H– VA249-17-AP-6845 30-DAY LOOPING CARDIAC MONITOR
Notice Type: Modification to a Previous Presolicitation Notice
Posted Date:
Office Address:
Subject: H-- VA249-17-AP-6845 30-DAY LOOPING CARDIAC MONITOR
Classification Code: H - Quality control, testing & inspection services
Solicitation Number: VA24917Q1073
Contact:
Setaside: Total Small BusinessTotal Small Business
Place of Performance (address):
Place of Performance (zipcode): 40502
Place of Performance Country:
Description:
Nashville VAMC
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
TERM OF CONTRACT AND PRICING: This contract is projected to be effective from
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
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
(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
(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
(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
(4) Contractor s network and security system must be compatible with the
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
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
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
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
All other terms & conditions of this solicitation remain unchanged.
Link/URL: https://www.fbo.gov/spg/VA/NaVAMC/VAMCCO80220/VA24917Q1073/listing.html
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