36C25924Q0128 EOVAHCS Patient Monitor System.pdf

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13a. THIS CONTRACT IS A

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14. METHOD OF SOLICITATION

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15. DELIVER TO CODE 16. ADMINISTERED BY CODE

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17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW IS CHECKED

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ITEM NO. SCHEDULE OF SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

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25. ACCOUNTING AND APPROPRIATION DATA 26. TOTAL AWARD AMOUNT (For Govt. Use Only)

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30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

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AUTHORIZED FOR LOCAL REPRODUCTION (REV. NOV 2021)

PREVIOUS EDITION IS NOT USABLE Prescribed by GSA - FAR (48 CFR) 53.212

7. FOR SOLICITATION

INFORMATION CALL:

STANDARD FORM 1449

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

36C25924Q0128 12-22-2023

Jonathan Saiz 303-712-5775 01-19-2024

2PM MST

36C259

Department of Veterans Affairs

Network Contracting Office

NCO 19

6162 South Willow Drive, Suite 300

Greenwood Village CO 80111

X 100

X

334510

1250 Employees

N/A

X

Department of Veterans Affairs

Jack C. Montgomery VA Medical Center

1011 Honor Heights Drive

Muskogee OK 74401

36C259

Department of Veterans Affairs

Network Contracting Office

NCO 19

Financial Service Center

Submit Invoice Electronically to:

http://www.tungsten-network.com

1-877-489-6135

See CONTINUATION Page

Muskogee VAMC Patient Monitoring System

The Offeror in Block 17a certifies it remains a small business for the size standard set for this procurement and, it has status as a SDVOSB concern recognized as valid by the Small Business Administration.

1. Price: Fill out "Price/Cost Schedule" in it's entirety

- Please note that the complete solution may not be encompassed in the line items. Provide your quote to reflect the compete solution.

2. Completed SF1449, Page 1.

3. Accreditation Documentation is required.

4. Limitations of Subcontracting Information: Offers must identify each subcontractor and their status to ensure conformance with VAAR 852.219-76.

5. Offerors are encouraged to review FAR 52.204-22

6. See SECTION E for instructions on asking questions.

7. A walk through of the faciltiy that will take place on

1/11/2024, see SECTION E 52.212-1 for instructions.

8. Registration prior to the walk through is required.

Please register by sending an email to Jonathan.Saiz@va.gov

See CONTINUATION Page

X X

Douglas D. Buffington

VA-VHA-RPOW-2023-0020

36C25924Q0128

Table of Contents

SECTION A .............................................................................................................. Error! Bookmark not defined.

A.1 SF 1449 SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES ...................................................................... Error! Bookmark not defined.

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

B.2 PRICE/COST SCHEDULE

ITEM INFORMATION

SECTION C - CONTRACT CLAUSES

C.1 52.204-23 PROHIBITION ON CONTRACTING FOR HARDWARE, SOFTWARE, AND SERVICES

DEVELOPED OR PROVIDED BY KASPERSKY LAB COVERED ENTITIES (DEC 2023)

C.2 52.204-27 PROHIBITION ON A BYTEDANCE COVERED APPLICATION (JUN 2023)

C.3 52.204-28 FEDERAL ACQUISITION SUPPLY CHAIN SECURITY ACT ORDERS—FEDERAL

SUPPLY SCHEDULES, GOVERNMENTWIDE ACQUISITION CONTRACTS, AND MULTI-AGENCY

CONTRACTS (DEC 2023)

C.4 52.204-30 FEDERAL ACQUISITION SUPPLY CHAIN SECURITY ACT ORDERS—PROHIBITION

(DEC 2023)

C.5 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES (NOV 2023)

C.6 52.217-6 OPTION FOR INCREASED QUANTITY (MAR 1989)

C.7 52.219-14 LIMITATIONS ON SUBCONTRACTING (OCT 2022)

C.8 52.225-2 BUY AMERICAN CERTIFICATE (OCT 2022)

C.9 52.252-6 AUTHORIZED DEVIATIONS IN CLAUSES (NOV 2020)

C.10 SUPPLEMENTAL INSURANCE REQUIREMENTS

C.11 VAAR 852.219-73 VA NOTICE OF TOTAL SET-ASIDE FOR CERTIFIED SERVICE-DISABLED

VETERAN-OWNED SMALL BUSINESSES (JAN 2023) (DEVIATION)

C.12 VAAR 852.219-76 VA NOTICE OF LIMITATIONS ON SUBCONTRACTING—CERTIFICATE OF

COMPLIANCE FOR SUPPLIES AND PRODUCTS (JAN 2023) (DEVIATION)

C.13 VAAR 852.232-72 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS (NOV 2018)

C.14 VAAR 852.247-71 DELIVERY LOCATION (OCT 2018)

C.15 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

C.16 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT STATUTES

OR EXECUTIVE ORDERS—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (DEC

2023)

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

D.1 Wage Determinations

SECTION E - SOLICITATION PROVISIONS

E.1 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL PRODUCTS AND COMMERCIAL

