36C24223Q0143 RFQ- SYRACUSE VA INTRAOPERATIVE NEUROMONITORING.pdf

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:

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. UEI: EFT:

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. NOV 2021)

PREVIOUS EDITION IS NOT USABLE Prescribed by GSA - FAR (48 CFR) 53.212

7. FOR SOLICITATION

INFORMATION CALL:

STANDARD FORM 1449

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES

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

36C24223Q0143 02-01-2023

WASSINK, DANELLE 607-664-4783 02-28-2023

16:30 EST

36C242 Department of Veterans Affairs Network Contracting Office (NCO) 2 Bath VA Medical Center 76 Veterans Avenue Bath NY 14810-0810 Danelle Wassink | Contract Specialist Danelle.Wassink@va.gov

X

621399

$9 Million

N/A

36C528

Department of Veterans Affairs Syracuse VA Medical Center Operating Room/Surgical Department 800 Irving Avenue Syracuse NY 13210

36C242

Department of Veterans Affairs Network Contracting Office 2 Bath VA Medical Center 76 Veterans Avenue Bath NY 14810

Tungsten Network https://www.tungsten-network.com/ customer-campaigns/veteransaffairs/

See CONTINUATION Page

The Department of Veterans Affairs, Syracuse VA Medical Center has a turnkey intraoperative neuromonitoring service requirement. Services include neurophysiologist monitoring services, including technologist(s), equipment, and related supplies, as described within the Performance Work Statement.

The Schedule of Services/ Price begins on page 6.

The Performance Work Statement begins on page 17.

Instructions to Offerors Addendum begins on page 81.

The period of performance is a twelve-month base period:

06/01/2023 - 05/31/2024 with (4) twelve-month options to be exercised at the Government's discretion.

Questions must be submitted to Danelle.Wassink@va.gov no later than 2/13/2023 by 17:00 EST.

Quotes and all information requested in the Instructions to Offerors section must be received by 02/28/2023 by 16:30 EST via email to Danelle.Wassink@va.gov.

See CONTINUATION Page

X ONE

ALLAN PRESTON

CONTRACTING OFFICER

36C24223Q0143

Table of Contents

SECTION A

A.1 SF 1449 SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS

AND COMMERCIAL SERVICES

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINSTRATION DATA (Continuation of SF 1449 Blocks 5-18)

B.2 SCHEDULE OF SERVICES, SUPPLIES AND PRICING

B.3 PERFORMANCE WORK STATEMENT

SECTION C - CONTRACT CLAUSES

C.1 52.204-21 BASIC SAFEGUARDING OF COVERED CONTRACTOR

INFORMATION SYSTEMS (NOV 2021)

C.2 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL PRODUCTS

AND COMMERCIAL SERVICES (NOV 2021)

C.3 52.216-18 ORDERING (AUG 2020)

C.4 52.216-19 ORDER LIMITATIONS (OCT 1995)

C.5 52.216-22 INDEFINITE QUANTITY (OCT 1995)

C.6 52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)

C.7 52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000) ...54

C.8 52.232-19 AVAILABILITY OF FUNDS FOR THE NEXT FISCAL YEAR (APR

1984)

C.9 SUPPLEMENTAL INSURANCE REQUIREMENTS

C.10 VAAR 852.211-72 TECHNICAL INDUSTRY STANDARDS (NOV 2018)

C.11 VAAR 852.212-70 PROVISIONS AND CLAUSES APPLICABLE TO VA

ACQUISITION OF COMMERCIAL ITEMS (APR 2020)

C.12 VAAR 852.212-72 GRAY MARKET AND COUNTERFEIT ITEMS (MAR 2020) ..58

C.13 VAAR 852.219-70 SMALL BUSINESS SUBCONTRACTING PLAN MINIMUM

REQUIREMENTS (NOV 2022)

C.14 VAAR 852.237-75 KEY PERSONNEL (OCT 2019)

C.15 VAAR 852.242-71 ADMINISTRATIVE CONTRACTING OFFICER (OCT 2020) ..59

C.16 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

C.17 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT

STATUTES OR EXECUTIVE ORDERS—COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES (OCT 2022)

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

D.1 VHA SUPPLEMENTAL CONTRACT REQUIREMENTS FOR ENSURING

ADEQUATE COVID-19 SAFETY PROTOCOLS FOR FEDERAL CONTRACTORS

D.2 QUALITY ASSURANCE SURVEILLANCE PLAN (QASP)

D.3 CERTIFICATION OF CITIZENSHIP

D.4 ORGANIZATIONAL CONFLICTS OF INTEREST

D.5 PAST PERFORMANCE QUESTIONNAIRE PERFORMANCE SURVEY

D.6 WAGE DETERMINATION 2015-4163 ONONDAGA COUNTY EFFECTIVE

12.27.2022

SECTION E - SOLICITATION PROVISIONS

E.1 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES (NOV 2021)

E.2 52.204-24 REPRESENTATION REGARDING CERTAIN TELECOMMUNICATIONS

AND VIDEO SURVEILLANCE SERVICES OR EQUIPMENT (NOV 2021)

E.3 52.209-7 INFORMATION REGARDING RESPONSIBILITY MATTERS (OCT 2018)

E.4 52.216-1 TYPE OF CONTRACT (APR 1984)

E.5 52.233-2 SERVICE OF PROTEST (SEP 2006)

E.6 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB

1998)

E.7 52.212-2 EVALUATION—COMMERCIAL PRODUCTS AND COMMERCIAL

SERVICES (NOV 2021)

E.8 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—

COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (OCT 2022)

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINSTRATION DATA (Continuation of SF 1449 Blocks 5- 18)

