36C24522Q0225 02092022.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. 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. 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

36C24522Q0225 02-09-2022

Crystal S. Hinton, crystal.hinton@va.gov 410-637-1530 02-22-2022

1400 EST

36C245

Department of Veterans Affairs

VA Maryland Health Care System

Crystal Hinton, Contracting Officer (90C)

209 West Fayette Street, Suite 611

Baltimore MD 21201

X 100

X

621111

$12 Million

N/A

36C581

Department of Veterans Affairs

VA Maryland Health Care System

Crystal Hinton, Contracting Officer (90C)

1540 Spring Valley

Huntington WV 25704

36C512

Department of Veterans Affairs

VA Maryland Health Care System

Crystal Hinton, Contracting Officer (90)

PAYMENT WILL BE MADE BY

FSC e-Invoice Payment

Invoice must be submitted electronically http://www.fsc.va.gov/einvoice.asp

Invoice Setup Information 1-877-489-6135

See CONTINUATION Page

The Department of Veterans Affairs, Huntington WV is in need

Teleradiology Services.

Contractor Performance Period: 5 Years

Period of Performance: 07/18/2022-07/17/2027

Performance Work Statement: page 5

Schedule of Services: page 23

See CONTINUATION Page

Crystal S. Hinton

Contracting Officer

36C24522Q0225

Table of Contents

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

AND COMMERCIAL SERVICES

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

B.2 DESCRIPTION/SPECIFICATION/PERFORMANCE WORK STATEMENT

Performance Work Statement for Teleradiology Services

B.3 PRICE/COST SCHEDULE

ITEM INFORMATION

B.4 IT CONTRACT SECURITY

B.5 SUBCONTRACTING COMMITMENTS--MONITORING AND COMPLIANCE (JUN

2011)

B.6 CONTRACTOR’S RESPONSIBILITY – CONTRACTORS PERFORMANCE

ASSESSMENT REPORTING SYSTEM (CPARS)

SECTION C - CONTRACT CLAUSES

C.1 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL PRODUCTS

AND COMMERCIAL SERVICES (NOV 2021)

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

(End of Addendum to 52.212-4)

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)

C.8 52.227-14 RIGHTS IN DATA – GENERAL (MAY 1014)

C.9 52.237-3 CONTINUITY OF SERVICES (JAN 1991)

C.10 VAAR 852.212-70 PROVISIONS AND CLAUSES APPLICABLE TO VA

ACQUISITION OF COMMERCIAL ITEMS (APR 2020)

C.11 VAAR 852.219-74 LIMITATIONS ON SUBCONTRACTING—MONITORING AND

COMPLIANCE (JUL 2018)

C.12 VAAR 852.237-70 INDEMNIFICATION AND MEDICAL LIABILITY INSURANCE

(OCT 2019)

C.13 MANDATORY WRITTEN DISCLOSURES

C.14 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT

STATUTES OR EXECUTIVE ORDERS—COMMERCIAL ITEMS (JAN 2021) (JUL 2020)

(DEVIATION)

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

SECTION E - SOLICITATION PROVISIONS

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

COMMERCIAL SERVICES (NOV 2021)

E.2 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB

1998)

36C24522Q0225

E.3 52.204-24 REPRESENTATION REGARDING CERTAIN TELECOMMUNICATIONS

AND VIDEO SURVEILLANCE SERVICES OR EQUIPMENT (NOV 2021)

E.4 52.209-7 INFORMATION REGARDING RESPONSIBILITY MATTERS (OCT 2018)

E.5 52.212-2 EVALUATION—COMMERCIAL PRODUCTS AND COMMERCIAL

SERVICES (NOV 2021)

E.6 52.216-1 TYPE OF CONTRACT (APR 1984)

E.7 52.233-2 SERVICE OF PROTEST (SEP 2006)

E.8 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—

COMMERCIAL ITEMS (FEB 2021) (JUL 2020) (DEVIATION)

36C24522Q225

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

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

a. CONTRACTOR _________________________________

b. GOVERNMENT: Crystal S. Hinton, Contracting Officer 36C245

Department of Veterans Affairs

VA Maryland Health Care System

Contracting Officer (90C)

Post Award Orientation: The Contracting Officer will schedule a post award orientation for contract orientation purposes as required by Procurement Policy memorandum (PPM) 2019-01.

https://www.va..gov/oal/docs/business/pps/ppm201901.pdf

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, or

[] 52.232-36, Payment by Third Party

3. INVOICES: Invoices shall be submitted in arrears:

a. Quarterly []

b. Semi-Annually []

c. Other [X] Billed Monthly 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.

