P09 - SOW Final - Phoenix Pkg 3 Vital Signs Monitors - v2.3 1-11-22 - ALS edit.docx

FY22Q1-03 l JSN: M4116, M4116A l Monitor, Vital Signs

Phoenix VA Health Care System Initial Outfitting, Transition & Activation Statement of Work Monitor, Vital Signs (JSN: M4116, M4116A)

Version 2.3, Dated January 11, 2021

Phoenix VA Health Care System Phoenix VA Clinic – 32nd Street 400 North 32nd St.

Phoenix, AZ 85008 Introduction The Phoenix Veteran Affairs Health Care System Monitor, Vital Signs (JSN: M4116, M4116A) with an authorized vendor to supply and deliver the item(s) identified in Table 1 below. See salient characteristics below. This is a Brand Name or Equal Requirement. This requirement is in support of the activation of Phoenix VA Clinic – 32nd Street Project. The new Phoenix VA Clinic – 32nd Street has the need for 69 mobile vital sign units and 201 integrated wall units to use throughout the facility. Welch Allyn (Hill-Rom) is the basis for design.

Table 1 – Package Items Summary

Brand Name or Equal Requirement

Brand Name or Equal Requirement

Brand Name or Equal Requirement

Brand Name or Equal Requirement

Brand Name or Requirement

Additional Item Requirements The vendor will provide service manuals that includes theory of operation, maintenance requirements, repair information, schematics, part lists and troubleshooting information in electronic format for use by the VA IT Operations Department.

Date of manufacture must not be greater than 2 years before the purchase order date. The equipment must not be used or refurbished and must have the latest manufacturer’s software/hardware updates installed. Any batteries provided with the unit will not be manufactured more than 12 months before the purchase order issue date.

General Conditions Site Address The address of the Phoenix VA Clinic – 32nd Street is provided below.

400 North 32nd St.

Phoenix, AZ 85008

Delivery Schedule Items shall be delivered no earlier than the estimated delivery start date and no later than the delivery end date listed in Table 2 below.

Table 2 – Anticipated Building Outfitting Schedule

Schedule and Order Management The above delivery schedule is based upon the current construction schedule due to the nature of activation efforts and construction timelines and dates may vary and shift. Delivery dates need to be flexible. The delivery of items for installation are dependent upon the completion of applicable areas within the building. If there is a delay, the Contractor may be required to adjust the delivery date at no cost to the Government. The Contractor will coordinate with the on-site POC’s before delivery.

The awardees actual delivery dates will be confirmed by VA upon award.

Post-award, the vendor will coordinate delivery identified in this document with the VA prior to beginning any work (See Section 2.4). Once the dates have been confirmed, modifications to the schedule are subject to written approval by the CO, COR, and the vendor.

Delivery and Receiving Delivery and receipt of the proposed items is anticipated to be directed to the location identified below. Confirmation of delivery location will be provided post-award. To coordinate delivery, contact VA POC, David Charnetsky at (602) 277-5551 ext. 5228, david.charnetsky@va.gov; SME-Solutions POC, Soren Nicholson at (719) 761-4387, Soren.Nicholson@sme-solutions.co, Robert Stonerook at (706) 304-7194, Robert.stonerook@sme-solutions.co, and Jerrell (Jeff) Cockrell at (636) 395-9761, Jerrell.cockrell@sme-solutions.co.

☒ Phoenix VA Clinic - 32nd Street (Direct Delivery to address detailed in paragraph 2.1) The vendor is required to define the need for a staging area to accommodate item delivery, if needed. Post-award, this information will be confirmed with the vendor.

The delivery of items identified in this document shall take place during normal loading dock business hours which are defined as: 8:15 AM to 3:00 PM Mountain Standard Time, Monday through Friday, and excluding Federal Holidays.

Delivery trucks will not be permitted to remain at the loading dock. Trucks shall be unloaded, moved from the dock, and then brought back to the dock if required to haul out any waste, tools, or excess materials.

Labeling of delivered items shall include the VA facilities contract number and VA purchase order number for identification and reference upon receipt of product.

NOTE: Due to the COVID19 situation, the vendor must follow CDC guidelines when on VA property. Any individuals who need to enter the building for installation &/or training will be required to be screened by the site staff prior to entry. Please allow time for this in your schedule.

Clean Up and Disposal There are no dumpsters available for vendor use.

The removal of waste and/or excess material shall be conducted through the loading dock area.

Assembly, Installation, and Calibration Required (Yes ☒ No ☐) The vendor is required to manage and coordinate installation at the Phoenix VA Clinic – 32nd Street with the COR or his representative IOT&A POC.

On-site assembly and installation of items, and performance of services identified in this document shall take place during normal business hours which are defined as: 8:00 AM to 4:30 PM Mountain Standard Time, Monday through Friday, and excluding Federal Holidays.

Proposed installation date will occur after delivery of equipment. Current timeframe of delivery is January 31, 2022 – February 28, 2022.

The vendor is required to define the need for a staging area to accommodate item assembly and installation, if needed. Post-award, this information will be confirmed with the vendor.

The vendor is required to provide tools, labor and materials to complete assembly and installation of the items detailed in this document.

