W81K0019Q0209-0006.pdf

0011317364

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

15A. NAME AND TITLE OF SIGNER (Type or print)

30-105-04EXCEPTION TO SF 30

APPROVED BY OIRM 11-84

STANDARD FORM 30 (Rev. 10-83) Prescribed by GSA

FAR (48 CFR) 53.243

The purpose of this amendment is to revise solicitation and respond to questions. See attached summary of changes.

The due date for responses is NOT extended.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 14

16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)

16C. DATE SIGNED

BY 01-Sep-2019

16B. UNITED STATES OF AMERICA15C. DATE SIGNED15B. CONTRACTOR/OFFEROR

(Signature of Contracting Officer)(Signature of person authorized to sign)

8. NAME AND ADDRESS OF CONTRACTOR (No., Street, County, State and Zip Code) X W81K0019Q0209

X 9B. DATED (SEE ITEM 11)

17-Jul-2019

10B. DATED (SEE ITEM 13)

9A. AMENDMENT OF SOLICITATION NO.

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

X The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offer is extended, X is not extended.

Offer must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended by one of the following methods:

(a) By completing Items 8 and 15, and returning 1 copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted;

or (c) By separate letter or telegram which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN

REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by telegram or letter, provided each telegram or letter makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

12. ACCOUNTING AND APPROPRIATION DATA (If required)

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS.

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE

CONTRACT ORDER NO. IN ITEM 10A.

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, appropriation date, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(B).

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority)

E. IMPORTANT: Contractor is not, is required to sign this document and return copies to the issuing office.

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

10A. MOD. OF CONTRACT/ORDER NO.

2. AMENDMENT/MODIFICATION NO. 5. PROJECT NO.(If applicable)

6. ISSUED BY

3. EFFECTIVE DATE

01-Sep-2019

CODE

W40M USA HLTH CONTRACTING ACT

REGIONAL HEALTH CONTRACT OFF CENTRAL

2539 GARDEN AVENUE

JBSA FT SAM HOUSTON TX 78234-0000

W81K00 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

W81K0019Q0209

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 1449 - CONTINUATION SHEET

SUPPLIES OR SERVICES AND PRICES

CLIN 0001

The CLIN extended description has changed from:

Enterprise User/ Formulary Management. Includes the following:Narcotic safe double column auxiliary tower with clear doorsNarcotic safe single column auxiliary tower with clear doorsNarcotic safe desktop PC with software**THIS IS A BRAND NAME OR EQUAL REQUIREMENT BASED ON THEBRAND NAME "PYXIS

PRODUCT SCHEDULE FROM BD ".IF PROVIDING OTHER THAN BRAND NAME, VENDOR IS

REQUIRED TOADDRESS AND MEET ALL SALIENT CHARACTERISTICS LISTED INORDER TO BE

CONSIDERED.**

To:

Enterprise User/ Formulary Management. (PN:134807-01) THIS IS A BRAND NAME OR EQUAL

REQUIREMENT. IF PROVIDING OTHER THAN BRAND NAME, VENDOR IS REQUIRED TO ADDRESS

AND MEET ALL SALIENT CHARACTERISTICS LISTED IN ORDER TO BE CONSIDERED.

CLIN 0002

Remote Medication Refrigerator Lock with 12 Foot Cord

Remote Medication Refrigerator Lock with 12 Foot Cord, (PN: 345) THIS IS A BRAND NAME OR EQUAL

REQUIREMENT. IF PROVIDING OTHER THAN BRAND NAME, VENDOR IS REQUIRED TO ADDRESS

AND MEET ALL SALIENT CHARACTERISTICS LISTED IN ORDER TO BE CONSIDERED.

The pricing detail quantity has increased by 37.00 from 4.00 to 41.00.

CLIN 0003

The CLIN description has changed from Remote Medication Refrigerator Lock to Deleted in its entirety.

The CLIN extended description has changed from:

Remote Medication Refrigerator Lock with 12 Foot Cord. Includes the following:Narcotic safe double column auxiliary tower with clear doorsNarcotic safe single column auxiliary tower with clear doorsNarcotic safe desktop PC with software

Deleted in its entirety

The pricing detail quantity has decreased by 37.00 from 37.00 to 0.00.

CLIN 0004

The CLIN description has changed from Medstation 7 Drawer Auxiliary to Medstation ES 7 Drawer Auxiliary.

