36C25924Q0128 0002.pdf

36C25924Q0128 0002

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)

1 7

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

36C25924Q0128

X

X X

See CONTINUATION Page

X 1

Muskogee VAMC Patient Monitoring System

The purpose of this amendment is to answer questions received about the solicitation.

Questions and answers can be found on continuation pages 2 – 7.

All other terms and conditions remain unchanged.

Douglas Buffington Contracting Officer

VA-VHA-RPOW-2023-0020

CONTINUATION PAGE

Warranty / Total Cost of Ownership Q: Please confirm VA MUSKOGEE requirement for all vendor quotes to include Parts and Labor Warranty equal to 5-years following installation (go-live)

A: VA Medical Center requires warranty and service agreement equal to 5-years, listed in one-year increments for the hardware and software.

Software Support / Updates Q: Please confirm VA MUSKOGEE requirement for all vendor quotes to include the following Software Support & Updates

• 5-years Biomedical Software Support (i.e. bedside, central & telemetry software updates)

• 5-years Biomedical Software Support to Guarantee System compatibility (bedside / central)

• 5-years Clinical Application Software Support (including HL7 Vital Signs & ADT Interface, 12-

Lead MUSE Interface, Full Disclosure, Remote access, etc)

A: Yes, any vendors requiring software support to fulfill Statement of Work (SOW) section 2.4.7. and

2.4.8. and 2.4.9, shall provide quotes accordingly. Quotes shall be in one-year increments for a maximum span of five years. Vendors providing software updates shall guarantee system compatibility and complete system function to gain maintenance acceptance.

VISTA / CPRS Interface:

Statement of Work per VA MUSKOGEE RFQ: Please confirm VA MUSKOGEE requirement for all vendor quotes to include the following:

Q: Please confirm all vendors to include annual HL7 Software Support Agreement?

If so, how many years?

A: Yes, if HL7 Software Support Agreement is required, vendor should include a separate quote for the contracted annual agreement, in one-year increments for a span of five years.

Q: Please confirm VA MUSKOGEE requirement for all vendor quotes to include full functioning HL7 ADT connectivity, with bar code scanning patient admission, at time of go-live for ALL bedsides, transports, centrals, and telemetry.

A: Yes, per SOW Section 2.5.7 and 2.5.8 Connectivity and entire system feature testing will be conducted before installation completion and system is handed over to the VAMC. Equipment, including requested functions, and overall system connectivity requirements diminishing the integrity of the procurement solicitation will not receive final installation acceptance.

Printing Q: PRINTING – Please confirm VA MUSKOGEE’S requirement for all vendor quotes to include either dedicated laser printer or existing network laser printer functionality for strips and/or reports for each of the following clinical departments: ER, ICU, MedSurg/Tele, PACU, Short Stay, Endo, Biomed, etc.

A: Yes, line item 0008 requires (quantity 7) Bedside Central Stations (two monitors with 17-inch minimum screen size) capable of a minimum 16 bed display with associated UPS and printer. Type of printer shall be quoted based on the requirements defined in SOW sections 2.3.7.3, 2.3.7.4, 2.3.7.5, 2.3.8, 2.3.8.1.2,

2.3.8.1.3 and 2.3.8.1.4 vendors discretion of medical relevance for application need.

Q: Please confirm VA MUSKOGEE requirement for all vendor quotes to include a solution for “electronic strip printing” (i.e. print to .pdf) to facilitate import of waveform strips to Vista Imaging.

A: Yes, all vendors shall include a waveform strip and telemetry reports import/export solutions, VISTA Imaging and Airstrip One. Solutions shall not involve the usage of external storage devices.

Full Disclosure Please confirm VA MUSKOGEE requirement for All Vendor Quotes to include the following Full Disclosure functionality, and provide additional detail for each of the following Full Disclosure topics:

Q: Patient Data Transfer: Please confirm VA MUSKOGEE requirement for all vendor quotes to include Full Disclosure Data Transfer across all departments, regardless of sending / receiving department, to create a ≥72-hour seamless patient record across all departments defined by VA MUSKOGEE as ER, ICU, MedSurg/Tele, PACU, Short Stay, Endo, Biomed, etc.

A: Yes, clinical departments defined in SOW section 1.1.1.1 for VAMC are ICU, PACU, short stay, medical surgical, emergency department and endoscopy. All patient data shall be viewable by all central stations provided as part of this procurement, no matter the sending or receiving departments.

Q: Access To Full Disclosure: Please confirm VA MUSKOGEE requirement for all vendor quotes to include “Secondary Access Points” known as remote Full Disclosure Workstations (i.e. RN Station, Patient Floors, Physician Lounges, RN Mgrs office, etc); this in addition to Full Disclosure access at defined central station locations.

