36C10B22R0022 AMEND 00002.docx

36C10B22R0022 NTP NextGen PACS

PAGE 1 OF

1. REQUISITION NO.

2. CONTRACT NO.

3. AWARD/EFFECTIVE DATE

4. ORDER NO.

5. SOLICITATION NUMBER

6. SOLICITATION ISSUE DATE

a. NAME

b. TELEPHONE NO. (No Collect Calls)

8. OFFER DUE DATE/LOCAL

TIME

9. ISSUED BY

CODE

10. THIS ACQUISITION IS

UNRESTRICTED OR

SET ASIDE:

% FOR:

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

8(A)

NAICS:

SIZE STANDARD: 1,250 EMP

11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13b. RATING

14. METHOD OF SOLICITATION

RFQ

IFB

RFP

15. DELIVER TO

CODE

16. ADMINISTERED BY

CODE

17a. CONTRACTOR/OFFEROR

CODE

FACILITY CODE

18a. PAYMENT WILL BE MADE BY

CODE

TELEPHONE NO.

DUNS:

DUNS+4:

PHONE:

FAX:

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER 18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW IS CHECKED

SEE ADDENDUM

19.

20.

21.

22.

23.

24.

ITEM NO.

SCHEDULE OF SUPPLIES/SERVICES

QUANTITY

UNIT

UNIT PRICE

AMOUNT

(Use Reverse and/or Attach Additional Sheets as Necessary)

25. ACCOUNTING AND APPROPRIATION DATA

26. TOTAL AWARD AMOUNT (For Govt. Use Only) 27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA

ARE

ARE NOT ATTACHED.

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA

ARE

ARE NOT ATTACHED

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN _______________

29. AWARD OF CONTRACT: REF. ___________________________________ OFFER

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

DATED ________________________________. YOUR OFFER ON SOLICITATION

DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY

(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED

SET FORTH HEREIN IS ACCEPTED AS TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER) 30b. NAME AND TITLE OF SIGNER (TYPE OR PRINT) 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (TYPE OR PRINT) 31c. DATE SIGNED

AUTHORIZED FOR LOCAL REPRODUCTION

(REV. 2/2012)

PREVIOUS EDITION IS NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.212

7. FOR SOLICITATION

INFORMATION CALL:

STANDARD FORM 1449

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

36C10B22R0022 08-04-2022 Heera Polanco, Contract Specialist 848-377-5095 09-14-2022

10:00AM EST

Department of Veterans Affairs

Technology Acquisition Center 23 Christopher Way Eatontown NJ 07724 x

334510

N/A

N/A x

See Delivery Schedule

Technology Acquisition Center 23 Christopher Way

Eatontown NJ 07724

Financial Services Center PO Box 149971 Austin, TX 78714-8971

VHA National Teleradiology Program NextGen Picture Archiving and Communication System

See Section B.4 for Price Schedule.

Points of Contact:

