36C25020Q1051.docx

36C25020Q1051

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1. REQUISITION NO.

2. CONTRACT NO.

3. AWARD/EFFECTIVE DATE

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8. OFFER DUE DATE/LOCAL

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10. THIS ACQUISITION IS

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% 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

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NAICS:

SIZE STANDARD:

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TION UNLESS BLOCK IS

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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

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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

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ITEM NO.

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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

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

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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

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SET FORTH HEREIN IS ACCEPTED AS TO ITEMS:

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

AUTHORIZED FOR LOCAL REPRODUCTION

(REV. 2/2012)

PREVIOUS EDITION IS NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.212

7. FOR SOLICITATION

INFORMATION CALL:

STANDARD FORM 1449

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

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

583-21-1-020-0001 36C25020Q1051 02- -2021 ML Gilbert (513)559-3711 03- -2021 12:00pm

EST

36C250 Department of Veterans Affairs Network Contracting Office (NCO) 10 260 E. University Avenue Cincinnati OH 45219 X X Y 541990 $16.5 Million N/A N/A X Department of Veteran Affairs Richard L. Roudebush VA Medical Center 1481 W. 10th Street Indianapolis IN 46202 36C250 Department of Veterans Affairs Network Contract Office (NCO) 10 260 East University Ave.

Cincinnati OH 45219

VENDOR ADDRESS:

OB10 or current electronic invoice system Department of Veteran Affairs FMS PO Box 149971 Austin TX 78714-9971 1-877-353-9791 512-460-5429 See CONTINUATION Page Diagnostic Medical Physicist Inspections for Radiology See CONTINUATION Page X X ML Gilbert Contracting Officer Table of Contents

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

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

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

a. CONTRACTOR: ____________________ Contractor POC: ____________________ Contractor POC Phone #: _______________ Contractor POC email #: ________________________

Cincinnati, Ohio 45219 513-559-3711

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.

FSC e-invoice program http://www.fsc.va.gov/einvoice.asp OB10 electronic invoicing system http://www.tungsten-network.com/customer-campaigns/veterans-affairs/

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

The Contractor shall provide a qualified Diagnostic Medical Physicist with American Board of Radiology (ABR) Certification to execute performance testing services on imaging equipment listed in Section D.1.

Period of Performance: 1 April 2021 through 31 March 2026 Pricing Instructions:

The quoter is instructed to include all other than price and cost information supporting the proposed price as directed in Instructions to quoters addendum to 52.212-1 and/or Section D- Contract Documents, Exhibits, or attachments.

"Reimbursement will be made to the contractor by issuance of individual modifications during the life of the contract. Only the Contracting Officer is authorized to exercise options against this contract; which will be issued annually for each option year."

Place of Performance: Services shall be provided on-site at the Richard L. Roudebush VA Medical Center (VAMC) located at 1481 West 10th Street, Indianapolis, IN 46202-2830

B.2 PRICE/COST SCHEDULE

BASE YEAR: 04/01/2021 THROUGH 03/31/2022

Annual Cost

Equipment: 23 Radiographic/Fluoro Tubes, 9 Dental Radiographic Tubes, 5 Angiography/Interventional Lab Tubes, 1 Cardiac Catheterization Tube, 1 O-Arm System, 7 Computed Tomography Systems – Diagnostic, 1 Computed Tomography System Non-diagnostic,3 MRI Systems, 48 Ultrasound Systems and1 Densitometer. See equipment list for serial numbers.

ESTIMATED QUANTITIES. Reimbursement will be made on actual number of inspections performed.

ESTIMATED QUANTITIES. Reimbursement will be made on actual number of inspections performed

ESTIMATED QUANTITIES. Reimbursement will be made on actual number of inspections performed.

ESTIMATED QUANTITIES. Reimbursement will be made on actual number of inspections performed.

ESTIMATED QUANTITIES. Reimbursement will be made on actual number of inspections performed

Including the Radiation Safety Radionuclide and Radiation Safety Machine Produced Committees as Requested by the Radiation Safety Officer.

QUANTITY IS ESTIMATED. Reimbursement will be made on actual number of on-site review meeting attended.

TOTAL BASE YEAR: $__________________

OPTION YEAR ONE: 04/01/2022 THROUGH 03/31/2023

Annual Cost

Equipment: 23 Radiographic/Fluoro Tubes, 9 Dental Radiographic Tubes, 1 Cardiac Catheterization Tube, 1 O-Arm System, 7 Computed Tomography Systems – Diagnostic, 1 Computed Tomography System Non-diagnostic,3 MRI Systems, 48 Ultrasound Systems and1 Densitometer. See equipment list for serial numbers.

