36C25026Q0444 0001.docx

Solicitation 36C25026Q0444 – Amendment 0001 – Q&A

5. PROJECT NUMBER (if applicable)

CODE

7. ADMINISTERED BY

2. AMENDMENT/MODIFICATION NUMBER

CODE

6. ISSUED BY

8. NAME AND ADDRESS OF CONTRACTOR

4. REQUISITION/PURCHASE REQ. NUMBER

3. EFFECTIVE DATE

9A. AMENDMENT OF SOLICITATION NUMBER

9B. DATED

PAGE OF PAGES

10A. MODIFICATION OF CONTRACT/ORDER NUMBER

10B. DATED

BPA NO.

1. CONTRACT ID CODE

FACILITY CODE

CODE

Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods:

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers

E. IMPORTANT:

is extended,

(a) By completing Items 8 and 15, and returning ___ __ copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted; or (c) By separate letter or electronic communication which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY is not extended.

12. ACCOUNTING AND APPROPRIATION DATA

(REV. 11/2016)

is required to sign this document and return ___________ copies to the issuing office.

is not, A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER NO. IN ITEM 10A.

15C. DATE SIGNED

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by letter or electronic communication, provided each letter or electronic communication makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER

Contractor

16C. DATE SIGNED

14. DESCRIPTION OF AMENDMENT/MODIFICATION

16B. UNITED STATES OF AMERICA

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

15A. NAME AND TITLE OF SIGNER

16A. NAME AND TITLE OF CONTRACTING OFFICER

15B. CONTRACTOR/OFFEROR

STANDARD FORM 30

PREVIOUS EDITION NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.243 (Type or print) (Type or print) (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

(Number, street, county, State and ZIP Code) (If other than Item 6) (Specify type of modification and authority) (such as changes in paying office, appropriation date, etc.)

(If required)

(SEE ITEM 11)

(SEE ITEM 13)

(X)

CHECK

ONE

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS,

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

(Signature of person authorized to sign) (Signature of Contracting Officer) 07-28-2026

MSO-2026-COM-0025

36C250 Department of Veterans Affairs Network Contracting Office (NCO) 10 2780 Airport Dr.

Suite 340 Columbus OH 43219 36C250 Department of Veterans Affairs Network Contracting Office (NCO) 10 2780 Airport Dr.

Suite 340 Columbus OH 43219 To all Offerors/Bidders

36C25026Q0444 07-10-2026

X X X ** HOUR & DATE for Receipt of Offers is EXTENDED to: 08-11-2026 2:00 pm EDT

The purpose of solicitation amendment 0001 is to provide a response to questions received, see pages 2 through 7.

The date and hour specified in Block 8 of the SF 1449 solicitation is extended to 8/11/2026 at 2:00 pm local time.

There are no other changes.

Karen Williams Contracting Officer

VA-VHA-RPOC-2026-0027

Questions:

1. Is there any incumbent/recompete or this is a brand-new project? If yes, could you please provide us with their award number or even if the customer bought similar services in the past.

Answer: This is a new requirement, no incumbent.

1. Can the Government provide the historical breakdown of exam volume for:

1. Weekday daytime (0700–1900)

1. After-hours (1900–0700)

1. Weekends and Federal Holidays Answer: We offer CT and DX 24/7/365, After hours, these exams would all be STAT or Stroke. After hours MRI would be weekend clinic operation that happens occasionally, these would be routine. We do not typically send US for outside reads. NM is read in-house.

1. Weekday daytime (0800–1630) ≈ 8669 exams annually

3. MRI ≈ 139 exams annually

3. CT ≈ 2712 exams annually

3. DX ≈ 5818 exams annually

1. After-hours (1630–0800), weekends, holidays ≈ 7138 exams annually (≈ 677 of these were weekend and holiday)

1. MRI ≈ 72 exams annually

2. CT ≈ 2866 exams annually

3. DX ≈ 4200 exams annually

3. Can the Government provide the historical distribution of examination priority, including:

· Stroke Protocol

· STAT

· Urgent

· Routine Answer:

Weekdays (0800-1630):

· Primarily routine exam overflow with some stroke, STAT, and Urgent volume expected occasionally. Primarily in-house radiologists read the stroke, STAT, and Urgent exams during this time.

After-hours (1630–0800), weekends, holidays:

· Some routines that were left over from day shift or weekend clinic operation.

· Primarily Stroke and STAT

4. Can the Government provide the historical modality mix (or approximate percentages) for:

· X-ray

· CT

· MRI

· Ultrasound

· Nuclear Medicine

· PET/CT

· Mammography (if applicable) Answer: Approximations are annual exam numbers. CT and DX are offered 24/7/365. MRI after-hours volume would be from weekend clinics. We do not perform mammography. NM/PET-CT are read in-house.

· X-ray

1. Day Shift ≈ 5818

2. After-hours ≈ 4200

· CT

1. Day Shift ≈ 2712

2. After-hours ≈ 2866

· MRI

1. Day Shift ≈ 139

2. After-hours ≈ 72

· Ultrasound

1. Very few are sent for outside reads

· Nuclear Medicine

· PET/CT

· Mammography (if applicable)

5. Is there a current incumbent contractor? If yes, please provide the contract number.

Answer: This is a new requirement, no incumbent.

