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FBO DAILY - FEDBIZOPPS ISSUE OF SEPTEMBER 23, 2017 FBO #5783
DOCUMENT

H -- VA249-17-AP-6845 30-DAY LOOPING CARDIAC MONITOR - Attachment

Notice Date

9/21/2017
 

Notice Type

Attachment
 

NAICS

621999 — All Other Miscellaneous Ambulatory Health Care Services
 

Contracting Office

Department of Veterans Affairs;Network Contracting Office 9;1639 Medical Center Parkway;Suite 400;Murfreesboro TN 37129
 

ZIP Code

37129
 

Solicitation Number

VA24917Q1073
 

Response Due

9/25/2017
 

Archive Date

10/25/2017
 

Point of Contact

Kevin J. Cochran
 

E-Mail Address

615-225-6479<br
 

Small Business Set-Aside

Total Small Business
 

Description

The purpose of this Amendment is to respond to questions asked by interested parties for solicitation # VA249-17-Q-1073 Cardiac Monitoring Service and to attach the revised SOW removing the requirement for mobile cardiac telemetry services. Question: Is there a total amount of monitors requested? Response: It should be 252 Looping event recorders for the base period which is 12 months.   We never ordered the mobile cardiac telemetry during the 5 years of the contract, so that should have been removed. Question: In the Price/Cost Schedule, the description reads: 30-Day looping cardiac event recording and cardiac mobile telemetry services, 252 each Obviously, there is a difference between looping cardiac event monitoring and mobile cardiac telemetry. Should I assume that combined, the total will be 252 tests for the year, or should I interpret it as 252 looping cardiac event monitor patients and 252 mobile cardiac telemetry patients for the year? Response: It should be 252 Looping event recorders for the base period which is 12 months.   We never ordered the mobile cardiac telemetry during the 5 years of the contract, so that should have been removed. STATEMENT OF WORK GENERAL: The Lexington VAMC has a requirement to provide veterans within the service area with cardiology and other related medical services. It is the intention of the Lexington VAMC to solicit quotes in accordance with all terms, conditions, provisions, specifications, and schedules of this solicitation and award a firm-fixed price contract on a competitive basis. BACKGROUND: Access to health care services is one of the Veterans Health Administration s (VHA) six domains of value and is a fundamental concern for VHA policy makers, administrators, and clinicians. The Lexington VAMC treats over 30,000 veterans annually for care and this number is projected to increase. Many of these veterans require cardiology healthcare services. The intent of this contract is to ensure that external cardiac monitor services are available and accessible to both male and female veterans as needed. TERM OF CONTRACT AND PRICING: This contract is projected to be effective from October 1, 2017 through September 30, 2018, with four one year renewal option to be exercised at the discretion of the Government. Contractors are requested to provide pricing in accordance with the schedule found herein. Pricing should be quoted per enrollee/patient and the cost shall be based on the negotiated Medicare fee schedule. WORK STATEMENT: Contractor shall provide external cardiac monitoring including but not limited to looping cardiac event recording services provided by qualified personnel. The contractor s care shall cover the ranges of services normally provided in a similar civilian healthcare facility for patients of the Lexington VA Medical Center, 1101 Veterans Drive, Lexington, Kentucky 40502. The contractor s personnel shall be of a quality meeting or exceeding currently recognized national standards as established by the Department of Veteran Affairs and other regulatory agencies. The contractor shall maintain compliance with established regulatory requirements. The contractor shall provide the facility, staffing, equipment, and supplies required to perform all requested external cardiac monitoring services in accordance with the terms of the contract. The contractor shall be responsible for all contractor personnel, subcontractors, agents, and anyone acting for or on behalf of the contractor. The services provided under this contract are not to be performed outside the United States. Malpractice coverage is to be provided for as well as General Liability coverage. 