ATT 2 Am 1- B3 PWS revised.docx

B.3 Performance Work Statement

1.0. Introduction. This is a services contract to provide radiation and medical (diagnostic) physicist services in support of the Veterans Health Care System of the Ozarks (VHSO), Radiation Safety Program. The contractor shall provide all supervision, personnel, transportation, equipment and software needed to complete the requirements of this contract. The successful offeror will be required to make a minimum of 4 quarterly visits per contract year as well as any additional visits as needed. The successful offeror will also be required to attend the quarterly Radiation Safety Committee meetings in person or online. The government shall not exercise any supervision or control over the contract service providers performing the services herein. Such contract service providers shall be accountable solely to the contractor who, in turn is responsible to the government for overall contract performance. The contractor shall provide all personnel, equipment, supplies, facilities, transportation, tools, materials, supervision, and other items and non-personal services necessary to perform the required service at VHSO as defined in this Performance Work Statement (PWS), except for those items specified as Government-furnished property and services. The contractor shall perform to the standards of this PWS.

1.1 Place of Performance. Main VA hospital (VHSO) located at 100 N. College Ave, Fayetteville, AR and includes several Community Based Outpatient Clinics (CBOCs) in the surrounding catchment area to include Ft Smith CBOC, 5700 Phoenix Place, Fort Smith, AR; Branson CBOC, 5571 North Gretna Rd, Branson, MO; Joplin CBOC, 3015 Connecticut Ave, Joplin, MO and Gene Taylor CBOC, 1850 West Republic St, Springfield, MO.

1.2 Scope of Work. VHSO provides Radiology/Nuclear Medicine services to the VA main hospital in Fayetteville, AR and Radiology services to several Community Based Outpatient Clinics (CBOCs) noted above. Medical Diagnostic Physicist is to provide oversight of VHSO Quality Assurance activities relative to radiation safety and medical physics to include:

1.2.1. Evaluation of radiology and nuclear medicine equipment, including acceptance testing at the time of installation, routine quarterly and annual testing and emergency checks as needed or following a major repair that would affect image quality or have an impact on Radiation Protection.

1.2.2. Assessing patient radiation doses and employee exposure, when requested by VHSO.

1.2.3. Evaluating shielding of equipment rooms after new or renovated construction projects.

1.2.4. Ensuring VHSO facility compliance with Nuclear Regulatory Commission (NRC) regulations, National Health Physics Program (NHPP) requirements, the Joint Commission (TJC) guidelines and Veterans Affairs (VA) system directives and policies, supplying documentation stating compliance. If noncompliance is determined, the contractor will be responsible for creating a written plan and executing that plan to bring the VHSO into compliance.

1.2.5. Other radiation safety or medical physics duties as assigned by the VHSO Radiation Safety Officer (RSO). Such duties may include but are not limited to, nuclear medicine quarterly audits, license amendments, or consultative services for possible radiation safety events including medical events or misadministration of radioactive isotopes.

2.0 General Requirements. This section describes the general requirements for this effort. The following sub-sections provide details of various considerations on this effort.

2.1 Personnel. This contract requires that certain tasks be performed by a licensed qualified Medical Physicist. Prior to commencing work, all contractor employees shall meet certain criteria, listed below, to perform work under this contract as a Medical (Diagnostic) Physicist. All of the required qualification documents identified in this section must be submitted with the contractor’s offer. These documents will be forwarded to the RSO or designee for approval. Failure to submit these documents with the offer or the disapproval of these qualification will result in the offer being rejected. The Contractor Medical Physicist shall meet the following education, certification, and qualification standards:

2.1.1. Hold a Master’s Degree or higher in Medical Physics, Health Physics or a related field, transcripts required with offer.

2.1.2. Hold current Board Certification in Diagnostic Radiological Physics by the American Board of Radiology or American Board of Medical Physics, copy of certification with offer.

2.1.3. The Contractor Medical Physicist shall have recent experience as an RSO or consultant to a medical facility licensed by the NRC to perform nuclear medicine related assessments.

