4) Indicators of Fulfillment: 04.01 Does the Component MMRS Plan detail how patients are prepared for forward movement to other areas of the region or nation? 04.02 Does the Component MMRS Plan identify who will make the decision to implement the forward movement of patients? 04.03 Does the Component MMRS Plan indicate that the National Disaster Medical System would provide transportation and care? 04.04 Has the Component MMRS Plan for forward movement of patients utilizing the National Disaster Medical System been completed in consultation with the Project Officer within eight months of contract award? 04.05 Notes: 05 Deliverable #5: Component MMRS Plan for responding to a chemical, radiological, nuclear, or explosive WMD event. Contract Reference: (2000 Statement of Work #5) Develop a component of the MMRS Plan for responding to and managing the health consequences of an incident resulting from the use of a chemical, radiological, nuclear, and explosive WMD. The MMRS should be able to detect and identify the weapon material or agent, extract the victims, administer the appropriate antidote, decontaminate victims, triage them and provide primary care prior to their transportation to a definitive medical care facility. The MMRS shall include plans for emergency medical transportation of the patients as well as emergency and inpatient services in hospitals that have the capacity and capability to provide the definitive medical care required, or to pre-designated off-site treatment facilities. Management of patients arriving at hospitals without prior field treatment/screening or decontamination should also be part of the MMRS. This plan shall also include procurement and provision of appropriate pharmaceuticals (sufficient to provide care for up to 1,000 victims), equipment, and supplies consistent with the mission and the MMRS. A completed

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Preparing for Terrorism: Tools for Evaluating the Metropolitan Medical Response System Program plan, including the preceding, must be submitted to the Project Officer not more than 9 months after contract award. No pharmaceuticals or antidotes may be purchased until the list has been submitted to, and approved by, the Project Officer. (2000 Statement of Work #5) Indicators of Fulfillment: 05.01 Does the Component MMRS Plan identify procedures for the effective management of the health consequences of an incident resulting from the use of a chemical, radiological, nuclear, or explosive WMD? 05.02 Does the Component MMRS Plan include detailed procedures for detecting and identifying the weapon material or agent? 05.03 Does the Component MMRS Plan include detailed procedures for extracting victims? 05.04 Does the Component MMRS Plan include detailed procedures for administering appropriate antidotes? 05.05 Does the Component MMRS Plan include detailed procedures for decontamination of victims? 05.06 Does the Component MMRS Plan identify the procedures for victim triage and procedures for providing primary care prior to transportation to a definitive medical care facility? 05.07 Does the Component MMRS Plan include provisions for the emergency medical transportation of victims? 05.08 Does the Component MMRS Plan provide for emergency and impatient services in hospitals that have the capacity and capability to provide the definitive medical care required, or in pre-designated off-site treatment facilities? 05.09 Does the Component MMRS Plan include procedures for managing patients arriving at hospitals without prior field treatment/ screening or decontamination? 05.10 Does the Component MMRS Plan provide for procurement and provision of appropriate pharmaceuticals sufficient to provide care for up to 1,000 victims?

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Preparing for Terrorism: Tools for Evaluating the Metropolitan Medical Response System Program 05.11 Does the Component MMRS Plan identify procurement and provision of appropriate equipment and supplies consistent with the mission and the MMRS? 05.12 Has the Component MMRS Plan for responding to a chemical, radiological, nuclear, or explosive WMD event been submitted to the Project Officer within 9 months of contract award? 06. Deliverable #6: Component Plan for MMST if it is a component of your MMRS. (Optional) Contract Reference: (2000 Statement of Work #6) If a clearly identifiable Metropolitan Medical Strike Team (MMST) is a component of your MMRS plan, develop a component of the MMRS Plan for MMST capability that includes its mission statement, organization, membership, and concept of operations. Included in this operational plan shall be provisions for its activation, deployment, N/ B/C agent identification, extraction of victims from the incident site, antidote administration, human decontamination, triage and primary care, and preparation of victims for transportation to definitive care facilities with sufficient supplies of appropriate antidotes to assure adequate treatment. This plan shall be submitted to the Project Officer no later than 12 months after the award of the contract. (2000 Statement of Work #6) Indicators of Fulfillment: 06.01 Does the Component MMRS Plan contain a mission statement and concept of operations for the MMST? 06.02 Does the Component MMRS Plan detail the organization and membership of the MMST? 06.03 Does the Component MMRS Plan detail procedures for the activation and deployment of the MMST? 06.04 Does the Component MMRS Plan detail procedures for the identification of the agent? 06.05 Does the Component MMRS Plan detail procedures for extraction of victims from the incident site?

