36C25924Q0128 0004.pdf

36C25924Q0128 0004

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 43

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 correct a governmental error made on quantities within the statement of work, answer questions and add language to the statement of work (SOW) reiterating the answers to the questions.

a. Questions and answers are on pages 2 – 9. SOW can be found in pages 10 -42.

b. The corrected quantities can be found in the revised table within the statement of work in the pages below.

c. The changes to the SOW prompted by the most recent questions are highlighted in green in the pages below.

d. the changes to the SOW that were prompted by the the previous questions are highlighted in yellow in the pages below.

e. To answer the question of whether FAR 52.219-14 Limitations on Subcontracting can be removed from the solicitation.

- The answer to the question in line d is no. Limitations on Subcontracting always applies to SDVOSB set-asides.

Douglas Buffington

Contracting Officer

VA-VHA-RPOW-2023-0020

2.3.2.2.

Q: Please confirm: would the VA want patient data from the cardiac telemetry system integrated with the EMR?

A: No, VAMC would only like the ability to manual identify abnormalities for diagnosis and saving.

2.3.7.1.1

Q: Please confirm: how many physiological waveforms the VA would like to be simultaneously displayed on the patient monitor?

A: VAMC is requiring the capabilities to simultaneously display up to 12 physiological waveforms.

Q: Please confirm: do the transport monitors need to send data to central station and EMR during transport?

A: Yes, transport monitors are required to send patient data to the central station and EMR during transport.

2.3.7.1.2

Q: please confirm how many physiological waveforms the VA would like to be simultaneously displayed on the patient monitors.

A: VAMC is requiring the capabilities to simultaneously display up to 12 physiological waveforms

Q: Please confirm: do the transport monitors need to send data to central station and EMR during transport?

2.3.7.1.3

Q: please confirm how many physiological waveforms the VA would like to be simultaneously displayed on the patient monitors.

A: VAMC is requiring the capabilities to simultaneously display up to 12 physiological waveforms.

Q: Please confirm: do the transport monitors need to send data to central station and EMR during transport?

2.3.7.1.4

Q: please confirm how many physiological waveforms the VA would like to be simultaneously displayed on the patient monitors.

A: VAMC is requiring the capabilities to simultaneously display up to 12 physiological waveforms.

Q: please confirm: do the transport monitors need to send data to central station and EMR during transport?

2.3.7.2

Q: Please clarify what does VA consider to be bedside mounted. Please clarify which monitors and in which departments does the VA want to be wall mounted, pole mounted, vs rail mounted. Please clarify the statement "Units must be compatible with all mounts associated with this VAMC patient monitoring solution".

A: All bedside monitors associated with this procurement shall be compatible with all bedside mounts associated with this procurement. Monitors shall be movable and compatible with new locations hardware (assuming both the mount and bedside monitor were both procured in this solicitation).

2.3.7.3.1 Emergency Department Muskogee VAMC

Q: Is the Emergency Department calling for (6) EtCO2 modules?

A: Yes, the emergency department is requiring six EtCO2 modules.

Q: How many invasive pressures does each ED monitor need to be able to run and visualize simultaneously?

A: VAMC is requiring the capability to display up to four invasive pressures consecutively

Q: Please confirm how many patients you want to be able to view simultaneously on this central station.

A: Bedside Central Stations (two monitors with 17-inch minimum screen size) capable of a minimum 16 bed display with associated UPS and laser printer (SOW Section 2.3.7.3.1).

2.3.7.3.2 ICU Muskogee VAMC

Q: Is the ICU calling for (6) EtCO2 modules?

A: Yes, the ICU is requiring six EtCO2 modules.

Q: Is the ICU calling for (3) NMT modules?

A: Yes, the ICU is requiring three NMT modules.

Q: How many invasive pressures does each ICU monitor need to be able to run and visualize simultaneously?

A: VAMC is requiring the capability to display up to four invasive pressures consecutively

2.3.7.3.2 PACU Muskogee VAMC

Q: Is the PACU calling for all beds to have EtCO2 modules, QTY (7)?

A: Yes, the PACU needs EtCO2 on every monitor.

Q: How many invasive pressures does each PACU monitor need to be able to run consecutively?

A: VAMC is requiring the capability to display up to four invasive pressures consecutively.

Q: Please confirm how many functional network cables of CAT5E or better exist for patient monitoring devices in the PACU.

A: There are 16 network cables available for monitors and central station use.

2.3.7.3.3 Short Stay Muskogee VAMC

Q: The small screen monitors are asked to have transport capabilities. Does the VA require these monitors to have wireless connectivity to a central station during transport?

A: No, small screen monitors have been asked to have transport capabilities, only transport monitors are required to have transport capabilities, as referenced in SOW Section

2.3.7.3.3.

2.3.7.3.4 Endoscopy Muskogee VAMC

Q: The small screen monitors are asked to have transport capabilities. Does the VA require these monitors to have wireless connectivity to a central station during transport?

A: No, small screen monitors have been asked to have transport capabilities, only transport monitors are required to have transport capabilities, as referenced in SOW Section

2.3.7.3.4.

