Attachment B SCOPE OF WORK 36C25724Q0635 SB.pdf

36C25724Q0635

SCOPE OF WORK

I. Description of Services.

1. Scope of Work. The Contractor shall provide all personnel, transportation, equipment

(including the ACR phantoms necessary for quality assurance testing) and software to provide diagnostic medical physics services in support of the Veterans Affairs North Texas Health Care

System (VANTHCS) by performing the following tasks:

• Task 1: Annual quality assurance testing of all diagnostic x-ray and imaging equipment

(to include MRI). See Attachments A for list of equipment. These lists are subject to change as equipment is replaced and new locations are opened for clinical services with new equipment. Linear Accelerator On-Board Imager (OBI), Cone Beam Computed

Tomography (CBCT) for patient dose. [TJC, NHPP]

• Task 2: Annual quality assurance testing of mammography equipment. Recertification of equipment when required. [MQSA]

• Task 3: Required physics testing of diagnostic x-ray and imaging equipment following repairs that could affect patient dosimetry and/or image quality, as needed. [TJC, NHPP] o Please use the following assumptions to make a bid on this task. Cost to provide physics testing within two days of notification by RSO following major repair for:

▪ CT unit

▪ Full Field Digital Mammography unit

▪ Mammography reading workstation

▪ Radiography unit

▪ R&F unit

▪ Dental unit

• Task 4: Consulting services to support the VANTHCS Radiation Safety Office.

o Consulting services include but are not limited to:

▪ Attend appropriate VANTHCS committee meetings (i.e., Radiation Safety

Committee, CT Protocol Committee, Fluoroscopy Safety Subcommittee, Patient Dosimetry Subcommittee) on a quarterly or as needed basis. [TJC]

▪ Review of VANTHCS overall technical quality assurance program for diagnostic x-ray and imaging equipment. [NHPP]

▪ Perform patient dose evaluations, including fetal exposures, as needed and maybe on an urgent basis. When applicable, the Radiology Service QA

ADPACs will ensure proper redaction of the patient’s PHI (i.e., when imaging studies are needed for dose evaluation)

▪ Perform personnel occupational dose evaluations, as needed.

o Please use the following assumptions to make a bid on this task. Cost to provide

4 hours per month of consulting services.

• Task 5: Initial installation quality assurance testing of all new diagnostic x-ray and imaging equipment (to include MRI) on an as needed basis. See Attachment B for list of equipment. This list is subject to change. [NHPP]

• Task 6: Initial installation quality assurance testing of new mammography equipment on an as needed basis. [MSQA]

• Task 7: Complete structural shielding design plans for the installation of new diagnostic x-ray and imaging equipment at VANTHCS. This task is to be completed on an as-needed basis in cases where the structural shielding design plan is not addressed by

VANTHCS Engineering Service. [TJC, NHPP]

• Task 8: Complete radiation protection surveys to verify the adequacy of installed shielding for new and/or refurbished rooms or replacement of equipment. [TJC, NHPP]

• Task 9: Written reports signed by the diagnostic medical physicist documenting the shielding design calculations and acceptance testing of the structural shielding. Written reports signed by the diagnostic medical physicist documenting the quality assurance testing, including a summary of methods, instruments used, measurements and deficiencies identified, for all diagnostic x-ray and imaging equipment. Each written report will identify the x-ray and/or imaging equipment using the following information at a minimum: VANTHCS EE number and the equipment’s location (VANTHCS facility, building, and room number). The Contractor shall provide two (2) copies of the physicist report to the RSO and the Chief of Biomedical Services within thirty days of completion of the work. The report may be in electronic format. [TJC, NHPP]

• Task 10: Deficiencies or non-conformances which represent unsafe conditions shall be reported to the RSO immediately. Verbal reports must be provided after testing so that

VANTHCS will know that equipment can be immediately put into use.

• Task 11: Twenty-four (24) hour emergency response time on unanticipated and/or emergent equipment needs.

The diagnostic medical physics services will include all x-ray and imaging equipment at

VANTHCS facilities, including Dallas VA Medical Center, Fort Worth VA Outpatient Clinic, Sam Rayburn Memorial Veterans Center in Bonham, Plano VA Outpatient Clinic, Garland VA

Medical Center, Tyler Broadway VA Clinic, and Grand Prairie VA Clinic. Other VANTHCS facilities may be added to this list if and/or when x-ray and imaging equipment are added to existing and new facilities. All quality assurance testing reports, mammography equipment performance evaluations reports, shielding designs, and radiation protection surveys shall be submitted to the VANTHCS Radiation Safety Office for review and approval subsequent to the completion of all testing, calibration and surveys of the equipment, facilities and procedures.

The reports shall identify all items of noncompliance and include general and specific recommendations for correcting any items of noncompliance. “All records (administrative and program specific) created during the period of the contract belong to VA North Texas Health

Care System (VANTXHCS) and must be returned to VANTXHCS at the end of the contract or destroyed in accordance with the VHA Record Control Schedule (RCS)10-1.”