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Preparing for Terrorism: Tools for Evaluating the Metropolitan Medical Response System Program 06.06 Does the Component MMRS Plan detail procedures for administration of appropriate antidote? 06.07 Does the Component MMRS Plan detail procedures for human decontamination? 06.08 Does the Component MMRS Plan detail provisions for triage and primary care of victims? 06.09 Does the Component MMRS Plan detail preparation of victims for transportation to definitive care facilities with sufficient supplies of appropriate antidotes to assure adequate treatment? 06.10 Has the Component MMRS Plan been submitted to the Project Officer within 12 months of contract award? 06.11 Notes: 07 Deliverable #7: Component Plan for managing the health consequences of a biological WMD. Contract References: (2000 Statement of Work #7 and Contract APPENDIX B) Develop a component of the MMRS Plan to manage the health consequences of the release of a biological weapon of mass destruction. This plan should be integrated with existing or planned Local and State health surveillance plans for bioterrorism and influenza pandemic planning. This portion of the plan should address five general areas. (1) Early Recognition: the contractor should identify, describe, or develop “early warning indicator(s)” which will be used to alert local officials of a biological terrorist event, ensuring timely notification and activation of response plans. This plan should identify who will receive notification, and who will make the decision to further implement response plans. (2) Mass Immunization/Prophylaxis: In this section, the contractor should highlight, develop, or augment existing plans for managing and implementing mass immunization I prophylaxis. In developing this plan, it should be assumed that the Federal government would assure the availability of vaccines and antibiotics within 24 hours of notification. Key components of this plan include a description of the decision making process to initiate a mass immunization campaign, together with plans for identifying the

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Preparing for Terrorism: Tools for Evaluating the Metropolitan Medical Response System Program affected population. (3) Mass Patient Care: In this section, the contractor should develop or augment existing plans for providing care for a significant portion of the population. Key components of this plan include plans for rapid expansion of existing healthcare system capacity, and plans for taking care of people in excess of either existing or expanded capacity. (4) Mass Fatality Management: In this section, the contractor should develop or augment existing plans for providing respectful care and disposition for a large percentage of the population. Key components of this plan are plans for augmenting existing morgue facilities and staff, and plans for decontamination/isolation procedures where appropriate. (5) Environmental Surety: In this section, the contractor should describe or develop a plan for identifying environmental risk, need for decontamination or vector intervention, and a process for safe re-entry into a suspect area in consultation with local, state, and federal environmental agencies. This concept of operations and related plans must be submitted to the Project Officer no later than 18 months after the award of the contract. (2000 Statement of Work #7) The size and robustness of any response to the use of a biological weapon of mass destruction (WMD) will be determined by the specific biological agent. As a result, response planning should be considered at three (3) levels: 1. incidents with up to one hundred (100) victims, 2. incidents with one hundred (100) to ten thousand (10,000) victims, 3. incidents with more than ten thousand (10,000) victims. (2000 Statement of Work #7) A list of Biological Agents that should be considered is: Smallpox, Anthrax, Plague, Botulism, Tularemia, and Hemorrhagic Fever. (2000-Contract-APPENDIX B) Indicators of Fulfillment: 07.01 Is the Component MMRS Plan integrated with existing Local and State health surveillance plans for bioterrorism and influenza pandemic planning? 07.02 Does the Component MMRS Plan identify the five general areas: Early Recognition, Mass Immunization/Prophylaxis, Mass Patient Care, Mass Fatality Management, and Environmental Surety? 07.03 Does the Component MMRS Plan identify, describe, or develop

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Preparing for Terrorism: Tools for Evaluating the Metropolitan Medical Response System Program early warning indicators that will be used to alert local officials of a biological terrorist event? 07.04 Does the Component MMRS Plan identify who will receive notification and who will make the decision to further implement response plans? 07.05 Does the Component MMRS Plan highlight, develop, or augment existing plans for management and implementation of mass immunization/prophylaxis? 07.06 Does the Component MMRS Plan include a description of the decision making process to initiate a mass immunization campaign and accomplish identification of the affected population? 07.07 Does the Component MMRS Plan develop or augment existing plans for providing care for a significant portion of the population? 07.08 Does the Component MRS Plan detail procedures for rapid expansion of the existing health care system capacity, and plans for taking care of people in excess of either existing or expanded capacity? 07.09 Does the Component MRS Plan develop or augment existing mass fatality management plans for providing respectful care and disposition for a large percentage of the population? 07.10 Does the Component MRS Plan detail procedures for augmenting existing morgue facilities and staff? 07.11 Does the Component MRS Plan detail procedures for decontamination/isolation of human remains where appropriate? 07.12 Does the Component MRS Plan describe or develop procedures for identifying environmental risk, and determining the need for decontamination or vector intervention? 07.13 Does the Component MRS Plan establish a process for safe reentry into the affected area in consultation with Local, State, and Federal environmental agencies? 07.14 Does the Component MRS Plan provide for three levels of response: up to 100 victims, between 100 and 10,000 victims, and more than 10,000 victims?

