ATTACHMENT 1_S01 25923Q0146 Amendment 0001.docx

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 NUMBERE

D 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 amendmen t, 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) 36C259 Department of Veterans Affairs Network Contracting Office

NCO 19

6162 South Willow Drive, Suite 300 Greenwood Village CO 80111 36C259 Department of Veterans Affairs Network Contracting Office

NCO 19

6162 South Willow Drive, Suite 300 Greenwood Village CO 80111 To all Offerors/Bidders

36C25923Q0146

X X

See CONTINUATION Page X The purpose of this amendment is to:

a. Extend the due date for quotes to 1:00PM MT on 02/03/2023

b. Provide a revised Statement of Work (SOW) and Price Sch edule

c. Provide answers to questions received from vendors.

d. All other terms and condition remain unchanged.

Timothy Myers Contracting Officer

A.1 PRICE/COST SCHEDULE

ITEM INFORMATION

Surgical Asset Management (SAM) QuickScan Baseline assessment of instrumentation and reprocessing practices in Sterile Processing Department and Operating Room.

LOCAL STOCK NUMBER: IM-560

Contract Period: Base POP Begin: 02-17-2023 POP End: 02-16-2024

LOCAL STOCK NUMBER: IM-560

SAM Phase I: ASSET ANALYSIS A quantitative and qualitative examination of surgical instrument fleet. Consultants perform an expanded, on-site instrument analysis tailored to meet SLC VAMC’s needs incl a Set Title Inventory and a Set Contents Inventory with generation and/or verification of instrument set count sheets for data cleanup or tracking system data population.

LOCAL STOCK NUMBER: IM-530

Contract Period: Base POP Begin: 02-17-2023

LOCAL STOCK NUMBER: IM-530

SAM Data Preparation and Logistics Includes analysis of customer's data in preparation for Asset Optimization, its entry into proprietary Asset Optimization analysis platform, and subsequent review following optimization workshop.

LOCAL STOCK NUMBER: IM-500

Contract Period: Base POP Begin: 02-17-2023

LOCAL STOCK NUMBER: IM-500

SAM Phase II: ASSET OPTIMIZATION Process to standardize, optimize, and containerize surgical sets and contents accomplished through individual sessions with surgeons and OR staff to collectively standardize and optimize surgical instrument configuration.

LOCAL STOCK NUMBER: IM-540

Contract Period: Base POP Begin: 02-17-2023

LOCAL STOCK NUMBER: IM-540

SAM Phase III: PROCESS IMPLEMENTATION Continues the improvement of quality, efficiency, and value of Surgical Asset Management within the SPD and the OR via technical process analysis and workflow analysis. Consultants assist with implementation of outlined recommendations to help SLC VAMC achieve its goals and apply proper surgical asset management practices.

LOCAL STOCK NUMBER: IM-580

Contract Period: Base POP Begin: 02-17-2023

LOCAL STOCK NUMBER: IM-580

Base Year Subtotal:

Surgical Asset Management (SAM) QuickScan Baseline assessment of instrumentation and reprocessing practices in Sterile Processing Department and Operating Room.

LOCAL STOCK NUMBER: IM-560

Contract Period: Option 1 POP Begin: 02-17-2024 POP End: 02-16-2025

SAM Phase I: ASSET ANALYSIS A quantitative and qualitative examination of surgical instrument fleet. Consultants perform an expanded, on-site instrument analysis tailored to meet SLC VAMC’s needs incl a Set Title Inventory and a Set Contents Inventory with generation and/or verification of instrument set count sheets for data cleanup or tracking system data population.

Contract Period: Option Yr 1

Contract Period: Option 1 POP Begin: 02-17-2024

SAM Data Preparation and Logistics Includes analysis of customer's data in preparation for Asset Optimization, its entry into proprietary Asset Optimization analysis platform, and subsequent review following optimization workshop.

Contract Period: Option Yr 1

LOCAL STOCK NUMBER: IM-500

Contract Period: Option 1 POP Begin: 02-17-2024

LOCAL STOCK NUMBER: IM-500

SAM Phase II: ASSET OPTIMIZATION Process to standardize, optimize, and containerize surgical sets and contents accomplished through individual sessions with surgeons and OR staff to collectively standardize and optimize surgical instrument configuration.

Contract Period: Option Yr 1

LOCAL STOCK NUMBER: IM-540

Contract Period: Option 1 POP Begin: 02-17-2024

LOCAL STOCK NUMBER: IM-540

SAM Phase III: PROCESS IMPLEMENTATION Continues the improvement of quality, efficiency, and value of Surgical Asset Management within the SPD and the OR via technical process analysis and workflow analysis. Consultants assist with implementation of outlined recommendations to help SLC VAMC achieve its goals and apply proper surgical asset management practices.

Contract Period: Option Yr 1

LOCAL STOCK NUMBER: IM-580

Contract Period: Option 1 POP Begin: 02-17-2024

LOCAL STOCK NUMBER: IM-580

Option Yr 1 Subtotal:

Surgical Asset Management (SAM) QuickScan Baseline assessment of instrumentation and reprocessing practices in Sterile Processing Department and Operating Room.

