Statement of Work Physiological Monitoring / Patient Monitoring and Telemetry Salt Lake City VA Health Care System Initial Outfitting & Transition Support Services Statement of Work Physiological Monitoring / Patient Monitoring and Telemetry

Table of Contents

1. Introduction Salt Lake City Veterans Affairs Health Care System (SLC VA HCS) has a need to acquire a new, replacement Physiological Monitoring / Patient Monitoring and Telemetry System to include provision, installation and implementation of all equipment and systems identified below and listed in the price/cost schedule of general line items. Services shall include assembly, testing, installation, integration, warranty, and/or maintenance of line items for the Salt Lake City VA Medical Center Hospital, at 500 Foothill Dr., Salt Lake City, UT, 84148.

2. Requirement Overview The physiological patient monitoring solution shall include systems for the: Intensive Critical Care Unit (ICU), low acuity medical surgical units, telemetry, Anesthesia, and other specialty areas listed herein. The patient monitoring system shall provide a robust full disclosure archive of patient vital records for seven (7) days, 90 days alarms storages, and interface to the inpatient charting system, known as SLC VA HCS Clinicomp Clinical Information System (CIS).

The vendor will replace the existing wired patient monitoring network and will provide new wireless coverage for patient monitoring and telemetry networks. These networks must be fully approved by VA IT and VA HTM prior to the deadline for submitting quote packages. These networks must communicate with each other and with SLC VA HCS CIS.

Further information and details about each item and any services required is provided in section 3. The vendor is required to provide fully functional system(s) for all items listed.

Table 1 – Package Items Summary

3. Functional and Technical Specifications

3.1 ICU Patient Monitor – Qty 13 (Line item #0001)

The vendor shall provide all required hardware including mounts, rails, etc., software, and user interface requirements necessary to provide a fully functioning physiological patient monitoring solution. The bedside monitors will need to interface with appropriate informatics and charting systems based on their care area via RS232 port. This includes Clinicomp, Cerner, and/or Draeger ARK as appropriate. The selected model must be on the Clinicomp, Cerner, and Draeger ARK pre-approval list of interfaces prior to contract award. At a minimum, the vendor shall provide a bedside monitor with the following clinical and physical characteristics:

· Equipment Features and Characteristics

· Parameters Monitored: at a minimum, the Offeror may propose equal or better than the following parameter requirements:

· 5-lead ST-segment; BIS; CCO; CO; CPP; ECG/HR; EEG; 2 IBP; 2 NIBP; PPV; PR; QT; QTc; multi-lead arrhythmia, OxyCRG, respiration, side-stream/mainstream/micro-stream ETCO2, spirometry, Masimo SP02, SvO2, tcpO2/tcpCO2, temperature, arrhythmia detection, ST MAP, 8 waveforms, 4 invasive pressures, pre/post-anesthesia, ventilator, and cardiac output integration.

· Temperature probe types and inputs include skin, esophageal, rectal and bladder, must be capable of alarm default settings for high/low blood pressures.

· Patient Reports must include the following and transfer to the inpatient charting system:

· Event Review and Episode Reports

· Vital Signs

· Graphic Trends

· ECG Strips/reports

· Cardiac Output Reports

· Wedge Procedure Reports

· Calculations Reports

· EEG Report

· Histogram Reports

· Loops Report

· ST Map Reports

· QT Reports

· Alarm Limit Reports

· Drug Calculator Reports

· Real-time Wave Reports

· Oxy CRG Reports

· Clinical Calculations set consisting of: Hemodynamic, Oxygenation, and Ventilation calculations must be included as part of the patient monitoring solution being proposed:

Hemodynamic Calculations

· Cardiac Index (C.I.)

· Stroke Volume (SV)

· Stroke Index (SI)

· Systemic Vascular Resistance (SVR)

· Systemic Vascular Resistance Index (SVRI)

· Pulmonary Vascular Resistance (PVR)

· Pulmonary Vascular Resistance Index (PVRI)

· Left Cardiac Work (LCW)

· Left Cardiac Work Index (LCWI)

· Left Ventricular Stroke Work (LVSW)

· Left Ventricular Stroke Work Index (LVSWI)

· Right Cardiac Work (RCW)

· Right Cardiac Work Index (RCWI)

· Right Ventricular Stroke Work (RVSW)

· Right Ventricular Stroke Work Index (RVSWI)

· Extra Vascular Lung Water Index (EVLWI)

· Intrathoracic Blood Volume Index (ITBVI)

· Global End Diastolic Volume Index (GEDVI) Oxygenation Calculations

· Arterial Oxygen Content (CaO2)

· Venous Oxygen Content (CvO2)

· Arteriovenous Oxygen Content (CavO2)

· Oxygen Availability (DO2)

· Oxygen Availability Index (DO2I)

· Oxygen Consumption (VO2)

· Oxygen Consumption Index (VO2I)

· Oxygen Extraction Ratio (O2ER)

· Alveolar-Arterial Oxygen Difference (AaDO2)

· Percent Arteriovenous Shunt (Qs/Qt) Ventilation Calculations

· Minute Volume (MINVOL)

· Compliance (COMP)

· Dead Space (Vd)

· Dead Space/Tidal Volume Ratio (Vd/TV)

· Alveolar Ventilation (ALVENT)

· Physical Monitor Salient Characteristics:

· Integrated fan-less, medical grade PC using latest Windows OS approved for use by VA.

· Shall operate via wired network.

· 19” touch screen color LCD display with high resolution waveform and data presentation.

· Must have resistive touch screen display capable of being operated via manual touch screen or remotely from a central location such as a central station at the nurses’ desk.

