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Department of Defense Defense Health Agency Performance Work Statement
Diagnostic Laboratory Services (DLS) Reference Lab Testing
Directorate of Clinical Support Services (DCSS)
Laboratory
PART 1
1.0 GENERAL INFORMATION
1.1. This is a non-personal supplies and service contract to provide reference laboratory services locally for U.S. Naval Hospital Guam.
Description of services/introduction. Diagnostic Laboratory Services (DLS) Reference lab services provide high-quality, reliable and timely lab testing and results. DLS offers a comprehensive range of services, including microbiology diagnostic testing that aids in diagnosing patients at U.S. Naval Hospital Guam. Currently our lab is unable to perform most microbiology testing including all cultures. Due to its proximity, DLS is the only option for our laboratory. This requirement is needed to sustain reference laboratory services locally and continue critical care of all patients to include neonates and trauma patients.
1.2. Background. The contractor is responsible for reference laboratory services to U.S. Naval Hospital Guam in accordance with their test menu. U.S. Naval Hospital Guam has affiliated with this contractor for years as the sole local reference laboratory.
1.3. Scope. The contractor shall provide everything necessary as defined in this Performance Work Statement except as specified herein as services, to provide specimen analytical testing and reference laboratory testing services, located at the U.S. NMRTC Guam Room 1 T12. The contractor shall perform these services in accordance with the standards specified in this contract and accordance with the Clinical Laboratory Improvement Amendments, (CLIA), College Of American Pathology (CAP) standards, Health Insurance Portability and Accountability Act (HIPPA) IA W 45CFR 160 and 164, and the Joint Commission for Accreditation of Health Care Organizations (JCAHO). The contractor shall submit test results and documentation as identified throughout this SOW. The contractor shall make available a standard commercial quality control plan upon request by a government representative. Contractor tasks include/the following requirements:
| • | The contractor must conduct and provide results, at minimum, for the laboratory tests listed in Table 1 Laboratory Test List; |
| • | The contractor must have the ability to receive electronic transmission of laboratory orders and the ability to transmit electronic results to U.S. NMRTC. |
| • | The contractor must have a courier service with the ability to retrieve samples for testing as needed with base access. |
| • | Contractor must have a reference laboratory. If its reference laboratory is off the island, then patient samples must have the ability to be transported from Guam daily or business daily to the off-island reference laboratory. |
| • | Contractor couriers must be able to obtain base pass privileges for vendors. |
| • | The contractor shall identify analytical criteria and detection limits for laboratory testing |
| • | The contractor must be geographically located in Guam. (5 miles and/ or less than 10–15-minute drive to U.S. NMRTC Guam. |
| • | The contractor must have a dedicated courier service. |
| • | The contractor must provide a technical assistance center that shall be available by telephone during business hours. |
1.4 LABORATORY ORDERS AND RESULTS
U.S. NMRTC Guam has implemented an Electronic Health Record, which also includes an electronic lab ordering module. The goal of U.S. NMRTC Guam is to work with the contractor to integrate multiple aspects of care, including ordering and viewing laboratory services and results within one cohesive user interface. The contractor shall provide the ability for laboratory ordering and viewing of results when needed for these integration initiatives. The contractor shall work cooperatively with U.S. NMRTC Guam to ensure availability to view results. The contractor shall have the ability to receive and send electronic lab orders and results. The contractor must also have the ability to electronically track lab results when sent but not received by U.S. NMRTC Guam.
· The contractor is expected to maintain a comprehensive list of available laboratory orders. The contractor shall have the ability to meet the technical requirements
· The contractor shall have the ability to process at minimum ninety percent (90%) of specimens inhouse; no more than ten percent (10%) of tests ordered may be sent out to be processed by a reference laboratory.
· The contractor shall be responsible for transporting all specimens collected from U.S. NMRTC Guam clients to the proper testing facility.
