6515--NX EQ ECG Data Management System (ECGDMS) (VA-25-00062567)

This pre-solicitation notice of proposed contract action is not a request for competitive quotations or proposals.

The Department of Veterans Affairs Strategic Acquisition Center (SAC) intends to negotiate a Firm Fixed Price (FFP) sole source award in accordance with Federal Acquisition Regulation (FAR) 6.302-1 entitled, Only One Responsible Source and No Other Supplies or Services Will Satisfy Agency Requirements to TrillaMed, LLC (UEI: GW9FLBWB5625), a Service-Disabled Veteran-Owned Small Business (SDVOSB), for the procurement of the GE MUSE Electrocardiographs (ECG) Data Management System (ECGDMS) under the issuance of a VA-wide (otherwise referred to as national ) single award Requirements Contract

The applicable North American Industry Classification System (NAICS) code 339112 Surgical and Medical Instrument Manufacturing is most appropriate for this requirement. The size standard is 1,000 employees. The Product Service Code (PSC) is 6515 Medical and Surgical Instruments, Equipment, and Supplies.

Interested parties may identify their interest and capability to respond to this requirement. Supporting information must be furnished in sufficient detail to demonstrate the ability to comply with the requirements. No solicitation package is available, and telephone requests will not be honored.

Responses received will be reviewed; however, a determination by the Government not to compete the proposed procurement based upon responses to this notice is solely within the discretion of the Government. No cost to the government will arise as a result of contractor submissions of responses to this announcement or the government use of such information.

All 170+ VHA facilities currently use GE MUSE as their ECG Data Management System along with GE cardiac equipment, including resting ECGs (MAC VU360), stress tests (CASE), and Holter monitoring (SEER), using GE s proprietary Marquette 12SL algorithm. Millions of veteran ECG records are stored on this system. This includes data and values, like heart frequency, RR interval, PR interval, whether or not the patient is in sinus rhythm and the QT duration and corrected QT duration (QTc). Accurate data transfer and consistency between the baseline reading and later readings are essential in monitoring trends. Cardiologists depend on prior ECG data to track cardiovascular conditions over time and this data is crucial for accurate diagnoses of potentially life-threatening conditions.

GE MUSE is the only ECG Data Management System that provides comprehensive access to historic raw ECG Data and specific tools to fully utilize the historical data. The Marquette Serial Comparison Program detects clinically significant changes by comparing the current ECG with the previous one for the same patient. It does so by utilizing interpretive statements, ECG measurements, and waveform comparison techniques using prior patient data. This feature requires the use of GE MUSE. No other system can access and interpret this data. Switching to a different ECG Data Management System would result in losing this raw data, leaving only images. Maintaining and interpreting raw ECG data is essential for Veteran s health and safety and allows VHA cardiologists to continue providing world-class care to veterans.

The use of the GE MUSE system across all VHA facilities, coupled with the intricacies of integrating GE cardiac equipment and managing extensive veteran ECG records, underscores the necessity of a sole source procurement under FAR 6.302-1. The unique capabilities of the GE MUSE system, which are essential for maintaining data integrity and ensuring patient safety, cannot be replicated by any other system without incurring significant costs and potential risks. Switching to an alternative system would not only involve prohibitive costs that would not be recovered through the competitive solicitation process but also compromise the quality of care provided to veterans. Therefore, to ensure continuity and uphold the high standards of veteran healthcare, a sole source acquisition is both justified and imperative.