Q: The endoscopy procedure rooms were not included in the bed count for this area. Are they excluded from this solicitation? If they are to be included, what size monitor should be quoted? How many waves should be visible on the monitors? Do they need transport monitors and how many waves should be visible on those transport monitors? How many invasive pressures are needed for these monitors? Is EtCO2 monitoring needed for these monitors? Do these procedure room monitors need to connect to the central monitor?

A: Endoscopy procedure rooms are included in this solicitation and are included accurately in the solicitation quantities and/or required characteristics (SOW Section 2.3.7.3.4,

2.3.7.4.1 and 2.3.7.5.5).

2.3.7.3.5 Portable Muskogee VAMC

Q: Do the bedside, portable monitors need to wirelessly connect to the central monitoring network so that waveforms and patient data transfer to central station and EMR during transport? If so, which central monitor should these portable monitors connect to?

A: Bedside, portable monitors shall have wireless connectivity to any central monitoring station with desire to view patient data during transport, as well as transmit to EMR.

2.3.7.3.5 Biomedical Engineering Muskogee VAMC

Q: How many devices do you want to view on the Biomedical Engineering Central Station?

A: Remote central station (two monitors with 17-inch minimum screen size) for Biomed troubleshooting both patient monitoring and cardiac telemetry, capable of a minimum 16 device display.

2.3.7.4.1 Tulsa Clinic Endoscopy Muskogee VAMC

Q: Please confirm how many CAT 5 or better network cables exist today in the unit for monitors and central stations.

A: There are 28 network cables available for monitors and central station use.

Q: Does Tulsa Clinic Endoscopy need any EtCO2 monitoring?

A: Yes, all patient monitors in Tulsa Clinic Endoscopy require EtCO2 (SOW section

2.3.7.4.1).

Q: Will any monitors be going on Anesthesia machines? If so, what is the quantity, brand and model number?

A: No monitors will be going on anesthesia machines.

Q: For all central stations required, please confirm exactly how many patients VA would like to view simultaneously on each central station.

A: Bedside Central Stations (two monitors with 17-inch minimum screen size) capable of a minimum 16 bed display with associated UPS and laser printer (SOW Section 2.3.7.3,

2.3.7.4 and 2.3.7.5).

2.3.7.5.1 Option Year VAMC Emergency Department

Q: Is the Emergency Department calling for (6) EtCO2 modules?

A: Yes, the emergency department is requiring six EtCO2 modules.

Q: How many invasive pressures does each ED monitor need to be able to run consecutively?

A: VAMC is requiring the capability to display up to four invasive pressures consecutively.

2.3.7.5.2 Option Year VAMC ICU

Q: Is the ICU calling for (6) EtCO2 modules?

A: Yes, the ICU is requiring six EtCO2 modules.

Q: Is the ICU calling for (6) NMT modules?

A: Yes, the ICU is requiring six NMT modules.

Q: How many invasive pressures does each ICU monitor need to be able to run

2.3.7.5.3 Option Year VAMC PACU

Q: Is the PACU calling for all beds to have EtCO2 modules, QTY (7)?

A: Yes, the PACU needs EtCO2 on every monitor.

Q: How many invasive pressures does each PACU monitor need to be able to run

2.3.7.5. Option Year VAMC

Q: Please confirm if the VA Construction Project will provide the network cabling or if it should be quoted in this solicitation.

A: As a turnkey solicitation, all network cabling shall be included in vendor quotes.

2.3.7.5.6 Option Year VAMC Portable

Q: The medium screen monitors are asked to have transport capabilities. Does the VA require these monitors to have wireless connectivity to a central station during transport?

A: No, medium screen monitors have been asked to have transport capabilities, only transport monitors are required to have transport capabilities, as referenced in SOW

Section 2.3.7.5.6.

2.3.7.5.7 Option Year VAMC Operating Room

Q: Does the Operating Room need EtCO2 monitoring on every monitor (QTY 20)?

A: Yes, the operating room needs EtCO2 on every monitor.

Q: Does the Operating Room need NMT monitoring on every monitor (QTY 20)?

A: Yes, the operating room needs NMT on every monitor.

Q: What make and model of Anesthesia Machines will the Operating Room patient monitors be going on?

A: Since Option Year VAMC is a new medical center, there are currently no anesthesia machines, nor have any been precured in preparations at this time.

2.3.7.5.8 Option Year VAMC Biomedical Engineering

Q: How many devices do you want to connect to the Biomedical Engineering Central Station simultaneously?

A: Remote central station (two monitors with 17-inch minimum screen size) for Biomed troubleshooting both patient monitoring and cardiac telemetry, capable of a minimum 16 device display.

2.3.8.1.1 Cardiac Telemetry System Option Year VAMC

Q: The sq footage is not congruent between the Table and the Section. Please confirm the total sq footage for the VAMC and the Option year.

A: Table has been updated.

2.3.8.1.2 VAMC – Medical Surgical

Q: VAMC Muskogee has existing telemetry transmitters that were not included in the patient monitoring equipment inventory and for obvious reasons, we could not locate each transmitter during the walkthrough. How many existing telemetry transmitters are there?

A: Currently there are 24 telemetry transmitters.

Q: Will the telemetry transmitter central stations continue to be located in the ICU where they are now?

A: Yes, as shown in the solicited floorplans, Telemetry central stations will be located in the

ICU.

