SOW for Orlando TECS MMU TLC Draft.docx

B.4 STATEMENT OF NEED

BACKGROUND: The VA Sunshine Healthcare Network (VISN 8) is the nation’s largest system of VA hospitals and clinics and is home to 1.5 million Veterans in a vast 64,153 square mile area spread across 79 counties in Florida, South Georgia, Puerto Rico and the U.S. Virgin Islands.

PURPOSE: To enhance ophthalmological mobile capabilities for the delivery of patient care throughout the Orlando VAHCS catchment area.

REQUIREMENTS: The equipment must be the latest model complying with the respective international standards of quality. The equipment/system complete in all respect for its operations as per outlined specifications. The Contractor shall provide all materials, tools, equipment, and labor necessary to design and construct a Mobile Medical Unit for Technology Based Eye Care Services (TECS) within the Orlando VAHCS.

SUBMITTALS: The Contractor shall submit with completed Mobile Medical Unit a full drawing package, which includes floor plan, specific dimensions, and other interior features; exterior side views showing door locations, windows, under floor equipment, storage locations, and exterior logos. Manuals for all appropriate components shall also be provided.

DESIGN OF VEHICLE: The Contractor shall provide design services and shall collaborate with Orlando VAHCS to develop a Mobile Medical Unit layout that meets the clinical needs of the TECS program, VA standards and the State of Florida Vehicle safety requirements.

· The vehicle design shall include two (2) ramps for wheelchair accessibility on and off the unit.

· Entrance in the front end of the unit and exit in the back end, for one directional flow.

· VA logos on the exterior. (exact location to be determined)

· Exterior input/output panel for CAT 6 network connection.

· Satellite as specified below

· Refrigerator and microwave for employees use.

CLINICAL AREAS: The clinical areas to be constructed in the Mobile Medical Unit interior include: 2 exam rooms (separated by sliding door), 1 optical area, and 1 restroom. The interior shall also include wheelchair accessible doors for movement through the mobile unit (with wheelchair accessible ramps for entering and exiting the vehicle), heating and air-conditioning, smoke/carbon monoxide detectors, an automated defibrillator, HEPA filtration with environmental control HVAC that meets Joint Commission specifications, and cabinets/storage space that may be secured during movement.

· EXAM ROOMS: This area shall be separated a wheelchair-accessible sliding door, and shall be signed in a way that protects patient privacy. Exam rooms shall include the following:

· Exam Room 1

· Space to accommodate:

· 1 Height adjustable ophthalmological chair and phoropter/slit lamp stand

· 1 Phoropter (Permanent mounting for stowage necessary for transport.)

· 1 Slit lamp (Permanent mounting for stowage necessary for transport.)

· With goldman tonometer

· 1 stool

· 1 lensometer

· 1 computer

· 1 waste bin

· Digital visual acuity wall chart

· Cabinet space/storage space

· 1 sink

· Wall-mounted examination light

· Imaging/Exam Room II:

· Space to accommodate:

· patient chair (Permanent mounting for stowage necessary for transport)

· Stool for technician (Permanent mounting for stowage necessary for transport.)

· Space for Cannon (Cannon table) CR-2 Plus AF Digital Retinal Camera (305mmx500mmx513mm) (Permanent mounting for stowage necessary for transport.)

· Space of Heidelberg Spectralis OCT (1219mmx915mmx610mm) (Permanent mounting for stowage necessary for transport.)

· Digital visual acuity wall chart

· Space for computer

· 1 waste bin

· Cabinet space/storage space

· Wall-mounted examination light

· OPTICAL AREA: This area shall be separated by a wheelchair accessible sliding door and shall be designed in a way that protects patient privacy. The area shall include:

· Wall mounted mirrors and frame racks (for up to 150 frames; Permanent mounting for stowage on frame racks/necessary for transport.)

· space for 2 computers/desks with 2 stools with backrests (Permanent mounting for stowage necessary for transport.)

