Attachment_10_-_Initial_Requirement_PWSs_0001.docx

REQUIREMENT A

NAVAL HOSPITAL JACKSONVILLE, FL

Sub Line Item Number (SLIN) 0001AA and Options

1. SCOPE OF SERVICES.

1.1. The contractor shall provide after-hours teleradiology services in support of Naval Hospital Jacksonville, Florida. The Contractor shall interpret, dictate, and transcribe each study received from the Government, to include preliminary and final readings, according to the timeliness standards below.

1.1.1. Timeliness of Preliminary Reads: Preliminary findings for all STAT studies shall be provided to the Naval Hospital Radiology and Emergency Medicine Departments within 45 minutes of receipt of the image. Preliminary readings are not required for all ASAP and routine studies.

1.1.2. Timeliness of Final Reads: Final interpretations shall be entered into the Naval Hospital Jacksonville Composite Health Care System (CHCS) system within 24 hours of the preliminary reading of all STAT studies. The Government shall designate if request is STAT or routine at the time of request. Final interpretations shall be entered into the Naval Hospital Jacksonville CHCS system within 48 hours of receipt for all ASAP/routine studies.

1.1.3. The interpreting radiologist shall electronically sign the final reports in the Naval Hospital Jacksonville CHCS system within one week of request.

1.2. The contractor shall normally provide after-hours teleradiology services between the hours of 1600 to 0800 hours (4:00 pm to 8:00 am) Monday through Sunday, to include Federal holidays.

2. SPECIFIC SERVICES.

2.1. The Government provides the following 12-month estimated volume of interpretive radiology procedures required for information purposes only. The actual number of procedures requiring interpretation and transcription may vary.

COMPUTED TOMOGRAPHY: 3,600

ULTRASOUND: 740

PLAIN FILMS: 600

MRI: 1,200

NUCLEAR MEDICINE STUDIES: 7

2.2. Critical Tests (CT Pulmonary Angiograms) must be reported to the ordering clinician whether the result is positive or negative.

3. INFORMATION TECHNOLOGY.

3.1. The Naval Hospital Jacksonville’s current teleradiology system is a Business-to-Business (B2B) gateway connection. The contractor shall provide the technical information required for sending images from the B2B gateway connection to the contractor’s facility, including Server IP address, Digital Imaging and Communications in Medicine (DICOM) Application Entity (AE) titles, and Secure Shell requirements.

3.2. All after-hours studies are sent to both the Picture Archiving and Communication System (PACS) archive and to a B2B connected device. This B2B connected device is accessed by the after-hours teleradiology service. The radiologist reading the study uses his/her local dictation system which is later transcribed via the contractor’s transcription service. The contractor transcriptionist accesses CHCS system (via Juniper, CAC/PKI) and the reports are pasted into CHCS and later verified and completed by the reading radiologist at the contractor’s distant site.

3.2.1. Notification and workflow are as follows:

1. Order for imaging is placed locally; exam is conducted locally.

2. Notification of read request sent via fax to teleradiology service contractor.

4. Confirmation sent from teleradiology service contractor to MTF that they have received the request.

5. Handwritten preliminary report sent via fax from teleradiology service contractor to MTF ER and radiology front desk (within 45 minutes).

6. Transcription entry into CHCS by contractor.

7. Teleradiology service radiologists must verify and sign the final reports within 24 hours of original notification.

NAVAL HOSPITAL PENSACOLA, FL

SLIN 0001AB and Options

1. SCOPE OF SERVICES.

1.1. The contractor shall provide after-hours teleradiology services in support of Naval Hospital Pensacola. The Contractor shall interpret, dictate, and transcribe each study received from the Government, to include preliminary and final readings, according to the timeliness standards below.

1.2. Timeliness of Preliminary Reads: Preliminary findings shall be provided to the Naval Hospital Radiology and Emergency Medicine Departments within 1 hour of receipt of the image.

1.3. Timeliness of Final Reads: Final interpretations shall be entered into the Naval Hospital Pensacola CHCS system within 24 hours of the preliminary reading. The Government shall designate if request is STAT or routine at the time of request.

1.4. The interpreting radiologist shall electronically sign the final reports in the Naval Hospital Pensacola CHCS system within 1 week of request.

1.5. The Contractor shall normally provide after-hours services between the hours of 1630 to 0730 hours (4:30 pm to 7:30 am) Monday through Thursday, and 1630 Friday to 0730 Monday, to include Federal holidays.

1.6. In the event of active duty deployments or short-term absences of active duty Radiology Physicians, the Contractor may be required to provide services that are outside of the defined service hours. In these cases, the Government will provide a minimum of two weeks’ notice of the requirement. Additionally, other contingency services may be required and the Contractor will receive same day notification of these requirements. The Government has no data on which to base an estimated need for these services, but anticipates infrequent occurrences of this type.