The vendor shall protect all finished spaces and surfaces as required from delivery and installation damage. The vendor shall use covering and protection to the extent necessary to prevent damage to finished spaces. Any damage occurred during delivery and installation is the responsibility of the vendor. The vendor will be responsible for paying for and repairing any damage or noted deficiencies to finished spaces and surfaces that occur because of the vendor’s (or associated sub-contractors) installation.

During the entire duration of assembly and installation, the vendor will have a competent representative on-site as the vendor’s contact, and to serve as the interface between the vendor and the Phoenix VA Clinic – 32nd Street. On-site representative can be the installer. All instructions provided from COR to the representative will be binding as if given to the vendor’s main contact. The COR may provide specific instructions, however, only the Contracting Officer may change the terms or conditions of the contract.

Training Required (Yes ☒ No ☐)

2.7.1 The vendor is required to provide live clinical training on set up, operation, shut down, and troubleshooting procedures to clinical staff.

2.7.2 The vendor shall coordinate training dates with the on-site Project Manager. Post-award, these dates will be confirmed with the vendor to meet the clinical schedule. Proposed training date will occur after installation of equipment.

Current timeframe of training is March 2022.

2.7.3 The vendor shall provide documentation and/or certification to each staff member that has successfully completed training.

Confidentiality and Non-Disclosure This equipment does connect to a VA network. Therefore, in accordance with Appendix A, Handbook 6500.6 Checklist, block 6, the C&A requirements do apply to this requirement, and a Security Accreditation Package is required.

This equipment does hold or store patient information. Therefore, in accordance with Appendix A, Handbook 6500.6 Checklist block 7, Appendix B and C provisions do apply.

Appendix B: The contractor, their personnel, and their subcontractors shall be subject to the Federal laws, regulations, standards, and VA Directives and Handbooks regarding information and information system security as delineated in this contract.

Appendix C: VA will own this equipment. If vendor needs access during delivery, assembly, install or repair, the contractor shall be escorted by a VA employee to ensure there is no exposure to VA sensitive information. If the contractor is required to be on site for more than two consecutive days, VHA Privacy Training, TMS Course VA10203, is required and available at https://www.tms.va.gov/SecureAuth35/. The contractor will provide all consumable supplies necessary for training and competency assessment of hospital staff. Proof of training will be provided to the COR upon request.

Salient Characteristics Monitor, Vital Signs (JSN: M4116) Total Quantity: 69 ☒ Network Required if Checked ☒ Manufacturer Certified Installation Required if Checked ☒ BMET Training Required if Checked ☒ End User Training Required if Checked

Basis of Design is Hill-Rom (Welch Allyn), MFG P/Ns 68MXTX-B; 4800-60; 6000-916HS

Brand Name or Equal Requirement

Salient Characteristics:

• Application: To take patients vital signs, non-invasive blood pressure, pulse rate, SPO2, and temperature with on mobile stand

• Blood Pressure Determination Time - within 15 seconds

• NIBP meets or exceeds ANSI.AAMI SP10:2002 standards for noninvasive blood pressure

• Systolic Range: Adult: 30-250mmHg / Pediatric: 30-250mmHg / Neonate: 20-120mmHg

• Diastolic Range: Adult: 20-220mmHg / Pediatric: 20-220mmHg / Neonate: 10-110mmHg

• Temperature Range: 80-82° to 108-110°F

• SPO2: 1-100% Masimo

• Electrical: 110-120V AC w/ rechargeable battery

• Includes Accessories: Mobile Stand with storage compartment; 2D barcode scanner with USB connection

• Must be able to connect to VA Electronic Health Record (wireless connection) validated through Cerner CareAware in order to be compatible with the VA electronic health record that is being deployed by the VA.

• Includes installation services, such as: unboxing all units, attaching all accessories, and the configuring of units for use

Vitals, Integrated Diagnostic, Wall Mounted (JSN: M4116A) Total Quantity: 201 ☒ Network Required if Checked ☒ Manufacturer Certified Installation Required if Checked ☒ BMET Training Required if Checked ☒End User Training Required if Checked

Basis of Design is Hill-Rom (Welch Allyn), MFG P/Ns 85MTVE3-US; 6000-916HS Brand Name or Equal Requirement

Salient Characteristics:

• SPO2 performance range 1 to 100% (Masimo)

• Blood Pressure Determination Time - within 15 seconds

• NIBP meets or exceeds ANSI.AAMI SP10:2002 standards for noninvasive blood pressure

• Temperature - Range 80-82° to 108-110°F with pulse timer to assist with manual measurement of pulse rate, respiration

• Able to connect to facility's EMR/EHR system through WIFI

• Otoscope - wide-angle viewing lens; Fiber-optic light with no reflections or obstructions; Handle output 3.00-3.90V or comparable

• Coaxial Ophthalmoscope - Polarizing filter to help eliminate corneal reflection; multiple filter combinations; Output 3.00-3.90V or comparable

• Programmable visual and audio alarms for Blood Pressure, SPO2, Temperature, and Pulse

• Electrical: 110-120V AC

• Must include the following accessory: 2D barcode scanner with USB connection

• Includes installation services, such as: unboxing all units, attaching all accessories, and the configuring of units for use; vendor is not responsible for mounting the wall bracket on the wall.

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