1. The contractor shall be responsible for management of all aspects of the contract, and this includes the following: (a) Provide professional external cardiac monitoring coverage 24/7/365 for patient calls and ECG transmissions during each patient study. Each transmission shall result in a report containing ECG strips, patient data and technician's observations. ECG data received that meets agreed upon Physician Notification Criteria shall immediately be communicated to the Lexington VAMC. A final written cardiac monitoring summary report shall be made available upon completion of each test study. Additionally, for cardiac mobile telemetry services daily, aggregated, and final summary reports shall be made available for each prescribed test study. (b) The contractor shall maintain compliance with Health Insurance Portability and Accountability Act of 1996 (HIPAA) and VA regulations. The Lexington VAMC hereby grants authorization and requests the contractor to provide secure internet access to follow-up with referred patients by assigning a unique Identification (ID) and password. Contractor shall be required to be in compliance with all U.S. Laws and VA regulations regarding sensitive information, patient confidentiality, and information security, as set forth in; Privacy Act of 1974, Computer Security Act of 1987, Clinger Cohen Act of 1996, OMB A-130 Appendix IIIk and VA, VHA Directives 6210, and all other applicable regulations. See FAR clauses 52.224-1 and 52.224-2 included herein. (c) Provide reasonable access to care. The Lexington VAMC reserves the right to refer its patients to other contractors should the primary contractor fail to sustain operations (e.g. telecommunication, supplies, etc.) resulting in delayed patient access and/or care. Repeated failure to provide timely patient access and/or care could result in contract cancellation. (d) Routine cardiac event recording procedures will be interpreted and communicated to the Lexington VAMC within 24 hours of each transmission. The report shall contain at a minimum the ECG strips, patient data and technician's observations. Failure to provide a final report to the Lexington VAMC within the established timeline will result in a reduction in payment as follows: 10% reduction for all reports that exceed the 24 hour timeline. 25% reduction for all reports that exceed the 48 hour timeline. 50% reduction for all reports that exceed the 72 hour timeline. 75% reduction for all reports that exceed the 96 hour timeline. 100% reduction for all reports that exceed the 120 hour timeline. Consistent failure to provide timely, accurate reports within 5 business days may result in contract cancellation. (e) ECG data meeting established physician notification parameters must be immediately communicated to the physician within 30 minutes. The verbal report will be followed with a written report within 24 hours as stated above. The physician notification parameters are as follows: All Bradycardia rates equal to or below LOW RATE TRIGGER (Default = 40 bpm) All Tachycardic rates equal to or above HIGH RATE TRIGGER (Default = 150 bpm) New onset SVT sustained greater than 30 seconds, or any symptomatic SVT with ventricular rates greater than 130 bpm sustained for 30 seconds New onset Atrial Fibrillation/Flutter Atrial Fibrillation/Flutter with ventricular rates greater than 150 bpm IVR/AIVR of more than 10 beats or IVR/AIVR of 10 beats or more with symptoms IVR = Sequential ventricular ectopics with rates 40 bpm and below AIVR = Sequential ventricular ectopics with rates from 40 to 100 bpm Ventricular Tachycardia (VT) of 10 or more beats VT of 3 more beats with symptoms VT = Sequential PVCs with rates of 100 bpm or above Ventricular Fibrillation/Flutter or Torsades de Pointes All Second Degree AV Blocks with associated Bradycardia rates as described above Complete Heart Block or AV Dissociation All pauses 3 seconds or longer Angina accompanied by ventricular ectopy Pacemaker failure ICD Discharge Any Syncope or episodes of fainting Other events which may be representative of acute disease which may or may not be accurately assessed by ECG strip (i.e. patient expressed symptoms of numbness in head, focal numbness, dysphasia, or other symptoms representative of neurological insult or acute cardiac compromise) In the event of an immediate life- threatening emergency, the EMS shall be notified prior to notification of the referring physician.     (f) All reports shall meet or exceed established standards for timeliness, accuracy and content. All reports shall be customizable to ensure compliance with VA standards. Only VA approved abbreviations are allowed for documentation within the patient health record. Contractor shall maintain the security and integrity of patient information in accordance with applicable HIPAA, VA, and other applicable regulatory agency requirements as stated above. (g) Install, secure and maintain internal and external communication systems required to perform the requested services established within the terms of this contact (e.g. report delivery, patient education, support, etc.). The communication link(s) between the contractor s facility and the VA facility shall be at the contractor s expense and meet VA encryption and security requirements. (h) Provide all equipment and all disposables supplies necessary to perform above requested procedures. All event kits, batteries, cleaning and associated shipping will