1.1. Quality Assurance Testing

1.1.1. All Quality Assurance Tests shall meet or exceed NRC, ACR, MQSA, NCRP, FDA, TJC requirements and recommendations, and the Conference of Radiation Control Program

Director’s (CRCPD) Suggested State Regulations for Control of Radiation, Part F, Diagnostic X-rays and Imaging Systems in the Healing Arts or current document. All

Quality Assurance Tests shall meet or exceed the requirements in the following VHA directives and handbooks:

• VHA Directive 1105, Management of Radioactive Materials

• VHA Directive 1105.02, Nuclear Medicine and Radiation Safety Administrative

Service

• VHA Directive 1105.03, Mammography Program Procedures and Standards

• VHA Directive 1105.04, Fluoroscopy Safety

• VHA Directive 1105.05, MRI Safety

• VHA Directive 1129, Radiation Protection for Machine Sources of Ionizing

Radiation

1.1.2. Diagnostic X-ray Equipment (Radiography)

The testing must include, but is not necessarily limited to, the following (as applicable):

Per CRCPD Suggested State Regulations for Control of Radiation, Part F, Diagnostic X-rays and Imaging Systems in the Healing Arts:

• Image artifacts

• Spatial resolution

• Contrast/noise

• Workstation monitors

• Exposure indicator constancy

Per the American College of Radiology (ACR-AAPM) Technical Standard for

Diagnostic Medical Physics Performance Monitoring of Radiographic Equipment (2016):

• Visual equipment checklists

• Integrity of unit assembly

• Operation of alerts and interlocks

• Other radiation safety functions

• Acquisition display monitor(s) performance

• Image artifacts

• Appropriateness of adult protocols

• Radiation field size measurement

• Collimation and radiation beam alignment

• Automatic collimation accuracy

• Light beam and bucky alignment

• Air kerma or exposure (radiation output)

• Displayed radiation metrics accuracy

• Exposure reproducibility

• Tube potential (kVp) accuracy and reproducibility

• Linearity of exposure versus mA or mAs

• Timer accuracy

• Minimum beam quality (half-value layer)

• Radiographic patient entrance exposure for a “typical” adult patient

• Automatic exposure control

• Image quality: system high contrast resolution

• Image quality: system low contrast resolution

• Repeat analysis

• CR/DR exposure log analysis

• PACS adequacy

1.1.3. Diagnostic X-ray Equipment (Fluoroscopy)

Per the TJC Standards Revisions for Organizations Providing Fluoroscopy Services

(Issued June 25, 2018):

• Beam alignment and collimation

• Tube potential/kilovolt peak (kV/kVp) accuracy

• Beam filtration (half-value layer)

• High-contrast resolution

• Low-contrast detectability

• Maximum exposure rate in all imaging modes

• Displayed air-kerma rate and cumulative-air kerma accuracy (when applicable)

• A measurement of entrance exposure rates that covers the full range of patient thicknesses, including those that are expected to drive the system to maximum output in all modes clinically used, including fluoroscopy, high-level control, acquisition, digital subtraction and CINE, when available. These measurements shall:

o For systems without automatic exposure control, be made utilizing a milliamperage and kVp typical of the clinical use of the fluoroscopic system;

o For systems with automatic exposure control, be made utilizing sufficient attenuating material in the useful beam to produce a milliamperage and kVp typical of the clinical use of the fluoroscopic system;

• A measurement and verification of compliance of maximum AKR for fluoroscopy and high-level control, if available. Measurements shall be made in accordance with Sec F.5e.iv.

• An evaluation of high contrast resolution and low contrast resolution in both fluoroscopic and spot-film modes

• An evaluation of the operation of the 5-minute timer, warning lights, interlocks, and collision sensors.

• An evaluation of the beam quality and collimation in the fluoroscopy and spot-film modes.

• An evaluation of the availability and accuracy of technique indicators and integrated radiation dose displays.

• An evaluation of any changes that may impact patient and personnel protection devices.

Per the ACR-AAPM Technical Standard for Diagnostic Medical Physics Performance

Monitoring of Fluoroscopic Equipment (2016):

• Visual equipment checklists

• Integrity of unit assembly

• Operation of alerts and interlocks

• Other radiation safety functions

• Appropriateness of protocols (fluoroscopic and acquisition) – for selected uses

• Radiation field size measurement

• Acquisition display monitor(s) performance

• Collimation and radiation beam alignment

• Tube potential (kVp) accuracy and reproducibility

• Minimum beam quality (half-value layer) – for selected uses

• Image quality: system high contrast resolution

• Image quality: system low contrast resolution

• Displayed radiation metrics accuracy

• Image receptor air kerma rate – for selected uses (Image Intensifiers)

• Patient entrance air kerma rate for a “typical” adult patient – for selected uses

• Maximum patient entrance air kerma rate

• Image receptor performance

• Image artifacts

• PACS adequacy

1.1.4. Computed Tomography

Per the TJC Standards Revisions for Organizations Providing Fluoroscopy Services

(Issued June 25, 2018) and Per the TJC Diagnostic Imaging Requirements (Issued August

10, 2015):

• Image uniformity

• Scout prescription accuracy

• Alignment light accuracy

• Table travel accuracy

• Radiation beam width

• High-contrast resolution

• Low-contrast detectability

• Geometric or distance accuracy

• CT number accuracy and uniformity

• Artifact evaluation

• Dosimetry o The diagnostic medical physicist measures the radiation dose (in the form of volume computed tomography dose index [CTDIvol]) produced by each diagnostic CT imaging system for the following four CT protocols: adult brain, adult abdomen, pediatric brain and pediatric abdomen. If one or more of these protocols is not used by the hospital, other commonly used

CT protocols may be substituted.

o The diagnostic medical physicist verifies that the radiation dose (in the form of CTDIvol) displayed by the CT imaging system for each tested protocol is within 20 percent of the CTDIvol displayed on the CT console.