Medstation 7 Drawer Auxiliary

Medstation ES 7 Drawer Auxiliary THIS IS A BRAND NAME OR EQUAL REQUIREMENT. IF PROVIDING

OTHER THAN BRAND NAME, VENDOR IS REQUIRED TO ADDRESS AND MEET ALL SALIENT

CHARACTERISTICS LISTED IN ORDER TO BE CONSIDERED.

CLIN 0005

Medstation Single Column Tower

Medstation Single Column Tower, (PN: 343) THIS IS A BRAND NAME OR EQUAL REQUIREMENT. IF

PROVIDING OTHER THAN BRAND NAME, VENDOR IS REQUIRED TO ADDRESS AND MEET ALL

SALIENT CHARACTERISTICS LISTED IN ORDER TO BE CONSIDERED.

CLIN 0006

The CLIN description has changed from MEDICATION STATION, MAIN, 2-DRAWER to

MEDICATION STATION, ES MAIN, 2-DRAWER.

MEDICATION STATION, MAIN, 2-DRAWER

MEDICATION STATION, ES MAIN, 2-DRAWER THIS IS A BRAND NAME OR EQUAL REQUIREMENT.

IF PROVIDING OTHER THAN BRAND NAME, VENDOR IS REQUIRED TO ADDRESS AND MEET ALL

SALIENT CHARACTERISTICS LISTED IN ORDER TO BE CONSIDERED.

CLIN 0007

The CLIN description has changed from Medstation Main With 6 Drawers to Medstation Main ES With 6 Drawers.

Medstation Main With 6 Drawers

Medstation Main ES With 6 Drawers THIS IS A BRAND NAME OR EQUAL REQUIREMENT. IF PROVIDING

OTHER THAN BRAND NAME, VENDOR IS REQUIRED TO ADDRESS AND MEET ALL SALIENT

CLIN 0008

The CLIN description has changed from ANESTHESIA SYSTEM to PYXIS ANESTHESIA SYSTEM.

ANESTHESIA SYSTEM

PYXIS ANESTHESIA SYSTEM THIS IS A BRAND NAME OR EQUAL REQUIREMENT. IF PROVIDING

OTHER THAN BRAND NAME, VENDOR IS REQUIRED TO ADDRESS AND MEET ALL SALIENT

CLIN 0009

The CLIN description has changed from ANESTHESIA SYSTEM to PYXIS ANESTHESIA SYSTEM.

ANESTHESIA SYSTEM

PYXIS ANESTHESIA SYSTEM THIS IS A BRAND NAME OR EQUAL REQUIREMENT. IF PROVIDING

OTHER THAN BRAND NAME, VENDOR IS REQUIRED TO ADDRESS AND MEET ALL SALIENT

CLIN 0010

The CLIN description has changed from Medstation Main with 5 Drawers to Medstation ES Main with 5 Drawers.

Medstation Main with 5 drawers with a bottom BIN drawer

Medstation ES Main with 5 drawers with a bottom BIN drawer. THIS IS A BRAND NAME OR EQUAL

REQUIREMENT. IF PROVIDING OTHER THAN BRAND NAME, VENDOR IS REQUIRED TO ADDRESS

AND MEET ALL SALIENT CHARACTERISTICS LISTED IN ORDER TO BE CONSIDERED.

CLIN 0011

The CLIN description has changed from Medstation Main with 5 Drawers to Medstation, ES Main with 5 Drawers.

Medstation Main with 5 drawers with a bottom BIN drawer

Medstation ES Main with 5 drawers with a bottom BIN drawer. THIS IS A BRAND NAME OR EQUAL

REQUIREMENT. IF PROVIDING OTHER THAN BRAND NAME, VENDOR IS REQUIRED TO ADDRESS

AND MEET ALL SALIENT CHARACTERISTICS LISTED IN ORDER TO BE CONSIDERED.

