Attachment A - Schedule.xlsx

XLSX spreadsheet 46 KB Posted

Attached to
7A21--VISN 22 POC Middleware Federal contract opportunity
Solicitation number
36C26221Q0044
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 22

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(Insert Company Name) VA MOU Appendix A POC List 2017.12.18 - TEMPLATE.docx DOCX document
VA Directive 6500.pdf PDF
OIS MOU ISA SOP Final_20191007.pdf PDF
VA MOU ISA Approved Final Template-09092020.docx DOCX document
MOU ISA Review Form-.pdf PDF
(Insert Company Name) VA LAN Extension MOU 2017.12.11 - TEMPLATE.docx DOCX document
MOU ISA Intake Form Instructions.pdf PDF
MOU ISA Annual Review SharePoint User Guide.pdf PDF
(Insert Company Name) VA MOU ISA Checklist 2017.12.18.xlsx XLSX spreadsheet
36C26221Q0044 0002_1.docx DOCX document
2020 MOU ISA New Template Brown Bag.pptx PPTX presentation
lab_52_poc_hl7_spec.docx DOCX document
Appendix C Template 2018.08.08.pdf PDF
VA Handbook 6500.6 Appendix A.pdf PDF
36C26221Q0044 0002 - RFQ Amendment.docx DOCX document
Attachment B - Middleware SOW v2.docx DOCX document
RFQ - 36C26221Q0044 v2.docx DOCX document
36C26221Q0044 0001 Amendment.docx DOCX document
36C26221Q0044 0001_1.docx DOCX document
Attachment E - Past Performance References.docx DOCX document
Attachment D - VA Handbook 6500.6 Appendix C.pdf PDF
Attachment B - Middleware SOW.docx DOCX document
36C26221Q0044.docx DOCX document
Attachment C - VA Directive 6550.pdf PDF
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Text version

Schedule of Pricing

CLINNomenclature of Supply/ServiceProduct / Service NumberUnit of IssueUnit PriceAdditional Comments
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Implementation

CLINNomenclature of Supply/ServiceProduct / Service NumberModule/License Product TypeAdditional CommentsQuantityUnit of IssueUnit PriceTotal
Ex.Example - ISTAT Accuchek Module959292034License100EA$ 1.00$ 100.00
1$ - 0
2$ - 0
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Total $ - 0