The dates, results, and verifications of these measurements are documented.

• Image acquisition display monitors o Maximum luminance o Minimum luminance o Luminance uniformity o Resolution

• Spatial accuracy

• Geometric factors and alignment including:

o Alignment light accuracy o Table increment accuracy

• Image localization from scanned projection radiograph (localization image)

• Radiation beam width

• Image quality including:

o High-contrast (spatial) resolution o Low-contrast resolution o Image uniformity o Noise o Artifact evaluation

• CT number accuracy

• Image quality for acquisition workstation display devices

• A review of the results of the routine QC required under F.11a.iii

• A safety evaluation of audible and visual signals, posting requirements

• Dosimetry

Monitoring of Computed Tomography (CT) Equipment (2017):

• Alignment light accuracy

• Image localization from scanned projection radiograph (localization image)

• Table travel accuracy

• Radiation beam width (collimation)

• Image quality o High-contrast (spatial) resolution o Low-contrast sensitivity and resolution o Image uniformity o Noise o Artifact evaluation

• CT number accuracy

• Acquisition workstation display

• Radiation output or dosimetry o Measurement of radiation output of CT scanner (CT dose index [CTDIvol] or other metric accepted by a nationally recognized organization) o Measurement of doses for verification of scanner performance and to allow for calculation of dosimetric quantities relevant to patient examination estimates o Comparison of calculated values to scanner-reported values. These comparisons should include both 16-cm and 32-cm dosimetry phantoms, as appropriate for the CT system and for use with the indicated protocols.

• Limited protocol review o The Diagnostic Medical Physicist must review a selection of the most commonly used protocols. These should include head and abdomen protocols for adult and pediatric patients as applicable to the facility’s practice. In addition, facility protocols for very high dose procedures (e.g., brain perfusion) should be reviewed.

o The key elements associated with image quality and patient dose should be reviewed. These should include, but are not limited to:

▪ kVp

▪ mA

▪ Rotation time

▪ Detector configuration

▪ Pitch

▪ Reconstructed image thickness

▪ Appropriate use of automated settings, such as tube current modulation, kVp selection, and image reconstruction parameters

▪ Accuracy of indicated CTDIvol

▪ When possible, CTDIvol should be compared to established reference values

• Safety Evaluation

• Visual inspection o Workload assessment o Scatter and stray radiation measurements (if work load and other related parameters have changed since acceptance testing) o Audible/visual signals o Posting requirements

• Other tests as required by state or local regulations

1.1.5. MRI Equipment

Per the TJC Diagnostic Imaging Requirements (Issued August 10, 2015):

• Image uniformity for all radiofrequency (RF) coils used clinically

• Signal-to-noise ratio (SNR) for all coils used clinically

• Slice thickness accuracy

• Slice position accuracy

• Alignment light accuracy

• High-contrast resolution

• Low-contrast resolution (or contrast-to-noise ratio)

• Geometric or distance accuracy

• Magnetic field homogeneity

• Artifact evaluation

• Image acquisition display monitors o Maximum luminance o Minimum luminance o Luminance uniformity o Resolution

Monitoring of Magnetic Resonance Imaging (MRI) Equipment (2014):

• Magnetic field homogeneity

• Slice position accuracy

• Slice thickness accuracy

• Performance testing for coils used clinically o Coil physical visual inspection o Transmitter gain/attenuator verification o Image signal–to-noise ratio (SNR) o Image artifact assessment o Image intensity uniformity for all volume coils o Year-to-year variations of each of the above parameters should be compared and/or tracked o Phase stability and image artifact assessment for all coils

• Geometric accuracy (gradient calibration)

• High-contrast spatial resolution

• Low-contrast detectability

• Acquisition workstation monitor performance

• Inspection of the physical and mechanical integrity of the system

• Evaluation of technologist quality control (QC) program

• Assessment of the MRI safety program

1.2. Structural Shielding

1.2.1. For diagnostic and interventional x-ray equipment, ensure rooms where x-ray equipment is used are shielded per National Council on Radiation Protection and Measurements

(NCRP) Report No. 147, Structural Shielding Design for Medical X-ray Imaging

Facilities, or current document and documentation demonstrating compliance is maintained. [VHA Directive 1129]

1.2.2. For linear accelerators, ensure structural shielding design reports and shielding surveys conform to NCRP Report No. 151, Structural Shielding Design and Evaluation for

Megavoltage X- and Gamma-Ray Radiotherapy Facilities, or current document. [VHA

Directive 1129]

