36A77619Q0109-004.docx

VA Nebraska-Western Iowa Healthcare System Initial Outfitting, Transition & Activation Statement of Work M7845 – Physiological Monitor

VA Nebraska-Western Iowa Healthcare System 4101 Woolworth Avenue Omaha, NE 68105 Ambulatory Care Center Project

Introduction Veteran Affairs Nebraska-Western Iowa Healthcare System (VANWIHS) has a requirement to purchase M7845 – Physiological Monitor with an authorized vendor to supply and deliver the item(s) identified in Table 1 below. This requirement is based on the need of these monitors integrating into the existing physiological monitoring system in use at the VA Omaha Medical Center.

The Omaha VA Medical center requires delivery and installation of physiological monitoring and anesthesia delivery systems to meet its goals of providing the highest level of healthcare for the veteran population it serves. ACC Ambulatory Surgery OR and PACU requires physiological monitoring for patients in Operating Rooms, PACU / Pre-Op patient rooms, Transport monitors, and central station monitoring in PACU Nurses Station for centralized monitoring of all patients.

Additional Item Requirements For all monitors, the vendor shall provide user manuals that describe proper use, care and cleaning for users of the equipment.

In addition, the vendor will provide service manuals that includes theory of operation, maintenance requirements, repair information, schematics, part lists and troubleshooting information in electronic format for use by the VA Biomedical Engineering Department.

Date of manufacture must not be greater than 2 years before the purchase order date. The equipment must not be used or refurbished and must have the latest manufacturer’s software/hardware updates installed. Any batteries provided with the unit will not be manufactured more than 12 months before the purchase order issue date.

General Conditions Site Address The address of the VA Nebraska-Western Iowa Healthcare System Ambulatory Care Clinic is provided below.

4101 Woolworth Avenue Omaha, NE 68105

Delivery Schedule Items shall be delivered no earlier than the estimated delivery start date and no later than the delivery end date listed in Table 2 below.

Table 2 – Anticipated Building Outfitting Schedule

Schedule and Order Management

Delivery and Receiving

2.4.1 Delivery and receipt of the proposed items is anticipated to be directed to the location identified below. Confirmation of delivery location will be provided post-award. To coordinate delivery, contact Government POC Mark Stockstell at (402) 995-5847, mark.stockstell@va.gov, Colin Beal at (402) 930-7775, colin.beal@va.gov , Dan Thompson at (785) 477-2820, dan.thompson@sme-solutions.co , and Derick Lacky at (301) 602-9109, dlackey@hcrmoves.com.

☒ VANWIHS Omaha VA Ambulatory Care Clinic (Direct Delivery to address detailed in paragraph 2.1) ☐ IOT&A Contractor-Provided Warehouse Local to the VANWIHS SME Solutions Warehouse: Attn: SME Solutions-VA Project, Gratton Warehouse Co. 11005 E Circle Omaha, NE 68137

If the vendor requires the use of the Government’s activation contractor’s warehouse to meet the requirements of this contract the vendor must provide a certificate of insurance prior to the delivery and offloading of the item(s). This insurance certificate must be completed and presented to the activation contractor prior to delivery.

The vendor shall communicate through the VA and IOT&A POC any required coordination requirements.

Clean Up and Disposal

2.6.1 There are no dumpsters available for vendor use.

2.6.2 The removal of waste and/or excess material shall be conducted through the loading dock area.

Assembly and Installation Required (Yes ☒ No ☐)

2.7.1 The vendor is required to manage and coordinate installation at the VANWIHS Omaha VA Ambulatory Care Clinic with the COR or his representative IOT&A POC.

2.7.2 On-site assembly and installation of items, and performance of services identified in this document shall take place during normal business hours which are defined as: 8:00 AM to 4:30 PM Central Standard Time, Monday through Friday, and excluding Federal Holidays.

2.7.3 The vendor is required to define the need for a staging area to accommodate item assembly and installation, if needed. Post-award, this information will be confirmed with the vendor.

2.7.4 The vendor is required to provide tools, labor and materials to complete assembly and installation of the items detailed in this document.

2.7.5 The vendor shall protect all finished spaces and surfaces as required from delivery and installation damage. The vendor shall use covering and protection to the extent necessary to prevent damage to finished spaces. Any damage occurred during delivery and installation is the responsibility of the vendor. The vendor will be responsible for paying for and repairing any damage or noted deficiencies to finished spaces and surfaces that occur as a result of the vendor’s (or associated sub-contractors) installation.

2.7.6 During the entire duration of assembly and installation, the vendor will have a competent representative on-site as the vendor’s contact, and to serve as the interface between the vendor and VANWIHS. On-site representative can be the installer. All instructions provided from COR to the representative will be binding as if given to the vendor’s main contact. The COR may provide specific instructions, however, only the Contracting Officer may change the terms or conditions of the contract.

Scope of Work The following chart outlines the scope of project:

Equipment Requirement Performance Specifications

Information Window Displays non-real time information without obstructing life-critical patient data.