· Bed-to-bed overview

· Integrate with and provide power to transport monitors

· Second independent display capability (exclude hardware)

· 6 USB and 1 RS232 ports

· Clinical Alarm: offer multiple configurations, screens, and profiles for different patient populations and demographics.

· Mounting Solution: Wall mount with height adjustable arm.

· Non-disposable Cable: 5 lead EKG (lead and trunk) compatible with disposable lead sets, NIBP trunk compatible with Welch Allyn cuffs, SPO2 Masimo (trunk), temperature interface.

· Battery Requirements

· Lithium-Ion or newest Battery technology for minimal of 4 hours.

· If rechargeable Lithium-Ion, vendor shall provide the chargers.

3.2 Anesthesia Patient Monitor – Qty 14 (Line item #0002)

The vendor shall provide all required hardware including mounts, rails, etc.; software, and user interface requirements necessary to provide a fully functioning physiological patient monitoring solution. The bedside monitors will need to interface with appropriate informatics and charting systems based on their care area via RS232 port. This includes Clinicomp, Cerner, and/or Draeger ARK as appropriate. The selected model must be on the Clinicomp, Cerner, and Draeger ARK pre-approval list of interfaces prior to contract award. At minimum, the vendor shall provide a bedside monitor with the following clinical and physical characteristics:

· Equipment Features and Characteristics

· Parameters Monitored: at a minimum, the Offeror may propose equal or better than the following parameter requirements

· 5-lead ST-segment; BIS; CCO; CO; CPP; ECG/HR; EEG; 2 IBP; 2 NIBP; PPV; PR; QT; QTc; multi-lead arrhythmia, OxyCRG, respiration, side-stream/mainstream/micro-stream ETCO2, spirometry, Masimo SP02, SvO2, tcpO2/tcpCO2, temperature, arrhythmia detection, ST MAP, IBP, 12 waveforms, 4 invasive pressures, ventilator and cardiac output integration, anesthesia gas module with integrate module to Anesthesia machine.

· Temperature probe types and inputs include skin, esophageal, rectal and bladder, must be capable of alarm default settings for high/low blood pressures.

· Patient Reports must include the following and transfer to the inpatient charting system:

· Event Review and Episode Reports

· Vital Signs

· Graphic Trends

· ECG Strips/reports

· Cardiac Output Reports

· Wedge Procedure Reports

· Calculations Reports

· EEG Report

· Histogram Reports

· Loops Report

· ST Map Reports

· QT Reports

· Alarm Limit Reports

· Drug Calculator Reports

· Real-time Wave Reports

· Oxy CRG Reports

· Clinical Calculations set consisting of: Hemodynamic, Oxygenation, and Ventilation calculations must be included as part of the patient monitoring solution being proposed:

Hemodynamic Calculations

· Cardiac Index (C.I.)

· Stroke Volume (SV)

· Stroke Index (SI)

· Systemic Vascular Resistance (SVR)

· Systemic Vascular Resistance Index (SVRI)

· Pulmonary Vascular Resistance (PVR)

· Pulmonary Vascular Resistance Index (PVRI)

· Left Cardiac Work (LCW)

· Left Cardiac Work Index (LCWI)

· Left Ventricular Stroke Work (LVSW)

· Left Ventricular Stroke Work Index (LVSWI)

· Right Cardiac Work (RCW)

· Right Cardiac Work Index (RCWI)

· Right Ventricular Stroke Work (RVSW)

· Right Ventricular Stroke Work Index (RVSWI)

· Extra Vascular Lung Water Index (EVLWI)

· Intrathoracic Blood Volume Index (ITBVI)

· Global End Diastolic Volume Index (GEDVI) Oxygenation Calculations

· Arterial Oxygen Content (CaO2)

· Venous Oxygen Content (CvO2)

· Arteriovenous Oxygen Content (CavO2)

· Oxygen Availability (DO2)

· Oxygen Availability Index (DO2I)

· Oxygen Consumption (VO2)

· Oxygen Consumption Index (VO2I)

· Oxygen Extraction Ratio (O2ER)

· Alveolar-Arterial Oxygen Difference (AaDO2)

· Percent Arteriovenous Shunt (Qs/Qt) Ventilation Calculations

· Minute Volume (MINVOL)

· Compliance (COMP)

· Dead Space (Vd)

· Dead Space/Tidal Volume Ratio (Vd/TV)

· Alveolar Ventilation (ALVENT)

· Physical Monitor Salient Characteristics:

· Integrated fan-less, medical grade PC using latest Windows OS approved for use by the VA.

· 19” touch screen color LCD display with high resolution waveform and data presentation.

· Must have resistive touch screen display capable of being operated via manual touch screen or remotely from a central location such as a central station at the nurses’ desk.

· Integrate with and provide power to transport monitor.

· Second independent display capability (exclude hardware)

· 6 USB and 1 RS232 ports

· Provide video output to Karl Storz, Olympus, and Getinge OR Integration system.

· Integrate with GE Aestiva/Aisys and Draeger Innovian anesthesia machines

· Networking Features: Shall operate via dedicated wired network.

· Clinical Alarm: offer multiple configurations, screen, and profiles for different patient populations and demographics.

· Printing: 2 channel Strip thermal array recorder

· Mounting Solution: Anesthesia Cart mount on GE Aestiva, GE Aisys, Draeger Innovian Anesthesia machine, or current make/model in use.