DELIVERIES AND PERFORMANCE

The following Delivery Schedule item for CLIN 0001 has been changed from:

DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

10-SEP-2019 1 W2DN BROOKE ARMY MED CTR

W2DN BROOKE ARMY MED CTR

PROPERTY BOOK 01

3851 ROGER BROOKE DRIVE BLDG 3600

FT SAM HOUSTON TX 78234-6200

210-808-2837 FOB: Destination

W81NTE

DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

30 dys. ADC 1 W2DN BROOKE ARMY MED CTR

W2DN BROOKE ARMY MED CTR

PROPERTY BOOK 01

3851 ROGER BROOKE DRIVE BLDG 3600

FT SAM HOUSTON TX 78234-6200

210-808-2837

The following Delivery Schedule item for CLIN 0002 has been changed from:

CAGE

10-SEP-2019 4 W2DN BROOKE ARMY MED CTR

W2DN BROOKE ARMY MED CTR

PROPERTY BOOK 01

3851 ROGER BROOKE DRIVE BLDG 3600

FT SAM HOUSTON TX 78234-6200

210-808-2837

CAGE

30 dys. ADC 41 W2DN BROOKE ARMY MED CTR

W2DN BROOKE ARMY MED CTR

PROPERTY BOOK 01

3851 ROGER BROOKE DRIVE BLDG 3600

FT SAM HOUSTON TX 78234-6200

210-808-2837

The following Delivery Schedule item for CLIN 0003 has been changed from:

CAGE

10-SEP-2019 37 W2DN BROOKE ARMY MED CTR

W2DN BROOKE ARMY MED CTR

PROPERTY BOOK 01

3851 ROGER BROOKE DRIVE BLDG 3600

FT SAM HOUSTON TX 78234-6200

210-808-2837

30 dys. ADC 0 W2DN BROOKE ARMY MED CTR

PROPERTY BOOK 01

3851 ROGER BROOKE DRIVE BLDG 3600

FT SAM HOUSTON TX 78234-6200

210-808-2837

The following Delivery Schedule item for CLIN 0004 has been changed from:

CAGE

10-SEP-2019 76 W2DN BROOKE ARMY MED CTR

W2DN BROOKE ARMY MED CTR

PROPERTY BOOK 01

3851 ROGER BROOKE DRIVE BLDG 3600

FT SAM HOUSTON TX 78234-6200

210-808-2837

CAGE

30 dys. ADC 76 W2DN BROOKE ARMY MED CTR

W2DN BROOKE ARMY MED CTR

PROPERTY BOOK 01

3851 ROGER BROOKE DRIVE BLDG 3600

FT SAM HOUSTON TX 78234-6200

210-808-2837

The following Delivery Schedule item for CLIN 0005 has been changed from:

CAGE

10-SEP-2019 10 W2DN BROOKE ARMY MED CTR

W2DN BROOKE ARMY MED CTR

PROPERTY BOOK 01

3851 ROGER BROOKE DRIVE BLDG 3600

FT SAM HOUSTON TX 78234-6200

210-808-2837

30 dys. ADC 10 W2DN BROOKE ARMY MED CTR

PROPERTY BOOK 01

3851 ROGER BROOKE DRIVE BLDG 3600

FT SAM HOUSTON TX 78234-6200

210-808-2837

The following Delivery Schedule item for CLIN 0006 has been changed from:

CAGE

10-SEP-2019 26 W2DN BROOKE ARMY MED CTR

W2DN BROOKE ARMY MED CTR

PROPERTY BOOK 01

3851 ROGER BROOKE DRIVE BLDG 3600

FT SAM HOUSTON TX 78234-6200

210-808-2837

CAGE

30 dys. ADC 26 W2DN BROOKE ARMY MED CTR

W2DN BROOKE ARMY MED CTR

PROPERTY BOOK 01

3851 ROGER BROOKE DRIVE BLDG 3600

FT SAM HOUSTON TX 78234-6200

210-808-2837

The following Delivery Schedule item for CLIN 0007 has been changed from:

CAGE

10-SEP-2019 75 W2DN BROOKE ARMY MED CTR

W2DN BROOKE ARMY MED CTR

PROPERTY BOOK 01

3851 ROGER BROOKE DRIVE BLDG 3600

FT SAM HOUSTON TX 78234-6200

210-808-2837

30 dys. ADC 75 W2DN BROOKE ARMY MED CTR

W2DN BROOKE ARMY MED CTR

PROPERTY BOOK 01

3851 ROGER BROOKE DRIVE BLDG 3600

FT SAM HOUSTON TX 78234-6200

210-808-2837

The following Delivery Schedule item for CLIN 0008 has been changed from:

CAGE

10-SEP-2019 8 W2DN BROOKE ARMY MED CTR

W2DN BROOKE ARMY MED CTR

PROPERTY BOOK 01

3851 ROGER BROOKE DRIVE BLDG 3600

FT SAM HOUSTON TX 78234-6200

210-808-2837

CAGE

30 dys. ADC 8 W2DN BROOKE ARMY MED CTR

W2DN BROOKE ARMY MED CTR

PROPERTY BOOK 01

3851 ROGER BROOKE DRIVE BLDG 3600

FT SAM HOUSTON TX 78234-6200

210-808-2837

The following Delivery Schedule item for CLIN 0009 has been changed from:

CAGE

10-SEP-2019 35 W2DN BROOKE ARMY MED CTR

W2DN BROOKE ARMY MED CTR

PROPERTY BOOK 01

3851 ROGER BROOKE DRIVE BLDG 3600

FT SAM HOUSTON TX 78234-6200

210-808-2837

CAGE

30 dys. ADC 35 W2DN BROOKE ARMY MED CTR

W2DN BROOKE ARMY MED CTR

PROPERTY BOOK 01

3851 ROGER BROOKE DRIVE BLDG 3600

FT SAM HOUSTON TX 78234-6200

210-808-2837

The following Delivery Schedule item for CLIN 0010 has been changed from:

CAGE

10-SEP-2019 1 W2DN BROOKE ARMY MED CTR

W2DN BROOKE ARMY MED CTR

PROPERTY BOOK 01

3851 ROGER BROOKE DRIVE BLDG 3600

FT SAM HOUSTON TX 78234-6200

210-808-2837

CAGE

30 dys. ADC 1 W2DN BROOKE ARMY MED CTR

W2DN BROOKE ARMY MED CTR

PROPERTY BOOK 01

3851 ROGER BROOKE DRIVE BLDG 3600

FT SAM HOUSTON TX 78234-6200

210-808-2837

The following Delivery Schedule item for CLIN 0011 has been changed from:

CAGE

10-SEP-2019 2 W2DN BROOKE ARMY MED CTR

W2DN BROOKE ARMY MED CTR

PROPERTY BOOK 01

3851 ROGER BROOKE DRIVE BLDG 3600

FT SAM HOUSTON TX 78234-6200

210-808-2837

CAGE

30 dys. ADC 2 W2DN BROOKE ARMY MED CTR

W2DN BROOKE ARMY MED CTR

PROPERTY BOOK 01

3851 ROGER BROOKE DRIVE BLDG 3600

FT SAM HOUSTON TX 78234-6200

210-808-2837

The following have been added by full text:

QUESTIONS AND ANSWERS 8-31-19

Question 1. There is contradiction created by the responses to the questions vs the previously provided CLINs.

Response 1. CLIN 0001, which should be for an Enterprise User/Formulary Management license. There is a narcotic safe listed under this item and the Government agrees that we do not need a "vault" as explained in response 3 below. There is no need for a Vault at this time

Question 2. Will you be providing a final solicitation to include the modifications for response purposes?

Response 2. Amendment issued herein and conformed copy of the solicitation will also be posted.

Question 3. Per CLIN 0001 – Please confirm that if a “narcotic vault” is required.

Response 3‐ The C‐II Safe currently in place is sufficient and will not need to be replaced. The Enterprise Formulary Management License is required.

Question 4. CLIN 0003 contains a description of both remote managers, and “narcotic safes”. Based upon #3 above, is it the government’s intent for these 37 ea to be remote managers?

Response 4. Yes, 37 remote refrigerator locks/managers.

5. The Brand Name or Equal Justification and Approval document cites that the requirement is for the procurement of the Pyxis Anesthesia 3500 and Medstation 3500. It is our understanding that the requirement is for Pyxis Anesthesia ES and Medstation ES. 3500 is an end of life product. Please clarify.

Response 5. Yes, this requirement is for the Pyxis ES platform.

6. Will the government provide an extension in order to ensure clarity on the solicitation?

Response 6. See block 8.

Question 7. Is this Brand Name or Equal requirement.

Response 8. Yes, it is. Revisions have been made to the solicitation to indicate that and verbiage has been added to indicate “Server must have approval for deployment in to a regional MAAG Data Center”. This is a DHA requirement.”

Question 9. CLIN 0002 and CLIN 0003 appear to be identical, but contain an incorrect description

Response 9. Corrected. CLIN 0003 was deleted in its entirety.

