S02 36C24223Q0156 final.pdf

PAGE 1 OF 1. REQUISITION NO.

2. CONTRACT NO. 3. AWARD/EFFECTIVE DATE 4. ORDER NO. 5. SOLICITATION NUMBER 6. SOLICITATION ISSUE DATE

a. NAME b. TELEPHONE NO. (No Collect Calls) 8. OFFER DUE DATE/LOCAL

TIME

9. ISSUED BY CODE 10. THIS ACQUISITION IS UNRESTRICTED OR SET ASIDE: % FOR:

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

8(A)

NAICS:

SIZE STANDARD:

11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13b. RATING

14. METHOD OF SOLICITATION

RFQ IFB RFP

15. DELIVER TO CODE 16. ADMINISTERED BY CODE

17a. CONTRACTOR/OFFEROR CODE FACILITY CODE 18a. PAYMENT WILL BE MADE BY CODE

TELEPHONE NO. UEI: EFT:

PHONE: FAX:

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW IS CHECKED

SEE ADDENDUM

19. 20. 21. 22. 23. 24.

ITEM NO. SCHEDULE OF SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

(Use Reverse and/or Attach Additional Sheets as Necessary)

25. ACCOUNTING AND APPROPRIATION DATA 26. TOTAL AWARD AMOUNT (For Govt. Use Only)

27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA ARE ARE NOT ATTACHED.

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA ARE ARE NOT ATTACHED

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN _______________ 29. AWARD OF CONTRACT: REF. ___________________________________ OFFER COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DATED ________________________________. YOUR OFFER ON SOLICITATION DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY (BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED SET FORTH HEREIN IS ACCEPTED AS TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

30b. NAME AND TITLE OF SIGNER (TYPE OR PRINT) 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (TYPE OR PRINT) 31c. DATE SIGNED

AUTHORIZED FOR LOCAL REPRODUCTION (REV. NOV 2021)

PREVIOUS EDITION IS NOT USABLE Prescribed by GSA - FAR (48 CFR) 53.212

7. FOR SOLICITATION

INFORMATION CALL:

STANDARD FORM 1449

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

36C24223Q0156 12/21/2022

Sciortino, Kathleen kathleen.sciortino@va.gov 315-425-6702 01-12-2023

16:00 EST

Department of Veterans Affairs Network Contracting Office (NCO) 2 1304 Buckley Road, Suite 101 Syracuse NY 13212

X 100

X

541690

$16.5 Million

N/A

X

Department of Veterans Affairs Northport VAMC 79 Middleville Rd.

Northport New York 11768

Department of Veterans Affairs Network Contracting Office (NCO) 2 1304 Buckley Road, Suite 101 Syracuse NY 13212

Tungsten Network https://www.tungsten-network.com/ customer-campaigns/veteransaffairs/

See CONTINUATION Page

This solicitation is IAW FAR Part 12 and 13 for Board Certified Diagnostic Medical Physicist services for equipment testing and annual inspections requested for the Department of Veteran Affairs, Northport VA Medical Center.

Radiation Safety Officer and Deputy Radiation Safety Officer requirements are included within the PWS.

Estimate Period of Performance: 03/01/2023 - 02/29/2028

This Solicitation type is annotated under Block 10 Schedule of Services: 4 Performance Work Statement: 6 Instructions to Offerors: 63

/----------REMAINING FIELDS LEFT BLANK AND NO FURTHER

INFORMATION PROVIDED UNDER THIS SECTION-----------------/

See CONTINUATION Page x X

X 1

Kathleen Sciortino

VA-VHA-SAOC-2019-1257353F

36C24223Q0156

Table of Contents

SECTION A

A.1 SF 1449 SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINSTRATION DATA

B.2 SCHEDULE OF SERVICES

B.3 PERFORMANCE WORK STATEMENT

B.4 VA INFORMATION AND INFORMATION SYSTEM SECURITY/PRIVACY

SECTION C - CONTRACT CLAUSES

C.1 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL PRODUCTS

AND COMMERCIAL SERVICES (NOV 2021)

C.2 52.216-18 ORDERING (AUG 2020)

C.3 52.216-19 ORDER LIMITATIONS (OCT 1995)

C.4 52.216-22 INDEFINITE QUANTITY (OCT 1995)

C.5 52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)

C.6 52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000)

C.7 52.223-99 ENSURING ADEQUATE COVID-19 SAFETY PROTOCOLS FOR FEDERAL

CONTRACTORS (OCT 2021) (DEVIATION)

C.8 SUPPLEMENTAL INSURANCE REQUIREMENTS

C.9 52.232-19 AVAILABILITY OF FUNDS FOR THE NEXT FISCAL YEAR (APR 1984) 47

C.10 VAAR 852.204-70 PERSONAL IDENTITY VERIFICATION OF CONTRACTOR

PERSONNEL (MAY 2020)

C.11 852.217-70 CONTRACT ACTION DEFINITIZATION (JUL 2019)

C.12 VAAR 852.237-75 KEY PERSONNEL (OCT 2019)

C.13 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

C.14 VAAR 852.212-70 PROVISIONS AND CLAUSES APPLICABLE TO VA

ACQUISITION OF COMMERCIAL ITEMS (APR 2020)

C.15 VAAR 852.219-74 LIMITATIONS ON SUBCONTRACTING—MONITORING AND

COMPLIANCE (JUL 2018)

C.16 VAAR 852.211-72 TECHNICAL INDUSTRY STANDARDS (NOV 2018)

C.17 VAAR 852.223-71 SAFETY AND HEALTH (SEP 2019)

C.18 852.228-73 INDEMNIFICATION OF CONTRACTOR—HAZARDOUS RESEARCH

PROJECTS (MAR 2018)

C.19 VAAR 852.237-72 CRIME CONTROL ACT—REPORTING OF CHILD ABUSE (OCT

2019)

C.20 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT

STATUTES OR EXECUTIVE ORDERS—COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES (MAY 2022) (JUL 2020) (DEVIATION)

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

D.1 Active Equipment List

D.2 SECTD_ORG_CONFLICT_CERT 08132021

D.3 Immigration

D.4 Key Personnel

D.5 CDR

D.6 QASP final D.7 Certification Vaccination PRAv7 exp 02_28_2025

SECTION E - SOLICITATION PROVISIONS

E.1 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES (NOV 2021)