1. Contract Administration: All contract administration matters will be handled by the following individual(s):

a. Contractor _____________________________________________

Address _____________________________________________

City/State/Zip _____________________________________________

Point of Contact _____________________________________________

Telephone Number _____________________________________________

Fax Number _____________________________________________

Email Address ____________________________________________

TAX ID Number _____________________________________________

SAM UEI NUMBER _____________________________________________

b. Government:

Danelle Wassink, Contract Specialist Department of Veterans Affairs, Network Contracting Office 2 76 Veterans Avenue Bath, NY 14810 Phone: 607-664-4783 Email: Danelle.Wassink@va.gov

Allan Preston, Branch Chief Department of Veterans Affairs, Network Contracting Office 2 2875 Union Road, Suite 3500 Cheektowaga, NY 14227 Phone: 716-862-7359 Email: Allan.Preston@va.gov

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

[X] 52.232-33, Payment by Electronic Funds Transfer – System for Award Management [ ] 52.232-34, Payment by Electronic Funds Transfer – Other than System for Award Management [ ] 52.232-36, Payment by Third Party mailto:Danelle.Wassink@va.gov mailto:Allan.Preston@va.gov

3. INVOICES: Invoices shall be submitted in arrears:

Quarterly [ ] Semi-Annually [ ] Other [X] – Monthly

4. SECURE FAX: VA Handbook 6500 requires the following statement on all fax cover sheets be included:

“This fax is intended only for the use of the person or office to which it is addressed and may contain information that is privileged, confidential, or protected by law. All others are hereby notified that the receipt of this fax does not waive any applicable privilege or exemption for disclosure and that any dissemination, distribution, or copying of this communication is prohibited. If you have received this fax in error, please notify this office immediately at the telephone number listed above.”

5. SOLICITATION/CONTRACT: This solicitation and resulting contract adheres to the format defined in Federal Acquisition Regulation (FAR) Parts 12 and 13. An official copy of the FAR can be obtained at: https://www.acquisition.gov/far/

6. POST AWARD ORIENTATION: The Contracting Officer will schedule a post award orientation for contract orientation purposes as required by VAAM842.5 Postaward Orientation..

7. TECHNICAL INQUIRIES: Direct all technical inquiries in writing to Contract Specialist, Danelle Wassink via email at: Danelle.Wassink@va.gov. ALL inquiries must be in writing.

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

AMENDMENT NO

DATE

https://www.va.gov/oal/library/vaam/vaamM842.asp https://www.va.gov/oal/library/vaam/vaamM842.asp

B.2 SCHEDULE OF SERVICES, SUPPLIES AND PRICING

Contractor shall provide turnkey intraoperative neuromonitoring services, equipment and supplies as required per the PWS to the Department of Veterans Affairs, Syracuse VA Medical Center.

Place of Performance: Services shall be delivered and provided at:

Department of Veterans Affairs Syracuse VA Medical Center Surgical/ Operating Department 800 Irving Avenue Syracuse, NY 13210

Period of Performance: Base year: 06/01/2023 – 05/31/2024 with (4) twelve-month options to be exercised at the discretion of the Government.

BASE PERIOD OF PERFORMANCE: 06/01/2023 – 05/31/2024

CLIN ITEM QUANTITY UNIT PRICE TOTAL PRICE

Intraoperative Neuromonitoring Technical Services Fee and Standard Supply Fee- Regular Business Hours