2. SPECIFIC SERVICES.

2.1. The Government provides the following 12-month estimate of the volume of interpretive radiology procedures based on historical utilization of similar services within the past 5 years. The following estimate is for informational purposes only. The actual number of procedures requiring interpretation and transcription may vary.

2.2. The contractor shall provide consultation service for physicians working at Naval Hospital Pensacola regarding studies being done during contract work hours. The contractor shall provide a contact phone number for their after-hours on-call physician. This number shall be provided to the Radiology Department at Naval Hospital, Pensacola at fax number 760-830-2156 every Monday morning.

3. INFORMATION TECHNOLOGY.

3.1. Naval Hospital Pensacola’s current teleradiology system is a Business-to-Business (B2B) gateway connection. The contractor shall provide the technical information required for sending images from the B2B gateway connection to the contractor’s facility, including Server IP address, DICOM AE titles, and Secure Shell requirements.

3.2. All after-hours studies are sent to both the B2B gateway connected device. All after-hours studies are sent to both the PACS archive and to a B2B connected device. This B2B connected device is accessed by the after-hours teleradiology service. The radiologist reading the study uses his/her local dictation system which is later transcribed via the contractor’s transcription service. The contractor transcriptionist accesses CHCS system (via AGFA PACS Juniper, CAC/PKI) and the reports are pasted into CHCS and later verified and completed by the reading radiologist at the contractor’s distant site.

3.2.1. Notification and workflow are as follows:

1. Order for imaging is placed locally; exam is conducted locally.

2. Notification of read request sent via fax to teleradiology service contractor.

4. Confirmation sent from teleradiology service contractor to MTF that they have received the request.

5. Handwritten preliminary report sent via fax from teleradiology service contractor to MTF ER and radiology front desk (within 1 hour).

6. Transcription entry into CHCS by contractor.

7. Teleradiology service radiologists must verify and sign the reports within 24 hours of original notification.

NAVAL MEDICAL CENTER CAMP LEJEUNE, NC

SLIN 0001AC and Options

1. SCOPE OF SERVICES.

1.1. The contractor shall provide written final reports for radiographic examinations in support of the Naval Medical Center (NMC) Camp Lejeune’s Radiology Department, according to the timeliness standards below.

1.2. Timeliness of Reports: The Contractor will transmit written final reports to NMC Camp Lejeune’s Radiology Department and appropriate patient care areas (Emergency Department/Urgent Care Center, Intensive Care Unit, MS5 Ward, Operating Room and Labor and Delivery) via facsimile within 45 minutes of receipt of the images. NMC Camp Lejeune will provide the contractor with fax numbers for each clinical area to facilitate this requirement. The contractor will subsequently enter final reports into the NMC Camp Lejeune CHCS system within 24 hours and will ensure that each report in CHCS is electronically signed within one week. The contractor shall verbally report Critical Results to the ordering health care provider within ten minutes after being discovered. Critical Results are as follows:

- Intracranial hemorrhage

- Intracranial mass with herniation

- Spinal cord compression (acute)

- Unstable spinal fractures

- Airway compromise

- New or significantly worsening pneumothorax or hemothorax

- Tension pneumothorax

- Pulmonary embolus (acute)

- New large pericardial effusion and/or cardiac tamponade

- Aortic aneurysm or dissection (acute rupture/leak or pending rupture)

- Arterial dissection, perforation, rupture, thrombosis or occlusion

- Significant misplacement of lines, tubes and catheters

- Major trauma to solid intra-abdominal organs or hollow viscus

- Solid organ infarction

- Gangrenous cholecystitis or acute emphysematous cholecystitis

- Pneumoperitoneum or pneumatosis intestinalis

- Closed loop intestinal obstruction, ischemic bowel or bowel perforation

- Pediatric intussusception

- Perforated appendicitis

- Intra-abdominal hemorrhage (acute hemoperitoneum)

- Testicular torsion (acute) or ischemia

- Ovarian torsion (acute) or ischemia

- Ectopic pregnancy

- Placental abruption

- Deep venous thrombosis (acute)

- Unsuspected hip fracture

- Necrotizing fasciitis

- Concern for non-accidental trauma (NAT)

- Cancer (radiologist’s discretion)

- Other (radiologist’s discretion)

1.3. NMC Camp Lejeune’s requirements are for final interpretations of examinations conducted 24 hours a day, 7 days a week, for 365 days a year. Standard hours of care will be from 1700 hours (5:00 PM EST) until 0730 hours (7:30AM EST) Monday through Sunday, including Federal holidays. During non-standard hours of care the contractor will be notified as soon as possible when requesting exam interpretations.