E.2 52.204-24 REPRESENTATION REGARDING CERTAIN TELECOMMUNICATIONS

AND VIDEO SURVEILLANCE SERVICES OR EQUIPMENT (NOV 2021)

E.3 52.209-7 INFORMATION REGARDING RESPONSIBILITY MATTERS (OCT 2018)

E.4 52.233-2 SERVICE OF PROTEST (SEP 2006)

E.5 VAAR 852.209-70 ORGANIZATIONAL CONFLICTS OF INTEREST (OCT 2020)

E.6 VAAR 852.273-70 LATE OFFERS (NOV 2021)

E.7 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB

1998)

E.8 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—COMMERCIAL

PRODUCTS AND COMMERCIAL SERVICES (MAY 2022) (JUL 2020) (DEVIATION)

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINSTRATION DATA

1. Contract Administration: All contract administration matters will be handled by the following individual(s):

a. Contractor:

Company Name:

Points of Contact/Titles:

Telephone number:

Fax Number:

Email:

UEI:

TIN Number:

b. Government:

Kathleen Sciortino, Contracting Officer NCO 02 Kathleen.sciortino@va.gov

(315) 425-6702

Department of Veterans Affairs Network Contracting Office (NCO) 02 1304 Buckley Rd.

Syracuse, NY 13212

2. CONTRACTOR REMITTANCE ADDRESS: All payments by the Government to the contractor will be made in accordance with:

[X] 52.232-33, Payment by Electronic Funds Transfer – System for Award Management [ ] 52.232-34, Payment by Electronic Funds Transfer – Other than System for Award Management [ ] 52.232-36, Payment by Third Party

3. INVOICES: Invoices shall be submitted in arrears: Submission will be monthly for the previous 30-day period and no later than seven (7) calendar days of close of the month being invoiced. Invoices will be based on the applicable fixed rates for services provided to referred Veterans in accordance with the contract. The Contracting Officer’s Representative (COR) will review all invoices submitted.

The COR is responsible for certifying invoices for payment only for services received and deemed acceptable. Payment will not be authorized unless a proper invoice is submitted, reviewed and accepted.

Quarterly [ ] Semi-Annually [ ] Other [X – Monthly ] mailto:Kathleen.sciortino@va.gov

4. GOVERNMENT INVOICE ADDRESS: All invoices from the contractor shall be submitted electronically in accordance with VAAR Clause 852.232-72, Electronic Submission of Payment Requests. Invoicing shall be in accordance with the requirements of the Department of Veterans Affairs (VA) Financial Services Center (FSC). The latest information shall be used for invoicing and payments and may change during the Period of Performance of this acquisition. Current invoicing information is located at: http://www.fsc.va.gov/einvoice.asp.

Department of Veterans Affairs Financial Services Center http://www.fsc.va.gov/einvoice.asp Austin TX

5. SECURE FAX: VA Handbook 6500 requires the following statement be included on all fax cover sheets: “This fax is intended only for the use of the person or office to which it is addressed and may contain information that is privileged, confidential, or protected by law. All others are hereby notified that the receipt of this fax does not waive any applicable privilege or exemption for disclosure and that any dissemination, distribution, or copying of this communication is prohibited. If you have received this fax in error, please notify this office immediately at the telephone number listed above.”

6. CONTRACT MODIFICATIONS: The Contractor is advised that only the Contracting Officer, acting within the scope of the contract and his/her duties and responsibilities and after advice and consultation with the Contracting Officer’s Representative (COR), has the authority to make changes that will affect contract prices, quantity, quality, delivery terms and conditions, or the term of the contract. In no event shall any understanding or agreement, modification, change order, or other matters in deviation from the terms of this contract between Contractor and a person other than the Contracting Officer be effective or binding upon the Government. All such actions must be formalized by the proper contractual document executed by the Contracting Officer.

7. SOLICITATION/CONTRACT: This solicitation and resulting contract adheres to the format defined in Federal Acquisition Regulation (FAR) Parts 12, 13, and 19. An official copy of the FAR can be obtained at: https://www.acquisition.gov.

8. SYSTEM FOR AWARD MANAGEMENT (SAM): Per FAR 4.1102, offerors must be listed in SAM at the time of offers due AND at the time of award. SAM includes the functionality of the previous Central Contractor Registration (CCR) and Online Representations and Certifications Applications (ORCA). No contract will be entered into with an unregistered contractor. Internet access allows registration by completing an electronic online registration application at: http://www.beta.sam.gov/.

9. POST AWARD ORIENTATION: The Contracting Officer will schedule a post award orientation for contract orientation purposes as required by Procurement Policy Memorandum (PPM) 2019- 01.

https://www.va.gov/oal/docs/business/pps/ppm201901.pdf

10. ACKNOWLEDGMENT OF AMENDMENTS: The offeror acknowledges receipt of amendments to the Solicitation numbered and dated as follows:

AMENDMENT NO DATE

http://www.fsc.va.gov/einvoice.asp https://www.acquisition.gov/ http://www.beta.sam.gov/ https://www.va.gov/oal/docs/business/pps/ppm201901.pdf

B.2 SCHEDULE OF SERVICES

Department of Veterans Affairs (VA) intends to enter into a single, award, IDIQ fixed price contract with an Offeror who provides the best overall quote that is in the best interest to the Government for Board- Certified Diagnostic Medical Physicists services for equipment testing and inspections and RSO and DRSO duties. The contractor agrees to provide non-personal healthcare resources in accordance with the attached Performance Work Statement (PWS), to furnish to and at the Department of Veterans Affairs, Northport VAMC, the services and prices specified. The contractor’s Board-Certified Diagnostic Medical Physicists shall cover the range of services specified within the PWS as would be provided in a state-of-the-art civilian medical treatment facility and the standard of care shall be of a quality, meeting or exceeding current recognized national standards listed within the Policy/Handbook section of the PWS.

The Contractor shall furnish all labor, material, equipment, and personnel to provide Diagnostic Medical Physicists Services to include radiographic equipment inspection, testing and reporting in support of the NJHCS VA Medical Centers.

Estimated Period of Performance: 1 Base Year to include four (4) Option Periods

Place of Performance: Department of Veteran’s Affairs, Northport VAMC, 79 Middleville Rd., Northport New York 11768

Pricing Instructions:

Contractor shall provide at a minimum of three (3) board certified Diagnostic Medical Physicist to be vetted in order to provide services through the life of the contract.