be at no additional charge. Quantity of devices will be adjusted by the contractor based on actual usage to ensure an adequate supply. Contractor owned equipment shall be returned to the contractor upon termination of this agreement. The contractor is responsible to maintain the working condition of all provided equipment. (i) Provide maintenance and ensure cleaning of all equipment and installed systems provided by the contractor. The contractor shall make provisions for the proper maintenance and functioning of all associated equipment, facilities and fixtures as may reasonably be required to perform services hereunder. (j) Provide patient in-service and obtain an initial baseline recording to acclimate the customers with the product and service upon request. Maintain continued unlimited customers phone support during the duration of the cardiac event study at no additional cost. (k) Develop a project implementation strategy in collaboration with the Lexington VAMC to include establishing telecommunications VISTA interface, reporting and billing procedures, operational readiness, etc. (l) Provide a system that maintains a minimum 98% up time performance rate with appropriate emergent contingency plans. Failure to provide consistent service coverage could result in contract cancellation. (m) Provide hardware and selected software to be utilized at contractor site. (1) Contractor to provide facsimile, telephone, networking and other telecommunications equipment to be utilized at contractor facility. (2) Contractor to provide all supplies, services, maintenance, repairs and upgrades required at contractor facility to provide services as described above. (3) Contractor s equipment hardware, software and supplies must be compatible with the VA s software and hardware used during performance of this contract including critical patches and antivirus updates. Contractor shall provide proof of installation of critical patches and/or antivirus updates to the VA upon request. (4) Contractor s network and security system must be compatible with the VA s network and security system. 2. The Lexington VAMC will be responsible for: (a) Lexington VAMC will be responsible for review of the credentials of the contractor personnel in a timely fashion. (b) Prepare site for installation of the contractor system/equipment if required. Authorize installation of a separate internet connection, located inside the hospital but outside the firewall, and a network connection that will be installed inside the Lexington VAMC. The VA will establish accounts and authorize privileges for the use by contractor. Provide pertinent historical and demographic information on each patient sufficient for the contractor to perform its services. IF REQUIRED (c) Floor space, workspace and power adequate for a PC tower computer, monitor and keyboard. (d) Physical space in computer/Telco room for installation of Contractor-provided router and any remoter connectivity devices typically used by communications provider. (e) Physical security to computer systems. (f) Access to server and object forge devices for the installation of Category 5 cabling. (g) Availability of technician for two hours of assistance. (h) Information Resource Management (IRM) designated staff for testing and approval of installed remote connectivity solution. 3. PROCEDURE FOR TRANSMISSION OF REPORTS: Patient reports shall be sent to the VA's IT network through a data line provided by the Contractor. The contractor shall provide a final report and transmit using hardware/software provided by contractor. Contractor is responsible for transmitting the final reports to the Lexington VAMC Computer System (CPRS/VISTA Radiology Information System) in a timely fashion as outline above. Faxed hardcopy reports will be considered. However, preference will be given to the contractor(s) with the capability of electronically transmitting the data into the EMR. 4. GUIDELINES: The Contractor shall perform the functions required under this contract in accordance with Federal, State and local regulatory standards. The contractor shall not participate nor be a party to any activities, which are in conflict with Federal and/or State guidelines. In the event the contractor encounters said conflicting situations, the contractor shall notify the COR and the Contracting Officer to resolve such issues. The Contracting Officer will document and be responsible for resolution of any such situations. Neither the VA nor the contractor will be responsible for any delays or failures to perform due to causes beyond each party's control. The VA and the contractor may upon mutual consent, modify the timing and schedule of services. 