6. VA OIT no longer issues Memoranda of Understanding (MOU) between companies and VHA until after award. We respectfully request that this requirement be removed. If it is not removed, we request that the Contracting Officer provide assistance to offerors in obtaining an MOU with VA OIT.

Answer: The MOU/ISA is not required at the time of quotation submission; however, it is required before services can commence.

7. Does the estimated volume under this contract include all radiology studies generated by the Dayton VA Medical Center and its associated outpatient clinics? Please clarify whether VA-employed or federal radiologists will continue to interpret a portion of the studies, with only the remaining studies assigned to the contractor, or whether the contractor will be responsible for interpreting the entire radiology workload.

Answer: In-house VA radiologists work M-F 0800-1630 and will read the bulk of the exams during those hours.

Contractors will be responsible for approximately:

1. Weekday daytime (0800–1630) ≈ 8669 exams annually

5. MRI ≈ 139 exams annually

5. CT ≈ 2712 exams annually

5. DX ≈ 5818 exams annually

1. After-hours (1630–0800), weekends, holidays ≈ 7138 exams annually (≈ 677 of these were weekend and holiday)

3. MRI ≈ 72 exams annually

4. CT ≈ 2866 exams annually

5. DX ≈ 4200 exams annually

8. Please provide the approximate number of X-rays, CT scans, Ultrasound and MRIs per year.

Answer: Approximations are annual exam numbers. CT and DX are offered 24/7/365. MRI after-hours volume would be from weekend clinics. NM/PET-CT are read in-house.

· X-ray

1. Day Shift ≈ 5818

2. After-hours ≈ 4200

· CT

1. Day Shift ≈ 2712

2. After-hours ≈ 2866

· MRI

1. Day Shift ≈ 139

2. After-hours ≈ 72

· Ultrasound

1. Less then 50 per year.

9. Please provide the approximate average study volume during:

· Weekday daytime hours

· Weekday after-hours

· Weekends Answer: We offer CT and DX 24/7/365, After hours, these exams would all be STAT or Stroke. After hours MRI would be weekend clinic operation that happens occasionally, these would be routine. We do not typically send US for outside reads.

1. Weekday daytime (0800–1630) ≈ 8669 exams annually

7. MRI ≈ 139 exams annually

7. CT ≈ 2712 exams annually

7. DX ≈ 5818 exams annually

1. After-hours (1630–0800), weekends, holidays ≈ 7138 exams annually (≈ 677 of these were weekend and holiday)

3. MRI ≈ 72 exams annually

4. CT ≈ 2866 exams annually

5. DX ≈ 4200 exams annually

10. FAR 12.206 encourages Contracting Officers to consider past-performance information from a wide variety of sources both within and outside the Federal Government, in accordance with FAR Subpart 9.1, FAR 13.106, or FAR Subpart 15.3, as applicable. Accordingly, we respectfully request that the Government consider all available and relevant past-performance information and not limit its evaluation solely to complete Past Performance Questionnaires. If a PPQ is not returned by a customer despite an offeror’s documented good-faith efforts, will the Government accept and consider other supporting evidence of successful past performance?

Answer: Yes. In accordance with (IAW) the Addendum to FAR 52.212-1 Instructions to Offerors, “Provide a minimum of three (3), but not to exceed five (5), recent contracts of similar size, scope and complexity of this requirement.”. Additionally, IAW E.10 52.212-2 Evaluation, “Additionally, each quoter’s Contractor’s Performance Assessment Reporting System (CPARS) record(s) will be reviewed. While the Government may elect to consider data obtained from other sources, the burden of providing current, accurate and complete past performance information rests with the quoter.”

11. Obtaining completed PPQs can be challenging because CORs and other customer representatives may be unavailable or unable to respond by the solicitation deadline. We respectfully request that the Government accept recent and relevant CPARS evaluations in lieu of PPQs.

Answer: As stated for question #10, CPAR evaluations will be reviewed by the Government for the past performance evaluation.

12. PWS §4.6.4.2 states the Site-to-Site VPN connection to VISN 10 will be "configured and maintained by the VAO IT WAN Manager or their designee," while §4.6.5.1 and Section L, Item 4 require the Contractor to "establish and maintain" MPLS connectivity. Can the Government clarify whether the MPLS circuit itself is provisioned/owned by the VA (with the contractor connecting via VPN into the VA's MPLS-capable gateway), or whether the Contractor is required to independently procure and maintain its own MPLS circuit to a demarcation point specified by the VA?

Answer: In environments where Multiprotocol Label Switching (MPLS) is used, secure network segmentation and traffic isolation are provided at the transport layer. While MPLS does not perform authentication itself, it supports secure connectivity between trusted endpoints and may be used in conjunction with VPN or TLS-based authentication protocols. Architectural design must account for certificate trust relationships, VPN endpoint restrictions, and ACLs required to support secure connectivity.

