SOW.pdf

Statement of Work – UroNav Fusion Biopsy Technician Services

1.1 Purpose

The purpose of this Statement of Work (SOW) is to obtain UroNav Fusion Biopsy Technician services. The Surgical Care Line anticipates performing 180 Fusion biopsies per year, requiring the services of a trained/certified technician in order to assist the operating room staff with the use of the UroNav Fusion Biopsy System. The trained and experienced technician will act as a clinical resource for surgeons and Operating Room (OR) staff. All procedures will be performed at the Lebanon VA Medical Center (LVAMC), Lebanon Campus.

1.2 Background

The LVAMC currently owns a UroNav Fusion Biopsy System which requires the services of a trained/certified technician to operate the equipment. This will enable the LVAMC to diagnosis and treat prostate cancer.

1.3 Scope of Work

The contractor shall provide to LVMAC a UroNav Fusion Biopsy Technician. Services will be provided on a per case basis with an annual estimated usage of 180 cases. With a minimum of 20 cases per year.

Contract Line-Item Number

Description of Supplies/Services

Unit of Issue Estimated Quantity

0001 Annual - Uro Nav MRI Fusion Technician Services

Case - CS 180

Contractor Responsibilities:

• Provide trained/certified technicians/technologists with 24/7 flexibility to operate UroNav Fusion Biopsy system in the operating room when requested for Urological Surgical cases.

• Provide evidence of the training and certification of technicians/technologists who will perform services under the agreement.

• Coordinate with LVAMC OR staff upon arriving in the perioperative suite.

• Wear appropriate/approved operating room attire while in the perioperative suite.

• Wear an identification badge that is visible while in the medical center.

• Be available for all scheduled cases in a timely manner; and make every reasonable effort to be available for emergency or non-scheduled cases.

• Be present prior to the induction of the anesthesia and throughout the surgical procedure.

• Contractor and its staff shall not provide any services or care to patients or in any way interact with patients, except as necessary to provide the services pursuant to this Agreement.

• Contractor reserves the right to make all decisions regarding its staff, including, but not limited to, hiring, retention, and scheduling as mutually agreed. Notwithstanding, the contractor agrees to remove any staff individual to whom the Government reasonably objects.

• Provide documentation of quality control, quality assurance, policy and procedure manual.

• The resulting Contract is a non-personal health care services contract under which the Contractor is an independent contractor. The Parties agree that the contractor, contract staff, agents and sub-contractors shall not be considered VA employees for any purpose.

1.4 VHA Provisions for Contractor

The LVAMC shall:

• Notify contractor of any scheduled procedures at least five business days before the procedure is scheduled and as soon as reasonably feasible after scheduling the procedure for urgent and emergent procedures.

• Agree and acknowledge that it shall have full medical responsibility for its patients in general, and specifically, during the provision of the services and agrees to supervise its patients accordingly.

• Provide or complete, or cause its approved physicians to complete, a written order for the services, to be available at the time that the services are scheduled.

• Obtain proper patient consents for such services.

• Provide necessary operating room attire if needed by the contractor.

1.5 Period of Performance

The period of performance for this contract is for one (1) base period and four (4) option years.

Base Period: One Year Option Year (1): One Year Option Year (2): One Year Option Year (3): One Year Option Year (4): One Year

1.6 Measurement of Performance

LVAMC shall document the following for the purpose of measuring performance:

• The number of times the contractor is unable to provide services (equipment and technician services) for scheduled cases.

• The timely reporting of any patient safety incidents/occurrences.

• Timeliness of reports of service.

1.7. Invoicing

The contractor shall submit all invoices for services rendered. Each invoice shall have at a minimum: the purchase order number, the name of the patient, patient identifier, the date of the service, the name of the surgical procedure, and the itemized cost of the service. All invoices must be submitted through Tungsten.

1.8. Contractor Personnel Security Requirements

The contractor shall have no access to any Lebanon VA Medical Center protected or sensitive information. The Contracting Officer Representative (COR) will coordinate with the contractor the issuance of ID badge and background investigation after contract award.

Contractor shall wear ID badge at all times while providing services at the LVAMC.

The Office of Security and Law Enforcement provides department wide policy on the assignment of appropriate position sensitivity designations associated with the Department of Veterans Affairs positions involving national security and public trust responsibilities, and on the level of background investigations required for applicants for, and incumbents of, those positions. In addition to VA employees, the policy and investigative requirements are applicable to contractor personnel who require access to VA computer systems designated as sensitive.

Contractor and subcontractor personnel who require access to VA computer systems shall be subject to all necessary background investigations and receive a favorable adjudication from the VA Office of Security and Law Enforcement to ensure compliance with such policy. If such investigation has not been completed prior to contract commencement, the contractor shall be responsible for the actions of those individuals performing under this contract.

Although this contract does not require contractors to have access to the VA Computer Systems, LVAMC does require that the Contract Personnel who will enter the perioperative suite undergo a background investigation due to the nature of their proximity to information being discussed about a patient before, during, or after a surgical procedure.

The cost for such investigations shall be borne by the Government, either in advance or as reimbursement to the contractor. The level of sensitivity shall be determined by the Government on the basis of the type of access required. The level of sensitivity will determine the depth of the investigation and the cost thereof. At this time, the current estimated costs for such investigations are as follows:

LEVEL OF

SENSITIVITY

BACKGROUND

INVESTIGATION LEVEL

APPROXIMATE

COST

Low Risk National Agency Check with Written Inquiries $ 125.00 Moderate Risk Minimum Background Investigation $ 752.00 High Risk Background Investigation $ 3189.00

The contractor shall be required to furnish all applicable employee information required to conduct investigations, such as, but not limited to, the name, address, and social security number of contractor personnel. The VA will provide all the necessary instructions and guidance for submission of the documents required for contractor personnel who will not be required to access VA computer systems nor gain access to sensitive materials.