JB

BASE PERIOD AFTERHOURS SURCHARGES

0002a Weekend Surcharge Friday 6pm- Monday 6am

EA

0002b Federal Holiday Surcharge 4 EA

BASE PERIOD SPECIALTY SUPPLIES, AS REQUIRED

CLIN ITEM QUANTITY UNIT PRICE TOTAL PRICE

0003a Paired Needle Electrode 12mm, 2-Ch (CNX) Product #DM-8227410

0003b Ball-Tip Probe, 90mm Product #PNG2.3-90

0003c Ball-Tip Probe, 100mm Product #RLBTP100-25

0003d Ball-Tip Probe, 160mm Product #PNG2.3/160

0003e Ball-Tip Probe, 200mm Product #PNG2.3/200

0003f Concentric Probe Product #3600-00

0003g Monopolar Probe-Magstim Product #3602-00-TE

0003h Monopolar Probe- Rhythmlink Product #RLMSP050-25

0003i Pedicle Screw Ball Tip Probe 2.3mm tip Product #4008-00

0003j Pedicle Screw Ball Tip Probe 3mm tip Product #3603-00-TE

0003k XL Pedicle Screw Ball Tip Probe 3mm tip Product #4056-00

0003l Prass Probe Stimulator Product #DM-8225101

0003m Flush Tip Probe Product #PNT0.8-90

0003n Bipolar Probe Product #PNB0.8x2-90

0003o Double Hook Probe 90 deg Product #4009-00

0003p Double Hook Probe 180 deg Product #302422-000

0003q Triple Hook Probe 90 deg Product #4003-00

0003r Triple Hook Probe 180 deg Product #302424-000

0003s Bipolar Cortical Stimulator Probe Product #222-496100

0003t Double Ball-Tip Probe Product #302431-000

0003u 4-Contact Platinum Strip Product #MS04R-IP10X-0JH

0003v 6-Contact Platinum Strip Product #MS06R-IP10X-0JH

0003w 8-Contact Platinum Strip Product #MS08R-IP10X-0JH

0003x 8-Contact (2x4) Stainless Steel Grid Product #2111-08-075

0003y 8-Contact (2x4) Platinum Grid, Pediatric Product #FG08C-MP03X-0JJ

0003z 20-Contact (4x5) Platinum Grid Product #FG20C-IP10X-0JF

0003aa Epidural Spinal Electrode 3-contact Product #CEDL-3PDINX-100

0003bb Clip-On Leadwire Product #302773-200

0003cc Multi Stage Clip Product #302775-200

0003dd NVM5 EMG ET Tube, 6mm ENT Kit Product #2010460

0003ee NVM5 EMG ET Tube, 7mm ENT Kit Product #2010470

0003ff NVM5 EMG ET Tube, 8mm ENT Kit Product #2010480

0003gg 2-Channel dragonfly 6.0-7.0 Product #LSE500DCS

0003hh

2-Channel dragonfly 8.0-9.5 Product #LSE500DCL

0003ii

1-Channel dragonfly 2.0-5.0 Product #LSE600MSP

0003jj 1-Channel dragonfly 6.0-7.0 Product #LSE500MS

0003kk 1-Channel dragonfly 7.5-10.0 Product #LSE500M

0003ll APS Electrode Set, 3mm Product #DM-8228053

0003mm APS Electrode Set, 2mm Product #DM-8228052

0003nn ERG Jet Contact Lens Product #842-216700

0003oo Urethral Electrode Product #DUE2L528202

0003pp

Single Platinum Needle Electrode 1.2m Product #F-E2-48

BASE PERIOD TOTAL ESTIMATED SERVICES, SURCHARGES, AND SPECIALTY SUPPLIES:

OPTION 1 PERIOD OF PERFORMANCE: 06/01/2024 – 05/31/2025

Intraoperative Neuromonitoring

OPTION 1 AFTERHOURS SURCHARGES

1002a

Friday 6pm to Monday 6am

1002b Federal Holiday Surcharge 4 EA

OPTION 1 SPECIALTY SUPPLIES, AS REQUIRED

CLIN ITEM QUANTITY UNIT PRICE TOTAL PRICE

1003a Paired Needle Electrode 12mm, 2-Ch (CNX) Product #DM-8227410

1003b

1003c

1003d

1003e

1003f

1003g

1003h

1003i

1003j

1003k

1003l

1003m

1003n

1003o

1003p

1003q

1003r

1003s

1003t

1003u

1003v

1003w

1003x

1003y

1003z

1003aa

1003bb

1003cc

1003dd

1003ee

1003ff

1003gg

1003hh

1003ii

1003jj

1003kk

1003ll

1003mm

1003nn

1003oo

1003pp

OPTION 1 TOTAL ESTIMATED SERVICES, SURCHARGES, AND SPECIALTY SUPPLIES:

OPTION 2 PERIOD OF PERFORMANCE: 06/01/2025 – 05/31/2026

Intraoperative Neuromonitoring

OPTION 2 AFTERHOURS SURCHARGES

2002a

2002b

Federal Holiday Surcharge

OPTION 2 SPECIALTY SUPPLIES, AS REQUIRED

2003a

2003b

2003c

2003d

2003e

2003f

2003g

2003h

2003i

2003j

2003k

2003l

2003m

2003n

2003o

2003p

2003q

2003r

2003s

2003t

2003u

2003v

2003w

2003x

2003y

2003z

2003aa

2003bb

2003cc

2003dd

2003ee

2003ff

2003gg

2003hh

2003ii

2003jj

2003kk

2003ll

2003mm

2003nn

2003oo

2003pp

OPTION 2 TOTAL ESTIMATED SERVICES, SURCHARGES, AND SPECIALTY SUPPLIES:

OPTION 3 PERIOD OF PERFORMANCE: 06/01/2026 – 05/31/2027

Intraoperative Neuromonitoring

OPTION 3 AFTERHOURS SURCHARGES

3002a

3002b

OPTION 3 SPECIALTY SUPPLIES, AS REQUIRED

3003a

3003b

3003c

3003d

3003e

3003f

3003g

3003h

3003i

3003j

3003k

3003l

3003m

3003n

3003o

3003p

3003q

3003r

3003s

3003t

3003u

3003v

3003w

3003x

3003y

3003z

3003aa

3003bb

3003cc

3003dd

3003ee

3003ff

3003gg

3003hh

3003ii

3003jj

3003kk

3003ll

3003mm

3003nn

3003oo

3003pp

OPTION 3 TOTAL ESTIMATED SERVICES, SURCHARGES, AND SPECIALTY SUPPLIES:

OPTION 4 PERIOD OF PERFORMANCE: 06/01/2027 – 05/31/2028

Intraoperative Neuromonitoring

OPTION 4 AFTERHOURS SURCHARGES

4002a

4002b

OPTION 4 SPECIALTY SUPPLIES, AS REQUIRED

4003a

4003b

4003c

4003d

4003e

4003f

4003g

4003h

4003i

4003j

4003k

4003l

4003m

4003n

4003o

4003p

4003q

4003r

4003s

4003t

4003u

4003v

4003w

4003x

4003y

4003z

4003aa

4003bb

4003cc

4003dd

4003ee

4003ff

4003gg

4003hh

4003ii

4003jj

4003kk

4003ll

4003mm

4003nn

4003oo

4003pp

OPTION 4 TOTAL ESTIMATED SERVICES, SURCHARGES, AND SPECIALTY SUPPLIES:

**ESTIMATED QUANTITIES: All quantities listed herein are estimated quantities. The Government is not obligated to purchase any specified amount beyond the minimum order value for services under this contract. The Government will be obligated to make payment for all services requested and received in the quantities and of the quality requested. The Government does not guarantee or imply that any specified number of orders/referrals for services will be placed under this contract.

B.3 PERFORMANCE WORK STATEMENT

1. GENERAL:

1.1. Services Provided: Electro Neurophysiologic Technologist as Needed. The Contractor shall provide VA and Joint Commission Certified Interoperative Monitoring Services on site in accordance with the specifications contained herein to beneficiaries of the Department of Veterans Affairs (VA) and the Syracuse VA Medical Center.

1.1.1. Place of Performance: - Contractor shall furnish services at the Syracuse VA Medical Center, 800 Irving Avenue, Syracuse, NY 13210.