VA Medical Center Joint Security Architecture is a Virtual Private Network (VPN) service providing access to the VPN for authorized Department of War (DOW) and VA users. The service provides mission partners the ability to connect to via a Multiprotocol Label Switching (MPLS) layer 3 VPN.

The vendor will connect to the VA owned MPLS through a VPN

13. §4.6.4.2 states "No GFE will be provided other than the equipment necessary to make this connection." Can the Government identify specifically what equipment (e.g., router, CSU/DSU, VPN endpoint device) will be provided as GFE, and what equipment the Contractor is expected to furnish on its end?

Answer: The Contractor is responsible for furnishing all equipment necessary to fulfill the requirements of the contract. The Government (VHA) will provide the connection point necessary to exchange required information and interfaces but will not furnish any equipment on the contractor's end.

14. PWS §4.6.5.5 requires the Contractor to maintain in-house HL-7 expertise, and Section L, Item 2 requires evidence of "an effective HL-7 interface." Given Dayton VAMC's June 2026 transition to the Oracle Health platform, what specific HL7 order (ORM/OMG) and results (ORU) message specifications does Dayton VAMC now require for the teleradiology interface, and have these changed from the prior VistA/CPRS-based specification referenced implicitly in the PWS?

Answer: Outbound Orders (ORM^O01)

• Uses OBR‑2 (Order ID), OBR‑3 (Accession), OBR‑4.1 (Procedure Code Alias), OBR‑20 (Study Instance UID), modality, patient demographics, etc.

Inbound and Outbound Results (ORU^R01)

• (Receive HL7 ORU) and 4.2.2.5 (Send HL7 ORU)

• Results include OBX segments for findings, structured text, RAD codes, critical/abnormal flags (OBX‑8), addenda handling, preliminary/final status.

Tele‑radiology ORU behavior

• Teleradiology preliminary reports use ORU (optionally MDM).

• OBX‑11 and OBR‑25 carry “P”, “R”, etc.

• Addenda are bundled with final reports.

• RAD Codes transported as OBX CE elements.

15. Will the Contractor's teleradiology system interface with Dayton VAMC imaging through the VA's Enterprise Vendor Neutral Archive (VNA), or through a Dayton VAMC site-specific PACS repository? PWS §4.6.4.1 references "VA EHR Imaging PACS and commercial PACS", can the Government confirm which of these, post-Oracle Health go-live, is now the operative integration point for image receipt and report return?

Answer: The operative integration point is the Dayton VAMC Philips PACS for sending images to the Contractor's teleradiology group via DICOM through Laurel Brige Compass router. However, CAMM integration is also necessary to enable Query/Retrieve (Q/R) functionality across both the PACS and CAMM archives. Reports, however, route via hl7 interface.

The workflow is as follows:

· Image sending: Philips PACS sends DICOM studies, along with associated priors, through a Compass router to the Contractor's teleradiology group. This is the primary pathway.

· Query/Retrieve of priors: Q/R functionality must be supported against both PACS and CAMM. Additional priors may be retrieved through the CAMM archive or PACS. All imaging is brokered through the Compass router.

16. PWS §4.6.4.9 requires the Contractor to provide a transcribed final report "uploaded to the respective VAMC's hospital information system(s) and electronically signed." Post-transition, are teleradiologists required to sign and finalize reports directly within the Oracle Health platform (e.g., via a remote portal session over the MPLS/VPN connection), or will reports continue to be transmitted via an HL7 interface for auto-population into the patient record?

Answer: No. Teleradiologists are not required to log in to or otherwise use the Oracle Health platform/EHR to sign and finalize reports. Teleradiologists Interpret, sign, and finalize reports within the Contractor's managed platform which is transmitted back via hl7 to the Oracle EHR.

17. What are the Government’s required technical and operational procedures for teleradiology order intake, image access, report completion, critical-results communication, and reconciliation during scheduled or unscheduled outages of Oracle Health, PACS, HL7 interfaces, or the primary network connection? Please identify any approved fallback tools or manual workflows.

Answer:

· If the outage prevents image transmission to the contractor, in-house contingency plans will be activated, and the exams will be interpreted and reported by VA radiologists.

· If the outage allows images to continue to be transmitted to the contractor, the contractor will continue to interpret and report. The reports may need to be called in to the ordering provider if the situation warrants. Once the outage is over, the transmission of finalized reports will be handled appropriately by either contractor staff and/or VA staff. The solutions will be put into effect based on the situation.

18. Given Dayton VAMC’s transition to the Oracle Health Federal EHR, can the Government confirm whether the bandwidth, latency, and redundancy requirements in PWS §§4.6.4.1–4.6.5.1 remain accurate for the current production architecture, or whether updated network specifications will be issued by amendment?

Answer: The requirements from the PWS remain accurate currently. If there are significant future changes to the production architecture and/or network specifications, then an amendment will be issued.

19. Section L, Item 5 asks how offerors will track and monitor traffic and whether the VA can monitor study status via a dashboard/portal. Is there a required or preferred monitoring standard/tool, or is the offeror free to propose its own monitoring solution?

Answer: The offeror is free to propose their own solution.

Amendment 0001 is for questions and answers. The closing date has been extended from 7/31/26 to 8/11/26 at 2:00 pm local time.