Attachment E Questions and Answers RESPONSE 3.31.26.pdf
PDF 225 KB Posted
- Attached to
- TELERADIOLOGY PHYSICIAN SERVICES Federal contract opportunity
- Solicitation number
- 36C10G26R0015_0003
About this file
This is a Questions and Answers document for a federal contract solicitation (RFP 36C10G26R0015) for the National Teleradiology Program (NTP) Teleradiology Physician Services. The document compiles responses to contractor inquiries across multiple categories: contracting, technical, and past performance evaluation criteria.
The contract is a new requirement (not a recompete) for teleradiology physician services supporting more than 130 Veterans Health Administration (VHA) facilities nationwide. The government will not provide advance payments for IT infrastructure investments, will not extend proposal submission deadlines, and will not guarantee minimum volumes beyond stated Contract Line Item Numbers (CLINs). The contract structure is an Indefinite Delivery/Indefinite Quantity (IDIQ) vehicle. Key technical requirements include HL7 integration with VA VistA and Oracle Health electronic health record systems, with estimated implementation timelines of 90-120 days per facility. The contractor must achieve security remediation and fixes within two days, with liquidated damages of $37.50 per breach incident. Historical workload data indicates approximately 51,000 CT scans annually (roughly 140 per day) along with X-rays, MRI, and ultrasound studies, with approximately 75% classified as STAT (urgent) cases. Weekend and weekday volume breakdowns by imaging modality and time period are provided as reference data. Past performance evaluation requires $6 million annual contract value for relevancy consideration, applied equally to government and commercial references. The government will not issue Memoranda of Understanding or Interconnection Security Agreements until post-award, with instructions to be provided to the awardee.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| 36C10G26R0015 0003.pdf | ||
| Attachment D Proposal Price Template REV.2 03.31.26.xlsx | XLSX spreadsheet | |
| Attachment A PWS NTP Physician Services 03.31.26 UPDATE.pdf |
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NATIONAL TELERADIOLOGY PROGRAM (NTP)
TELERADIOLOGY PHYSICIAN SERVICES
RFP
Questions Answers
Solicitation No 36C10G26R0015
# Document Page Question Answer
1 36C10G26R0015 NTP PHYSICAN
SERVICES
Is this contract a recompete or a new requirement solicitation?
This is a new requirement.
2 36C10G26R0015 NTP PHYSICAN
SERVICES
This contraqct will require a significant investment in hardware and software to meet VA required IT standards and security. Will the USG add an advance payment clause to allow the awardee to purchase IT infrastruce required by VA regulations?
No, the government will not add an advanced payment clause.
3 NA NA Is there a current incumbent contractor? If yes, please provide the contractor’s name and contract details.
No, there is no incumbent.
4 NA NA We respectfully request an extension of the proposal submission deadline by seven (7) business days following
The government will not extend the submission deadline.
5 NA NA Can you confirm whether this is intended to be a single-award or multiple-award IDIQ?
Please review RFP page 64 basis for award first sentance.
6 NA NA Is there a current incumbent supporting this requirement, and if so, is the incumbent eligible to compete?
No, there is no incumbent.
7 NA NA Is there any minimum volume guarantee beyond the stated minimum CLIN amount?
No.
ADDITIONAL CONTRACTING QUESTIONS & ANSWERS
Source Selection Information FAR 2.101 and 3.104
Attachment E RFP Questions
Solicitation No 36C10G26R0015
# Document Page Section Paragraph (if applicable)
Question Government Answer
1 Attachment A, PWS 28 Order limitations C4.b.1 N/A Will the VA pay per unit per imaging modality regardless of volume? VA will pay based on actual volume sent per unit per imaging modility quoted within the the maximum volume estimate. There is not
2 Attachment A, PWS 10 5.1.2 DIRECT PATIENT CARE –
TELERADIOLOGY
Deliverable How many STAT imaging studies are in a 24 hour period? This volume fluctuates. Historically approximately 75% of all studies read by NTP are STAT.