ESTIMATED QUANTITIES. Reimbursement will be made on actual number of inspections performed.

ESTIMATED QUANTITIES. Reimbursement will be made on actual number of inspections performed

ESTIMATED QUANTITIES. Reimbursement will be made on actual number of inspections performed.

ESTIMATED QUANTITIES. Reimbursement will be made on actual number of inspections performed.

ESTIMATED QUANTITIES. Reimbursement will be made on actual number of inspections performed

Including the Radiation Safety Radionuclide and Radiation Safety Machine Produced Committees as Requested by the Radiation Safety Officer.

QUANTITY IS ESTIMATED. Reimbursement will be made on actual number of on-site review meeting attended.

TOTAL OPTION YEAR 1: $__________________

OPTION YEAR TWO: 04/01/2023 THROUGH 03/31/2024

Annual Cost

Equipment: 23 Radiographic/Fluoro Tubes, 9 Dental Radiographic Tubes, 1 Cardiac Catheterization Tube, 1 O-Arm System, 7 Computed Tomography Systems – Diagnostic, 1 Computed Tomography System Non-diagnostic,3 MRI Systems, 48 Ultrasound Systems and1 Densitometer. See equipment list for serial numbers.

ESTIMATED QUANTITIES. Reimbursement will be made on actual number of inspections performed.

ESTIMATED QUANTITIES. Reimbursement will be made on actual number of inspections performed

ESTIMATED QUANTITIES. Reimbursement will be made on actual number of inspections performed.

ESTIMATED QUANTITIES. Reimbursement will be made on actual number of inspections performed.

ESTIMATED QUANTITIES. Reimbursement will be made on actual number of inspections performed

Including the Radiation Safety Radionuclide and Radiation Safety Machine Produced Committees as Requested by the Radiation Safety Officer.

QUANTITY IS ESTIMATED. Reimbursement will be made on actual number of on-site review meeting attended.

TOTAL OPTION YEAR 2: $__________________

OPTION YEAR THREE: 04/01/2024 THROUGH 03/31/2025

Annual Cost

Equipment: 23 Radiographic/Fluoro Tubes, 9 Dental Radiographic Tubes, 1 Cardiac Catheterization Tube, 1 O-Arm System, 7 Computed Tomography Systems – Diagnostic, 1 Computed Tomography System Non-diagnostic,3 MRI Systems, 48 Ultrasound Systems and1 Densitometer. See equipment list for serial numbers.

ESTIMATED QUANTITIES. Reimbursement will be made on actual number of inspections performed.

ESTIMATED QUANTITIES. Reimbursement will be made on actual number of inspections performed

ESTIMATED QUANTITIES. Reimbursement will be made on actual number of inspections performed.

ESTIMATED QUANTITIES. Reimbursement will be made on actual number of inspections performed.

ESTIMATED QUANTITIES. Reimbursement will be made on actual number of inspections performed

Including the Radiation Safety Radionuclide and Radiation Safety Machine Produced Committees as Requested by the Radiation Safety Officer.

QUANTITY IS ESTIMATED. Reimbursement will be made on actual number of on-site review meeting attended.

TOTAL OPTION YEAR 3: $__________________

OPTION YEAR FOUR: 04/01/2025 THROUGH 03/31/2026

Annual Cost

Equipment: 23 Radiographic/Fluoro Tubes, 9 Dental Radiographic Tubes, 1 Cardiac Catheterization Tube, 1 O-Arm System, 7 Computed Tomography Systems – Diagnostic, 1 Computed Tomography System Non-diagnostic,3 MRI Systems, 48 Ultrasound Systems and1 Densitometer. See equipment list for serial numbers.

ESTIMATED QUANTITIES. Reimbursement will be made on actual number of inspections performed.

ESTIMATED QUANTITIES. Reimbursement will be made on actual number of inspections performed

ESTIMATED QUANTITIES. Reimbursement will be made on actual number of inspections performed.

ESTIMATED QUANTITIES. Reimbursement will be made on actual number of inspections performed.

ESTIMATED QUANTITIES. Reimbursement will be made on actual number of inspections performed

Including the Radiation Safety Radionuclide and Radiation Safety Machine Produced Committees as Requested by the Radiation Safety Officer.

QUANTITY IS ESTIMATED. Reimbursement will be made on actual number of on-site review meeting attended.