· Non-disposable Cable and accessories: 5 lead EKG shield (lead and trunk) compatible with disposable lead sets, NIBP trunk compatible with Welch Allyn cuffs, SPO2 Masimo, temperature interface, airway adapter, gas exhaust return line, gas exhaust return filter, tubing calibration, and Anesthetic Calibration gas.

· Battery Requirements

· Lithium-Ion or newest Battery technology for minimal of 4 hours

· If rechargeable Lithium-Ion, vendor shall provide the chargers.

3.3 Mid-Acuity Patient Monitor – Qty 46 (Line item #0003)

The vendor shall provide all required hardware including mounts, rails, etc; software, and user interface requirements necessary to provide a fully functioning physiological patient monitoring solution. The bedside monitors will need to interface with appropriate informatics and charting systems based on their care area via RS232 port. This includes Clinicomp, Cerner, and/or Draeger ARK as appropriate. The selected model must be on the Clinicomp, Cerner, and Draeger ARK pre-approval list of interfaces prior to contract award. At a minimum, the vendor shall provide a bedside monitor with the following clinical and physical characteristics:

· Equipment Features and Characteristics

· Parameters Monitored: at a minimum, the Offeror may propose equal or better than parameters requirements:

· 5-lead ST-segment; BIS; CCO; CO; CPP; ECG/HR; EEG; 2 NIBP; PPV; PR; QT; QTc; multi-lead arrhythmia, OxyCRG, respiration, side-stream/mainstream/micro-stream ETCO2, spirometry, Masimo SP02, SvO2, tcpO2/tcpCO2, temperature, arrhythmia detection, ST MAP, 8 waveforms, 2 invasive pressures, post-anesthesia.

· Temperature probe types and inputs include skin, esophageal, rectal and bladder, must be capable of alarm default settings for high/low blood pressures.

· Patient Reports must include the following and transfer to the inpatient charting system:

· Event Review and Episode Reports

· Vital Signs

· Graphic Trends

· ECG Strips/reports

· Wedge Procedure Reports

· Calculations Reports

· EEG Report

· Histogram Reports

· Loops Report

· ST Map Reports

· QT Reports

· Alarm Limit Reports

· Drug Calculator Reports

· Real-time Wave Reports

· Oxy CRG Reports

· Clinical Calculations set consisting of: Hemodynamic, Oxygenation, and Ventilation calculations must be included as part of the patient monitoring solution being proposed:

Oxygenation Calculations:

· Arterial Oxygen Content (CaO2)

· Venous Oxygen Content (CvO2)

· Arteriovenous Oxygen Content (CavO2)

· Oxygen Availability (DO2)

· Oxygen Availability Index (DO2I)

· Oxygen Consumption (VO2)

· Oxygen Consumption Index (VO2I)

· Oxygen Extraction Ratio (O2ER)

· Alveolar-Arterial Oxygen Difference (AaDO2)

· Percent Arteriovenous Shunt (Qs/Qt)

· Physical Monitor Salient Characteristics:

· Shall operate via dedicated wired or wireless medical wireless network with Smart-hopping network feature. See Wireless infrastructure specifications.

· 15” touch screen color LCD display with high resolution waveform and data presentation.

· Must have resistive touch screen display capable of being operated via manual touch screen or remotely from a central location such as a central station at the nurses’ desk.

· Bed-to-bed overview

· Integrate with and provide power to transport monitor (See Section 3.5)

· Minimum 4 USB and 1 RS232 ports

· Networking Features: Shall operate via dedicated wired network.

· Clinical Alarm: offer multiple configurations, screen, and profiles for different patient populations and demographics.

· Mounting Solution: Wall mount with height adjustable arm.

· Non-disposable Cable: 5 lead EKG (Lead and Trunk) compatible with disposable lead sets, NIBP trunk compatible with Welch Allyn cuffs, SPO2 Masimo trunk, temperature interface.

· Battery Requirements

· Lithium-Ion or newest Battery technology for minimal of 4 hours

· If rechargeable Lithium-Ion, vendor shall provide the chargers.

3.4 Telemetry Patient Monitor (Wireless Telemetry Transmitter) – Qt 44 (Line item #0004) The Telemetry monitor shall be a small platform portable patient monitor that operates on a dedicated medical wireless frequency. It must wirelessly integrate with the Mid-Acuity patient monitor and the Low Acuity patient monitor. It must monitor 24/7 within the patient monitoring and telemetry infrastructure. At a minimum, the vendor shall provide a telemetry monitor with the following clinical and physical characteristics:

· Equipment Features and Characteristics

· Parameters Monitored:

· 5-lead ECG/HR; QT; QTc; post-anesthesia, multi-lead arrhythmia, respiration, Masimo SP02, QT monitoring and ST segment analysis available at the vendor management software or patient central monitoring level, display of non-invasive blood pressure.

· Physical Monitor Minimum Features:

· Display: approximately 2.8-3.5” color touchscreen, hard key for user interface, single mechanical multi-function button,

· Simple menu hierarchy gives fast access to all basic monitoring tasks, patient data management with tabular vitals trends and alarm list review screens, visible alarm and patient demographics banner, audible alerts for use in patient vicinity, view from 2-6 parameters and 2 real-time waveforms, unique patient cable connector improves ease of cleaning, withstands accidental water submersion.

· data transmission to the Central Patient Monitoring Center and Telemetry/Patient Monitoring Practice Management Software for data storage

· Must be water submersible for up to 30 minutes in 1 meter of water.

· Networking Features: Dedicated Medical Wireless network with Smart-hopping network feature. See Wireless infrastructure specification in Section 3.9.3

· Non-disposable Cable: 5 lead EKG (Lead and Trunk) compatible with disposable lead sets, SPO2 Masimo Trunk, Prefer one piece EKG lead. If not compatible, EKG lead adapter will be provided that is compatible with trunk.