Contract Line-Item Numbers (CLIN):

CLIN

Description

0001

MUSE APPLICATION SERVER

0002

MUSE SQL SERVER

0003

MUSE HL7 SERVER

0004

MUSE WEB SERVER

0005

MUSE TEST SERVER

0006

E MUSE Us Installation

0007

DBC Hourly Billed Service Weekday

0008

DBC Hourly Billed Service Weeknight/Sat

0009

DBC Hourly Billed Service Sun/Holiday

0010

4 Hours Service Installation - Partial After Hours

0011

Service Installation - After Hours and Saturday

0012

Service Installation - Sunday and Holiday

0013

Service Installation of New MUSE

0014

Service Installation of MUSE V9 Upgrade for a MUSE V7

0015

Service Installation of MUSE V9 Upgrade for a MUSE V8

0016

Service Installation of Advanced Features

0017

Service Installation of Advanced Web Integration

0018

Service Installation Performed After Business Hours or Saturday

0019

ECG Migration Services

0020

MUSE - New Installation

0021

MUSE - Upgrade Installation

0022

MUSE - Additional Modules Or Options Installation

0023

MUSE - Additional Facility Installation

0024

Service Support - Hourly - Normal Business Hours

0025

Service Support - Hourly - After Hours/Saturdays (Min. 3 Hours Required)

0026

Service Support - Hourly - Sundays/Holidays (Min. 3 Hours Required)

0027

Service Support - Daily - Normal Business Hours (8 Hour Block)

0028

Service Support - Daily - After Hours/Saturdays ( 8 Hour Block)

0029

Service Support - Daily - Sundays/Holidays (8 Hour Block)

0030

MUSE Project Management

0031

Database Conversion Project Management

0032

Wireless Network Project Management

0033

One Additional Onsite PM Visit

0034

Additional Facility/Misc. Project Management

0035

P TO P Per Server Migration After Hours

0036

P TO V Per Server Migration After Hours

0037

P To P Per Server Migration After Hours

0038

P To V Per Server Migration After Hours

0039

Virtual to Virtual Server Migration After Hours

0040

Virtual To Virtual Server Migration After Hours

0041

MUSE Project Management

0042

Database Conversion Project Management

0043

Wireless Network Project Management

0044

Additional Facility Misc. Project Management

0045

DBC Hourly Billed Service Sun-Holiday

0046

DBC Hourly Billed Service Weekday

0047

DBC Hourly Billed Service Weeknight-Sat

0048

MUSE Clinical Workflow System Configuration

0049

ITPS MUSE EDOC Connect Configuration - Recertification

0050

MUSE NX Project Management

0051

MUSE NX Database Conversion Project Management

0052

MUSE NX Wireless Network Project Management

0053

MUSE NX One Additional Onsite Pm Visit

0054

MUSE NX Addl Facility Misc. Project Management

0055

Project Management Hourly Billed Service Weeknight/Saturday

0056

Project Management Hourly Billed Service Sunday/Holiday

0057

Extra Data from MUSE TO XML

0058

MUSE Remote Data Management

0059

Synch To a New Site (Migration)

0060

Merge To Existing Site First Site

0061

PID Change First Site

0062

Extraction To New Site (Merge Not Incl)

0063

Tracemaster XML W/ Sync to New Site

0064

3Rd Party Conversion W/ Sync to New Site

0065

Merge To Existing Site Additional Site(S)

0066

PID Change Additional Site(S)