· Storage space

· Table space for patient mirror and pupillometer

· RESTROOM: The restroom (must be wheelchair accessible) shall include:

· 1 full size toilet

· 1 sink

· Storage space

· 1 handrail

VEHICLE SPECIFICATIONS:

a. Vehicle shall be a class A RV type, 41' - 45' in length with tag axle.

b. All components used in the construction of the vehicle will be "New".

c. Overall height of the vehicle to include roof air conditioning units and a VSAT 1.2-meter satellite dish may not exceed thirteen and half feet.

d. Two shackles will be accessible at rear of vehicle.

e. Provide automatic hydraulic vehicle leveling system (minimum 4 point), powered in both directions.

f. Provide an attached electric awning with wind sensor, on curb side (minimum of 18 feet), mounted so that the left support arm is at rear of passenger side and right support arm is located to right of entry door, but not obstructed by it.

g. Provide an attached lockable ladder for roof access (mounted on the rear exterior of the vehicle) the ladder must reach within 1 ft. of the ground (use of attachable extension is permissible) and be able to support up to 300lb person.

h. Provide five exterior LED lights (scene lights); two on each side of vehicle and one on rear of vehicle.

i. The entire body, sides, ends, roof, doors, and compartments shall be completely insulated to enhance the performance of the heating and cooling systems and prevent external noise from entering the vehicle interior. (Sometimes referred to as an Artic package). The insulation shall be non-settling, vermin-proof, mildew-proof, fire retardant, non-toxic, and non-hygroscopic type.

j. Roof will support a minimum of 200 lbs. per square feet.

BODY SPECIFICATIONS:

a. A roof mount rack to accommodate a self-deployable 1.2-meter satellite antenna.

b. One (1) Front entrance door.

c. Storage cabinets (with locks all keyed the same) installed throughout. The surface on all cabinets be able to accept dry/erase markings.

d. Provide for all surfaces to be solid surface counters.

e. Provide two emergency exit windows.

f. Provide electrical, water, holding tank, and sewer connections similar to full RV hook-ups (RV Park). Vehicle may be used in a single location for extended periods.

g. Three (3) Custom slide out rooms, up to 12' in length x 24", electric with all necessary equipment to retract rooms manually (i.e. manufacturer specific cranks/handles or adapters).

h. One (1) Wheelchair lift, automatic, below floor mount, ADA approved, w/door.

CAB and CHASSIS SPECIFICATIONS:

a. 102” wide custom body (Class A RV Type).

b. Exterior Grab Handles.

c. Mirrors - Chrome, Heated with remote driver adjustment.

d. Air Horns linked to steering wheel horn button.

e. Heated windshield with Driver/passenger sunshades.

f. Tilting & telescoping steering wheel.

g. Provide intermittent wipers and washers.

h. Provide air ride seat for driver with dual arm rests, back, lumbar and head rest adjustability (air or mechanically operated).

i. Provide belted seating for at least three passengers.

j. Overhead reading lights.

k. Driver Information Display.

l. Cup holders.

m. Ergonomic Instrument Panel.

n. Premium Radio (AM / FM / GPS with large vehicle/RV/trucker settings).

o. Diesel fuel, rear mounted engine (Diesel Pusher).

p. Provide engine exhaust braking.

q. Provide engine block heater.

r. Allison Automatic Highway Series Transmission.

s. Driver adjustable air suspension.

t. Provide air valve extensions to dual wheels.

u. 100-Gallon Fuel Tank (with generator fuel supply line ¼ of tank height from bottom of tank. To prevent the generator from running the vehicle completely out of fuel during prolonged operations).

v. Aluminum Wheels (Alcoa).

w. Provide backup alarm (12V).

x. Provide dual engine batteries.

y. Air Brakes.

z. Air hose connection linked to air brake/air suspension supply tanks, with supply hose that can reach all tires on vehicle and tire inflator with built in pressure gauge (system must be capable of up to 120psi).

aa. Traction Control.

PLUMBING SPECIFICATIONS:

a. Lavatory with marine full-size toilet, pump, sink.

b. Restroom will be within center compartment.

c. Toilet will be comfortable height, foot flush, macerator type.

d. Black and grey holding tanks may be a single tank provided it has a minimum capacity of 50 gallons.

e. Black/grey water holding tank will have flush valve.

f. Potable water tank(s) will be able to be connected to a water source continuously.

g. Potable water tank(s) will hold not less than 40 gallons of water.

h. A central tank monitoring display will be provided.

i. Water pump.

j. Electric tank or tankless water heater to provide hot water to sinks (no propane allowed).

k. A connection to winterize vehicles with RV antifreeze installed.