The Offeror is instructed to fill in each unit price and total price for each contract period. At the end of Contract year #4, the offeror is required to complete the summary totals and grand total.

The contractor shall use the template below when creating a price schedule after the pricing sheet has been developed.

The method for submission for quote evaluation is including an excel spreadsheet that allows formulas to be reviewed that shows all pieces of equipment that includes the frequency of testing and inspection based on the PWS for services.

The excel data fields should have at a minimum headers provided: 1. Nomenclature, Nomenclature Quantity, Equipment Quantity, Hours, Diagnostic Physicists Hourly rate and Total Price.

Line Item

Equipment / Nomenclature

Equipment Quantity

Equipment Unit Price

Hours Based on Type of Equipment

Diagnostic Physicists hourly rate

Total Price

SCANNING

SYSTEMS: CT /

Brilliance BIg

BORE

4 $2,350 4 $200.00 $10,209.30

At the end of each year of service, a new funding obligation number will be provided to the contracted agency, based on annual appropriations A modification will be issued for adding additional funding to the contract as funding shall not exceed one year under one Purchase Order. The modification will be issued from the effective date of contract award through the day before the commence date of the next period. Included in the contract modification, will be a copy of the agreed amounts for each line items.

Contract modifications will be issued only by the Contracting Activity Office, NCO 2.

The final price schedule will be rolled up into one annual fee after pricing is accepted and deemed fair and reasonable. The Sampled scheduled in the contract will look like the following listed below:

Base Period: Estimated Start Date: 04/01/2023 – 03/31/2024

LINE

ITEM

Sub- Line Items

DESCRIPTION OF SERVICES EST.

QTY

UNI

T OF

ISSU

E

UNIT

PRICE

TOTAL

PRICE

0001 CERTIFIED DIAGNOSTIC MEDICAL

PHYSICIST SERVICES FOR EQUIPMENT

TESTING AND INSPECTIONS. To include emergency testing and inspections for Northport VAMC. Testing shall be conducted IAW the PWS for all pieces of equipment annotated in the Active Equipment List.

0001a Equipment testing and inspections for all imagining models based on the Northport VAMC active equipment listing. To include any annual QA reviews. Supporting price listing is attached for line item unit costs for verification.

1 YR

RSO / DRSO Services 768 HRS

0003 RSO / DRSO Call back 10 HRS

0004 RSO / DRSO Overtime 10 HRS

0005 On-call for RSO / DRSO 6,627 HRS

BASE PERIOD TOTAL: $xxx.xx

Option Period #1 04/01/2024 – 03/31/2025

LINE

ITEM

Sub- Line Items

DESCRIPTION OF SERVICES EST.

QTY

UNI

T OF

ISSU

E

UNIT

PRICE

TOTAL

PRICE

1001 CERTIFIED DIAGNOSTIC MEDICAL

PHYSICIST SERVICES FOR EQUIPMENT

TESTING AND INSPECTIONS. To include emergency testing and inspections for Northport VAMC. Testing shall be conducted IAW the PWS

1001a Equipment testing and inspections for all imagining listing. To include any annual QA reviews. Supporting price listing is required as stated above.

1003 RSO / DRSO Call back 10 HRS

1004 RSO / DRSO Overtime 10 HRS

1005 On-call for RSO / DRSO 6,627 HRS

BASE PERIOD TOTAL: $xxx.xx

Option Period #2 04/01/2025 – 03/31/2026

LINE

ITEM

Sub- Line Items

DESCRIPTION OF SERVICES EST.

QTY

UNI

T OF

ISSU

E

UNIT

PRICE

TOTAL

PRICE

2001 CERTIFIED DIAGNOSTIC MEDICAL

PHYSICIST SERVICES FOR EQUIPMENT

TESTING AND INSPECTIONS. To include emergency testing and inspections for Northport VAMC. Testing shall be conducted IAW the PWS

2001a Equipment testing and inspections for all imagining listing. To include any annual QA reviews. Supporting

1 YR 15,000

2003 RSO / DRSO Call back 10 HRS

2004 RSO / DRSO Overtime 10 HRS

2005 On-call for RSO / DRSO 6,627 HRS

BASE PERIOD TOTAL: $

Option Period #3 04/01/2026 – 03/31/2027

ITEM

Sub- Line Items

DESCRIPTION OF SERVICES EST.

QTY

UNI

T OF

ISSU

E

UNIT

PRICE

TOTAL

PRICE

3001 CERTIFIED DIAGNOSTIC MEDICAL

PHYSICIST SERVICES FOR EQUIPMENT

TESTING AND INSPECTIONS. To include emergency testing and inspections for Northport VAMC. Testing shall be conducted IAW the PWS

3001a Equipment testing and inspections for all imagining listing. To include any annual QA reviews. Supporting

3003 RSO / DRSO Call back 10 HRS

3004 RSO / DRSO Overtime 10 HRS

3005 On-call for RSO / DRSO 6,627 HRS

Option Period #4 04/01/2027 – 03/31/2028

ITEM

Sub- Line Items

DESCRIPTION OF SERVICES EST.

QTY

UNI

T OF

ISSU

E

UNIT

PRICE

TOTAL

PRICE

4001 CERTIFIED DIAGNOSTIC MEDICAL

PHYSICIST SERVICES FOR EQUIPMENT

TESTING AND INSPECTIONS. To include emergency testing and inspections for Northport VAMC. Testing shall be conducted IAW the PWS

4001a Equipment testing and inspections for all imagining listing. To include any annual QA reviews. Supporting

4003 RSO / DRSO Call back 10 HRS

4004 RSO / DRSO Overtime 10 HRS

4005 On-call for RSO / DRSO 6,627 HRS

Summary of Period Totals:

Base Ordering Period Total $

#1 Total $

#2 Total $

#3 Total $

#4 Total $ The Contractor shall provide the estimated grand total for all periods of performance listed above.

B.3 PERFORMANCE WORK STATEMENT

General:

1.1. Services Provided: The Contractor shall provide estimated 768 hour (.75 FTE) Radiation Safety Officer / Deputy Radiation Safety Officer, to include estimated 6,627 annual hours of on-call and a Diagnostic Medical Physicist to provide radiation safety services for equipment testing and inspections services as requested for the Department of Veterans Affairs, Northport VA Medical Center.