2.1.4. The Contractor Medical Physicist shall have a thorough understanding of all current NRC/NHPP regulations, particularly pertaining to the VA system.

2.1.5. The Contractor Medical Physicist shall have experience writing NRC/NHPP license amendments related to the medical use of radiation.

2.1.6. If the offeror is a graduate from a Nuclear Medicine Technology Program, then he/she must have and provide, a copy of current certification by the American Association of Radiologist Technologists (AART) and/or Nuclear Medicine Technology Certification Board (NMTCB) at the time their offer is submitted.

2.1.7. The Contract Diagnostic Medical Physicist shall have a minimum of five years of experience working in the field of radiation safety.

2.2. Type of Contract. The Government will award a Fixed Price (FP) Indefinite-Delivery Indefinite-Quantity (IDIQ) contract.

2.3. Period of Performance. The period of performance for this effort will be a base period of five (5) years with five (5) twelve-month ordering periods. A task order will be issued for each ordering period.

2.4. Scheduling of Work. The Contractor shall schedule routine work 21 days in advance to allow for adjustments to the clinic and patient schedules and will communicate with the Nuclear Medicine technologist and the Radiology Chief Technologist to coordinate dates and times. The Contractor will ensure all tests, audits and surveys are done prior to deadlines.

2.4.1. All work, regardless of when performed, shall be paid for at the rate specified in the contract. Contract Employees must be physically present at a VA facility and actually perform the required services for payment (online meetings and consultations are acceptable unless physical presence is requested by RSO.)

2.4.2. The Contractor shall submit a quarterly agenda to the RSO that summarizes the audits/inspections/surveys/tests that must be completed in the upcoming quarter.

2.5. Travel/Transportation. The Contractor shall provide all Travel/Transportation necessary to perform the requirements of this contract. All travel related costs, including lodging or any other miscellaneous costs, shall be the sole responsibility of the contractor and shall be included in the firm fixed unit price on the Price Schedule.

2.6. Medical Emergency Services. In case of emergency, the Medical Physicist shall be required to report (in person, phone or via e-mail) within four (4) hours after receipt of phone call or e-mail notice from VHSO to the RSO or Radiology department. There will be no limit to the amount of calls or e-mails that VHSO can make to the Medical Physicist. The Contractor Medical Physicist will provide unlimited telephone or e-mail support for any regulatory, dose or quality control problems in a timely manner and will respond to any query from the RSO in a timely manner.

2.7 Business Relations. The contractor shall successfully integrate and coordinate all activity needed to execute the requirement. The contractor shall manage the timeliness, completeness, and quality of problem identification. The contractor shall provide corrective action plans, proposal submittals, and timely identification of issues. The contractor shall seek to ensure customer satisfaction and professional and ethical behavior of all contractor personnel.

3.0. Performance Requirements. The following section specifies the Performance Elements for the contract. The vendor shall refer to the most current versions of standards and requirements from NRC/NHPP when conducting the requested monitoring and reporting. The following services are to be completed for equipment listed in Appendix A, at the appropriate locations.

3.1. Conduct surveys of and evaluations of nuclear medicine and radiology equipment and records.

3.1.1. Review the condition of all Nuclear Medicine and radiation producing equipment at VHSO at least once a year, or more often if equipment failed quality control, was repaired or as otherwise needed. Provide a written report of findings and solutions to any issues found. (This includes nuclear medicine, MRI, CT, X-ray and dental equipment. See Appendix A for list of equipment at each location)

3.1.2. Perform quarterly evaluations of Nuclear Medicine records and equipment and provide a written report of findings and solutions to any issues found.

3.1.3. Perform acceptance testing of Nuclear Medicine and Radiology/Dental radiation producing equipment as needed and provide a written report of findings and solutions to any issues found.

3.1.4. Perform quarterly performance-based audit of laboratory practices in Nuclear Medicine and provide a written report of findings and solutions to any issues found.

3.1.5. Audit the technical Quality Control programs of Nuclear Medicine and Radiology annually and recommend changes as required by the National Health Physics Program (NHPP) radioactive materials permit. Provide a written report of findings and solutions to any issues found.