Q: During the walkthrough it was indicated that 4 West, 4 East and 5 West needed central stations however these items were not called for in the solicitation. Can the VA please provide this requirement and provide the specifications for these areas? (ie. Sector count, monitoring capabilities, etc.)

A: Table has been updated (0018)

Table Questions (Page 11 of Solicitation)

Monitor Total Quantity:

Q: The sum total quantity of monitors for Item 0003 in the table does not match the sum total quantity from sections 2.3.7.3.1 (ED) and 2.3.7.3.2 (PACU & ICU).

Please confirm the total qty of medium size monitors required.

A: Table has been updated.

Q: 2.3.7.5. is incongruent with the monitor totals in item numbers 1001, 1002 and 1003.

Please confirm the total quantities of small and medium size monitors required.

A: Table has been updated.

Q: 2.4.1. VA is responsible for cabling from Philips router to VA network.

A: No, vendor is required to provide cabling from vendor router to VA network.

Q: 2.5.9. Please confirm if the 10 users needing training are clinical or biomed.

A: Two Biomed and ten clinical user trainings are required (SOW Section 2.5.9).

General Questions

Q: In what departments is diagnostic 12-lead from the bedside monitor required at the

Muskogee VA and Option Year VA?

A: VAMC, Tulsa Clinic, and Option Year VAMC requests all departments stating ECG as

‘Required Display Characteristics’ shall be 12-lead (SOW Sections 2.3.7.3, 2.3.7.4 and

2.3.7.5).

Q: Item 0015: Clinical Applications Training for Patient Monitors

How many clinical staff does VA require for training of the monitors and central stations.

A: Item 0016: Clinical Applications Training for Patient Monitors: 10

Q: Section 2.6 Please confirm this section is referring to the warranty period.

A: SOW Section 2.6 is referring to the warranty period and any service maintenance contracts quoted for this procurement.

Q: In the price schedule, please confirm what line item VA would like the Servers to be included.

A: Line item 0011, 0012, 1011, and 1012. All have been updated.

STATEMENT OF WORK (SOW)

Patient Monitoring System

1. Background

1.1. This procurement supports the replacement of individual patient monitoring systems to a single patient monitoring system across Eastern Oklahoma VA

Healthcare System, at Jack C. Montgomery VAMC, Ernest Childers VA

Outpatient Clinic and the new Veteran’s Hospital in Tulsa. The solution shall be comprised of both hardware and software along with components designed to monitor, collect, analyze, and alert clinicians to a change in various parameters. The physiologic monitoring system shall measure and display waveforms and various parameters defined in sections 2.3.7.3, 2.3.7.4 and

2.3.7.5 for each department to display. The requirement also includes telemetry coverage for each department, and all adjacent corridors utilized for patient transport. Lastly, the requirement is for central monitoring capabilities for each department.

1.1.1. For the purpose of this solicitation, Eastern Oklahoma VA

Healthcare System locations of clinical need are defined as followed.

All references to ‘whole faculty’ shall exclusive to the defined clinical areas.

1.1.1.1 “VAMC” or “Muskogee VAMC” - Jack C. Montgomery VAMC located in Muskogee, OK, encompassing the following clinical departments; ICU, PACU, short stay, medical surgical, emergency department and endoscopy.

Address: 1011 Honor Heights Drive, Muskogee, OK (Distance to

Ernest Childers = 42 Miles)

1.1.1.2 “Clinic” or “Tulsa Clinic” - Ernest Childers VA Outpatient

Clinic, located in Tulsa, OK encompassing the endoscopic department.

Address: 8921 Mingo Road, Tulsa, OK 74133 (Distance to Jack C

Montgomery = 42 miles)

1.1.1.3 “Option Year VAMC” or “Tulsa VAMC” - Veteran’s Hospital in Tulsa located in Tulsa, OK, encompassing the following clinical departments; ICU, PACU, Short Stay, Endo, medical surgical, in emergency department and OR.

1.2 The current monitoring systems at the VAMC are antiquated and do not communicate across departments posing a patient safety risk.

2. Scope of Services

2.1. This requirement is for a complete turnkey solution for a single patient monitoring system at Muskogee VAMC with an option year serving the new

Tulsa hospital. The requirement includes all equipment, mounting components, interface components, networking components, infrastructure components, materials, installation and training necessary to operate the system. Current support requirements are for a 50-bed VAMC inpatient facility

(Option Year VAMC 55-bed inpatient facility) with the capability to expand coverage as needed.

2.2. Equipment must be FDA approved.

2.3. Technical Requirements

2.3.1. The system must provide continuous monitoring of patients at bedside and via telemetry through a facility wide infrastructure. The system must be compatible with the Risk Management Framework requirements for the VA network and have an existing risk analysis completed.

2.3.2. There are three main components within this system:

2.3.2.1. A bedside monitoring system: services multiple units via a central server that provides display, communication, and processing for patient physiological data with recording capability from any monitor in the facility.

2.3.2.2. A cardiac telemetry system that also provides a record capability of patient data and waveforms using wearable telemetry packs that transmit ECG an SPO2 physiological data wirelessly over a network to a central monitoring server for viewing and analysis.

2.3.2.3. A central monitoring system capable of seeing all monitors within and between VAMC departments. The central monitoring system shall consist of an LCD monitor and the ability to print.