Scope: - The Contractor shall provide as needed and case-by-case service that enables Syracuse VAMC to offer IONM options for patients under the direct medical care within the operating room. The IONM Contractor must be experienced and available to cover scheduled and emergency cases 24/7/365, within one 1.5 hours of notification for cases scheduled after hours, weekends and holidays. Routine cases must be scheduled by 1:00pm EST on the day immediately preceding the surgery or by 1:00pm EST on Friday if the case will be performed on Monday. Specialized cases require at least 72 hours’ notice and preferably one week.

Services are “technical only” and shall include intraoperative, preoperative, postoperative neurophysiologic monitoring services and evoked potential testing for neurosurgery patients. Contractor shall provide interoperative neuromonitoring services.

Intraoperative monitoring modalities needed include: SSEPS, TcMEP, S-EMG, T-EMG, spinal cord mapping including D-Waves, DNEPs, NMEPs, Cortical, motor, sensory, language mapping, white matter tract and brainstem nuclei mapping, brainstem auditory evoked responses, visual evoked potentials, cranial nerve monitoring, and intraoperative EEG. Specialized cases are procedures requiring advanced IONM techniques or advanced skills including the following: cortical SSEP mapping, direct cortical stimulation mapping of motor cortex, language mapping, brainstem nuclear mapping, cerebral white matter mapping, cases requiring measurement of lateral spread, brachial plexus cases and selective dorsal root rhizotomies.

Services are to be conducted in the operating room on a per case basis as determined by the Chief of Surgical Service. The Surgical Chief shall notify the OR Manager or appropriate designee in Surgical Service when monitoring services are needed for a neurosurgical patient. The OR Manager or appropriate designee will contact the Contractor with the request for monitoring. All changes to the proposed monitoring, to include date/time, type of monitoring, etc., will be conveyed by the OR Manager or appropriate designee to the Contractor.

1.2. Authority: Federal Acquisition Register Subpart 13.5 - Simplified Procedures for Certain Commercial Items.

1.3. Policy/Handbooks: The contractor shall be subject to the following policies, including any subsequent updates during the period of performance:

1.3.1. VHA Handbook 1100.17: National Practitioner Data Bank Reports:

https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2135

1.3.2. VHA Handbook 1100.18: Reporting And Responding To State Licensing Boards:

https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=1364 https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2135 https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=1364

1.3.3. VHA Directive 1003.04: VHA Patient Advocacy:

https://vaww.va.gov/vhapublications/ViewPublication.asp?pub_ID=5970

1.3.4. VHA Directive 1088: Communicating Test Results to Providers and Patients:

https://vaww.va.gov/vhapublications/ViewPublication.asp?pub_ID=3148

1.3.5. VHA Directive 1192.01: Seasonal Influenza Prevention Program:

https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=8948

1.3.6. VA Directive 1663: Health Care Resources Contracting – Buying:

https://www.va.gov/vapubs/viewPublication.asp?Pub_ID=969&FType=2

1.3.7. VHA Directive 1907.01: VHA Health Information Management and Health Records: https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=9235

1.3.8. Privacy Act of 1974 (5 U.S.C. 552a) as amended:

http://www.justice.gov/oip/foia_updates/Vol_XVII_4/page2.htm

1.1. Definitions/Acronyms: - Terms used in this contract shall be interpreted as follows unless the context expressly requires a different construction and/or interpretation. In case of a conflict in language between the Definitions and other sections of this contract, the language in this section shall govern.

IONM: Interoperative Neuromonitoring.

CDC: Centers for Disease Control and Prevention CEU: Certified Education Unit CME: Continuing Medical Education Contracting Officer (CO): – The person executing this contract on behalf of the Government with the authority to enter into and administer contracts and make related determinations and findings.

Contracting Officer’s Representative (COR): – A person appointed by the CO to take necessary action to ensure the Contractor performs in accordance with and adheres to the specifications contained in the contract and to protect the interest of the Government. The COR shall report to the CO promptly any indication of non-compliance in order that appropriate action can be taken.

COS: Chief of Staff CPARS: Contractor Performance Assessment Reporting System CPRS: Computerized Patient Recordkeeping System- electronic health record system used by the VA.

EEG (intraoperative): Electroencephalogram DNEPs: Descending neurogenic evoked potential FSMB: Federation of State Medical Boards HHS: Department of Health and Human Services HIPAA: Health Insurance Portability and Accountability Act ISO: Information Security Officer NMEP: Neurogenic motor evoked potential POP: Period of Performance PWS: Performance Work Statement OR: Operating Room EEG: electroencephalogram Providers of Care: any providers or servicing individuals who enter the VA under the contract, including onsite technicians.

QA/QI: Quality Assurance/Quality Improvement QM/PI: Quality Management/Performance Improvement QASP: Quality Assurance Surveillance Plan S-EMG: Stimulus Evoked Electromyograph SSEPS: Somatosensory evoked potential TcMEP: Transcranial motor evoked potential https://vaww.va.gov/vhapublications/ViewPublication.asp?pub_ID=5970 https://vaww.va.gov/vhapublications/ViewPublication.asp?pub_ID=3148 https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=8948 https://www.va.gov/vapubs/viewPublication.asp?Pub_ID=969&FType=2 https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=9235 http://www.justice.gov/oip/foia_updates/Vol_XVII_4/page2.htm

T-EMG: Triggered Electromyograph National Provider Identifier (NPI): NPI is a standard, unique 10-digit numeric identifier required by HIPAA. The Veterans Health Administration must use NPIs in all HIPAA-standard electronic transactions for individual (health care practitioners) and organizational entities (medical centers).

Veterans’ Health Administration (VHA): The central office for administration of the VA medical centers through throughout the United States. The VHA is located in Washington, D.C.