PAYMENT WILL BE MADE BY

FSC e-Invoice Payment

Invoice must be submitted electronically http://www.fsc.va.gov/einvoice.asp

Invoice Setup Information 1-877-489-6135

ACKNOWLEDGMENT OF AMENDMENTS: The offeror acknowledges receipt of amendments to the

Solicitation numbered and dated as follows:

AMENDMENT NO DATE

http://www/

B.2 DESCRIPTION/SPECIFICATION/PERFORMANCE WORK STATEMENT

Performance Work Statement for Teleradiology Services

Department of Veteran Affairs Medical Center (VAMC) has a requirement for providing Teleradiology Services for Huntington, WV. Set Aside for SDVOSB

Hershey Woody Williams, Huntington, WV, VA Medical Center 1540 Spring Valley Drive Huntington, WV 25704

The intent of this Request for Quote (RFQ) is to award a single Indefinite Delivery, Indefinite - Quantity

(IDIQ) contract to a Service-Disabled Veteran Owned Small Business (SDVOSB)

Under the authority of Public Law 104-262 and 38 USC 8153, the contractor agrees to provide Health

Care Resources in accordance with the terms and conditions stated herein, to furnish to and at the

Department of Veterans Affairs, for the Huntington VA Medical Center, services and prices specified in the Section entitled Schedule of Supplies/Services of this contract.

GENERAL: The Department of Veterans Affairs Huntington, WV has the requirement to provide Veterans within the service area with Radiology Services. It is the intention of the Huntington Medical Facility to solicit proposals in accordance with all terms, conditions, provisions, specifications, and schedules of this solicitation and award a Firm-Fixed Price Indefinite Delivery / Indefinite Quantity contract on a competitive basis under the authority of 38 USC 8153.

BACKGROUND: Physician personnel shortages in the Radiology Services of the Huntington VA Medical

Center have created a significant need to provide preliminary and final radiology interpretation for exams performed on off tours and in some cases for exams performed during routine tours to cover leave and staff vacancies. The use of Radiology Services outsourcing should provide a highly cost effective and expeditious alternative to meet an ongoing need within the VA. The Huntington VA Medical Center uses an electronic image management and distribution system called VISTA Imaging.

WORK STATEMENT: Contractor shall provide professional teleradiology services for radiology examinations performed at the Huntington VA Medical Center. Contract services will include off-campus film interpretation via network connection to the VA informatics system. Interpretation will include immediate communications of results both when an interpretation is requested stat or with a critical emergent test result. Contractor must be a U.S. based corporation capable of final interpretation and reporting services via the Contractor’s secure Teleradiology network. Interpretation services will be conducted by board certified Radiologists. Contractor shall provide all professional personnel and technical support, medical and other equipment, telecommunication, supplies, and supervision necessary to perform, implement and administer these teleradiology services to meet the specific medical needs of the Huntington VA Medical Center. The Contractor is responsible for all Contractor personnel, Subcontractors, agents, and anyone acting for or on behalf of the Contractor. Services provided under the contract are not to be performed outside of the United States.

All services SHALL be performed within the territorial borders of the United States.

Teleradiology Services:

1. The Contractor shall be responsible for management of all aspects of the contract, and this includes the following:

a. Electronically distribute appropriate studies to board certified Radiologists for primary diagnosis. Provide radiology professional services, offsite from Huntington VA Medical

Center. It is noted that provision of teleradiology services will sometimes be required during routine VA working hours Monday-Friday 8:00am – 4:00pm. Otherwise, the most frequent regular usage of teleradiology services will be Monday-Thursday 4:30 pm-8:00 am, Friday 4:30 pm through Monday 8:00 am, and 24-hour coverage on Federal Holidays for interpretations. Some interpretations will be requested stat and other interpretations will be requested routine. Imaging procedures will include plain film cases, US cases, CT cases, CTA cases, MRI cases, Nuclear Medicine cases and PET/CT cases.

b. Provide configuration of the physical, operational, and procedural environment within the

Huntington VA Medical Center facilities radiology department and installation for the system to include broadband connectivity and assist HVAMC facility in site preparation and support during transition.

c. The images will be sent by VA's Teleradiology System (VISTA Imaging) to the Business

Partner through a VA approved Business Partner Gateway (BPG). Requirements related to the approval and functioning of the BPG are attached. Radiologists will be available for telephone consultation regarding examinations and will provide recommendations for appropriate procedures to referring clinicians. VA Technologists performing procedures to be interpreted may consult the Radiologist/contractor with questions regarding protocol of exams, possible contrast allergy questions or for direction regarding abnormal laboratory values, or questions regarding premedication or Metformin.

d. Relevant prior studies will be made available to the teleradiologist. Interpretations must compare current and prior studies. Radiologist will have access to CPRS, or to a health summary or be able to contact the ordering physician to obtain clinical information such as history, progress notes, medications, and laboratory values, as well as reports of prior radiologic examinations. The Radiologist providing the preliminary interpretation must also perform the final interpretation and communicate any change in that interpretation to the referring or treating clinician and the practitioner contacted, date and time of this communication must be documented in the final report.

e. If the study is technically limited or incomplete, and cannot be interpreted with certainty, the Contractor’s teleradiologist must notify the referring clinician so that the study may be repeated. If this is not feasible, cannot be done immediately, or is not likely to be productive, the study must be reported, and the technical limitations of the interpretation described in the report.