TOTAL OPTION YEAR 4: $__________________

Total for Base and all Option Periods: $_________________

STATEMENT OF WORK

Part I: General Information

A. Introduction: The Department of Veterans Affairs Richard L. Roudebush VA Medical Center (VAMC) located at 1481 West 10th Street, Indianapolis, IN 46202-2830 has a requirement for Performance Testing Services to be completed by a qualified Diagnostic Medical Physicist (DMP) with American Board of Radiology (ABR) Certification for Imaging Equipment Listed in Attachment 1. The equipment includes, but is not limited to, CT, MRI, Nuclear Medicine, PET, Ultrasound, Fluoroscopy, Mammography, Interventional and Diagnostic X-Ray equipment. The annual testing schedule will be coordinated with the Contracting Officers Representative (COR), Radiation Safety Officer (RSO), and Quality Management Technologist (QMT). The Contractor shall provide assistance with the Radiation Safety Program, records documentation pertaining to equipment inspections and exposure reports, computed tomography (CT) protocol optimization, Fluoroscopy protocol optimization, radiation protection shielding calculation and room design, inspection of radiation protection shielding, 24 hours per day 7 days per week telephone consulting services, performance testing of all new or relocated imaging equipment prior to first clinical use. This service must meet requirements of the National Health Physics Program, Veterans Health Administration, Joint Commission and the American College of Radiology requirements as listed in Part II of this document.

Below is the link to the ACR Medical Physics webpage:

http://www.acr.org/Quality-Safety/Standards-Guidelines/Technical-Standards-by-Modality/Medical-Physics Below is the link to the ACR Radiology Safety webpage:

http://www.acr.org/Quality-Safety/Radiology-Safety Pricing Instructions:

Pricing must encompass all aspects of the described services within the contract documents so review the Statement of Work and all attachments closely before pricing the requirement.

Part II: Requirements

A. Annual Services to Be Performed

1.) The contractor shall perform American College of Radiology (ACR) Performance Testing on the imaging equipment (x-ray equipment, nuclear medicine cameras, PET/CT cameras, ultrasound units, and MRIs) inspections to ensure compliance with the current American College of Radiology (ACR) and Mammography Quality Standards Act (MQSA) requirements. Any deficiencies or non-conformances discovered during the inspection shall be verbally communicated to the service supervisor and Radiation Safety Officer (RSO) prior to the qualified Diagnostic Medical Physicist leaving the facility. Deficiencies or non-conformances which represent unsafe conditions with the potential to adversely impact the facility radiation workers or patients shall be reported to the service supervisor and RSO immediately upon discovery. A written report of the results shall be provided to the service supervisor and RSO within 30 working days after completion of the inspection. All imaging equipment shall be inspected at least annually, not to exceed 14 months. QC testing performed by facility personnel shall be reviewed by the Contractor.

2.) The contractor shall perform, upon request, performance testing of all new or relocated imaging equipment prior to first clinical use. The performance testing shall comply with ACR or MQSA requirements. Any deficiencies or non-conformances discovered during the inspection shall be verbally communicated to the service supervisor and RSO prior to the contractor leaving the facility. Deficiencies or non-conformances which represent unsafe conditions with the potential to adversely impact the facility radiation workers or patients shall be taken out of service and reported to the service supervisor and RSO immediately upon discovery. A written report of the results shall be provided to the service supervisor and RSO within 30 working days after completion of the inspection. This acceptance testing shall be invoiced separately.

3.) The Contractor shall perform a full inspection of imaging equipment after repairs or modifications that may affect the radiation output or image quality. The inspection shall be completed within 2 working days after the facility contacts the physicist. Any deficiencies or non-conformances discovered during the inspection shall be verbally communicated to the service supervisor and RSO prior to the qualified Diagnostic Medical Physicist leaving the facility. Deficiencies or non- conformances which represent unsafe conditions with the potential to adversely impact the facility radiation workers or patients shall be taken out of service and reported to the service supervisor and RSO immediately upon discovery. A written report of the results shall be provided to the service supervisor and RSO within 30 working days after performing of the inspection.

This testing after repair or modifications shall be invoiced separately.

4.) The Contractor shall provide consultation for additional services for safety training and shielding integrity surveys.

5.) The Contractor shall review CT and fluoroscopy protocols and include dose reduction techniques where applicable at least annually.