1.2. Place of Performance:

Department of Veterans Affairs Northport VAMC 79 Middleville Rd Northport, NY 11768

1.3. Term of Service: The contract will be written for one (1) base period with (4) one-year option periods.

1.3.1. This contract is issued subject to the availability of appropriations for FY

2023 and ensuing fiscal years.

1.3.2. Option years, if deemed necessary, will be exercised via a unilateral modification by serving appropriate notice in writing at least 30 days prior to the expiration date of the term.

1.3.3. The contractor shall not perform services after the end date of the base period of performance or option year (if exercised) until funding is established.

1.4. Authority: 38 USC 7301(b) Functions of Veterans Health Administration, FAR 12 and 13.5.

1.5. Contract Modifications: No modifications shall be made to this contract unless authorized via signed modification.

1.5.1. The Contracting Officer is the only person authorized to approve/commit any changes or modifications to the requirements of this contract.

1.5.2. The Contractor shall communicate with the Contracting Officer on all matters pertaining to the contract administration.

1.5.3. In the event any change at the direction of any person other than the contracting officer has been made will result in the change to be considered to have been made without authority and no adjustment will be made in the contract price to cover any increase in costs incurred as a result thereof.

1.5.4. The Contractor shall obtain prior authorization from the contracting officer for any services required outside the scope of work provided herein.

1.6. Policy/Handbooks: The contractor shall be subject to the following policies, including any subsequent updates during the period of performance:

1.6.1. VHA Directive 1129 Radiation Protection for Machine Sources of

Ionizing Radiation: VHA Directive 1129

1.6.2. VHA Directive 1105 Management of Radioactive Materials: VHA Directive

1.6.3. VHA Directive 2013-007 Mandatory Reporting for Misadministration of Therapy Machine Sources of Ionizing Radiation: VHA Directive 2013-007

1.6.4. VHA Handbook 1105.04 Fluoroscopy Safety: VHA Handbook 1105.04 (Fluoroscopy Safety)

1.6.5. The American College of Radiology (ACR) and follow the standards and guidelines set forth by ACR: http://www.acr.org/Quality-Safety/Standards- Guidelines/Technical-Standards-by-Modality/Medical-Physics

1.6.6. The professional standards of the Joint Commission (TJC) http://www.jointcommission.org/standards_information/hap_requirements.aspx

1.6.7. Definitions: Terms used in this contract shall be interpreted as follows unless the context expressly requires a different construction and/or interpretation.

1.6.8. Contracting Officer: The person with the authority to enter into, administer, and/or terminate contracts and make related determinations & findings.

1.6.9. Contracting Officer Representative: Any person or persons authorized to act for the contracting officer within specific limits of the contract, normally to provide technical assistance and advice, coordination of workload, and certification of invoices.

1.6.10. Contractor: An individual, partnership, corporation, or organization having a contractual relationship with the Government for provision of services.

1.6.11. Acronyms/Abbreviations:

1.6.11.1. ABHP: American Board of Health Physics

1.6.11.2. ABRB: American Board of Radiology

1.6.11.3. ACR: American College of Radiology

1.6.11.4. ALARA: As Low as Reasonable Achievement

1.6.11.5. ADP: Automated Data Processing

1.6.11.6. AMA: American Medical Association

1.6.11.7. CO: Contracting Officer

1.6.11.8. COR: Contracting Officer Representative

1.6.11.9. CQI: Continuous Quality Improvement

1.6.11.10. D&T: Diagnostics & Therapeutic Care Line

1.6.11.11. DHCP: Decentralized Hospital Computer Program

1.6.11.12. FAR: Federal Acquisition Regulation

1.6.11.13. ISO: Information Security Officer

1.6.11.14. IRMS: Information Resources Management Service

1.6.11.15. JCAHO: Joint Commission on Accreditation of Healthcare Organizations

1.6.11.16. NCQA: National Committee for Quality Assurance

1.6.11.17. NRC: Nuclear Regulatory Commission

1.6.11.18. OSHA: Occupational Safety and Health Administration http://www.google.com/url?sa=t&rct=j&q&esrc=s&source=web&cd=1&sqi=2&ved=0ahUKEwi_s7qYj-nLAhXCHh4KHTl3CosQFggcMAA&url=http%3A%2F%2Fwww.va.gov%2Fvhapublications%2FViewPublication.asp%3Fpub_ID%3D3081&usg=AFQjCNFQUUGA0SXpYqxCgPDwqz__UXOjYQ&bvm=bv.118353311%2Cd.dmo http://www.google.com/url?sa=t&rct=j&q&esrc=s&source=web&cd=1&sqi=2&ved=0ahUKEwi_s7qYj-nLAhXCHh4KHTl3CosQFggcMAA&url=http%3A%2F%2Fwww.va.gov%2Fvhapublications%2FViewPublication.asp%3Fpub_ID%3D3081&usg=AFQjCNFQUUGA0SXpYqxCgPDwqz__UXOjYQ&bvm=bv.118353311%2Cd.dmo http://www.google.com/url?sa=t&rct=j&q&esrc=s&source=web&cd=1&ved=0ahUKEwiKuavkiOnLAhVEkh4KHfMvDQ4QFggcMAA&url=http%3A%2F%2Fwww.va.gov%2Fvhapublications%2FViewPublication.asp%3Fpub_ID%3D3080&usg=AFQjCNGLPxfsrcd5szyaVz-TXTRfzUwi8A&bvm=bv.118353311%2Cd.dmo http://www.google.com/url?sa=t&rct=j&q&esrc=s&source=web&cd=1&ved=0ahUKEwiKuavkiOnLAhVEkh4KHfMvDQ4QFggcMAA&url=http%3A%2F%2Fwww.va.gov%2Fvhapublications%2FViewPublication.asp%3Fpub_ID%3D3080&usg=AFQjCNGLPxfsrcd5szyaVz-TXTRfzUwi8A&bvm=bv.118353311%2Cd.dmo http://www.google.com/url?sa=t&rct=j&q&esrc=s&source=web&cd=1&ved=0ahUKEwjotezwj-nLAhVFHB4KHV5SDHcQFggcMAA&url=http%3A%2F%2Fwww.va.gov%2Fvhapublications%2FViewPublication.asp%3Fpub_ID%3D2877&usg=AFQjCNFEkupj1UKsReTUxJU_sNvk6QHsFg&bvm=bv.118353311%2Cd.dmo http://www.google.com/url?sa=t&rct=j&q&esrc=s&source=web&cd=1&ved=0ahUKEwjotezwj-nLAhVFHB4KHV5SDHcQFggcMAA&url=http%3A%2F%2Fwww.va.gov%2Fvhapublications%2FViewPublication.asp%3Fpub_ID%3D2877&usg=AFQjCNFEkupj1UKsReTUxJU_sNvk6QHsFg&bvm=bv.118353311%2Cd.dmo http://www.google.com/url?sa=t&rct=j&q&esrc=s&source=web&cd=1&ved=0ahUKEwjip_SujenLAhXHHB4KHeX3B9MQFggcMAA&url=http%3A%2F%2Fwww1.va.gov%2Fvhapublications%2FViewPublication.asp%3Fpub_ID%3D2764&usg=AFQjCNFreWnZTzCWpZIquTj5qPhiAFShjA&bvm=bv.118353311%2Cd.dmo http://www.google.com/url?sa=t&rct=j&q&esrc=s&source=web&cd=1&ved=0ahUKEwjip_SujenLAhXHHB4KHeX3B9MQFggcMAA&url=http%3A%2F%2Fwww1.va.gov%2Fvhapublications%2FViewPublication.asp%3Fpub_ID%3D2764&usg=AFQjCNFreWnZTzCWpZIquTj5qPhiAFShjA&bvm=bv.118353311%2Cd.dmo http://www.acr.org/Quality-Safety/Standards-Guidelines/Technical-Standards-by-Modality/Medical-Physics http://www.acr.org/Quality-Safety/Standards-Guidelines/Technical-Standards-by-Modality/Medical-Physics