2. SPECIFIC SERVICES.

2.1. The Government provides the following 12-month estimate of the volume and type of radiology examinations. This estimate is for informational purposes only. The actual number of examinations may vary.

COMPUTED TOMOGRAPHY: 2,500

ULTRASOUND: 1,000

PLAIN FILM: 500

MRI: 100

NUCLEAR MEDICINE: 10

2.2. The contractor’s teleradiologists shall be available 24 hours a day, 7 days a week for telephonic consultation with NMC Camp Lejeune’s healthcare providers for whom they are interpreting examinations for the purpose of problem solving through direct communication. NMC Camp Lejeune’s healthcare providers may be located in a variety of patient care areas, including but not limited to: emergency department/urgent care center, family medicine department, internal medicine department, intensive care unit, MS5 ward, labor and delivery, operating room, and radiology department. The contractor shall provide current contact information for their teleradiologists to the Radiology Department. Two-way communication between NMC Camp Lejeune and the contractor’s teleradiologists will be established and maintained throughout the term of the contract.

3. INFORMATION TECHNOLOGY.

3.1 Primary means of image transmission: the MTF will transmit radiology examinations from the NMC Camp Lejeune’s PACS to the contractor’s PACS via secure electronic methods (NAVMISSA/DISA-approved B2B/Juniper VPN using CAC/PKI authentication).

3.2. Alternate means of image transmission: NMC Camp Lejeune may transmit radiology examinations to a MedWeb device, when available, if the primary means of image transmission is nonfunctional. The contractor will access the MedWeb device via a Juniper VPN using CAC/PKI authentication followed by an SSL (port 443) web link.

3.3. Upon completion of the examination data transfer, NMC Camp Lejeune will notify the contractor that the examination is available to be read by faxing the contractor-supplied Requisition Form and supporting documents to the contractor.

3.4. The contractor shall provide the technical support necessary to configure the NMC Camp Lejeune’s PACS for secure data transfer to allow connectivity to the contractor’s location.

3.5. The contractor shall notify NMC Camp Lejeune’s Radiology Department by telephone immediately upon recognition that technical difficulties prevent the contractor from receiving or reading images.

3.6. The contractor will transmit written final reports to the Radiology Department and appropriate patient care areas (Emergency Department/Urgent Care Center, Intensive Care Unit, MS5 Ward, Operating Room and Labor and Delivery) via facsimile within 45 minutes of receipt of the images. The MTF will provide the Contractor with fax numbers for each clinical area to facilitate this requirement. The contractor will subsequently enter final reports into the Naval Medical Center Camp Lejeune CHCS system within 24 hours and will ensure that each report in CHCS is electronically signed within 1 week. The MTF’s Information Management Department will ensure that the contractor has CHCS access.

NAVAL HEALTH CLINIC CHARLESTON, SC

SLIN 0001AD and Options

1. SCOPE OF SERVICES.

1.1. The contractor shall interpret, dictate, and transcribe each received radiology study to include final readings according to the timeliness standards below.

1.1.1. Timeliness of Final Reads: Final interpretations shall be entered into the Naval Health Clinic (NHC) Charleston CHCS system within 24 hours of the preliminary reading.

1.1.2. The interpreting radiologist shall electronically sign the final reports in the NHC Charleston CHCS system within three (3) business days of request.

1.2. Services are required between the hours of 0730 to 1630, Monday through Friday, excluding Federal holidays.

1.3. NHC Charleston’s current system is a Business-to-Business (B2B) gateway connection. The contractor shall provide the technical information needed for the MTF to send images from the B2B gateway connection to the contractor’s facility, including Server IP address, DICOM AE titles, and Secure Shell requirements.

2. SPECIFIC SERVICES.

2.1. The contractor shall interpret, dictate, and transcribe each received radiology study as a final reading. The Government provides the following 12-month estimate of the volume of interpretive radiology procedures for informational purposes only. The actual number of procedures may vary.

3. INFORMATION TECHNOLOGY.

3.1. The following information is provided regarding the IT systems currently in use for this service at NHC Charleston. The current B2B gateway connection responds to standard DICOM queries and sends DICOM also. Comparison reports will be provided (with possible dial into access to dictate results). DICOM is the sending message protocol.

NAVAL HEALTH CLINIC CORPUS CHRISTI, TX

SLIN 0001AE and Options

1. SCOPE OF SERVICES.

1.1. The contractor shall interpret, dictate, and transcribe each received study in support of Naval Health Clinic (NHC) Corpus Christi, TX. All readings are deemed final. Preliminary and final readings shall be transcribed according to the timeliness standards below.

