STATEMENT OF WORK - Draft.docx
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- Solicitation number
- 36C26226Q0048
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This document is a Draft Statement of Work (SOW) for Intraoperative Neuromonitoring (IOM) Services at the VA San Diego Healthcare System. The contract requires a contractor to provide highly specialized IOM Specialists who will perform neurophysiologic monitoring during surgical procedures for eligible veterans. Qualified specialists must have advanced degrees (Master's/Doctorate in Audiology, Medicine, or Osteopathy), specific certifications from boards like the American Board of Neurophysiologic Monitoring, and a current California license to practice.
The IOM Specialists will be responsible for operating complex neuromonitoring equipment, attaching electrodes, monitoring nerve impulses, and providing real-time guidance to surgeons to minimize patient nerve pathway risks. They must be proficient in various monitoring techniques including Auditory Brainstem Response, Visual Evoked Response, Somatosensory Evoked Potential, Electroencephalography, Electromyography, and Nerve Conduction Studies. The contract is structured with a base period and four option years, and requires specialists who have monitored at least 20 cases in the preceding calendar year, with all personnel subject to VA approval and credentialing.
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| File | Type | Posted |
|---|---|---|
| 36C26226Q0048_1.docx | DOCX document | |
| SOURCES SOUGHT - IOMs - VASDHS.docx | DOCX document |
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DRAFT STATEMENT OF WORK
DRAFT STATEMENT OF WORK
Intraoperative Neuromonitoring (IOM) Services
| 1. | GENERAL RESPONSIBILITIES |
| 1.1 | The Contractor shall provide Intraoperative Neuromonitoring (IOM) Specialist services, as specified herein for eligible veterans on an as required basis at the VA San Diego Healthcare System. The contracted IOM Specialist shall provide a range of tasks in accordance with the terms and conditions contained herein. |
| 1.2 | IOM Specialists shall be subject to the same quality assurance standards in meeting or exceeding current recognized National Standards as established by the Joint Commission (TJC). The Contractor shall perform services in accordance with the ethical, professional, and technical standards of the healthcare industry as consistent with VA policy, regulations, and procedures. Persons provided by the Contractor shall be technically proficient in the skills necessary to fulfill the Government’s requirements, to include the ability to speak, understand, read and write English fluently. IOM Specialists shall be responsible for compliance with all procedures in accordance with applicable VA Medical Center written policies, procedures, and protocols. |
| 1.3 | The Contractor shall furnish all equipment and supplies required for performance under this contract. The IOM Specialist will be responsible for the set-up scientific equipment such as Intraoperative Neurophysiologic Monitoring System, position the patient in the operating room, attach electrodes, monitor complex nerve impulses and notify the surgeon regarding any danger to the patient nerve pathways during a surgical procedure. The IOM Specialist will be responsible for multiple types of recordings and measurement of the electrical activity of the central and peripheral nervous system. |
| 2. | DUTIES |
| 2.1 | Contractor shall provide the IOM Specialist to perform Intraoperative Neurophysiologic Monitoring and Evoked Potential services on an as needed basis. The purpose of IOM Specialist is to reduce the risk to the patient of iatrogenic damage to the nervous system, and/or to provide functional guidance to the surgeon and anesthesiologist. |
| 2.2 | The IOM Specialist shall be well versed by virtue of training and experience in all aspects of Intraoperative Neurophysiologic Monitoring including: |
| a. | Auditory Brainstem Response (ABR) |
| b. | Visual Evoked Response (VER) |
| c. | Somatosensory Evoked Potential (SEP or SSEP) |
| d. | Electroencephalography (EEG) |
| e. | Electromyography (EMG) |
| f. | Nerve Conduction Studies |
| g. | Knowledge of the Axon bio-med computer, Eclypse Model (or similar type of machine), that may be used to provide services. |
| h. | IOM must maintain up-to-date knowledge of developments in the field of Intraoperative Neurophysiologic Monitoring and Evoked Potentials. |
| 2.3 | IOM Specialists shall be experienced in and completely versed in the operation of all Intraoperative Monitoring equipment so that repair can be improved on an emergency basis in the event of equipment failure. |
| 2.4 | All alternate IOM Specialist shall meet all the qualification and experience requirements and be approved by VA officials prior to performing work at this Healthcare System. |
| 2.5 | The IOM Specialist shall be responsible for some clerical duties in connection with the position, and direct patient contact as well as telephone contact with medical providers. |
| 2.6 | Understanding of patient triage, risks, indications and contraindications for each procedure. |