Summary by Facility

AlbuquerqueGLALoma LindaLong BeachPhoenixPrescottSan DiegoTucson
Maria MontanoNicolle MonzonMarilyn Malto/ Rebecca CreesAngela ClarkSteve Case/ Gilberto GradoSharry MuscatSara PetersonKarla Walkling / Sharonne Panes
Blood Gas**iStat*iStat (CG8)**iStat/Radiometer ABL 90**iStat/ Rapid Point 405*iStat (CG8)*Rapidpoint 500*iStat*Rapidpoint 500
INRCoaguChek XS Plus**CoaguChek XS Pro/Plus**Coaguchek XS Pro**CoaguChek XS Pro
Glucometer**Roche Inform II**Roche Inform II**Roche Inform II**Roche Inform II**Roche Inform II**Roche Inform II**Roche Inform II**Roche Inform II
Cardiac**iStat**iStat**iStat*iStat**iStat
ACTHemochron Response, **i-STAT**iStatHemochron Signature Elite**iStat*iStat*iStat**Hemochron Sig Elite
ChemistriesiStat**iStat**iStat*iStat*iStat**iStat
uPregStanbio True20Icon 25**Clinitek Status/ Sure Vue (ED)**OSOM hCGBeckman ICON 20*Clinitek StatusQuidel QuickvueClinitek Status
pH (vaginal)Decon Phenazine PaperpHem- AlertDecon Phenazine paper
HIVOraquickOraquickChembioOraquick (Stand Down)
HCVOraquickOraQuick HCVOraquick (Stand Down)
Urine Dipstick**Clinitek StatusMultistix 10SG/**Clinitek Status***Clinitek Status*Multistix 10 SG Clinitek StatusMultistix 10SG (Stand Down)Clinitek Status
PPMKOH/ Vaginal WetmountKOH (Dermatology)/ Ticks & MitesKOH/Vaginal WetmountKOH/Vaginal WetmountClinitek StatusKOH/Vaginal WetmountKOH/Scabies
HemoccultBeckman Sensa FOBT (ED and CBOC)Beckman Sensa FOBT (ED only)**Beckman Sensa FOBTBeckman Sensa FOBT (ED only)
Gastroccult
InfluenzaQuidel Sofia 2***SophiaNot interestedCobas Liat (planned interface)
Strep A***Sophia/Quidel QuickVue In Line
Co-OximetryIL Gem OPL (Being replaced by Avoximeter)Radiometer ABL 90Rapid Point 500Avoximeter 1000E*Rapidpoint 500*Radiometer ABL80*Rapidpoint 500
HgbHemocue*Hemocue
Udrug testBiorad TOX, MedTox Verdict IIDiscover multi panel drug test cup
HbA1C**Alere Afinion AS 100
Data Management**RALSRALS**RALS**RALS**RALS*RapidComm**RALS
UniPOCUniPOC (iStat)**RALS**RALS*RapidComm
*UniPOC
Additional Data Management Features Utilized/TesteQuiz/ Urine hCG & GlucometerOTE for manual Urinalysis, Pregnancy and Occult BloodOTE for Urine hCG1) eQuiz for multiple POC quizzes 2) OTE for Urine hCG and Strep A result entryeQuiz/ Glucometer

&D &Z&F

Summary by Product Type

AbbottRocheBeckman CoulterAccrivaRadiometerSiemensQuidelRamcoFisherSekisui DiagnosticsOraquickChembioGynexDecon LaboratoriesHemocueMedTox DiagnosticsBiorad
Blood Gas**iStatRadiometer ABL 90*Rapidpoint 500
INR**CoaguChek XS Pro/Plus
Glucometer**Roche Inform II
CardiaciStat , Alere Triage
ACTi-StatHemochron Signature Elite, Hemochron Response
ChemistriesiStat
uPregIcon 25, Icon 20*Clinitek StatusQuidel QuickvueRamco QuiktrakSure Vue**OSOM hCG
pH (vaginal)pHem- AlertDecon Phenazine paper
HIVOraquick HIVChembio HIV
HCVOraquick HCV
Urine DipstickMultistix 10SG, Clinitek Status
PPMClinitek Status
HemoccultBeckman Sensa FOBT
Gastroccult
InfluenzaCobas LiatQuidel Sofia 2
Strep ASofia/Quidel QuickVue In Line
Co-OximetryAvoximeter 1000ERadiometer ABL 90, Radiometer ABL80Rapidpoint 500, Rapid Point 405
HgbHemocue
Udrug testMedTox Verdict IIBiorad TOX
HbA1C**Alere Afinion AS 100
Data Management**RALS*RapidComm

