STATEMENT OF WORK

AUTOMATED DISPENSING SYSTEM

LOCATION: Outpatient Pharmacy Chinle Comprehensive Health Care Facility

Chinle, Arizona

PERIOD OF PERFORMANCE: November 1, 2025 through October 31, 2026 Fiscal Year 2026

I. Background:

Chinle Comprehensive Health Care Facility (CCHCF) is a NAIHS facility. CCHCF provides medical care for approximately 35,000 Navajo. CCHCF provides 24 hour/7 day per week dispensing functions to all critical care, acute care, ambulatory care, and long-term areas of care. The current standard of care is to provide rapid access, on-site dispensing and stocking of medications in a secure and accountable environment for providers and nursing staff. The facility employs some form of Automated Dispensing Cabinet as the solution to 24/7, 100% accountable dispensing in the immediate area of patient care.

II. Objective:

CCHCF Pharmacies are seeking the procurement, delivery, and installation of equipment and software for patient medication stations, drug diversion, and inventory management software. This procurement will include the current equipment on-site, Outpatient Department (Podiatry, Specialty, Internal Medicine, Family Practice, Pediatrics, and Women’s Health) Expansion Project and Anesthesia Department upgrades. To meet our objective, we must provide a fully automated and accurate system for securing, tracking and replenishing supplies of controlled substances and other medication to ensure adequate supplies are on hand for patient care. System needs to streamline documentation from the pharmacy to the inpatient units to eliminate time-consuming and error-prone manual record keeping. Also needs a detailed transaction process to quickly sport discrepancies and improve compliance with strict regulatory requirements without having to wade through huge amounts of paperwork. System needs to simplify inventory tracking and reconciliation, and facilitate optimal inventory levels with replenishment data. System must include secure stations and auxiliaries to be available in a variety of sizes and configurations with drawer types that offer single line-item access and single-dose dispensing. The system must be able to provide at least eight (8) medication storage stations that are interfaced with a control workstation that will be located in the Outpatient Pharmacy Department. Must be able to provide temperature locking device to monitor and track refrigerated items. System support and training must be provided to ensure that equipment is used at its full potential by appropriate professionals. The

Outpatient clinics and Anesthesia will be a new expansion to the current equipment on-site.

III. Scope:

The offeror will provide all labor, materials, and equipment to purchase and install new medication management stations, as well as dismantle, remove, and dispose of the current equipment.

All work must be performed in accordance with the manufacturer(s) specifications, standard industry practice, and requirements of this Statement of Work (SOW).

Awardee will have access to sensitive information as well as access to patient areas. Software and support for software must be provided to ensure accurate dispensing of patient orders from the dispensing cabinets as well as legally binding tracking and auditing capability with the storage and retrieval capability of a minimum of 90 days of data

IV. Automated Dispensing Machine (ADM) must meet the following Salient Characteristics:

❖ Must have multiple, configurable lidded pocket sizes increase secure storage capacity all medications, including larger medications and IVs, while maintaining dispensary efficiency for users.

❖ System’s ability to restrict access to only one medication at a time during the remove and refill process shall be described.

❖ Main unit of the station must contain locked and covered drawers.

❖ Must allow a nurse to queue meds or document medication waste from patient room-or any computer-via a fully web-accessible system.

❖ Must print patient dose-specific label for med removed from MedStation, as configured by Pharmacy.

❖ Must locate medications not available at current station to support rapid medication access and timely administration of therapy.

❖ Must support dispensing of items consisting of multiple medications or Components.

❖ Must identify least removed medications at each station to optimize inventory.

❖ Must have Bio ID technology.

❖ Must be able to reconcile controlled substances dispensed to cabinets.

❖ The drug information on the cabinets must have the ability to be printed on network printers.

❖ Must provide barcode scan verification of every dose leaving the Pharmacy that can be barcoded.

❖ Cabinet must have the ability to extract and update patient information from hospital information systems on a real time basis.