3.1.6. Prepare manifests and coordinate shipment of radioactive flood sources at VHSO in accordance with NRC/NHPP regulations.

3.1.7. Prepare annual radiation safety report in conjunction with RSO.

3.1.8. Provide technical advice and direction during the performance of American College of Radiology -changed from Nuclear Physicians (ACNP)- Society of Nuclear Medicine (SNM) Nuclear Medicine phantom studies to ACR testing for Nuclear Medicine facilities.

3.1.9. Assist the Nuclear Medicine Physician with dosimetry monitoring as related to radio pharmaceutical therapy and provide physicist support to Nuclear Medicine for therapy as needed in accordance with the Release Guidelines.

3.1.10. Attend quarterly Radiation Safety Committee meetings and present a verbal report of the quarterly audit. During the RSC meeting, tasks may be assigned by the committee for follow-up, and the Contractor may be assigned responsibility for completing some tasks.

3.1.11. Assist the RSO, as requested, with quarterly reviews of all occupationally exposed personnel dosimetry badges; analyze doses to individuals and initiate appropriate action. Actively assist in the preparation of overexposure reports.

3.1.12. Prepare all necessary paperwork, and speak on the subjects and questions if asked, for NRC/NHPP and be physically present at inspections by the NRC/NHPP and the Joint Commission for Accreditation of Healthcare Organizations (TJC) where radiation issues are involved.

3.1.13. Prepare plans for any NRC/NHPP inspections or surveys and ensure compliance with all NRC/NHPP regulations. If noncompliance is found, the contractor will create a written plan of action to ensure compliance and see the plan through until compliance has been reached.

3.1.14. Conduct Quality Management surveys related to NRC/NHPP requirements.

4.0 Performance Requirements Summary (PRS) Matrix

The Contractor service requirements are summarized into performance objectives that relate directly to mission essential items. The performance threshold briefly describes the minimum acceptable levels of service required for each requirement. These thresholds are critical to mission success. The government expects the contractor to perform at a minimum, the identified acceptable levels throughout the life of the contract, and the contractor’s performance shall be given significant consideration when evaluating recommendations for future government contracts and or awards.

Method of Surveillance: The Government performs surveillance to determine if the Contractor exceeds, meets, or does not meet these standards. The Government shall use these standards to determine Contractor performance and shall compare Contractor performance to the Acceptable Quality Level (AQL).

prior to due date 99% acceptable level

by the COR Communicate with COR in advance or follow up after missed meeting. Provide justification for missed meeting.

4.1 Quality Assurance. The Government will evaluate the Contractor’s performance under the contract, IAW the PRS Matrix. If any of the services performed do not conform to contract requirements, the Government may require the Contractor to perform the services again in conformity with contract requirements, at no increase in contract amount.

4.1.1. Whenever the COR notifies the contractor of any deficiencies detected in the work performed, the contractor shall correct cited deficiencies within three (3) working days, or as otherwise adjusted by the COR, after the notification in writing by the COR without affecting the regularly scheduled work. If these are not corrected timely, the COR will issue a Contract Report to the CO for issuance to the contractor.

4.1.2. Upon satisfactory completion by the Contractor and acceptance by the COR of the work completed by the contractor in accordance with this Performance Work Statement, payment will be approved. Failure to complete the work stated in this PWS may result in unfavorable Contractor Performance Assessment Reporting System (CPARS) ratings or payment delay until such item is completed as determined by the Contracting Officer.

4.1.3. The contractor shall maintain an effective Quality Control Program to ensure services are performed IAW this PWS. The purpose of this program is to identify, prevent, and ensure non-recurrence of defective services.

5.0 Deliverables

(See Appendix B for inspection criteria that must be in report.)

COR

5.1. Annual Radiation Protection Reports shall include all components specified in Appendix B.

5.2. Report of all testing results shall be sent via e-mail with a hard copy sent by mail to the COR.

6.0 Definitions

CONTRACTING OFFICER (CO): A Contracting Officer is a government employee who has authority to enter into, administer, and or terminate contracts, as well as make related determinations and findings on behalf of the Government. (Note: The only individual who can legally bind the Government.)