SERVICES (SEP 2023)

fE.2 52.212-2 EVALUATION—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (NOV

2021)

E.3 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—COMMERCIAL

PRODUCTS AND COMMERCIAL SERVICES (NOV 2023)

E.4 52.204-22 ALTERNATIVE LINE ITEM PROPOSAL (JAN 2017)

E.5 52.204-24 REPRESENTATION REGARDING CERTAIN TELECOMMUNICATIONS AND VIDEO

SURVEILLANCE SERVICES OR EQUIPMENT (NOV 2021)

E.6 52.204-26 COVERED TELECOMMUNICATIONS EQUIPMENT OR SERVICES—

REPRESENTATION (OCT 2020)

E.7 52.204-29 FEDERAL ACQUISITION SUPPLY CHAIN SECURITY ACT ORDERS—

REPRESENTATION AND DISCLOSURES (DEC 2023)

E.8 52.209-5 CERTIFICATION REGARDING RESPONSIBILITY MATTERS (AUG 2020)

E.9 52.209-7 INFORMATION REGARDING RESPONSIBILITY MATTERS (OCT 2018)

E.10 52.209-11 REPRESENTATION BY CORPORATIONS REGARDING DELINQUENT TAX

LIABILITY OR A FELONY CONVICTION UNDER ANY FEDERAL LAW (FEB 2016)

E.11 52.214-21 DESCRIPTIVE LITERATURE (APR 2002)

E.12 52.225-18 PLACE OF MANUFACTURE (AUG 2018)

E.13 52.233-2 SERVICE OF PROTEST (SEP 2006)

E.14 52.237-1 SITE VISIT (APR 1984)

E.15 VAAR 852.233-71 ALTERNATE PROTEST PROCEDURE (OCT 2018)

E.16 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB 1998)

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

1. Contract Administration: All contract administration matters will be handled by the following individuals:

a. CONTRACTOR:

b. GOVERNMENT: Contracting Officer 36C259 Douglas D. Buffington

Network Contracting Office

NCO 19

2. CONTRACTOR REMITTANCE ADDRESS: All payments by the Government to the contractor will be made in accordance with:

[X] 52.232-33, Payment by Electronic Funds Transfer—System For Award Management, or

[] 52.232-36, Payment by Third Party

3. INVOICES: Invoices shall be submitted in arrears:

a. Quarterly []

b. Semi-Annually []

c. Other [X] Upon completion and acceptance

4. GOVERNMENT INVOICE ADDRESS: All Invoices from the contractor shall be submitted electronically in accordance with VAAR Clause 852.232-72 Electronic Submission of Payment Requests.

ACKNOWLEDGMENT OF AMENDMENTS: The offeror acknowledges receipt of amendments to the

Solicitation numbered and dated as follows:

AMENDMENT NO DATE

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, 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

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, 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) – Medium 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) – Medium 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, and Temperature

2.3.7.5.6 Portable

(5) – Medium 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

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, and GE ECG machines 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 Static and Continuous Cardiology Waveform 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

35 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

1 EA

0010 HL7 Integration/Licensing 1 EA

0011 Primary Cerner Integration 1 EA

0012 Backup 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

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

31 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

15 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

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:

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

1 EA

1011 HL7 Integration/Licensing

1012 Primary Cerner Integration

1013 Backup Cerner Integration

1014 Network design and installation 1 EA

1015 Telemetry wireless coverage installation for 200,000 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

2.5.1.1. 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 two 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 King Jr'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 Back

Response

Remote-Log

In Response

Turn Around

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 task.

2.7.3.2. The Contractor will provide additional device SW interfaces software during the performance period and shall perform all work associated with new medical device interfaces requested during the performance period at no additional cost. The new device interface software will be pre-approved by the COR and GE and scheduled in advance to avoid any gaps in the patient monitoring records. Contract includes only updates or new quantities of already purchased SW Protocols. If site purchases different manufacturers devices, a new protocol will be required at then current FSS prices and included in the monthly invoicing fee for that site.

2.7.3.3. In addition, the Contractor shall provide all associated additional and replacement interface cables for already purchased interfaces. Invoicing will be included in the regular monthly invoice, in arrears, and will only be in the amount actually used and using the current contract FSS pricing schedule.

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

3. Delivery

Department of Veterans Affairs, VISN 19, Jack C. Montgomery VA Medical Center, Muskogee, OK. 74401.

Site POC is Victoria Smith: Victoria.Smith8@va.gov.

The contractor will have all the products delivered and installed at VAMC. Contractor delivery of equipment shall take place between the hours of 0800 -1500, Monday through Friday. Contractor shall not be required, nor is authorized to perform any work on the following U.S. Government Federal Holidays.

4. Security Requirements

4.1. Contractors, contractor personnel, subcontractors, and subcontractor personnel shall be subject to the same Federal laws, regulations, standards, and VA Directives and Handbooks as VA and VA personnel regarding information and information system security.

4.2. Access to VA information and VA information systems

4.2.1. A contractor/subcontractor shall request logical (technical) or physical access to VA information and VA information systems for their employees, subcontractors, and affiliates only to the extent necessary to perform the services specified in the contract, agreement, or task order.