· Carrying Pouch: Must include a carrying pouch with a clear front that closes securely to protect the device from spills and drops when in use.

· Battery Features

· Disposable AA batteries with the following performance:

· Telemetry Mode (inactive display): ECG+SPO2, minimal 20 hours

· Telemetry Mode (active display): ECG+SPO2, minimal 4 hours

· Monitor mode, off network: ECG+SP02, minimal 4 hours.

· It is a VA expectation that the battery hours extend twice as long if monitoring ECG parameters only.

· Salient Characteristics

· Loss Prevention:

· Must have elopement and loss prevention capabilities to help prevent loss of telemetry transmitters through theft or loss.

· This may include alarms and/or tracking systems to inform hospital staff when transmitters leave a unit or building or are reporting to the system from a location other than the unit where they are assigned or are outside of custom boundaries specified by hospital.

· Alarm Requirements:

· Telemetry transmitters must also have capability to alarm locally in the event of life threatening cardiac arrythmias.

· Local hospital system administrators or designated super users must be able to change alarm volumes to adhere to hospital policy while still providing lock out features such that end user staff cannot improperly adjust alarm volumes outside of established limits. A multi-level alarm configuration will meet this requirement.

· One Patient Record:

· Need continuity and seamless patient record documentation.

· Must have continuity of patient records such that one patient record is created and updated throughout the patient’s hospital stay. This ensures completeness of documentation, patient safety, and continuity of care.

· A system that creates multiple patient records depending on which unit a patient is admitted to will not meet this requirement.

· Wireless Capabilities:

· Must continuously and wirelessly stream physiological monitoring patient data in real time to the central monitoring unit and nurses’ stations during transport of patients to provide the highest level of patient safety and care to our Nation’s Veterans.

· Must meet all VA Network requirements, specifically FIPS 140-2 (see Software Infrastructure section for more detailed requirements).

· The entire system, including all wireless and wireless components and networks, must be VA HTM approved and have a current Enterprise Risk Assessment (ERA) on file with VA HTM. Offerors will be expected to provide their existing ERA system ID number – that includes wireless information transfer to the central system – for verification.

3.5 Transport Patient Monitor – Qty 120 (Line item #0005)

The transport monitor will be able to work both as a stand-alone monitor and in conjunction with all patient monitors.The monitor shall have technical specifications as described below.

· Equipment Features and Characteristics

· Parameters Monitored:

· 5-lead ST-segment; ECG/HR; QT; QTc; multi-lead arrhythmia, Masimo SP02, temperature, arrhythmia detection, 1 IBP invasive pressures. 3 real time waveforms, and pre/post anesthesia.

· Temperature probe types and inputs include skin, esophageal, rectal and bladder, must be capable of alarm default settings for high/low blood pressures.

· Physical Monitor Minimum Features:

· Display: minimum 3” touch screen color LCD ~320x240 resolution display with high waveform and data presentation.

· Must have resistive touch screen display capable of being operated via manual touch screen.

· Capable of power through battery, patient monitor, and direct 110V AC power supply.

· Must have carrying handle.

· Networking Features:

· Dedicated Medical Wireless network with Smart-hopping network feature. See Wireless infrastructure specification

· Integrate through patient monitor.

· Battery Requirements

· Lithium-Ion battery or latest technology with minimum 4 hours of monitor.

· If rechargeable Lithium-Ion, vendor shall provide the chargers.

· Salient Characteristics

· Wireless Capabilities:

· Must continuously and wirelessly stream physiological monitoring patient data in real time to the central monitoring unit and nurses’ stations during transport of patients to provide the highest level of patient safety and care to our Nation’s Veterans.

· Must meet all VA Network requirements, specifically FIPS 140-2 (see Software Infrastructure section for more detailed requirements).

· The entire system, including all wireless and wireless components and networks, must be VA HTM approved and have a current Enterprise Risk Assessment (ERA) on file with VA HTM. Offerors will be expected to provide their existing ERA system ID number – that includes wireless information transfer to the central system – for verification.

· One Patient Record:

· Need continuity and seamless patient record documentation.

· Must have continuity of patient records such that one patient record is created and updated throughout the patient’s hospital stay. This ensures completeness of documentation, patient safety, and continuity of care.

· A system that creates multiple patient records depending on which unit a patient is admitted to will not meet this requirement.

· Weight Limit:

· Transport monitors must be lightweight to weigh no more than 4 pounds for easier and secure transportation.

3.6 Low-Acuity Patient Monitor – Qty 36 (Line item #0006)

The vendor shall provide all required hardware including mounts, rails, roll stands, etc.; software, and user interface requirements necessary to provide a fully functioning physiological patient monitoring solution. The monitors will need to interface with appropriate informatics and charting systems based on their care area via RS232 port. This includes Clinicomp, Cerner, and/or Draeger ARK as appropriate. The selected model must be on the Clinicomp, Cerner, and Draeger ARK pre-approval list of interfaces prior to contract award. It must wirelessly integrate with the Telemetry monitor (Specification is in Section 3.4). At minimum, the vendor shall provide a monitor with roll stands with the following clinical and physical characteristics:

· Equipment Features and Characteristics

· Parameters Monitored:

· 5-lead ECG/HR/respiration, Masimo SP02, Tympanic temperature, NIBP at interval, 3 waveform view, post-anesthesia, multi-lead arrhythmias and ST segment analysis.

· Physical Monitor Salient Characteristics:

· Display: minimum 8” touchscreen color flat panel ~800x600 resolution display with high waveform and data presentation.