CONTRACTING OFFICER’S REPRESENTATIVE (COR) - A representative from the requiring activity appointed by the Contracting Officer to perform surveillance and to act as liaison to the contractor

CONTRACTOR: A supplier or vendor awarded a contract to provide specific supplies or service to the Government. The term used in this contract refers to the prime.

DELIVERABLE: A tangible or intangible object produced as a result of the project that is intended to be delivered to a customer (either internal or external). Examples of a deliverable are a report, a document, a server upgrade or any other building block of an overall project.

FISCAL YEAR: A period beginning in October 1 and ending September 30 of the consecutive calendar year. The fiscal year is designated by the calendar year in which it ends.

QUALITY ASSURANCE SURVEILLANCE PLAN (QASP): A plan specifying the surveillance methodology used by the COR for surveillance of the contractor’s performance.

SUBCONTRACTOR. One that enters into a contract with a prime contractor. The Government does not have privity of contract with the subcontractor.

7.0 Billing:

7.1 Invoice requirements and supporting documentation: Payment for services rendered by the Contractor under the terms of this contract will be made monthly upon receipt of a properly executed invoice. Invoice to be submitted within ten (10) workdays following the end of a month in which the Contractor rendered services. VA will verify services performed and certify invoice for payment within thirty (30) days following date of receipt. Any identified discrepancy(s) in billings shall be cause for extending provisions of this paragraph until such time as the discrepancy or other identified problem with the billing invoice has been resolved. The Contractor must perform all services specified in the contract or the contract cost will be decreased accordingly during each billing cycle. Contractor may send invoice for review prior to electronic submittal. Subsequent changes or corrections shall be submitted by separate invoice. In addition to information required for submission of a “proper” invoice in accordance with FAR 52.212-4 (g), all invoices must include:

7.1.1 Name and Address of Contractor

7.1.2 Invoice Date and Invoice Number

7.1.3 Contract Number/Task Order/Purchase Order Number

7.1.4 Date of Service

7.1.5 Each Billable CLIN and Rate

7.1.6 Total Price

7.2 Vendor Electronic Invoice Submission Methods:

Facsimile, e-mail, and scanned documents are not acceptable forms of submission for payment requests. Electronic form means an automated system transmitting information electronically according to the accepted electronic data transmission methods below:

7.2.1 Electronic Invoice Submission: Invoices will be electronically submitted to the Tungsten website at https://www.fsc.va.gov/einvoice.asp. Tungsten direct vendor support number is 877-489-6135 for VA contracts. The VA-FSC pays all associated transaction fees for VA orders. During Implementation (technical set-up) Tungsten will confirm your Tax-Payer ID Number with the VA-FSC. This process can take up to 5 business days to complete to ensure your invoice is automatically routed to your Certifying Official for approval and payment. To successfully submit an invoice to VA-FSC please review “How to Create an Invoice” within the how to guides. All invoices submitted through Tungsten to the VA-FSC should mirror the current submission of Invoice, with the following items required. Clarification of additional requirements should be confirmed with your Certifying Official (your CO or buyer). Payments will only be made for actual services rendered. Payments shall be made monthly, in arrears. The VA-FSC requires specific information in compliance with the Prompt Pay Act and Business Requirements. The Contractor shall be reimbursed upon receipt of a proper invoice.

7.2.2 For additional information, please contact:

Tungsten Support Phone: 1-877-489-6135 Website: https://www.fsc.va.gov/einvoice.asp Department of Veterans Affairs Financial Service Center Phone: 1-877-353-9791 Email: vafscched@va.gov

8.0 MANDATORY TRAINING

8.1 All contractor employees and subcontractor employees requiring access to VA facility shall complete the following before being granted access to VA:

8.1.1 Sign and acknowledge (either manually or electronically) understanding of and responsibilities for compliance with the Contractor Rules of Behavior, Appendix E relating to access to VA

8.1.2 Successfully complete the VA Cyber Security Awareness and Rules of Behavior training and annually complete required security training

8.1.3 Successfully complete the appropriate VA privacy training and annually complete required privacy training

8.2 The contractor shall provide to the Contracting Officer Representative (COR) a copy of the training certificates and certification of signing the Contractor Rules of Behavior for each applicable employee within 1 week of the initiation of the contract and annually thereafter, as required.