0067

Small Volume Records

0068

Medium Volume Records

0069

Large Volume Records

0070

Extra Large Volume Records

0071

MUSE 7V/V8 WEB EX INT MUSE Training 8 Seat Limit - Remote

0072

Enterprise VOLUMN Records

0073

Consolidation To Single Site Additional Site

0074

Consolidation To Single Site First Site

0075

HL7 Project Management

0076

ITPS ADT One Site Configuration

0077

ITPS ADT Query One Site Configuration

0078

ITPS ECG Results One Site Configuration

0079

ITPS Stress Results One Site Config

0080

ITPS Holter Results One Site Config

0081

ITPS Waveforms One Site Configuration

0082

ITPS URL One Site Configuration

0083

ITPS Orders One Site Configuration

0084

ITPS Billing One Site Configuration

0085

ITPS Batch Billing One Site Config

0086

ITPS ADDL SITE ADT, ORD, RES, FIN, BATCH, IDTF

0087

FTP Client

0088

Drive Mapping

0089

Filecopy Server

0090

ITPS Hourly Billed Service Weekdays

0091

ITPS Hourly Billed Service Weeknight/Sat

0092

ITPS Hourly Billed Service Sun/Holiday

0093

ITPS Upg ADT One Site Configuration

0094

ITPS Upg ADT Query One Site Config

0095

ITPS Upg Orders One Site Configuration

0096

ITPS Upg ECG Results One Site Config

0097

ITPS Upg Stress Results One Site Config

0098

ITPS Upg Holter Results One Site Config

0099

ITPS Upg Waveform Result One Site Config

0100

ITPS Upg URL One Site Configuration

0101

ITPS Upg Billing One Site Config

0102

ITPS Upg Batch Billing One Site Config

0103

ITPS UPG ADDL SITE ADT, ORD, RES, FINBAT, IDTF

0104

ITPS IDTF Outbound Orders Configuration

0105

ITPS UPG IDTF Outbound Orders Configuration or Recertification

0106

ITPS eDOC Results One Site Configuration

0107

ITPS UPG eDoc RESULTS ONE SITE CONFIG

0108

ITPS MUSE EDOC Connect Configuration

0109

Merge To Existing Site Additional Sites

0110

Synch To a New Site - Migration

0111

Merge To Existing Site First Site

0112

PID Change First Site

0113

Extraction To New Site - Merge Not Incl

0114

Tracemaster XML W/ Sync to New Site

0115

3Rd Party Conversion with Sync To New Site

0116

V5 Legacy Migration-Upgrade-Compression

0117

Small Volume Records

0118

PID Change Additional Sites

0119

Medium Volume Records

0120

Large Volume Records

0121

Extra Large Volume Records

0122

MUSE Support Agreement Tracking

0123

MUSE Clinical Workflow/System Configuration

0124

ITPS MUSE eDOC Connect Configuration

0125

ITPS MUSE eDOC Connect Configuration - Recertification

0126

MUSEnx Smart on FHIR ITPS

0127

MUSE NX Merge to Existing Site Additional Sites

0128

MUSE NX Synch to A New Site - Migration

0129

MUSE NX Merge to Existing Site First Site

0130

MUSE NX PID Change First Site

0131

MUSE NX Extraction to New Site - Merge Not Incl

0132

MUSE NX Tracemaster XML With Sync to New Site

0133

MUSE NX 3Rd Party Conversion with Sync to New Site

0134

MUSE NX - V5 Legacy Migration-Upgrade-Compression

0135

MUSE NX Small Volume Records

0136

MUSE NX DBC Hourly Billed Service Sun-Holiday

0137

MUSE NX PID Change Additional Sites

0138

MUSE NX Medium Volume Records

0139

MUSE NX Large Volume Records

0140

MUSE NX Extra Large Volume Records

0141

MUSE NX DBC Hourly Billed Service Weekday

0142

MUSE NX DBC Hourly Billed Service Weeknight-Sat

0143

Enterprise Volume Records

0144

Extract Data from MUSE To XML

0145

Consolidation To Single Site First Site

0146

Consolidation To Single Site Additional Site

0147

Virtual To Virtual Server Migration

0148

Physical To Physical Platform Migration

0149

Physical To Virtual Platform Migration

0150

MUSE NX Phase One (Partial Upgrade) Project Management

0151

MUSE NX R2 ATO MODEL

0152

MUSE NX VOLUME LICENSE - 10,000 ECGS/YEAR (UP TO 100K TOTAL ECGS/YR)

0153

MUSE NX VOLUME LICENSE - 10,000 ECGS/YEAR (101K to 200K TOTAL ECGS/YR)

0154

MUSE NX VOLUME LICENSE - 10,000 ECGS/YEAR (OVER 200K TOTAL ECGS/YR)

0155

MUSE NX VOLUME LICENSE - UNLIMITED ECGS/YEAR

0156

ADDITIONAL MUSE NX R2 THICK CLIENT LICENSE

0157

WEB EDIT MODULE

0158

ENHANCED ECG EDITOR MODULE

0159

STRESS MODULE

0160

HOLTER MODULE

0161

REANALYSIS MODULE

0162

INTERVAL EDITOR AND E14 BLINDING (ENGLISH, FRENCH OR GERMAN)