· All laboratory results shall be transmitted electronically to U.S. NMRTC Guam Laboratory Department in a manner consistent with Health Insurance Portability and Accountability Act (HIPAA) privacy rules.
· Laboratory tests will be completed and results provided to the U.S. NMRTC Guam electronically within the timeframes listed below:
Routine test results are to be returned to U.S. NMRTC Guam within the next business day.
· STAT order results are to be returned to U.S. NMRTC Guam electronically within four
(4) hours of result availability. The contractor shall submit the results electronically to the U.S. NMRTC Guam e-mail system and shall also have a procedure for contacting.
· Critical Lab Results shall be provided within sixty (60) minutes of obtained results and no later than within two (2) hours. The contractor shall submit the results electronically to the U.S. NMRTC Guam and the contractor shall also have a procedure for contacting the Lab by telephone, e-mail, or facsimile, in accordance with U.S. NMRTC Guam procedures, to notify the lab of electronically submitted results.
· The contractor shall assign a separate Unique Identifier Number for each clinic for the purpose of tracking utilization and transmission of laboratory results.
· U.S. NMRTC Guam laboratory leadership shall have access to obtain and/or view laboratory results ordered by any U.S. NMRTC Guam provider. In accordance with the requirements outlined in this SOW.
LIABILITY: The contractor shall not be liable for any loss, damage, or delay due to any cause beyond his reasonable control including but not limited to, acts of government, strikes, lockouts, fire, explosion, theft, floods, riot, civil commotion, war, malicious mischief of acts of God.
CONTRACTOR CHECK-IN/CHECK-OUT: The contractor or his representative is required to report to the clinical laboratory for Visitor Badges during the hours of 0800-1600 hours, Monday through Friday, prior to and upon completion of any service/repair performed.
1.4. Period of Performance (PoP).
Base - From: 19 October 2026 to 18 October 2027 Option 1 - From: 19 October 2027 to 18 October 2028 Option 2 - From: 19 October 2028 to 18 October 2029 Option 3 - From: 19 October 2029 to 18 October 2030 Option 4 - From: 19 October 2030 to 18 October 2031
1.4.1. Transition: Transition-in/transition-out period, not required if incumbent vendor. Otherwise, ninety (90) days if not incumbent vendor.
1.5. Administrative specifications.
Days/Hours of Operation:
| • | The contractor shall be accessible via telephone, e-mail, or fax during business hours (6:30 a.m. to 6:00 p.m., Monday through Friday) to all U.S. NMRTC Guam. |
| • | The contractor's lab testing service shall be open at a minimum from Monday through Friday, from 7:00 a.m. until 6:00 p.m. |
1.5.1. Place of performance: The work shall be performed at:
U.S. Naval Hospital Guam Laboratory Department Building #50 Farenholt Ave; room IT02 Agana Heights, Guam 96910
1.5.2. Recognized Federal holidays:
| New Year’s Day | Labor Day |
| Martin Luther King Jr.’s Birthday | Columbus Day |
| President’s Day | Veteran’s Day |
| Memorial Day | Thanksgiving Day |
| Juneteenth Day | Christmas Day |
Independence Day
1.5.3. Emergency Services: on occasion, services may be required to support an activation or exercise of contingency plans outside the normal duty hours.
1.6. Contractor travel. Contractor shall not be authorized for travel expenses.
1.7. Other Direct Costs (ODC). N/A.
2.0 Quality assurance (QA): The government will evaluate the contractor’s performance under this contract in accordance with the Quality Assurance Surveillance Plan (QASP). This plan provides a systematic method for the Government to evaluate performance and to ensure that the contractor has performed in accordance with the performance standards. It defines how the performance standards will be applied, the frequency of surveillance, and the minimum acceptable defect rate(s).