1.6.11.19. PO: Privacy Officer

1.6.11.20. PO: Purchase Order

1.6.11.21. QA: Quality Assurance

1.6.11.22. QI: Quality Improvement

1.6.11.23. RPP: Radiation Protection Program

1.6.11.24. RSO: Radiation Safety Officer

1.6.11.25. SDB: Small Disadvantaged Business

1.6.11.26. USC: United States Code

1.6.11.27. VA: Department of Veterans Affairs

1.6.11.28. VAMC: VA Medical Center

1.6.11.29. VA NHPP: VA National Health Physics Program

1.6.11.30. VISN: Veterans Integrated Service Network

1.6.11.31. VISTA: Veterans Health Information Systems & Technology Architecture

2. Qualifications:

2.1. Staff/Facility

2.1.1. Board Certification: All Radiation Physicists performing services under this contract shall be board certified from one of the following boards: American Board of Radiology, American Board of Health Physicists or American Board of Medical Physics, or Canadian College of Physicist in Medicine. Candidate can either be master’s Level or PhD. The Proposed Physicist must have minimum qualification requirements in Title 10, Part 35.50, of the Code of Federal Regulations (10 CFR 35). The RSO must also be approved by a permit amendment from the VHA National Health Physics Program (NHPP). Board-eligibility must be maintained throughout the contract period of performance.

All continuing education courses required for maintaining certification/eligibility must be always kept up to date. Documentation verifying current licensure and certifications must be provided upon quote submission, quarterly, or as requested, to ensure adequate licensure and certification are current,

2.1.1.1. All certifications of contract personnel shall also be subject to review.

2.1.1.2. All certifications of the contract personnel shall be full and unrestricted certifications.

2.1.2. Background Check: are required, see page 36.

2.1.3. Technical Proficiency: The Contractor and any employee’s performing services on this contract shall be technically proficient in the skills necessary to fulfill the government’s requirements, including the ability to speak, understand, read, and write English fluently. Contractor shall provide documents to verify current and ongoing competency, skills, certifications that are related to the provision of the requested services performed by each person performing on this contract.

2.1.3.1. Contractor shall provide verifiable evidence of all education and training experiences.

2.1.4. Mandatory VA Training: Contractors who have access to the network will be required to complete the VA Privacy and Information Security Awareness and Rules of Behavior course prior to commencement of assigned duties within the VA facilities.

2.1.4.1. VA Privacy Training for Personnel without Access to VA

Computer Systems or VA Sensitive Information may also be required for incidental/circumstantial access.

Training Frequency Annual Hours

VA Privacy and Information Security Awareness and Rules of Behavior – TMS Course # 10176

Once a Year

1 hour

VA Privacy Training for Personnel without Access to VA Computer Systems

Once a Year

1.5 hours

Additional training may be required per VHA or Medical Center directives To be Determined by

Station Education Depart.

To be Determined by Station Education Depart.

2.1.5. Conflict of Interest: The Contractor and all provider(s) are responsible for identifying and communicating to the CO and COR any conflicts of interest at the time of quote and during the entirety of contract performance. At the time of quote, the Contractor and provider shall provide a statement which describes, in a concise manner, all relevant facts concerning any past, present, or currently planned interest (financial, contractual, organizational, or otherwise) or actual or potential organizational conflicts of interest relating to the services to be provided.

The Contractor shall also provide statements containing the same information for any identified consultants or contract providers who shall provide services. With its proposal, the contractor shall provide the names of all contractor employees and family members of contractor employees, who are also employed by the Department of Veterans Affairs. The Contractor must also provide relevant facts that show how it’s organizational and/or management system or other actions would avoid or mitigate any actual or potential organizational conflicts of interest. These statements shall be in response to the VAAR provision 852.209-70 Organizational Conflicts of Interest (Oct 2020).

2.1.6. Certification of Citizenship:

2.1.6.1. The Contractor certifies that the Contractor shall comply with any and all legal provisions contained in the Immigration and Nationality Act of 1952, As Amended; its related laws and regulations that are enforced by Homeland Security, Immigration and Customs Enforcement and the U.S Department of Labor as these may relate to non-immigrant foreign nationals working under this contract for the Contractor while providing services to Department of Veterans Affairs patient referrals;

2.1.6.2. If the Contractor or their provider fail to comply with any requirements outlined in the preceding paragraph or its Agency regulations, the Department of Veterans Affairs may, at its discretion, require that the foreign national who failed to maintain their legal status in the United States or otherwise failed to comply with the requirements of the laws administered by Homeland Security, Immigration and Customs Enforcement and the U.S Department of Labor, shall be prohibited from working at the Contractor’s place of business that services Department of Veterans Affairs patient referrals; or other place where the Contractor provides services to veterans who have been referred by the Department of Veterans Affairs; and shall form the basis for termination of this contract for breach.

