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FBO DAILY ISSUE OF JULY 24, 2010 FBO #3164
SOURCES SOUGHT

Q -- Radiologic Interpretations

Notice Date
7/22/2010
 
Notice Type
Sources Sought
 
NAICS
621512 — Diagnostic Imaging Centers
 
Contracting Office
Department of Health and Human Services, Indian Health Service, Navajo Area Office, PO Box 9020, Window Rock, Arizona, 86515
 
ZIP Code
86515
 
Solicitation Number
FDIHB-0001
 
Archive Date
8/28/2010
 
Point of Contact
Christine House, Phone: 928.729.3795, Christine House, Phone: 928-729-3795
 
E-Mail Address
christine.house@ihs.gov, christine.house@fdihb.org
(christine.house@ihs.gov, christine.house@fdihb.org)
 
Small Business Set-Aside
Total Small Business
 
Description
Sources Sought Synopsis for Radiologic Interpretations at Fort Defiance Indian Hospital Board medical facility. SYNOPSIS IS NOT A REQUEST FOR PROPOSAL. It is a market research tool being used to determine potential sources prior to determining the method of acquisition and issuance of a Request for Proposal. The FDIHB, Inc. is not obligated to and will not pay for information received from potential sources as a result of this synopsis. SCOPE OF WORK: Radiology Interpretations: •A. Performance Conditions The contractor shall: •1. Provide written and /or oral interpretations of medical images for X- Ray, Computed axial tomography(C.T.), digital mammography - real time for diagnostic exams, ultrasounds, and MRI. •2. Furnish all necessary qualified and credentialed personnel, supplies, materials and equipment necessary to perform services under this contract. Contractor's Radiologist's credentials are to comply with American College of Radiology (ACR) And Centers for Medicare and Medicaid Services (CMS) for Mammography and CT. •3. Provide immediate telephone consultation with physicians to report abnormal findings that could alter the treatment and care of a patient. •4. Perform quarterly in-house peer review on interpretations from electronic images. The contractor shall provide hard copies or email reports to the contracting officer's representative within five days following peer review process. Peer review activity reports shall express group opinion for agreement/disagreement, additional information required on reports, ECT. To meet CMS or equivalent accreditation organization requirements. •5. There shall be one contract holder and No Subcontract Holders to perform services for the fulfillment of this contract. •6. Contractor will have ability to provide specialty and sub-specialty reading from within their organization. •7. Individual Radiologist will be present and available within the Radiology department from 8AM to 5PM Monday thru Friday minus a one hour lunch break, No after hours, No call back work. •8. Contractor shall provide Teleradiology services for evenings beginning after 5PM through the following morning at 8AM. Weekends and Holidays coverage via Tele-radiology to encompass any hours of exception from In-House Radiologist's presence. Contractor to provide coverage for Radiologist physical absence for vacations, Medical Conference, Staff Meetings, ECT. Which precludes their presence during the specified work week hours. •9. A Lead Interpreting Physician shall be designated in writing, and a Medical Audit Physician assigned, each with credentials in place, to be registered with the American College of Radiology (ACR), before any mammograms are read for FDIHB. • B. Contractor Qualifications. •1. Contractor's provided Radiologist must have completed of an approved residency or other accredited training in radiology or a combination of such training with appropriate experience to be board eligible. Certification by an American specialty board in radiology or approved residency or other accredited training or combinations of such training with appropriate experience. The incumbent must be board certified or board eligible from the American Board of Radiology and General Radiology, have a M.D. or D.O. degree, and a current permanent unrestricted state license. •2. Provider will be required to credential no less than 6 radiologist and no more than 13 radiologists with Arizona State medical license. This will ensure appropriate teleradiology coverage while limiting the amount of overhead associated with credentialing and medical staff approval. No subcontracting will be allowed in order to meet this requirement. •3. Contractor shall be accredited by CMS, or American College of Radiology. •4. The