1.2.3. The design of shielding for and acceptance testing surveys of imaging rooms must conform to National Council on Radiation Protection and Measurements (NCRP) Report

No. 147, Structural Shielding Design for Medical X-ray Imaging Facilities. The shielding design calculations, as-built shielding plans, and the report on the acceptance testing of the structural shielding must be kept for the duration of use of the room for x-ray imaging. [VHA Directive 1105.04]

1.2.4. Review, prior to construction, plans for rooms in which ionizing radiation producing equipment is to be installed, including room layout, shielding, viewing, and communications systems. Perform radiation surveys after installation but before clinical use of the equipment. NOTE: For any room in which a fluoroscopic imaging system is installed, or in which a mobile fluoroscopic imaging system is frequently used, the doses to persons in adjacent areas, including any areas above and below, must be evaluated by a medical physicist or medical health physicist. [VHA Directive 1105.04]

2.1. Qualifications. Prior to commencing work, all contractor employees shall meet certain criteria to perform work under this contract as a Diagnostic Medical Physicist. Contractor employees shall meet certain criteria to perform MRI quality assurance testing under this contract as a MR Scientist, if the contractor employee does not meet the criteria for Diagnostic

Medical Physicist. Qualification documents must be submitted as part of the bid to the

Contracting Officer and be approved by the RSO or his/her designee. All qualifications are subject to review by the VANTHCS Chief of Staff and approval by the VANTHCS Facility

Director. VANTHCS requires a copy of qualifications documents for each individual who will perform work at a VANTHCS facility, and VANTHCS must give approval that the individual meets the qualifications before VANTHCS will allow that individual to perform work on x-ray and imaging equipment at VANTHCS.

2.1.1. Diagnostic Medical Physicist:

2.1.1.1. The Diagnostic Medical Physicist who performs the work at VANTHCS shall meet the following education, certification, and qualification standards:

• Hold a Master’s Degree in Medical Physics, Health Physics or a related field.

• Hold current Board Certification by the American Board of Radiology (ABR) or

American Board of Medical Physics (ABMP). Appropriate subfield is Diagnostic

Medical Physics for ABR certification and Diagnostic Imaging Physics for ABMP certification.

• Licensed by the State of Texas as a Professional Medical Physicist

• Meet all NRC, ACR, MQSA, FDA and TJC requirements for a qualified diagnostic medical physicist,

• Has ten years of experience providing diagnostic medical physics services, following board certification by either ABR or ABMP

• In addition, for MRI testing, have performed evaluations of at least 6 MRI systems under the direction of a Qualified Medical Physicist or MR Scientist.

2.1.2. Qualified MR Scientist

2.1.2.1. The Qualified MR Scientist who performs the work at VANTHCS shall meet the following education, certification, and qualification standards:

• Hold a graduate degree in a physical science involving nuclear MR or MRI.

• Have 3 years of documented experience in a clinical MRI environment.

2.1.3. The Diagnostic Medical Physicist and/or Qualified MR Scientist shall have current knowledge, understanding, and recent experience in the following:

• Principles of imaging physics and of radiation protection,

• All Texas Department of State Health Services, Radiation Control Regulations,

• All current NRC regulations,

• All current FDA regulations (including MQSA),

• Current standards of the ACR and TJC on diagnostic x-ray and imaging equipment,

• Current recommendations of the NCRP and AAPM, including those on medical imaging facility design and shielding,

• The function, clinical uses, and performance specifications of the imaging equipment,

• Current techniques for the calibration and testing of diagnostic x-ray and imaging equipment, including the limitations of the instruments used for testing performance.

• For MRI:

o Principles of MRI safety for patients, personnel, and the public, o FDA guidance for MRI diagnostic devices, o Knowledgeable in the field of nuclear MR physics and familiar with MRI technology, including the function, clinical uses, and performance specifications of MRI equipment, as well as calibration processes and limitations of the performance testing hardware, procedures, and algorithms.

o Working understanding of clinical imaging protocols and methods of their optimization

• These proficiencies shall be maintained by participation in continuing education programs of sufficient frequency to ensure familiarity with current concepts, equipment, and procedures.

2.1.4. Contractor employees providing services under the supervision of a Diagnostic Medical

Physicist is NOT acceptable (e.g., X-ray technologist) and is NOT permitted per VA contract. A physicist in training or a physicist under a temporary license shall be accompanied by and directly supervised by a Diagnostic Medical Physicist meeting the qualifications stated in Section

2.1.1.1.

3. Required Response Time.

Patient access to health care services at VANTHCS facilities is an absolute high priority.

VANTHCS requires the contractor to respond and be present at the VANTHCS facility within 2 business days to provide services for those tasks that have the potential to negatively impact patient access to health care services. These tasks include, but are not limited to, the physics/quality assurance testing of diagnostic x-ray and imaging equipment following repairs that could affect patient dosimetry and/or image quality, the recertification of mammography equipment when required, the initial installation quality assurance testing, and the radiation protection surveys. If the contractor cannot or fails to meet the required response time, then

VANTHCS reserves the right to seek medical physics services from other vendors not covered under this contract.