Heera Polanco / Heera.Polanco@va.gov Contract Specialist

Kathryn Pantages / Kathryn.Pantages@va.gov Contracting Officer

Kathryn Pantages Contracting Officer

Table of Contents

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 GOVERNING LAW

Federal law and regulations, including the Federal Acquisition Regulations (FAR), shall govern this Contract/Order. Commercial license agreements may be made a part of this Contract/Order but only if both parties expressly make them an addendum hereto, as permitted by FAR 12.212. If the commercial license agreement is not made an addendum, it shall not apply, govern, be a part of or have any effect whatsoever on the Contract/Order; this includes, but is not limited to, any agreement embedded in the computer software (clickwrap), any agreement that is otherwise delivered with or provided to the Government with the commercial computer software or documentation (shrinkwrap), or any other license agreement otherwise referred to in any document. If a commercial license agreement is made an addendum, only those provisions addressing data rights regarding the Government’s use, duplication and disclosure of data (e.g., restricted computer software) are included and made a part of this Contract/Order, and only to the extent that those provisions are not duplicative or inconsistent with Federal law, Federal regulation, the incorporated FAR clauses and the provisions of this Contract/Order; those provisions in the commercial license agreement that do not address data rights regarding the Government’s use, duplication and disclosure of data shall not be included or made a part of the Contract/Order. Federal law and regulation including, without limitation, the Contract Disputes Act (41 U.S.C. § 7101 et seq.), the Anti-Deficiency Act (31 U.S.C. § 1341 et seq.), the Competition in Contracting Act (41 U.S.C. § 3301 et seq.), the Prompt Payment Act (31 U.S.C. § 3901 et seq.), Contracts for Data Processing or Maintenance (38 USC § 5725), and FAR clauses 52.212-4, 52.227-14, 52.227-19 shall supersede, control, and render ineffective any inconsistent, conflicting, or duplicative provision in any commercial license agreement. In the event of conflict between this clause and any provision in the Contract/Order or the commercial license agreement or elsewhere, the terms of this clause shall prevail. The Contractor shall deliver to the Government all data first produced under this Contract/Order with unlimited rights as defined by FAR 52.227-14. Claims of patent or copyright infringement brought against the Government as a party shall be defended by the U.S. Department of Justice (DOJ) in accordance with 28 U.S.C. § 516; at the discretion of DOJ, the Contractor may be allowed reasonable participation in the defense of the litigation. Any additional changes to the Contract/Order must be made by modification (Standard Form 30) and shall only be made by a warranted Contracting Officer. Nothing in this Contract/Order or any commercial license agreement shall be construed as a waiver of sovereign immunity.

B.2 SOFTWARE LICENSE, MAINTENANCE AND TECHNICAL SUPPORT

(1). Definitions.

(2). Software License.

(3). Software Maintenance and Technical Support.

(4). Disabling Software Code. The Government requires delivery of computer software that does not contain any code that will, upon the occurrence or the nonoccurrence of any event, disable the software. Such code includes but is not limited to a computer virus, restrictive key, node lock, time-out or other function, whether implemented by electronic, mechanical, or other means, which limits or hinders the use or access to any computer software based on residency on a specific hardware configuration, frequency of duration of use, or other limiting criteria. If any such disabling code is present, the Contractor agrees to indemnify the Government for all damages suffered as a result of a disabling caused by such code, and the contractor agrees to remove such code upon the Government’s request at no extra cost to the Government. Inability of the Contractor to remove the disabling software code will be considered an inexcusable delay and a material breach of contract, and the Government may exercise its right to terminate for cause. In addition, the Government is permitted to remove the code as it deems appropriate and charge the Contractor for consideration for the time and effort expended in removing the code.

(5). Manuals and Publications. Upon Government request, the Contractor shall furnish the most current version of the user manual and publications for all products/services provided under this Contract/Order at no cost.

B.3 CONTRACT ADMINISTRATION DATA

(continuation from Standard Form 1449, block 18A.)

1. Contract Administration: All contract administration matters will be handled by the following individuals:

a. CONTRACTOR: TBD

b. GOVERNMENT: Contracting Officer 003B2F3, Kathryn Pantages Department of Veterans Affairs Technology Acquisition Center 23 Christopher Way Eatontown NJ 07724

2. CONTRACTOR REMITTANCE ADDRESS: All payments by the Government to the contractor will be made in accordance with:

3. INVOICES: Invoices shall be submitted in arrears:

4. GOVERNMENT INVOICE ADDRESS: All Invoices from the contractor shall be submitted electronically in accordance with VAAR Clause 852.232-72 Electronic Submission of Payment Requests.

5. ACKNOWLEDGMENT OF AMENDMENTS: The offeror acknowledges receipt of amendments to the Solicitation numbered and dated as follows:

B.4 PRICE SCHEDULE

Days used below refer to calendar days unless otherwise stated. Deliverables with due dates falling on a weekend or holiday shall be submitted the following Government work day after the weekend or holiday. Electronic submission to: VA Program Manager (VA PM), Contracting Officer’s Representative (COR), Contracting Officer (CO) Inspection/Acceptance/F.O.B: Destination Base Period The Base Period of Performance (PoP) shall be from date of award through November 30, 2023.

This Firm-Fixed Price (FFP) Contract Line Item Number (CLIN) includes all travel, labor and deliverables required for the successful completion of services detailed in PWS paragraph 5.1, inclusive of all subparagraphs.

Period of Performance: Date of award through November 30, 2023.