&D &Z&F

Required Licenses

SiteTESTING PLATFORMQty Meters/ InstrumentsDownload Location CountFacility CommentsContractor Corresponding Line ItemsContractor Comments
AlbuquerqueAbbott i-STAT871 iStat to be Added
AlbuquerqueAVOXimeter 1000E11To be Added
AlbuquerqueBeckman Sensa FOBT/ Other/Manual Test Entry via glucometern/an/aTo be Added
AlbuquerqueClinitek Status Connect221- Clinitek to be Added
AlbuquerqueCoaguChek XS Plus1212To be Added
AlbuquerqueHemochron Signature Elite33To be Added
AlbuquerqueRoche Inform II Glucometers9045
AlbuquerqueUrine Drug Screen (Biorad TOX, Med Tox Verdict II)/ Other/Manual Test Entry via glucometern/an/aTo be Added
AlbuquerqueUrine Pregnancy (Stanbio True20)/ Other/Manual Test Entry via glucometern/an/aTo be Added
All SiteseQuiz Module or Equivalent solution- Glucometern/an/a
All SiteseQuiz Module or Equivalent solution - Multiple Tests/Platforms for various POC devicesn/an/aTo be Added
GLAAbbott i-STAT1414
GLABeckman Icon 25/ Other/Manual Test Entry for Pregnancy Testing via glucometern/an/aTo be Added
GLAOraquick HIV/ Other/Manual Test Entry for HIV Testing via glucometern/an/aTo be Added
GLARoche Inform II Glucometers12589
Loma LindaAbbott i-STAT1010
Loma LindaAfinion AS 1001010
Loma LindaBeckman Sensa FOBT/ Other/Manual Test Entry via glucometern/an/aTo be Added
Loma LindaCoaguChek XS Pro and Plus1616
Loma LindaHemochron Signature Elite44To be Added
Loma LindaQuidel Sofia 21212To be Added
Loma LindaRadiometer ABL9022To be Added
Loma LindaRoche Inform II Glucometers12946To be Added- 24 more download locations
Loma LindaSiemens Clinitek Status Connect1212
Loma LindaSure Vue/ Other/Manual Test Entry via glucometern/an/aTo be Added
Loma LindaUrinalysis (Multistix 10SG)/ Other/Manual Test Entry via glucometern/an/aTo be Added
Long BeachAbbott i-STAT1515
Long BeachCoaguChek XS Pro22
Long BeachOSOM hCG/Other/Manual Test Entry for Pregnancy Testing via glucometern/an/a
Long BeachRapidpoint 50022To be Added
Long BeachRoche Inform II Glucometers7547
Long BeachUrine Drug Screen (Discover multi panel drug test cup)/ Other/Manual Test Entry via glucometern/an/aTo be Added
PhoenixAbbott i-STAT88
PhoenixAvoximeter 1000E11
PhoenixAVOXimeter 1000E11To be Added
PhoenixBeckman Icon 20/ Other/Manual Test Entry for Pregnancy Testing via glucometern/an/a
PhoenixChembio/ Other/Manual Test Entry via glucometern/an/aTo be Added
PhoenixClinitek Status Connect1010
PhoenixiStat99
PhoenixKOH/Vaginal Wetmount/ Other/Manual Test Entry via glucometern/an/aTo be Added
PhoenixOraquick HCV/ Other/Manual Test Entry via glucometern/an/aTo be Added
PhoenixpHem Alert/ Other/Manual Test Entry via glucometern/an/aTo be Added
PhoenixQuidel Sofia22To Add 12 instruments&locations in future (don't have instruments yet)
PhoenixQuidel Sofia 222To be Added
PhoenixRoche Inform II Glucometers7248
PhoenixStep A result/ Other/Manual Test Entry via glucometern/an/a
PrescottClinitek Status Connect55To be Added
PrescottRapidpoint 50022
PrescottRoche Inform II Glucometers3335
PrescottSiemens Stratus Cardiac testing/ Other/Manual Test Entry via glucometer1n/aTo be Added
San DiegoAbbott i-STAT2020
San DiegoABL8022
San DiegoBeckman Sensa FOBT/ Other/Manual Test Entry via glucometern/an/aTo be Added
San DiegoCoaguChek XS Pro66
San DiegoCobas Liat22To be Added
San DiegoHemocue54
San DiegoOraquick HCV/ Other/Manual Test Entry via glucometern/an/aTo be Added
San DiegoOraquick HIV/ Other/Manual Test Entry via glucometern/an/aTo be Added
San DiegoQuidel Quickvue/ Other/Manual Test Entry via glucometern/an/aTo be Added
San DiegoRoche Inform II Glucometers7869
TucsonAbbott i-STAT66
TucsonClinitek Status99
TucsonHemochron Signature Elite76
TucsonRapidpoint 50088
TucsonRoche Inform II Glucometers8154

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