2.1.6.3. This certification concerns a matter within the jurisdiction of an agency of the United States and the making of a false, fictitious, or fraudulent certification may render the maker subject to prosecution under 18 U.S.C. 1001.

2.1.6.4. The Contractor agrees to obtain a similar certification from its subcontractors.

2.1.7. Annual Office of Inspector General (OIG): In accordance with HIPAA and the Balanced Budget Act (BBA) of 1977, the Department of Health and Human Services (HHS) Office of Inspector General (OIG) has established a list of parties and entities excluded from Federal health care programs. Specifically, the listed parties and entities may not receive Federal Health Care program payments due to fraud and/or abuse of the Medicare and Medicaid programs.

2.1.7.1. Therefore, Contractor shall review the HHS OIG List of Excluded Individuals/Entities on the HHS OIG web site at http://oig.hhs.gov/exclusions/index.asp to ensure that the proposed provider(s) are not listed. Contractor should note that any excluded individual or entity that submits a claim for reimbursement to a Federal health care program, or causes such a claim to be submitted, may be subject to a Civil Monetary Penalty (CMP) for each item or service furnished during a period that the person was excluded and may also be subject to treble damages for the amount claimed for each item or service. CMP’s may also be imposed against the Contractor that employ or enter into contracts with excluded individuals to provide items or services to Federal program beneficiaries.

2.2. Non Personal Healthcare Services: The parties agree that the Contractor and any employees shall not be considered VA employees for any purpose.

2.3. Inherent Government Functions: Contractor and employees shall not perform inherently governmental functions. This includes, but is not limited to, determination of agency policy, determination of Federal program priorities for budget requests, direction and control of government employees (outside a clinical context), selection or non-selection of individuals for Federal Government employment including the interviewing of individuals for employment, approval of position descriptions and performance standards for Federal employees, approving any contractual documents, http://oig.hhs.gov/exclusions/index.asp approval of Federal licensing actions and inspections, and/or determination of budget policy, guidance and strategy.

2.4. No Employee Status: The Contractor shall be responsible for protecting employee furnishing services. To carry out this responsibility, the Contractor shall provide or certify that the following is provided for all their staff providing services under the resultant contract:

2.4.1. Workers Compensation

2.4.2. Professional Liability Insurance

2.4.3. Health examinations

2.4.4. Income tax withholding, and

2.4.5. Social Security Payments

2.5. Tort Liability: The Federal Tort Claims Act does not cover the Contractor or contractor employees. When a Contractor or contractor employee has been identified in a tort claim, the Contractor shall be responsible for notifying their legal counsel and/or insurance carrier. Any settlement or judgment arising from a Contractor’s or contractor employee’s action, or non-action shall be the responsibility of the Contractor and/or insurance carrier. Contractor shall notify the VA as soon as possible of any information or formal complaint, allegation, claim, legal action, made in any for by or on behalf of the Government pertaining to the services provided by the Contractor under this contract.

2.6. Key Personnel: It is essential that continuity of services is maintained to the maximum degree possible, the substitution of contractor personnel shall be limited to urgent/emergent absences of approved, assigned personnel.

2.6.1. In the event personnel cannot complete the assigned service, the contractor shall provide a replacement and notify the COR immediately of the change.

2.6.2. Contractor shall provide 1 primary Certified Diagnostic Medical Physicists and 2 alternates who are Certified Diagnostic Medical Physicists.

2.7. Personnel Substitutions: During the first ninety (90) calendar days of performance, the Contractor shall make NO substitutions of key personnel unless the substitution is necessitated by illness, death, or termination of employment.

2.7.1. The Contractor shall notify the COR and CO, in writing, within 15 calendar days after the occurrence of any of these events and provide the information required below.

2.7.2. After ninety days, the contractor can be allowed key personnel changes as long as the below is provided, in writing, at least 15 days before the proposed change.

2.7.2.1. The contractor shall provide a detailed explanation of the circumstances necessitating the proposed substitutions, complete resumes for the proposed substitutes, and any additional information requested by the CO as described herein.

2.7.2.2. Proposed substitutes shall have comparable qualifications to those of the persons being replaced.

2.7.3. The Contracting Officer shall provide in writing within 15 calendar days after receipt of all required information of the decision on the proposed changes of key personnel, at which time a modification to the contract shall be completed to reflect the approved changes.

2.7.4. The Government reserves the right to refuse acceptance of any personnel of this contract at any time after performance begins for any of the following (but is not limited to):

2.7.4.1. If personal or professional conduct jeopardizes or interferes with the services being provided or ordinary operation of the facility.

2.7.4.2. Breaches of conduct to include, but not limited to intoxication or debilitation resulting from drug use, theft, patient abuse, dereliction, or negligence in performing directed services, or other conduct resulting in formal complaints

2.7.5. Standards for conduct shall mirror those prescribed by current federal personnel regulations

2.7.6. The CO and COR shall deal with issues raised concerning any contract personnel conduct. The final arbiter on questions of acceptability is the CO.

2.8. Contingency Plan: Because of continuity of radiation safety services is an essential part of the VAMC, the Contractor shall have a contingency plan in place to be utilized if the Contractor or contract employees becomes unable to provide continued performance in accordance with the terms and conditions of the resulting contract.

3. Hours of Operation

3.1. VA Business Hours:

3.1.1. VA Business Hours: Northport’s hours are from 8:00 a.m. to 4:30 p.m.

Monday through Friday. Except for Federal Holidays.

• Federal Holidays are:

o New Year’s Day o Martin Luther King Jr. Day o Presidents Day o Memorial Day o Juneteenth Day o Independence Day o Labor Day o Veterans Day o Columbus Day o Thanksgiving Day o Christmas Day o And any other day that the President of the United States determines is a Federal Holiday.

3.1.2. Radiation Safety Officer and Deputy Radiation Safety Officer Work Hours:

3.1.2.1. The contractor will be needed approximately two days a week during normal business hours and to be available for telephone phone consultation on an as needed basis, to include emergencies 24 hours a day.

3.1.2.1.1. RSO is required during TJC,NRC NHPP inspections.

3.1.2.1.2. RSO is required to be on site at a minimum of one (1) day a week.

3.1.2.2. The contractor shall adhere to the schedule compiled with the COR in order to comply with the VA NHPP standards.

3.1.2.5 Contractor shall be available to attend in person the onsite VA Radiation Safety Committee meeting, and report on status of equipment testing (pass/fail) with repair recommendations.