Due 30 days after contract award and updated monthly thereafter.

Due 90 days after contract award and updated monthly thereafter.

Due each Tuesday throughout the initial design/deployment activities.

Due each Tuesday throughout the testing period.

Due each Tuesday following activation with review or updates, upgrades, open work orders, trends

Due within 15 days after contract award and updated as required throughout the period of performance.

Due 3 days after contract award and updated as required throughout the period of performance.

Due 3 days after contract award and updated as required throughout the period of performance.

This FFP CLIN includes all travel, labor and deliverables required for the successful completion of services detailed in PWS paragraph 5.2, inclusive of all subparagraphs.

Deployment shall be completed no later than November 30, 2023.

Invoices may be submitted upon successful completion of the following project components identified in PWS Table 1 in accordance with the following:

20% of the total of this CLIN shall be payable upon the completion of: Installation and configuration of servers, storage, and software

20% of the total of this CLIN shall be payable upon the completion of: Activation, testing, and validation of all DICOM interfaces

20% of the total of this CLIN shall be payable upon the completion of: Activation, testing, and validation of all HL7 interfaces

20% of the total of this CLIN shall be payable upon the completion of: Design, implementation, and deployment of NTP custom workflow tools

20% of the total of this CLIN shall be payable upon the completion of: PACS implementation/acceptance

Due within 15 days of contract award and updated thereafter with any changes as they occur.

Due 30 days after contract award and updated monthly thereafter with any changes as they occur.

Due 30 days after contract award and updated monthly thereafter with any changes as they occur.

Due 30 days after contract award and updated monthly thereafter with any changes as they occur.

Due 30 days after contract award and updated monthly thereafter with any changes as they occur.

Due 7 days after implementation.

Due 30 days after contract award and updated monthly thereafter with any changes as they occur.

Unit cost per 1 million reports

Due within 12 months after contract award.

Option Period One This 12-month option may be exercised in accordance with FAR 52.217-9, Option to Extend the Term on the Contract (MAR 2000). Work shall not commence until, and unless, a formal modification is issued by the Contracting Officer. If exercised, Option Period One shall begin immediately after expiration of the Base Year.

This Firm-Fixed Price (FFP) Contract Line Item Number (CLIN) includes all travel, labor and deliverables required for the successful completion of services detailed in PWS paragraph 5.1, inclusive of all subparagraphs for the Option Period and Optional Tasks, if exercised.

Period of Performance: 12 months

Updated annually and as required throughout the period of performance.

Updated annually throughout the period of performance.

Updated annually throughout the period of performance.

This FFP CLIN includes all travel, labor and deliverables required for the successful completion of services detailed in PWS paragraph 5.3, inclusive of all subparagraphs.

*The Unit Price shall be fee per study for up to 3,000,000 annual exams with an uptime performance of 99.9% and above.

IAW PWS 6.4, unit prices shall be billed in accordance with established performance metrics.

The Contractor shall invoice monthly based on the number of exams completed in the preceding month.

Due on the 3rd day of the month for the previous month.

Due on the 3rd day of the month for the previous month with adjusted billing of the ongoing service/support IAW Section 6.4.

Option Period Two This 12-month option may be exercised in accordance with FAR 52.217-9, Option to Extend the Term on the Contract (MAR 2000). Work shall not commence until, and unless, a formal modification is issued by the Contracting Officer. If exercised, Option Period Two shall begin immediately after expiration of Option Period One.

This Firm-Fixed Price (FFP) Contract Line Item Number (CLIN) includes all travel, labor and deliverables required for the successful completion of services detailed in PWS paragraph 5.1, inclusive of all subparagraphs for the Option Period and Optional Tasks, if exercised.

Period of Performance: 12 months

Updated annually and as required throughout the period of performance.

Updated annually throughout the period of performance.

Updated annually throughout the period of performance.

This FFP CLIN includes all travel, labor and deliverables required for the successful completion of services detailed in PWS paragraph 5.3, inclusive of all subparagraphs.

*The Unit Price shall be fee per study for up to 3,000,000 annual exams with an uptime performance of 99.9% and above.

IAW PWS 6.4, unit prices shall be billed in accordance with established performance metrics.

Due on the 3rd day of the month for the previous month.