5. QUALITY MONITORING PROGRAM: The contractor shall have a quality monitoring program, and shall agree to comply with the requirements for meeting Federal, State and local regulatory standards. Documentation of quality control to include: 1.) report turnaround timeliness standards, 2.) report content accuracy and ECG data quality checks, 3.) equipment checks (e.g. uptime %, cleaning process, replacement timeline in the event of malfunction ) will be provided to Lexington VAMC quarterly. 6. QUALITY CONTROL: The Contractor's facilities, methodologies, and quality control procedures may be examined by the VA Contracting Officer or his (her) designee at any time during the life of the contract. 7. QUALITY ASSURANCE AND PERFORMANCE MONITORING: Performance Objective Performance Standard Method By Whom Access Customer 99% of all requests for appointments shall be performed within 24 hours of the requested desired date. Patient access to requested services shall not exceed 24 hours/1 day. 100% of the cardiac monitoring requests will be monitored on a monthly basis (denominator). The initial issue date of the equipment and recorded baseline data will be utilized to determine non compliance (numerator). The data will be aggregated for each quarter and reported to COTR by the contractor within 10 business days after the end of each quarter. Contractor/ VA Designee Access System dependability System dependability also impacts access to requested services. Therefore, the contractor shall provide systems with an overall minimum uptime of 98%. 100% of the equipment availability (denominator) and equipment failures when issued (numerator) will be monitored on a monthly basis. The uptime data report shall be provided to the COTR quarterly. The report shall be submitted within 10 business days after the end of each quarter. Contractor/ VA Designee Timeliness Reports 100% of exams shall have a verified report within 24 hours business days. Reports with abnormal assessments based established parameters shall be communicated within 30 minutes. 100% of the exams will be monitored on a monthly basis (denominator). The event/transmission date and reported date will be utilized to determine non-compliance (numerator). The data will be aggregated for all exams each month and reported to COTR quarterly and submitted within 10 business days after the end of each quarter. Contractor / VA Designee (a) The Government will periodically evaluate the contractor s performance by appointing a representative(s) to monitor performance to ensure services are received. The Government may inspect each task as completed or increase the number of quality assurance inspections if deemed appropriate because of repeated failures or because of repeated customer complaints. Likewise, the Government may decrease the number of quality assurance inspections if performance dictates. VAMC Quality Assurance personnel will validate any complaints and report to the Government Contracting Officer who will then take necessary action to enforce contract compliance. (b) If any of the services do not conform to contract requirements, the Government may require the contractor to perform the services again in conformity with contract requirements, at no increase in contract amount. 8. CONTRACTOR STANDARDS: Contractor is responsible for developing and maintaining written policies and procedures for licensure and certifications, competency evaluations, orientation and continuing education, that are appropriate for the scope of care and services provided by employees and subcontractors under this contract. 9. SPECIAL CONTRACTOR RESPONSIBILITIES: The contractor must possess all licenses, permits, accreditation and certificates as required by law. The contractor must perform the required work in accordance with federal, state and local regulatory standards. Contractor shall be responsible for insuring that all personnel/sub contractors complete all training requirements (ethics, cyber-security, privacy, etc.) within the specified timelines. All responses to solicitation ## VA249-17-Q-1073 Cardiac Monitoring Services are due NLT 12:00 noon Central Time September 25, 2017. All other terms & conditions of this solicitation remain unchanged.
 

Web Link

FBO.gov Permalink
(https://www.fbo.gov/spg/VA/NaVAMC/VAMCCO80220/VA24917Q1073/listing.html)
 

Document(s)

Attachment
 

File Name: VA249-17-Q-1073 VA249-17-Q-1073_2.docx (https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3808826&FileName=VA249-17-Q-1073-003.docx)

Link: https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3808826&FileName=VA249-17-Q-1073-003.docx

 

Note: If links are broken, refer to Point of Contact above or contact the FBO Help Desk at 877-472-3779.
 

Place of Performance

Address: Department of Veterans Affairs;VA Medical Center, Lexington;Cooper Division;1101 Veterans Drive;Lexington, KY

Zip Code: 40502
 

Record

SN04689549-W 20170923/170921232426-bcc1324f0082520a0407c0de38653627 (fbodaily.com)
 

Source

FedBizOpps Link to This Notice
(may not be valid after Archive Date)

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