1.2. Timeliness of Preliminary Reads: The contractor will transmit written preliminary findings to the NHC Corpus Christi Radiology Department (either NHC Corpus Christi Radiology, Kingsville Radiology, or Fort Worth Radiology) via facsimile within 45 minutes of receipt of images. Fax numbers will be provided to the contractor.

1.3. Timeliness of Final Reads: The contractor will subsequently enter final reports into the NHC Corpus Christi CHCS system within 24 hours of the preliminary reading.

1.3.1. The interpreting radiologist shall electronically sign the final reports in CHCS within 1 week of the request.

1.4. Services are required between the hours of 0730 to 1700 hours Monday through Friday during periods of absence by the MTF Radiologist. The Government will attempt to provide a minimum of one week notice when services are requested. The Contractor may be required to provide services outside of the defined service hours. In these cases, the Government will provide a minimum of two weeks notice of the requirement.

2. SPECIFIC SERVICES.

2.1. The Government provides the following 12-month estimate of the volume and type of radiology examinations for informational purposes only. The actual number of examinations requiring interpretation and transcription may vary.

ULTRASOUND: 160

PLAIN FILM: 800

2.2. The contractor shall provide consultation services for physicians working at NHC Corpus Christi, Branch Health Clinic (BHC) Kingsville, or BHC Fort Worth regarding studies being done during contract work hours. The contractor shall provide current contact information for their teleradiologists to the Radiology Department.

3. INFORMATION TECHNOLOGY.

3.1 Primary means of image transmission: the MTF will transmit radiology examinations from the MTF’s PACS to the contractor’s PACS via DHA approved secure electronic methods. The contractor transcriptionist accesses CHCS system through DISA B2B connection and the reports are pasted into CHCS and later verified and signed by the reading radiologist at the contractor’s distant site.

3.3. Upon completion of the examination data transfer, the MTF will notify the contractor that the examination is available to be read by faxing the contractor-supplied Requisition Form and supporting documents to the contractor.

3.4. The contractor shall provide the technical support necessary to configure the MTF’s PACS for secure data transfer to allow connectivity to the contractor’s location.

3.5. The MTF’s Information Management Department will ensure that the Contractor has CHCS access.

Notification and workflow are as follows:

1. Order for imaging is placed locally; exam is conducted locally.

2. Notification of read request sent via fax to teleradiology service contractor.

3. Confirmation sent from teleradiology service contractor to MTF that they have received the request.

4. Preliminary report sent via fax from teleradiology service contractor to radiology front desk within 45 minutes.

5. Transcription entry into CHCS by contractor within 24 hours.

6. Teleradiology service radiologists must verify and sign the reports within 1 week of original notification.

REQUIREMENT B

NAVAL HEALTH CLINIC LEMOORE, CA

SLIN 0001BA and Options

1. SCOPE OF SERVICES.

1.1. The contractor shall interpret, dictate, and transcribe each received radiology study to include preliminary and final readings according to the timeliness standards below in support of Naval Health Clinic (NHC) Lemoore, CA. All readings are deemed to be final.

1.2. Timeliness of Preliminary Reads: Preliminary findings shall be provided to the NHC Lemoore Radiology Department and the Urgent Care Clinic by facsimile at (559-998-0286 or 4294) within one hour of receipt of the image.

1.3. Timeliness of Final Reads: Final readings shall be sent via encrypted email to the Dictation Department within 24 hours of preliminary report.

1.4. Services are required from 1600 to 0700 local time (4:00 pm to 7:00 am) on Monday and Wednesday of each week, inclusive of Federal holiday observances.

1.5. The contractor shall provide technical support necessary to ensure the MTF connectivity to the contractor’s facility. The MTF’s current teleradiology system is a FUJI Synapse system. No direct network/database connection can be established. The contractor shall notify the NHC Lemoore Radiology Department by telephone immediately upon recognition that technical difficulties prevent the contractor from receiving images. Studies shall be transmitted to the contractor by the Radiology Department technologist via HTTPS in DICOM standard format. Remote file retrieval may be possible.

1.6. The contractor shall notify the NHC Lemoore Radiology Department by telephone (559-998-4477 or 4997) immediately upon recognition that technical difficulties prevent the contractor from receiving or reading images.

2. SPECIFIC SERVICES.

2.1. The contractor shall interpret, dictate, and transcribe each received radiology study to include preliminary and final readings. The Government provides the following 12-month estimate of the volume of interpretive radiology procedures for informational purposes only. The actual number of procedures may vary.