2.3.3. The system shall communicate directly with VISTA and CPRS, not requiring additional data interfacing. The system shall also communicate bidirectionally with the facility electronic health records

(Currently VISTA/CPRS) and shall be adaptable to Cerner at no cost to the government. The product must be established on the Cerner supported and certified medical device list.

2.3.4. The vendor shall provide a printer with the capability to print ECG wavelengths from central station. Recommended printer needed for

ECG Data strips is the appropriate thermal ECG printer.

2.3.5. The system shall have configurable alarms. The patient monitoring system shall have the capability to export telemetry reports from the new patient monitor system’s central station’s viewing platform in a downloadable fashion, not requiring an external storage device.

2.3.6. The system shall be compatible 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.

2.3.7. Bedside Monitoring System:

The system shall include the licenses, software, and accessories required for critical care, full arrhythmia, 12 lead ECG, temperature monitoring, respiratory modules, combo telemetry ECG licenses, invasive blood pressure monitoring, ICU critical care monitoring, anesthesia software as appropriate per department use.

2.3.7.1. Specified Monitor sizes shall meet the standards listed below.

2.3.7.1.1 Transport Display Monitor screen size: 5 – 8 inches

2.3.7.1.2 Small Display Monitor screen size: 11 – 13 inches

2.3.7.1.3 Medium Display Monitor screen size: 14 – 16 inches

2.3.7.1.4 Large Display Monitor screen size: 18 – 23 inches

2.3.7.2. Monitors must be bedside, or wall mounted, and wall mounted units must be detachable. All hardware and labor to mount the monitors must be included. It shall also include bed mounting rail kits and pole mounting kits. Units must be compatible with all mounts associated with this VAMC patient monitoring solution.

2.3.7.2.1 All equipment, hardware and mounting units currently installed in Muskogee VAMC and Tulsa Clinic may be considered for reuse/upgrade as applicable. All reuse/upgrade proposals shall adhere to the current life expectancy of the equipment in accordance with the

VHA guidelines for replacement and not diminish the integrity of this turnkey solution solicitation.

2.3.7.2.2 Submitted bids shall display line items in accordance with the following sections, (see section 2.3.7.1 for sizes parameters).

2.3.7.3. Muskogee VAMC – Jack C. Montgomery VAMC wireless

connectivity

2.3.7.3.1 Emergency Department

(13) – Medium screen bedside physiological monitor with associated mounting, hardware, and accessories

(13) –Transport screen physiological monitor for intra-department and inter- department transport with associated mounting, hardware, and accessories

(1) – Bedside Central Stations (two monitors with 17-inch minimum screen size) capable of a minimum 16 bed display with associated UPS and laser printer

Required display characteristics: SpO2, NIBP, ECG, Temperature, IBP and CO2 (qty 6 for associated accessories. All units capable of display)

2.3.7.3.2 ICU

(12) – Medium screen bedside physiological monitor with associated mounting, hardware, and accessories

(12) –Transport screen physiological monitor for intra-department and inter- department transport with associated mounting, hardware, and accessories

(1) – Bedside Central Stations (two monitors with 17-inch minimum screen size) capable of a minimum 16 bed display with associated UPS and laser printer Required display characteristics: SpO2, NIBP, ECG, Temperature, IBP, CO2 (qty 6 for associated accessories. All units capable of display), and NMT (qty 3 for associated accessories. All units capable of display)

2.3.7.3.2 PACU

(7) – Medium screen bedside physiological monitor with associated mounting, hardware, and accessories

(7) –Transport screen physiological monitor for intra-department and inter- department transport with associated mounting, hardware, and accessories

(1) – Bedside Central Stations (two monitors with 17-inch minimum screen size) capable of a minimum 16 bed display with associated UPS and laser printer Required display characteristics: SpO2, NIBP, ECG, Temperature, IBP and CO2

2.3.7.3.3 Short Stay

(7) – Small screen bedside physiological monitor with transport capabilities, with associated wall mounting, hardware, and accessories

(7) –Transport screen physiological monitor for intra-department and inter- department transport with associated mounting, hardware, and accessories

(1) – Bedside Central Stations (two monitors with 17-inch minimum screen size) capable of a minimum 16 bed display with associated UPS and laser printer Required display characteristics: SpO2, NIBP, ECG, and

Temperature

2.3.7.3.4 Endoscopy

(8) – Small screen bedside physiological monitor with transport capabilities, with associated wall mounting, hardware, and accessories

(8) –Transport screen physiological monitor for intra-department and inter- department transport with associated mounting, hardware, and accessories

(1) – Bedside Central Stations (two monitors with 17-inch minimum screen size) capable of a minimum 16 bed display with associated UPS and laser printer Required characteristics: SpO2, NIBP, ECG, CO2, and Temperature

2.3.7.3.5 Portable

(5) – Small screen bedside physiological monitor with transport capabilities, with associated roll stands, hardware, and accessories

(5) –Transport screen physiological monitor for intra-department and inter- department transport with associated mounting, hardware, and accessories

Required display characteristics: SpO2, NIBP, ECG, and

Temperature

2.3.7.3.6 Biomedical Engineering

(3) –Transport screen physiological monitor for intra-department and inter- department transport (no mounting, hardware or accessories required)

(3) – telemetry monitors (no mounting, hardware or accessories required)

(1) – Remote central station (two monitors with 17-inch minimum screen size) for Biomed troubleshooting both patient monitoring and cardiac telemetry, capable of a minimum 16 device display.

