36C26218Q0203-003.xlsx
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- 36C26218Q0203
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36C26218Q0203 36C26218Q0203 - Attachment B - Test Schedule and Volumes.xlsx
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| 36C26218Q0203-00002000.docx | DOCX document | |
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VISN Total Est Test Volumes
| Test Description: | Contractor's Part Number | ||||||||||||||||||||||||
| (if applicable) | CPT Price | ||||||||||||||||||||||||
| (based on estimated quantities listed in Columns H - W) | VISN 22 Estimated Annual Test Volume and CPT Pricing | VISN 22 Estimated 5-Year Test Total | |||||||||||||||||||||||
| (SUM of Column H - V) | VISN 22 Estimated 5-Year Test Extended Price | ||||||||||||||||||||||||
| (Column G x Column W) | VISN 22 Estimated 5-Year Test Total Price | ||||||||||||||||||||||||
| Reagent Price | Instrumentation Price | Service/ Maintenance Price | Total CPT Price | ||||||||||||||||||||||
| (Columns D + E + F) | BASE YEAR | Option Year 1 | Option Year 2 | Option Year 3 | Option Year 4 | ||||||||||||||||||||
| Est. Test Volume | # of Controls | Est. 5% Repeat Rate | Est. Test Volume | # of Controls | Est. 5% Repeat Rate | Est. Test Volume | # of Controls | Est. 5% Repeat Rate | Est. Test Volume | # of Controls | Est. 5% Repeat Rate | Est. Test Volume | # of Controls | Est. 5% Repeat Rate | |||||||||||
| ABO / Rh | 23,305 | 4,990 | 1,415 | 23,305 | 4,990 | 1,415 | 23,305 | 4,990 | 1,415 | 23,305 | 4,990 | 1,415 | 23,305 | 4,990 | 1,415 | 148,549 | $ - 0 | $ - 0 | |||||||
| Antibody Screen | 18,729 | 3,896 | 1,131 | 18,729 | 3,896 | 1,131 | 18,729 | 3,896 | 1,131 | 18,729 | 3,896 | 1,131 | 18,729 | 3,896 | 1,131 | 118,781 | $ - 0 | ||||||||
| Antibody ID | |||||||||||||||||||||||||
| Panel with auto control) | 736 | - 0 | 37 | 736 | - 0 | 37 | 736 | - 0 | 37 | 736 | - 0 | 37 | 736 | - 0 | 37 | 3,864 | $ - 0 | ||||||||
| Antigen Typing | 1,566 | 1,084 | 133 | 1,566 | 1,084 | 133 | 1,566 | 1,084 | 133 | 1,566 | 1,084 | 133 | 1,566 | 1,084 | 133 | 13,913 | $ - 0 | ||||||||
| Direct Antiglobin Test | 1,205 | 2,038 | 162 | 1,205 | 2,038 | 162 | 1,205 | 2,038 | 162 | 1,205 | 2,038 | 162 | 1,205 | 2,038 | 162 | 17,026 | $ - 0 | ||||||||
| Crossmatching Blood Units with Patient Samples | 2,050 | - 0 | 103 | 2,050 | - 0 | 103 | 2,050 | - 0 | 103 | 2,050 | - 0 | 103 | 2,050 | - 0 | 103 | 10,763 | $ - 0 | ||||||||
| ABO for Rh negative Units (Rh confirmation typing of donor units) | 10,596 | - 0 | 530 | 10,596 | - 0 | 530 | 10,596 | - 0 | 530 | 10,596 | - 0 | 530 | 10,596 | - 0 | 530 | 55,629 | $ - 0 | ||||||||
| NOTE: |
ALL green cells shall be completed by vendors in order to get an accurate quote comparison. Failure to complete all green cells maybe considered an unresponsive quote.
Please see the minimum hourly test output requirements for each facility lsited in Column C of the "Facility Est Test Volumes" tab and quote the appropriate instrument needed to meet this requirement.