1.8 Laboratory Test Price List:
| DLS TEST CODE |
| TEST NAME |
| PRICE |
| 14 |
| Antibody Screen and Antibody ID (ANTIBODY SCREEN) |
| $15.60 |
| 10701 |
| Acetaminophen |
| $94.18 |
| 14590 |
| Beta Strep Genital Screen PCR (Group B Strep Prenatal Culture) |
| $14.94 |
| 10468P |
| BHCG, Quant (HCG QUANT) |
| $40.17 |
| 10123 |
| Bili-T, Neonate |
| $11.28 |
| 10121 |
| Bilirubin, Direct |
| $11.28 |
| 10123 |
| Bilirubin, Total |
| $11.28 |
| 105774 |
| BNP (NT PRO BNP) |
| $54.00 |
| 7123 |
| C Difficile Toxin |
| $40.78 |
| 717 |
| Carbamazepine (TEGRETOL) |
| $39.48 |
| 10619 |
| Culture, Blood |
| $24.42 |
| 10626 |
| Culture, Urine |
| $19.68 |
| 581 |
| D-dimer (QUANTITATIVE) |
| $35.31 |
| 14 |
| Antibody Screen |
| $15.60 |
| 10018 |
| DAT (Coombs Test, Direct) |
| $20.51 |
| 10624 |
| Guam Miscellaneous Culture |
| $26.34 |
| 10616 |
| Throat Culture |
| $17.88 |
| Variable |
| Anatomic Pathology Services |
| Variable |
| 54470 |
| Fetal Fibronectin (FFN) |
| $180.00 |
| WILDGMH |
| Gentamicin |
| $107.04 |
| 10159 |
| Glucose tol 1 hr (50gm) (Post Prand., Pregnancy) |
| $11.13 |
| 10180 |
| GTT 3 hr (75 or100 gm) |
| $25.35 |
| 14779 |
| Hemoglobin A1c |
| $30.33 |
| 16234 |
| Influenza A & B |
| $179.96 |
| 10915 |
| Lipid Screen |
| $47.16 |
| 11601 |
| Liver (HEPATIC PROFILE) |
| $22.59 |
| 10165 |
| Lytes (ELECTROLYTES) |
| $20.67 |
| 10147 |
| Microalbumin (URINE) |
| $30.18 |
| 10450 |
| HCG, Serum (QUALITATIVE) |
| $21.39 |
| 101470 |
| Microalbumin, Urine (w/ Creatinine) |
| $30.18 |
| 10440 |
| Phenytoin (DILANTIN) |
| $27.72 |
| 10441 |
| Phenobarbital |
| $111.10 |
| 10546 |
| Platelet Count |
| $10.35 |
| 140 |
| Chloride, Random Urine |
| $10.35 |
| 754 |
| Potassium, Random Urine |
| $13.17 |
| 756 |
| Sodium, Random Urine |
| $10.35 |
| 10450 |
| Preg, Qual (serum) |
| $21.39 |
| 10609 |
| Preg, Qual (urine) |
| $21.39 |
| 10468P |
| Preg, Quant BHCG |
| $40.17 |
| 11603 |
| Prenatal Panel |
| $95.24 |
| 10218 |
| Protein, TOTAL (SERUM) |
| $10.35 |
| 5207 |
| Protein (RANDOM URINE) |
| $13.56 |
| 216 |
| PROTEIN (24 HR URINE) |
| $13.56 |
| GS5782R |
| Direct Grp-A Strep, Reflex Culture |
| $25.35 |
| 10228 |
| Triglyceride |
| $10.35 |
| 10707 |
| Valproic Acid |
| $49.44 |
| Q340N |
| Vancomycin (No Time) |
| $49.44 |
| 107632 |
| Troponin (T GEN 5) |
| $39.00 |
| 10626 |
| Urine Culture |
| $19.68 |
| 10066 |
| Cell Count, BF |
| $10.35 |
| H218C |
| CSF Total Protein |