COMPUTED TOMOGRAPHY: 150

ULTRASOUND: 150

PLAIN FILM: 1,200

MRI: 40

2.2. The contractor shall consult with physicians at NHC Lemoore regarding studies being done during contract hours. The contractor shall provide a contact phone number for the after-hours on-call physician. This number shall be provided to the Radiology Department at NHC Lemoore at fax number (559-998-0286 and 559-998-4294) every Monday and Wednesday morning.

3.1. NHC Lemoore uses VPN portal to access the Synapse PACS directly via this CAC authenticated portal from Government Furnished Equipment.

NAVAL HOSPITAL BREMERTON, WA

SLIN 0001BB and Options

1. SCOPE OF SERVICES.

1.1. The Contractor shall provide written final reports for radiographic examinations in support of the Radiology Department at Naval Hospital Bremerton, WA according to the timeliness standards below.

1.2. Timeliness of Reports: The contractor shall transmit written final reports to the Naval Hospital Bremerton Radiology Department and appropriate patient care areas (Emergency Department/Urgent Care Center, Intensive Care Unit, MS5 Ward, Operating Room and Labor and Delivery) via facsimile within 45 minutes of receipt of the images. Naval Hospital Bremerton will provide the contractor with fax numbers for each clinical area to facilitate this requirement. The contractor shall subsequently enter final reports into the Naval Hospital Bremerton CHCS system within 24 hours and will ensure that each report in CHCS is electronically signed within one week.

1.3. The requirements are for preliminary interpretations of examinations conducted after hours, on weekends and on Federal holidays. Teleradiology services are required Sunday through Saturday, between the hours of 1700 to 0730 local time (5:00 pm to 7:30 am) in addition to 0730 to 1700 local time (7:30 am to 5:00 pm) on Saturday, Sunday and Federal holidays.

0730-1700

2. SPECIFIC SERVICES.

2.1. The Government provides the following 12-month estimate of the volume and type of radiology examinations for informational purposes only. The actual number of examinations may vary.

COMPUTED TOMOGRAPHY: 1620

ULTRASOUND: 353

PLAIN FILM: 36

MRI: 60

NUCLEAR MEDICINE: 12

2.3. The contractor’s teleradiologists shall be available during all hours of service as specified in paragraph 1.3.above for telephonic consultation with Naval Hospital Bremerton’s healthcare providers for whom they are interpreting examinations for the purpose of problem solving through direct communication. Naval Hospital Bremerton’s healthcare providers may be located in a variety of patient care areas, including but not limited to: emergency department/urgent care center, family medicine department, internal medicine department, intensive care unit, MS5 ward, labor and delivery, operating room, and radiology department. The contractor shall provide current contact information for their teleradiologists to the Naval Hospital Bremerton’s Radiology Department. Two-way communication between Naval Hospital Bremerton and the contractor’s teleradiologists will be established and maintained throughout the term of the contract.

3. INFORMATION TECHNOLOGY.

3.1 Primary means of image transmission: the Naval Hospital Bremerton will transmit radiology examinations from the MTF’s PACS to the Contractor’s PACS via secure electronic methods (NAVMISSA/DISA-approved B2B/Juniper VPN using CAC/PKI authentication).

3.2. Alternate means of image transmission: the MTF may transmit radiology examinations to a MedWeb device, when available, if the primary means of image transmission is nonfunctional. The teleradiology contractor shall access the MedWeb device via a Juniper VPN using CAC/PKI authentication followed by an SSL (port 443) web link.

3.3. Upon completion of the examination data transfer, the MTF will notify the contractor that the examination is available to be read by faxing the contractor-supplied Requisition Form and supporting documents to the contractor.

3.4. The contractor shall provide the technical support necessary to configure the MTF’s PACS for secure data transfer to allow connectivity to the contractor’s location.

3.5. The contractor shall transmit written final reports to Naval Hospital Bremerton’s Radiology Department and appropriate patient care areas (Emergency Department/Urgent Care Center, Intensive Care Unit, MS5 Ward, Operating Room and Labor and Delivery) via facsimile within 45 minutes of receipt of the images. Naval Hospital Bremerton will provide the Contractor with fax numbers for each clinical area to facilitate this requirement. The contractor shall subsequently enter final reports into the Naval Hospital Bremerton CHCS system within 24 hours and shall ensure that each report in CHCS is electronically signed within one week. Naval Hospital Bremerton’s Information Management Department will ensure that the contractor has CHCS access.

NAVAL HOSPITAL CAMP PENDLETON, CA

SLIN 0001BC and Options

1. SCOPE OF SERVICES.

1.1. The contractor shall interpret, dictate, and transcribe each received study. All readings are to be deemed final. Preliminary and final readings shall be transcribed and provided to the Naval Hospital Camp Pendleton Radiology Department according to the timeliness standards below.