❖ Must have multiple drawer configuration. Configuration capacities included.

a) Refrigerated product dispensing

b) Controlled substance dispensing, wastage and return

c) Single-use dispensing, tamper free drawers

❖ Cabinet must have the ability to automatically log the user off after a user-defined period of time

❖ If a bin fails or jams, it should not affect the function of the other bins. Describe the notification and system response to jammed bins.

❖ Must identify medications that have expired.

❖ System must be able to inventory controlled medications that have been accessed since the prior inventory count.

❖ Must print to a network printer from both server and station.

❖ System must allow users to use a touch screen, keyboard and touchpad for navigation.

❖ System must inform user when removing a medication greater or less that the ordered quantity.

❖ Brand and generic medication names must be available on the system.

❖ System must match and report on medication dispense and administration times.

V. Maintenance Plan

❖ The vendor shall provide a maintenance plan covering each type of device and the associated preventive maintenance program.

❖ All devices shall be maintained in working order per the requirements of the maintenance agreement. Preventative maintenance is performed at least twice a year or as per manufacturer’s specification.

❖ The vendor shall provide technical support via a call center 24 hours a day 365 days a year.

❖ The vendor shall provide an on-call Field Service Technician (FST) for necessary on-site tasks.

❖ The vendor shall conduct and complete the work associated with the contract at sites.

❖ The vendor shall check-in with Project Officer prior to conducting any on-site tasks.

VI. Installing and Training (Planning & Delivery Coordination)

❖ Offerors shall develop a project implementation strategy with CCHCF to include a timetable

❖ Total installation and swap out must be completed no later than 6 months after the contract start date.

Modifications that include additional equipment shall be installed no later than 90 days from receipt of modification.

❖ The vendor shall provide installation services and on-site training/education for all necessary staff for any new systems/modules/functionalities.

❖ Installation and training shall be completed on date agreed upon between vendor, COR, and Pharmacy

Management or designee.

❖ Offeror shall have materials, supplies, tools, equipment, contract staff and other pertinent licenses and certifications inspected and completed prior to the start of the project.

❖ Debris: Offeror shall remove all debris from the work site daily. A final cleanup must be conducted when the work is complete and prior to final inspection

❖ Site Damage: Offeror shall be responsible for the facility and equipment damage incurred during this project and shall return damaged areas to their original condition at no additional cost to the government.

❖ Any back order of supplies, materials, tools, and equipment will be addressed and remedied prior to the start of the requirement.

❖ Offerors is responsible for ensuring all equipment is properly connecting and functioning.

❖ Prior to delivery, the offeror must coordinate delivery of the new equipment with the COR.

VII. Upgrades and Additional Software

❖ The vendor shall complete these items when the system and/or the contract require it.

❖ If modification of the contract becomes necessary, changes may be incorporated into the contract for the remainder of the period of performance.

VIII. Period of Performance

Contract Periods Period of Performance

Base Year 11/10/2025 through 10/31/2026

Option Year 1 11/01/2026 through 10/31/2027

Option Year 2 11/01/2027 through 10/31/2028

Option Year 3 11/01/2028 through 10/31/2029

Option Year 4 11/01/2029 through 10/31/2030

IX. Payment

❖ The vendor shall invoice CSU Pharmacy on a monthly basis for payment on this statement of work. The invoice shall detail each device, cost and the associated usage through the IPP.

X. Terms of Contract and Billing CCHCF anticipates the award of a firm fixed-price, 5-year contract period (base plus 4 contract option periods) to a single offer

XI. Customer Furnished Equipment and Work Space

❖ Depending on the nature of the task, the Project Officer will provide system access for on-site work in accordance with established hospital policies, standards, regulations and rules of conduct.

❖ The Project Officer shall provide the appropriate procedures, guidelines, standards, reference materials, and system/application documentation.

❖ The Project Officer shall provide access to the appropriate personnel (management, technical, subject matter expertise, etc.) necessary to fulfill the contract requirements.

