36C24918R0350-016.docx

STATEMENT OF WORK (SOW)

Contractor shall provide complete neurological monitoring services to the Lexington VA Medical Center’s Operating Suites beginning July 1, 2018 – September 30, 2018 with 4 one year option periods. The contractor will include operating and maintaining equipment (including monitoring devices), supplies, and labor of on-site qualified technician to perform intraoperative neurophysiologic monitoring (IONM) services in support of both neuro and vascular surgeries performed at the Lexington VA Medical Center. The Neuromonitoring service will require “four hours per session, twice per week, for 50 weeks per year. The Neuromonitoring service will be required during the standard business hours Monday – Friday between 7:00 am and 3:30 pm. There shall not be a need for this service after regular hours of operation, weekends, or holidays.

1. DEFINITIONS

a. Unit Price: All-inclusive hourly rate for covered surgeries supported by intraoperative neurophysiologic monitoring (IONM) services. It includes qualified contractor technician utilizing contractor-owned and maintained IONM equipment specific to the covered surgery being supported.

b. Covered Surgeries: Any surgery for which VA surgeon requests scheduling of IONM service support. Surgeries covered under this contract include but not all inclusive:

1) Spinal

2) Cranial

3) Vascular

4) Peripheral nerve

c. Services: A list of intraoperative services that may require use of monitoring but not limited to are:

1) Transcranial Electrical Motor Evoked Potentials (TCeMEP)

2) Upper and Lower Somatosensory Evoked Potentials (SEP)

3) Auditory Brainstem Response (ABR)

4) Electroencephalography (EEG)

5) Electromyography (EMG)

6) Cranial Nerve Electromyography (EMG)

d. Case: Elements of the covered surgeries anticipated (spinal) are expressed via Current Procedural Terminology (CPT) Codes representative of a “typical case” and are delineated below. A case is estimated to be five (5) hours in duration, regardless of nature of the surgery.

e. Reports/Documentation: The hard copy record of real time neurological monitoring data captured throughout the surgery and printed from contractor equipment for inclusion in patient’s medical record.

2. GENERAL

The majority of services will be provided during standard business hours Monday through Friday between 7:00 a.m. and 3:30 p.m. Surgeries requiring IONM services scheduled for later in the day may extend beyond standard business hours. In those instances, contractor shall provide IONM services through completion of the surgery. Contractor is expected to support Lexington VAMC’s surgery case load and provide IONM/neuro-monitoring services as outlined in paragraph 7 below in scheduling. Contractor shall contact the Operating Room (OR) front desk for approval to enter the OR and Biomedical Engineering – for equipment check-in.

3. EQUIPMENT/SUPPLIES

Contractor shall provide all hardware, software, disposables, peripherals, instructions and manuals required to support monitoring equipment shall be free from defects and maintained in optimum working condition at no additional charge to the Government. Contractor will perform all preventive maintenance, routine servicing and quality control of all IONM equipment used in performance of this contract to ensure and maintain maximum accuracy and operation. Contractor shall complete Biomedical Engineering incoming inspection prior to each scheduled operation. Incoming inspection must be completed the day of surgery, Monday through Friday 7:00 a.m.- 3:30 p.m. Contractor shall provide a copy of equipment maintenance records to Biomedical Engineering at the time of inspection. Incoming inspection for emergent cases shall be upon technician’s arrival at the VA facility.

4. MAINTENANCE

Contractor will perform all preventive maintenance, routine servicing and quality control of all IONM equipment used in performance of this contract to ensure and maintain maximum accuracy and optimum performance. Proper documentation of maintenance results and corrective action taken, as necessary, must be available to the Government.

5. MEDICAL SERVICES

Contractor shall provide services of at least one (1) qualified technician proficient in set-up and use of intraoperative neurophysiologic monitoring equipment in an OR setting for each scheduled case.

6. REPORTS

Contractor technician shall print one (1) copy of all patient monitoring documentation generated during surgery for inclusion in the electronic record. Prior to leaving the premises, contractor technician shall submit one (1) copy to the OR front desk clerk.