Power Specifications

Physical specifications

Mounting B850: GCX compatible Mounting B650 and B640: GCX compatible FM, Quick-Mount compatible, integrated carrying handle Patient Data Module (PDM):

Clinical capabilities:

DINAMAP SuperSTAT non-invasive blood pressure (NIBP), Masimo SET® or Nellcor® OxiMax® SpO2 Four invasive blood pressures, Two temperatures/cardiac output ECG/Respiration, and Defibrillator sync/analog out interface Lithium ion battery: Charge time: Approximately 2.5 hours, Run time: Approximately 1.5 hours Dimensions: (H x W x D): 2.75 x 5.75 x 8.5 in (7.0 x 14.6 x 21.6 cm) Weight: 2.5 lbs. (1.1 kg) without battery and 2.8 lbs. (1.3 kg) with battery Clinical Training Vendor will provide training for all shifts in care environments where patient monitors are installed. Vendor will provide more than one training session per shift as required. Training shall include initial setup and user training; onsite training for go-live support, super user training and follow-up training.

Clinical training must take place at the facility. Clinical applications training must be provided for day and night shifts, and must include installation, go-live, and post implementation/super user support.

Biomedical Engineering Service Training:

Vendor shall provide the training of at least two in-house service biomedical engineering technicians. This training shall be equal to the training provided by the manufacturer for their service personnel, and will train the designated in-house personnel on the calibration, maintenance, and repair of the entire system purchased.

Installation Requirements Upon award, vendor will assign a dedicated Project Manager to work with the VA Omaha team to plan and execute a project-specific implementation plan. The VA Omaha team should include, but not be limited to Biomedical/ Clinical Engineering, Clinical Nursing, IT, and Facilities.

The implementation plan will include an on-site kickoff meeting, site survey by a Contractor Installation Specialist, installation, clinical education, and go-live planned dates and go-live support. Status meetings will be held throughout the project. Installation timelines, including clinical education, will be determined with VA Omaha’s’ input based on project deliverables and hospital needs.

Contractor professional and experienced Network Design and Installation (ND&I) team provides skilled installation of the CARESCAPE networking gear. The scope of work includes:

Assembly of network racks in closets Installation of network equipment Patching of all network connections Switch configuration loading and customization Connection to the facility’s enterprise network (for products with enterprise network connections) Contractor deliverables will be:

Final network documentation of switch and router configurations Line drawings (more information is provided below) VA will provide will provide:

Suitable closet space Local power for network gear Suitable HVAC environment for equipment The completed system will include a design documentation package which will include Bill of Materials (infrastructure parts list), Floor Layout Diagrams (edge device physical placement), Rack Layout (closet components layout), Interconnect Matrix (detailed physical device interconnects), Switch Configuration Worksheet (switch port assignments with IP address listing), Network Backbone Diagram (fiber backbone interconnect diagram), and Switch Configurations (switch configuration scripts).

VENDOR shall provide Turn-Key Installation providing all services, hardware, and accessories for a complete and functional system. The monitors will be networked together unless otherwise specified by the COR Cabling/Network All cables and accessories to provide a complete and functional system are included.

· Turn-Key Installation providing all hardware and accessories for a complete system. This is an expansion of the standalone network for Patient Monitors existing in the current VA Omaha Medical Center

· All cabling and accessories to provide a complete and functional system to provide a turnkey networking system.

· Unit to unit connection shall include all cable runs, hubs, switches, routers and any other hardware or software required.

· All above ceiling cabling runs shall be tie-wrapped and placed in cable tray, in a conduit, or properly routed through interstitial area per hospital facilities requirements and local electric codes.

· Cables shall be bundled neatly and in a professional manner especially when cables converge at network hardware.

· Cables shall be marked at each end indicating the termination point of the other end.

· Cable colors shall be coordinated and approved by COR before installation.

· All network cabling, terminations, and any patch panels used shall be CAT5E/CAT6 certified.

· All cables shall be terminated TIA568A.

· Any cable run through plenum space shall be plenum rated according to NEC and applicable fire codes.

· All cable runs shall be tested and certified in accordance with TSB-67 and TIA/EIA 568-A or latest TIA/EIA Revisions. The Contractor shall provide a copy of all test results to the COR in electronic format that can be displayed and/or viewed.

· The system shall be configured to view patients throughout the hospital or care areas.

· Drawings that indicate the location of the monitoring devices will be provided for the Medical Center.

· Interface will be compliant with VA National interface standard.

· All networking equipment must be Cisco. (Switches, hubs, routers, etc.)

· Any offsite server or network maintenance or support provided by the Contractor can only be done through VPN access after the Contractor has obtained the VPN access from the VA.

· Contractor must provide VPN contract number if applicable.

· All networking hardware shall be rack mounted in a room designated by COR.

· The Contractor shall not drill through any walls without prior approval by the COR.