XII. Handling of Sensitive and/or Proprietary Information

❖ The contractor shall not remove any system parts (such as obsolete or broken hard drives, etc.) that contain protected patient information from the facility. These parts will be left with Pharmacy administration for proper destruction.

XIII. Travel

❖ All travel shall be the responsibility of the Vendor.

❖ Whenever possible, conferencing calls (when available and cost effective), or remote servicing should be used.

XIV. 352.239-73 Electronic Information and Technology Accessibility Notice.

(a) As prescribed in HHSAR 339.203-70(a), the Contracting Officer shall insert the following provision:

Electronic and Information Technology Accessibility Notice (December 18, 2015)

(a) Section 508 of the Rehabilitation Act of 1973 (29 U.S.C. 794d), as amended by the Workforce Investment Act of 1998 and the Architectural and Transportation Barriers Compliance Board Electronic and Information (EIT) Accessibility

Standards (36 CFR part 1194), require that when Federal agencies develop, procure, maintain, or use electronic and information technology, Federal employees with disabilities have access to and use of information and data that is comparable to the access and use by Federal employees who are not individuals with disabilities, unless an undue burden would be imposed on the agency. Section 508 also requires that individuals with disabilities, who are members of the public seeking information or services from a Federal agency, have access to and use of information and data that is comparable to that provided to the public who are not individuals with disabilities, unless an undue burden would be imposed on the agency.

(b) Accordingly, any offeror responding to this solicitation must comply with established HHS EIT accessibility standards.

Information about Section 508 is available at http://www.hhs.gov/web/508. The complete text of the Section 508 Final

Provisions can be accessed at http://www.access-board.gov/guidelines-and-standards/communications-and-it/about-the-section-508-standards.

(c) The Section 508 accessibility standards applicable to this solicitation are stated in the clause at 352.239-74, Electronic https://urldefense.us/v3/__http:/www.hhs.gov/web/508__;!!Og_tST9LxTiQE1I!tYQiQiaB-eRtFFyOzQO2sWEdYUj33B6IE7lOYjdJUig62p2ej5yettXiFaI4YzzTxmgM61fFDFDneuzufkXCrIeofpHZfShG$ https://urldefense.us/v3/__http:/www.access-board.gov/guidelines-and-standards/communications-and-it/about-the-section-508-standards__;!!Og_tST9LxTiQE1I!tYQiQiaB-eRtFFyOzQO2sWEdYUj33B6IE7lOYjdJUig62p2ej5yettXiFaI4YzzTxmgM61fFDFDneuzufkXCrIeofsyEA1H9$ https://urldefense.us/v3/__http:/www.access-board.gov/guidelines-and-standards/communications-and-it/about-the-section-508-standards__;!!Og_tST9LxTiQE1I!tYQiQiaB-eRtFFyOzQO2sWEdYUj33B6IE7lOYjdJUig62p2ej5yettXiFaI4YzzTxmgM61fFDFDneuzufkXCrIeofsyEA1H9$ and Information Technology Accessibility.

In order to facilitate the Government’s determination whether proposed EIT supplies meet applicable Section 508 accessibility standards, offerors must submit an HHS Section 508 Product Assessment Template, in accordance with its completion instructions. The purpose of the template is to assist HHS acquisition and program officials in determining whether proposed EIT supplies conform to applicable Section 508 accessibility standards. The template allows offerors or developers to self-evaluate their supplies and document—in detail—whether they conform to a specific Section 508 accessibility standard, and any underway remediation efforts addressing conformance issues. Instructions for preparing the HHS Section 508 Evaluation Template are available under Section 508 policy on the HHS website http://www.hhs.gov/web/508.

In order to facilitate the Government’s determination whether proposed EIT services meet applicable Section 508 accessibility standards, offerors must provide enough information to assist the Government in determining that the EIT services conform to Section 508 accessibility standards, including any underway remediation efforts addressing conformance issues.