Veterans Integrated Services Network (VISN): The regional oversight for the VA medical centers.

VISTA (Veterans Integrated Systems Technology Architecture): A PC based system that will capture and store clinical imagery, scanned documents and other non-textual data files and integrates them into patient’s medical record and with the hospital information system.

Veterans Affairs Medical Center (VAMC): Unless identified with the name of a different VA Medical Center, for purposes of this contract, this term shall mean the Syracuse VA Medical Center, in Syracuse, NY.

2. QUALIFICATIONS:

2.1. Staff/Facility

2.1.1. Board Certification: -

2.1.1.1. The contractor shall provide Electro Neurophysiologic Technologists who perform on-site IONM services who is accredited through the American Board of Registered Electro Neurophysiologic Technologist (http://www.abret.org).

This technical certification is intended for technologists who work under supervision by a Neurophysiologist or Neurologist. All continuing education courses required for maintaining certification must be kept up to date at all times. Documentation verifying current certification shall be provided by the Contractor to the VA Contracting Officer Representative (COR) within the first thirty (30) days of contract award and shall provide on an annual basis for each year of contract performance.

2.1.1.2. On-site providers shall be certified in Basic Life Support (BLS). All continuing education courses required for maintaining certification must be kept up to date at all times. Documentation verifying current certification shall be provided by the Contractor to the VA COR on an annual basis for each year of contract performance.

2.1.2. Technical Proficiency: The Contractor must be capable of providing real-time data; in addition, the Contractor will offer the most recent technology and hardware. The Contractor will work closely with the surgeons, nursing staff, schedulers, Clinical Engineering, and Sterilization and Processing Service. It is the responsibility of the Contractor to provide a surgical system that has the ability to function with the current power (electrical) supply. The Contractor shall provide scheduled services throughout the contract period. In the event of the absence of contractor’s personnel for any reason, the contractor shall bear the responsibility of providing replacement personnel to provide the scheduled services without any additional cost to the government. All and any replacement personnel must meet the technical requirements prior to providing care to Syracuse VAMC patients.

Finally, the Contractor will provide a complete Quality Assurance program that monitors, track any successes or complications. Reports are due to the COR no later than the 10th of each month following the end of the quarter.

2.1.2.1. The contractor shall provide Electro Neurophysiologic Technologists who perform on-site IONM services. Intraoperative monitoring modalities needed include: SSEPS, TcMEP, S-EMG, T-EMG, spinal cord mapping including D- Waves, DNEPs, NMEPs, Cortical, motor, sensory, language mapping, white matter tract and brainstem nuclei mapping, brainstem auditory evoked responses, visual evoked potentials, cranial nerve monitoring, and intraoperative EEG.

2.1.2.2. Electro Neurophysiologic Technologist shall be technically proficient in the skills necessary to fulfill the Government’s requirements, including the ability to speak, understand, read and write English fluently. Contractor shall provide documents upon request of the COR to verify current and ongoing competency and skills upon completion. Contractor shall provide verifiable evidence of all educational and training experiences including any gaps in educational history for all Electro Neurophysiologic Technologists. Electro Neurophysiologic Technologists shall be responsible for abiding by the Facility's Medical Staff By-Laws, rules, and regulations (referenced herein) that govern staff behavior.

2.1.2.3. The Electro Neurophysiologic Technologist will be responsible to test equipment prior to use and to make any adjustments in the equipment settings that are required. The Electro Neurophysiologic Technologist will select predetermined electrode combinations as well as non-standard assortments as necessary. The Electro Neurophysiologic Technologist will obtain standard recordings and report on-going status of patient’s nervous system to the surgeon.

2.1.2.4. The Electro Neurophysiologic Technologist must be capable of recognizing artifacts in the data, differentiate them from evoked potential patterns, and take appropriate steps to eliminate them. They will obtain patient medical information when requested and will translate test results from computer files to a hard copy report for VA Neurologist’s interpretation.

2.1.2.5. Contractor’s personnel shall be capable of providing technical and professional direction during surgical procedure and notify the attending surgeon immediately in the event possible damage may occur to the patient.

2.1.2.6. Neurophysiologic Technologists are requested to provide a list of all clients served in the past 12 months to permit Syracuse VA Medical Center to contact any reference of our choosing to verify technical capabilities.

2.1.3. Training (BLS, EHR and VA MANDATORY): Contractor shall meet all VA educational requirements and mandatory course requirements defined herein; all training must be completed by the contractor’s Neurophysiologic Technologist(s) as required by the VA. Other training may become required. VA will communicate any changes to the training requirement to the contractor.

Training Frequency (once a year, etc)

Annual Hours

VA Privacy and Information Security Awareness and Rules of Behavior

Yearly 1 hour

VHA Privacy and HIPAA Focused Training

Yearly 1 hour

BLS Every two years 3 hours

2.1.4. Standard Personnel Testing (PPD, etc.): Contractor shall provide proof of the following tests for providers of care entering the facility within five (5) calendar days after contract award and prior to the first duty shift to the COR and Contracting Officer. Tests shall be current within the past year.

2.1.4.1. TUBERCULOSIS TESTING: Contractor shall provide proof of a negative reaction to PPD testing for all contractor’s providers of care. A negative chest radiographic report for active tuberculosis shall be provided in cases of positive PPD results. The PPD test shall be repeated annually.

2.1.4.2. RUBELLA TESTING: Contractor shall provide proof of immunization for all contract providers of care for measles, mumps, rubella or a rubella titer of 1.8 or greater. If the titer is less than 1.8, a rubella immunization shall be administered with follow-up documentation to the COR.