&"-,Bold"ATTACHMENT C
Facility Est Test Volumes
| Facility | Minimum Test Thruput per hour (primary analzyer) | Annual Volume | |||||||||||||||||||
| Abo/Rh | Annual Volume | ||||||||||||||||||||
| ABO/Rh Controls | Annual Volume | ||||||||||||||||||||
| Antibody Screen | Annual Volume | ||||||||||||||||||||
| Antibody Screen Controls | Annual Volume | ||||||||||||||||||||
| Antibody ID | Annual Volume | ||||||||||||||||||||
| Antibody ID Controls | Annual Volume Antigen Typing | Annual Volume | |||||||||||||||||||
| Antigen Typing Controls | Annual Volume | ||||||||||||||||||||
| Direct Antiglobulin Test | Annual Volume | ||||||||||||||||||||
| Direct Antiglobulin Test Controls | Annual Volume | ||||||||||||||||||||
| Crossmatching Blood Units | Annual Volume | ||||||||||||||||||||
| Crossmatching Blood Units Controls | Annual Volume ABO for Rh Negative Units | Annual Volume ABO for Rh Negative Units Controls | Instrument Maximum Special Contraint | Tech support via telephone | Service/ | ||||||||||||||||
| Maintanance | Current INTERFACE MANAGER in Use | ||||||||||||||||||||
| VA Phoenix | 10 | 4479 | 572 | 1750 | 208 | 84 | 0 | 261 | 50 | 142 | 104 | 312 | 0 | 1782 | 0 | 24/7 | Business Hrs | DI | |||
| VA Tucson | 10 | 3325 | 1095 | 3225 | 730 | 130 | 0 | 500 | 500 | 75 | 730 | 425 | 0 | 2200 | 0 | 24/7 | Business Hrs | DI | |||
| VA Long Beach | 10 | 3081 | 733 | 2634 | 733 | 67 | 0 | 425 | 86 | 203 | 74 | 248 | 0 | 2139 | 0 | 24/7 | Business Hrs | DI | |||
| VA Loma Linda | 10 | 3500 | 1095 | 3150 | 1095 | 130 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 24/7 | Business Hrs | DI | |||
| VA San Diego | 10 | 3820 | 1095 | 3070 | 730 | 125 | 0 | 180 | 48 | 285 | 730 | 265 | 0 | 1875 | 0 | 24/7 | Business Hrs | DI | |||
| VA Greater | |||||||||||||||||||||
| Los Angeles | 10 | 5100 | 400 | 4900 | 400 | 200 | 0 | 200 | 400 | 500 | 400 | 800 | 0 | 2600 | 0 | 24/7 | Business Hrs | DI |
Consumables
| Consumable Product Name | Part No | Packing Config | Volume (mLs) | Yield in Tests or Uses | Cost | Cost per use | Yearly Cost | Volume per Use | Frequency of Use | Storage Condition | Shelf Life From Date of Manufacture | Open Bottle Stability |
| Example: Consumable 1 | 123456 | 4 bottles / case | 5000 mL/btl | 500 Tests/btl | $200.00 | $0.10 | $200,000.00 | 10 mL | Each test | 2-8°C | 24 months | 6 months |
Service
| Facility | Required Service Option | Annual Service Price |
| VA Phoenix | 24x7 | |
| VA Tucson | 24x7 | |
| VA Long Beach | 24x7 | |
| VA Loma Linda | 24x7 | |
| VA San Diego | 24x7 | |
| VA Greater Los Angeles | 24x7 |
List of Equipment Per Facility
| Make and Model of Instrumentation and Equipment Per Facility | ||
| See Column I and Column L in "Facility Est Test Volumes" tab and provide instrumentation that meets or exceeds the required minimum hourly output and the stated spacial constraints. Instrumentation shall also meet all the minimum requirements listed in the Statement of Work (SOW). Include quantities if more than one (1) instrument is being provided at each facility. | Discounted Instrument Price |
(See B.2.6 - provide purchase price to be used if the VA elects to buyout the instrument) VA Long Beach Healthcare System
VA Loma Linda Healthcare System
VA San Diego Healthcare System
VA Greater Los Angeles Healthcare System
VA Southern Arizona (Tucson) Healthcare System Facility
VA Phoenix Healthcare System Facility
Additional Pricing Sheet
Description: Part Number: CPT Price (based on an estimated 1000 tests)
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