· Must have resistive touch screen display capable of being operated via manual touch screen or remotely from a central location such as a central station at the nurses’ desk.

· Must have carrying handle.

· Networking Features: Shall operate via dedicated wired or wireless network with Smart-hopping network feature. See Wireless infrastructure specification.

· Portable Solution: Roll stand mounts included for 6 units. All other 33 units are wall-mounted.

· Non-disposable Cable: SPO2 Masimo Trunk, NIBP Trunk

· Battery Requirements

· Lithium-Ion battery or latest technology with minimum 4 hours of monitoring

· If rechargeable Lithium-Ion, vendor shall provide the chargers.

The entire system, including all wireless and wireless components and networks, must be VA HTM approved and have a current Enterprise Risk Assessment (ERA) on file with VA HTM. Offerors will be expected to provide their existing ERA system ID number – that includes wireless information transfer to the central system – for verification.

3.7 Central Station – Qty 9 (Line item #0007)

The central station shall monitor a minimum of 18 patients per central station. Each clinical area may have a slight variation of how many patients the central station will monitor. The monitoring control center must provide robust clinical management applications for more in-depth analysis of stored data. It is a central location for alarm notification and monitoring of all patients in each respective clinical area. The central stations will need to interface with appropriate informatics and charting systems based on their care area via RS232 port. This includes Clinicomp, Cerner, and/or Draeger ARK as appropriate. The selected model must be on the Clinicomp, Cerner, and Draeger ARK pre-approval list of interfaces prior to contract award.

Each central station shall have the following characteristics:

· Equipment Features and Characteristics

· Physical Features:

· Display: Dual 24” touch widescreen color LCD with high resolution waveform and data presentation.

· Must have resistive touch screen display capable of being operated via manual touch screen or by use of an included mouse and keyboard.

· The central monitoring console screens will have the ability to view a minimum of 18 patients to no more than 36 patients per screen.

· Speakers

· CPU runs on latest Windows OS approved for use by the VA.

· UPS-Uninterrupted power supply

· Surveillance Features include: Flexible screen configuration accommodates various configuration patient sector include configurable waves and measurements, ST Maps, and icons for clinical status (DNR, Patient Group, battery)

· Up to 12 real-time waveforms per resized patient sector

· Up to 96 real-time waveforms per configured display

· Each Display supports from one to four columns of patient views.

· Patient window displays up to 18 Waves and 50 Numeric

· Enables viewing of real-time and stored data for a patient monitored by another console or central monitoring station.

· Customizable alarm and arrhythmia settings including settings such as alarm volume.

· Generates wide variety of manual and scheduled laser printer reports, or 2-channel strip chart recordings on a Thermal Recorder.

· The central monitoring must provide a broad suite of applications that is available for the central monitoring staff and clinicians in reviewing patient conditions and assessing treatment status. The central monitoring must provide retrospective review applications capable of displaying historical, physiological data in a variety of interactive formats that include a minimum of waveforms, graphic and tabular trends, and events. Offerors shall propose solutions that shall have dual display options, for a consolidated view on one display for summary view patient status with individual detail patient viewing on the second monitor if desired. E.g.: Multi/5-Lead Derivative Review, ECG statistics, and ST Snippet Review.

· General Review: Displays the data history as a dashboard of waves, events, graphical trends, and tabular data.

· Alarm Review: Displays the alarm events that have been automatically store as well as strips that have been manually saved.

· Hemodynamic Review: Specialty Review window that displays hemodynamic relevant waves, numeric, trends, and events.

· Respiratory Review: Specialty Review window that displays respiratory relevant waves, numeric, trends, and events.

· Neuro Review: Specialty Review window that displays neurologically relevant waves, numeric, trends, and events.

· Cardiac Review: Specialty Review window specifically designed for cardiac a patient that retrospectively stores all ECG waves and stores ST Snippets and ST Maps for review. Multi/5-Lead Derivative Review: Displays all available ECG waves. Lead Full disclosure.

· ECG Statistics: Tabular format of the ECG statistics available algorithm, such as %paced, %atrial fibrillation, and heart rate variability statistics.

· Displays all available ST Snippets and can compare ST segments from different time foci.

· Must have ‘store and forward’ capability to store data when ‘offline’ and forward data to the appropriate patient’s record via HL7 protocol once the network connectivity has been reestablished.

· Must have transfer capability to transfer sectors when a Central Station is offline to a Central Station that is still operational.

· Must provide secure web viewing as part of the Offeror’s technical approach for remote clinical staff members providing them access to all modalities and monitoring being captured and displayed ‘in house’ at the central control stations.

· Capable of digitally print EKG strip to a PDF file to then send to the VA SLC HCS CIS.

· Capable of sending alarms to the alarm management system

· Clinical Alarm: offer multiple configurations, screen, and profiles for different patient populations and demographics.

· Printer:

· Each central station will require a colored laser printer with network capabilities.

· Printing:

· 2 channel Strip thermal array recorder

· Laser printer paper size 81/2 x11”

· Mounting Solution: capable of mounting on a standard network rack in nearest Telecom Room, underneath the nurse station casework, and/or in the Central Monitoring Unit (CMU).

· Salient Characteristics

· Alarm Requirements:

· Must be fully configurable and customizable including volume controls.

· Local hospital system administrators or designated super users must be able to change alarm volumes to adhere to hospital policy while still providing lock out features such that end user staff cannot improperly adjust alarm volumes outside of established limits. A multi-level alarm configuration will meet this requirement.

