Emergency Medical Evacuation Services

1. Ability to Deliver Full Scope of Services a) Can your organization deliver the full scope of prepaid emergency medical evacuation and medical travel services described in the draft SOW? __ Yes __ No b) If No, which portions of the requirement cannot currently be supported (select all that apply)? __ Medical evacuation and repatriation __ Medical monitoring, referrals, and consultations __ Field Rescue __ Guarantee of Payments (GOP) issuance __ Hospital payment facilitation __ Medical equipment/medications/vaccines support __ Repatriation of remains __ Reservation and Callup Capability __ Other (fill in) ____________________________________________________ 2. Recommendations or Clarifications to the Draft SOW and Pricing Template a) Are there areas of the draft SOW where additional clarification would improve your ability to respond (select all that apply)? __ Scope of medical travel services __ Standards of care requirements __ Membership model expectations __ Operational response timelines __ Coordination with NASA medical personnel __ Pricing structure __ No clarification needed __ Other (fill in) ________________________________________________ b) Would changes to the pricing framework improve cost‑effectiveness? __ Yes (fill in) __________________________________________________ __ No 3. Potential Constraints or Barriers to Participation a) Which potential challenges could limit your organization’s participation (select all that apply)? __ Regulatory hurdles __ Insurance or financial issue constraints __ Limited regional capability __ Aviation or permit restrictions __ Sanctions-related financial complications __ None anticipated b) Would Government‑provided clarifications or changes mitigate these issues? __ Yes __ No 4. Relevant Organizational Experience a) Does your organization currently provide prepaid medical evacuation services? __ Yes __ No b) How long has your organization provided international medical evacuation services? __ Less than 2 years __ 2–5 years __ 5–10 years __ More than 10 years c) Is your pricing model primarily: __ Membership‑based (prepaid) __ Fee‑for‑service __ Hybrid __ Other 5. Experience in Russia, Kazakhstan, Baikonur, or Sensitive Airspace a) Does your organization have experience conducting medical evacuations from Russia? __ Yes __ No b) Does your organization have experience conducting medical evacuations from Kazakhstan? __ Yes __ No c) Does your organization have experience operating in or near Baikonur Cosmodrome? __ Yes __ No d) If No, have you conducted comparable operations in similarly restricted or geopolitically sensitive locations? __ Yes (fill in) ____________________________________________________________ __ No e) Can your organization secure required flight permits and coordinate with regional aviation authorities (e.g., Roscosmos, Russian/Kazakh authorities)? __ Yes __ No 6. Guarantee of Payments (GOP) in Russia and Kazakhstan a) Can you provide timely GOPs specifically to Russian medical facilities? __ Yes __ No b) Can you provide timely GOPs to Kazakh medical facilities? __ Yes __ No c) Does your organization have processes to manage financial transactions affected by sanctions or banking restrictions in these regions? __ Yes __ No 7. Industry Changes a) Have you observed significant industry changes in the last three years that would affect NASA’s acquisition strategy? __ Yes __ No b) If Yes, which categories best describe these changes (select all that apply)? __ Aviation or air ambulance regulatory changes __ Medical capability advancements __ Insurance or financial industry changes __ Shifts in global geopolitical environments __ Significant cost‑structure changes __ Other (fill in) _______________________________________________ 8. Aircraft and Fleet Capabilities a) Does your fleet include long‑range aircraft suitable for transcontinental medical evacuation? __ Yes __ No b) Which aircraft types do you operate for long‑range missions(select all that apply)? __ Fixed‑wing jet air ambulance __ Turboprop air ambulance __ Charter/partnered aircraft __ Other c) Do your aircraft have the capability to minimize transfers by operating long‑haul missions directly? __ Yes __ No 9. Geographic Coverage and Assets a) Do you maintain dedicated assets in specific regions? __ Yes __ No b) If Yes, where do you maintain dedicated assets (select all that apply)? __ North America __ Europe __ Middle East __ Central Asia __ Asia‑Pacific __ Africa __ South America c) Do you rely on a vetted partner network in regions without dedicated assets? __ Yes __ No 10. Presence in Kazakhstan or Russia a) Do you have personnel, infrastructure, or dedicated assets in Kazakhstan (e.g., Almaty or Astana)? __ Yes __ No b) Do you have personnel, infrastructure, or dedicated assets in Moscow or elsewhere in Russia? __ Yes __ No 11. International Accreditation c) Which accreditations does your organization or partners currently hold (select all that apply)? __ CAMTS __ EURAMI __ NAAMTA __ Other recognized medical transport accreditation __ None 12. Example Evacuation Scenario a) Can your organization provide one example of a medical evacuation conducted in the last 24 months from a logistically challenging or politically sensitive region? __ Yes __ No b) Does your organization maintain records that can demonstrate timelines and operational steps for such a mission? __ Yes __ No 13. Service Scope & Eligibility a) Does your membership model cover all NASA civil servants, contractors, and invitational travelers without age limits? __ Yes __ No b) Are evacuations and medical support available regardless of pre-existing conditions? __ Yes __ No c) Do you exclude high-risk activities or specific regions? __ No exclusions __ Activity exclusions __ Location exclusions d) Can evacuations be authorized by NASA physician even if local care is available but below U.S. standard? __ Yes __ No 14. Response Time SLAs & Performance a) First clinical contact time: __ ≤15 min __ 16–30 min __ 31–60 min __ >60 min b) GOP issuance timelines globally/Russia/Kazakhstan: __ ≤30 min __ 31–60 min __ 1–2 hrs __ >2 hrs c) Bedside-to-wheels-up time: __ ≤6 hrs __ 6–12 hrs __ 12–24 hrs __ >24 hrs d) Percentage of direct long-haul missions: __ ≥80% __ 60–79% __ 40–59% __ <40% 15. Aviation Operations & Safety a) Air Operator’s Certificate (AOC) status: __ Own AOC __ Partner AOCs __ Mixed __ None b) Safety Management System implemented and audited? __ Yes (3rd-party) __ Yes (self-audited) __ No c) Typical flight crew international mission hours: __ ≥2000 __ 1000–1999 __ 500–999 __ <500 d) Ability to secure Russian/Kazakh permits under expedited timelines: __ Yes __ No __ Case-by-case 16. Clinical Governance & Accreditation a) Clinical escort staffing levels appropriate for ICU cases? __ Always __ Usually __ Case-by-case __ Rarely b) Aircraft equipped with ICU-level devices? __ Yes __ No __ Some assets c) Can NASA physician integrate as attending? __ Yes __ No __ Requires agreement 17. Financial Operations & Sanctions a) Ability to manage compliant payments in Russia/Kazakhstan? __ Yes __ No __ Limited b) Ability to settle invoices in local currency without discharge delays? __ Yes __ No __ Sometimes c) Are hospital invoices audited prior to payment? __ Always __ Often __ Sometimes __ Rarely 18. Network Governance & Subcontracting a) Are partner hospitals/air operators vetted annually? __ Yes __ No b) Do subcontracts include required flow-down clauses? __ Yes __ No c) Regions with ≥2 vetted providers: __ NA __ EU __ ME __ Central Asia __ APAC __ Africa __ SA 19. Data Protection & Reporting a) HIPAA + international privacy compliance? __ Yes __ No b) Secure NASA-accessible case updates (portal/API)? __ Yes __ No c) Ability to deliver monthly/quarterly KPIs? __ Yes __ No 20. Business Continuity & Surge Readiness a) Max simultaneous medevac missions supported: __ ≥10 __ 7–9 __ 4–6 __ ≤3 b) Contingency assets staged in Eurasia/Central Asia? __ Yes __ No c) Exercises conducted for Russia/Kazakhstan access scenarios in last 12 months? __ Yes __ No 21. Insurance, Licensure, and Liability a) Internationally valid aviation + medical malpractice coverage? __ Yes __ No b) Are clinical staff licensed in embarkation/destination regions? __ Yes __ No __ Case-by-case 22. Pricing Transparency & FFP Feasibility a) Can you commit to FFP, prepaid membership using defined volumes? __ Yes __ No b) Will any services be separately billable? __ No (all-inclusive) __ Some excluded __ Many excluded c) Volume-based or multi-center discounts offered? __ Yes __ No 23. Customer Experience & Language Support a) Multilingual support including English + native Russian/Kazakh? __ Yes __ No b) Traveler-facing materials (cards, app, hotline)? __ Yes __ No 24. Past Performance & References a) # of sensitive-region evacuations in last 24 months: __ ≥10 __ 5–9 __ 1–4 __ 0 b) Can you provide 3 client references? __ Yes __ No