36A79719Q0008-038.pdf

VA Sioux Falls Cardiac PAC’s SOW

Summary:

VA Sioux Falls seeks a software application designed to help streamline clinical workflow and improve operational performance across your entire cardiovascular service line. This is to be a turnkey hardware and software solution.

The solution must provide instant access to all relevant cardiovascular images and information anytime, virtually anywhere within VA Sioux Falls. To help improve patient cardiac care and work flow, a graphical, panoramic, chronological overview of a patient’s cardiovascular care continuum should be able to be displayed. This should be provided to the user in a patient-centric environment that allows intuitive navigation through images, reports, trends, and analysis. This environment should include views of current and previous studies and all cardiac imaging modalities

The system must supply access to advanced clinical tools to perform comprehensive analysis and reporting to allow for faster and more effective cardiac care treatment decisions.

The system must include utilities for system administration that allows customization of the workspace, configuration tools, lists, and user access and privileges.

The system must perform all necessary functions for exam storage and review for echocardiography.

The system must be robust, fail safe, and easily scalable as facility needs change and evolve over time.

Exam workflow:

The system must support standard DICOM functionality, including: importing exams from DICOM image acquisition devices, DICOM Store, Query/Retrieve and DICOM Forward.

DICOM exams can be stored and displayed as defined in the DICOM Conformance Statement.

System prompts, menus, and notifications must be intuitive for users to experience a smooth, undaunting transition to the new system, without excessive training or technical support.

The system must employ VISTA and VISTA imaging certified interfacing and worklist management for exam workflow, ADT, and orders interface

The system must be able to support cardiovascular X-ray, ultrasound, nuclear medicine, computed tomography, magnetic resonance, and electrophysiology examination types.

Synchronized display of echo images with ECG.

The system can also export exams to other systems using industry standard DICOM Store protocols to encourage, advance, and promote collaboration amongst medical center Cardiology departments.

The system must facilitate and streamline a process for facilities within VISN 23 to collaborate and refer workload between each other.

Reporting & Analysis:

User customizable report forms and templates. Robustly intuitive user interface for ease of learning and use.

Utilizing configurable decision support and “smart” report auto filling utilizing cardiology industry standard parameters in anatomy measurements and motion, flow, and calculations. These parameters must be configurable as normal/abnormal ranges can change over time and site.

Users must be able to create user-defined measurements and calculations as well as edit labels for the default set of measurements and calculations.

Measurements and parameters must pre-populate a choice of pre-configured clinical report templates that include report formats.

Sets of clinical statements and measurements must be able to be entered with an abbreviated “short hand” method to reduce entry and typing time as well as standardized report language. The standard clinical statements and measurement must be a customizable for site-specific protocols and requirements.

Comprehensive set of data mining tools with both preprogrammed and easily customizable search functions.

The system must support user defined equations and analysis of procedures

Technical:

The system must be able to store and retrieve a minimum of 7 years of estimated facility workload of exam images, video, and reports

Solution must include all hardware and software required to complete the system. 2 user workstations minimum. Proposed server, workstation, and monitor technical specifications to be submitted for comparison purposes.

Fully compatible to accept echo and doppler information from all major manufacturer echocardiography devices.

System must utilize a client/server cardiology workflow solution integrating the imaging modality, VISTA EMR, viewing, reporting and analysis workstations, together with the server base software solution.

Robust fault tolerant server system design enabling fail-over and self healing to help assure minimum down time and continuous use.

Web link application access so that workstation footprint is minimal.

Fully HL7 (inbound and outbound) and DICOM compliant.

Proven integration with VA VISTA, CARTCL, and CPRS.

Fully operational with the most recent VA approve server and workstation operating systems. Currently Windows 10 and MS Server and SQL 2012.

Use of fault tolerant redundant storage technology to assure system integrity, longevity, and reliability.

Must have the ability to migrate studies from existing legacy GE system.

Full and robust warranty and service/support options. This must include proven VA remote access support capability.

Training:

Comprehensive clinical training plan and offerings. Role base offerings, minimally super user and regular user. Others as system design dictates.

Hands on participative training so that users can experience operation first hand from the start.

Comprehensive technical support training for a minimum of 2 individuals.

On site “go-live” training and support (clinical and technical)

Offering both on-site, hands on and video or web based.

Value added:

Software is available to retrieve electrocardiograms from MUSE ECG management system.

Additionally offers various analysis and quantification packages, clinical reporting and archiving features as optional functionality.

Employs open architecture and industry standards-based design and is prepared for future growth. It will provide ready access and availability to past and present exams as well as final reports.

Flexible software licensing structure for ease of multiuser access, maintenance, and expansion.

PIV compatible login: (one of the following)

a. direct PIV certificate based authentication

b. Integration with IAM (VA Identity and Access Management) services to perform Single Sign on (SSOi) authentication.

c. Active directory integrated windows authentication (AD-IWA)

DICOM archive connectivity, which provides the ability to automatically store image studies on an external DICOM archive, such as a radiology PACS system with minimal loss of study features, effects and enhancements.

Software has capability to integrate with third-party voice recognition software. The VISN 23 utilizes Nuance Dragon voice recognition dictation software.

Cardiology PACs solution has the ability for remote access for telework capabilities for providers.

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