LOCAL STOCK NUMBER: IM-560

Contract Period: Option 2 POP Begin: 02-17-2025 POP End: 02-16-2026

Option Yr 2 Subtotal:

Surgical Asset Management (SAM) QuickScan Baseline assessment of instrumentation and reprocessing practices in Sterile Processing Department and Operating Room.

LOCAL STOCK NUMBER: IM-560

Contract Period: Option 3 POP Begin: 02-17-2026 POP End: 02-16-2027

Option Yr 3 Subtotal:

REVISED STATEMENT OF WORK

Sterile Processing Department Background:

The surgical instruments and instrument set containers used at the Salt Lake City Veterans Health Care System have developed water spots and staining. Sterile Processing Department seeks to determine the root cause of the issue and provide quantitative and qualitative analysis of the Sterile Processing Department to determine contributing factors from water quality and regulatory perspectives.

Scope:

The Salt Lake City Veterans Health Care System seeks an evaluation and assessment of the water/steam quality in the decontamination and reprocessing areas of the Sterile Processing Service Department.

Good surgical asset management improves efficiencies and surgical instrument quality throughout the perioperative workflow. Identifying fundamental causes through assisting with hands-on implementation of customized solutions at Salt Lake City VAMC is needed in order to improve the lifecycle of surgical instruments, reduce OR inefficiencies, and optimize capital expenditures.

Tasks:

QuickScan

· Evaluate best practices and workflow options in SPS compared with AAMI standards

· Provide a qualitative instrument assessment by reviewing some of the facility’s top used surgical sets

· Determine opportunities and best practices available to improve Surgical Asset Management, focusing on the protection and preservation of surgical assets through a value preservation model

· Identify standardization opportunities, improving surgical set consistency

· Water Analysis – one of the most important factors in instrument performance and longevity. Contractor will utilize their enhanced water testing program and tools to evaluate SLC VAMC’s current water quality.

Asset Analysis

· Inventory of set titles to determine how many sets are in the hospital inventory and where they are stored.

· Qualification of set contents/configuration of entire surgical instrument inventory

· The vendor will document set name, service, packaging, sterilization method (steam or low temp), set quantity, location if identified

· Generation and/or verification of instrument set count sheets for data cleanup or tracking system data population.

· The vendor will document: Instrument part numbers, manufacturer, descriptions, and quantities of the contents of included instrument sets Data Preparation and Logistics

· Includes analysis of SLC VAMC data in preparation for asset optimization

· Entry into an Asset Optimization analysis program

· Subsequent review following optimization Asset Optimization

· Experts facilitate individual sessions with surgeons and OR staff to collectively standardize, optimize and containerize surgical instrument set configuration

· Work with clinical staff to identify reduction opportunities and capture all changes

· Provide analytics on the utilization and identification of optimization of sets

· A report will be generated with the proposed restructured sets, typically including detailed photographic documentation, lists of the reorganized sets, and a checklist for the gradual implementation of the revised sets within the hospital.

· Guaranteed 10% or great reduction Process Implementation

· Improvement of quality, efficiency, and value of surgical instrumentation with Sterile Processing and the OR leveraging the results of the Asset Optimization.

· Consultants will assist with the implementation of outlined recommendations to help SLC VAMC apply proper surgical asset management processes

· Vendor will deploy team onsite to implement changes to set titles identified in the Asset Optimization Performance Monitoring:

The Perioperative Services Chief and Sterile Processing Services Assistant Chief will be the points of contact for contracted services and will monitor performance. The Contracting Officer’s Representative (COR) will confirm completion of required work with the Perioperative Services Chief and the Sterile Processing Assistant Chief.

Security Requirements:

The contractor employees will not have access to VA sensitive or computer information and will not require routine access to VA facilities. The contractor employees will require intermittent access only and will be escorted by VA employees while at VA facilities. No background investigation is required. Government to notify contractor if any vendor credentialing services are required for personnel such as Reptrax.

Government-Furnished Equipment (GFE)/Government-Furnished Information All government owned equipment to be assessed by the contractor under this procurement will remain on the site at the Salt Lake City VAMC. Government assets to be evaluated include decontamination and sterilization equipment and surgical instruments. All assets will remain on site. Sterile Processing Service/OR will provide a room for contractor use near the OR/Sterile Processing Service for accessibility to instrument sets and personnel.

Other Pertinent Information or Special Considerations Contractor will consult on site with various members of the Salt Lake City Health VAMC including its leadership and technicians to gain their input on current processes. If needed, consultation with OR leadership may also be requested by the contractor.

Inspection and Acceptance Criteria The COR is responsible for certifying that the work done under the contract is performed timely and ensuring the inspection and acceptance of products provided incidental to services if applicable.

Risk control The consulting services to be provided on site by the contractor do not jeopardize patient safety as they are consultative in nature and contractor personnel do not have access to Salt Lake City VAMC patients or patient medical records.

Place of Performance All consulting work will be performed onsite at the Salt Lake City Veteran Health Care System at 500 Foothill Drive, Salt Lake City, Utah 84148.

Period of Performance Contractor will begin service within one month after receipt of order. Project execution of the entire Scope of Work is anticipated to last for a period of one year at the Salt Lake City VA Medical Center. Analysis of water/steam quality may be required on a recurring basis throughout a four-year period.