4. Subcontracting.

All subcontracting plans shall be submitted as part of the proposal. The contractor shall ensure that the subcontractor meets all the requirements specified in this Statement of Work and all other applicable federal/state regulations and requirements.

5. Travel Expenses.

The contractor shall be responsible for travel expenses for all services performed under this contract.

6. All Coordination will be made with the Program Manager (PM), Michelle Delgado before work begins. All services shall be scheduled in advance with the PM and shall occur

Monday through Friday, excluding federal holidays, during regular business hours between

8:00 a.m. and 5:00pm. Work at the government site shall not take place on Federal holidays or weekends unless directed by the Contracting Officer (CO). Also included would be any other day specifically declared by the President of the United States to be a National

Holiday. Federal Holidays observed by the ELPVAHCS are:

New Years' Day Labor Day

Martin Luther King Day Columbus Day

Presidents' Day Veterans' Day

Memorial Day Thanksgiving Day

Juneteenth Day Christmas Day

Independence Day

II. Contractor Personnel Security Requirements - Information Systems Access

Upon contract award, all key personnel shall be subject to the appropriate type of background investigation or screening per VA/VHA policy as delineated below, and must receive a favorable adjudication from the local VA facility or VA Security and Investigations Center (SIC) depending on the type of investigation/screening required. This requirement is also applicable to all subcontract personnel. If the investigation or screening is not completed prior to the start date of the contract, the Contractor will be responsible for the actions of those individuals they provide to perform work for VA.

Contract personnel who previously received a favorable adjudication as a result of a Government background investigation or screening may be exempt from this contract requirement provided that they can provide documentation to support the previous adjudication. Proof of previous adjudication must be submitted by the Contractor to VA Contracting Officer. Proof of previous adjudication is subject to verification. Some positions maybe subject to periodic re-investigation/screening.

12.1 Position Risk/Sensitivity. For all positions required under this contract, the position risk/sensitivity has been designated as: Low Risk/Non-Sensitive

12.3.3 Prior to completing the required forms, contract personnel should review the attachments entitled Common Errors on NACI Security Questionnaires, Example_SF85, Example_OF306, and General Questions and Answers about OPM background Investigations (see item 3.2 of this contract for these attachments) in order to ensure the forms are properly completed. Please note that incomplete forms will be rejected and could result in a delay of work under the contract.

12.3.4 Once the items requested are received, VA will pre-screen these items for completeness, and forward them to the appropriate party(s) in order to initiate the required background investigation(s) or screening(s) within fourteen (14) calendar days of appointment. Only after the VA Contracting Officer notifies the Contractor that the background investigation(s) or screening(s) was initiated shall the Contractor be authorized to provide services under the contract. As previously stated, if the investigation or screening is not completed prior to the start date of the contract, the Contractor will be responsible for the actions of those individuals they provide to perform work for VA.

12.3.5 The Contractor, when notified of an unfavorable determination by the Government, shall withdraw the contract person from consideration of working under the contract.

12.3.6 Failure to comply with these Contractor personnel security requirements may result in termination of the contract for cause.

Note: Contractor will coordinate all work with Bio-medical engineering department which will grant access to equipment and spaces as necessary IAW established VA work schedule and with the approval of the Bio-medical Engineering Service Chief.

Information Security

The diagnostic medical physicist working with the contractor may have access to sensitive patient information displayed on the control panel of X-ray equipment. However, contractor owned IT devices (such as laptop computer) shall not interface with any VA internet trusted (i.e., non-public) network. Therefore, the certification and accreditation (C&A) requirements do not apply, and a Security Accreditation Package is not required. Contractor shall not print or copy any sensitive patient information.

III. NARA Records Management

1. Contractor shall comply with all applicable records management laws and regulations, as well as National Archives and Records Administration (NARA) records policies, including but not limited to the Federal Records Act (44 U.S.C. chs. 21, 29, 31, 33), NARA regulations at 36 CFR

Chapter XII Subchapter B, and those policies associated with the safeguarding of records covered by the Privacy Act of 1974 (5 U.S.C. 552a). These policies include the preservation of all records, regardless of form or characteristics, mode of transmission, or state of completion.

2. In accordance with 36 CFR 1222.32, all data created for Government use and delivered to, or falling under the legal control of, the Government are Federal records subject to the provisions of

44 U.S.C. chapters 21, 29, 31, and 33, the Freedom of Information Act (FOIA) (5 U.S.C. 552), as amended, and the Privacy Act of 1974 (5 U.S.C. 552a), as amended and must be managed and scheduled for disposition only as permitted by statute or regulation.

3. In accordance with 36 CFR 1222.32, Contractor shall maintain all records created for

Government use or created in the course of performing the contract and/or delivered to, or under the legal control of the Government and must be managed in accordance with Federal law.

Electronic records and associated metadata must be accompanied by sufficient technical documentation to permit understanding and use of the records and data.

4. VANTHCS and its contractors are responsible for preventing the alienation or unauthorized destruction of records, including all forms of mutilation. Records may not be removed from the legal custody of VANTHCS or destroyed except for in accordance with the provisions of the agency records schedules and with the written concurrence of the Head of the Contracting

Activity. Willful and unlawful destruction, damage or alienation of Federal records is subject to the fines and penalties imposed by 18 U.S.C. 2701.