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Preparing for Terrorism: Tools for Evaluating the Metropolitan Medical Response System Program 07.15 Has the Component MRS Plan for managing the health consequences of a biological WMD been submitted to the Project Officer within 18 months of contract award? 07.16 Notes: 08 Deliverable #8: Component Plan for local hospital and healthcare system plan. Contract Reference: (2000 Statement of Work #8) Develop a component of the MMRS Plan for the local hospital and healthcare system. Current JCAHO standards for emergency preparedness address an emergency preparedness management plan (EC.1.6), a security management plan (EC.1.4), a hazardous materials and waste management plan (EC.1.5), and emergency preparedness drills (EC.2.9). Ensure that this portion of the plan addresses the following eight general areas. (1) Plans for notification of hospitals, clinics, HMOs, etc. that an incident has occurred. (2) Plans and procedures in place for hospitals, clinics, and HMOs to protect them from contamination from environmental or patient sources. (3) Plans for providing triage and initiation of definitive care at local healthcare facilities. (4) Plans for adequate security to support these activities. (5) Availability of adequate personal protective equipment for hospital and clinic providers. (6) Adequate pharmaceuticals and equipment (ventilators) are available locally, or that plans are in place to obtain them in a timely manner. (7) Ability of medical staff to recognize and treat casualties caused by WMD agents. (8) Treatment protocols are readily available. These plans shall be presented to the Project Officer no later than 18 months after award of the contract. (2000 Statement of Work #8) Indicators of Fulfillment: 08.01 Does the Component MMRS plan detail procedures for notification of hospitals, clinics, HMOs, etc. that an incident has occurred? 08.02 Does the Component MMRS plan identify procedures in place to protect hospitals, clinics, and HMOs from contamination from environmental or patient sources (lock-down procedures)? 08.03 Does the Component MMRS plan detail that local healthcare

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Preparing for Terrorism: Tools for Evaluating the Metropolitan Medical Response System Program facilities are capable of providing triage and initiation of definitive care? 08.04 Does the Component MMRS plan include the existence of adequate security to support these activities? 08.05 Does the Component MMRS plan identify the availability of adequate personal protective equipment for hospital and clinic providers? 08.06 Does the Component MMRS plan specify that adequate pharmaceuticals and equipment (ventilators) are available locally, or that plans are in place to obtain them in a timely manner? 08.07 Does the Component MMRS plan specify that medical staff can recognize and treat casualties caused by WMD agents? 08.08 Does the Component MMRS plan detail that treatment protocols are readily available? 08.09 Has the Component MMRS plan been submitted to the Project Officer within 18 months of contract award? 08.10 Notes: 09 Deliverable #9: MMRS Training Plan to include training requirements and a follow-on training plan. Contract Reference: (2000 Statement of Work #9) Develop a Training Plan for the MRS that identifies training requirements for MRS personnel, including all first responders EMTs, paramedics, vehicle drivers, emergency room and other hospital personnel who will be providing care to victims of a WMD incident. In the event that the DOD Domestic Preparedness training has been provided to the city, the contractor should indicate how the training received, including FEMA/DOJ training, will be integrated into meeting the initial training requirements as well as continuing education and other refresher training needs. For the training of hospital personnel, it is important to note that Presidential Decision Directive 62 (PDD 62) highlights the VA’s role in the training of medical personnel in NDMS hospitals. This plan shall be presented to the Project Officer

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Preparing for Terrorism: Tools for Evaluating the Metropolitan Medical Response System Program no later than 18 months after award of the contract. (2000 Statement of Work #9) Indicators of Fulfillment: 09.01 Does the plan identify training requirements for MRS personnel, including all first responders EMTs, paramedics, vehicle drivers, emergency room and other hospital personnel who will be providing care to victims of a WMD incident? 09.02 Does the plan indicate how previously received training will be integrated into meeting initial training requirements as well as continuing education and other refresher training needs? 09.03 Does the plan highlight the VA’s role in the training of medical personnel in NDMS hospitals? 09.04 Has the plan for identifying training requirements along with training plan been submitted to the Project Officer no later than 18 months of contract award? 09.05 Notes: 10 Deliverable #10: MRS Pharmaceutical and Equipment Plan that includes a maintenance plan and a procurement timetable for equipment and pharmaceuticals to be purchased after receipt of Project Officer approval. Contract Reference: (2000 Statement of Work #10) Develop MRS Pharmaceutical and Equipment Plans. Submit a list of pharmaceuticals consistent with the mission of the MMRS. Pharmaceuticals should be sufficient to provide care for at least 1,000 victims, for a chemical incident, and for the affected population for the first 24 hours of response for a biological incident. (It should be assumed that the Federal government would assure the availability of vaccines and antibiotics within 24 hours of notification.) Equipment may include personal protective equipment, detection equipment and decontamination equipment (both field and hospital). A timetable for procurement of the above items and a plan for equipment maintenance and pharmaceutical storage should accompany this. A property officer responsible for all property received and purchased under this con-