2.3.7.4. Tulsa Clinic – Ernest Childers VA Outpatient Clinic

2.3.7.4.1 Endoscopy

(13) – Small screen bedside physiological monitor with transport capabilities, with associated wall mounting, hardware, and accessories

(13) –Transport screen physiological monitor for intra-department and inter- department transport with associated mounting, hardware, and accessories

(1) – Bedside Central Stations (two monitors with 17-inch minimum screen size) capable of a minimum 16 bed display with associated UPS and laser printer Required display characteristics: SpO2, NIBP, ECG, CO2, and

Temperature

2.3.7.5. Option Year VAMC

2.3.7.5.1 Emergency Department

(12) –Medium screen bedside physiological monitor with associated mounting, hardware, and accessories

(12) –Transport screen physiological monitor for intra-department and inter- department transport with associated mounting, hardware, and accessories

(1) – Bedside Central Stations (two monitors with 17-inch minimum screen size) capable of a minimum 16 bed display with associated UPS and laser printer Required display characteristics: SpO2, NIBP, ECG, Temperature, IBP and CO2 (qty 6 for associated accessories. All units capable of display)

2.3.7.5.2 ICU

(12) – Medium screen bedside physiological monitor with associated mounting, hardware, and accessories

(12) –Transport screen physiological monitor for intra-department and inter- department transport with associated mounting, hardware, and accessories

(1) – Bedside Central Stations (two monitors with 17-inch minimum screen size) capable of a minimum 16 bed display with associated UPS and laser printer Required display characteristics: SpO2, NIBP, ECG, Temperature, IBP, CO2 (qty 6 for associated accessories. All units capable of display), and NMT (qty 6 for associated accessories. All units capable of display)

2.3.7.5.3 PACU

(7) – Medium screen bedside physiological monitor with associated mounting, hardware, and accessories

(7) –Transport screen physiological monitor for intra-department and inter- department transport with associated mounting, hardware, and accessories

(1) – Bedside Central Stations (two monitors with 17-inch minimum screen size) capable of a minimum 16 bed display with associated UPS and laser printer Required display characteristics: SpO2, NIBP, ECG, Temperature, IBP and CO2

2.3.7.5.4 Short Stay

(7) – Small screen bedside physiological monitor with transport capabilities, with associated wall mounting, hardware, and accessories

(7) –Transport screen physiological monitor for intra-department and inter- department transport with associated mounting, hardware, and accessories

(1) – Bedside Central Stations (two monitors with 17-inch minimum screen size) capable of a minimum 16 bed display with associated UPS and laser printer Required display characteristics: SpO2, NIBP, ECG, and

Temperature

2.3.7.5.5 Endoscopy

(8) – Small screen bedside physiological monitor with transport capabilities, with associated wall mounting, hardware, and accessories

(8) –Transport screen physiological monitor for intra-department and inter- department transport with associated mounting, hardware, and accessories

(1) – Bedside Central Stations (two monitors with 17-inch minimum screen size)capable of a minimum 16 bed display with associated UPS and laser printer

Required display characteristics: SpO2, NIBP, ECG, CO2, and Temperature

2.3.7.5.6 Portable

(5) – Small screen bedside physiological monitor with transport capabilities, with associated roll stands, hardware, and accessories

(5) –Transport screen physiological monitor for intra-department and inter- department transport with associated mounting, hardware, and accessories

Required display characteristics: SpO2, NIBP, ECG, and

Temperature

2.3.7.5.7 Operating Room

(20) – Large screen bedside physiological monitor with associated mounting, hardware, and accessories

(20) –Transport screen physiological monitor for intra-department and inter- department transport with associated mounting, hardware, and accessories

(1) – Bedside Central Stations (two monitors with 17-inch minimum screen size) capable of a minimum 16 bed display with associated UPS and laser printer

Required display characteristics: SpO2, NIBP, ECG, Temperature, IBP, CO2, and NMT

2.3.7.5.8 Biomedical Engineering

(3) –Transport screen physiological monitor for intra-department and inter- department transport (no mounting, hardware or accessories required)

(3) – Telemetry transmitter (no mounting, hardware or accessories required)

(1) – Remote central station (two monitors with 17-inch minimum screen size) for Biomed troubleshooting both patient monitoring and cardiac telemetry, capable of a minimum 16 device display.

2.3.7.6 Please note that the complete solution may not be

encompassed in the description above. Provide your quote to reflect the complete solution.

2.3.8. Cardiac Telemetry System:

2.3.8.1.1. Required to support a minimum of 200,000 sqft wireless coverage for VAMC and a minimum of 280,000 sqft for Option

Year VAMC.

Submitted bids shall display line items in accordance with the following sections.

2.3.8.1.2. VAMC – Medical Surgical

(48) –Telemetry transmitter with associated hardware, and accessories

(1) – Bedside Central Stations (two monitors with 17-inch minimum screen size) capable of a minimum 16 bed display with associated UPS and laser printer

Required display characteristics: Full Arrhythmia, 6 Lead ECG, SpO2

2.3.8.1.3. Option Year VAMC – Medical Surgical

(34) – Telemetry transmitter with associated hardware, and accessories

(1) – Bedside Central Stations (two monitors with 17-inch minimum screen size) capable of a minimum 16 bed display with associated UPS and laser printer

Required display characteristics: Full Arrhythmia, 6 Lead ECG, SpO2

2.3.8.1.4. Please note that the complete solution may not be

encompassed in the description above. Provide your quote to reflect the complete solution.