In the event of any unlawful or accidental removal, defacing, alteration, or destruction of records, Contractor must report to VANTHCS. The agency must report promptly to NARA in accordance with 36 CFR 1230.

5. The Contractor shall immediately notify the appropriate Contracting Officer upon discovery of any inadvertent or unauthorized disclosures of information, data, documentary materials, records or equipment. Disclosure of non-public information is limited to authorized personnel with a need-to-know as described in the Statement of Work. The Contractor shall ensure that the appropriate personnel, administrative, technical, and physical safeguards are established to ensure the security and confidentiality of this information, data, documentary material, records and/or equipment is properly protected. The Contractor shall not remove material from

Government facilities or systems, or facilities or systems operated or maintained on the

Government’s behalf, without the express written permission of the Head of the Contracting

Activity. When information, data, documentary material, records and/or equipment is no longer required, it shall be returned to VANTHCS control or the Contractor must hold it until otherwise directed. Items returned to the Government shall be hand carried, mailed, emailed, or securely electronically transmitted to the Contracting Officer or address prescribed in the Statement of

Work. Destruction of records is EXPRESSLY PROHIBITED unless in accordance with

Paragraph (4).

6. The Contractor is required to obtain the Contracting Officer's approval prior to engaging in any contractual relationship (sub-contractor) in support of this contract requiring the disclosure of information, documentary material and/or records generated under, or relating to, contracts.

The Contractor (and any sub-contractor) is required to abide by Government and VANTHCS guidance for protecting sensitive, proprietary information, classified, and controlled unclassified information.

7. The Contractor shall only use Government IT equipment for purposes specifically tied to or authorized by the contract and in accordance with VANTHCS policy.

8. The Contractor shall not create or maintain any records containing any non-public

VANTHCS information that are not specifically tied to or authorized by the contract.

9. The Contractor shall not retain, use, sell, or disseminate copies of any deliverable that contains information covered by the Privacy Act of 1974 or that which is generally protected from public disclosure by an exemption to the Freedom of Information Act.

10. The VANTHCS owns the rights to all data and records produced as part of this contract. All deliverables under the contract are the property of the U.S. Government for which VANTHCS shall have unlimited rights to use, dispose of, or disclose such data contained therein as it determines to be in the public interest. Any Contractor rights in the data or deliverables must be identified as required by FAR 52.227-11 through FAR 52.227-20.

11. Training. All Contractor employees assigned to this contract who create, work with, or otherwise handle records are required to take VHA-provided records management training, Talent Management System (TMS) Item #3873736, Records Management for Records Officers and Liaisons. The Contractor is responsible for confirming training has been completed according to agency policies, including initial training and any annual or refresher training

Attachment A

List of X-ray and Imaging Equipment at VANTHCS facilities

EE

RPM

Category Maker / Model Owner Room

69153 Dental X-Ray Planmeca INTRA DENTAL 2E112A/B-2-D

73174

R&F System

(C-arm)

Philips ALLURA CLARITY

FD20, Fixed C-arm SURGICAL

5B407A-2J-D -

OR9

90361 Diag. CT

Siemens Medical Somatom

Definition RADIOLOGY 1N531C-FW

96672 Radiography MinXray INC SA100+HF RESEARCH (V) G47-43-D

108744 Radiography Toshiba Radiographic X-Ray RADIOLOGY 701-Tyler

109033 Diag. CT

Siemens Medical Somatom

Definition RADIOLOGY 3B416-2J-D

109037

R&F System

(Angio)

Siemens Medical ARTIS ZEE

Angio 2

RADIOLOGY

(IR) 3B444-2J (A-2)-D

109104 R&F System Siemens Luminos Agile RADIOLOGY 3B450-2J-D

109107 Radiography Toshiba RADREX-1 RADIOLOGY 106-Plano

109108 R&F System

Siemens Medical Luminos Agile

R&F RADIOLOGY #2 226-1-B

109109 R&F System

Siemens Medical Multitom Rax

R&F RADIOLOGY #1 224-1-B

109114 Diag. CT

Siemens Medical Somatom

Definition RADIOLOGY 1N531A-FW

109330

R&F System

(Angio)

Siemens Aritis Zee Medical multi use

RADIOLOGY

(IR) 3B408-2J-D

109333

R&F System

(EP Lab) Philips AlLURA XPER FD20

MEDICAL EP

(Cath Lab) 5B647-2J-D

111606 Diag. CT

Siemens Medical Somatom Def.

RADIOLOGY

(IR) 3B406-2J-D

111607 Diag. CT

Siemens Medical Somatom Def.

RADIOLOGY

(ER) 1A302-2J-D

111608 Diag. CT

Siemens Medical Somatom Def.