Due on the 3rd day of the month for the previous month.

Due on the 3rd day of the month for the previous month with adjusted billing of the ongoing service/support cost IAW Section 6.4.

Option Period Three This 12-month option may be exercised in accordance with FAR 52.217-9, Option to Extend the Term on the Contract (MAR 2000). Work shall not commence until, and unless, a formal modification is issued by the Contracting Officer. If exercised, Option Period Three shall begin immediately after expiration of Option Period Two.

This Firm-Fixed Price (FFP) Contract Line Item Number (CLIN) includes all travel, labor and deliverables required for the successful completion of services detailed in PWS paragraph 5.1, inclusive of all subparagraphs for the Option Period and Optional Tasks, if exercised.

Period of Performance: 12 months

Updated annually and as required throughout the period of performance.

Updated annually throughout the period of performance.

Updated annually throughout the period of performance.

This FFP CLIN includes all travel, labor and deliverables required for the successful completion of services detailed in PWS paragraph 5.3, inclusive of all subparagraphs.

*The Unit Price shall be fee per study for up to 3,000,000 annual exams with an uptime performance of 99.9% and above.

Due on the 3rd day of the month for the previous month.

Due on the 3rd day of the month for the previous month.

Due on the 3rd day of the month for the previous month with adjusted billing of the ongoing service/support cost IAW Section 6.4.

Optional Tasks The Optional Tasks under CLINs 0005 and 0006 may be exercised at the Government’s discretion at any time throughout the period of performance of the contract and up to the maximum quantity specified under the priced CLINs, IAW FAR 52.217-7 Option for Increased Quantity-Separately Priced Line Item (MAR 1989). No work shall commence unless and until a formal modification has been issued by the Contracting Officer.

This FFP CLIN includes all travel, labor and deliverables required for the successful completion of services detailed in PWS paragraph 5.4, inclusive of all subparagraphs.

This optional task can be exercised up to 7 times (once for each potential VISN) Period of Performance: 6 months of optional task exercise.

Due 30 days after optional task exercise and updated monthly thereafter with any changes to training as they occur.

Due on the 3rd day of the month for the previous month with adjusted billing of the ongoing service/support cost per the discount rate referenced in Section 6.4.

*Unit cost per TeraByte Due within 6 months

This FFP CLIN includes all travel, labor and deliverables required for the successful completion of services detailed in PWS paragraph 5.3 and 5.5, inclusive of all subparagraphs.

This optional task may be exercised once per year, per VISN. If exercised, the NTE Quantity shall be up to 800,000 annual exams, per exercise.

The period of performance shall be 12 months.

*NTE Quantity shall be up to 800,000 annual exams per VISN for up to 7 VISNs for up to three years.

**The Unit Price shall be fee per exam for up to 16,800,000 annual exams with an uptime performance of 99.9% and above.

If exercised, the Contractor shall invoice monthly based on the number of exams completed in the preceding month. Invoices and deliverables shall be submitted per VISN.

Due on the 3rd day of the month for the previous month.

Due on the 3rd day of the month for the previous month.

Due on the 3rd day of the month for the previous month with adjusted billing of the ongoing service/support cost IAW Section 6.4.

B.5 PERFORMANCE WORK STATEMENT

PERFORMANCE WORK STATEMENT (PWS)

DEPARTMENT OF VETERANS AFFAIRS

Veterans Health Administration (VHA) National Teleradiology Program (640/NTP) VHA Diagnostic Services (11DIAG)

NTP NextGen PACS

Date: May 20, 2022

VA-22-00017790

PWS Version Number: 1.0

Contents

1.0 BACKGROUND

VHA National Teleradiology Program (NTP) is VA’s in-house teleradiology service and has been providing 24 hours/day x 7days/week (24x7) service to VA facilities for over a decade. NTP is currently supporting 125 sites across all Veterans Integrated Services Networks (VISNs) and is projected to interpret between 1.0 and 1.5 million studies annually. NTP presently has reading centers located in the following cities: Durham, North Carolina (NC); New York, New York (NY); Dallas, Texas (TX); San Bruno, California (CA); Menlo Park, CA; Sacramento, CA; Los Angeles, CA; Portland, Oregon (OR); and Honolulu, Hawaii (HI) and has approximately 100 Radiologists working remotely via home Picture Archiving and Communication System (PACS) workstations with VA Virtual Private Network (VPN) connections.