7. SCHEDULING/CUSTOMER SUPPORT

a. Contractor shall provide process/protocols for scheduling IONM services defined below. Contractor shall ensure 24/7/365 (including weekends and holidays) access to KEY PERSONNEL for performance under this contract.

1) Non-emergent: Contractor shall provide IONM services as requested by the facility 48 hours or more in advance of scheduled surgery(ies).

2) Emergent: Contractor shall provide IONM services to support emergency surgery(ies) within four (4) hours of request by the facility.

3) Concurrent: Contractor shall provide IONM services for up to three (3) concurrent cases during normal business hours.

b. Contractor shall have written contingency plans in place to cover emergencies, unexpected events, and assigned KEY PERSONNEL being located outside a 2-hour driving perimeter of Lexington VAMC.

c. Contractor shall provide direct line phone numbers bypassing menus, recorded messages, etc., providing authorized Government personnel immediate access to contractor scheduling and/or customer service personnel 24/7/365.

8. COMMON PROCEDURAL TERMINOLOGY (CPT) CODES (calculated for an average 5-hour surgery) Contractor shall, for each unit priced, provide services typically represented by the CPT Codes as described below.

NOTE: The majority of scheduled surgeries estimated above will be spinal surgeries. Typical surgeries require four to six hours or an average of five (5) hours. The above CPT codes represent a typical case; however, additional CPT codes may be used depending on the nature of the surgery. Each surgery, due to length, may be represented by some CPT codes multiple times. CPT codes and descriptions are offered below.

95962

Functional cortical and subcortical mapping by stimulation and/or recording of electrodes on brain surface, or of depth electrodes, to provoke seizures or identify vital brain structures; each additional hour of physician attendance (List separately in addition to code for primary procedure)

9. QUALIFICATIONS OF PERSONNEL

Personnel assigned by the contractor to perform the services covered by this contract must be employees of the contractor and meet basic minimum criteria/qualifications of contractor as well as the requirements identified below. The qualification of such personnel shall also be subject to review by the Chief of Surgery and Chief of Staff. Technicians must possess minimum qualifications specified below.

a. Recognition for Certification for Neurophysiological Intraoperative Monitoring (CNIM) from the American Board of Electroencephalographic and Evoked Potential Technologists (ABRET).

b. Competency for/certification on equipment proposed by contractor for performance under this contract.

c. Three (3) years of recent clinical experience.

d. Fluent in written and spoken English.

e. Current certifications in Basic Life Support (BLS) is required. Certification in Advanced Life Support (ALS) is desirable.

f. Current Certificate of Liability Insurance for technicians submitted for performance under this contract.

g. Certification of successful completion of annual Privacy/HIPAA training. Training may be provided by contractor and validated by contractor written statement submitted to the Contracting Officer Representative (COR).

h. Timely completion of any new requirements for mandatory education and/or competency reassessment which occur during the contract performance period.

i. Certification of successful completion of annual Privacy/HIPAA Training and Information Security Training.

Contractor must provide documentation that demonstrates that all technicians named herein have a satisfactory health status including a current physical, which includes a current TB test and Hepatitis B vaccination. Proof that a two-step tuberculosis skin testing is up-to-date. Contractor must also provide documentation that demonstrates required immunizations are up-to-date.

10. INVOICES

Contractor shall provide statements/invoices to the Lexington VA Medical Center within 30 days of end of each month services delivered. Statements/Invoices shall include patient last name and last four digits of the social security number to whom neurological monitoring services were administered, type of surgery performed, length of surgery in hours and minutes, starting and ending time neurological monitoring services were provided, cost per hour and total cost for services provided.

11. OTHER REQUIREMENTS

Contractor shall be responsible to ensure that technicians providing work on this contract are fully trained and completely competent to perform the required work. Contractor will meet VA, Joint Commission, and the American Hospital Association standards.