8.3 Failure to complete the mandatory annual training and sign the Rules of Behavior annually, within the timeframe required, is grounds for suspension or termination of all physical and removal from work on the contract until such time as the training and documents are complete.

9. CONTRACTOR PERSONNEL SECURITY REQUIREMENTS (Handbook 6500.6):

9.1 All contractor employees who require access to the Department of Veterans Affairs property shall be the subject to be electronically fingerprinted as part of the background investigation process and receive a favorable adjudication from the VA Office of Security and Law Enforcement prior to contract performance. Individuals requiring electronic fingerprinting must present to the Veterans Health Care System of Ozarks, Fayetteville, Arkansas. Other alternative, least favored, is fingerprint card and to be fingerprinted at the nearest police station. This requirement is applicable to all subcontractor personnel requiring the same access.

9.1.1 Position Risk and Sensitivity Designations. The position sensitivity for this contract has been designated as LOW RISK. Position Risk and Sensitivity Designations are directly tied to background investigative requirements. A position designated as Low Risk requires a National Agency Check with Inquires (NACI).

9.1.2 The Office of Security and Law Enforcement provides Department-wide policy on the assignment of appropriate position sensitivity designations associated with Department of Veterans Affairs (VA) positions involving national security and public trust responsibilities, and on the level of background investigations required for applicants for, and incumbents of, those positions.

9.1.3 IAW VA Handbook 0710, Personnel Suitability and Security Program, http://www1.va.gov/vapubs/viewPublication.asp?Pub_ID=86, appointees and contract personnel appointed to Low/Moderate/High Risk positions must be subjects of a background investigation conducted by OPM and receive a favorable adjudication from the VA Office of Security and Law Enforcement to ensure compliance with such policy. If such investigation has not been completed prior to contract commencement, the Contractor shall be responsible for the actions of those individuals performing under the contract.

9.1.4 The cost for such investigations shall be inclusive; however, if a resubmittal is required because the contractor personnel failed to complete within time allotted then the Contractor shall reimburse the Government via a credit to an invoice or by a Government bill of collection. The level of sensitivity shall be determined by the Government on the basis of the type of access required. The level of sensitivity will determine the depth of the investigation and the cost thereof.

9.1.5 The Contractor shall be required to furnish all applicable employee information required to conduct the investigation, such as, but not limited to, the name, address, and social security number of the Contractor’s personnel. The VA will provide all the necessary instructions and guidance for submission of the documents required to conduct the background investigation. Background investigations shall not be required for contract personnel assigned to Low Risk/Non-sensitive positions for 180 days or less under a single contract or series of contracts. However, a Security Access Clearance (SAC) background screening will be required for appropriate preliminary checks IAW VA Directive 0710, Personnel Security and Suitability Program, http://www.va.gov/vapubs/viewPublication.asp?Pub_ID=487&FTyp.

9.1.6 BADGES: A PIV badge will be issued to contractor employee upon completion of required training, fingerprinting, and background process.

9.1.6.1 A VA “ID Badge” will be issued to each contractor employee and must be worn at all times when on VA property. Completion of initial contractor training via the Talent Management System (TMS) and provision of a completion certificate or completion of training provided directly by the COR is required prior to receiving a VA ID Badge.

9.1.6.2 Contracted employee has 5 days to turn in PIV badge to the COR if no longer under contract.

10. SPECIAL CONTRACT REQUIREMENTS

Under the authority of Public Law 104-262 and 38 USC 8153, the contractor agrees to provide Health Care Resources in accordance with the terms and conditions stated herein, to furnish to and at the Department of Veterans Affairs Medical Center, Veterans Health Care of the Ozarks (VHCO), the services and prices specified in the Section entitled Schedule of Supplies/Services of this contract.