6.) The Contractor shall provide shielding design calculations, upon request for each new, replaced, or relocated x-ray imaging system. The calculations for each shall comply with the National Council for Radiation Protection and Measurements (NCRP) Report No. 147 (or the most recent version), and, for dental units, NCRP Report No. 145 (or the most recent version), and shall be documented in a written report which includes a diagram showing adjacent areas. The qualified diagnostic medical physicist shall perform a shielding survey to verify the structural shielding was installed per the shielding design report and complies with the design goals. A written report of the shielding survey shall be provided to the RSO within 30 workings days after the shielding survey has been completed. This shielding design service shall be invoiced separately.

7.) The Contractor shall assist on-site QM Technologist in the development of a comprehensive technical quality assurance (QA) program (e.g., technique charts, repeat/reject analysis monitoring, monitoring of exposure indices to radiographic image receptors, QA program for display monitors, QA for CT, monitoring of dose metrics from fluoroscopy studies), which complies with ACR recommendations, for all modalities.

B. Additional Services

1.) Provide 24/7 Physicist Telephone/Fax Consultation for the following:

1.) Assist with the Indianapolis VAMC Radiation Safety program and ensure that required Federal records are properly documented and maintained.

2.) Assist in monitoring patient radiation doses during procedures.

3.) Assist in estimating fetal radiation dose calculations using an ACR Certified Diagnostic Physicist.

4.) Assist during scheduled procedures when requested and provide instruction to hospital personnel as required by hospital accreditation agencies.

5.) Assist with preparing over-exposure reports for personnel radiation exposures.

6.) Assist with a review of incidents involving diagnostic x-ray equipment cause and actions taken.

7.) Attend biennial Machine Produced Radiation Safety Committee Meetings unless excused by the facility Radiation Safety Officer.

2.) Services to be provided as needed (estimated quantities provided in Price Schedule) 1.) Inspect/evaluate additional imaging equipment as necessary due to equipment acquisition and or repair/replacement of existing equipment up to 100 times per year.

2.) Design and calculation of radiation protection shielding up to 10 times per year.

3.) Inspection of radiation protection shielding up to 10 times per year.

4.) Computed Tomography (CT) protocol optimization annually/scanner.

5.) Fluoroscopy protocol optimization annually/scanner.

C. Annual Equipment Inspections: The Physicist shall conduct equipment inspections or quality control surveys of the imaging equipment listed in Attachment 1. The Contractor shall ensure the imaging equipment’s compliance with applicable Federal regulations and ACR recommendations, and shall include, but not be limited to, monitoring the following basic performance characteristics.

1.) Radiographic and Fluoroscopic Equipment: ACR Performance testing of radiographic and fluoroscopic equipment shall comply with the ACR Technical Standard for Diagnostic Medical Physics Performance Monitoring of Radiographic and Fluoroscopic Equipment. The performance of each radiographic and fluoroscopic unit must be evaluated at least annually. This evaluation should include, but not be limited to, the following tests (as applicable).

a) Integrity of unit assembly.

b) Collimation and radiation beam alignment.

c) Fluoroscopic system resolution.

d) Automatic exposure control system performance.

e) Fluoroscopic automatic brightness control performance (high-dose-rate, pulsed modes, field-of-view [FOV] variation).

f) Image artifacts.

g) Fluoroscopic phantom image quality.

h) kVp accuracy and reproducibility.

i) Linearity of exposure versus mA or mAs.

j) Exposure reproducibility.

k) Timer accuracy.

l) Beam quality assessment (half-value layer).

m) Fluoroscopic entrance exposure. Maximum output for all clinically used settings.

n) Image receptor entrance exposure.

o) Equipment radiation safety functions.

p) Patient dose monitoring system calibration.

q) Video and digital monitor performance.

r) Digital image receptor performance.

s) Grids used with portable x-ray units shall be imaged for uniformity.

D. Computed Radiography (CR) and Digital Radiography (DR): Physics inspections of CR and DR equipment shall comply with the American Association of Physicist in Medicine (AAPM) Report Number 93, Acceptance Testing and Quality Control of Photostimulable Storage Phosphor Imaging Systems (or newest standard). The performance of CR and DR must be evaluated at least annually. This evaluation should include, but not be limited to, the following tests (as applicable).

(1) Component and Imaging Plate Physical Inspection and Inventory.

(2) Imaging Plate Dark Noise and Uniformity.

(3) Exposure Indicator Calibration.

(4) Linearity and Auto-ranging Response.

(5) Laser Beam Function.

(6) Limiting Resolution and Resolution Uniformity.

(7) Noise and Low-Contrast Resolution.

(8) Spatial Accuracy.

(9) Erasure Thoroughness.

(10) Aliasing/Grid Response.

(11) IP Throughput.

(12) Positioning and Collimation Errors.