3 Attachment A, PWS 10 5.1.2 DIRECT PATIENT CARE –
TELERADIOLOGY
Deliverable For a weekday, what is the breakdown by modality (XR, CT, MRI, US) and volume (number of studies) of work per hour for a 24 hour period? Within each hour and modality, how many of these reads are
"STAT"?
This is historical data, to be used as reference only.
ADDITIONAL TECHNICAL QUESTIONS & ANSWERS
Attachment E RFP Questions
Solicitation No 36C10G26R0015
4 Attachment A, PWS 10 5.1.2 DIRECT PATIENT CARE –
TELERADIOLOGY
Deliverable For a weekend, what is the breakdown by modality (XR, CT, MRI, US) and volume (number of studies) of work per hour for a 24 hour period? Within each hour and modality, how many of these reads are
"STAT"?
This is historical data, to be used as reference only.
5 Attachment A, PWS 10 5.1.2 DIRECT PATIENT CARE –
TELERADIOLOGY
Deliverable For CT imaging, what is the volume and percentage breakdown by the following: CT head, CT neck, CT chest, CT abdomen/pelvis, CT cervical spine, CT thoracic spine, CT lumbar spine, CT musculoskeletal, CT other (please list others)?
This is historical data, to be used as reference only.
6 Attachment A, PWS 10 5.1.2 DIRECT PATIENT CARE –
TELERADIOLOGY
Deliverable For MR imaging, what is the volume and percentage breakdown by the following: MRI brain, MRI cervical spine, MRI thoracic spine, MRI lumbar spine, MRI abdomen, MRI pelvis, MRA head, MRA neck, MRI other (please list others)?
This is historical data, to be used as reference only.
Attachment E RFP Questions
Solicitation No 36C10G26R0015
7 Attachment A, PWS 17 5.1.4 CONTINUITY OF SERVICES
UNDER CONTRACT
5. Integration with VHA PACS and EMR’s
When performing HL7 integration with the VA, is there a single mechanism for this integration to encompass all associated approximately 130 VA facilities, or does this integration have to be performed separately at each VA site?
VA VistA sites use either Radiology HL7 2.3 or HL7 2.4 while Oracle Health sites use a single EMR and interface. Each VistA site will require separate integration/vaildation. Each Oracle Health site will similarly require integration/valdation even though it is a single interface.
8 Attachment A, PWS 17 5.1.4 CONTINUITY OF SERVICES
UNDER CONTRACT
5. Integration with VHA PACS and EMR’s
How long does the VA estimate the HL7 integration will take? VA utilizes standard ORM and ORU interfaces for VistA HL7 v2.3 and 2.4 and for Oracle Health Federal Electronic Health Record. The vendor will be required to conform to VA's interface specifications. Depending on vendor's familiarity with VA specifications, it may take between 90 and 120 days to create and validate the interfaces.
9 Attachment A, PWS 33 4. INFORMATION SYSTEM
DESIGN AND DEVELOPMENT
j How many days to remediate? Two days, please see updated PWS, but also referenced on page 15 of the solicitation.
10 Attachment A, PWS 34 4. INFORMATION SYSTEM
DESIGN AND DEVELOPMENT
k How many days does the vendor have to apply the security fixes? Two days, please see updated PWS, but also referenced on page 15 of the solicitation
11 Attachment A, PWS 39 7. LIQUIDATED DAMAGES FOR
DATA BREACH
d What is the liquidated damages amount? $37.50, please see updated PWS, but also referenced on page 19 of the solicitation.
12 Attachment A, PWS N/A N/A N/A What are the states/locations that will require teleradiology coverage?
This is a nation wide contract. The NTP provides teleradiology services to more than 130 VHA facilities across the United States. Please review page 3 of PWS.
13 Attachment A, PWS 15-16 5.1.3 CONTRACTOR
RESPONSIBILITIES
16. No Employee status:
What are the minimum requirements for "Workers' compensation" and "Professional liability insurance" required for a VA contractor?