The following have been modified:

SALIENT CHARTERISTICS-AMENDED

The following are the salient characteristics “All or None” for medication storage cabinets:

Clinical Application:

Medication Management, Processing, and Dispensing

Location/Region:

Systems Requirement Description

Minimum Requirement

Objective

1 Operating system Win 10 Win 10

System utilizes bi-directional information sharing with the Military Health System Application Access Gateway (MAAG).

Required

Server must have approval for deployment in to a regional MAAG Data Center

Interface and interoperability with pharmacy management system using the most current standardized language and protocols (i.e.

RxNORM, SNOMED-CT, HL7, etc.)

Uni-directional interface

Bi-directional interface

Modifiable drawer layout

Customizable drawer layout to accommodate unit medication needs

Maximize customization Available to meet local needs

Controlled Medication Management Workflow

Inventory validation via blind count method, Multi-user validation, Access restrictions, system Restricted access drawers/bins/ lids, etc.

Minimize diversion by implementing validation steps

Automatic user activity tracking for audits

Facilitates diversion and patient safety investigations

Barcode driven interface

System enabled barcode scanning for restocking

Barcode enabled restocking, issue, and administration with dose reconciliation tracking

Real-time remote inventory management

Support local user dynamic inventory adjustments, view, and modify PAR levels and drug files as needed

Support dynamic reporting and analytics

User level dynamic reporting system including analytics, auditing, and inventory management reports to support local needs

Multiple storage configurations

Support bulk, unit dosed, IV, and refrigerated medications

Supports a wide variety of medications volume, sizes, and storage requirements

24/7 Vendor Remote support and service

Required Responsive service and support available 24/7

Perpetual inventory management for inventory supply and expirations

System tracks inventory in real time and generates replenishment reports or expiration reports as defined locally

System enables transparency and accountability of POU managed inventory tracking medications from initial supply to final disposition

Biometric enabled login

Ensures ease and security of login;

system allows manual password/pin bypass as alternative sign-in

System Monitored Refrigerator with Integrated Locking Mechanism

Enables inventory control of refrigerated items and prevents diversion

Variable User Access Profiles

User level defined access profiles to enable or restrict functions to meet local needs

Pharmacy Profiling feature

Pharmacy must profile for medication orders in Order to be pulled from system

Allow pharmacist to verify orders before direct patient care staff can pull meds from system

Real Time Notification of Critically Low Inventory

System automatically generates critically low report to notify pharmacy staff to provide immediate actions

Single-dose controlled substance storage and dispensing capabilities

Capability for site configuration of storage and retrieval options for dispensing single-dose controlled substances (e.g. tabs, syringes, unit does cups).

Inventory discrepancy tracking

Tracks variance between expected and observed inventory level for user defined medications/supply using blind counting, double counts, ad-hoc discrepancy reporting, user level discrepancy resolution, etc.

System controlled and monitored return bin

System monitored return bin for direct patient care staff to return unused doses to the POU in order to minimize waste and diversion

Dynamic Medication Profiles that enables local users to define POU tracked characteristics

User level customization to meet local needs and enables cost charging to the dose or package level

Large item storage capability

Integrated cabinet or Stand-alone cabinet controlled by system

Allows for storage of large volume IV’s, bulk packaging, etc.

Automated safeguards to ensure right medication selection

System assists staff in locating correct medications using correct drug location indicators to minimize wrong medication selection and administration

Anesthesia Oriented Workstation

Optimized automation offering to Support surgery cases with necessary supplies in a small customizable configuration that can be moved and sterilized in a small foot print

Optimize OR workflow which lends itself to increase medication safety, accountability, and inventory management

Clinical Decision Support System and Alerts

System provides alerts IAW locally managed settings and requirements

System provides clinical (i.e. allergies, interactions, age, etc.) and customized alerts IAW locally managed settings and requirements

Remote queuing and medication wasting

Ability for local site configuration to allow remote medication queuing and remote medication wasting

Patient specific label generation at the cabinet

Compatible/ configurable with label printers to generate barcode enabled, patient specific labels for medication administration.

Uninterruptible power supply for system for orderly shutdown of system in case of power loss

N/A

On-Site Vendor Support

Vendor support provided in a timely manner of no more than 1 business day, and automation strictly maintained IAW vendor service schedule as applicable

Training for Pharmacy Staff

Two sets of user manuals and two sets of service manuals

Required N/A

32 Site prep: Provide all cost information for turn-key installation for the new system

(End of Summary of Changes)