C. CT Scanners: The physics inspection shall conform to the 2012 (or newest standard) ACR Computed Tomography Quality Control Manual. The performance of each CT scanner shall be evaluated at least annually. This evaluation should include, but not be limited to, the following tests (as applicable).

(1) Review of Clinical Protocols for dose optimization.

(2) Scout Prescription and Alignment Light Accuracy.

(3) Image Thickness – Axial Mode.

(4) Table Travel Accuracy.

(5) Radiation Beam Width.

(6) Low-Contrast Performance.

(7) Spatial Resolution.

(8) CT Number Accuracy.

(9) Artifact Evaluation.

(10) CT Number Uniformity.

(11) Dosimetry (the scanner displayed CTDIvol values must be within +/- 20% of the measured CTDIvol values).

(12) Gray Level Performance of CT Acquisition Display Monitors.

D. Dental: The inspection shall conform to the Conference of Radiation Control Program Directors (CRCPD), Quality Control Recommendations for Diagnostic Radiography Volume 1 Dental Facilities July 2001 (or most recent version). The performance of dental x-ray inspections shall be annually. This evaluation should include, but not be limited to, the following tests (as applicable).

(1) Collimation.

(2) Beam quality (half value layer).

(3) Timer Accuracy and Reproducibility.

(4) kVp Accuracy and Reproducibility.

(5) mA or mAs Linearity.

(6) Exposure Reproducibility.

(7) Entrance Skin Exposure Evaluation.

(8) Technique Chart Evaluation.

(9) Image uniformity (artifact evaluation).

E. Dental CBCT Acceptance and Performance Testing

(1) Acceptance Testing. Acceptance testing and measurements of air kerma at the isocenter for each kVp station for a range of clinically used mAs settings shall be performed initially when the CBCT unit is installed and following any move of the CBCT to another area inside or outside the initial clinical site. This testing is to ensure that the equipment performance is in agreement with the manufacturer’s technical specifications.

(2) Performance Testing. Each CBCT unit shall undergo periodic quality control tests to ensure that the performance of the machine has not significantly deteriorated and is operating within the manufacturer’s technical specifications. This performance testing is performed by a qualified expert annually, at intervals not to exceed 14 months, and after repairs to the CBCT unit that may affect the radiation output or image quality.

(3) Some manufacturers provide a phantom and procedures to perform machine specific quality assurance (QA) tests. In cases where the manufacturer provides a phantom and procedures to perform specific tests but the tests are not included in this PWS, then the manufacturer’s machine-specific QA tests may be performed in addition to the QA tests in this PWS.

F. Acceptance and Annual physics testing for Dental CBCT

(1) Radiation output Repeatability Make four measurements of the air kerma at the isocenter at a clinically used setting. The measurements should be less than +/-5% of the average of the five measurements and the measurements should be less than +/- 5% of the previous year’s measurement.

(2) Radiation Output Reproducibility Measure the air kerma at the isocenter for each kVp station and a range of clinically used mAs setting. Compare the results to the baseline values established at the initial acceptance testing. The values should be +/-5% of the baseline.

(3) Beam quality Measure the half value layer (HVL) for aluminum. The minimum shall comply with the Suggested State Regulations for Control of Radiation or recognized National standards.

(4) Radiation field of view (FOV) Measure the width of the radiation field at the isocenter. The width of the beam should be 3 mm or 30% of the total nominal collimated width.

(5) Image Quality Image the phantom provided by the manufacturer or another suitable phantom. Assess high contrast spatial resolution, uniformity of transaxial images, and image noise. Imaging uniformity shall be assessed over the entire range of axial images.

(6) Accuracy of Linear Measurements Using images of an appropriate phantom, assess the accuracy of distance Measurements.

(7) Accuracy of Patient Dose Metric Indication Assess the accuracy of the indicated dose metric (typically DAP).

(8) Patient Dose Assessment From a scan or scans using the facility’s standard techniques, record the dose metric (typically DAP) and compare to achievable levels and diagnostic reference levels (if available).

(9) Review of the technical QA program The Contractor shall review the technical QA program. The review shall include a trend analysis of the QA data. The results of the technical QA program review shall be included in the written report. Any trends that identify problems shall be included in the report along with recommended corrective actions.

(10) Display Monitors

A. Perform a visual analysis of the SMPTE test pattern.

1. Display the test pattern on the imaging console. Set the display window width/level to the manufacturer-specified values for the pattern. Do not set window/level by eye; doing so invalidates the procedure.