128 RADIOLOGY 3B417-2J-D

115471

Mobile R&F

(C-arm) Hologic InSight FD, Mini C-arm SURGICAL 5C-220-D

116662

R&F System

(Cath Lab)

Philips FD20 Allura Clarity (Bi-plane)

MEDICAL

(Cath Lab) 5B663-2J-D

122372 Dental X-Ray Planmeca INTRA Pro 75 DENTAL 2E-124-D

122373 Dental X-Ray Planmeca INTRA Pro 75 DENTAL 2E-123-D

126624

Mobile R&F

(C-arm) Hologic InSight FD, Mini C-arm

AMBULATORY

(Podiatry) 5C-220-D

EE

RPM

Category Maker / Model Owner Room

129506 Mobile X-Ray

General Electric OPTIMA

XR220AMX RADIOLOGY

3B-409-Portable-

D

129507 Mobile X-Ray

General Electric OPTIMA

XR220AMX RADIOLOGY Portable-Bonham

129508 Mobile X-Ray

General Electric OPTIMA

XR220AMX RADIOLOGY Portable-D

129809 Mobile X-Ray

General Electric OPTIMA

XR220AMX RADIOLOGY Portable-D

129810 Mobile X-Ray

General Electric OPTIMA

XR220AMX RADIOLOGY Portable-D

131118 Radiography General Electric Radiographic RADIOLOGY 1N550-FW

131119 R&F System

Siemens Medical Luminos Agile

Max RADIOLOGY 1N548-FW

132813 Radiography

General Electric Discovery XR-

656 RADIOLOGY 1N549-FW

138045

R&F System

(Cath Lab) Philips ALLURA XPER FD20

MEDICAL

(Cath Lab) 5B659-2J-D

139360

Mammography

- Digital Hologic Senographe Essential RADIOLOGY 1N517-FW

140414

Mammography

- Digital

Hologic Senographe Essential Rm

1 RADIOLOGY 3B314-2J-D

147116

R&F System

(Angio) Siemens Artis Q Medical Angio 1

RADIOLOGY

(IR) 3B414-2J-D

151002

Mammography

- Digital CoreVision Faxitron Rm 2 RADIOLOGY 3B313-2J-D

151064

Mobile R&F

(C-arm) Orthoscan Mini C-arm SURGERY 3B134-2J-D

151111

Mobile R&F

(C-arm)

General Electric OEC ELITE ESP

C-arm SURGICAL

5B-405-2J-D -

Cysto OR13

151447 Dental X-Ray Planmeca PROMAX Panoramic DENTAL 2E-128-D

154341 Dental X-Ray Kavo Nomad DENTAL Dental-D

154342 Dental X-Ray Kavo Nomad DENTAL Dental-D

159736

Mammography

- Digital

Hologic Senographe Essential Rm

2 RADIOLOGY 3B313-2J-D

161146 Dental X-Ray Planmeca INTRA DENTAL 2N403/2N404-FW

161147 Dental X-Ray Planmeca INTRA DENTAL 2N405/2N406-FW

161148 Dental X-Ray Planmeca INTRA DENTAL 2N407/2N408-FW

161149 Dental X-Ray Planmeca INTRA DENTAL 2N409/2N410-FW

161150 Dental X-Ray Planmeca INTRA DENTAL 2N410/2N411-FW

EE

RPM

Category Maker / Model Owner Room

166263 Mobile X-Ray

General Electric OPTIMA

XR220AMX RADIOLOGY Portable-G

166264 Mobile X-Ray

General Electric OPTIMA

XR220AMX RADIOLOGY Portable-G

166265 Mobile X-Ray

General Electric OPTIMA

XR220AMX RADIOLOGY Portable-G

181538 R&F System Siemens Ysio RADIOLOGY Garland

182202 Mobile X-Ray

Siemens Radiographic, Mobilett

Elara Max RADIOLOGY Portable-D

182216 Mobile X-Ray

Siemens Radiographic, Mobilett

Elara Max RADIOLOGY Portable-D

182217 Mobile X-Ray

Siemens Radiographic, Mobilett

Elara Max RADIOLOGY Portable-D

182218 Mobile X-Ray

Siemens Radiographic, Mobilett

Elara Max RADIOLOGY Portable-D

182219 Mobile X-Ray

Siemens Radiographic, Mobilett

Elara Max RADIOLOGY Portable-D

182894 Dental X-Ray

Planmeca ProMax 3D Mid (Cone

Beam) CT DENTAL * 2E127-2-D

183512 Dental X-Ray Planmeca ProMax S3 Panoramic DENTAL 508 -Tyler

184651 Dental X-Ray Kavo Nomad PRO 2 DENTAL 2C412B-2-D

184791 Diag. CT Canon Aquilion Prime SP RADIOLOGY 705-Tyler

185450 Dental X-Ray Planmeca Pro X DENTAL 2E108-2-D

185451 Dental X-Ray Planmeca Pro X DENTAL 2E119 A/B-2-D

185452 Dental X-Ray Planmeca Pro X DENTAL * 2E127-2-D

185453 Dental X-Ray Planmeca Pro X DENTAL 2E106A/B-2-D

185454 Dental X-Ray Planmeca Pro X DENTAL 2E120A/B-2-D

185455 Dental X-Ray Planmeca Pro X DENTAL 2E118A/B-2-D

185456 Dental X-Ray Planmeca INTRA (CLC) DENTAL 121H-60-D

185734 Dental X-Ray Planmeca PROMAX DENTAL 2N424-FW

185735 Dental X-Ray Planmeca INTRA DENTAL 208-1-Bonham

185915

Mobile R&F

(C-arm)