1.1.1. Timeliness of Preliminary Reads: Preliminary findings shall be provided to the Naval Hospital Radiology and Emergency Medicine Departments within 45 minutes of receipt of the image.

1.1.2. Timeliness of Final Reads: Final interpretations shall be entered into the Naval Hospital Camp Pendleton CHCS system within 24 hours of the preliminary reading.

1.2. Services are required between the hours of 5:00 PM through 7:30 AM, Sunday through Saturday, inclusive of Federal holidays.

2. SPECIFIC SERVICES.

2.1. The Government provides the following estimate of the 12-month volume of interpretive radiology procedures based on historical utilization of similar services within the past five years. The estimate is provided for informational purposes only. The actual number of procedures requiring interpretation and transcription may vary.

COMPUTED TOMOGRAPHY: 3,354

ULTRASOUND: 1,122

PLAIN FILM: 100

MRI: 55

NUCLEAR MEDICINE: 10

2.2. The contract teleradiology Physicians shall be available during all hours of service as specified in paragraph 1.2. above for telephonic consultation with Naval Hospital Camp Pendleton physicians for whom they are interpreting studies for the purpose of problem solving through direct communication. The Naval Hospital Camp Pendleton physicians may be Emergency Medicine, Radiology, or other physician specialists. The contractor shall provide a phone number for their after-hours physician to the MTF Radiology and Emergency Medicine Departments every Monday morning, or sooner, as the contact information changes. Two-way communication between Naval Hospital Camp Pendleton and the contract radiologists shall be established and maintained throughout the term of the contract.

3. INFORMATION TECHNOLOGY.

3.1. Naval Hospital Camp Pendleton uses a Business-to-Business (B2B) gateway connection to transmit radiology studies for interpretation. The contractor shall provide the technical information needed for sending images from the Naval Hospital B2B gateway connection to the contractor’s facility; including Server IP address, DICOM AE titles, and Secure Shell requirements. All communication links with the Naval Hospital physicians and the B2B gateway connection shall be maintained in compliance with DoD information technology security and training requirements and policies at all times.

3.2. All after-hours studies are sent to both the PACS archive and to a B2B connected device. This B2B connected device is accessed by the after-hours teleradiology service via Juniper VPN using CAC/PKI authentication. This is a secure tunnel into the network; the B2B connected device is then accessed via a SSL (port 443) web link. The radiologist reading the study uses his/her local dictation system which is later transcribed via the contractor’s transcription service. The contractor transcriptionist accesses CHCS system (via Juniper, CAC/PKI) and the reports are pasted into CHCS and later verified and completed by the reading radiologist at the contractor’s distant site.

3.2.1. Notification and workflow are as follows:

1. Order for imaging is placed locally; exam is conducted locally.

2. Notification of read request sent via fax to teleradiology service contractor.

4. Confirmation sent from teleradiology service contractor to MTF that they have received the request.

5. Handwritten preliminary report sent via fax from teleradiology service contractor to MTF ER and radiology front desk (within 45 minutes).

6. Transcription entry into CHCS by contractor.

7. Teleradiology service radiologists must verify and sign the reports within 24 hours of original notification.

NAVAL HOSPITAL TWENTYNINE PALMS, CA

SLIN 0001BD and Options

1. SCOPE OF SERVICES.

1.1. The contractor shall interpret, dictate, and transcribe each received study. All readings are to be deemed final. Preliminary and final readings shall be transcribed and provided to the Naval Hospital Twentynine Palms Radiology Department according to the timeliness standards below.

1.1.1. Timeliness of Preliminary Reads: Preliminary findings shall be transcribed and provided to the Naval Hospital Radiology Department by facsimile at 760-830-2156 within 60 minutes of receipt.

1.1.2. Timeliness of Final Reads: Final interpretations shall be entered into the Naval Hospital CHCS system within 24 hours of the preliminary reading.

1.2. Training and connectivity shall be coordinated with the Technical Point of Contact prior to contract start.

1.3. Services are required between the hours of 1700 through 0730, Monday through Thursday. Weekend coverage shall commence at 1600 on Friday and extend through 0730 on Monday. Services are required on federally observed holidays. Services will also be required on a 24 hour basis when the Naval Hospital Twentynine Palms Radiologist is on leave or temporary additional duty (TAD). The contractor will be notified at least two weeks in advance for planned leave and TAD. In an emergent situation the contractor will be notified as soon as the situation is known.