10.1 SERVICES:

a. The services specified in the Sections entitled Schedule of Supplies/Services and Special Contract Requirements may be changed by written modification to this contract.

b. Other necessary personnel for the operation of the services contracted for at the VA will be provided by the VA at levels mutually agreed upon which are compatible with the safety of the patient and personnel and with quality medical care programming.

c. The services to be performed by the contractor will be performed in accordance with VA policies and procedures and the regulations of the medical staff by laws of the VA facility.

10.2 TERM OF CONTRACT:

This contract is effective from date of award with five (5) twelve-month ordering periods. The contract is subject to the availability of funds. The contractor shall perform no services after September 30 of any year until the Contracting Officer authorizes such services in writing.

10.3 QUALIFICATIONS:

Personnel assigned by the Contractor to perform the services covered by this contract shall be licensed in a State, Territory, or Commonwealth of the United States or the District of Columbia. All licenses held by the personnel working on this contract shall be full and unrestricted licenses. The qualifications of such personnel shall also be subject to review by the VA Chief of Staff and approval by the VA Facility Director. Each person assigned to work under this contract shall be licensed by .

10.4 WORK HOURS:

a. The services covered by this contract shall be furnished by the contractor as defined herein. The contractor will not be required, except in case of emergency, to furnish such services during off-duty hours as described below.

b. The following terms have the following meanings:

(1) Work hours: Monday through Friday, 8:00 a.m. - 4:30 p.m.

(2) National Holidays: The 10 holidays observed by the Federal Government are:

New Year’s Day Martin Luther King’s Birthday Presidents Day Memorial Day Juneteenth Day Independence Day Labor Day Columbus Day Veterans Day Thanksgiving Christmas AND any other day specifically declared by the President of the United States to be a national holiday.

(3) Off-Duty hours: Friday through Monday, 4:30 p.m. - 8:00 a.m.

10.5 PERSONNEL POLICY:

The contractor shall be responsible for protecting the personnel furnishing services under this contract. To carry out this responsibility, the contractor shall provide the following for these personnel:

- general liability

- workers compensation

- professional liability insurance

- health examinations

- income tax withholding, and

- social security payments.

The parties agree that the contractor, its employees, agents and subcontractors shall not be considered VA employees for any purpose.

10.6 RECORD KEEPING:

The VA Medical Center, Veterans Health Care of the Ozarks, shall establish and maintain a record keeping system that will record the hours worked by the contractor employee(s). Contractor's employee(s) shall report by means acceptable by the contractor and the COR.

10.7 CONTRACT PERFORMANCE MONITORING:

Monitoring of contractor’s time shall be demonstrated through sign-in/ sign-out sheets. The contractor shall be required to sign an attendance log upon reporting to work and departing from work. The COR shall be the VA official responsible for verifying contract compliance. After contract award, any incidents of contractor noncompliance as evidenced by the monitoring procedures shall be forwarded immediately to the Contracting Officer.

10.8 KEY PERSONNEL AND TEMPORARY EMERGENCY SUBSTITUTIONS:

The Contractor shall assign to this contract the following key personnel:

a. During the first ninety (90) days of performance, the Contractor shall make NO substitutions of key personnel unless the substitution is necessitated by illness, death, or termination of employment. The Contractor shall notify the Contracting Officer, in writing, within 15 calendar days after the occurrence of any of these events and provide the information required by paragraph (c) below. After the initial 90-day period of the contract, the Contractor shall submit the information required by paragraph (c) to the Contracting Officer at least 15 days prior to making any permanent substitutions.

b. The Contractor shall provide a detailed explanation of the circumstances necessitating the proposed substitutions, complete resumes for the proposed substitutes, and any additional information requested by the Contracting Officer. Proposed substitutes shall have comparable qualifications to those of the persons being replaced. The Contracting Officer will notify the Contractor within 15 calendar days after receipt of all required information of the decision on the proposed substitutes. The contract will be modified to reflect any approved changes of key personnel.

c. For temporary substitutions where the key person will not be reporting to work for three (3) consecutive workdays or more, the Contractor will provide a qualified replacement for the key person. This substitute shall have comparable qualifications to the key person. Any period exceeding two weeks will require the procedure as stated above.