NTP requires a best in breed, next generation PACS that is designed, deployed, and optimized for NTP’s teleradiology workflow and reading environment. The system must also have the capability to serve as a replacement PACS for VISNs as they transition off their existing contracts. Additionally, the system shall incorporate the capability to facilitate cross-site image viewing and sharing for Radiology images with linkage to VA’s two Electronic Medical Records (EMRs), VistA Computerized Patient Record System (CPRS) and Cerner.

NextGen PACS will incorporate two major phases into the overall project: 1) full NTP PACS deployment and implementation and 2) expansion of the NTP PACS to support VISNs to include migration, integration etc.

In November 2018, VA issued the Cloud First Policy mandating that all new and existing IT solutions be assessed to determine suitability to be offered as an enterprise cloud computing service. The VA Enterprise Cloud (VAEC) was established by the Enterprise Cloud Solutions Office (ECSO) in 2017, to host cloud computing solutions. As an IT-related medical system, NextGen PACS will follow this policy.

The central PACS servers, associated application servers and Vendor Neutral Archive (VNA) shall be hosted in VAEC via Amazon Web Services (AWS) or Microsoft Azure. VA shall be responsible for providing the VAEC resources, while the Contractor shall be responsible for all application and OS management and provision of all software and licenses beyond the OS.

Deployment with final validation of the NTP NextGen PACS must be completed no later than November 30, 2023, with the optional task for VISN PACS to be available later in FY24.

Post NTP NextGen PACS deployment, VISNs may elect to exercise optional Tasks in Phase 2 to utilize the NextGen PACS with a separate organizational structure for their internal VISN PACS.

Note that for the purposes of this PWS, PACS and NextGen PACS are the umbrella designations for all components and systems that are required to deliver the full suite of specified capabilities: VNA, workflow, diagnostic review, voice recognition, AI, etc.

2.0 APPLICABLE DOCUMENTS

In the performance of the tasks associated with this Performance Work Statement, the Contractor shall comply with the following:

1. 44 U.S.C. § 3541-3549, “Federal Information Security Management Act (FISMA) of 2002”

2. “Federal Information Security Modernization Act of 2014”

3. Federal Information Processing Standards (FIPS) Publication 140-2, “Security Requirements for Cryptographic Modules”

4. FIPS Pub 199. “Standards for Security Categorization of Federal Information and Information Systems,” February 2004

5. FIPS Pub 200, “Minimum Security Requirements for Federal Information and Information Systems,” March 2006

6. FIPS Pub 201-2, “Personal Identity Verification of Federal Employees and Contractors,” August 2013

7. 10 U.S.C. § 2224, "Defense Information Assurance Program"

8. 5 U.S.C. § 552a, as amended, “The Privacy Act of 1974”

9. Public Law 109-461, Veterans Benefits, Health Care, and Information Technology Act of 2006, Title IX, Information Security Matters

10. 42 U.S.C. § 2000d “Title VI of the Civil Rights Act of 1964”

11. VA Directive 0710, “Personnel Security and Suitability Program,” June 4, 2010, https://www.va.gov/vapubs/index.cfm

12. VA Handbook 0710, “Personnel Security and Suitability Program,” May 2, 2016, https://www.va.gov/vapubs/index.cfm

13. VA Directive and Handbook 6102, “Internet/Intranet Services,” August 5, 2019

14. 36 C.F.R. Part 1194 “Information and Communication Technology Standards and Guidelines,” January 18, 2017

15. Office of Management and Budget (OMB) Circular A-130, “Managing Federal Information as a Strategic Resource,” July 28, 2016

16. 32 C.F.R. Part 199, “Civilian Health and Medical Program of the Uniformed Services (CHAMPUS)”

17. NIST SP 800-66 Rev. 1, “An Introductory Resource Guide for Implementing the Health Insurance Portability and Accountability Act (HIPAA) Security Rule,” October 2008