Contractor shall possess medical liability insurance in accordance with FAR 52.237-7 Indemnification and Medical Liability Insurance. The contractor shall maintain medical liability Insurance through-out the term of this contract and provide updated copies to Contracting Officer's Representative upon Renewals. •5. The Contractors Radiologist shall have their credentials available for review. •6. The Lead Interpreting Physician shall be responsible for all duties as outlined in the Mammography Quality Standards Act of 1992, and enforced by the Food and Drug Administration (FDA). •7. The contractor's acquisitions equipment shall be Vista compliant and shall be current with ACR/NEMA Image data format. •8. The Contractors network shall have firewalls and procedure to ensure patient confidentiality and security consistent with Health Insurance and Portability and Accountability Act of 1996 (HIPPA). •9. The contractor shall have at least a dedicated 20 Mbps bandwidth connection to their network to enable efficient transmission of radiographs. C. Essential Radiologist Functions. •1. Determines based on patient's physical condition, history and symptomology what Radiological examinations are necessary for accurate diagnosis. Prescribes x-rays for specific body areas to be taken by the technologist. Administers any radiopaque substance, which the patient cannot take orally to render internal structures and organs visible to diagnostic x-ray or fluoroscopic screen. After study of developed x-ray or fluoroscopic images, evaluates findings, correlating them with other examinations and tests. Records diagnosis and recommendations for inclusion in patient's record and forwards to attending physician. Serves as consultant to other physicians to interpret radiologic findings and assists in determining the nature and the extent of further diagnostic studies. •2. Recommends methods and procedures for coordination of roentgenologic services with other medical activities and advises on the kind and quantity of roentgenological personnel, supplies and equipment. •3. May serve as Acting Chief of the Radiology Department during absence of the Supervisory Diagnostic Radiology Technologist. Responsible to orient and oversee work provided by temporary or locum tenens radiologist during the absence of the Supervisory Diagnostic Radiology Technologist. Will also be responsible to evaluate the performance of temporary radiologists and recommend to the Medical Executive Committee appropriate continued privileges. •4. Participates in teaching activities for the clinical staff, including residents in various specialties, and physician extender trainees. Assists in training programs for field x-ray technicians to improve technical skills including knowledge of radiation protection. •5. Assists in the monitoring and reporting of continuous Quality Improvement activities, meeting all CMS requirements. •6. Reports to Radiology Supervisor. •7. Performs other related duties as assigned. D. Communication Network Interface Requirements. •1. The contractor's equipment shall interface with Government Furnished Communications platforms at the Fort Defiance Indian Hospital Board Inc. •2. The Contractor shall possess a DICOM Teleradiology System that is compatible with the IHS's DICOM Imaging Network. •3. All Interpretations shall be performed on diagnostic high-resolution monitors, calibrated at least semi-annually or consistent with proper quality control procedures at the interpretation site. The display system shall enable spatial resolution of a minimum of 2.5 line pairs/mm and display of 8-bit gray scale. Digital Mammography interpretations shall be performed on digital workstation approved by the F.D.A. for reading Mammograms. Hardcopy mammography interpretation shall be printed out on approved laser imagers i.e. KODAK 8610, Agfa LR 5200. •4. Acquisition Equipment shall be DICOM 3.0 part 10 compliant, and shall be current with ACR/NEMA Image data format. •5. Contractor shall have at least a dedicated 20 Mbps bandwidth connection to their network to enable efficient transmission of radiographs (i.e. a 14 x 17 2k chest film should be able to be transmitted within two minutes). E. Quality of Services: •1. Adherence to all CMS and MQSA as enforced by the F.D.A. is required. F. Interpretation Requirements: •1. The Contractor shall use soft copy digital image interpretations. Soft copy is defined as an electronic image used for interpretation while Hard copy is film processed from