Please review solicitation page 43 supplemental insurance for "workers compensation"
14 Attachment A, PWS 9 5.1.2 DIRECT PATIENT CARE –
TELERADIOLOGY
"The Contract Radiologist(s) will immediately notify VA clinicians of critical findings in accordance with American College of Radiology (ACR) standards, VHA and the NTP "alert notification" Quality Assurance policies, and in a manner appropriate to the clinical urgency of
Regarding discussion of emergent/critical findings from imaging studies or other findings that could necessitate communication with the radiologist and ordering provider, how will the VA provide the appropriate contact information for the ordering provider?
Requesting provider information is contained within the HL7 order message. However, best practice is to develop a site by site contact list for ERs, ICUs etc. in case the contact information from the EMR information is out of date.
15 Solicitation 60 On page #60 under Factor 2, the solicitation states that the system can be adjusted as needed by the offeror’s personnel to meet workflow management needs. Can you please clarify this requirement and provide specific examples of what types of system adjustments are expected?
This is intended to solicit a response on how offeror can adjust their workflow in response to variable workload. Should be specific to your internal processes and/or systems.
16 Solicitation 60 VA OIT no longer issues Memoranda of Understanding (MOU) between companies and VHA until after award. We respectfully request that this requirement be removed. If it is not removed, we request that the Contracting Officer provide assistance to offerors in obtaining an MOU with VA OIT.
Please review amendment 0001 page 6, for updated instruction to offerors. Instructions will be provided to the awardee.
17 Solicitation 60 We also request that the Contracting Officer assist offerors in obtaining an Interconnection Security Agreement (ISA), as these agreements cannot be provided unless specifically initiated by the Government.
Please review Amendment 0001 page 6, for updated instruction to offerors. Instructions will be provided to the awardee.
Attachment E RFP Questions
Solicitation No 36C10G26R0015
18 PWS 10 The solicitation indicates approximately 51,000 CT scans annually, which equates to more than 140 scans per day. This appears disproportionate compared to typical imaging distributions where X-rays significantly exceed CT scans. Can you please confirm whether this estimate is accurate?
Yes it is accurate.
19 PWS 10 Can you provide a percent breakdown of CT scans and X-rays by time period, specifically the percentage performed during daytime hours (8a-5p) versus nighttime (5p-8a) and weekends?
See answer in row 5 and 6. Hours is in Pacific Time.
20 Can you confirm whether the estimated study volumes provided represent historical actuals or projected demand?
Projected based on historical data and growth trends.
21 Are there any known challenges or performance gaps with the current or prior solution that offerors should be aware of to ensure continuity and quality of care
No.
Attachment E RFP Questions
Solicitation No 36C10G26R0015
# Document Page Section Paragraph (if applicable) Question Government Answer 1 (ii) VOLUME II – PAST
PERFORMANCE FACTOR
Satisfactory Performance A neutral rating is normally applied if a company does not have direct past perfromance in a specific area. Will the USG allow a neutral rating.
Please review pages 66-67 of the RFP.
2 (ii) VOLUME II – PAST
PERFORMANCE FACTOR
Satisfactory Performance Will individual Past Performance by proposwed physicians be accepted?
The governement will evaluate in accordance with the past performance evaluation approach, please review pages 66-67 of the RFP.
3 Solicitation 61 VOLUME II – PAST PERFORMANCE
FACTOR
NA On page #61 regarding relevancy, we have multiple contracts providing teleradiology services across various facilities and states. While no single contract has an annual value of $6 million, the combined value of multiple contracts exceeds $40 million a year or a single contract over 5 years exceeds the $6 million a year. We request Government to change this requirement to $6 million for the entire period of contract instead of annual value of contract.
The $6m for annual dollar value remains unchanged.
4 Solicitation 61 VOLUME II – PAST PERFORMANCE
FACTOR
NA We have multiple Government past performance references with annual values less than $6 million, as well as commercial contracts exceeding $6 million annually. How will the Government evaluate commercial past performance in comparison to Government past performance? Will evaluation be based primarily on contract size?
It will be evaluated the same, the only difference is whether you have CPARS/PPIRS or PPQ. Please review page 61 of the RFP.
ADDITIONAL PAST PERFORMANCE QUESTIONS & ANSWERS
| Contracting |
| Technical |
| Past Performance |
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