| $10.35 |
| 100610 |
| Crystal Analysis |
| $8.91 |
| 105870 |
| Guam Org ID, Ur, Presump, 1 Isolate |
| $11.64 |
| 105880 |
| Guam Org ID, Ur, Presump,2 Isolates |
| $23.28 |
| 105930 |
| Guam Org ID, Ur, Presump,3 Isolates |
| $34.92 |
| 106220 |
| Stool Culture |
| $24.42 |
| 106200 |
| Guam CSF Culture & Gram Stain |
| $37.62 |
| 10626 |
| Guam Urine Culture |
| $19.68 |
| 45203 |
| Ident, Aerobic Isol, 1 |
| $11.64 |
| 140460 |
| Staph Sensi, Isolate 1 |
| $29.16 |
| 140461 |
| Staph Sensi, Isolate 2 |
| $29.16 |
| 140462 |
| Staph Sensi, Isolate 3 |
| $29.16 |
| 140463 |
| Staph Sensi, Isolate 4 |
| $29.16 |
| 140480 |
| Staph Sensi, Urine, Iso 1 |
| $29.16 |
| 140481 |
| Staph Sensi, Urine, Iso 2 |
| $29.16 |
| 140482 |
| Staph Sensi, Urine, Iso 3 |
| $29.16 |
| 145203 |
| Guam Aerobic ID, 1 Isolate |
| $11.64 |
| 145213 |
| Guam Aerobic ID, 2 Isolates |
| $23.28 |
| 145223 |
| Guam Aerobic ID, 3 Isolates |
| $34.92 |
| 145233 |
| Guam Aerobic ID, 4 Isolates |
| $46.56 |
| 140450 |
| Pseudomonas Sensi, Isolate 1 |
| $29.16 |
| 140451 |
| Pseudomonas Sensi, Isolate 2 |
| $29.16 |
| 140452 |
| Pseudomonas Sensi, Isolate 3 |
| $29.16 |
| 140453 |
| Pseudomonas Sensi, Isolate 4 |
| $29.16 |
| 140470 |
| Enterococcus Sensi, Isolate 1 |
| $29.16 |
| 140471 |
| Enterococcus Sensi, Isolate 2 |
| $29.16 |
| 140472 |
| Enterococcus Sensi, Isolate 3 |
| $29.16 |
| 106670 |
| Streptococcus Enterococcus 1 |
| $29.16 |
| 106671 |
| Streptococcus Enterococcus 2 |
| $29.16 |
| 106672 |
| Streptococcus Enterococcus 3 |
| $29.16 |
| 140490 |
| Gram Neg Rod Sensi, Iso 1 |
| $29.16 |
| 140491 |
| Gram Neg Rod Sensi, Iso 2 |
| $29.16 |
| 140492 |
| Gram Neg Rod Sensi, Iso 3 |
| $29.16 |
| 140493 |
| Gram Neg Rod Sensi, Iso 4 |
| $29.16 |
| 621 |
| Anaerobic Culture |
| $32.91 |
| 4535 |
| Organism ID, Anaerobic |
| Variable |
| 145900 |
| Group B Strep Prenatal Culture |
| $14.94 |
| 1054930 |
| Vaginitis Panel, DNA Direct Probe |
| $85.20 |
| 183 |
| Chlamydia/GC PCR |
| $98.40 |
| 467 |
| Anti-Nuclear Ab, IFA, Serum |
| $32.91 |
| 5105 |
| Urine Protein/Urine Creat Ratio |
| $26.73 |
| 158 |
| Creatinine, 24 Hr Urine |
| $13.17 |
| 10093 |
| Lower Resp Tract Cult w/Gram Stain |
| $37.62 |
| 651 |
| Acid Fast Smear and Culture |
| $51.30 |
| 6555 |
| MTB/RIF Assay by Real-time PCR |
| $116.78 |
| 5210 |
| Potassium, 24 Hr Urine |
| $12.39 |
| 5211 |
| Sodium, 24 Hr Urine |
| $12.39 |
| 5209 |