2. SPECIFIC SERVICES.

2.1. The Government provides the following 12-month estimate of the volume of interpretive radiology procedures based on historical utilization of similar services within the past 5 years for informational purposes only. The actual number of procedures requiring interpretation and transcription may vary.

2.2. The contractor shall provide consultation service for physicians working at Naval Hospital Twentynine Palms regarding studies being done during contract work hours. The contractor shall provide a contact phone number for their after-hours on-call physician. This number shall be provided to the Radiology Department at Naval Hospital Twentynine Palms at fax number 760-830-2156 every Monday morning.

3.1. The Naval Hospital Twentynine Palms current teleradiology is a Business-to-Business (B2B) gateway connection. The contractor shall provide the technical information as needed for sending images from the a Business-to-Business (B2B) gateway connection to the receiving facility; including Server IP address, Dicom AE titles, Secure Shell requirements. If other information is needed to facilitate image reading the contractor will be notified.

3.2. All after-hours studies are sent to both the PACS archive and to online radiology. The online radiology server is accessed by the after-hours teleradiology service via a direct connection to a B2B gateway connection not via a Juniper Device. This is a secure tunnel into the network; the B2B gateway connection is then accessed via a SSL (port 443) web link. The radiologist reading the study uses his/her local dictation system which is later transcribed via the contractor’s transcription service. The contractor transcriptionist accesses CHCS system (via Juniper, CAC/PKI) and the reports are pasted into CHCS and later verified and completed by the reading Radiologist at the contractor’s distant site.

3.2.1. Notification and workflow are as follows:

1. Order for imaging is placed locally; exam is conducted locally.

2. Notification of read request sent via fax to teleradiology service contractor.

4. Confirmation sent from teleradiology service contractor to MTF that they have received the request.

5. Handwritten preliminary report sent via fax from teleradiology service contractor to MTF ER and radiology front desk (within 60 minutes).

6. Transcription entry into CHCS by contractor.

7. Teleradiology service Radiologists must verify and sign the reports within 24 hours of original notification.

REQUIREMENT C

U.S. NAVAL HOSPITAL ROTA, SPAIN

SLIN 0001CA and Options

1. SCOPE OF SERVICES.

1.1. The contractor shall provide after-hours teleradiology services in support of U.S. Naval Hospital Rota, Spain. The contractor shall interpret, dictate, and transcribe each study received from the Government, to include preliminary and final readings, according to the timeliness standards below.

1.1.1. Timeliness of Preliminary Reads: Preliminary findings shall be provided to the U.S. Naval Hospital Rota Radiology and Emergency Medicine Departments within 45 minutes of receipt of the image. Preliminary readings are not required for all ASAP and routine studies.

1.1.2. Timeliness of Final Reads: Final interpretations shall be entered in the U.S. Naval Hospital Rota CHCS system within 24 hours of the preliminary reading of STAT studies. The Government shall designate if the request is STAT or routine at the time of the request. Final interpretations shall be entered into the U.S. Naval Hospital Rota CHCS system within 48 hours of receipt for all ASAP/routine studies.

1.1.3. The interpreting radiologist shall electronically sign the final reports in the U.S. Naval Hospital Rota CHCS system within one week of the request.

1.2. The contractor shall normally provide services between the hours of 1600 to 0730 local time (4:00 pm to 7:30 am) Monday through Friday, to include Federal Holidays.

2. SPECIFIC SERVICES.

2.1. The Government provides the following 12-month estimated volume of interpretive radiology procedures for informational purposes only. The actual number of procedures requiring interpretation and transcription may vary.

COMPUTED TOMOGRAPHY: 104

ULTRASOUND: 104

PLAIN FLIMS: 208

2.2. Critical Tests (CT Pulmonary Angiograms) must be reported to the ordering clinician whether the result is positive or negative.

3. INFORMATION TECHNOLOGY.

3.1. The U.S. Naval Hospital Rota’s current teleradiology system is a Business-to-Business (B2B) gateway connection. The contractor shall provide the technical information required for sending images from the B2B gateway connection to the contractor’s facility, including Server IP address, DICOM AE titles, and Secure Shell requirements.

3.2. All after-hours studies are sent to both the PACS archive and to a B2B connected device. This B2B connected device is accessed by the after-hours teleradiology services. The Radiologist reading the study uses his/her local dictation system which is later transcribed via the contractor’s transcription service. The contractor transcriptionist accesses CHCS system (via Juniper, CAC/PKI) and the reports are pasted into CHCS and later verified and completed by the reading radiologist at the contractor’s distant site.

3.2.1. Notification and workflow are as follows:

1. Order for imaging is placed locally; exam is conducted locally.

2. Notification of read request sent via fax to teleradiology service contractor.

4. Confirmation sent from teleradiology service contractor to MTF that they have received the request.

5. Handwritten preliminary report sent via fax from teleradiology service contractor to MTF ER and radiology front desk (within 45 minutes).