General Electric OEC 9900 ELITE red dot SURGICAL 5B31-2J-D

185916

Mobile R&F

(C-arm)

General Electric OEC 9900 ELITE blue dot SURGICAL 5B27A-2J-D

EE

RPM

Category Maker / Model Owner Room

186073

Mobile R&F

(C-arm)

General Electric OEC 9900 ELITE purple dot SURGICAL

5B408D-2J-D -

OR1

186074

Mobile R&F

(C-arm)

General Electric OEC 9900 ELITE green dot SURGICAL C5B29-2J-D

186099 Dental X-Ray Kavo Nomad PRO 2 DENTAL 508-Tyler

186914

Mobile R&F

(C-arm)

General Electric OEC 9900 ELITE orange dot PULMONARY 5C131-2-D

186915

Mobile R&F

(C-arm)

General Electric OEC 9900 ELITE yellow dot

PAIN

MANAGEMENT 5B408D-2J-D

188252 Dental X-Ray Planmeca 2D Pano Dental 2N424-FW

189875

R&F

(C-arm) Siemens Artis Zee C-arm

MEDICAL GI

Lab 5B133-2J-D

190537 Dental X-Ray Kavo Nomad PRO 2 DENTAL 234-1-Bonham

190551 Dental X-Ray Planmeca ProX Intra Oral DENTAL 502-Tyler

190552 Dental X-Ray Planmeca ProX Intra Oral DENTAL 501-Tyler

190553 Dental X-Ray Planmeca ProX Intra Oral DENTAL 503-Tyler

191761

R&F

(O-arm) Medtronic O-Arm (OR-8) SURGICAL C5B29-2J-D

194277 Radiography GE Definium 656 HD RADIOLOGY 1N551-FW

194278 Radiography GE Definium 656 HD RADIOLOGY 1N552-FW

196236 Radiography GE Definium 656 HD RADIOLOGY 1A318-2J-D

196865 Radiography GE Definium 656 HD RADIOLOGY 3B344-2J-D

199105 Radiography GE Definium 656 HD RADIOLOGY 3B325-2J-D

199136 Diag. CT CT3 Siemens Somatom Definition RADIOLOGY 3B415-2J-D

201450 Radiography GE Definium 656 HD RADIOLOGY 3B341-2J-D

201451 Radiography GE Definium 656 HD RADIOLOGY 3B338-2J-D

Radiography GE Definium 656 HD RADIOLOGY 1A320-2-D

Radiography GE Definium 656 HD RADIOLOGY 1A315-2-D

110170 LINAC Varian Truebeam 1

RADIATION

ONCOLOGY BC117-2-D

111308 LINAC Varian Truebeam 2

ONCOLOGY BC118-2-D

179566

Therapy CT

(Simulator)

Siemens Somatom Confidence

CT/Sim

ONCOLOGY BC130-2-D

70838 MRI System

Siemens Medical Magnetom Skyra

3.0 RADIOLOGY 3T109-2J-D

136446 MRI System

Siemens MRI Magnetom Area

1.5T RADIOLOGY 3T-D

192115 MRI System Siemens Magnetom Area Mobile RADIOLOGY 1N532-FW2-FW

193423 MRI System Siemens Magnetom Area Mobile RADIOLOGY 810-Tyler

196023 MRI System Siemens Sola RADIOLOGY 1N561E-FW

201195 MRI System Siemens Magnetom Sola 1.5T RADIOLOGY 3B533B-2J-D

161791

Mammography

- RWS Barco Monitors MDMC-12133 RADIOLOGY 3B440-2J-D

161793

Mammography

- RWS Barco Monitors MDMC-12133 RADIOLOGY 3B440-2J-D

161794

Mammography

- RWS Barco Monitors MDMC-12133 RADIOLOGY 3B454-2J-D

161796

Mammography

- RWS Barco Monitors MDMC-12133 RADIOLOGY 3B454-2J-D

161792

Mammography

- RWS Barco Monitors MDMC-12133 RADIOLOGY 3B457-2J-D

161795

Mammography

- RWS Barco Monitors MDMC-12133 RADIOLOGY 3B457-2J-D

Attachment B

List of New X-ray and Imaging Equipment at VANTHCS facilities expected in future

Location RPM Category Quantity

Dallas VA Medical Center

Radiography Units

Mobile R&F (C-arm) Units 3

Specialized R&F Unit – Vascular Surgery

OR 9 Single Plane

CT 3

FFD Mammography Unit 1

Dental Intraoral Units

MRI Units 1

Bonham, Sam Rayburn Memorial Veterans Center

Mobile Radiography Units 1

Dental Intraoral Units

FORT WORTH Outpatient Clinic

Dental Intraoral Units 3

MRI Units 2

TYLER Outpatient Clinic

Radiography Unit

Diagnostic CT Unit

MRI Unit

Grand Prairie VA Clinic

Mobile Radiography Units 1

Dental Intraoral Units 1