computerized images. Should a soft copy of a digitized analog film be determined unacceptable for final interpretation by contractor, the Contractor will request retakes of the exam. •2. Typed reports shall be provided in accordance with Standard Form 519A: Radiologic Consultation Request/Report Form or an equivalent format. The equivalent format shall have the minimum information: 1) Patient identification; 2) Age; 3) Sex; 4) Ordering Physician 5) Type of Examination Requested; 6) Reason for Request; 7) Date of Examination; 8) Date of Report; and 9) Radiologic Report. These reports shall be provided via one of the following methods: 1) mailed via priority mail; 2) facsimile; or 3) electronic e-mail. The facility will notify the Contractor on the preferred method to be utilized for sending written interpretations. •3. Emergency after hour interpretations may be a preliminary interpretation with a final report by a Board Certified Radiologist sent on the next business day. •4. If comparison studies are required, they will be sent to the Contractor at the Facility's expense. •5. Workload is to include all the following modalities: Routine General Radiography, Emergency Care Radiology, Fluoroscopic examinations, Mammography, Ultrasound, Computed Tomography, and MRI. CT or Ultrasound guided biopsies preformed in cooperative conjunction with surgeons request and additional Diagnostic Mammography as indicated. G. Reporting Time Frames: •1. Routine Radiographic Exams includes primarily chest, extremity, ECT. Interpretations shall be returned to Facility by noon the following day or by noon Monday for films sent during the weekends. •2. Emergency (Stat) Radiographic Exams interpretations on weekdays, after hours, and weekend's interpretations shall be returned to the ordering unit within thirty minutes. •3. Screening Mammography interpretations shall be provided within 48 hours of receipt of images. Preliminary reading shall not be deferred in anticipation of any prior exam's films arrival. •4. Ultrasound Routine Exams shall be returned to the sending unit within 24 hours of receipt of images. •5. Emergency (Stat) Ultrasound Exams Interpretations shall be returned to the ordering unit within 30 minutes. •6. All C.T. exams shall be granted availability to return interpretations within 30 minutes 24 hours a day, seven days a week, with the exclusion of Virtual Colonoscopies. •7. Excluding any technical, clinical, or quality issues with image and clinical data transmission from Facility to Contractor, 90% of all Stat interpretations will be returned within 30 minutes. There is no commitment by the FDIHB, Inc. to issue a solicitation, make an award, or be responsible for any monies expended by an interested parties in support of the effort mentioned above. Information provided herein is subject to change and in no way binds the FDIHB, Inc. to solicit or award a contract. If a solicitation is released, it will be synopsized on the Federal Business Opportunities (FedBizOpps) website, located at www.FedBizOps.gov. It is the potential offeror's responsibility to monitor this site for the release of any follow-on information. This is a Sources Sought, and feedback from industry is also sought on our requirements as stated in this synopsis. THIS IS NOT A REQUEST FOR PROPOSAL (RFP). Interested parties are requested to submit a capabilities statement of no more than three (3) pages in length and demonstrate their ability to provide the requirements listed above. All data received in response to this sources sought notice, marked or designated as corporate or propriety, will be fully protected from release outside the FDIHB, Inc. The information may be faxed to ATTN: Christine House @(928)729-8019 or email to christine.house@fdihb.org. The FDIHB, Inc. is not committed nor obligated to pay for the information provided, and no basis for claims against the FDIHB, Inc. shall arise as a result of a response to these sources sought.
 
Web Link
FBO.gov Permalink
(https://www.fbo.gov/spg/HHS/IHS/IHS-Navajo/FDIHB-0001/listing.html)
 
Place of Performance
Address: Fort Defiance Indian Hospital Board, P.O. Box 649, Corner of Routes N12 & N7, Fort Defiance, Arizona 86504-0649, Fort Defiance, Arizona, 86504-0649, United States
Zip Code: 86504-0649
 
Record
SN02214265-W 20100724/100722234746-1ad346ce148596ec152f0b30a21228cc (fbodaily.com)
 
Source
FedBizOpps Link to This Notice
(may not be valid after Archive Date)

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