| Chloride, 24 Hr Urine |
| $12.39 |
| 6177 |
| Urorisk Diagnostic Profile |
| $206.64 |
| 633 |
| Total Protein, Body |
| $10.35 |
| 1603 |
| Glucose, Body Fluid |
| $11.13 |
| 2480 |
| Calcium, 24 Hr Urine |
| $13.17 |
| 3076 |
| Oxalate, Quant., 24H |
| $29.16 |
| 3080 |
| Vibrio Stool Culture |
| $12.21 |
| 3270 |
| Uric Acid, 24 Hr Urine |
| $13.56 |
| 3770 |
| Catecholamines, Frac |
| $120.75 |
| 4610 |
| H. pylori Breath Tes |
| $227.40 |
| 4682 |
| HCG, Quantitative, Tumor |
| $40.17 |
| 4706 |
| Actin (Smooth Muscle |
| $41.40 |
| 4789 |
| Histoplasma Antibody |
| $52.98 |
| 4860 |
| EBV Antibody to VCA, |
| $30.69 |
| 5053 |
| PSA,Diagnostic,w/ref |
| $21.00 |
| 5310 |
| Magnesium, 24 Hr Urine |
| $16.38 |
| 5719 |
| Estrogen, Total |
| $81.37 |
| 5856 |
| Hemoglobinopathy Screen w/ Interp |
| $18.86 |
| 5880 |
| Guam Org ID, Ur, Presump,2 Isolates |
| $23.28 |
| 6040 |
| Cyclospora by Modified Acid Fast |
| $15.42 |
| 6390 |
| Organism ID/Sensitiv |
| VARIABLE |
| 6450 |
| Fung. Cul. (Non-Hair /Nail/ |
| $26.34 |
| 651 |
| Acid Fast Smear and Culture |
| $51.31 |
| 7160 |
| M. tuberculosis comp |
| VARIABLE |
| 7771 |
| Miscellaneous Reference Test |
| VARIABLE |
| 8120 |
| Phosphorus, 24 Hr Urine |
| $13.17 |
| 8240 |
| Urea Nitrogen, 24 Hr Urine |
| $9.63 |
| 8338 |
| Coccidioides Antibody (IgG) |
| $52.98 |
| 39072 |
| Islet Cell Ab Scrn Rflx toTiter |
| $50.40 |
| 39419 |
| Beta-2-Microglobulin, Urine |
| $24.00 |
| 41639 |
| Aspergillus Ag, EIA, BAL |
| $166.99 |
| 41750 |
| ID by MALDI, AFB |
| $72.06 |
| 43489 |
| Hypersensitivity Pneumonitis Screen |
| $135.08 |
| 43819 |
| Cystine, 24Hr Urine |
| $78.00 |
| 43968 |
| Von Willebrand Panel |
| $223.82 |
| 45003 |
| Ident, Mold Isolates |
| $12.30 |
| 45330 |
| Organism I.D. - Fungal |
| VARIABLE |
| 47178 |
| Mycoplasma Culture, Genital |
| $91.20 |
| 47347 |
| Clinical Substance Abuse Panel 10 |
| $157.68 |
| 47846 |
| Comprehensive Urine Drug Screen |
| $126.66 |
| 49818 |
| Oligoclonal Bands, CSF |
| $66.06 |
| 49832 |
| Cryptococcus Ag, CSF, Rflx Culture |
| $36.66 |
| 50280 |
| Cholesterol, Body Fluid |
| $10.35 |
| 50290 |
| Triglycerides, Body Fluid |
| $10.35 |
| 50333 |
| Albumin, Body Fluid |
| $10.35 |
| 52919 |
| Aspergillus Ag |
| $136.71 |
| 54288 |
| Prothrombin (F2) Mutation Analysis |
| $65.56 |
| 54470 |
| Fetal Fibronectin |
| $180.00 |
| 55009 |
| Adenosine Deaminase, Pleural Fluid |
| $60.00 |
| 55519 |
| Citric Acid, 24Hr Urine |