| 2.7 | If and as requested by the VA, IOM Specialists shall perform services to include, but not limited to, attendance and participation in meetings, professional staff conferences, other appropriate professional activities, assist with Performance Improvement activities, and interface with the VA Chief of Staff or designee. |
| 2.8 | IOM Specialists shall provide healthcare services to eligible VA Beneficiaries. The services shall be performed at the VA as determined by patient needs, VA interest, and the availability of equipment and technical support. |
| 2.9 | Workload and on-call coverage: The IOM procedures are scheduled and will be on an as needed basis. |
| 3. | QUALIFICATION CRITERIA |
| 3.1. | IOM Specialists assigned by the Contractor to perform services covered this contract must possess one or more attributes from each of the following areas: |
Education:
| a. | Master’s degree in Audiology from a college accredited by the Council on Academic Accreditation in Audiology and Speech Language Pathology (CCA- ASHA) |
| b. | Doctorate degree in Audiology (Au.D.) from a college accredited by the Council on Academic Accreditation in Audiology and Speech Language Pathology (CCA-ASHA) |
| c. | Doctorate degree in Medicine (M.D.) from an accredited college approved by the Liaison Committee on Medical Education and Hospitals of the American Medical Association |
| d. | Doctorate degree in Osteopathy (D.O.) from a college accredited by the American Osteopathic Association |
Certification (Specialty/Subspecialty):
| a. | Diplomate of the American Board of Neurophysiologic Monitoring (DABNM). |
| b. | Subspecialty in Clinical Neurophysiology, American Board of Psychiatry and Neurology (ABPN) |
| c. | Special Competency in Intraoperative Neuromonitoring, American Board of Clinical Neurophysiology (ABCN) |
| d. | Diplomate in Neurophysiology, EMG and evoked potentials, American Board of Electrodiagnostic Medicine (ABEM) |
| e. | Certificate of Clinical Competence in Audiology, American Speech- Language-Hearing Association (CCC-A ASHA) |
Licensure:
| a. | Current, valid, unrestricted License to practice Medicine, State of California (M.D./D.O). |
| b. | Current, valid, unrestricted license to practice Audiology, State of California (Au.D.) |
| 3.1.1. | Contractor must be practicing in accordance with County, City, State and Federal Laws. |
| 3.1.2. | Contractor must have health clearances and training as determined by |
VHASDC prior to providing any services to veterans.
| 3.1.3. | The IOM Specialist must have monitored at least 20 cases within the preceding calendar year. |
| 3.1.4. | All alternate Intraoperative Monitoring Specialist must meet all the requirements and be approved by VA officials prior to performing work at this Healthcare System. |
| 4. | KEY PERSONNEL AND TEMPORARY EMERGENCY SUBSTITUTIONS |
| 4.1. | The Contractor shall provide the Contracting Officer and the COR a list of Key Personnel and their National Provider Identifier (NPI) upon award of the contract and at the exercise of any option on this contract. |
| 4.2. | During the first ninety (90) days of performance, the Contractor shall make NO substitutions of key personnel unless the substitution is necessitated by illness, death or termination of employment. The Contractor shall notify the Contracting Officer, in writing, within 15 calendar days after the occurrence of any of these events and provided the information required by paragraph (c) below. After the initial 90-day period of the contract the Contractor shall submit the information required by paragraph (c) to the Contracting Officer at least 15 days prior to making any permanent substitutions. |
| 4.3. | The Contractor shall provide a detailed explanation of the circumstances necessitating the proposed substitutions, complete resumes for the proposed substitutes, and any additional information requested by the Contracting Officer. Proposed substitutes shall have comparable qualifications to those of the persons being replaced. The Contracting Officer will notify the Contractor within 15 calendar days after receipt of all required information of the decision on the proposed substitutes. The contract will be modified to reflect any approved changes of key personnel. |
| 4.4. | The Contractor shall provide scheduled services throughout the contract period on an as-needed basis. In the event of the absence of IOM Specialists for any reason, the Contractor shall bear the responsibility of providing replacement personnel to provide the requested services. The POC shall arrange for pre-credentialed locum tenens coverage when IOM Specialists will be unable to provide services for one (1) or more consecutive shifts. |
| 4.5. | If routine services are disrupted for more than two (2) consecutive scheduled shifts or emergent response requests, the Government reserves the right to procure such services from an alternate source, until routine services are restored by the Contractor. When the Government exercises its right to procure these services from an alternate source, the Contractor shall reimburse the Government for all charges more than the amount that would have normally been incurred by the contract. |
| 4.5.1. | A copy of the other source’s service ticket or other verifiable documentation shall be used as the basis for any reimbursement. |
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