3.8 Limited Functionality Central Station Display – Qty 8 (Line item #0008) The remote (mirror) shall display a minimum of 18 patients per central station and no more than 36 patients per station.

Each remote monitor shall have the following characteristics:

· Equipment Features and Characteristics

· Physical Features:

· Display: Dual 24” touch widescreen color LCD with high resolution waveform and data presentation.

· Speakers

· CPU runs on latest Windows OS approved for use by the VA.

· UPS-Uninterrupted power supply

· Surveillance Features include:

· Up to 12 real-time waveforms per resized patient sector

· Up to 96 real-time waveforms per configured display

· Each Display supports from one to four columns of patient views.

· Patient window displays up to 18 Waves and 50 Numeric

· Enables viewing of real-time and stored data for a patient monitored by another console or central monitoring station.

· Mounting Solution: capable of mounting on a standard network rack in nearest Telecom Room, underneath the nurse station casework, and/or in the Central Monitoring Unit (CMU).

· Due to limited desk space at nurses stations, a strength rating will be applied if the CPU for the central stations can be mounted on a standard network rack in the nearest telecom room for Anesthesia/OR and Radiology.

3.9 Patient Monitor Information Management System – Qty 1 (Line item #0009) The Patient Monitor Information Management system shall include the network infrastructure, database server, and management software for communication among equipment and to other VA informatics systems such as electronic charting, alarm management, etc. This system will connect all other patient monitoring equipment into one cohesive system. It must monitor 24/7 within the newly vendor provided patient monitoring and telemetry infrastructure. The information management system will need to interface with appropriate informatics and charting systems based on their care area via RS232 port. This includes Clinicomp, Cerner, and/or Draeger ARK as appropriate. The selected model must be on the Clinicomp, Cerner, and Draeger ARK pre-approval list of interfaces prior to contract award.

· Equipment Features and Characteristics

· Allow intercommunication among equipment

· Store maximum 7 days of full disclosure and 90 days alarms from all devices from discharge patient.

· Allow data analytics for alarms through web interface display via any VA OIT PC with appropriate user log in.

· Communicate on both patient monitoring network and VA provided network.

· Must integrate with Clinicomp and with VistA.

· Must be VA TRM approved.

· The entire system, including all wireless and wireless components and networks, must be VA HTM approved and have a current Enterprise Risk Assessment (ERA) on file with VA HTM. Offerors will be expected to provide their existing ERA system ID number – that includes wireless information transfer to the central system – for verification.

· All equipment, software, and operating systems provided must be the most up-to-date commercially available version.

· Printer:

· 2 colored laser printers with network capabilities are required at the Telemetry cockpit in the Telemetry department.

· Printing:

· 2 channel Strip thermal array recorder

· Laser printer paper size 81/2 x11”

· Patient Monitoring Network Infrastructure

· Wired Network

· Wired network to all monitors. The contractor shall provide Cat6 cable, installation of the cable, and removal of the old cable in all areas except the emergency department.

· Wired network to all central stations. The vendor shall provide Cat6 cable, installation of the cable, and removal of the old cable for all areas except the emergency department.

· The SLC VA telemetry cockpit is part of the Telemetry department nurses’ station. VA will provide case work furniture to host the central stations.

· The Contractor shall provide any and all hardware, conduit, cabling, and hangers necessary for a complete and functional system that meets industry standard installation guidelines.

· The VA will provide rack space, two (2) strands of horizontal and vertical fiber back bone per telecom room stack to interconnect core and aggregation switches. The contractor must provide additional fiber or copper as needed.

· The system shall support the limiting and control of traffic shaping policies based on the type of device and the associated user account.

· The system must provide all needed core networking services: DHCP, DNS, SNMP, SMTP, SMS, and HTTP(s).

· If the vendor solution requires an Active Directory or other LDAP directory services for client authentication (RADIUS 802.1x), then the vendor must provide all hardware and software necessary for said methods.

· The System must support the blocking of access to and from networks by way of IP subnet address ranges, CIDR or country designations.

· The Contractor shall adhere to the standards outlined by the National Fire Protection Association (NFPA-101 Life Safety Code).

· Wireless Network

· The estimated wireless network coverage area is approximately 106,000 sq ft.

· All patient care areas on floors 1-4 in Building 1

· All patient care areas on floor 3 in Building 14

· Limited coverage on floors 1-2 of Building 14 covering the elevators and walkways connecting buildings 1 and 14.

· Limited coverage on the ground floor of buildings 1 and 14 including but not limited to: the coffee shop, Outpatient Pharmacy, and the courtyard.

· The network bandwidth shall be capable of handling all devices simultaneously as well as all servers, switches, access points, and other equipment required for the system to function.

· The network shall run on a contractor-provided network separate from the VA’s wireless network.

· It is the responsibility of the contractor to determine a proper network topology and an appropriate number of switches, wireless access points to provide a fully functional system that meets the requirements of this procurement

· The Contractor shall provide any and all required managed wireless access points (WAP), controllers, switches, firewalls and routers supporting industry standard wireless and network protocols needed to provide a functional system.

· VA will be responsible for registering the Telemetry frequency to the ASHE.

· The system is to be based on the connection of managed wireless access points to contractor provided aggregation and edge Power over Ethernet (PoE) Ethernet switches.

· Cabling of WAP shall be installed using Cat6 cable. Color TBD.

· The system shall support AES and TKIP encryption modes in either WEP, WPA2 or WPA3 modes.

· Contractor shall perform heat mapping before the system is installed. Contractor shall be cautioned with potential interference for other VA wireless systems such as OI&T wifi, Guest Wifi, In-building wireless for Radio on frequency: 7/800Mhz, 380-450Mhz, and cellular phone.