2.3.9. Central Monitoring System Requirements

2.3.9.1.1. Each requesting department shall have a central station, including a telemetry station and a remote station in Biomed.

2.3.9.1.2. All Central monitoring stations must be interconnected to offer cross-coverage of monitoring capability by any central monitoring station within the VAMC. They must include a UPS for each station. The central station must also include configurable audible and visual alarms.

2.3.9.1.3. It shall include all batteries, docking stations with chargers, and all cables/power cords necessary to use the system. The cables shall have USB connectors to connect future capabilities.

2.3.10. Required to be capable of capturing physiological data when a patient is connected to the system and having that patient information available to relevant providers wherever they may be in the VAMC facility. The system shall be compatible, interface and allow complete functionality of the existing GE MUSE system, GE anesthesia devices, GE ECG machines and Airstrip One regardless of existing version

(backwards and forwards compatible).

2.3.10.1.1. GE MUSE functionalities that shall be maintained after the installation of the new patient monitoring system are: “Serial

Comparison” which allows the clinical team to trend previous 12 lead studies with new 12 lead studies. Ability to pull 12 lead studies from MUSE to a bed side monitor.

2.3.10.1.2. GE AISYS CS2 ANESTHESIA MACHINE functionalities

that shall be maintained after the installation of the new patient monitoring system are: Preset features, Multiple ventilator modes, the option to give a vital capacity breath.

2.3.10.1.3. GE ECG functionalities shall be maintained after the installation of the new patient monitoring system.

2.3.10.1.4. System shall be capable of maintaining Static and

Continuous Cardiology Waveform sharing with Airstrip One, that provides mobile/web interfacing for cardiac telemetry needs.

Item Item Description Qty Unit

0001 Small screen bedside physiological monitor with transport capabilities, with associated wall mounting, hardware, and accessories

28 EA

0002 Small screen bedside physiological monitor with transport capabilities, with associated roll stands, hardware, and accessories

5 EA

0003 Medium screen bedside physiological monitor with associated mounting, hardware, and accessories

32 EA

0004 Transport physiological monitor for intra-hospital transport with associated mounting, hardware, and accessories

65 EA

0005 Transport screen physiological monitor for intra-hospital transport (Biomed Spare)

3 EA

0006 Telemetry Transmitters with associated accessories 48 EA

0007 Telemetry Transmitters (Biomed Spare) 3

0008 Bedside Central Stations (two monitors with 17-inch minimum screen size) capable of a minimum 16 bed display with associated UPS and laser printer

7 EA

0009 Remote central station (two monitors with 17-inch minimum screen size) for Biomed troubleshooting both patient monitoring and cardiac telemetry, capable of a minimum 16 device display.

1 EA

0010 HL7 Integration/Licensing 1 EA

0011 Primary Server & Cerner Integration 1 EA

0012 Backup Server & Cerner Integration 1 EA

0013 Network design and installation 1 EA

0014 Telemetry wireless coverage installation for 200,000 square feet 1 EA

0015 Clinical Applications Training for Patient Monitors 10 EA

0016 Configuration for Patient Monitors 3 EA

0017 Central Station Configuration and Training 1 EA

0018 Telemetry Viewing Only Central Station Monitor – if additional central stations are required and need requires vendor specific equipment

3 EA

1001 Small screen bedside physiological monitor with transport capabilities, with associated wall mounting, hardware, and accessories

15 EA

1002 Small screen bedside physiological monitor with transport capabilities, with associated roll stands, hardware, and accessories

5 EA

1003 Medium screen bedside physiological monitor with associated mounting, hardware, and accessories

31 EA

1004 Large screen bedside physiological monitor with associated mounting, hardware, and accessories

20 EA

1005 Transport screen physiological monitor for intra-hospital transport with associated mounting, hardware, and accessories

71 EA

1006 Transport screen physiological monitor for intra-hospital transport

(Biomed Spare)

3 EA

1007 Telemetry Transmitters with associated accessories 34 EA

1008 Telemetry Transmitters (Biomed Spare) 3 EA

1009 Bedside Central Stations (two monitors with 17 inch minimum screen size) capable of a minimum 16 bed display with associated UPS and laser printer

8 EA

1010 Remote central station (two monitors with 17 inch minimum screen size) for Biomed troubleshooting both patient monitoring and cardiac telemetry, capable of a minimum 16 device display

1 EA

1011 HL7 Integration/Licensing 1 EA

1012 Primary Server & Cerner Integration 1 EA

1013 Backup Server & Cerner Integration 1 EA

1014 Network design and installation 1 EA

1015 Telemetry wireless coverage installation for 280,000 square feet 1 EA

1016 Clinical Applications Training for Patient Monitors 10 EA

1017 Configuration for Patient Monitors 3 EA

1018 Central Station Configuration and Training 1 EA

2.4 Software and Server Requirements

2.4.1. All cabling, interface components, networking components, and infrastructure components, currently installed in Muskogee VAMC and

Tulsa Clinic may be reused as applicable. All reuse/upgrade proposals shall adhere to the same life expectancy as new equipment and not diminish the integrity of this turnkey solution solicitation.