2.1.4.3. VARICELLA: Contractors shall provide proof of immunity for all Contractors.

2.1.4.4. ACELLULAR PERTUSSIS: Contractors shall provide proof of 1 dose of Tdap vaccination for all Contractors.

2.1.4.5. INFLUENZA: Contractors shall provide proof that all contractor personnel have received the annual Influenza vaccine unless it is contraindicated. If the contractor personnel has a medical contradiction to the vaccine, they shall be required to wear a mask during the Influenza season. {This is applicable to all health care workers}.

2.1.4.6. COVID-19: Contractors shall comply with VHA Supplemental Contract Requirements for Combatting COVID-19 {This is applicable to all health care workers}. – See Section D.1 attachment.

2.1.4.7. OSHA Regulation Concerning Occupational Exposure to Bloodborne Pathogens: Contractor shall provide generic self-study training for all contractor’s providers of care; provide their own Hepatitis B vaccination series at no cost to the VA if they elect to receive it; maintain an exposure determination and control plan; maintain required records; and ensure that proper follow-up evaluation is provided following an exposure incident.

Syracuse VAMC shall notify the contractor of any significant communicable disease exposures as appropriate. Contractor shall adhere to current CDC/HICPAC Guideline for Infection Control in health care personnel ( as published in American Journal for Infection Control- AJIC 1998; 26:289-354 http://www.cdc.gov/hicpac/pdf/InfectControl98.pdf) for disease control.

Contractor shall provide follow up documentation of clearance to return to the workplace prior to their return.

http://www.cdc.gov/hicpac/pdf/InfectControl98.pdf

2.1.4.8. Syracuse VAMC shall notify the contractor of any significant communicable disease exposures as appropriate. Contractor shall adhere to current CDC/HICPAC Guideline for Infection Control in health care personnel (as published in American Journal for Infection Control- AJIC 1998; 26:289-354 http://www.cdc.gov/hicpac/pdf/InfectControl98.pdf) for disease control.

Contractor shall provide follow up documentation of clearance to return to the workplace prior to their return.

2.1.5. Conflict of Interest: The Contractor and all contractor’s Neurophysiologic

Technologists are responsible for identifying and communicating to the CO and COR conflicts of interest at the time of quote and during the entirety of contract performance. At the time of quote, the contractor shall provide a statement which describes, in a concise manner, all relevant facts concerning any past, present, or currently planned interest (financial, contractual, organizational, or otherwise) or actual or potential organizational conflicts of interest relating to the services to be provided. The contractor shall also provide statements containing the same information for any identified consultants or subcontractors who shall provide services. The contractor must also provide relevant facts that show how it’s organizational and/or management system or other actions would avoid or mitigate any actual or potential organizational conflicts of interest. These statements shall be in response to the VAAR provision 852.209-70 Organizational Conflicts of Interest (Jan 2008) and fully outlined in response to the subject attachment in Section D of the solicitation document.

2.1.6. Citizenship related Requirements:

2.1.6.1. The contractor certifies that the contractor shall comply with any and all legal provisions contained in the Immigration and Nationality Act of 1952, As Amended; its related laws and regulations that are enforced by Homeland Security, Immigration and Customs Enforcement and the U.S Department of Labor as these may relate to non-immigrant foreign nationals working under contract or subcontract for the Contractor while providing services to Department of Veterans Affairs patient referrals;

2.1.6.2. While performing services for the Department of Veterans Affairs, the Contractor shall not knowingly employ, contract or subcontract with an illegal alien; foreign national non-immigrant who is in violation their status, as a result of their failure to maintain or comply with the terms and conditions of their admission into the United States. Additionally, the Contractor is required to comply with all “E-Verify” requirements consistent with “Executive Order 12989” and any related pertinent Amendments, as well as applicable Federal Acquisition Regulations.

2.1.6.3. If the contractor fails to comply with any requirements outlined in the preceding paragraphs or its Agency regulations, the Department of Veterans Affairs may, at its discretion, require that the foreign national who failed to maintain their legal status in the United States or otherwise failed to comply with the requirements of the laws administered by Homeland Security, Immigration and Customs Enforcement and the U.S Department of Labor, shall be prohibited from working at the contractor’s place of business that services Department of Veterans Affairs patient referrals; or other place where the contractor provides services to veterans who have been referred by the Department of Veterans Affairs; and shall form the basis for termination of this contract for breach.

http://www.va.gov/vhapublications/ViewPublication.asp

2.1.6.4. This certification concerns a matter within the jurisdiction of an agency of the

United States and the making of a false, fictitious, or fraudulent certification may render the maker subject to prosecution under 18 U.S.C. 1001.

2.1.6.5. The contractor agrees to obtain a similar certification from its subcontractors.

The certification shall be made as part of the Contractors response to the RFQ using the subject attachment in Section D of the solicitation document.

2.1.9. Annual Office of Inspector General (OIG) Statement: In accordance with HIPAA and the Balanced Budget Act (BBA) of 1977, the Department of Health and Human Services (HHS) Office of Inspector General (OIG) has established a list of parties and entities excluded from Federal health care programs. Specifically, the listed parties and entities may not receive Federal Health Care program payments due to fraud and/or abuse of the Medicare and Medicaid programs.

2.1.6.6. Therefore, contractor shall review the HHS OIG List of Excluded Individuals/Entities on the HHS OIG web site at http://oig.hhs.gov/exclusions/index.asp to ensure that the proposed contractor’s providers of care are not listed. Contractor should note that any excluded individual or entity that submits a claim for reimbursement to a Federal health care program, or causes such a claim to be submitted, may be subject to a Civil Monetary Penalty (CMP) for each item or service furnished during a period that the person was excluded and may also be subject to treble damages for the amount claimed for each item or service. CMP’s may also be imposed against the contractor that employ or enter into contracts with excluded individuals to provide items or services to Federal program beneficiaries.