| $111.71 |
| 55820 |
| Microbiology Susceptibility Panel 1 |
| VARIABLE |
| 55821 |
| Microbiology Susceptibility Panel 2 |
| VARIABLE |
| 55830 |
| MIC Panel Susceptibility |
| $30.29 |
| 55831 |
| MIC Panel Susceptibility |
| $30.29 |
| 55943 |
| M. tuberculosis 4 Drug Sensitivity |
| $79.08 |
| 56006 |
| Stool GI Pathogen Panel, PCR |
| $183.55 |
| 56079 |
| B. pertussis/parapertussis DNA |
| $345.72 |
| 56270 |
| Cardiolipin Ab, IgA |
| $41.54 |
| 56290 |
| Cardiolipin Ab, IgM |
| $41.54 |
| 57509 |
| M. avium complex MIC |
| $158.93 |
| 57789 |
| Electrolyte & Osmolality Pnl, Fecal |
| $106.71 |
| 58159 |
| Amino Acid Analysis, LC/MS, Plasma |
| $338.38 |
| 58479 |
| Neisseria gonorrhoeae TMA, Throat |
| $107.15 |
| 58899 |
| Mumps RNA, Qual. Real Time PCR |
| $192.43 |
| 61889 |
| StoneRisk Diagnostic Profile |
| $271.22 |
| 62320 |
| Fungus Smear by Calcofluor White |
| $8.17 |
| 62330 |
| Fungus Culture, Hair/Nail/Skin |
| $15.64 |
| 62350 |
| Bacterial ID by 16S rRNA Seq |
| VARIABLE |
| 62510 |
| ID from Isolate Using 16S rRNA Seq |
| $198.26 |
| 62540 |
| RSV by PCR, (Cepheid) |
| $84.24 |
| 64396 |
| Respiratory Panel by FilmArray |
| $153.15 |
| 65550 |
| MTB/RIF Assay by Real-time PCR |
| $116.78 |
| 66348 |
| Leukemia / Lymphoma Panel, Tissue |
| VARIABLE |
| 66998 |
| Leukemia / Lymphoma Panel, CSF |
| VARIABLE |
| 67030 |
| Molds Allergen Panel, IgE |
| $110.75 |
| 67347 |
| TOX-Clinical SAP 10 XO |
| $111.73 |
| 71733 |
| Leukemia / Lymphoma Panel Profile |
| VARIABLE |
| 77498 |
| Aldosterone/Renin Ac |
| $164.36 |
| 78319 |
| Fungitell, Serum |
| $110.00 |
| 79459 |
| Thrombosis Panel |
| $362.28 |
| 80190 |
| Covid,Flu AB, & RSV by PCR (Cepheid) |
| $171.16 |
| 80200 |
| Covid, Flu AB by PCR (Cepheid) |
| $171.16 |
| 84716 |
| Stool Culture, Campy Antigen, and Shiga Toxin |
| $139.25 |
| G7179Q |
| SARS-CoV-2 (COVID-19) PCR, Cepheid |
| $63.00 |
| 100660 |
| Body Fluid Profile |
| $10.35 |
| 100930 |
| Lower Resp Tract Cult w/Gram Stain |
| $37.62 |
| 105050 |
| PSA, Total, Screen |
| $21.00 |
| 105260 |
| Spinal Fluid Cell Count, w/Diff |
| $10.35 |
| 105340 |
| Sedimentation Rate |
| $8.91 |
| 105580 |
| Semen Analysis, Comp |
| $23.52 |
| 106210 |
| Anaerobic Culture |
| $32.91 |
| 106520 |
| UA, Complete, w/ Reflex to C&S |
| $8.97 |
| Variable |
| Reference Lab Testing and other esoteric testing. |
| Variable |
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