18. Homeland Security Presidential Directive (12) (HSPD-12), August 27, 2004

19. VA Directive 6500, “VA Cybersecurity Program,” February 24, 2021

20. VA Handbook 6500, “Risk Management Framework for VA Information Systems VA Information Security Program,” February 24, 2021

21. VA Handbook 6500.2, “Management of Breaches Involving Sensitive Personal Information (SPI),” March 12, 2019

22. VA Handbook 6500.5, “Incorporating Security and Privacy into the System Development Lifecycle,” March 22, 2010

23. VA Handbook 6500.6, “Contract Security,” March 12, 2010

24. VA Handbook 6500.8, “Information System Contingency Planning,” April 6, 2011

25. VA Handbook 6500.10, “Mobile Device Security Policy,” February 15, 2018

26. VA Handbook 6500.11, “VA Firewall Configuration,” August 22, 2017

27. OIT Process Asset Library (PAL), https://www.va.gov/process/ . Reference Process Maps at https://www.va.gov/process/maps.asp and Artifact templates at https://www.va.gov/process/artifacts.asp

28. One-VA Technical Reference Model (TRM) (reference at https://www.va.gov/trm/TRMHomePage.aspx)

29. VA Directive 6508, “Implementation of Privacy Threshold Analysis and Privacy Impact Assessment,” October 15, 2014

30. VA Handbook 6508.1, “Procedures for Privacy Threshold Analysis and Privacy Impact Assessment,” July 30, 2015

31. VA Handbook 6510, “VA Identity and Access Management,” January 15, 2016

32. VA Directive and Handbook 6513, “Secure External Connections,” October 12, 2017

33. VA Directive 6300, “Records and Information Management,” September 21, 2018

34. VA Handbook, 6300.1, “Records Management Procedures,“ March 24, 2010

35. NIST SP 800-37 Rev 2, “Risk Management Framework for Information Systems and Organizations: A System Life Cycle Approach for Security and Privacy,” December 2018

36. NIST SP 800-53 Rev. 5, “Security and Privacy Controls for Federal Information Systems and Organizations,” September 23, 2020 (includes updates as of 12/10/2020)

37. VA Directive 0735, “Homeland Security Presidential Directive 12 (HSPD-12) Program,” October 26, 2015

38. VA Handbook 0735, “Homeland Security Presidential Directive 12 (HSPD-12) Program,” March 24, 2014

39. OMB Memorandum 05-24, “Implementation of Homeland Security Presidential Directive (HSPD) 12 – Policy for a Common Identification Standard for Federal Employees and Contractors,” August 5, 2005

40. OMB Memorandum M-19-17, “Enabling Mission Delivery Through Improved Identity, Credential, and Access Management,” May 21, 2019

41. OMB Memorandum, “Guidance for Homeland Security Presidential Directive (HSPD) 12 Implementation,” May 23, 2008

42. Federal Identity, Credential, and Access Management (FICAM) Roadmap and Implementation Guidance, December 2, 2011, (NOTE: Part A of the FICAM Roadmap and Implementation Guidance, v2.0, was replaced in 2015 with an updated Architecture (https://arch.idmanagement.gov/#what-is-the-ficam-architecture)

43. NIST SP 800-116 Rev 1, “Guidelines for the Use of Personal Identity Verification (PIV) Credentials in Facility Access,“ June 2018

44. NIST SP 800-63-3, 800-63A, 800-63B, 800-63C, “Digital Identity Guidelines,” updated March 02, 2020

45. NIST SP 800-157, “Guidelines for Derived PIV Credentials,” December 2014

46. NIST SP 800-164, “Guidelines on Hardware-Rooted Security in Mobile Devices (Draft),” October 2012

47. Draft National Institute of Standards and Technology Interagency Report (NISTIR) 7981, “Mobile, PIV, and Authentication,” March 2014

48. VA Memorandum, VAIQ #7100147, “Continued Implementation of Homeland Security Presidential Directive 12 (HSPD-12),” April 29, 2011 (reference https://www.voa.va.gov/documentlistpublic.aspx?NodeID=514)

49. IAM Identity Management Business Requirements Guidance document, May 2013, (reference Enterprise Architecture Section, PIV/IAM (reference https://www.voa.va.gov/documentlistpublic.aspx?NodeID=514)

