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FBO DAILY - FEDBIZOPPS ISSUE OF NOVEMBER 23, 2016 FBO #5479
DOCUMENT

Q -- Cardiac Arrhythmia Monitoring Services aka: Cardiac Monitoring Sevices This RFI supersedes VA69D-17-Q-0154 posted to FBO 11/18/2016 - Attachment

Notice Date
11/21/2016
 
Notice Type
Attachment
 
NAICS
621999 — All Other Miscellaneous Ambulatory Health Care Services
 
Contracting Office
Great Lakes Acquisition Center (GLAC);Department of Veteran Affairs;115 S 84th Street, Suite 101; WI 53214-1476
 
ZIP Code
53214-1476
 
Solicitation Number
VA69D17N0210
 
Response Due
11/25/2016
 
Archive Date
12/25/2016
 
Point of Contact
Roberta J. "Bobbie" DeWeese, Contracting Officer
 
Small Business Set-Aside
Total Small Business
 
Description
Page 4 of 5 The Network Contracting Office (NCO) 12, Great Lakes Acquisition Center (GLAC) is seeking contractors to furnish Cardiac Arrhythmia Monitoring services for the Jesse Brown VA Medical Center (VAMC), Captain James A. Lovell Federal Health Care Center (FHCC or Lovell FHCC), Edward Hines Jr. VA Hospital (VAH), Oscar G. Johnson (Iron Mountain) VAMC, William S. Middleton Memorial (Madison) VAH, Tomah VAMC, Clement J. Zablocki (Milwaukee) VAMC and the Milo C. Humpfner HCC (Green Bay) under the authority of FAR 13.5, Simplified Procedures for Certain Commercial items. Contractor shall provide all equipment (including monitoring devices), supplies, labor, training and management required to perform cardiac arrhythmia monitoring services CLIN X001 - (up to) 48-hour (Holter); CLIN X002 - (up to) 30 day memory loop (event); CLIN X003 - (up to) 15-day ambulatory cardiac telemetry (ACT or telemetry) CLIN X004 16 to 30-day ambulatory cardiac telemetry (ACT or telemetry) to VISN 12 VA medical facilities and FHCC in accordance with the Statement of Work (SOW), specifications, terms and conditions outlined below. STATEMENT OF WORK (SOW) Contractor shall provide equipment (including monitoring devices), supplies, labor, and management required to perform cardiac arrhythmia monitoring services (up to) 48-hour (Holter); (up to) 30 day memory loop (event); and (up to) 30-day ambulatory cardiac telemetry (ACT or telemetry) to VISN 12 VA medical facilities and FHCC as specified, for patients experiencing infrequent symptomatic cardiac events. Services shall be provided twenty-four (24) hours a day, seven (7) days a week, including federal holidays on an on-demand/as-needed basis. Reports and tracings shall also be available to VA/FHCC staff 24 hours per day, seven days per week, 365 days per year via the internet, facsimile (fax) or other electronic method. Ordering/Request for Services: Each facility s cardiac unit personnel will separately place orders by registering patients for cardiac arrhythmia monitoring services. Registration via secure website is preferable though registration via telephone or secure facsimile (fax) is acceptable. Contractor shall retain separate files for each facility s registered patients. Government personnel will provide the contractor with patient and physician-specific information necessary to register the individual for monitoring services. Information should, as a minimum, include the following: Referring/primary physician name and phone number Referring/primary physician s orders/monitoring and reporting criteria Account ID (referring Station) number (per Exhibits), name, address and phone number Patient name, address, phone number and consult (or equivalent) number NOTE: The consult number, preceded by zeros to bring total number of digits to nine (9), (or equivalent e.g., phone number minus the first digit of the area code) shall consist of the same number characters as, and be used instead of, the patient s social security number. Alternate/supplemental patient contact information and relationship to patient Government emergency/on-call designate number(s) Account/administrative contact person s name, title, direct phone number and email address Account secondary phone number Account fax number for reports Type of monitoring required Tracings/ Notifications/Reports Contractor shall be staffed with trained clinicians and/or certified cardiac technicians. The contractor will be required to provide two different types of reports interim and summary (end of service). Upon receipt of recorded data, Contractor personnel shall perform preliminary interpretation of ECG/EKG tracings and compile interim or summary reports as specified in this section. Tracings are the raw data that are generated by contractor monitoring devices and are used as backup documentation for reports. Reports (interim and summary) are the interpretation of the raw data at various intervals as clinically necessary. Interim reports: Contractor shall provide interim reports only when clinically necessary. Contractor shall immediately notify appropriate Government personnel of adverse events in accordance with 3. Immediate Notifications, below, followed up with an interim report supported by pertinent tracings including tracings showing preceding activity and subsequent activity for said adverse event within 30 minutes of notification. Additionally, Contractor shall notify Government personnel at the originating station when there are occurrences of no tracings for 12 consecutive hours. Summary reports: Contractor shall compile a summary report upon conclusion of each patient s monitoring service. Contractor shall provide any and all associated recorded data including