Exhibit A - PIMC.pdf

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Managed Teleradiology Services - Phoenix Area IHS - SDVOSB
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75H71226R00001
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This is an Exhibit A (facility-specific requirements) for radiology interpretation services at Phoenix Indian Medical Center (PIMC), a general medical and surgical referral hospital serving Native American and Alaska Native beneficiaries in the Phoenix Area Indian Health Service.

The contractor must provide interpretation services for six imaging modalities: Plain Film (X-Ray), Computed Tomography (CT), Ultrasound (US), Mammography (2D and 3D), DEXA, and Magnetic Resonance Imaging (MRI, if implemented during contract performance). Services must be available 24 hours per day, 7 days per week, 365 days per year, with the majority of examinations occurring weekdays between 1700–0800 hours and 24-hour coverage on weekends and holidays. The estimated annual workload ranges from 57,000 total examinations in the Base Year to 69,400 in Option Year 4, with Plain Film comprising the largest volume (29,000–33,000 exams) followed by CT and Ultrasound (10,000–12,000 exams each). Additional requirements include an HL7 interface (one installation) and 12 months of Lead Interpreting Physician (LIP) support as needed.

The contractor must provide verbal notification of CT Brain Stroke Protocol and CT Pulmonary Angiography examinations within 30 minutes of receipt and interpretation, regardless of findings, with documentation of the time exam was received, time provider was notified, and name of provider notified. For mammography services, the contractor must provide all Mammogram Quality Standards Act (MQSA) support requirements including Lead Interpreting Physician support, MQSA inspections, ACR accreditation support, Medical Physicist support, and mammography quality assurance activities as identified in the Master Performance Work Statement.

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EXHIBIT A

PHOENIX INDIAN MEDICAL CENTER (PIMC)

A.1 Facility Description

Phoenix Indian Medical Center (PIMC) is a general medical and surgical referral hospital providing comprehensive healthcare services to eligible Native American and Alaska Native beneficiaries throughout the Phoenix Area Indian Health Service. PIMC serves as a tertiary referral facility for complex diagnostic and treatment services.

A.2 Imaging Modalities

The Contractor shall provide interpretation services for:

• Plain Film (X-Ray)

• Computed Tomography (CT)

• Ultrasound (US)

• Mammography (2D and 3D)

• DEXA

• Magnetic Resonance Imaging (MRI) (if implemented during contract performance)

A.3 Service Hours

Services shall be available:

• 24 hours per day

• 7 days per week

• 365 days per year

The majority of examinations are expected during:

• Weekdays: 1700–0800

• Weekends and Holidays: 24-hour coverage

A.4 Estimated Annual Workload

Description Unit Base Year OY I OY2 OY3 OY4

Plain Film EA 29,000 30000 31000 32,000 33,000

Ultrasound EA 10,000 10,500 11,000 11,500 12,000

Mammography EA 3,500 4,000 4,500 5,000 5,500

Computed Tomography

EA

10,000

10,500

11,000

11,500

12,000

DEXA

EA

3,000 3,500 4,000 4,500 5,000

MRI (Option)

1,500 1,600 1,700 1,800 1,900

HL7 Interface

EA

LIP (as needed)

MO

12 12 12 12 12

Total Number of Exams

57,000 61,100 63,200 66,300 69,400

A.5 Stroke and Emergency Department Reporting

Stroke CT

Contractor shall provide verbal notification of CT Brain Stroke Protocol examinations within thirty (30) minutes of receipt and interpretation regardless of findings.

CT Angiography – Pulmonary Embolism

Contractor shall provide verbal notification of CT Pulmonary Angiography examinations within thirty (30) minutes of receipt and interpretation regardless of findings.

Documentation shall include:

• Time exam received

• Time provider notified

• Name of provider notified

A.6 Mammography Requirements

Contractor shall provide all MQSA support requirements identified in the Master PWS including:

• Lead Interpreting Physician (LIP)

• MQSA inspections

• ACR accreditation support

• Medical Physicist support

• Mammography QA activities

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