2.4.2. Vendor shall provide a production and test environments for each server application. The VA's current server hosting environment is virtual as such the Vendor will be responsible for ensuring that any server/application offered will properly function on a virtual platform.

The vendor shall provide a primary and back up for each server application.

2.4.3. The operating system (ie Windows 10) shall have at least 36 months of commercial availability. Unsupported software or operating systems is prohibited.

2.4.4. Vendor shall provide server and storage specification, fill out 6550

Pre-Procurement form, provide MDS2.

2.4.5. Vendor shall be in compliance with VA network security regulation according to VA Directive 6500 and 6550.

2.4.6. The system shall include at least 50 regular bed licenses and vital signs information using outbound HL7 communication.

2.4.7. Software Update/Patching: Software update and/or application patching are included. Vendor is responsible to coordinate with

Facility Biomedical POC and work through facility change contract board prior to any update and/patching.

2.4.8. VA Biomedical POC is responsible for Window security patch after vendor approves the patch.

2.4.9. VA Biomedical shall be able to login, restart, shutdown and preform basic maintenance on servers.

2.5. Professional Service

2.5.1. Project Management: Contractor shall provide a Project Manager with a thorough project plan deliverables such as:

2.5.1.1. Project Schedule to include Milestone, Deliverables, and

Critical Path

2.5.1.2. Verification & Validation Plan

2.5.1.3. Training Plan

2.5.1.4. Risks Management Plan

2.5.1.5. Operations & Maintenance Plan

2.5.1.6. Emergency Operation Plan

2.5.1.7. Project Close out Activities/Procedures

2.5.1.8. A minimal of weekly and/or AS need project meeting

2.5.2. Professional Service for Clinical and Technical: including but not limited to: installation, configuration, clinical training, work flow re-evaluation and recommendation and testing, integration testing with

DSS/Databridge, Vista/CPRS and/or associate medical equipment.

2.5.3. All network design/consultation will be included

2.5.4. All configurations needed will be included

2.5.5. Installation of entire system will be required, including any wiring, fiber, and drops that are needed

2.5.6. All dust containment needs will be provided during installation

2.5.7. Connectivity of entire system will be required

2.5.8. Testing of all connectivity and functionality will be completed before handing over for use

2.5.9. The requirement must include 2 BESS training slot and 10 user training slots. Requirement to be included in base and option year quotes.

Training times to accommodate varying clinical staffing schedules.

2.6. Maintenance Requirements

2.6.1. Operator, maintenance/service and training manuals shall be provided. One paper format and one digital format copies are required.

2.6.2. Vendors must provide a system schematic once the system is installed and a data workflow diagram.

2.6.3. At least a one-year warranty shall be included. System shall also include 4 years of out year maintenance listed in one-year increments for the hardware and software.

2.6.4. Vendor shall provide local admin access to Healthcare Technology

Management for support and maintenance without a service contract in place.

2.6.5. Software and hardware warranty start on Day 1 of site “GO Live” for 12 months.

2.6.5.1. Hours of coverage are 24/7 Remote/Telephone support

2.6.5.2. Onsite support through normal operation hours Monday-Friday

7:30am-4pm, excluding the federal holidays listed as follows:

New Year's Day, Martin Luther KingJr's Birthday, Washington's

Birthday, Memorial Day, Independence Day, Labor Day, Columbus Day,Veterans Day, Thanksgiving Day, Christmas Day

2.6.6. The contractor shall furnish all spare and replacement parts needed to service the equipment. The price of all parts used to perform all scheduled preventive and unscheduled maintenance shall be included in the coverage. The Government will not pay for any parts provided

(during either scheduled or unscheduled maintenance), by the contractor during the period of the medical equipment being covered.

Only new standard parts (manufactured by the maker of the equipment, or equal) shall be furnished to maintain the equipment.

2.6.7. The contractor shall provide tools, (test) equipment, service manuals or service diagnostic software. The contractor shall obtain, have on file, and make available to its FSE's all operational and technical documentation (such as; operational and service manuals, schematics, and parts list) necessary to meet the performance requirements and repair of the medical equipment. A reference list of applicable service manuals and their respective locations shall be provided to the Biomedical Engineer upon request.

2.6.8. The Contractor shall perform PM Service to ensure that the equipment listed performs in accordance with the original manufacturer’s specifications. An outline of the PM schedule and procedures shall be provided to the Biomedical Engineer.

2.6.9. The contractor shall provide a written description of the Preventive

Maintenance Inspections (PMI). This description shall include an itemized list of the procedures performed, including electrical safety.

PM services shall include, but need not be limited to, the following:

2.6.9.1. Cleaning of equipment.

2.6.9.2. Reviewing operating system software diagnostics to ensure that the system is operating in accordance with the manufacturer's specifications.

2.6.9.3. calibrating and lubricating the equipment.

2.6.9.4. Performing remedial, non-emergent maintenance.

2.6.9.5. Testing and replacing faulty and worn parts and/or parts likely to fail or become faulty or worn.

2.6.9.6. Inspection and replacement of worn or frayed electrical wiring and cables.

2.6.9.7. Returning the equipment to the operating condition and mode.

Providing documentation of services performed.