tracings cited as not pertinent or unclear by Contractor clinical personnel upon request for further assessment by the Government. Contractor shall make summary reports available to VA/FHCC personnel within 24 hours after receipt of recorded data. These reports must be in MSWord or.pdf format and available for electronic download/fax transmission via a secure site/line. Summary reports must contain the following: Minimum and maximum sinus rates; Average heart rate; Basic conduction statement with pause duration; Percent of ventricular and atrial ectopy; Strips of all ventricular tachycardia and representative supraventricular tachycardia events. Percentage of time in tachycardia and bradycardia; and, Comments regarding manual transmissions (i.e., There were no manual transmissions or Manual transmissions are documented ). Although not mandatory, individual symptom statement with rhythm at that time mentioned therein accompanied by the strips is desirable. Contractor shall send electronic alert to appropriate Government personnel within 24 hours of availability when a report is queued or available for download/transmittal. Authorized medical personnel at the respective Government facilities will review the preliminary interpretation and will enter final diagnostic interpretation into the Computerized Patient Record System (CPRS). Immediate Notifications If VA/FHCC patients experience an event/recording(s) deemed immediate/emergent during non-business hours or on a federal holiday, Contractor personnel shall follow the notification process outlined below. Due to differences in organizational structure and staffing, Government contact and emergency instructions may vary. Contractor must be able to follow the criteria specific to the applicable facility and referring physician provided during patient registration. In cases of discrepancies between the referring physician s instructions/criteria and this contract, the referring physician s instructions/criteria shall take precedence. The contact information and numbers provided herein represent current standard operating procedure associated with Government notification. Contractor shall research and incorporate into individual patient records, the contact information for non-VA emergency medical response team (EMT) local to any Government referred patient. Should Contractor personnel be unsuccessful after three attempts in a fifteen-minute period to reach appropriate Government medical personnel to report an emergent condition, Contractor shall notify the non-VA emergency medical response team (EMT) local to the veteran experiencing the medical emergency. NOTE: Individual Office hours and contact information for each facility will be provided in solicitation Notification Criteria Immediate/Emergent Contractor shall immediately verbally notify the Government of any recordings/events of an emergent nature. Contractor shall follow up with a written interim report, accompanied by the incident recorded data, within thirty (30) minutes. Unless specified to the contrary in the referring physician s instructions, emergent criteria shall be as indicated below. (Sinus/Superventricular) Tachycardia 150 beats per minute (BPM) [or 180 BPM dependent upon primary/referring physician] with duration of 30 seconds or greater Sustained Wide Complex Tachycardia 120 BPM or greater Sustained Bradycardia (all rhythms with Bradycardic rate including averaged Atrial Fibrillation/ Atrial Flutter) 35 BPM or less (or 40 BPM dependent upon primary/referring physician). Atrial Fibrillation/Flutter 1) New onset (as documented by contractor with duration of 30 seconds or greater) 2) Ventricular response 180 BPM or greater (or 150 BPM or greater dependent upon primary/referring physician) with duration of 30 seconds or greater Ventricular fibrillation/flutter Complete AV block Asystole Idioventricular rhythm Junctional rhythm sustained for 30 seconds or more Syncope/disturbance of consciousness with rhythm change Torsade de pointes Customer Support Contractor shall provide customer support to Government personnel including: Training Contractor shall provide on-site training at no charge on use of its service, equipment, system and processes, as requested, to authorized Government personnel. Contractor shall provide additional on-site training, if required and at no charge, to address system, software or processing changes/upgrades as they are implemented. Phone Support - Contractor shall provide direct line phone numbers (bypassing menus, recorded messages, etc.) providing authorized Government personnel immediate access to contractor customer service personnel 24/7/365. Voice/live response to customer and patient calls shall not exceed thirty (30) seconds. Email Support Non-automated response to customer email or website inquiry. Contactor response time shall not exceed four (4) hours from time of inquiry/email. Local Area Account Representatives Contractor shall assign a local area account representative and alternate representative to provide direct and on-site support for each of the Government facilities after contract award. Customer Service Contractor shall provide customer service support 24/7/365 days per year to VA/FHCC patients under this contract. Contractor cardiac technicians (certified preferred) must be available to discuss patient symptoms and then correlate the symptoms with the ECG/EKG findings. Patients provided with monitoring devices may make an unlimited number of symptomatic calls to contractor service center(s). Contractor shall not, under any circumstances, furnish reports directly to patients. Contractor shall instruct patients, when applicable, to contact the referring Government physician for all post monitoring follow-up care.   