f. STAT Images will be interpreted with results communicated by fax to the referring physician within forty-five (45) minutes of the Contractor’s teleradiologist receiving the request for interpretation. Additional requirements apply if any exam demonstrates a critical/emergent test result, as defined in a Medical Center Memorandum, as excerpted and listed as diagnoses #1 - #8 re-listed below in this SOW under #4.) “Reporting

Imaging Test Results/Critical Results”. In the case of a critical finding, results must also be communicated by telephone to the referring physician or a licensed clinician who can address the critical finding. This communication must be documented in the report and include the name of the clinician receiving the report, date, and time communicated.

g. DOCUMENTATION. All film interpretations will either meet or exceed established standards of timeliness, accuracy, content and signature. Only HVAMC approved abbreviations will be used for documentation of the patient health record.

(1) Routine interpretations: Completed and verified reports for routine studies are available in CPRS/Vista Imaging Information System within 48 hours of exam registration.

(2) STAT interpretations: Provide preliminary report by fax to referring clinician within 45 minutes of the tele radiologist receiving the request for interpretation. If the exam is a critical/emergent rest result, results also must be communicated by telephone to the referring physician. Final report will be verified within 48 hours of exam registration and available in

CPRS/VISTA Imaging Information System. Each report (routine and stat interpretations) shall identify the films reviewed, objective findings, the Radiologist’s impression of the patient’s condition, and recommendation for treatment. Any incomplete report will be redictated, transcribed, and verified within 24 hours of notification at no additional cost to

Huntington VA Medical Center.

(3) All reports are to be in accordance with American College of Radiology (ACR) standards. Interpretations must include the following information: patient’s full name, SSN, date of birth, reason for study, exam case number (accession number), date of study, date of interpretation, requesting physician, description of the exam, (body of the report), impression, name of interpreter and signature of Radiologist providing interpretation. The report shall list pertinent positive and negative findings.

(i) Preliminary reports are to be provided by fax to referring clinician within 45 minutes of receipt of exam. If the exam is a critical/emergent test result, the report also must be communicated by phone to the referring physician. Written preliminary reports must be kept until the final report is verified and until they are no longer needed for quality assurance and peer review purposes. Preliminary reports need not be entered in the medical record, however, any significant discrepancies between the preliminary and final report must be documented in the final report and the treating team notified with date and time of notification in the final report.

(ii) Final written reports shall be transcribed and verified by the Contractors teleradiologist (electronically signed) within 48 hours of exam registration.

(iii) The facility or Contractor providing teleradiology interpretation may temporarily store copies of reports and images but must delete or destroy all copies after the contract has expired, excepting records required for billing and reimbursement purposes.

(4) Reporting Imaging Test Results/Critical Results

Critical Test results in Imaging are defined as those interpretation findings which, if left untreated, could be life threatening or place the patient at serious risk. These results will require urgent intervention or change in patient management.

Emergent Test results are findings that are associated with a high likelihood of short-term poor outcome and also require immediate intervention or close monitoring.

The Radiologist will communicate results of critical/emergent exams to the ordering practitioner or surrogate practitioner immediately upon interpretation as outlined below.

Critical/Emergent Test results for Imaging Service will include, but not be limited to:

1. High probability V-Q Scan or CT positive for pulmonary embolus.

2. Unsafe position of medical device.

3. Active hemorrhage.

4. Unsuspected cerebral hemorrhage.

5. Pseudoaneurysm.

6. Pneumoperitoneum (post-operative is not critical)

7. Acute Testicular Torsion

8. Any other critical/emergent finding as determined by the diagnostic practitioner

Communication of critical/emergent imaging results will be direct. Direct Communication is defined as non-electronic dialogue between the diagnostic practitioner and ordering practitioner or another appropriate licensed provider by telephone.

Documentation of communication of critical/emergent results will be included in the imaging report. This will include the name of the practitioner contacted, as well as date and time of communication.

Electronic Communication (view alerts) may be used to communicate important/abnormal study findings that require attention by the ordering practitioner, but not necessarily in an immediate time frame.

Contractor will be responsible for ensuring all Radiologists follow critical/emergent and abnormal reporting guidelines. These guidelines are found in MCM PCI-56 “Reporting

Imaging Test Results/Critical Results”. A copy of this MCM is attached for review and it must be followed by contractor and all Radiologists hired by contractor. The contractor will distribute these to all Radiologists and obtain signed receipt and acknowledgement of understanding for Radiologists providing interpretation. Signed acknowledgement must be submitted prior to contract implementation.

(ii) In addition, all reports (normal and abnormal) must have a diagnostic code which is dictated and transcribed along with the report or inserted at the time of report verification. Inline below are the diagnostic codes which must be used as they are used by the VHA.]

1000 NO ALERT REQUIRED

1001 SIGNIFICANT ABNORMALITY

1002 CRITICAL ABNORMALITY

1003 POSSIBLE MALIGNANCY

1200 ABD. AORTIC ANEURYSM NOT PRESENT

1201 ABD. AORTIC ANEURYSM PRESENT

1202 DOES NOT SATISFY SCREEN FOR AAA

1300 INCIDENTAL LUNG NODULE

Some of the diagnostic codes will generate view alerts which can convey important study findings that may require a change in patient management, but not necessarily within an immediate timeframe. The list of diagnostic codes used will be provided at time of contract award.

(iii) A method has been established to relay the results of abnormal exams performed off routine business hours. The AOD will be contacted by the contractor and the AOD will facilitate communication with either the ER attending or responsible clinician on call. In all cases, should there be difficulty in reaching the responsible clinician, the ER attending

Medical Officer of the Day will serve as point of contact. All Radiologists providing preliminary or final reports will be required to read the abnormal reporting policy, sign that the policy was reviewed and is understood, prior to providing interpretations. It is the contractor’s responsibility to distribute the policies, obtain signed policies, and to ensure that the process outlined in MCM 114-07-C is followed by Radiologists reading for

Huntington VA Medical Center.

h. Contractor shall submit monthly schedule identifying coverage for agreed-upon radiology services. A schedule for teleradiology service days will be submitted monthly and approval is required by Radiology Manager or Imaging Chief. The names of the VETPRO credentialed Radiologists and dates of their scheduled coverage must be received by the

VA in advance from the contractor by no later than the 20th workday of the month prior to the work schedule. Contractor must all at least 3 months after receipt/completion of all required documentation for any new Radiologist to be credentialed and privileged prior to scheduling.

i. Contractors will be responsible for transcription services, report corrections, and sign reports electronically. Again, ALL reports must be signed by the interpreting Radiologist within 48 hours of exam registration.

j. Contractor will install, secure, and maintain external communication systems required for image study delivery to remote Radiologists. Configure, install and maintain Virtual

Private Network all remote workstation software on the remote reading Radiologist workstation. These connections must comply with specification in VA Handbook 6500 which require that all remote transmission must be encrypted using a FIPS 140-2 certified algorithm. The remote Connection to the VA will be through a VA approved Business

Partner Gateway (BPG). The requirements related to the approval and functioning of the

BPG are attached. Tele radiologists performing work under this contract may also connect remotely to the VA using the Citrix Access Gateway VPN. Contractors must ensure that their own specific computers are capable of diagnostic interpretation and at the same time adhere to all VA security requirements. The extension of the network is fully functional, and Radiologists must have clinical privileges at the Huntington VA

Medical Center.

k. Contractor will access current and prior comparison studies (if comparison studies exist) utilizing a secure VA Business Partner Gateway or similarly functional, rapid and secure technology. Contractor will provide and maintain the means for enabling this access.

Contractor will install and maintain external communication systems required for secure, VA-compliant image and data delivery to its Contractor’s teleradiologists and will configure, install and maintain all remote workstation software at its teleradiologists’ reading stations and will ensure security to VA Data. Contractor will expeditiously provide all requested information to HVAMC Information Security Officer (ISO) and Information Resources Management (IRM).

l. Implement a Vista Rad/Vista Imaging compatible DICOM appliance for transfer of images from VISTA IMAGING to the DICOM server. Contractor Proposal shall include the specific hardware and software to be utilized by the contractor.

m. Provide training on the new workflow for location activated. This training will be no more than four hours.

n. Provide maintenance on all contractor provided equipment and installed systems. The contractor shall make provisions for the proper maintenance and functioning of all imaging, teleradiology and associated equipment, facilities and fixtures as may reasonably be required by Physicians to perform services hereunder.

o. Provide security as required by Health Insurance Portability and Accountability Act of 1996 (HIPAA) and maintain the security and integrity of patient information in accordance with applicable VA regulations and HIPAA. Contractor will be required to be in compliance with all U.S. Laws and VA regulations regarding sensitive information, patient confidentiality, and information security, as set forth in; Privacy Act of 1974, Computer Security Act of 1987, Clinger Cohen Act of 1996, OMB A-130 Appendix IIIk and VA, VHA Directives 6500, and all other applicable regulations. See FAR clauses 52.224-1 and 52.224-2 included herein.

p. Develop a project implementation strategy with the Huntington VA Medical Center to include preparing building, establishing telecommunications VISTA interface, policies and procedures transfer, credentialing, privileging and training staff, reporting procedures, operational readiness, and phase in schedule.

q. The Contractor shall provide a system that maintains a minimum of 99% up time performance rate (excludes downtime related to VA’s network problems, Internet traffic or ISP provider problems used by Contractor). Failure to provide this will result in contract termination.

r. Contractor shall provide hardware and selected software to be utilized at contractor site.

(1) Contractor to provide Facsimile, telephone, networking and other telecommunications equipment to be utilized at contractor facility.

(2) Contractor to provide all supplies, services, maintenance, repairs and upgrades required at contractor facility to provide services as described above.

(3) Contractor’s equipment hardware, software and supplies must be compatible with the VA’s software (Vista Imaging) and hardware used during performance of this contract including critical patches and antivirus updates. Contractor shall provide proof of installation of critical patches and/or antivirus updates to the VA upon request.

(4) Contractor’s network and security system must be compatible with the VA’s network and security system.

(5) Contractor’s system must be able to receive DICOM images to the Contractor server via secure VA facility-initiated VPN connection over the Internet.

s. Contractor will provide peer review data (quality assurance cross reads) on a quarterly basis for each Radiologist providing interpretations to Huntington VA Medical Center. A copy will be provided to HVAMC for review.

t. Contractor will be responsible for ensuring that all providers/subcontractors complete training required by Huntington VA Medical Center (Ethics, CyberSecurity, Privacy, etc). The HVAMC will require documentation of completion.

u. Contractor will appoint one Radiologist to serve as a trainer for other Radiologists assigned to HVAMC.

2. The Huntington VA Medical Center shall be responsible for:

(a) The Huntington VA Medical Center will be responsible for credentialing doctors to work in a timely fashion. An application package will be provided by the VA to be completed by the candidate.

This includes: Curriculum vitae, current references, signed release of information from candidate, and statement that candidate does not have any physical or mental health condition that would adversely affect his/her ability to carry out assigned duties, and additional credentialing and privileging forms. Candidate will also be required to make application through the VET-PRO Internet process. Candidate will need to be enrolled in VET-PRO by the Credentialing and Privileging

Coordinators. The website address is: http://fcp.vetpro.org/

(b) Prepare site for installation of the system. Obtain VA Authorization for installation of a separate network connection, located inside the hospital but outside the firewall, and a network connection of the DICOM store and Forward device that will be installed inside the Huntington VA

Medical Center. The VA will establish accounts and authorize radiology module privileges for the use by contractor.

IF REQURED c through e.

http://fcp.vetpro.org/

(c) Floor space, workspace and power adequate for a PC tower computer, monitor and keyboard at customer site.

(d) 19" Rack space equivalent to 6u in computer room (to accommodate the server and IPS) and an outlet.

(e) Physical space in computer/Telco room for installation of Contractor-provided router and any remoter connectivity devices typically used by communications provider.

(f) Physical security to computer systems.

(g) Access to server and object forge devices for the installation of Category 5 cabling, if required.

(h) Availability of technician for two hours of assistance.

(i) IRM designated staff for testing and approval of installed remote connectivity solution.

(j) Provide pertinent historical and demographic information on each patient sufficient for

Contractor to perform its services.

3. PROCEDURE FOR TRANSMISSION OF IMAGES: Patient images along with exam Request forms for each patient will be transmitted via the VA's PAC System (VISTA IMAGING) through a data line provided by the Contractor. The request forms will include patient information, along with CPT codes.

The Contractor will interpret an exam and provide the Radiologist's final report and transmit using hardware/software provided by Contractor.

Contractor will use the same transcription services used at the Huntington VA Medical Center

(CPRS/VISTA Imaging Information System). Request for stat interpretation or routine interpretation will be noted on the request form.

CONTRACTOR REQUIREMENTS

The Contractor shall provide all services specified in this contract for any person determined eligible by the Chief Medical Director, or Designee, regardless of the race, color, religion, sex, or national origin of the person for whom such services are ordered. The Contractor further warrants that he/she will not resort to subcontracting as a means of circumventing this provision. Contractor must have a minimum of three years of experience providing off routine teleradiology interpretations for VA Medical Centers.

Contractor must be able to demonstrate consistent coverage (> 99% uptime for 3-year period).

MEDICAL RECORDS STANDARDS:

The Contractor shall maintain up-to-date medical records based on the Medical Record Compliance

Standard as stated above. Utilization of CPRS is required. Medical center staff will provide technical training on the use and operation of CPRS during the start-up early operation stage and as updates become available. Medical center staff will provide at least annual Privacy Act training to appropriate contractor staff. The contractor, contractor employees, and subcontractors shall be subject to the Privacy

Act of 1974 and HIPAA of 1996. The Contractor is not authorized to release any medical record information. The VAMC is the sole entity authorized to release this information upon written request submitted via facsimile or mail from the patient. The VAMC will provide the Contractor with access to pertinent patient medical information, within the existing privacy rules and regulations for the purpose of providing coordinated comprehensive primary care. Contractors shall ensure the confidentiality of all patient information and shall be held liable in the event of the breach of confidentiality.

GUIDELINES:

The Contractor will perform the functions required under this contract in accordance with the rules of medical ethics, Federal, State and local laws, rules and regulations, The Joint Commission (TJC) and

American College of Radiology (ACR.) for communication and teleradiology. The Contractor will not participate nor be a party to any activities, which are in conflict with Federal and/or State guidelines. In the event the Contractor encounters said conflicting situations, the Contractor will notify the COR or the

Contracting Officer to resolve such issues. The Contracting Officer will document and be responsible for resolution of any such situations. Neither the VA nor the Contractor will be responsible for any delays or failures to perform due to causes beyond each party's control. The VA and the Contractor may upon mutual consent, modify the timing and schedule of services.

The Contractor shall be in compliance with The Joint Commission (TJC) standards and shall submit a copy of either their Joint Commission accreditation OR comparable statement with their proposal.

Complication’s review, double reading, and other appropriateness monitors must be conducted, and report forwarded to Huntington VA Medical Center quarterly. Failure to provide required documentation would be a breach of the contract and subject to the contract being revoked. Any occurrence of a sentinel event or potential sentinel event involving a VA patient will be reported to the facility as soon as the event is detected. Comprehensive review of the case will be provided to the appropriate VA facility.

QUALITY MONITORING PROGRAM:

The Contractor shall have a quality monitoring program and shall agree to comply with the requirements for meeting The Joint Commission (TJC) program as outlined by the VA radiology programs. Quarterly data will be provided to the VAMC Huntington Manager/Supervisor for each Radiologist credentialed at

Huntington VA Medical Center. Contractor must perform quality assurance cross reads and monitor appropriate communication of critical/emergency results as per MCM PCI-56. Both sets of data will be provided to HVAMC quarterly.

QUALITY CONTROL: The Contractor's facilities, methodologies, and quality control procedures may be examined by the VA Contracting Officer or his (her) designee at any time during the life of the contract.

QUALITY ASSURANCE AND PERFORMANCE MONITORING:

Performance Objective

SOW

Paragraph

Performance Measure

1. Prompt delivery of interpretations and return of films.

1.c. and 1.d..

Zero tolerance for late reports

2. Availability of Radiologist. 1.a. Zero tolerance for non-availability

3. Maintains patient privacy/confidentiality.

Special Contract Requirements

Standard is zero breaches of privacy

4. Maintains appropriate Federal, state licensure/ certification requirements

Special Contract Requirements

Mandatory prior to performance of duties

5. All documentation will meet or exceed standards, to include but not limited to accuracy, content and signature.

1.d. Zero tolerance for violations

6. Timeliness – Patient Records. Reports are to be completed and verified within

1.f. 95% Compliance Acceptable Quality Level

(a) The Government will periodically evaluate the Contractor’s performance by appointing a representative(s) to monitor performance to ensure services are received. The Government may inspect each task as completed or increase the number of quality assurance inspections if deemed appropriate because of repeated failures or because of repeated customer complaints. Likewise, the

Government may decrease the number of quality assurance inspections if performance dictates.

VAMC Quality Assurance Personnel will validate any complaints and report to the Government

Contracting Officer who will then take necessary action to enforce contract compliance.

(b) If any of the services do not conform to contract requirements, the Government may require the Contractor to perform the services again in conformity with contract requirements, at no increase in contract amount. When the defects in services cannot be corrected by re-performance, the

Government may result in contract termination.

CONTRACTOR STANDARDS:

Contractor is responsible for developing and maintaining written policies and procedures for licensure and certifications, competency evaluations, orientation and continuing education, that are appropriate for the scope of care and services provided by employees and subcontractors under this contract.

SPECIAL CONTRACTOR RESPONSIBILITIES: The Contractor must possess all licenses, permits, accreditation and certificates as required by law. The Contractor must perform the required work in accordance with Joint Commission, VHA and other regulatory standards. Joint Commission standards may be obtained from the Joint Commission on Accreditation of Healthcare Organizations, One

Renaissance Blvd, Oakbrook Terrace, IL 60181.

SUBCONTRACTOR PROVIDED SERVICES: All personnel that provide services under this contract and are not employees of the Contractor will be regarded as Subcontractors. The Contractor shall be responsible and accountable for the quality of care delivered by any and all of its Subcontractors. The

Contractor shall hold the Subcontractor accountable for the requirements for availability and accessibility of services as outlined in this contract. The Contractor shall use a systematic approach to monitoring the availability and accessibility of services of the Subcontractor as they relate to the quality-of-care monitoring.

48 hours of exam registration. Stat reports must be faxed to requesting clinician within 45 minutes of when the contractor receives request. All critical/emergent exam results must be called to requesting clinician and this documented in the final report (clinician name, date, and time).

COR will monitor Zero tolerance for violations.

7. Adheres to all HIPAA requirements.

Special Contract Requirements

Standard is zero breaches of HIPAA requirements.

8. Adequate Coverage 1.a. 100% Acceptable Quality Level COR will monitor Zero tolerance for violations.

CONTRACTOR EQUIPMENT/SOFTWARE: Upon completion or termination of the contract VPN software will be removed from contractor’s equipment. Any network accounts will be disabled. All VA data gathered, created, received, or processed during the performance of the contract will be returned to the VA or certificate of destruction provided. No data will be retained by contractor or their subcontractors.

CONTRACTOR NETWORK ACCESS: The VA network is protected from unauthorized access by assigning a distinct Access and Verify code to each user of the network. Each Contractor staff person, here in after referred to as “user”, must agree to the VA standard user application. Violation of the agreement in whole or in part may result in permanent revocation of access for the user.

REGULATORY INFORMATION: The Food and Drug Administration classifies VistARad as a medical device. As such, it may not be changed except as directed by the Vista Imaging SD&D group.

Modifications to this software may result in an adulterated medical device under 21CFR820, the use of which is considered to be a violation of US Federal Statutes. To ensure compliance the VA will implement measures, including but not limited to, security policies, anti-virus devices, anti-intrusion devices, and periodically monitor the equipment. Any attempt to defeat or circumvent any of these measures may constitute a breach of this contract and result in revocation.

SPECIAL CONTRACT REQUIREMENTS

1. SERVICES: The services specified herein of this Work Statement may be changed by written modification to this contract. The modification will be prepared by the VA Contracting Officer. The services to be performed by the contractor will be performed in accordance with VA policies. The services performed by the contractor will be under the direction of the Chief of Staff, and the Chief, Imaging

Service.

2. RESPONSIBILITY OF THE CONTRACTOR: The Contractor must obtain authorization from the

Contracting Officer for any services required outside the scope of work provided herein.

3. TERM OF CONTRACT AND PRICING: This contract is projected to start 10/1/2017, or 90 days after contract award whichever is later, and be effective for twelve months, with four one-year renewal options.

The renewal options are to be exercised at the discretion of the government. The contract is subject to the availability of VA funds. Pricing will be based on a flat fee for type of procedure. One invoice will be submitted to Huntington VA Medical Center for interpretations performed for radiology monthly, listing all studies interpreted, time and date of receipt by the contractor and time and date of final interpretation provided by the contractor for each.

4. HOURS OF WORK: The Contractor as defined herein shall furnish the services covered by this contract. The Contractor is required to furnish teleradiology services after business hours, on national holidays and intermittently at other times and dates.

(a) National Holiday: The eleven holidays observed by the Federal Government: New Years

Day, Martin Luther King's Birthday, President's Day, Memorial Day, Juneteenth, Independence

Day, Labor Day, Columbus Day, Veterans Day, Thanksgiving Day, and Christmas Day and any other day specifically declared by the President of the United States to be a national holiday.

5. QUALIFICATIONS: The Contractor will be responsible to ensure that Contractor personnel providing work under this contract are fully trained and completely competent to perform the required work.

Prospective providers must present appropriate credentialing information including, but not limited to, the following:

(a) Possess the M.D. (medical doctor) or O.D. (Doctor of Osteopathic Medicine) degree

(b) Board certification in Diagnostic Radiology by the American Board of Radiology

(c) Current licensure in state of practice

(d) Clinical practice experience of at least two years

(e) General Liability and Malpractice insurance

(f) Barrier free office environment, equipment and space to meet The Joint Commission (TJC), Federal and State standards

Radiologists must be fully credentialed and privileged at both the VA facility where the exam and procedure are performed and at the facility where the exam is read (when applicable). Privileges at the facility of facilities where the procedure is performed will terminate at time of contract termination or expiration.

Contracting to Radiologists outside of the territories of the USA is prohibited.

No subcontracting to locum tenens is allowed. The qualifications of such personnel shall also be subject to review by the VA Chief of Staff and/or Chief, Imaging Service and approved by the VA Facility Director at Huntington VA Medical Center. Credentials will be updated annually during the term of the contract to insure there has been no lapse in licensure, insurance coverage, etc. No changes of employee will be allowed without prior authorization by the Contracting Officer in WRITING, thirty (30) days in advance. VA reserves the right to approve the assignment of individual personnel furnished by the Contractor to perform the functions specified in the contract.

Residents are not permitted to provide preliminary or final interpretations.

The Contractor is required to maintain records that document competence/performance levels of

Contractor personnel working on this contract in accordance with The Joint Commission (TJC), and other regulatory body requirements. The Contractor will provide a current copy of the competence assessment checklist and semi-annual performance evaluation to the COR for each Contractor's personnel working on this contract.

VA may request the personnel records of any employee providing services under this contract for competency review. The VA reserves the right to request copies of current certifications and/or licenses at any time during the duration of the contract.

6. LIABILITY

a. Radiologists are responsible for the accuracy of their reports. Transcriptions must be corrected by the Radiologist before report verification.

b. Radiologists are responsible for the accuracy of preliminary reports and notifications made directly to clinicians.

c. Residents are not permitted to provide preliminary or final reports.

d. Radiologists must carry their own malpractice insurance. Coverage for malpractice claims is required when final reports are provided, and when notifications or preliminary reports are communicated directly to non-Radiologist clinicians.

7. PERSONNEL POLICY:

(a) General: The Contractor shall assume full responsibility for the protection of its personnel furnishing services under this contract in accordance with the personnel policy of the Contractor, such as providing worker's compensation, professional liability insurance, health examinations, income tax withholding, and social security payments.

(b) Worker's compensation and employer's liability:

(c) In accordance with FAR clause 28.307-2, the following applies:

The Contractor is required to comply with applicable Federal and State workers compensation and occupational disease statues. If occupational diseases are not compensable under those statues, they shall be covered under the employer's liability, except when contract operations are so commingled with the Contractors commercial operations that it would not be practical.

Employer's liability coverage of at least $100,000 is required with the exception of states that do not permit workers' compensation to be written by private carriers.

1. General Liability: $500,000 per occurrence

2. Professional Medical Liability: One (1) million

8. EXCHANGE OF DATA: Patient medical records shall be exchanged as needed by both facilities and remain confidential.

9. INSURANCE - EVIDENCE OF COVERAGE: Before commencing work under this contract, the

Contractor shall furnish certification to the Contracting Officer that the coverage required has been obtained and such Policy shall state "THIS POLICY MAY NOT BE CHANGED OR CANCELED

WITHOUT WRITTEN NOTICE TO THE VA." Said policy must bear an appropriate "loss payable clause" to the United States as its interest may appear. Such evidence of insurance will not be waived.

10. CONTRACT MONITORING: Radiology Service will appoint a Contracting Officer Representative

(COR) upon award of this contract. Pursuant to the Delegation of Authority to be issued, the COR will be responsible for verifying contract compliance.

Monitors of Clinical Performance: Peer review of interpretations may be performed periodically. Errors in interpretation or incompleteness in documented communication of urgent findings may be aggregated and compared to other Radiologists. Complaints and compliments regarding interactions with other care givers, availability and responsiveness and usefulness of consultations may be reviewed. Timeliness of teleradiology STAT results notification, and report verification will be monitored. Radiologists will be expected to participate in focus reviews and morbidity and mortality reviews of those incidents in which they provided care.

The COR’s will periodically evaluate workload accomplished during the contact period to assure necessary services are consistently provided.

After contract award, any incident of contractor noncompliance shall be forwarded immediately to the

Contracting Officer.

11. PAYMENTS: The Contractor will provide the appropriate VA with an invoice of services performed.

One invoice will be submitted for film interpretations and procedures performed in radiology service. A second invoice will be submitted for procedures performed in Cardiology Service.The Contractor will be paid, in: arrears, upon receipt of a proper invoice for the services furnished. Included on your invoice should be your Company's name, tax ID number, contract number, funding obligation number (purchase order number), description of services (to include all services performed for each Veteran), period of services, amount, and remit to address.

SUMMARY Invoices WITH NO PATIENT SPECIFIC DATA shall be submitted to:

VA Financial Service Center – (appropriate station number for EACH invoice)

P O Box 149971

Austin, TX 78714

A detailed copy of the invoice with patient specific information shall be sent to the HVAMC, to the

ATTENTION of the Contracting Officer’s Representative, Imaging Service.

ALL mailings containing patient information SHALL be sent with the ability to be tracked; this can be by certified mail, priority mail with tracking, FedEx, DHL, or any other option that provides the Contractor with tracking capabilities.

Payment will be made upon written certification from the COR that the services have been performed.

Contractor shall be solely responsible for compensating physicians and all employees or contractors who perform services hereunder, making all tax withholdings, including paying such payroll or other employment related taxes, as required by law.

12. CONFIDENTIALITY: The Contractor understands and agrees that the information in the medical records of all patients is confidential. Strict confidentiality is to be maintained; Rules of Confidentiality expected to be conformed with are delineated in 38 USC. 3301, 38 USC 4132, 5 USC 552 (a) et. seq.

The Contractor and its personnel shall be held liable in the event of breach of confidentiality. Any person, who knowingly or willingly discloses confidential information from the authorizing VA facility, may be subject to fines. The Contractor will be HlPAA compliant.

(a) The contractor will comply with all confidentiality rights regarding patient information contained in patient medical records. Any disclosure of protected health information will be limited to that portion of the medical record needed to fulfill the specific purpose of the disclosure.

(b) Unless expressly authorized by the patient or the patient’s duly appointed and authorized representative, the VAMCs will not release any records regarding psychiatric care, alcoholism/alcohol abuse, drug abuse, HIV virus or HIV virus test results. The VAMCs will be solely responsible for securing, verifying, and approving authorization for the reproduction of records regarding psychiatric care, alcoholism/alcohol abuse, drug abuse HIV virus or HIV virus test results.

(c) The contractor assumes no responsibility for any losses or liability that result, directly or indirectly, from inaccurate information, incorrectly dated material, insufficient or improper authorization, or any type of faulty medical record documentation furnished by the VAMCs.

(d) The contractor will not provide copies of health information to any person other than the authorized requesting party.

(e) Upon request, the contractor’s representative will undergo all HIPAA/confidentiality related training…