2.1.6.7. By submitting their quote, the contractor certifies that the HHS OIG List of Excluded Individuals/Entities has been reviewed and that the contractors are and/or firm is not listed as of the date the offer/bid was signed.

2.2. Professional Performance: The qualifications of contractor personnel are subject to review by VA Medical Center COS or his/her clinical designee and approval by the Medical Center Director as provided in VHA Handbook 1100.19. Professional performance monitoring and review of all personnel covered by this contract for quality purposes will be provided by the Syracuse VAMC COS and/or the Chief of the Service or his designee. A COR may be appointed, however, only the CO is authorized to consider any contract modification request and/or make changes to the contract during the administration of the resultant contract.

2.3. Non-Personal Healthcare Services: The parties agree that the contractor and all contractor’s Electro Neurophysiologic Technologist shall not be considered VA employees for any purpose.

2.4. Indemnification: The contractor shall be liable for, and shall indemnify and hold harmless the Government against, all actions or claims for loss of or damage to property or the injury or death of persons, arising out of or resulting from the fault, negligence, or act or omission of the contractor, its agents, or employees.

2.5. Inherent Government Functions: Contractor and contractor’s Electro

Neurophysiologic Technologist’s shall not perform inherently governmental functions.

This includes, but is not limited to, determination of agency policy, determination of http://oig.hhs.gov/exclusions/index.asp

Federal program priorities for budget requests, direction and control of government employees (outside a clinical context), selection or non-selection of individuals for Federal Government employment including the interviewing of individuals for employment, approval of position descriptions and performance standards for Federal employees, approving any contractual documents, approval of Federal licensing actions and inspections, and/or determination of budget policy, guidance, and strategy.

2.6. No Employee status: The contractor shall be responsible for protecting contractor’s

Neurophysiologic Technologists furnishing services. To carry out this responsibility, the contractor shall provide or certify that the following is provided for all their staff providing services under the resultant contract:

• Workers’ compensation

• Professional liability insurance

• Health examinations

• Income tax withholding, and

• Social security payments.

2.7. Tort Liability: The Federal Tort Claims Act does not cover contractor or contractor’s

Neurophysiologic Technologists. When a contractor or contractor’s Neurophysiologic Technologists have been identified as a provider in a tort claim, the contractor shall be responsible for notifying their legal counsel and/or insurance carrier. Any settlement or judgment arising from a contractor’s (or contractor’s Neurophysiologic Technologists) action or non-action shall be the responsibility of the contractor and/or insurance carrier.

2.8. Liability and Insurance Requirements

2.8.1. The Contractor shall provide insurance coverage in accordance with Federal Acquisition Regulation (FAR) Clause 52.228-5, Insurance – Work On a Government Installation (Jan 1997), VA Acquisition Regulation (VAAR) Clause 852.237-7, Indemnification and Medical Liability Insurance (Jan 2008), and Supplemental Insurance Requirements incorporated herein under the Clauses Section.

2.8.2. Before commencing work under the contract, the Contractor shall furnish to the Contracting Officer a certificate of insurance indicating the coverage outlined herein or in FAR Clause 52.228-5 and VAAR Clause 852.237-7 containing an endorsement to the effect that cancellation of, or any material change in the policies which adversely affect the interests of the Government in such insurance shall not be effective unless a 30-day advance written notice of cancellation or change is furnished the Government.

2.9. Key Personnel:

2.9.1. Technical Personnel Required: The contractor shall provide contracted Electro

Neurophysiologic Technologists who are competent, qualified per this Performance Work Statement and adequately trained to perform assigned duties.

2.9.2. At all times during procedures in the operating room, the ratio of contracted staff to patient will be at a minimum 1 to 1, which will be established, and may be revised, as deemed appropriate for patient care, by the Chief of Staff.

2.9.3. Personnel Substitutions: During the first ninety (90) calendar days of performance, the contractor shall make NO substitutions of key personnel unless the substitution is necessitated by illness, death or termination of employment. The contractor shall notify the CO, in writing, within three (3) calendar day(s) after the occurrence of any of these events and provide the information required below.

After 90 days, the contractor shall submit the information required below to the CO at least 30 calendar days prior to making any permanent substitutions.

2.9.3.1. The contractor shall provide a detailed explanation of the circumstances necessitating the proposed substitutions, complete resumes for the proposed substitutes, and any additional information requested by the CO. Proposed substitutes shall have comparable qualifications to those of the persons being replaced. The CO will notify the Contractor within ten (10) calendar days after receipt of all required information of the decision on the proposed substitutes.

The contract will be modified to reflect any approved changes of key personnel.

2.9.3.2. For temporary substitutions where the key person shall not be reporting to work for three consecutive workdays or more, the contractor shall provide a qualified replacement for the key person. The substitute shall have comparable qualifications to the key person. Any period exceeding two weeks will require the procedure as stated above.

2.9.3.3. The Government reserves the right to refuse acceptance of any contractor personnel at any time after performance begins, if personal or professional conduct jeopardizes patient care or interferes with the regular and ordinary operation of the facility. Breaches of conduct include intoxication or debilitation resulting from drug use, theft, patient abuse, dereliction or negligence in performing directed tasks, or other conduct resulting in formal complaints by patient or other staff members to designated Government representatives. Standards for conduct shall mirror those prescribed by current federal personnel regulations. Should the VA COS or designee show documented clinical problems or continual unprofessional behavior/actions with any Contractor’s Neurophysiologic Technologist(s), s/he may request, without cause, immediate replacement of said Contractor’s Neurophysiologic Technologist(s). The CO and COR shall deal with issues raised concerning Contractor’s Neurologists (s) conduct. The final arbiter on questions of acceptability is the CO.