· The Contractor shall provide a site survey to include the effective range boundary and the minimum signal to noise ratio needed to support the wireless system. The VA will review the site survey with the ability to approve or reject prior to commencement of the project. It is the intent that the wireless signal survey will only be focused on the area outlined in the coverage drawings.

· The system must provide a central accessible dashboard for monitoring system health, usage, configuration, reporting, logging and alerts.

· The system must display the location of every access point on an interactive map representing the plan view of the campus and the provided floor plans of each building.

· WAP location shall not be located within 18” from the sprinkler head.

· The entire system, including all wireless and wireless components and networks, must be VA HTM approved and have a current Enterprise Risk Assessment (ERA) on file with VA HTM. Offerors will be expected to provide their existing ERA system ID number – that includes wireless information transfer to the central system – for verification.

· Network Switches

· Edge switches must be capable of at least 1 gigabit to each edge device.

· Edge switches shall have dual power supply (120V preferable)

· Edge switches greater than 8 ports must support 10GB uplinks to an aggregation switch via SFP+ GBICS. The contractor must determine the needed uplink bandwidth and appropriate physical media necessary for connection to the aggregation switch in the Prime TR to ensure adequate throughput.

· Each Edge Switch connection to the Prime TR Aggregation Switch can be either over a contractor installed a CAT6A 10GBASE-X SFP+ GBIC riser or using a contractor installed fiber or fiber jumpers. The contractor is allowed to choose between 1GB, 10GB over CAT6A Copper 10GBASE-X or fiber for uplinks between edge switches and the aggregation switch.

· A maximum of 2 strands of Multi-Mode or Single Mode fiber, depending on distance, will be allocated for use by this network to connect each Prime TR aggregation switch to the core switch in the data center. It is the responsibility of the vendor to ensure that the aggregation and core switches are properly provisioned to support this minimal fiber usage in terms of uplink bandwidth to the core switch.

· Layer 2 switch integration between VA OIT switch and patient monitor switch.

· Each switch must be capable of providing sufficient power to each WAP.

· Devices have no special environmental concerns and are expected to operate within normal commercial environmental conditions.

· Software Infrastructure All equipment shall have interoperability with FIPS 140-2 certified software compliant encryption algorithms and/or in progress of certifying the encryption protocol (FIPS-3). Vendor shall provide the active FIPS certificate number as proof that is verifiable in the NIST website. https://csrc.nist.gov/publications/detail/fips/140/2/final

· The software shall be TRM approved prior to submission of quote (http://trm.oit.va.gov). This is due to time constraints of ensuring compatibility and interoperability with Electronic Health Record modernization efforts.

· The software shall have an active and current ERA with VA HTM prior to submission of quote. This is due to time constraints of ensuring compatibility and interoperability with Electronic Health Record modernization efforts.

· Database is Time stamped and cannot be altered through the user interface.

· User Access Management:

· Station 660 System Administration: Capable to manage all configuration of the VAMC database.

· Station 660 Department/SuperUser: Capable to manage all alarm configuration, notification, User management, and data analytic report of the department.

· Station 660 Alarm Management User: capable of acknowledging an alarm/notification but not to clear alarms.

· Station 660 View only User: capable of viewing any data/report/alarm but can’t make any change or alarm management.

Operating Systems

· If workstations are Windows OS, it must be approved for use on VA network. Currently Windows 11 (FU26H1) or newer.

· Server:

· Must be capable of operating on VA server virtual environment.

· If Windows, server OS must be Windows OS 2022 or newer, SQL 2019 or newer.

· All operating systems and database versions must NOT be end of life within 2 years of system installation.

One patient Record

· Need continuity and seamless patient record documentation.

· Must have continuity of patient records such that one patient record is created and updated throughout the patient’s hospital stay. This ensures completeness of documentation, patient safety, and continuity of care.

· A system that creates multiple patient records depending on which unit a patient is admitted to will not meet this requirement.

Installation Requirement

· The Contractor shall perform all Installation and Configuration necessary to complete the work. All installation activities shall be executed in accordance with the detailed project plan and schedule. The Contractor shall perform the installation in accordance with the technical requirements outlined in this document.

· The Contractor shall install, verify, and validate the technical requirements identified in this document. The COR will inspect and approve the Contractor’s work performance before VA acceptance is granted for the Patient Monitor network.

· The Contractor shall be responsible for the design, configuration and installation of all cabling, access points, cradle points, switches and other equipment needed for the Patient Monitoring network. All cable and fibers used for this service shall become the property of the VA at the end of the contract.

· The Contractor shall submit a plan for approval by VA of all hardware and fasteners, as well as cable routing pathways. Plan will be submitted within 30 days of the contract award.

· All access points will be installed using standard horizontal cabling methods. The use of patch cables will be only between switch and patch panel and between horizontal termination block and the access point.

· Contractor shall remove the incumbent Tele access points, cables, and wireless infrastructure components as part of the installation of their new system. Contractor shall use tenting for dust containment and follow all SLC VA infection prevention protocols for construction.

· All UTP patch panels, horizontal cabling and patch cables will be CAT6.

· The vendor shall be responsible for cable management, labeling of all network cables, cables, ports, etc. associated with the patient monitoring and telemetry installation.

· Existing cable trays and/or raceways, where available, may be used for cable distribution. For locations where cable trays are not available, cabling shall be fastened with appropriate fasteners to ensure a secure and neat installation. Where cable penetrates fire and smoke walls that do not have existing cable trays, metal sleeves shall be installed in accordance with NFPA-101 Life Safety Code using approved fire stop material to seal all penetrations. Any cable to be installed in an inaccessible area must be installed in conduit.