0163

CRITERIA BASED ROUTING MODULE

0164

ADVANCED CHARGE CAPTURE MODULE

0165

XML IMPORT MODULE

0166

XML EXPORT MODULE

0167

MUSE DICOM CONNECT

0168

EDOC CONNECT MODULE

0169

FDA FORMAT XML EXPORT MODULE

0170

MUSE MONITORING GATEWAY MODULE

0171

ORDERS MODULE

0172

ECG/STRESS/HOLTER TEXT RESULTS MODULE

0173

WAVEFORM IMAGE RESULTS MODULE

0174

ADT QUERY MODULE

0175

BILLING MODULE

0176

BATCH DATA MODULE

0177

NEW MUSE NX R2 AND CCG TEST SYSTEM

0178

NEW MUSE NX R2

0179

NEW ENTERPRISE MUSE NX R2

0180

NEW ADVANCED MUSE NX R2

0181

MOBILE ECG MODULE

0182

MUSE Virtual 8 Student

0183

MUSE Virtual 12 Student

0184

MUSE Virtual 16 Student

0185

MUSE Virtual 1 Student

0186

Networking Integration Fee

0187

Network Integration Between Ix and Hospital Network Using Isr, With Boost License

0188

Redundant IX Network Integration using back-up Integrated Services Router (ISR). Includes: up to 4 hours of professional services, and standard business hours install

0189

IX Network Integration using Integrated Services Router (ISR). Includes: up to 4 hours of professional services, and standard business hours install

0190

MUSE V8 Differences Technical Service Training Tuition Only

0191

DIG TECH BASIC 1 PERSON

0192

MUSE NX SVC Training (Biomed)

0193

Holter On-Site Applications Training, 1 Day, on-site

0194

Onsite Integrated Training 15 Seat

0195

Onsite Integrated Training 11 Seat

0196

Onsite Integrated Training 8 Seat

0197

Onsite Integrated Training 4 Seat

0198

4 Day Onsite Training

0199

2.5 Day Onsite Training

0200

3.5 Day Onsite Training

0201

2 Day Follow Up Training

0202

Workflow Engagement

0203

HCA Clin Apps Specialist

0204

Blended MUSE Training

0205

Additional Campus

0206

Additional Client

0207

Workflow Implementation

0208

MUSE V8 Service Training

0209

MUSE V9 Service Training

0210

Integration HQ Training - Tuition

0211

Workflow Engagement

0212

One Additional Onsite PM Visit

0213

MUSE NX Service Training

0214

MUSE NX Integrated HQ Training - Tuition

0215

MUSE NX Workflow Engagement

0216

DCAR MUSE Remote Training

All software product related CLIN s above (0057 0189) apply to the following SC s: 1, 2, 3, 4, 5, 6, 7, 9. All hardware product related CLIN s above (0001-0005) apply to SC 8.

SC #

SALIENT CHARACTERISTICS

METHOD OF EVALUATION

SC1

Comprehensive Access to historic raw ECG Data for at least seven prior years from all pre-existing MUSE across VHA.

Literature Review

SC2

MUSE ECG Serial Comparison with previously stored patient ECG s.

Literature Review

SC3

Seamless Connectivity Across other pre-existing VHA owned GE systems (i.e. CASE, MARS, etc).

Literature Review

SC4

ICE 60601-2-51 in product specification performance standard for ECG analysis.

Literature Review

SC5

ADT (Admission, Discharge, Transfer) data flow to all pre-existing VHA owned GE MAC VU360 ECG Carts via barcode scanning.

Literature Review

SC6

Raw ECG Data for Clinical Research.

Literature Review

SC7

Advanced Teaching Tools (i.e. preliminary overreading by fellows).

Literature Review

SC8

Turnkey hardware implementation to include all applicable servers.

Literature Review

SC9

FDA 510(k) approved.

Literature Review