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Performance Work Statement
CONTINGENCY LABORATORY TESTING SERVICES
1. DESCRIPTION OF SERVICES
The contractor shall provide everything necessary as defined in this Performance Work Statement (PWS), except as specified herein as services, to provide specimen analytical testing and reference laboratory testing services, located at the U.S. NMRTC Guam Room 1T12. 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) IAW 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 PWS. 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
· Contractor must have a reference laboratory. If its reference laboratory is on 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 for Mail-Out testing.
· The contractor must provide a technical assistance center that shall be available by telephone during business hours.
2. SCOPE OF WORK
U.S. NMRTC Guam laboratory will utilize manual laboratory request chit to submit laboratory requisitions: the contractor will provide courier services to pick up the specimen, perform analytical laboratory testing and transmit the results through the laboratory information system or a secured web portal to comply with the Patient Privacy Act. The transmission shall occur in U.S. NMRTC Guam acceptable format and within an US NMRTC Guam acceptable turn-around time for that specific lab test.
3. LABORATORY ORDERS AND RESULTS
U.S. NMRTC Guam has implemented an Electronic Health Record called Composite Health Care System (CHCS), 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 Standards-based Application Program Interfaces (APIs) for laboratory ordering and viewing of results when needed for these integration initiatives. The contractor shall work cooperatively with U.S. NMRTC Guam towards the implementation of this interface within thirty (30) days of Contract execution. 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 if a lab result was 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 in-house; 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 the lab by telephone, e-mail, or facsimile, within the next business day.
· 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 Electronic Prescribing System 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 defined 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 PWS.
4. ADMINISTRATIVE TASKS
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.
5. PLACE OF PERFORMANCE:
U.S. NMRTC Guam Laboratory Department Bldg 50 Farenholt Road Suite 1T12 Agana Heights, Guam 96910
6. PERIOD OF PERFORMANCE:
Base Year: 15 September 2022 through 14 September 2023 Option Year: 15 September 2023 through 14 September 2024
7. LABORATORY TEST LIST
| ABO & Rh |
| Culture, Routine, and Sensitivity |
| Phenobarbital |
| ABO |
| Culture, Strep |
| Phosphorous |
| ALT |
| Dilantin |
| Platelet Count |
| Alk. Phos |
| Anatomic Pathology Services |
| Potassium |
| Amylase |
| GBS PCR |
| Preg, Qual (serum) |
| Antibody Screen and Antibody ID |
| Fetal Fibronectin (FFN) |
| Preg, Qual (urine) |
| AST |
| Gentamicin |
| Preg, Quant BHCG |
| Acetaminophen |
| GGT |
| Prenatal Panel |
Beta Strep Genital Screen PCR Glucose tol 1 hr (50gm)
Prolactin
| BHCG, Quant |
| GTT 3 hr (75 or100 gm) |
| Protein, TOTAL |
| Bili-T, Neonate |
| Hcg Quant |
| Protein |
| Bilirubin, Direct |
| Hemogram |
| PTT |
| Bilirubin, Total |
| Hematocrit |
| Rapid Strep |
| BMP |
| Hemoglobin A1c |
| Retic Count |
| BUN |
| HIV Screen |
| Salicylate |
| Chem 8 |
| Influenza A & B |
| Total T3 |
| C Difficile Toxin |
| Iron/ Fe |
| T 3 Uptake |
| Carbamazepine |
| LDH |
| T4, Free |
| CBC |
| LDL, Direct |
| Triglyceride |
| CKMB + CK |
| Lipid Screen |
| Urinalysis |
| Creatinine |
| Liver |
| Valproic Acid |
| Culture, Blood |
| Magnesium |
| N/A |
| Culture, Urine |
| Microalbumin |
| Troponin |
| D-dimer |
| Gram Stain |
| UA DIP Only |
| Digoxin |
| HCG, Serum |
| UA/MICRO |
| ESR |
| Renal Panel |
| Urine Culture |
| Ferritin |
| ALT |
| Cell Count, BF |
| Fibrinogen |
| Transferrin |
| CSF Glucose |
| Antibody ID |
| Microalb / creat ratio |
| CSF Total Protein |
| CPK |
| Mono Screen |
| Crystal Analysis |
| Culture, Blood |
| Microalbumin |
| Troponin |
| Culture, Urine |
| Gram Stain |
| UA DIP Only |
| D-dimer |
| HCG, Serum |
| UA/MICRO |
| Digoxin |
| Renal Panel |
| Urine Culture |
| Ferritin |
| Transferrin |
| CSF Glucose |
| Fibrinogen |
| Microalb / creat ratio |
| CSF Total Protein |
| Antibody ID |
| Mono Screen |
| Crystal Analysis |
| CPK |
| RPR |
| Reference Lab Testing and other esoteric testing. |