2. Examine the pattern to confirm that the gray level display in the imaging console is subjectively correct.

a. Review the line pair patterns in the center and at each of the corners.

b. Review the black-white transition.

c. Look for any evidence of “scalloping” (loss of bit depth) or geometric distortion.

3. Use a photometer to measure the maximum and minimum monitor brightness (0% and 100% steps)

4. Measure additional steps within the pattern to establish a response curve.

5. Measure the brightness near the center of the monitor and near all 4 corners (or all 4 sides, depending on the test pattern used).

(11) Viewing Conditions Assess the viewing conditions for the area in which the monitor used to evaluate the CBCT studies is located.

G. Mammography: The qualified diagnostic medical physicist inspecting mammography equipment must meet the qualifications outlined in the MQSA and shall provide the facility with up-to-date documentation demonstrating the qualified diagnostic medical physicist is MQSA qualified. Inspections of mammography equipment must comply with the latest requirements posted on the ACR Web site for the manufacturer of the digital mammography unit being inspected. Inspection items may include:

(1) Mammographic Unit Assembly Evaluation.

(2) Collimation assessment.

(3) Artifact evaluation.

(4) kVp accuracy and reproducibility.

(5) Beam quality assessment – HVL measurements.

(6) Evaluation of system resolution.

(7) Automatic Exposure Control (AEC) function performance.

(8) Breast entrance exposure, AEC reproducibility, and average glandular dose.

(9) Radiation output rate.

(10) Phantom image quality evaluation.

(11) Signal–to–noise ratio and contrast–to noise ratio measurements.

(12) View box luminance and room illuminance.

(13) Review Workstation (RWS) tests.

H. MRI: The inspection shall conform to the 2004 ACR Magnetic Resonance Imaging Quality Control Manual. The performance of each MRI scanner shall be evaluated at least annually. This evaluation should include, but not be limited to, the following tests (as applicable).

(1) Magnetic field homogeneity.

(2) Geometric accuracy.

(3) Inter-slice RF interference.

(4) Slice position accuracy.

(5) High-contrast resolution

(6) RF coil performance.

(a) Volume coils’ signal-to-noise ratio

(b) Volume coils’ image uniformity

(c) Volume coils’ ghosting ratio

(d) Phased array coils' signal-to-noise ratio

(e) Surface coils’ signal-to-noise ratio

(7) Slice thickness accuracy

(8) Low-contrast detectability

(9) Soft copy displays

(10) Technologist’s QC program

(11) Site phantom inventory

(12) Site RF coil inventory

I. PET: The inspection shall conform to the ACR PET Phantom Instructions for Evaluation of PET Image, ACR Nuclear Medicine Accreditation Program PET Module. The performance of each PET scanner shall be evaluated at least quarterly. For PET/CT units the CT must be inspected at least annually per Item C above. This evaluation should include the following tests (as applicable).

(1) Uniformity.

(2) Spatial resolution.

(3) SUV analysis.

J. Nuclear Medicine: The inspection shall conform to the ACR annual performance tests for nuclear medicine cameras. The qualified Diagnostic Medical Physics shall also perform the quarterly testing as outlined by the ACR. The performance of each nuclear medicine scanner shall be at least annually. This evaluation should include the following tests (as applicable).

(1) Intrinsic Uniformity: fail criteria: > 5.0%

(2) System Uniformity: fail criteria: > 5.0%

(3) Intrinsic or System Spatial Resolution: fail criteria: > 3.5 mm bars

(4) Relative Sensitivity: fail criteria: COV > 2.5%

(5) Energy Resolution: fail criteria: > 12%

(6) Count Rate Parameters: fail criteria

(7) Formatter/Video Display

(8) Overall System Performance for SPECT

(9) System Interlocks

(10) Thyroid Uptake and Counting Systems

K. Ultrasound: The inspection shall conform to the ACR performance tests for ultrasound. On an ongoing basis (at least semiannually), the following tests should be done for each ultrasound unit. Testing should be done using two transducers commonly used with any unit employing more than one transducer. Data should be taken from testing of the transducers which are used for the most frequently occurring examination(s) at the site. It is recommended that these be of different scan formats such as one linear (or curvilinear array), and one sector (mechanical, phased, or vector).

(1) System Sensitivity/Penetration This test should be done with the following settings:

The maximum depth of visualization is determined by comparing the gradually weakening echo texture to electronic noises near the bottom of the image.

(2) Image Uniformity Adjust the TGC controls and other sensitivity controls to obtain an image as uniform as possible.

(3) Electrical and Mechanical Safety and Cleanliness

(4) Gray Scale Photography (if applicable) – Do either (a), (b), or (c).