50. VA Memorandum “Personal Identity Verification (PIV) Logical Access Policy Clarification,” July 17, 2019, https://www.voa.va.gov/DocumentView.aspx?DocumentID=4896

51. Trusted Internet Connections (TIC) 3.0 Core Guidance Documents, https://www.cisa.gov/publication/tic-30-core-guidance-documents

52. OMB Memorandum M-19-26, “Update to the Trusted Internet Connections (TIC) Initiative,” September 12, 2019

53. OMB Memorandum M-08-23, “Securing the Federal Government’s Domain Name System Infrastructure,” August 22, 2008

54. Sections 524 and 525 of the Energy Independence and Security Act of 2007, (Public Law 110–140), December 19, 2007

55. Section 104 of the Energy Policy Act of 2005, (Public Law 109–58), August 8, 2005

56. Executive Order 13834, “Efficient Federal Operations,” dated May 17, 2018

57. Executive Order 13221, “Energy-Efficient Standby Power Devices,” August 2, 2001

58. VA Directive 0058, “VA Green Purchasing Program,” July 19, 2013

59. VA Handbook 0058, “VA Green Purchasing Program,” July 19, 2013

60. Office of Information Security (OIS) VAIQ #7424808 Memorandum, “Remote Access,” January 15, 2014, https://www.voa.va.gov/DocumentListPublic.aspx?NodeId=28

61. Clinger-Cohen Act of 1996, 40 U.S.C. §11101 and §11103

62. VA Memorandum “Proper Use of Email and Other Messaging Services,” January 2, 2018, https://www.voa.va.gov/DocumentListPublic.aspx?NodeId=28

63. NIST SP 500-267B Revision 1, “USGv6 Profile,” November 2020

64. OMB Memorandum M-21-07, “Completing the Transition to Internet Protocol Version 6 (IPv6),” November 19, 2020

65. Social Security Number (SSN) Fraud Prevention Act of 2017

66. Section 240 of the Consolidated Appropriations Act (CAA) 2018, March 23, 2018

67. VA Directive 6066, “Protected Health Information (PHI) And Business Associate Agreements Management”, September 2, 2014

68. VA Enterprise Cloud Technical Reference Guide, Version 1.3 July 2018

69. Executive Order 14028, Executive Order on Improving the Nation’s Cybersecurity, May 12, 2021.

70. VA Directive 6550, “Pre-procurement assessment and implementation for medical devices/systems”, June 3, 2019

3.0 SCOPE OF WORK

The Contractor shall provide VHA with a state-of-the-art enterprise scale PACS to include a cloud/WAN-enabled PACS viewer, voice recognition system, artificial intelligence system/modules, assignment engine/worklist management, HL7 engine, workflow tools to include internal and external peer review, Tech communication for callback and case notes, and a web-based study QA tool for NTP Support processing of cases prior to release for interpretation. The system shall be designed to initially accommodate 2 million annual studies per year for NTP workload and be scalable to handle additional growth up to 9 million annual exams to accommodate Optional Task 1. If Optional Task 1 is exercised, the system shall be scaled to accommodate VISN PACS deployments with an estimated average annual volume of 1 million studies per VISN. The NextGen PACS shall incorporate a vendor neutral archive (VNA) in one of the following two configurations:

· Option 1: system to utilize the existing VAEC AWS Acuo VNA

· Option 2: system to utilize a Contractor provided cloud hosted VNA along with all other required PACS components which will be deployed in the VAEC.

The NextGen PACS project will be divided into two phases:

4.0 PERFORMANCE PERIOD

The Period of Performance (PoP) shall consist of a base period from date of award until November 30, 2023, when the system must be fully functional and be able to support all the NTP-specific requirements for NextGen PACS.

After the base period, there shall be a total of three (3) 12-month option periods which include ongoing support, sustainment, and system optimization of the NextGen PACS, if exercised.

In addition, there are two optional tasks.

Optional Task 1 is for Phase 2, Phased Expansion of NextGen PACS to VISNs. After the base period is completed, Optional Task 1 can be exercised up to seven (7) times (once per each VISN) during any of the option periods. The period of performance to activate a VISN shall be no more than 6 months for each instance. Optional Task #2 shall be for ongoing VISN service/support post activation shall be exercised for up to 800,000 annual exams per VISN for a period of 12 months.