(d) Respondents to this solicitation must identify any exception to Section 508 requirements. If a offeror claims its supplies or services meet applicable Section 508 accessibility standards, and it is later determined by the Government, i.e., after award of a contract or order, that supplies or services delivered do not conform to the described accessibility standards, remediation of the supplies or services to the level of conformance specified in the contract will be the responsibility of the Contractor at its expense.

Standards

The included standards that must be met for this contract are taken from the following two resources. Compliance with these standards is mandatory for Federal agencies subject to Section 508 of the Rehabilitation Act of 1973, as amended (29 U.S.C. 794d).

• Section 508 Standards and Guidelines: https://www.access-board.gov/guidelines-and-standards/communications-and-it/about-the-ict-refresh/final-rule/text-of-the-standards-and-guidelines

• Web Content Accessibility Guidelines (WCAG) 2.0: https://www.w3.org/TR/WCAG20/

Software Accessibility - Non-Web Based

• All WCAG A & AA Success Criteria apply – EXCEPT the following:

o 2.4.1 Bypass Blocks o 2.4.5 Multiple Ways o 3.2.3.Consistent Navigation o 3.2.4 Consistent Identification

• 502 Interoperability with Assistive Technology

• 503 Application

• 602 Support Documentation

• 603 Support Services

• 302 All Functional Performance Criteria - Note: Applies when Chapter 5 does not address one or more functions of ICT (E204), or when an agency invokes "equivalent facilitation" (E101.2) https://urldefense.us/v3/__http:/www.hhs.gov/web/508__;!!Og_tST9LxTiQE1I!tYQiQiaB-eRtFFyOzQO2sWEdYUj33B6IE7lOYjdJUig62p2ej5yettXiFaI4YzzTxmgM61fFDFDneuzufkXCrIeofpHZfShG$ https://urldefense.us/v3/__https:/www.access-board.gov/guidelines-and-standards/communications-and-it/about-the-ict-refresh/final-rule/text-of-the-standards-and-guidelines__;!!Og_tST9LxTiQE1I!tYQiQiaB-eRtFFyOzQO2sWEdYUj33B6IE7lOYjdJUig62p2ej5yettXiFaI4YzzTxmgM61fFDFDneuzufkXCrIeofsQUZlwB$ https://urldefense.us/v3/__https:/www.access-board.gov/guidelines-and-standards/communications-and-it/about-the-ict-refresh/final-rule/text-of-the-standards-and-guidelines__;!!Og_tST9LxTiQE1I!tYQiQiaB-eRtFFyOzQO2sWEdYUj33B6IE7lOYjdJUig62p2ej5yettXiFaI4YzzTxmgM61fFDFDneuzufkXCrIeofsQUZlwB$ https://urldefense.us/v3/__https:/www.w3.org/TR/WCAG20/__;!!Og_tST9LxTiQE1I!tYQiQiaB-eRtFFyOzQO2sWEdYUj33B6IE7lOYjdJUig62p2ej5yettXiFaI4YzzTxmgM61fFDFDneuzufkXCrIeofgdELNpj$

For Software that is an authoring tool include

• 504 Authoring Tools

Hardware Accessibility

• 404 Preservation of Information Provided for Accessibility

• 405 Privacy

• 406 Standard Connections

• 407 Operable Parts

• 409 Status Indicators

• 410 Color Coding

• 411 Audible Signals

• 602 Support Documentation

• 603 Support Services

• 302 All Functional Performance Criteria - Note: Applies only when Chapter 4 does not address one or more functions of ICT (E204), or when an agency invokes "equivalent facilitation" (E101.2))

For Hardware that has closed functionality include

• 402 Closed Functionality

For Hardware with biometrics include

• 403 Biometrics

For Hardware with display screens include

• 408 Display Screens

Support Documentation Accessibility

• E602.1 General - Documentation that supports the use of ICT shall conform to 602.

• E602.2 Accessibility and Compatibility Features - Documentation shall list and explain how to use the accessibility and compatibility features required by Chapters 4 and 5. Documentation shall include accessibility features that are built-in and accessibility features that provide compatibility with assistive technology.