(a) For Scanners with a Discrete Bar Pattern Count the number of distinct gray bar steps on the viewing monitor. Then count the number of steps visualized in the gray bar on the hard copy image.

(b) For Scanners with a Continuous Gray Bar Pattern Use calipers to measure the length of the black-to-white transition of the gray wedge on the viewing monitor. If the relative length of the black-to-white transition on the hard copy image is less, document how much is missing.

(c) For Laser Imager (Hard Copy Device) Prior to filming any images, an SMPTE test pattern created by the Society of Motion Picture and Television Engineers (SMPTE), should be printed using the appropriate window width (WW) and window level (WL). This can be found in Gray et al., “Test pattern for video display and hard-copy camera,” Radiology 145:519-527 (1985), and then contact your local service engineer for assistance. When printed, the 95% density patch within the 100% square and the 5% density patch within the 0% square should be visible, and there should be no notable distortions or artifacts present.

(5) Hard Copy Output Quality Test (Digital) (if applicable): This test, or a similar test specifically recommended by the hard copy equipment manufacturer.

Required Test Equipment

L. Display Monitors: The annual performance evaluation conducted by the contractor shall include testing of image acquisition display monitors for maximum and minimum luminance, luminance uniformity, resolution, and spatial accuracy. The image acquisition display monitors including, but not limited to nuclear medicine, PET, CT, and MRI shall be tested.

Part III: Supporting Information

A. Information Security Contractor shall adhere to HIPPA/Privacy rules required by VAMC, reports violations per VA Directive 6500.6.

B. Response Time Contractor shall respond by phone within two hours when services are requested. Contractor shall be on-site for equipment inspection within 48 hours of notification for downtime that effects direct patient care.

C. Place of Performance The place of performance will be main campus located at 1481 West 10th Street, Indianapolis, IN 46202 as well as associated facilities including but not limited to Terre Haute, Bloomington, and Brownsburg.

D. Period of Performance Period of performance is from April 1, 2021 through March 30, 2022 with four (4) one-year option periods to be exercised at the discretion of the Government in accordance with FAR 52.217-9.

E. Government-Furnished Property None

F. Qualifications of Key Personnel American Board of Radiology Certified Diagnostic Medical Physicists.

G. Hours of Work

(1) Normal business hours vary by department/section. Service shall be coordinated as necessary to reduce impact to patient care.

(2) Emergency support hours of work are defined as 24hours per dayx7days a weekx365days a year. Non-emergent hours of work for are defined as Monday through Friday from 8 a.m. to 4:30 p.m. EST, excluding federal holidays, or as otherwise arranged with the Contracting Officer Representative (COR). Telephone consultations shall be available 24hours per day.

(3) The ten holidays observed by the Federal Government are New Year's Day, Martin Luther King Day, President's Day, Memorial Day, Independence Day, Labor Day, Columbus Day, Veterans Day, Thanksgiving Day, and Christmas Day. Also, any other day declared by the President of the United States to be a national holiday.

(4) Work performed outside of normal working hours of coverage must be requested by the Contracting Officer's Representative, RSO or QM Tech.

H. REVIEW REQUIRED REGISTRATION WITH CONTRACTOR PERFORMANCE ASSESSMENT SYSTEM (CPARS)

(1) As prescribed in Federal Acquisition Regulation (FAR) Part 42.15, the Department of Veterans Affairs (VA) evaluates contractor past performance on all contracts that exceed $100,000 and shares those evaluations with other Federal Government contract specialists and procurement officials. The FAR requires that the contractor be provided an opportunity to comment on past performance evaluations prior to each report closing. To fulfill this requirement VA uses an online database, CPARS, which is maintained by the Naval Seal Logistics Center in Portsmouth, Virginia. CPARS has connectivity with the Past Performance Information Retrieval System (PPIRS) database, which is available to all Federal agencies. PPIRS is the system used to collect and retrieve performance assessment reports used in source selection determinations and completed CPARS report cards transferred to PPIRS. CPARS also includes access to the federal awardee performance and integrity information system (FAPIIS). FAPIIS is a web-enabled application accessed via CPARS for contractor responsibility determination information.

(2) Each contractor whose contract award is estimated to exceed $100,000 is required to register with CPARS database at the following web address: www.cpars.csd.disa.mil. Help in registering can be obtained by contacting Customer Support Desk @ DSN: 684-1690 or COMM: 207-438-1690. Registration should occur no later than thirty days after contract award and must be kept current should there be any change to the contractor’s registered representative.