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Preparing for Terrorism: Tools for Evaluating the Metropolitan Medical Response System Program tract shall be identified. Equipment purchases under this contract must be harmonized with equipment received from DoD, DOJ, and FEMA programs. Only equipment and pharmaceuticals approved by the Project Officer shall be purchased under this contract. These plans shall be presented to the Project Officer no later than 18 months after the award of the contract. (2000 Statement of Work #10) Indicators of Fulfillment: 10.01 Is the list of pharmaceuticals consistent with the mission of the MMRS? 10.02 Are the pharmaceuticals sufficient to provide care for at least 1,000 victims, for a chemical incident, and for the affected population for the first 24 hours of response for a biological incident? 10.03 Does the plan contain a timetable for procurement of pharmaceuticals and equipment? 10.04 Does the plan detail procedures for equipment maintenance and pharmaceutical storage? 10.05 Does the plan identify a property officer who is responsible for all property received and purchased under this contract? 10.06 Are equipment purchases under this contract harmonized with equipment received from DoD, DOJ, and FEMA programs? 10.07 Has the plan been submitted to the Project Officer no later than 18 months of contract award? 10.08 Notes: 11 Deliverable #11: Progress Reports (brief monthly status reports) and Final Report. Contract Reference: (2000 Statement of Work #11) Provide monthly progress reports (three copies), to be received by the 15th of the month that describe activities undertaken the previous month. These reports should be sent to your project officer, the PSC Contracting Officer, and to the Office of Emergency Preparedness

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Preparing for Terrorism: Tools for Evaluating the Metropolitan Medical Response System Program (names and address will be provided). These reports should describe successful endeavors and barriers encountered. Any barrier encountered should be accompanied with a plan to resolve the issue. Include all meeting minutes that relate to MMRS development. A final report is due at the end of the 18-month contract period. (2000 Statement of Work #11) Indicators of Fulfillment: 11.01 Has the contracted city submitted monthly progress reports describing successful endeavors and barriers encountered? 11.02 If a barrier was identified in the report, was a plan included to resolve the issue? 11.03 Do the monthly reports include all meeting minutes that relate to MMRS development? 11.04 Has the contracted city submitted a final report at the end of the contract period? 11.05 Notes: 12 Deliverable #12 (Option Period): Continue Progress Reports. Detailed list of pharmaceutical and equipment acquisition. Final Operational Report (include addendum to Primary MMRS Plan). Contract Reference: (2000 Statement of Work #12) Carry out remaining actions that are required to assure that the MMRS is operational, including acquisition of pharmaceuticals and equipment as identified, planned and approved in deliverable #10. Continue to submit brief monthly progress reports and a final report at the end of this contract period. The final report must constitute an assessment of response capabilities (enhanced or created), that exist now as a result of the MMRS planning effort. The report must identify actual equipment and pharmaceuticals procured and received under this contract. Identify additional assets/requirements that you will look to the Federal government to provide. These additional assets must be addressed in an addendum to your Primary MMRS Plan. The final report must include a statement that the MMRS has demonstrated operational capability. This final report shall be presented to

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Preparing for Terrorism: Tools for Evaluating the Metropolitan Medical Response System Program the Project Officer no later than 12 months from the effective date of the Option Period. (2000 Statement of Work #12) Indicators of Fulfillment: 12.01 Does the final report include a statement that the MMRS has demonstrated operational capability? 12.02 Does the final report identify actual equipment and pharmaceuticals procured and received under this contract? 12.03 Does the final report contain or include an assessment of response capabilities (enhanced or created) that exist now as a result of the MMRS planning effort? 12.04 Does the Primary MMRS plan include an addendum identifying additional assets/requirements that the contracted city will look to the Federal government to provide? 12.05 Has the final report been submitted to the Project Officer no later than 12 months from the effective date of the Option Period? 12.06 Did the final report include an electronic copy in Microsoft Word format? 12.07 Notes: