36C24824R0092.docx

36C24824R0092

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

516-24-1-213-0070 36C24824R0092 05-13-2024 Moneque Rodriguez 813-550-9486 06-21-2024

13:00PM

EDT

36C248 Department of Veterans Affairs Network Contracting Office 8 (NCO 8) 10,000 Bay Pines Blvd Bay Pines

FL

33744 X X 334510 1250 Employees NET 30 Days N/A X

MCC: 90D

Department Of Veteran Affairs C.W. Bill Young VA Medical Center Bldg 110 Warehouse 10,000 Bay Pines Blvd.

Bay Pines

FL

33744 36C248 Department of Veterans Affairs Network Contracting Office 8 (NCO 8) C.W. Bill Young VA Medical Center 10000 Bay Pines Blvd.

Bay Pines

FL

33744

Department of Veterans Affairs

FMS-VA-2(101)

Financial Services Center PO Box 149971 Austin

TX

78714-9971 See CONTINUATION Page Offeror instructions are provided in provision 52.212-1.

Evaluation factors are provided in provision 52.212-2.

Questions shall be directed in writing to Moneque Rodriguez moneque.rodriguez@va.gov no later than 06/14/2024 This is a 100% Service-Disabled Veteran Owned Small Business Set Aside.

See CONTINUATION Page 516-3640160-213-820100 Medical Service-3131 Medical, Dental and Scien-010040175 X Moneque Rodriguez Contracting Officer Table of Contents

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: Contracting Officer 36C248 Moneque Rodriguez Department of Veterans Affairs Network Contracting Office 8 (NCO 8)

10,000 Bay Pines Blvd Bay Pines FL 33744

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

3. INVOICES: Invoices shall be submitted in arrears:

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

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

B.2 STATEMENT OF NEED

Statement of Need Replacement Physiological Monitoring and Telemetry System Bay Pines VA Healthcare System GE CareScape (Brand Name or Equal) Dated: May 06, 2024

1. Introduction

The Bay Pines VA Healthcare System (BPVAHCS) is seeking to replace its existing physiological monitoring and telemetry system at the C.W. Bill Young VA Medical Center at 10000 Bay Pines Blvd., Bay Pines, FL 33744 and Lee County Healthcare Center at 2489 Diplomat Parkway East, Cape Coral, FL 33909.

The salient characteristics listed throughout this Statement of Need have been identified by BPVAHCS clinical and technical staff to provide the most appropriate replacement and to ensure the best possible patient care.

2. Overview

2.1. Locations: All work will be performed at the C.W. Bill Young VA Medical Center Campus located at 10000 Bay Pines Boulevard, Bay Pines, Florida 33744, and Lee County Healthcare Center located at 2489 Diplomat Parkway East, Cape Coral, Florida 33909. All packaging will be delivered to the warehouse (Building 36) located at the C.W. Bill Young VA Medical Center Campus. Additionally, the physiological monitoring system will be installed on multiple floors in multiple buildings (Building 100, Building 106, and Building 2) located on the C.W. Bill Young VA Medical Center Campus.

2.1.1. Physiological monitoring is currently used at the C.W. Bill Young VA Medical Center between adjoining buildings (Building 100 and 106) within the following patient care locations:

· Ambulatory Surgery Unit (ASU)

· Bronchoscopy

· Catheterization (Cath) Labs

· Computerized Tomography (CT) Holding Area

· Emergency Department (ED)

· Gastroenterology (GI)

· Hybrid Operating Room (OR)

· Inpatient Wards

· Main Operating Rooms (OR)

· Medical Intensive Care Unit (MICU)

· Outpatient Surgery Center (OSC) Operating Room

· Outpatient Surgery Center (OSC) Pre and Post Anesthesia Care Unit (PACU)

· Main Post Anesthesia Care Unit (PACU)

· Surgical Intensive Care Unit (SICU)

· Telemetry

2.1.2. Telemetry is currently used to monitor patients at the C.W. Bill Young VA Medical Center on the General Medical Surgical Wards on 3D, 4A, 5A, 5B, 5C, and 5D located in Building 100. The telemetry coverage will be expanded to monitor patients throughout the hospital, including all five (5) occupied floors of Building 100 and 106.

2.1.3. Physiological monitoring is currently used at the Lee County Healthcare Center within the following patient care locations:

· Ambulatory Care Center (ACC)

· Operating Room

· Pre and Post Anesthesia Unit

· Post Anesthesia Care Unit (PACU)

3. General Requirements

3.1. Except for items explicitly identified as government-furnished property and services, the Contractor shall provide all personnel, equipment, supplies, transportation, tools, materials, supervision, and other items and non-personal services necessary to the work defined in this statement of need (SON), including but not limited to server related hardware, PICIS and any of the clinical systems that will connect to patient monitoring. The Contractor shall perform to the standards in this statement of need. BPVAHCS requires removal of the old system and goods and services to engineer, furnish, install, test a new physiological monitoring system. The solution must include skilled technical personnel and required hardware and software. Inherent in providing these services, the Contractor shall supply the management and operational resources necessary for efficient and effective administration, operation, maintenance, and control of all duties to be performed pursuant to this statement of need.

3.1.1. The Contractor shall provide equipment and middleware compatible with the Picis clinical information system, Phillips eICU system, Cerner Careware BMDI, and Vocera. The Contractor shall ensure adequate resources are dedicated to satisfying the requirements of work assignments.

3.1.2. All equipment offered shall be approved by the Food and Drug Administration (FDA) and listed on the Contractor’s contract at the time of the proposal submission.

3.1.3. Contractor to deliver, install, test, and train staff (all shifts for inpatient locations) on Physiological Patient Monitoring and Telemetry Systems, including hardware and software.

4. Specific Requirements

4.1. The Contractor shall be responsible for the removal of the old system including, but not limited to removal of all cabling and monitors.

4.2. The Contractor shall provide all materials and labor to deliver, assemble, configure, install, and test all physiological monitoring and telemetry hardware, software, and network cabling in their end location.

4.3. Current cabling installed does not meet the latest standards, however, if compatible with the Offeror’s proposed system, the current cabling may be utilized. However, all new cabling must be installed pursuant to the latest VA Telecommunications (data cable) Design Standards - OIT-InfrastrucStdTelecomSpaces-v4-0.pdf (va.gov) standards. Please note, new cabling will be required for any and all required Wireless Access Points (WAPs) as none are currently cabled. Contractor is responsible for installing any necessary conduits in accordance with the National Electric Code. The National Electric Code is also known as NFPA 70. General requirements for wiring materials and methods are covered in Article 300. Chapter 3 covers all wiring materials and methods.

4.4. The end location for each device will be coordinated between the Contractor and the VA Contracting Officer Representative (COR).

5. Onsite Site Assessment:

The Contractor shall provide onsite site assessment within 30 days of award at each location to ensure the VA has sufficient infrastructure (i.e., power, data jacks, bandwidth, HVAC, etc.). The Contractor is not required to provide any changes to the infrastructure or any accessories, however, the assessment shall identify if any infrastructure changes or network equipment are necessary to support the system.

6. Contractor Project Management Plan:

6.1. The Contractor shall submit a Contractor Project Management Plan (CPMP) within 60 days of award for VA approval. VA shall have the sole authority to approve the CPMP, however, such approval will not be unreasonably withheld. The CPMP shall document the Contractor’s approach, timeline, and tools to be used in the execution of the contract. The CPMP should take the form of both a narrative and graphic format that displays the schedule, milestones, risks, and resource support. The CPMP shall provide at minimum the following information:

6.1.1. The Project Manager who shall serve as the single point of contact between the VA and the Contractor to coordinate all aspects of site survey, site preparation, network integration, modality integration, other information system integration, equipment installation, testing, and customer training. The dedicated Project Manager will design and implement the system configuration and installation.

6.1.2. An implementation plan for the removal of the old system, installation, configuration, and validation/ testing of all hardware, software, and network configurations for the physiological monitoring and telemetry system.

· A network diagram for each location, to include ports and protocol communication.

· Complete schedules for each installation location.

· A separate schedule for each location as well as an overall schedule for the entire project.

· Schedules shall include timelines which capture relevant milestones and project sequencing, to include all testing and deployment of equipment.

6.1.3. Proposed frequency and plan to schedule project meetings. Shall include a description of the plan to properly document such meetings, to include meeting minutes and follow-up action items.

6.1.4. List of all documents required for the project and plan for ensuring that all project and VA documentation is completed and delivered to the VA.

6.1.5. Schedule for recurring project meetings.

6.2. The Contractor shall update and maintain the VA-approved CPMP throughout the period of deployment, providing a schedule of downtime to clinical services and delivery of equipment (pallet #’s and shipping lists should be sent out in advance for proper inventory).

6.3. Deliverables

6.3.1. Contractor Project Management Plan (CPMP)

7. Delivery

7.1. The Contractor shall deliver all packaging to C.W. Bill Young VA Medical Center (Building 36, 10000 Bay Pines Boulevard, Bay Pines, Florida 33744) and Lee County Healthcare Center (2489 Diplomat Parkway East, Cape Coral, FL 33909). All deliveries shall be accompanied by a ‘Delivery Document’ which clearly describes all equipment being delivered, including serial number, and other relevant logistical information. Deliveries shall be scheduled between Monday and Friday, 8 AM and 4 PM, excluding Federal Holidays.

7.2. Deliverables

7.2.1. Physical Inventory and Delivery Document

8. Assembly, Configuration, and Deployment:

8.1. The Contractor must define the need for a staging area to accommodate item delivery and processing, if needed. The VA will be informed of the area of space needed, and the VA will provide instructions on where to stage equipment. This information will be confirmed with the Contractor post-award.

8.2. The Contractor must have VA personnel escort in a coordinated effort for installation without disrupting patient care. Anything not impacting patient care would need at least a 1-week notification prior to execution. Anything impacting patient care would need at least a 3-week notification prior to execution. The VA retains sole discretion on what impacts patient care. For example, the inability to monitor a patient heavily impacts patient care and would need at least a 3-week notification.

8.3. The Contractor must provide tools, labor, and materials to complete the assembly and installation of the items detailed in this document.

8.4. The Contractor shall configure all equipment to allow for immediate use by VA staff prior to the removal of old equipment and the deployment of the new equipment.

8.5. The Contractor shall remove all old physiological monitoring or telemetry equipment and transport it to a specific location on campus, identified by VA staff and communicated through the VA COR.

8.6. The Contractor shall deploy all equipment to a specific location identified by VA staff and communicated through the VA COR.

8.7. The Contractor shall dispose of the cardboard and other packing material associated with the physiological monitoring system. VA will not provide a dumpster for disposal.

9. Testing:

9.1. The Contractor shall test all physiological monitors, telemetry transceivers, cabling and all other associated equipment and network configuration to ensure that they are fully functional prior to patient use. Should the equipment fail any test, the Contractor is solely responsible for making adjustments needed to ensure they are fully functional at no additional cost to the Government.

9.2. Proof of full functionality must be provided to the Government. In addition, the Contractor shall provide the VA COR with all documentation completed by the Contractor for testing.

9.3. Deliverables

9.3.1. Cabling Test Certification

9.3.2. Calibration Certification on all patient monitors

10. Warranty:

10.1. The Contractor shall provide a minimum of one (1) year parts, components of the physiological monitoring and telemetry systems and labor warranty for all work performed and equipment provided by the Contractor, including but not limited to cabling and accessories.

10.2. Deliverables

10.2.1. Copy of manufacturer’s warranties for Section 11.1.

11. Training:

11.1. The Contractor shall provide onsite training to all staff specified below using the physiological monitoring system. A separate training session shall be provided for both the day shift and the night shifts. The trainings shall be scheduled during the respective shift times. Contractor shall provide a training plan to sufficiently train all staff at least 90 days prior to the “go-live” date. VA shall have final approval over the training plan.

11.1.1. C.W. Bill Young VA Medical Center

Twelve (12) Health Technicians

11.1.2. Lee County Healthcare Center

11.2. The Contractor shall additionally provide onsite training to two (2) Biomedical Engineering Staff at each location. The training must be equivalent to what original equipment manufacturer (OEM) field service representatives receive. The Contractor shall provide all service manuals, schematics, diagrams, diagnostic software, and hardware keys equivalent to what OEM field service representatives have available to diagnose, troubleshoot, repair, and maintain the equipment.

11.3. The Contractor shall additionally provide in-depth “super user” training to 50 VA Staff Members designated by the BPVAHCS. Super user training should allow staff to understand the Patient Monitoring system and allow them to provide tips and tricks to other staff members.

11.4. All training will be scheduled at least one month prior to the training by the Contractor and VA.

11.5. Deliverables:

11.5.1. Training Plan

11.5.2. Training Sessions

11.5.3. Training Attendance

12. Ongoing Support:

12.1. The Contractor shall be capable of providing technical support 24 hours a day, 7 days a week, 365 days a year over the phone to the hospital for the warranty time frame. The contractor shall install all software patches released during the warranty period to equipment covered under this contract.

12.2. The Contractor shall provide any upgraded service manuals, schematics, diagrams, diagnostic software, and hardware keys free of charge for the warranty time frame. An updated network diagram with any changes shall be provided to the VA (including server, switch, monitor, repeaters names and locations, electrical power source, etc.).

12.3. Any offsite maintenance or support provided by the Contractor can only be done via Virtual Private Network (VPN) access. The contractor shall provide routine patching for the duration of the warranty period. The Contractor shall maintain VPN access from their existing VA Business Associates Agreement (BAA) and Memorandum of Understanding/Interconnection Security Agreement (MOU/ISA). These documents shall be maintained and updated as needed for the life of the system.

12.4. Deliverables:

12.4.1. Any updated service manuals

12.4.2. Any updated schematics

12.4.3. Any updated diagrams

12.4.4. Any updated diagnostic software

12.4.5. Hardware keys

12.4.6. VA Business Associates Agreement (BAA) and Memorandum of Understanding/Interconnection Security Agreement (MOU/ISA)

13. Professional Services:

13.1. The Contractor shall provide a Project Manager, who shall be considered Key Personnel, to perform supervisory services during contract performance. The Project Manager must possess a Project Management certification as well as at least two (2) years of experience providing project management services in a healthcare environment.

14. Deployment and Implementation:

14.1. All deployment shall be completed during regular business hours, local time, Monday through Friday, 7:00 AM EST to 4:00 PM EST. All deliveries will be sent to the C.W. Bill Young VA Medical Center and coordinated with the identified VA site point of contact. The Contractor’s employees shall adhere to the VA site’s physical access policy. No equipment shall be shipped to the VA without prior approval.

15. Salient Characteristics

15.1. Technical Features

15.1.1. Background Information- The servers for the current physiological monitoring system at C.W. Bill Young VA Medical Center are in a separate building from the main hospital. The servers are in the main hospital at Lee County Healthcare Center.

15.1.2. Software

· The operating system for all network components including but not limited to, physiological monitors, transport monitors, telemetry transmitters, central stations, and servers shall be supported by the operating system’s manufacturer

15.1.3. Hardware

· Mounting hardware will be needed to mount equipment, including but not limited to, patient monitors and servers.

· Servers

· Virtual servers capable of residing on our current hosts or additional hosts will be provided.

· The server hardware will include a provision for redundancy or an automatic fail-over server.

· If a physical server is required, it will be mounted in a VA-provided rack.

15.1.4. Configuration

· The Contractor will configure the physiological monitoring and telemetry including but not limited to alarm settings and unit-specific settings, subject to ultimate approval by VA.

· The physiological monitoring system will communicate to the VA medical center’s IT network through a single gateway.

15.1.5. Deliverables

· Completed VA Directive 6550, Appendix A that covers both the physiological monitoring and telemetry systems for all item(s) that may connect to the VA network and medical devices that store sensitive patient information. Any connections to the VA Office of Information Technology network shall comply with VA Directives 6500 and 6550.

· VA Business Associates Agreement (BAA) and Memorandum of Understanding/Interconnection Security Agreement (MOU/ISA).

· Completed Manufacturer Disclosure Statement for Medical Device Security (MDS2) that covers both the physiological monitoring and telemetry systems.

· Technical specifications for all hardware, software, and components of the physiological monitoring and telemetry systems.

15.2. Clinical Features Below are relevant clinical features that must be available in the new physiological monitoring and telemetry system.

15.2.1. Entire Healthcare System

· The system shall be compatible with SpO2 monitoring technology (e.g., Masimo, Nellcor).

· The system shall be able to capture 12-lead electrocardiograms at the bedside in the specified units below.

· End-tidal carbon dioxide (ETCO2) must be Microstream technology.

· The physiological monitoring system must have the ability for a patient to be continuously monitored without modifying the Admit Discharge Transfer (ADT).

· The physiological monitoring system must be able to record and maintain patient vitals data for a 72-hour period (i.e., full disclosure) across all patient care areas within Bay Pines VA Healthcare System, including both C.W. Bill Young VA Medical Center and Lee County Healthcare Center.

15.2.2. Interface/ Integration - The server will be configured to meet all clinical and technical requirements outlined within this document, including interfacing with existing clinical systems.

· Picis Clinical Information System: The physiological monitoring system must be able to send patient vitals to the existing Picis clinical information system in Gastroenterology (GI), Hybrid Operating Room (OR), Main Operating Rooms (OR), Medical Intensive Care Unit (MICU), Outpatient Surgery Center (OSC) Operating Room (OR), Outpatient Surgery Center (OSC) Pre and Post Anesthesia Care Unit (PACU), Main Post Anesthesia Care Unit (PACU), Surgical Intensive Care Unit (SICU), Lee County Healthcare Center Operating Room (OR) and Post Anesthesia Care Unit (PACU). Patient vitals will be communicated to Picis clinical information system through a RS 232 cable.

· Philips eCIU Tele-Critical Care Remote Monitoring System:The physiological monitoring system must interface with Philips eICU Tele-Critical Care remote monitoring system, as all patient beds in the MICU and SICU are configured for the Philips eICU Tele-Critical Care remote monitoring system.

· Anesthesia Machine Integration: The physiological monitoring system must display anesthesia gases from Draeger Perseus anesthesia machines. The monitors must be affixed to the anesthesia machines.

· Cerner Millennium: The physiological monitoring system must have the ability to interface with Cerner Millennium electronic health record.

· Edwards HemoSphere/ Vigilance: The physiological monitoring system must have the ability to interface with Edwards Hemosphere and Edwards Vigilance to monitor Cerebral Oximetry and minimally and invasive continuous cardiac output if the proposed system does not include cerebral oximetry monitoring and continuous cardiac output.

16. Department Specific Characteristics - C.W. Bill Young VA Medical Center

16.1. Ambulatory Surgery Unit (ASU)

16.1.1. Bedside

· Quantity: Thirteen (13) each

· Screen Size: At least 15 inches

· Touchscreen: Yes

· Mounting: Wall mounting with articulating arm

· Recorder/Strip Printer: No

· 12-Lead: Yes

· Picis Clinical Information System Interface: Yes

· Philips eICU Tele-Critical Care Interface: No

· Full Disclosure: 72-hours

· Alarm Management Integration (Vocera): Yes

· Parameter(s): ECG 5-lead, SpO2, End-tidal carbon dioxide (EtCO2), NIBP, Respiratory Rate (RR), Temperature, Four (4) Invasive Blood Pressures, Continuous Cardiac Output (CO)

· Consumables: ECG leads (Disposable), SpO2 (Disposable), NIBP (Reusable)

16.1.2. Central Station

· Quantity: One (1) set

· Screen Size: At least 19 inches

· Touchscreen: Yes

· Interactive: Yes

· Printer: Networked Printer

· Number of Beds to Display: Thirteen (13)

16.2. Bronchoscopy

16.2.1. Beside Portable

· Quantity: Two (2) each

· Screen Size: At least 12 inches

· Touchscreen: Yes

· Mounting: Rolling Stand

· Wireless: Yes

· Recorder/Strip Printer: Yes

· 12-Lead: Yes

· Picis Clinical Information System Interface: No

· Philips eICU Tele-Critical Care Interface: No

· Full Disclosure: 72-hours

· Alarm Management Integration (Vocera): Yes

· Parameter(s)s: ECG 5-lead, SpO2, End-tidal carbon dioxide (EtCO2), NIBP, Respiratory Rate (RR), Temperature, Four (4) Invasive Blood Pressures, Continuous Cardiac Output (CO)

· Consumables: ECG leads (Disposable), SpO2 (Disposable), NIBP (Reusable)

16.3. Catheterization (Cath) Labs

16.3.1. Bedside Portable

· Quantity: One (1) each

· Screen Size: At least 12 inches

· Touchscreen: Yes

· Mounting: Rolling Stand

· Wireless: Yes

· Recorder/Strip Printer: Yes

· 12-Lead: Yes

· Picis Clinical Information System Interface: Yes

· Philips eICU Tele-Critical Care Interface: No

· Full Disclosure: 72-hours

· Alarm Management Integration (Vocera): Yes

· Parameter(s)s: ECG 5-lead, SpO2, End-tidal carbon dioxide (EtCO2), NIBP, Respiratory Rate (RR), Temperature, Four (4) Invasive Blood Pressures, Continuous Cardiac Output (CO)

· Consumables: ECG leads (Disposable), SpO2 (Disposable), NIBP (Reusable)

16.4. Computerized Tomography (CT) Holding Area

16.4.1. Bedside

· Quantity: Two (2) each

· Screen Size: At least 12 inches

· Touchscreen: Yes

· Mounting: Wall mounting with articulating arm

· Recorder/Strip Printer: Yes

· 12-Lead: Yes

· Picis Clinical Information System Interface: No

· Philips eICU Tele-Critical Care Interface: No

· Full Disclosure: 72-hours

· Alarm Management Integration (Vocera): Yes

· Parameter(s): ECG 5-lead, SpO2, End-tidal carbon dioxide (EtCO2), NIBP, Respiratory Rate (RR), Temperature, Four (4) Invasive Blood Pressures, Continuous Cardiac Output (CO)

· Consumables: ECG leads (Disposable), SpO2 (Disposable), NIBP (Reusable)

16.5. Emergency Department (ED)

16.5.1. ED Specific Characteristics

· Alarms Workflow Background: When responding to alarms that are triggered, nursing staff go to the beside physiological monitor or the satellite station to address the alarm. As much relevant information as possible must be provided at these locations. The existing physiological monitors and satellite stations can only provide up to sixteen (16) patients per monitor, and there is not enough relevant information displayed. There is a new VISN8 requirement for the ED patients to be monitored 24/7 at a central station.

· The physiological monitoring system must provide lights, visual cues, and audible alarms to provide staff with a visual understanding of the alarm.

· Alarms modification per care area is managed by the facility’s alarm committee.

16.5.2. Bedside

· Quantity: Sixteen (16) each

· Screen Size: At least 19 inches

· Touchscreen: Yes

· Mounting: Wall mounting with articulating arm

· Recorder/Strip Printer: Yes

· 12-Lead: Yes

· Picis Clinical Information System Interface: No

· Philips eICU Tele-Critical Care Interface: No

· Full Disclosure: 72-hours

· Alarm Management Integration (Vocera): Yes

· Parameter(s): ECG 5-lead, SpO2, End-tidal carbon dioxide (EtCO2), NIBP, Temperature, Four (4) Invasive Blood Pressures (IBP), Continuous Cardiac Output (CO)

· Consumables: ECG leads (Disposable), SpO2 (Disposable), NIBP (Reusable)

16.5.3. Bedside Portable

· Quantity: Ten (10) each

· Screen Size: At least 12 inches

· Touchscreen: Yes

· Mounting: Rolling Stand

· Wireless: Yes

· Recorder/Strip Printer: Yes

· 12-Lead: Yes

· Picis Clinical Information System Interface: No

· Philips eICU Tele-Critical Care Interface: No

· Full Disclosure: 72-hours

· Alarm Management Integration (Vocera): Yes

· Parameter(s): ECG 5-lead, SpO2, End-tidal carbon dioxide (EtCO2), NIBP, Respiratory Rate (RR), Temperature, Four (4) Invasive Blood Pressures, Continuous Cardiac Output (CO)

· Consumables: ECG leads (Disposable), SpO2 (Disposable), NIBP (Reusable)

16.5.4. Transport

· Quantity: Four (4) each

· Screen Size: Maximum of 10 inches

· Touchscreen: Yes

· Mounting: Docking

· Wireless: No preference

· Recorder/Strip Printer: No

· 12-Lead: No

· Picis Clinical Information System Interface: No

· Philips eICU Tele-Critical Care Interface: No

· Full Disclosure: Not preference

· Alarm Management Integration (Vocera): No

· Weight: Less than 5 lbs.

· Parameters: ECG 5-lead, SpO2, End-tidal carbon dioxide (EtCO2), NIBP, Temperature, Two (2) Invasive Blood Pressures (IBP)

· Consumables: ECG leads (Disposable), SpO2 (Disposable), NIBP (Reusable)

16.5.5. Central Station

· Quantity: Seven (7) sets

· Screen Size: At least 19 inches

· Touchscreen: Yes

· Interactive: Mixed

· Six (6) interactive [two (2) in the front, two (2) in the middle, and (2) in the back.]

· One (1) non-interactive [DocBox]

· Mounting: Seven (7) wall mounted

· Printer: Networked Printer

· Number of Beds to Display: Twenty-Six (26)

16.6. Gastroenterology (GI)

16.6.1. Bedside [Procedure Room]

· Quantity: Four (4) each

· Screen Size: At least 12 inches

· Touchscreen: Yes

· Mounting: Cart mount with non-articulating arm

· Recorder/Strip Printer: Yes

· 12-Lead: Yes

· Picis Clinical Information System Interface: Yes

· Philips eICU Tele-Critical Care Interface: No

· Full Disclosure: 72-hours

· Alarm Management Integration (Vocera): Yes

· Parameter(s): ECG 5-lead, SpO2, End-tidal carbon dioxide (EtCO2), NIBP, Respiratory Rate (RR), Temperature

· Consumables: ECG leads (Disposable), SpO2 (Disposable), NIBP (Reusable)

16.6.2. Bedside [Recovery Room]

· Quantity: Eight (8) each

· Screen Size: At least 12 inches

· Touchscreen: Yes

· Mounting: Rolling Stand

· Wireless: Yes

· Recorder/Strip Printer: Yes

· 12-Lead: Yes

· Picis Clinical Information System Interface: No

· Philips eICU Tele-Critical Care Interface: No

· Full Disclosure: 72-hours

· Alarm Management Integration (Vocera): Yes

· Parameter(s): ECG 5-lead, SpO2, End-tidal carbon dioxide (EtCO2), NIBP, Respiratory Rate (RR), Temperature

· Consumables: ECG leads (Disposable), SpO2 (Disposable), NIBP (Reusable)

16.7. Hybrid Operating Room (OR)

16.7.1. Anesthesia

· Quantity: One (1) each

· Screen Size: At least 19 inches

· Touchscreen: Yes

· Mounting: Anesthesia Machine mounting with non-articulating arm

· Recorder/Strip Printer: Yes

· 12-Lead: Yes

· Picis Clinical Information System Interface: Yes

· Philips eICU Tele-Critical Care Interface: No

· Edwards HemoSphere/ Vigilance Interface: Yes

· Anesthesia Agent Integration: Draeger Perseus

· Slave Monitor Capable: Yes

· Full Disclosure: 72-hour

· Alarm Management Integration (Vocera): No

· Parameter(s): ECG 5-lead, SpO2, End-tidal carbon dioxide (EtCO2), NIBP, Respiratory Rate (RR), Temperature, Four (4) Invasive Blood Pressures, Continuous Cardiac Output (CO), Bilateral measurements

· Consumables: ECG leads (Reusable), SpO2 (Disposable), NIBP (Disposable)

· Neuromuscular Transmission (NMT) Module

· Quantity: One (1) each

· Bispectral Index (BIS) Module

· Quantity: One (1) each

16.8. Inpatient Wards

16.8.1. Ward 3D

· Ward Size: 24 Beds

· Bedside Portable-

· Quantity: Three (3) each

· Screen Size: At least 12 inches

· Touchscreen: Yes

· Mounting: Rolling Stand

· Wireless: Yes

· Recorder/Strip Printer: Yes

· 12-Lead: Yes

· Picis Clinical Information System Interface: No

· Philips eICU Tele-Critical Care Interface: No

· Full Disclosure: 72-hours

· Alarm Management Integration (Vocera): Yes

· Parameter(s): ECG 5-lead, SpO2, End-tidal carbon dioxide (EtCO2), NIBP, Respiratory Rate (RR), Temperature

· Consumables: ECG leads (Disposable), SpO2 (Disposable), NIBP (Reusable)

16.8.2. Ward 3D- Central Station

· Quantity: One (1) set

· Size: At least 19 inches

· Touchscreen: Yes

· Interactive: Yes

· Printer: Networked Printer

· Number of Beds to Display: Twenty-Four (24)

16.8.3. Ward 4A

· Ward Size: 24 Beds

· Bedside Portable-

· Quantity: Ten (10) each

· Screen Size: At least 12 inches

· Touchscreen: Yes

· Mounting: Rolling Stand

· Wireless: Yes

· Recorder/Strip Printer: Yes

· 12-Lead: Yes

· Picis Clinical Information System Interface: No

· Philips eICU Tele-Critical Care Interface: No

· Full Disclosure: 72-hours

· Alarm Management Integration (Vocera): Yes

· Parameter(s): ECG 5-lead, SpO2, End-tidal carbon dioxide (EtCO2), NIBP, Respiratory Rate (RR), Temperature

· Consumables: ECG leads (Disposable), SpO2 (Disposable), NIBP (Reusable)

16.8.4. Ward 4A- Central Station

· Quantity: One (1) set

· Size: At least 19 inches

· Touchscreen: Yes

· Interactive: Yes

· Printer: Networked Printer

· Number of Beds to Display: Twenty-Four (24)

16.8.5. Ward 5A

· Ward Size: 39 Beds

· Bedside Portable-

· Quantity: Three (3) each

· Screen Size: At least 12 inches

· Touchscreen: Yes

· Mounting: Rolling Stand

· Wireless: Yes

· Recorder/Strip Printer: Yes

· 12-Lead: Yes

· Picis Clinical Information System Interface: No

· Philips eICU Tele-Critical Care Interface: No

· Full Disclosure: 72-hours

· Alarm Management Integration (Vocera): Yes

· Parameter(s): ECG 5-lead, SpO2, End-tidal carbon dioxide (EtCO2), NIBP, Respiratory Rate (RR), Temperature

· Consumables: ECG leads (Disposable), SpO2 (Disposable), NIBP (Reusable)

16.8.6. Ward 5A- Central Station

· Quantity: One (1) set

· Size: At least 19 inches

· Touchscreen: Yes

· Interactive: Yes

· Printer: Networked Printer

· Number of Beds to Display: Thirty- Nine (39)

16.8.7. Ward 5B

· Ward Size: 48 Beds

· Bedside Portable-

· Quantity: Three (3) each

· Screen Size: At least 12 inches

· Touchscreen: Yes

· Mounting: Rolling Stand

· Wireless: Yes

· Recorder/Strip Printer: Yes

· 12-Lead: Yes

· Picis Clinical Information System Interface: No

· Philips eICU Tele-Critical Care Interface: No

· Full Disclosure: 72-hours

· Alarm Management Integration (Vocera): Yes

· Parameter(s): ECG 5-lead, SpO2, End-tidal carbon dioxide (EtCO2), NIBP, Respiratory Rate (RR), Temperature

· Consumables: ECG leads (Disposable), SpO2 (Disposable), NIBP (Reusable)

16.8.8. Ward 5B- Central Station

· Quantity: One (1) set

· Size: At least 19 inches

· Touchscreen: Yes

· Interactive: Yes

· Printer: Networked Printer

· Number of Beds to Display: Forty-Eight (48)

16.8.9. Ward 5C

· Ward Size : 16 Beds

· Bedside Portable-

· Quantity: Three (3) each

· Screen Size: At least 12 inches

· Touchscreen: Yes

· Mounting: Rolling Stand

· Wireless: Yes

· Recorder/Strip Printer: Yes

· 12-Lead: Yes

· Picis Clinical Information System Interface: No

· Philips eICU Tele-Critical Care Interface: No

· Full Disclosure: 72-hours

· Alarm Management Integration (Vocera): Yes

· Parameter(s): ECG 5-lead, SpO2, End-tidal carbon dioxide (EtCO2), NIBP, Respiratory Rate (RR), Temperature

· Consumables: ECG leads (Disposable), SpO2 (Disposable), NIBP (Reusable)

16.8.10. Ward 5C- Central Station

· Quantity: One (1) set

· Size: At least 19 inches

· Touchscreen: Yes

· Interactive: Yes

· Printer: Networked Printer

· Number of Beds to Display: Sixteen (16)

16.8.11. Ward 5D

· Ward Size: 24 Beds

· Bedside Portable-

· Quantity: Three (3) each

· Screen Size: At least 12 inches

· Touchscreen: Yes

· Mounting: Rolling Stand

· Wireless: Yes

· Recorder/Strip Printer: Yes

· 12-Lead: Yes

· Picis Clinical Information System Interface: No

· Philips eICU Tele-Critical Care Interface: No

· Full Disclosure: 72-hours

· Alarm Management Integration (Vocera): Yes

· Parameter(s): ECG 5-lead, SpO2, End-tidal carbon dioxide (EtCO2), NIBP, Respiratory Rate (RR), Temperature

· Consumables: ECG leads (Disposable), SpO2 (Disposable), NIBP (Reusable)

16.8.12. Ward 5D- Central Station

· Quantity: One (1) set

· Size: At least 19 inches

· Touchscreen: Yes

· Interactive: Yes

· Printer: Networked Printer

· Number of Beds to Display: Twenty-Four (24)

16.9. Main Operating Rooms (OR)

16.9.1. Anesthesia

· Quantity: Nine (9) each

· Screen Size: At least 19 inches

· Touchscreen: Yes

· Mounting: Anesthesia Cart mounting with non-articulating arm

· Recorder/Strip Printer: Yes

· 12-Lead: Yes

· Picis Clinical Information System Interface: Yes

· Philips eICU Tele-Critical Care Interface: No

· Edwards HemoSphere/ Vigilance Interface: Yes

· Anesthesia Agent Integration: Draeger Perseus

· Slave Monitor Capable: Yes

· Full Disclosure: 72-hours

· Alarm Management Integration (Vocera): No

· Parameter(s): ECG 5-lead, SpO2, End-tidal carbon dioxide (EtCO2), NIBP, Respiratory Rate (RR), Temperature, Four (4) Invasive Blood Pressures, Continuous Cardiac Output (CO), Bilateral measurements

· Consumables: ECG leads (Reusable), SpO2 (Disposable), NIBP (Disposable)

· Neuromuscular Transmission (NMT)

· Quantity: Nine (9) each

· Bispectral Index (BIS)

· Quantity: Nine (9) each

16.9.2. Anesthesia Portable

· Quantity: Five (5) each

· Screen Size: At least 12 inches

· Touchscreen: Yes

· Mounting: Anesthesia Cart mounting with non-articulating arm

· Recorder/Strip Printer: Yes

· 12-Lead: Yes

· Picis Clinical Information System Interface: Yes

· Philips eICU Tele-Critical Care Interface: No

· Edwards HemoSphere/ Vigilance Interface: Yes

· Slave Monitor Capable: Yes

· Full Disclosure: 72-hours

· Alarm Management Integration (Vocera): Yes

· Parameter(s): ECG 5-lead, SpO2, End-tidal carbon dioxide (EtCO2), NIBP, Respiratory Rate (RR), Temperature, Four (4) Invasive Blood Pressures, Continuous Cardiac Output, Bilateral measurements , Gas Output

· Consumables: ECG leads (Reusable), SpO2 (Disposable), NIBP (Disposable)

· Neuromuscular Transmission (NMT)

· Quantity: Five (5) each

· Bispectral Index (BIS)

· Quantity: Five (5) each

16.10. Medical Intensive Care Unit (MICU)

16.10.1. MICU Specific Characteristics

· Background - The highest level of acuity patients in both the MICU and SICU are patients who are ventilated, need Roto-Prone therapy, need continuous renal replacement therapy(CRRT), have arterial lines, are having their central venous pressure monitored, have a Swan-Ganz catheterization (occasionally), or have a need for an intra-aortic balloon pump or Impella device for cardiac support.

· Alarms Workflow Background- When responding to alarms that are triggered, nursing staff go to the beside physiological monitor or the satellite station to address the alarm. As much relevant information as possible must be provided at these locations.

· With respect to combo mode with telemetry monitoring on the unit, the clinical staff must be able to use a smaller transport monitor to utilize when ambulating patients.

· The transport monitor or telemetry box must continue to send patient data to the patient chart without modifying Admit Discharge Transfer (ADT).

· Strips must automatically print when an alarm is triggered to a central monitor laser printer.

· The physiological monitoring system shall provide the ability to digitally capture strips and print them, if needed by staff.

· The physiological monitoring system must provide lights, visual cues, and audible alarms to provide staff with a visual understanding of the alarm.

· Alarms modification per care area is managed by the facility’s alarm committee.

16.10.2. Bedside

· Quantity: Eleven (11) each

· Screen Size: At least 19 inches

· Touchscreen: Yes

· Mounting: Wall mounting with articulating arm

· Recorder/Strip Printer: No

· 12-Lead: Yes

· Picis Clinical Information System Interface: Yes

· Philips eICU Tele-Critical Care Interface: Yes

· Full Disclosure: 72-hours

· Alarm Management Integration (Vocera): Yes

· Parameter(s): ECG 5-lead, SpO2, End-tidal carbon dioxide (EtCO2), NIBP, Temperature, Four (4) Invasive Blood Pressures (IBP), Continuous Cardiac Output (CO), Bilateral measurements

· Consumables: ECG leads (Disposable), SpO2 (Disposable), NIBP (Reusable)

· Neuromuscular Transmission (NMT)

· Quantity: Two (2) if portable. If not portable, one (1) for every bedside

· Bispectral Index (BIS)

· Quantity: Two (2) if portable. If not portable, one (1) for every bedside

16.10.3. Bedside Portable

· Quantity: One (1) each

· Screen Size: At least 12 inches

· Touchscreen: Yes

· Mounting: Bed Mount

· Wireless: Yes

· Battery Operated: Minimal of one-hour runtime

· Recorder/Strip Printer: Yes

· 12-Lead: Yes

· Picis Clinical Information System Interface: No

· Philips eICU Tele-Critical Care Interface: No

· Full Disclosure: 72-hours

· Alarm Management Integration (Vocera): Yes

· Parameter(s): ECG 5-lead, SpO2, End-tidal carbon dioxide (EtCO2), NIBP, Temperature, Four (4) Invasive Blood Pressures (IBP), Continuous Cardiac Output (CO)

· Consumables: ECG leads (Disposable), SpO2 (Disposable), NIBP (Reusable)

16.10.4. Transport

· Quantity: Six (6) each

· Screen Size: Maximum of 10 inches

· Touchscreen: Yes

· Mounting: Docking

· Wireless: No preference

· Recorder/Strip Printer: No

· 12-Lead: No

· Picis Clinical Information System Interface: No

· Philips eICU Tele-Critical Care Interface: No

· Full Disclosure: Not preference

· Alarm Management Integration (Vocera): No

· Weight: Less than 5 lbs.

· Parameter(s): ECG 5-lead, SpO2, End-tidal carbon dioxide (EtCO2), NIBP, Temperature, Two (2) Invasive Blood Pressures (IBP)

· Consumables: ECG leads (Disposable), SpO2 (Disposable), NIBP (Reusable)

16.10.5. Central Station

· Quantity: Three (3) sets

· Screen Size: At least 19 inches, dual screen

· Touchscreen: Yes

· Interactive: Yes

· Mounting: Desk mounted

· Printer: Networked Printer

· Number of Beds to Display: Eleven (11)

16.10.6. Satellite Central Station

· Quantity: Six (6) sets

· Screen Size: At least 19 inches

· Touchscreen: Yes

· Interactive: Yes

· Mounting: Wall mounted

· Printer: No printer

16.11. Outpatient Surgery Center (OSC) Operating Room (OR)

16.11.1. Anesthesia

· Quantity: Four (4) each

· Screen Size: At least 19 inches

· Touchscreen: Yes

· Mounting: Anesthesia Cart mounting with non-articulating arm

· Recorder/Strip Printer: Yes

· 12-Lead: Yes

· Picis Clinical Information System Interface: Yes

· Philips eICU Tele-Critical Care Interface: No

· Anesthesia Agent Integration: Draeger Perseus

· Slave Monitor Capable: Yes

· Full Disclosure: 72-hours

· Alarm Management Integration (Vocera): Yes

· Parameter(s): ECG 5-lead, SpO2, End-tidal carbon dioxide (EtCO2), NIBP, Respiratory Rate (RR), Temperature, Four (4) Invasive Blood Pressures, Continuous Cardiac Output (CO), Bilateral measurements, Cerebral Oximetry

· Consumables: ECG leads (Disposable), SpO2 (Disposable), NIBP (Disposable)

· Neuromuscular Transmission (NMT)

· Quantity: Four (4) each

· Bispectral Index (BIS)

· Quantity: Four (4) each

16.12. Outpatient Surgery Center (OSC) Pre and Post Anesthesia Care Unit (PACU)

16.12.1. Bedside

· Quantity: Thirteen (13) each

· Screen Size: At least 19 inches

· Touchscreen: Yes

· Mounting: Wall mounting with articulating arm

· Recorder/Strip Printer: No

· 12-Lead: Yes

· Picis Clinical Information System Interface: Yes

· Philips eICU Tele-Critical Care Interface: No

· Full Disclosure: 72-hours

· Alarm Management Integration (Vocera): Yes

· Parameter(s): ECG 5-lead, SpO2, End-tidal carbon dioxide (EtCO2), NIBP, Temperature, Four (4) Invasive Blood Pressures (IBP), Continuous Cardiac Output (CO)

· Consumables: ECG leads (Disposable), SpO2 (Disposable), NIBP (Reusable)

16.12.2. Bedside Portable

· Quantity: One (1) each

· Screen Size: At least 12 inches

· Touchscreen: Yes

· Mounting: Rolling Stand

· Wireless: Yes

· Recorder/Strip Printer: Yes

· 12-Lead: Yes

· Picis Clinical Information System Interface: Yes

· Philips eICU Tele-Critical Care Interface: No

· Full Disclosure: 72-hours

· Alarm Management Integration (Vocera): Yes

· Parameter(s): ECG 5-lead, SpO2, End-tidal carbon dioxide (EtCO2), NIBP, Respiratory Rate (RR), Temperature, Four (4) Invasive Blood Pressures, Continuous Cardiac Output (CO)

· Consumables: ECG leads (Disposable), SpO2 (Disposable), NIBP (Reusable)

16.12.3. Central Station

· Quantity: One (1) set

· Screen Size: At least 19 inches

· Touchscreen: Yes

· Interactive: Yes

· Mounting: One (1) desk mounted

· Printer: Networked…