Please provide quantity and locations of secondary access points to be included in vendor quote (i.e. 2 per department where monitors or telemetry are present)

A: The wording of this question was difficult to understand. If question is referencing secondary viewing screens, such as secondary department central stations/display for patient monitoring, no such thing is required.

If question is referencing a secondary data collection. Secondary/Back up data collections are preferred but not required to be virtual. Primary data collection, central/bedside workstations, are required to have a UPS at every patient monitoring central station.

Remote Access to Clinical Information (pc, ipad, smartphone, internet, portal, etc) Q: Please confirm VA MUSKOGEE requirement for all vendor quotes to include the following and provide additional detail for each of the following Remote Access topics:

Remote Access to include Streaming Waveforms, Numeric & Graphical Trends, Full Disclosure, etc.

Overall User Quantity (registered user license / capability) Quantity of concurrent licenses (i.e. Qty 200) Annual Renewal Fees for licenses

A: In accordance with the national contract providing VAMC with Airstrip One, only complacence with vendor services are required for VAMC need fulfillment.

Q: Please confirm the VA MUSKOGEE requires remote tele monitoring and full disclosure across all facilities (VA Tulsa/VA Clinic)

A: No, full remote and disclosure is not required across all locations.

Bedside Monitors Q: Please confirm VA MUSKOGEE requires serial 12-lead comparison on bedside monitors as requirement, as this is only available from a single vendor.

A: No, vendor is not required to provide this function due to the national contract awarded September 25, 2023 providing VAMC with Airstrip One, therefore enabling 12-lead comparison at the bedside.

Q: Please confirm VA requirement for all vendor quotes to include device functionality & Complete network infrastructure (including servers, switches, etc) to enable cross-departmental view of any bedside monitor patient information from any other bedside or central monitor throughout VA MUSKOGEE facility.

A: Yes, vendor shall provide quotes based on proprietary parameters (servers, switches, etc.) to satisfy the requirement of viewing any beside monitoring or central monitor throughout VAMC (clinical departments defined in SOW section 1.1.1.1 for VAMC are ICU, PACU, short stay, medical surgical, emergency department and endoscopy).

Q: The RFQ states a system requirement for compatibility with Bayonette dual tube quick adapters with dual tube cuffs for noninvasive blood pressure monitoring, with Nellcor Adult SpO2 Sensors and Welch Allyn Thermometer Probe covers. Since this is a specific and uncommon configuration, please confirm alternative configurations are acceptable.

A: Alternative options will be accepted in relation to SpO2 Sensors and Thermometer probes. No alternatives will be accepted for noninvasive blood pressure monitoring. Bayonette dual tube quick adapters with dual tube cuffs, are required.

Telemetry Q: Access To Full Disclosure: Please confirm VA MUSKOGEE requirement for all vendor quotes to include “Secondary Access Points” to Remote Full Disclosure Terminals (i.e. RN Station, Patient Floors, Physician Lounges, RN Mgrs office, etc); this in addition to Full Disclosure access at defined central station locations.

Please provide quantity and locations of secondary access points to be included in vendor quote (i.e. 2 per department where monitors or telemetry are present)

A: The wording of this question was difficult to understand. If question is referencing secondary viewing screens, such as secondary department central stations/display for patient monitoring, no such thing is

If question is referencing a secondary data collection. Secondary/Back up data collections are preferred but not required to be virtual. Primary data collection, central/bedside workstations, are required to have a UPS at every patient monitoring central station.

Central Monitors vs Slave Displays Q: Please confirm VA MUSKOGEE’s requirement for all vendor quotes to include Full Functioning Central Monitors with 72hrs Full Disclosure

A: Yes, all submitted quotes shall provide fully functioning central station monitoring with 72 hours full patient data disclosure in accordance with SOW section 2.3.7.3, 2.3.7.4 and 2.3.7.5 specifications.

Q: If this is not the case, please clarify VA MUSKOGEE requirement for all vendor quotes to include quantities or combinations for each of the following technologies:

• Full Functioning Central Monitor w/72 hrs Full Disclosure (Qty_____)

• Slave / Secondary Non-Functioning Repeater Display (Qty_____)

• Remote Full-Disclosure Workstation (Qty_____)

A: VAMC Patient Monitoring Central Stations 5 VAMC Biomed Remote Central Station 1 VAMC Telemetry Central Stations 1 VAMC Telemetry Viewing Only Monitor display 3 VAMC Clinic Central Stations 1 Option Year:

VAMC Patient Monitoring Central Stations 6 VAMC Biomed Remote Central Station 1 VAMC Telemetry Central Stations 1 VAMC Telemetry Viewing Only Monitor display 3

Department Specific Questions:

Muskogee VAMC Emergency Department:

Q: Please confirm:

1. [11] Bedside Monitors, wall mounted

2. [2] Transport, Small Screen monitors

a. What mounting solution needed here?