· All cable must be plenum rated.

· Laying of wiring on suspended ceilings will not be permitted. Contractors shall be responsible for identifying any architectural deficiencies in advance (e.g. broken ceiling tiles, improper penetrations, etc.) prior to installation and shall be responsible for correcting any broken ceiling tiles and (e.g. Smoke and Fire wall) penetrations in accordance with approved ANSI/UL (e.g. UL1479) Fire stop requirements. Inspections will be conducted and enforced post installation.

Example Conduit J-Hook Diagram

· The Contractor shall take digital photographs before and after action activities to all disruption of smoke or fire wall. Activity includes but not limited to, core drill, breakage or removal of fire stop, and broken ceiling tiles. The Government will not sign off on the final invoice until this task is completed.

· The Contractor must comply will all relevant standards and building codes including but not limited to:

· The Joint Commission (TJC) on Manual for Health Care Facilities, all necessary Life Safety and/or Support guidelines

· American Society of Testing Material (ASTM): D2301-04 Standard Specification for Vinyl Chloride Plastic Pressure Sensitive Electrical Insulating Tape

· Federal Specifications (Fed. Spec.): A-A-59544-00 Cable and Wire, Electrical (Power, Fixed Installation)

· National Fire Protection Association (NFPA):

· 70-05 National Electrical Code (NEC)

· Underwriters Laboratories, Inc. (UL): 44-02. Thermoset-Insulated Wires and Cables 83-03 Thermoplastic-Insulated Wires and Cables 467-01 Electrical Grounding and Bonding Equipment

· 486A-01 Wire Connectors and Soldering Lugs for Use with Copper Conductors

· 486C-02 Splicing Wire Connectors

· 486D-02 Insulated Wire Connector Systems for Underground Use or in Damp or Wet Locations

· 486E-00 Equipment Wiring Terminals for Use with Aluminum and/or Copper Conductors

· 493-01 Thermoplastic-Insulated Underground Feeder and Branch Circuit Cable

· 514B-02 Fittings for Cable and Conduit

· 1479-03 Fire Tests of Through-Penetration Fire Stops

· NFPA 70: National Electric Code

· NFPA 101: Life Safety Code.

· Occupational Safety and Health Act (OSHA).

· UL Listing of Communications Cabling and Hardware

· Building Industry Consulting Services International; Telecommunications Distribution Methods Manual

· ANSI/TIA/EIA-569-B - “Commercial Building Standard for Telecommunications Pathways and Spaces”.

· ANSI/EIA/TIA-526-14 “Method B: Optical Power Loss Measurements of Installed Multimode Fiber Cable Plant”.

· ANSI/EIA/TIA-526-7 “Method 1: Optical Power Loss Measurements of Installed Single-mode Fiber Cable Plant”.

· ANSI/TIA/EIA-606-A – “Administration Standard for the Telecommunications Infrastructure of Commercial Buildings”.

· ANSI/J-STD-607 – “Commercial Building Grounding and Bonding Requirements for Telecommunications”.

· FCC – Part 67, for Communications Interconnection Devices

3.10 AREA SPECIFIC REQUIREMENTS

· ICU: All specifications and quantities shall adhere to sections for ICU and Transport Patient Monitors, Central Station and Limited Functionality Central Station Display.

· Anesthesia/OR: All specifications and quantities shall adhere to sections for Anesthesia and Transport Patient Monitors and Central Station. Central station section does not require a central monitor, only a CPU to send data to EHR.

· PACU: All specifications and quantities shall adhere to sections for Mid-Acuity and Transport Patient Monitors as well as Central Station.

· Pre-Op: All specifications and quantities shall adhere to sections for Transport and Low-Acuity Patient Monitors as well as Central station.

· ED: All specifications and quantities shall adhere to sections for ICU, Mid-Acuity, Transport, and Low-Acuity Patient Monitors as well as Central Station and Limited Functionality Central Station Display

· Radiology: All specifications and quantities shall adhere to sections for Mid-acuity, Transport, and Low-Acuity Patient Monitors as well as Central Station. Central Station section does not require a central monitor, only a CPU to send data to EHR.

· GI: All specifications and quantities shall adhere sections for Transport and Low-Acuity Patient Monitors as well as Central Station.

· 3 West: All specifications and quantities shall adhere to sections for Mid-Acuity, Transport, Low-Acuity Patient Monitors as well as Central Station and Limited Functionality Central Station Display.

· 2 West: All specifications and quantities shall adhere to sections for Central Station. Central Station section does not require a central monitor, only a CPU to send data to EHR.

· Telemetry: All specifications and quantities shall adhere to sections for Telemetry, Transport, and Low-Acuity Patient Monitors as well as Central Station.

· Biomedical Engineering

· All specifications shall adhere to sections for ALL patient monitors and Central Station.

· Biomedical Engineering will be set up as a test environment to troubleshoot and test functionality of the patient monitoring system and all types of patient monitors. Biomedical Engineering test station(s) should be isolated from the live patient monitoring system.

· Additional (1) 3-slot charger, 2 battery extensions, 3 batteries, and 2 battery reconditioners.

Datacenter: All equipment shall be mounted in a VA provided rack Global Gen GF-series Gen2. Contractor shall provide rack rail.

3.11 TRAINING (Line item #0010, 0011, 0012, and 0013)

The vendor shall provide training to Salt Lake City VA Clinical and Non-Clinical Staff.

Table 20 – Training Details by Audience

Training must cover all…