6. Transcription entry into CHCS by contractor.

7. Teleradiology service Radiologists must verify and sign the final reports within 24 hours of original notification.

U.S. NAVAL HOSPITAL GUANTANAMO BAY, CU

SLIN 0001CB and Options

1. SCOPE OF SERVICES

1.1. The Contractor shall interpret, dictate, and transcribe each received radiology study to include preliminary and final readings according to the timeliness standards below.

1.1.1. U.S. Naval Hospital (USNH) Guantanamo Bay will indicate if request is STAT or routine at the time of the request.

1.1.2. Timeliness of Preliminary Reads: Preliminary findings shall be provided to the USNH Radiology Department within 1 hour of receipt of routine- priority images and as soon as possible for STAT-priority images.

1.1.3. Timeliness of Final Reads: Final interpretations shall be entered into the USNH Guantanamo Bay CHCS system within 24 hours of the preliminary reading for routine image, and within 1 hour of receipt of STAT-priority images.

1.1.4. The interpreting radiologist shall electronically sign the final reports in USNH Guantanamo Bay’s CHCS system at the time of finalization.

1.2. In the event that the currently utilized, primary tele radiology services are unavailable, services provided by the Contractor will be required at all times- 24 hours a day, 7 days a week, inclusive of Federal holiday observances.

1.2.1. In the event that Contractor services are needed when active duty Radiology Physicians are at USNH Guantanamo Bay providing radiology services using other modalities not mentioned within this scope of work, the Contractor may be required to provide additional services.

1.3. Training and connectivity shall be coordinated with the Technical Point of Contact prior to contract start.

1.4. The contractor shall provide technical support necessary to ensure the MTF connectivity to the contractor’s facility. The MTF’s current tele-radiology system is a FUJI Synapse system. No direct network/database connection can be established. The contractor shall notify the MTF Radiology Department by telephone immediately upon recognition that technical difficulties prevent the contractor from receiving images. Studies shall be transmitted to the contractor by the Radiology Department technologist via HTTPS in DICOM standard format. Remote file retrieval may be possible.

1.5. The contractor shall notify the MTF Radiology Department by telephone (757-458-2998, option 1, ext 7-2210 or at 757-933-7864) immediately upon recognition that technical difficulties prevent the contractor from receiving or reading images.

2. SPECIFIC SERVICES

2.1. The Contractor shall interpret, dictate, and transcribe each received radiology study to include preliminary and final readings. The Government provides the following 12-month estimate of the volume of interpretive radiology procedures. The actual number of procedures may vary.

COMPUTED TOMOGRAPHY: 60

PLAIN FILM: 160

2.2. The contractor shall consult via telephone with physicians at USNH Guantanamo Bay regarding any critical findings. The contractor shall provide a contact phone number for physicians and radiology staff at USNH Guantanamo Bay.

3. INFORMATION TECHNOLOGY

3.1. The USNH Guantanamo Bay The following information is provided regarding the IT systems a secondary backup service Radiology support for USNH Guantanamo Bay from Naval Hospital Jacksonville.

All after-hours studies are sent to both the PACS archive and to a B2B connected device. This B2B connected device is accessed by the after-hours tele radiology service. The radiologist reading the study uses his/her local dictation system which is later transcribed via the contractor's transcription service. The contractor transcriptionist accesses CHCS system (via AVHE, CAC/PKI) and the reports are pasted into CHCS and later verified and completed by the reading radiologist at the contractor's distant site.

3.2. Notification and workflow are as follows:

1. Order for imaging is placed locally or USNH Guantanamo Bay Rad tech will need access to Jacksonville CHCS (Similar to NMCP CHCS); exam is conducted in Guantanamo Bay.

2. Exam is sent to Jacksonville PACS Imaging Server from Guantanamo Bay PACS Server (Similar set up to NMCP Fuji Pacs).

3. Notification of read request sent via fax to tele radiology service.

4. Confirmation sent from tele radiology service to MTF that they have received the request.

5. Handwritten preliminary report sent via fax from tele radiology service to MTF ER and radiology front desk (within 45 minutes).

6. Transcription entry into CHCS by contractor.

7. Teleradiology service radiologists must verify and sign the final reports within 24 hours of original notification.

8. Critical Tests (CT Pulmonary Angiograms) must be reported to the ordering clinician whether the result is positive or negative.

3.3. The Contractor shall provide the technical support necessary to configure the MTF’s PACS for secure data transfer to allow connectivity to the Contractor location.