GENERATOR SPECIFICATIONS:

a. 20KW water cooled diesel generator (Cummins Onan Quite Diesel Generator or similar).

b. Remote hour meter and start switch will be mounted in electronics cabinet.

c. Sliding tray mounted so that generator is able to have service performed without having to remove from vehicle.

d. Compartment to be insulated for sound mitigation.

e. Generator(s) protected for road debris, water and salt.

f. Automatic 120volt power distribution system for entire electrical system with breaker box (operator does not have to turn on individual systems on breaker panel).

HVAC SPECIFICATIONS:

a. Ability to maintain an interior temperature of 70-degree Fahrenheit is required. The vehicles operate in extreme outside temperatures from 0 to 125 degrees Fahrenheit and humidity from 0 to 100%.

b. Four (4) roof mounted 15,000 BTU Heat Pump/Air Conditioners with heat strips (Low Profile).

c. Each unit will be controlled by separate wall mounted thermostat.

d. Electric heat in each compartment (Propane may not be used).

e. Three (3) Powered reversible roof vent w/ max air cover.

ELECTRICAL SPECIFICATIONS:

a. Each interior area will have, at a minimum, 4 duplex electrical outlets: 2 network connections, and 1 phone jack.

b. Provide sufficient 12‑volt DC LED lighting (Minimum Illumination required by CFR 1926.56(a) is 30 Foot-Candles) throughout the vehicle.

c. Provide four 12‑volt deep cycle, absorbed glass mat (AGM), sealed maintenance free batteries (these are in addition to the two chassis/engine batteries); to be installed with a single battery disconnect switch.

d. Provide a shore power cord (minimum of 30 ft.). (Connection for cord inside a lockable compartment that can be kept closed while being used).

ELECTRONICS, AUDIO, VIDEO, INTERCOM SPECIFICATIONS:

a. Provide an intercom system to be able to communicate to all rooms in the coach.

b. Provide an external camera system for the awning covered area, that can be monitored from enrollment area.

c. Back-up camera system, 7" LCD color monitor, with side cameras.

d. Provide backup sensors to detect object(s) near rear of vehicle.

e. Provide a roof‑mounted HD TV antenna, low profile, not required to be raised.

f. Provide four GFI outlets; four POE connections; and two video connections and one public address system microphone connection; within a locked compartment under the awning area. These may be located within the TV compartment.

g. Provide an alarm system with four (4) individual panic buttons of type normally worn around neck; alarm when activated results in lights flashing, loud noises (horn, siren), attracting immediate attention to vehicles.

h. Provide a secure weather tight electronics cabinet, accessible from both interior and exterior of vehicle.

i. Provide and install a 10U Rack that needs to be able to be pulled out and accessed by an outside door.

j. A patch panel connecting all POE outlets and phone cables will be mounted within the electronics cabinet. A 3-inch diameter raceway will run from electronics cabinet through the roof to a point located at front of roof rack for mounting 1.2-meter antenna.

k. All network cabling will be CAT 6 with connections & cable wired for POE.

l. Rear speakers from cab AM/FM/CD (2 IN EACH ROOM)

m. Electric shade and black-out system for front windshield.

n. Provide two (2) 6.5 cubic foot refrigerators with freezer compartment. (One for food and one for clinical use.

o. Provide a microwave, minimum of 1.5 cubic feet and 850 watts; installed in a cabinet.

p. Provide two smoke/carbon monoxide detectors (9V).

MISCELLANEOUS:

a. Under vehicle storage with full width pass through.

b. Battery charging/maintenance system capable of charging/maintaining ALL batteries on the vehicle from the generator, shoreline, or external plugin (also known as a night service plug-in,120volt cord).

c. Exterior graphics package, white paint.

d. Training to be performed by the Contractor and explain complete operation and routine upon delivery to the government facility.

e. Asbestos materials shall not be used in any form in any part of the vehicle. No item, part, or assembly shall contain radioactive materials in which the specific activity is greater than 0.002 micro curie per gram or activity per item equals or exceeds 0.01micro curie.

f. Wood products shall not be used for any interior finishes and cabinetry.

g. Materials that can support mold or fungus growth shall not be used in any part of the vehicle.