2.6.10. All service/repairs shall be performed during normal hours of coverage unless requested or approved by the Biomedical Engineer.

The only exception is hardware/software update/upgrade installations which shall be scheduled and performed outside normal hours of coverage at no additional charge to the Government (unless it would be detrimental to equipment up-time; to be determined by the Biomedical

Engineer). The contractor shall provide software/hardware updates at no charge.

2.6.11. All exceptions to the PM schedule shall be arranged and approved in advance with the Point of Contact, or Biomedical Engineer. The

Contractor shall provide and utilize procedures and checklists with worksheet originals indicating work performed and actual values obtained (as applicable). This documentation shall be provided to the

Point of Contact at the completion of the PM.

2.6.12. Work performed outside the normal hours of coverage, at the request of

FSE, shall be considered service during normal hours of coverage and shall be exempt from an extra labor hour charge.

2.6.13. Unscheduled Maintenance

2.6.13.1. The contractor shall provide repair service which may consist of calibration, cleaning, oiling, adjusting, replacing parts, and maintaining the equipment, to include all intervening service calls performed between scheduled services and calibrations.

All required parts shall be furnished by the contractor to the VA at no cost. The contractor shall repair the equipment to functional level equivalent to the original manufacturer’s specifications.

2.6.13.2. Only the Biomedical Engineer, Point of Contact, or Contracting

Office Representative designated by the CO has the authority to approve/request an unscheduled maintenance service call to the contractor.

2.6.13.3. If vendor perform workstation repair offsite, workstation shall be return upon repair with the same equipment serial number.

Returning a workstation with a different serial number is not authorized.

2.6.13.4. There shall be no hourly charge to the Government for unscheduled maintenance performed within the normal hours of coverage, 8:00am MST to 5:00pm MST. Work performed outside the normal hours of coverage, at the request of the

Biomedical Engineer, Point of Contact, or Contracting Office

Representative, shall be invoiced separately and shall not have service rendered until Purchase Order is obtained. In the event of a Government caused delay, the VA will pay hourly labor charges for unscheduled service the inadvertently extends beyond the specified normal hours of coverage.

2.6.14. Response time

2.6.14.1. The Contractor shall provide the upgrades, maintenance and technical support within a specified time published in the response time requirements below in Table 1. If the problem cannot be resolved over the phone or remotely, then an authorized representative of the company will commence work within the designated time identified and will proceed progressively to rectify the problem without undue delay without any additional cost to the government. The

Contractor shall be responsible to coordinate the method of response with the COR. Urgent priority is defined as any issue that affects patient safety, regulatory compliance, and/or

GE monitoring interfaces which affect life and/or property.

Urgent priority applies when malfunction or failure can result in patient injury or death or significant damage to equipment.

This includes any issue that adversely impacts patient care.

Examples include partial or complete system outages, interruptions making a critical functionality inaccessible, interruptions causing a severe impact on application availability, or data corruption resulting in missing or incorrect patient information, duplicate records, loss of data, etc. Urgent priority requires immediate action by the Contractor.

2.6.14.2. High priority is defined as having a potential to affect patient care such as degradation in performance or functionality, work flow interruptions or delays, etc. High priority warrants special attention and takes precedence over normal and low priorities.

Examples include interruption to critical functionality, access denied to data and systems, sustained degraded or unusable capabilities, not life threatening but having a potential for impact on services availability if not resolved. High priority also requires immediate action by the Contractor in order to minimize risk of becoming an urgent priority event.

2.6.14.3. Normal priority is defined as a defect or fault event but the system is operable with no impact to patient care. Normal priority requires same day initial action but resolution may take more time. Examples include impairment of non-critical functions or procedures, capabilities that have become unusable or hard to use but with no direct impact on patient care services or system availability. Normal priorities will typically have a workaround available. Normal priorities take precedence over low priorities.

2.6.14.4. Low priority is defined as preventive maintenance or issues that do not require immediate action or attention.

2.6.14.5. Table 1 list response times by priority types as defined by VA.

The Contractor shall meet the response time requirements associated with each priority:

Priority Call

Bac k Response

Remote-Log

In Response

Turn

Aroun d Time

(to restore to full performance)

Urgent 1 hour 1 hour 8 hours

High 2 hours 2 hours 16 hours

Normal 2 hours 8 hours 40 hours

Low 4 hours 10 hours 48 hours

2.6.14.6. If Full Performance cannot be restored within the above timelines an on-site response may be required as agreed upon by VA and Contractor. Full performance means that all defective software, hardware and/or parts have been replaced with equivalent to or better than the original manufacturer’s parts and that replacements meet or exceed the manufacturer’s original performance specifications.

2.7. Interface requirements

2.7.1. As part of the unscheduled and scheduled maintenance, the

Contractor shall ensure that all GE monitoring including but not limited to, VistA, VistA Imaging/CPRS, Medical Devices, analytics, and data transfer links are maintained consistently throughout the period of performance.

2.7.2. The Contractor shall coordinate with other Vendors and/or Contractors when necessary to accomplish this task

2.7.3. Medical Device Interface Support

2.7.3.1. The Contractor shall coordinate with other Vendors and/or

Contractors when necessary to accomplish this…