• E602.3 Electronic Support Documentation - Documentation in electronic format, including Web-based self-service support, shall conform to Level A and Level AA Success Criteria and Conformance Requirements in WCAG 2.0 (incorporated by reference, see 702.10.1).

• E602.4 Alternate Formats for Non-Electronic Support Documentation - Where support documentation is only provided in non-electronic formats, alternate formats usable by individuals with disabilities shall be provided upon request.

• E602.3 Electronic Support Documentation - Documentation in electronic format, including Web-based self-service support, shall conform to Level A and Level AA Success Criteria and Conformance Requirements in WCAG 2.0 (incorporated by reference, see 702.10.1).

• E602.4 Alternate Formats for Non-Electronic Support Documentation - Where support documentation is only provided in non-electronic formats, alternate formats usable by individuals with disabilities shall be provided upon request.

• E603.1 General - ICT support services including, but not limited to, help desks, call centers, training services, and automated self-service technical support, shall conform to 603.

• E603.2 Information on Accessibility and Compatibility Features - ICT support services shall include information on the accessibility and compatibility features required by 602.2.

• E603.3 Accommodation of Communication Needs - Support services shall be provided directly to the user or through a referral to a point of contact. Such ICT support services shall accommodate the communication needs of individuals with disabilities.

• WCAG – All WCAG 2.0 A & AA Success Criteria

EXCEPTION:

o Non-Web documents shall not be required to conform to the following four WCAG 2.0 Success Criteria:

2.4.1 Bypass Blocks, 2.4.5 Multiple Ways, 3.2.3 Consistent Navigation, and 3.2.4 Consistent Identification.

o E205.4.1 Word Substitution when Applying WCAG to Non-Web Documents. For non-Web documents, wherever the term "Web page" or "page" appears in WCAG 2.0 Level A and AA Success Criteria and Conformance Requirements, the term "document" shall be substituted for the terms "Web page" and "page". In addition, in Success Criterion in 1.4.2, the phrase "in a document" shall be substituted for the phrase "on a Web page".

• Appendix A – Section 508 of the Rehabilitation Act: Application and Scoping Requirements o E208 Support Documentation and Services

• Appendix C – Functional Performance Criteria and Technical Requirements o 302 - Functional Performance Criteria o 602 – Support Documentation o 603 – Support Services

Functional Performance Criteria

• 301.1 Scope - The requirements of Chapter 3 shall apply to ICT where required by 508 Chapter 2 (Scoping Requirements), 255 Chapter 2 (Scoping Requirements), and where otherwise referenced in any other chapter of the Revised 508 Standards or Revised 255 Guidelines.

• 302.1 Without Vision - Where a visual mode of operation is provided, ICT shall provide at least one mode of operation that does not require user vision.

• 302.2 With Limited Vision - Where a visual mode of operation is provided, ICT shall provide at least one mode of operation that enables users to make use of limited vision.

• 302.3 Without Perception of Color - Where a visual mode of operation is provided, ICT shall provide at least one visual mode of operation that does not require user perception of color.

• 302.4 Without Hearing - Where an audible mode of operation is provided, ICT shall provide at least one mode of operation that does not require user hearing.

• 302.5 With Limited Hearing - Where an audible mode of operation is provided, ICT shall provide at least one mode of operation that enables users to make use of limited hearing.

• 302.6 Without Speech - Where speech is used for input, control, or operation, ICT shall provide at least one mode of operation that does not require user speech.

• 302.7 With Limited Manipulation - Where a manual mode of operation is provided, ICT shall provide at least one mode of operation that does not require fine motor control or simultaneous manual operations.

• 302.8 With Limited Reach and Strength - Where a manual mode of operation is provided, ICT shall provide at least one mode of operation that is operable with limited reach and limited strength.

• 302.9 With Limited Language, Cognitive, and Learning Abilities - ICT shall provide features making its use by individuals with limited cognitive, language, and learning abilities simpler and easier.