2.9.3.4. Contingency Plan: Because continuity of care is an essential part of Syracuse VAMC’s medical services, The contractor shall have a contingency plan in place to be utilized if the contractor’s Neurophysiologic Technologist(s) leave contractor’s employment or is unable to continue performance in accordance with the terms and conditions of the resulting contract.

3. HOURS OF OPERATION:

3.1. VA Business Hours: Normal hours of operations are 7:00 am – 5:00 pm, Monday through Friday. The operating room is open 24 hours/day and a contractor shall be available for procedures 365 days/year, 24/7.

3.1.1. Contractor’s services shall be available and present for all hours of possible scheduled operations, which will be established, and may be revised, as deemed appropriate for patient care by the Chief of Staff. Currently normal operating room hours are 7:00 am – 5:00 pm, Monday through Friday.

3.1.1.1. Routine cases must be scheduled by VA by 1:00 p.m. Eastern Time on the day immediately preceding the surgery or by 1:00 p.m. Eastern Time on Friday if the case will be performed on Monday.

3.1.1.2. During normal business hours of operation, contracted staff shall be onsite and ready to perform services 45 minutes prior to the start of surgery.

Equipment and technicians shall be cleared through biomed and SPS 45 minutes prior to surgical procedure.

3.1.2. Contracted personnel shall be available for procedures outside of normal hours of operations, including evenings, weekends and holidays.

3.1.2.1. VA will provide notice of at least 1.5 hrs. for cases scheduled after hours, weekends, and holidays

3.1.2.2. Outside of normal business hours, contracted staff should report to the operating room within 60 minutes of being called for surgery.

3.1.3. Contractor personnel shall be available for Specialty Procedures

3.1.3.1. Specialized cases require the VA to provide least seventy two (72) hours’ notice and preferably one week. Specialized cases are procedures using the Cascade system requiring advanced IONM techniques or advanced skills including the following: cortical SSEP mapping, direct cortical stimulation mapping of motor cortex, language mapping, brainstem nuclear mapping, cerebral white matter mapping, cases requiring measurement of lateral spread, brachial plexus cases and selective dorsal root rhizotomies.

3.2. Federal Holidays: The following holidays are observed by the Department of Veterans

Affairs:

• New Year’s Day

• President’s Day

• Martin Luther King’s Birthday

• Memorial Day

• Juneteenth

• Independence Day

• Labor Day

• Columbus Day

• Veterans Day

• Thanksgiving

• Christmas

• Any day specifically declared by the President of the United States to be a national holiday.

3.3 Cancellations: Contractor will not cancel service for any reason.

3.3.1 Unless a state of emergency has been declared or clinics are otherwise cancelled by the Syracuse VAMC, the contractor shall be responsible for providing services.

4. TECHNOLOGIST RESPONSIBILITIES

4.1. The Contractor shall furnish “technical only” services, not including any professional oversight via Contractor MD/DO Neurologists. The Contractor shall furnish all supplies, accessories, equipment, consumables, transportation, delivery, training, and services.

The Contractor shall provide 24/7 onsite case coverage and scheduling 365 days/year by Key Personnel who are cleared to perform services after submitting to a background check and fingerprinting. Electro Neurophysiologic Technologists must be available for onsite coverage before and during surgery. Contractor shall coordinate provision of services with the attending surgeon or designee. Contractor shall complete all administrative tasks and required documentation immediately following the procedures.

4.2. Intraoperative Neuromonitoring (neurophysiology) services: The Electro Neurophysiologic Technologist shall be under direction of the OR Surgeons and shall perform multiple modality evoked potentials on patients in the operating room at the Syracuse VAMC. Procedures may include stimulate screws and stimulate nerves.

The Electro Neurophysiologic Technologist will be responsible for setting up all necessary OR equipment and supplies necessary for neurophysiological intraoperative monitoring and the placement of suitable electrodes on predetermined measured positions on the patient’s body. Contractor must accurately apply all recording and stimulating electrodes. Once connected to the machine in the operating room, data can be interpreted by the neurophysiologist (in-house) or remotely where the data is transmitted using a secure HIPAA compliant internet connection.

4.2.1. Intraoperative monitoring modalities needed include: SSEPS, TcMEP, S-EMG, T- EMG, spinal cord mapping including D-Waves, DNEPs, NMEPs, Cortical, motor, sensory, language mapping, white matter tract and brainstem nuclei mapping, brainstem auditory evoked responses, visual evoked potentials, cranial nerve monitoring, and intraoperative EEG. Specialized cases are procedures requiring advanced IONM techniques or advanced skills including the following: cortical SSEP mapping, direct cortical stimulation mapping of motor cortex, language mapping, brainstem nuclear mapping, cerebral white matter mapping, cases requiring measurement of lateral spread, brachial plexus cases and selective dorsal root rhizotomies.

4.3. Contractors must comply with appropriate and applicable policies, procedures and regulations of the Syracuse VAMC as well as with centers for Medicare and Medicaid services (CMS) requirements and complete medical record deficiencies within policy guidelines. Services must meet Joint Commission clinical quality standards for intraoperative monitoring and be FPIS compliant. Quality reports required for quality assurance need to be JHACO certified.

4.4. The Contractor establish communication protocols with the surgical team to report monitoring activity. The Neuromonitoring team will provide all resources required to ensure a smooth transition in accordance with the contract requirements.

4.5. Contractor shall interpret the intraoperative monitoring recording and make recommendations regarding action or consequence to the attending Neurosurgeon.

The Electro Neurophysiologic Technologist will recognize artifacts in the data differentiate them from evoked potential patterns and take appropriate steps to eliminate them. They will obtain patient medical information when requested and will translate test results from computer files to a hard copy report for VA Neurophysiologic Technologist’s interpretation.

4.5.1. Contractor must be proven capable of identifying monitored waveforms and any variation from baseline.

4.5.2. Contractor must demonstrate an understanding of anesthetic techniques…