Network Requirements Any infrastructure currently used for patient monitoring may be used, however any component that is not state-of-the-art must be updated to meet current market capabilities including any switches, servers, etc. All above ceiling cable runs shall be placed in available existing conduit or vendor- provided conduit, and properly routed through interstitial area per hospital facilities requirements. Cables shall be bundled neatly and in a professional manner especially when cables converge at network hardware. Cables shall be marked at each end indicating the termination point of the other end. Network cabling, terminations and any patch panels used shall be CAT-5E/CAT6 certified. The network shall be IPV6 compatible unless otherwise approved by the COR. The monitoring network may be a part of the VA network, but it will be segmented by VLANs. In the event of VA network downtime there shall be redundancy to allow the monitoring network to operate independently of the VA network. All networking hardware shall be wall or rack mounted in mutually agreed upon areas. The preferred placement of servers or additional computers would be in a centralized computer room. Any network hardware that cannot be located in the server room shall be placed in data closets or secure locations. Any wireless equipment shall be compatible with existing hospital wireless network, including being FIPS 140-2 encryption compliant and must be approved by the COR prior to installation.

All monitoring networking designs must be provided to and approved by the COR prior to starting the network installations.

Any cable run through plenum space shall be plenum rated according to NEC and applicable fire codes. ALL WALL PENETRATIONS SHALL BE SEALED ACCORDING TO ALL APPLICABLE CODES AND HOSPITAL POLICY with UL approved materials based on the type of wall/vertical structure they are penetrating. All sealing material must be approved prior to use by the COR.

The contractor will follow all Omaha VAMC construction safety policies as well as ICRA, fire-stopping, and permitting procedures. The contractor will provide their own HEPA filtered environmental containment to utilize per ICRA procedures to control the infection and dust risks to patients during the network, cabling, and hardware installation work when removing ceiling tiles, penetrating walls or ceilings, running cabling, in addition to the usual controlled by covering any doors, vents, and permanent equipment. INFECTION CONTROL POLICIES SHALL BE ADHERED TO AT ALL TIMES AND PERMITS APPROVED EACH DAY AND POSTED. Unit to unit connection charge shall include all cable runs, hubs, switches and any other hardware or software required. All cable runs shall be tested for full functionality and run length. Copper run lengths greater than 320’ will not be accepted. The vendor shall provide a copy of the test results to the Omaha VAMC Biomed Department in electronic format that can be displayed and/or viewed. Cable length shall be included in this report. Documentation of the vendor network shall also be provided and include a marked-up drawing (as built) showing jacks and room locations. A spreadsheet and network diagram shall also be provided with the following information: switches, routers, servers, gateways, and WMTS access point locations (named in a convention agreeable to the facility). The interface will be compliant with VA National interface standard. Any offsite server or network maintenance or support provided by the vendor can only be done via VPN access after the vendor has obtained the VPN access from the VA.

Contractor’s Responsibility During Installation The contractor is responsible for furnishing and pulling interconnecting wiring and cabling through conduit (either existing or provided by the contractor, as needed), and for making any connections. Interconnecting wiring and cabling which do not run through conduit shall be furnished and installed by the contractor. It is the responsibility of the contractor to install junction boxes, wall/ceiling mounts and support structures supplied by the equipment contractor. The contractor must provide well qualified field engineers or technicians to install and conduct all necessary tests. The contractor shall coordinate the start of installation with the COR.

Once installation has started, work performed shall be continuous, eight (8) hours per day coinciding with the regular working hours at the hospital. Compliance with this requirement shall be manifest by the continuous presence of the engineers or technicians on the job site during the daily working period. Installation shall be continuous, without interruption, until all installation and testing work has been completed. The contractor must provide the physical movement of the equipment from the storage point at final destination, to the area of installation, and the uncrating of the equipment.

Overtime or off-hours installation will be expected to minimize impact to patient care in certain areas. Overtime or off-hours requirements are to be included at no additional cost to the VA Omaha Medical Center.

Rigging and special handling costs, if required, to move the equipment from dock area to the installation site within the consignee's premises, shall be borne by the equipment contractor.

Upon receipt of notice to proceed with installation, it shall be the contractor's responsibility to inform the Contracting Officer and COR of any problems which may be anticipated in connection with installation or which will affect optimum performance once installation is completed. Such matters as inadequacy of power supply, limitations of site or inadequate preparation of site shall be reported prior to start of installation. Installation shall not proceed under such circumstances until authorized by the Contracting Officer.

Licensing and Software Requirements.

The vendor shall provide all computer software, access keys or codes, or external devices required for the operation, calibration, or repair of the equipment purchased. Any such items not listed on the price quote and required for maintenance of the system, shall be taken as included with the purchase of the system.

Any upgrades or changes to the maintenance software, hardware, or access keys or codes shall be provided to the medical center during the time the equipment is operational at this facility. All application software licenses are included in the purchase of the equipment and shall not require a renewal charge for the period of time the equipment is in use in the facility.

User and Service Manuals.

The vendor shall provide at least 3 complete and unabridged sets of operator manuals, service manuals, electronic schematics, troubleshooting guides and parts lists for each piece of equipment purchased for the medical center. These manuals will include all components and subassemblies, including those not manufactured by the vendor. These manuals and documentation shall be identical to the ones supplied to the manufacturer’s service representatives and shall contain the diagnostic codes, commands, and passwords utilized in maintenance, repair and calibration of the equipment.

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