(3) For contracts with a period of one year or less, the contracting officer will perform a single evaluation when the contract is complete. For contracts exceeding one year, the contracting officer will evaluate the contractor’s performance annually. Interim reports will be filed each year until the last year of the contract, when the final report will be completed. The report shall be assigned in CPARS to the contractor’s designated representative for comment. The contractor representative will have thirty days to submit any comments and re-assign the report to the VA contracting officer.

(4) Failure to have a current registration in the CPARS database, or to re-assign the report to the VA contracting officer within those thirty days, will result in the Government’s evaluation being placed on file in the database with a statement that the contractor failed to respond.

B.3 IT SECURITY

VA INFORMATION AND INFORMATION SYSTEM SECURITY/PRIVACY

1. GENERAL

Contractors, contractor personnel, subcontractors, and subcontractor personnel shall be subject to the same Federal laws, regulations, standards, and VA Directives and Handbooks as VA and VA personnel regarding information and information system security.

2. ACCESS TO VA INFORMATION AND VA INFORMATION SYSTEMS

a. A contractor/subcontractor shall request logical (technical) or physical access to VA information and VA information systems for their employees, subcontractors, and affiliates only to the extent necessary to perform the services specified in the contract, agreement, or task order.

b. All contractors, subcontractors, and third-party servicers and associates working with VA information are subject to the same investigative requirements as those of VA appointees or employees who have access to the same types of information. The level and process of background security investigations for contractors must be in accordance with VA Directive and Handbook 0710, Personnel Suitability and Security Program. The Office for Operations, Security, and Preparedness is responsible for these policies and procedures.

c. Contract personnel who require access to national security programs must have a valid security clearance. National Industrial Security Program (NISP) was established by Executive Order 12829 to ensure that cleared U.S. defense industry contract personnel safeguard the classified information in their possession while performing work on contracts, programs, bids, or research and development efforts. The Department of Veterans Affairs does not have a Memorandum of Agreement with Defense Security Service (DSS). Verification of a Security Clearance must be processed through the Special Security Officer located in the Planning and National Security Service within the Office of Operations, Security, and Preparedness.

d. Custom software development and outsourced operations must be located in the U.S. to the maximum extent practical. If such services are proposed to be performed abroad and are not disallowed by other VA policy or mandates, the contractor/subcontractor must state where all non-U.S. services are provided and detail a security plan, deemed to be acceptable by VA, specifically to address mitigation of the resulting problems of communication, control, data protection, and so forth. Location within the U.S. may be an evaluation factor.

e. The contractor or subcontractor must notify the Contracting Officer immediately when an employee working on a VA system or with access to VA information is reassigned or leaves the contractor or subcontractor's employ. The Contracting Officer must also be notified immediately by the contractor or subcontractor prior to an unfriendly termination.

3. VA INFORMATION CUSTODIAL LANGUAGE

a. Information made available to the contractor or subcontractor by VA for the performance or administration of this contract or information developed by the contractor/subcontractor in performance or administration of the contract shall be used only for those purposes and shall not be used in any other way without the prior written agreement of the VA. This clause expressly limits the contractor/subcontractor's rights to use data as described in Rights in Data - General, FAR 52.227-14(d) (1).

b. VA information should not be co-mingled, if possible, with any other data on the contractors/subcontractor's information systems or media storage systems in order to ensure VA requirements related to data protection and media sanitization can be met. If co-mingling must be allowed to meet the requirements of the business need, the contractor must ensure that VA's information is returned to the VA or destroyed in accordance with VA's sanitization requirements. VA reserves the right to conduct on site inspections of contractor and subcontractor IT resources to ensure data security controls, separation of data and job duties, and destruction/media sanitization procedures are in compliance with VA directive requirements.

c. Prior to termination or completion of this contract, contractor/ subcontractor must not destroy information received from VA, or gathered/ created by the contractor in the course of performing this contract without prior written approval by the VA. Any data destruction done on behalf of VA by a contractor/subcontractor must be done in accordance with National Archives and Records Administration (NARA) requirements as outlined in VA Directive 6300, Records and Information Management and its Handbook 6300.1 Records Management Procedures, applicable VA Records Control Schedules, and VA Handbook 6500.1, Electronic Media Sanitization. Self-certification by the contractor that the data destruction requirements above have been met must be sent to the VA Contracting Officer within 30 days of termination of the contract.

d. The contractor/subcontractor must receive, gather, store, back up, maintain, use, disclose and dispose of VA information only in compliance with the terms of the contract and applicable Federal and VA information confidentiality and security laws, regulations and policies.