10.9 Registration with Contractor Performance Assessment Reporting System 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 the Simplified Acquisition Threshold of $250,000 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 Sea Logistics Center in Portsmouth, New Hampshire. 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.

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 sixty (60) days to submit any comments and re-assign the report to the CO.

Failure for the Contractor’s representative to respond to the evaluation within those sixty (60) days, will result in the Government’s evaluation being placed on file in the database with a statement that the Contractor failed to respond; the Contractor’s representative will be “locked out” of the evaluation and may no longer send comments.

Appendix A _VHSO Equipment and Locations

VHSO Main Campus in Fayetteville, AR:

(18) x-ray tubes

(3) CT units

(2) Nuclear Medicine gamma cameras

1 Dose Calibrator: Capintec CRC-25W 1 Well Counter and Uptake Probe: Biodex AtomLab 950 1 GE Xeleris I computer 1 GE Xeleris III computer 1 Spectrum Image Acquisitioning Computer 2 Spectrum Image Processing Computers

(1) Hologic Discovery QDR Bone Density Unit

(19) Dental Units 17 Dental Plan Meca Intraoral tubes 1 Dental Panalipes tube 1 Dental Pro Max 3D

(2) MRI Units

Branson CBOC in Branson, MO

(1) Philips Digital Diagnostic x-ray unit

(1) GE Lunar Prodigy Advance Bone Density Unit

Joplin CBOC in Joplin, MO

(1) Philips Epic 7 G (removed- AM 1)

Gene Taylor Outpatient Clinic in Springfield, MO

(2) Philips Digital Diagnostic x-ray unit

(1) Canon Aquilon Primer CT unit

(1) GE Signa Voyager mobile MRI unit

(6) PlanMeca Intraoral Dental units

(1) PlanMeca ProMax 3D Dental unit

Fort Smith CBOC in Fort Smith, AR

(1) Philips Ingenuity CT unit

Appendix B Criteria for Annual Radiation Protection Reports

Radiation protection/quality control survey of the diagnostic X-rays, CTs, MRIs, Dental, Cysto and various other equipment at the Veteran’s Health Care Center of the Ozarks must be completed annually. The CT and MRI units shall be reviewed by ACR accreditation standards.

To ensure compliance with applicable state, federal and accreditation requirements, the following items must be included in the survey:

· Summary of mAs linearity variation.

· Summary of fluoroscopic resolution.

· Summary of x-ray field/light field alignment.

· Diagnostic tube housing — less than 100mR/hr@Im

· Total filtration - >2.5 mm Al

· Measured HVL @ 80kV - >2.4 mm Al

· Collimators/Shutters restricts beam properly

· mA/kV indicated — Yes

· Patient exposure (normal), Patient exposure (max) less than I OR/min

· Fluorescent screen less than 20 mR/hr

· Target to skin distance not less than 18"

· Fluoro screen removal — tenninates exposure

· Tube screen linked Yes

· Cumulative timer terminates exposure or sounds alarm (5 min)

· Exposure switch dead man type

· Under table scatter same as tube housing

· Personnel Protection should be provided tower apron/bucky

· Slot/apron/gloves/side panel cover/lead drapes.

· Portable fluoro has image amplification

· Portable fluoro 12" cone or spacer

· Radiographic timer adequate to control exposure

· Radiographic exposure switch cannot be operated outside shielded area

· Portable exposure cord at least 6' long

· X-ray production indicated Yes

· Patient view window less than 2 mR/hr

· Caution sign & instruction Posted

· Personnel monitoring yes

· Room Shielding MPR

· Radiation output manual Technique Photo timed technique-Radiation exposure per film.

· mAs linearity/Maximum Fraction Variation

· Timer/exposure reproducibility

· kVp Calibration/Half-vaIue layer@80 kVp