3.1.3 Off- hours Coverage: The contractor must ensure that the RSO or DRSO is available on-call during all hours when the VAMC is closed, including evenings, weekends and holidays.

3.1.3.1 Evenings/Nighttime: from 4:30 pm until the following morning at 8:00 am, Mondays through Fridays

3.1.3.2 Federal Holidays: from 8:00 am on the morning of the holiday through 8:00 am the following day (24-hour period)

3.1.3.3 Weekends: from 8:00 am on Saturday morning to 8:00 am Sunday morning and from 8:00 am Sunday morning through 8:00 am. Monday morning (two 24-hour shifts).

3.1.3.4 The contractor shall not be on-call simultaneously with any other healthcare system when on-call for the Northport VAMC.

3.1.3.5 The contractor shall be on site within five (5) business days for any routine health physics or radiation safety issue.

3.1.3.6 The contractor will return any calls from the Medical Center and/or VA Radiation Safety Officer within two hours for emergency situations during normal business hours, to include afterhours.

3.1.3.6.1 Example of an emergency is as follows: A nuclear power plant accident, terrorist attack or a licensed material spill.

3.1.3.6.2 Contractor shall provide emergency qualified contact and phone number when unavailable.

3.1.3.6.3 The contractor shall be on-site within 2 hours of

emergency notification, if requested by the Medical Center or Radiation Safety Officer.

3.1.3.5 If required to be on-site, Contractor shall have 48 hours to report to the site requesting service. Contractor shall report and check in with: Northport VAMC: Nuclear Medicine (631)261- 4400 ext. 7359 and the AOD (631)261-4400 ext. 2655.

3.1.4 Radiation Safety Officer and Deputy Radiation Safety Officer scope of work

3.1.4.1 The Contractor’s physicist(s)’ care shall cover the range medical physicist services scope of practice as outline by the American Association of Physicist in Medicine (AAPM). The essential responsibility of the Qualified Medical Physicist's clinical practice is to assure the safe and effective delivery of radiation to achieve a diagnostic or therapeutic result as prescribed in patient care. The medical physicist performs or supervises the technical aspects of procedures necessary to achieve this objective.

3.1.4.2 The standard of practice shall be of a quality, meeting or exceeding current recognized national standards as established by:

3.1.4.2.1 The American College of Radiology (ACR) and follow the standards and guidelines set forth by ACR:

http://www.acr.org/Quality-Safety/Standards- Guidelines/Technical-Standards-by-Modality/Medical-Physics

3.1.4.2.2 The professional standards of the Joint Commission (TJC) http://www.jointcommission.org/standards_information/hap_req uirements.aspx

3.1.4.2.3 The responsibilities of the medical physicist include: protection of the patient and others from potentially harmful or excessive radiation; establishment of adequate protocols to ensure accurate patient dosimetry; the measurement and characterization of radiation; the determination of delivered dose; advancement of procedures necessary to ensure image quality; development and direction of quality assurance programs; and assistance to other health care professionals in optimizing the balance between the beneficial and deleterious effects of radiation; and compliance with applicable federal and state regulations.

3.1.4.3 Implement and oversee the operational aspects of the Radiation Protection Program (RPP)

3.1.4.4 Ensure quality control programs are working effectively and follow the local, state, national regulations.

3.1.4.5 Ensure local guidelines and policies for the safe, effective use of these modalities are established by the Health Care System’s Radiation Safety Committee and the RSO.

3.1.4.6 Review and approve (with licensee management) Radiation Protection (RPP) changes before implementation

3.1.4.7 Help identify and investigate radiation safety problems , Initiate, recommend, or provide corrective actions for identified safety problems.

Verify implementation of corrective actions. Stop operations identified as unsafe. Notify management of radiation safety problems, unsafe operations, and corrective actions.

3.1.4.8 Attend Radiation Safety Committee (RSC) meetings and make recommendations if needed. Attend Quarterly Radiation Safety Committee meetings; ensuring that appropriate documentation is executed and available. RSO will provide a summary of major activities/tasks performed, including recommended corrective actions and consultations.

3.1.4.9 Perform as a liaison between the RSC and the users of ionizing radiation.

3.1.4.10 Be available for contact by facility staff per regulations and license conditions.

3.1.4.11 Sign semiannual sealed-source leak tests and inventories of sealed sources per regulation.

3.1.4.12 Monitors Radiation badges and dosimeters

3.1.4.13 Manage U.S. Nuclear Regulatory (NRC)/VHA Materials Permit as amended for receipt, location, possession, use, storage, and transfer of radioactive material. Preparing Permit applications, amendments, correspondence, and timely responses for signature to NRC and VHA- NHPP as needed, in accordance with all regulations.

3.1.4.14 Enforces policies and procedures for the safe use of radioactive material in restricted areas including baseline, equipment, training, surveys, and close-out of restricted areas in Medical Research, Nuclear Medicine, and Nursing Services for use of therapeutic administration of radiopharmaceuticals requiring a written directive.

3.1.4.15 Provide instruction and consultation to personnel in Nuclear Medicine, Imaging, and support services who work or frequent nearby restricted areas http://www.acr.org/Quality-Safety/Standards-Guidelines/Technical-Standards-by-Modality/Medical-Physics http://www.acr.org/Quality-Safety/Standards-Guidelines/Technical-Standards-by-Modality/Medical-Physics where ionizing radiation, radiopharmaceuticals, or use of radioactive materials is authorized.

3.1.4.16 Conduct onsite Annual Imaging Audits of the Imaging department: general x-ray, DEXA, CT, and Nuclear Medicine to include the VA radiation audit for quality control, and quality assurance.

3.1.4.17 Participate onsite facility Emergency Disaster events involving Radiologic emergency events.

3.1.4.18 Provide onsite guidance and supervision of federal, state regulations during a facility Emergency Disaster involving Radiologic materials or Radiologic events.

3.1.5 Administrative: 10% of time not involved in direct RSO/ DRSO duties

3.1.5.1 Radiation safety meeting: The contract physician (s) shall attend the radiation safety meeting and Quality improvement activities and meetings as required by the VAMC Chief of Service, Chief of Staff, or designee. Contractor to communicate with COR on this requirement and report any conflicts that may interfere with compliance with this requirement.