4.2.2. All contractors, subcontractors, and third-party servicers and associates working with VA information are subject to the same investigative requirements as those of VA appointees or employees who have access to the same types of information. The level and process of background security investigations for contractors must be in accordance with VA Directive and

Handbook 0710, Personnel Suitability and Security Program. The Office for Operations, Security, and Preparedness is responsible for these policies and procedures.

4.2.3. Contract personnel who require access to national security programs must have a valid security clearance. National Industrial Security Program (NISP) was established by Executive Order

12829 to ensure that cleared U.S. defense industry contract personnel safeguard the classified information in their possession while performing work on contracts, programs, bids, or research and development efforts. The Department of Veterans Affairs does not have a Memorandum of

Agreement with Defense Security Service (DSS). Verification of a Security Clearance must be processed through the Special Security Officer located in the Planning and National Security

Service within the Office of Operations, Security, and Preparedness.

4.2.4. Custom software development and outsourced operations must be located in the U.S. to the maximum extent practical. If such services are proposed to be performed abroad and are not disallowed by other VA policy or mandates, the contractor/subcontractor must state where all non-U.S. services are provided and detail a security plan, deemed to be acceptable by VA, specifically to address mitigation of the resulting problems of communication, control, data protection, and so forth. Location within the U.S. may be an evaluation factor.

4.2.5. The contractor or subcontractor must notify the Contracting Officer immediately when an employee working on a VA system or with access to VA information is reassigned or leaves the contractor or subcontractor’s employ. The Contracting Officer must also be notified immediately by the contractor or subcontractor prior to an unfriendly termination.

4.3. VA information custodial language

4.3.1. Information made available to the contractor or subcontractor by VA for the performance or administration of this contract or information developed by the contractor/subcontractor in performance or administration of the contract shall be used only for those purposes and shall not be used in any other way without the prior written agreement of the VA. This clause expressly limits the contractor/subcontractor's rights to use data as described in Rights in Data- General, FAR 52.227-14(d) (1).

4.3.2. VA information should not be co-mingled, if possible, with any other data on the contractors/subcontractor’s information systems or media storage systems in order to ensure VA requirements related to data protection and media sanitization can be met. If co-mingling must be allowed to meet the requirements of the business need, the contractor must ensure that VA’s information is returned to the VA or destroyed in accordance with VA’s sanitization requirements.

VA reserves the right to conduct on site inspections of contractor and subcontractor IT resources to ensure data security controls, separation of data and job duties, and destruction/media sanitization procedures are in compliance with VA directive requirements.

4.3.3. Prior to termination or completion of this contract, contractor/subcontractor must not destroy information received from VA, or gathered/created by the contractor while performing this contract without prior written approval by the VA. Any data destruction done on behalf of VA by a contractor/subcontractor must be done in accordance with National Archives and Records

Administration (NARA) requirements as outlined in VA Directive 6300, Records and

Information Management and its Handbook 6300.1 Records Management Procedures, applicable

VA Records Control Schedules, and VA Handbook 6500.1, Electronic Media Sanitization. Self-certification by the contractor that the data destruction requirements above have been met must be sent to the VA Contracting Officer within 30 days of termination of the contract.

4.3.4. The contractor/subcontractor must receive, gather, store, back up, maintain, use, disclose and dispose of VA information only in compliance with the terms of the contract and applicable

Federal and VA information confidentiality and security laws, regulations and policies. If Federal or VA information confidentiality and security laws, regulations and policies become applicable to the VA information or information systems after execution of the contract, or if NIST issues or updates applicable FIPS or Special Publications (SP) after execution of this contract, the parties agree to negotiate in good faith to implement the information confidentiality and security laws, regulations and policies in this contract.

4.3.5. The contractor/subcontractor shall not make copies of VA information except as authorized and necessary to perform the terms of the agreement or to preserve electronic information stored on contractor/subcontractor electronic storage media for restoration in case any electronic equipment or data used by the contractor/subcontractor needs to be restored to an operating state. If copies are made for restoration purposes, after the restoration is complete, the copies must be appropriately destroyed.

4.3.6. If VA determines that the contractor has violated any of the information confidentiality, privacy, and security provisions of the contract, it shall be sufficient grounds for VA to withhold payment to the contractor or third party or terminate the contract for default or terminate for cause under

Federal Acquisition Regulation (FAR) part 12.

4.3.7. If a VHA contract is terminated for cause, the associated BAA must also be terminated and appropriate actions taken in accordance with VHA Handbook 1600.01, Business Associate

Agreements. Absent an agreement to use or disclose protected health information, there is no business associate relationship.

4.3.8. The contractor/subcontractor must store, transport, or transmit VA sensitive information in an encrypted form, using VA-approved encryption tools that are, at a minimum, FIPS 140-2 validated.

4.3.9. The contractor/subcontractor’s firewall and Web services security controls, if applicable, shall meet or exceed VA’s minimum requirements.