A: 1. Bedside monitors shall be wall mounted (small, medium, and large monitors).

2.VAMC and Option Year VAMC Transport Monitors shall be mounted the same in patient rooms in accordance with vendor specific display screen and transport screen mounts. Transport monitors are only required to display patient vitals, there are no transport mounting specifications required.

Muskogee VAMC Tele Department:

Please confirm:

Q: 4 East Requires [1] Non-Functional Slave Display [can only see & hear, not control] at RN Station

A: Yes, 4 East Requires [1] Non-Functional Slave Display [can only see & hear, not control] at RN Station

Q: 4 West Requires [1] Non-Functional Slave Display [can only see & hear, not control] at RN Station

A: Yes, 4 East Requires [1] Non-Functional Slave Display [can only see & hear, not control] at RN Station

Q: 5 West Requires [1] Non-Functional Slave Display [can only see & hear, not control] at RN Station

A: Yes, 4 East Requires [1] Non-Functional Slave Display [can only see & hear, not control] at RN Station

Q: The need to cover the entire 200,000 sqft. Upon walk through we only showed approx. 25,000sqft.

A: Yes, 200,000 sqft includes the entire square footage for both wireless patient monitoring transmission, via transport monitors, and telemetry transmission. Vendor shall submit quotes based on personalized vendor equipment requirements to ensure satisfaction of solicited need.

Muskogee VAMC PACU:

Q: All monitors do NOT need ETCO2 functionality

A: No, All VAMC PACU monitors shall have CO2 functionalities (SOW section 2.3.7.3.2)

Muskogee VAMC Short Stay:

Q: All monitors do NOT need ETCO2 functionality

A: Yes, there is no requirement for VAMC Short Stay monitors to have CO2 functionalities (SOW section 2.3.7.3.3)

Muskogee VAMC Endoscopy:

Q: All monitors do NOT need ETCO2 functionality

A: No, all VAMC Endoscopy, Clinic Endoscopy, and Option Year VAMC endoscopy monitors shall have CO2 functionalities SOW section 2.3.7.3.4 and 2.3.7.4.1 and 2.3.7.5.

Muskogee VAMC Portable:

Q: All monitors do NOT need ETCO2 functionality

A: Yes, there is no requirement for VAMC Portable monitors to have CO2 functionalities (SOW section 2.3.7.3.5)

Muskogee VAMC Biomedical Engineering:

Q: What parameters required for [3] Transport Monitors

A: Spare biomed transport monitors shall contain the same monitoring features as all other transport monitors associated with this procurement.

OPTION YEAR VAMC:

Option Year VAMC Emergency Department:

Q: Please confirm:

1. [10] Bedside Monitors, wall mounted

2. [2] Transport, Small Screen monitors

a. What mounting solution needed here?

Option Year VAMC Tele Department:

A: Eastern Oklahoma VA Healthcare System did not mention a Tele Department in the referencing solicitation. The following question will be answered with the VA assuming the vendor is referencing the medical surgical department.

1. Bedside monitors shall be wall mounted (small, medium, and large monitors).

2.VAMC and Option Year VAMC Transport Monitors shall be mounted the same in patient rooms in accordance with vendor specific display screen and transport screen mounts. Transport monitors are only required to display patient vitals, there are no transport mounting specifications

Q: Any Non-Functional Slave Displays needed [can only see & hear, not control] at RN Station

A: No, non-functional slave displays requested at this time.

Q: The need to cover the entire 280,000 sqft.

A: Yes, 280,000 sqft includes the entire square footage for both wireless patient monitoring transmission, via transport monitors, and telemetry transmission. Vendor shall submit quotes based on personalized vendor equipment requirements to ensure satisfaction of solicited need.

Option Year VAMC PACU:

Q: All monitors do NOT need ETCO2 functionality

A: All Option Year VAMC PACU monitors shall have CO2 functionalities (SOW section 2.3.7.5.3)

Option Year VAMC Short Stay:

Q: All monitors do NOT need ETCO2 functionality

A: Yes, no requirement for Option Year VAMC Short Stay monitors to have CO2 functionalities (SOW section 2.3.7.5.4)

Option Year VAMC Endoscopy:

Q: All monitors do NOT need ETCO2 functionality

A: No, all VAMC Endoscopy, Clinic Endoscopy, and Option Year VAMC endoscopy monitors shall have CO2 functionalities SOW section 2.3.7.3.4 and 2.3.7.4.1 and 2.3.7.5.

Option Year VAMC OR:

Q: All monitors do NOT need MULTIGAS functionality

A: Yes, no monitors will require multigas functionality.

Option Year VAMC Biomedical Engineering:

Q: What parameters required for [3] Transport Monitors

A: Spare biomed transport monitors shall contain the same monitoring features as all other transport monitors associated with this procurement.