Meeting Fr Frequency (once a year, etc) Annual Hours

Radiation safety Meetings 8 Quarterly 168-1 8-10 hours

3.1.6 Diagnostic Medical Physicist services for equipment testing and inspection work hours: The contractor will be required to construct a schedule with the COR that is in accordance with the Nuclear Regulatory Commission (NRC) and will need it approved by the COR and Radiology staff prior to commencing work for the given contract. Any changes with approved schedule will be communicated with COR and new schedule to be submitted for approval. The contractor will perform support services during normal hours that are identified under section 3.1.

Routine testing, such as Quality Assurance (QA) and Radiation Safety Surveys will generally be conducted during business hours; however, it must not interfere with the clinical service. Schedule of services shall be completed within the first fourteen (14) days of contract award.

3.1.3.1 Contractor shall email documentation to the department, Biomed and RSO.

Points of contacts will be provided upon award.

3.1.3.2 Certified Medical Diagnostic Physicists shall be available for phone consultations.

4 Diagnostic Medical Physicists Responsibilities:

4.1 Nuclear Medicine:

4.1.3 Perform quarterly dose calibrator linearity tests.

4.1.4 Evaluate nuclear medicine equipment in accordance with VA NHPP including scintillation cameras, thyroid uptake systems, well counters, and dose calibrators annually.

4.1.5 Review of radiopharmaceutical therapies and ensure VA NHPP compliance.

4.2 List of Machines

Location Make

Model

Type

Quantity Northport

PHILIPS INGENUITY CT-N/A 2

VARIAN OBI CT-N/A 1

GE LIGHTSPEED CT-N/A 1

PHILIPS VEREOS CT-N/A 1

PLANMECA PROMAX CT-N/A 1

SIEMENS SYMBIA CT-N/A 1

SIEMENS AERA MR-N/A 1

ATOMLAB 960 NM-N/A 1

CAPINTEC 30-BC NM-N/A 1

CAPINTEC CRC-55TR NM-N/A 1

CAPINTEC CRC-55T NM-N/A 1

DIGIRAD NM-N/A 1

PHILIPS NM-N/A 1

SIEMENS SYMBIA NM-N/A 1

SIEMENS SYMBIA EVO NM-N/A 1

PERKINS

ELMER

WIZARD 2480 NM-N/A 1

RSC TH-N/A 1

PHILIPS EPIQ 7 US-N/A 1

PHILIPS EPIQ 7G US-N/A 2

GE LOGIQ E9 US-N/A 2

HOLOGIC HORIZON BDS 1

SIEMENS UROSKOP

OMNIA MA

C-ARM 1

PHILIPS BV PULSERA C-ARM 1

PHILIPS VERADIUS C-ARM 1

PHILIPS VERADIUS

UNITY

C-ARM 1

SIEMENS ARTISQ C-ARM 1

PLANMECA PROX DENTAL 11

PROVECTA 70 DENTAL 2

PROVECTA 70-MOBILE DENTAL 1

GENDEX GX-770 DENTAL 1

EIZO RX840 PDM 7

EIZO EX850 PDM 2

GE PRECISION R/F 2

GE AMX IV PLUS RAD 1

VARIAN KVP RAD 2

CARESTREAM DRX

REVOLUTION

RAD 2

CARESTREAM DRX

EVOLUTION

XR-N/A 3

4.3 Diagnostic Radiology:

4.3.3 Perform annual compliance evaluations and generate report of the above listed equipment and in the following areas:

4.3.3.1 Radiology suite

4.3.3.2 Operating room

4.3.3.3 Nuclear Medicine suite

4.3.3.4 Cardiology

4.3.3.5 MRI suite

4.3.3.6 Ultrasound suite

4.3.3.7 Radiology Admin area

4.3.3.8 And any additional areas as needed

4.3.4 Perform the following testing on the above listed equipment (as appropriate):

4.3.4.1 Any additional radiographic/fluoroscopic equipment or any ionizing radiation generating equipment purchased during the timeframe of this contract, along with any required scatter surveys for renovated or new space. Health Physicist Testing of newly installed equipment must be performed within 48 hours after notification of the completion of the vendor installation and calibration.

4.3.4.2 All Annual Health Physicist Testing must be completed within 13 months of the prior testing as required by the Joint Commission Standard.

4.3.4.2.1 Beam alignment and collimation

4.3.4.2.2 Tube potential/kilovolt peak (kV/kVp) accuracy

4.3.4.2.3 Kv accuracy/reproducibility

4.3.4.2.4 Ma/mas linearity

4.3.4.2.5 Timer accuracy/reproducibility

4.3.4.2.6 Beam filtration (Half-value layer)

4.3.4.2.7 AEC reproducibility and photocell balance

4.3.4.2.8 Density control function

4.3.4.2.9 Light field to x-ray field alignment

4.3.4.2.10 Positive beam limitation (PBL) operation

4.3.4.2.11 Fluoroscope tabletop dose rate, typical and maximum

4.3.4.2.12 High-contrast resolution (Fluoroscope resolution and contrast)

4.3.4.2.13 Low-contrast detectability

4.3.4.2.14 Maximum exposure rate in fluoroscopic mode

4.3.4.2.15 Displayed air-kerma rate and cumulative-air kerma accuracy

(when applicable)

4.3.4.2.16 Fluoroscope shutter operation

4.3.4.2.17 Spot film devise operation

4.3.4.2.18 Exposure switch operation

4.3.4.2.19 Radiation safety interlocks operation

4.3.4.2.20 Annual Health Physicist Testing of the CT Scanners must meet all testing requirements of the Joint Commission and the VACO

NHPP.

4.3.4.3 Perform acceptance testing of new Radiographic & Fluoroscopic equipment, as requested including an area radiation survey.

4.3.4.4 Provide lead shielding design report for new rooms as requested

4.3.4.5 Provide summary of all deficiencies in a table format report for items in section 3b above for equipment listed in section 4.2.

4.3.4.6 Perform appropriate testing for American College of Radiology (ACR) accreditation of the MRI, CT, and Nuclear Medicine sections.

4.3.4.6.1 MRI Scanner: GE Sigma Explorer 1.5 Tesla

4.3.4.7 Perform an emergent testing required after a repair including, but not limited to, prior to patient use:

4.3.4.7.1 Collimator replacement

4.3.4.7.2 X-ray tube replacement

4.3.4.7.3 High voltage tank replacement

4.3.4.7.4 The Medical Physicist Testing…