The total Period of Performance shall not exceed 60 months.

Work associated with ongoing service/support of the NextGen PACS will be required on Federal Holidays and weekends as NextGen PACS is a mission/life critical 24x7x365 medical system.

4.1 PLACE OF PERFORMANCE

Tasks under this PWS shall primarily be performed remotely at the Contractor’s facility via site-to-site VPN, but where required for the installation of on-premises hardware, on-site work will be required at VA facilities, such as data centers. Applications training will be provided on-site or via remote web application.

4.2 TRAVEL

The Government anticipates travel under this effort to perform the tasks associated with the effort, such as installation of on-premises hardware and to provide end-user applications training when on-site training is required. Travel costs will not be directly reimbursed by the Government and will be included within the Contractor’s implementation work.

5.0 SPECIFIC TASKS AND DELIVERABLES

Table 1 provides an overview of the project components required for each phase.

Table 1

Deployment of all items in Phase 1 must be completed no later than November 30, 2023. System may be put into clinical use during the implementation phase as part of system validation, but it must be 100% operational with ALL functionality as specified within this PWS before being considered as complete.

Phase 2 (Optional Task #1)

The Contractor shall perform the following to accomplish these project components:

5.1 PROJECT MANAGEMENT

5.1.1 CONTRACTOR PROJECT MANAGEMENT PLAN

The Contractor shall deliver a Contractor Project Management Plan (CPMP) that lays out the Contractor’s approach, timeline, and tools to be used in execution of the contract. The CPMP should take the form of both a narrative and graphic format that displays the schedule, milestones, risks, and resource support. The CPMP shall also include how the Contractor shall coordinate and execute planned, routine, and ad hoc data collection reporting requests as identified within the PWS. The initial baseline CPMP shall be concurred upon and updated in accordance with Section B of the contract. The Contractor shall update and maintain the VA PM approved CPMP throughout the PoP. The Contractor shall also deliver a detailed Development, Implementation, and Testing Plan.

Deliverable:

A. Contractor Project Management Plan B. Detailed Development, Implementation, and Testing Plan

5.1.2 REPORTING REQUIREMENTS

The Contractor shall provide the COR with Weekly Progress Reports in electronic format. The report shall include detailed instructions/explanations for each required data element, to ensure that data is accurate and consistent. These reports shall reflect data as of the last day of the preceding Week.

The Weekly Progress Reports shall cover all work completed during the reporting period and work planned for the subsequent reporting period. The report shall also identify any problems that arose and a description of how the problems were resolved. If problems have not been completely resolved, the Contractor shall provide an explanation including its plan and timeframe for resolving the issue. The report shall also include an itemized list of all deliverables and their current status. The Contractor shall monitor performance against the CPMP and report any deviations. It is expected that the Contractor will keep in communication with VA accordingly so that issues that arise are transparent to both parties to prevent escalation of outstanding issues.

Deliverables:

A. Weekly Progress Report during initial design/deployment activities.

B. Weekly Progress Report during testing.

C. Weekly Progress Report following activation with review or updates, upgrades, open work orders, trends.

5.2 PHASE ONE – NEXTGEN PACS DEPLOYMENT AND IMPLEMENTATION

The Contractor shall provide a NextGen PACS solution that meets or exceeds the specifications in PWS Attachment 1, “Specifications”.

The Contractor shall also perform the following tasks:

5.2.1 ARCHITECTURE AND DESIGN

5.2.1.1. The Contractor shall develop and maintain the solution architecture aligned with the VA Cloud-First Policy. The Contractor shall provide a Solution Architecture Document.

5.2.1.2 The Contractor shall design a cloud-hosted solution and address VA identified cloud-readiness gaps. The system shall be designed with appropriate redundancy and fault tolerance to eliminate single points of failure.

5.2.1.3 The design for the system shall be centered around a cloud-hosted VNA to include one of the two following options:

Option 1 – The Contractor shall utilize the existing Acuo VNA deployment in the AWS VAEC (2 zones) for the back-end storage layer. All Contractor-provided PACS components shall be designed and deployed in the VAEC and shall interface with the VA provided VNA.