Contractor shall, for complications occurring within 48 hours of a completed monitoring service, instruct patients to contact their Government physician or the nearest medical facility offering emergency services.   Contractor shall also assist patients (or their authorized designee) with obtaining, understanding and operating contractor monitoring devices. Contractor shall, if required (due to remoteness or inaccessibility of patient to Government medical facilities), instruct/educate patients on use, care and return of monitoring devices. Equipment/Information Technology required Equipment All monitoring devices provided in the performance of this contract must be FDA approved. Contractor shall provide and replace any hardware, software, peripherals, instructions and manuals required to support its data collection/reporting system at no charge. Contractor shall provide at no additional charge any dedicated lines, docking stations, related equipment, electronics and interfaces, as well as any associated labor to integrate contractor-owned equipment and electronics with Government equipment if necessary to successful download and upload of recorded data. This shall include, at a minimum, the following: Event/Holter recorders which must be lightweight, and simple for patients to use; Event/memory loop recorders which can be used to record, then accurately, easily and clearly transmit to the contractor via land line or cell phone; Any hardware (e.g., docking stations; card readers, etc.), software, dedicated lines, as well as any related equipment, cables, manuals/instructions, and site codes required for downloading, transmitting and uploading the up to 48-hour Holters recorded data to contractor cardiac clinicians. NOTE: Contractor personnel shall coordinate installation/integration with appropriate Government information technology personnel to ensure line security and successful software installation and functionality. Accessory patches, wires, batteries, wires, etc. and all other supplemental/peripheral items to operate equipment i.e., batteries, covers, diodes, electrodes, instructions, cell phone, telephonic hookup and baseline on the device, etc. Ambulatory Cardiac Telemetry (ACT) equipment provided under this contract shall include: Sensor(s) and cell phone/transmitter; An embedded algorithm and cellular communication technology capable of monitoring in real time/near real time; A telemetry service that provides auto-trigger and auto-send functionality automatically and instantly detecting and transmitting both symptomatic and asymptomatic arrhythmia without the necessity of any patient intervention; An auto-trigger for atrial fibrillation, tachycardia, bradycardia, and pause; A feature permitting patients to manually activate and transmit the ECG data to the contractor monitoring facilities; and, Equipment shall enable contractor to pull ECG/EKG data at any point during the period of service while patient wears the device and provide a full holter, memory loop/event, or ACT analysis including HR variability, PVC count, AF burden summary and other key metrics. Contractor shall retain title and ownership to all equipment provided to the Government during the performance of this contract. Contractor will, when requested by the applicable Government facility, ship the equipment kit directly to remote patients unable to access their medical facility. Additionally, contractor Customer Service personnel shall follow up to confirm receipt of equipment. Website/Internet Portal If proposing use of a website or internet portal to accept, report or transmit patient data, it must meet all requirements described herein and, at a minimum, contain the features listed below. Secure internet/website with protection and data accuracy compliant with HIPPA and the Government standards. Direct links to the website for both patient and physician information on the service and monitors. Convenient access to patient reports with sorting and printing capabilities (individually or in a batch mode). Mandatory unique authentication and identification (logon) access to data. Direct line contact information permitting patients and facility personnel to communicate directly with Contractor customer service personnel 24/7/365.. Audit/reporting function within contractor electronic system permitting VA/FHCC Information Security personnel, upon request, remote access to contract-related records/data. 8. Inventory Levels Government Inventory Contractor shall place equipment and related peripheral supplies at each Cardiology ECG/EKG Department within fifteen (15) days of contract award to establish the inventory levels stated in the solicitation. These inventory levels will be maintained by Contractor via replacement shipment within 24 hours of patient registration. Tracking information shall be provided to appropriate Government contact upon shipment. Contractor Inventory Contractor shall maintain dedicated inventory levels in sufficient quantities to handle projected workload as sufficient to accommodate estimated combined annual volumes below. CLIN 0001 CLIN 0002 CLIN 0003 CLIN 0004 CLIN 1001 CLIN 1002 CLIN 1003 CLIN 1004 CLIN 2001 CLIN 2002 CLIN 2003 CLIN 2004 2,270 251 778 779 2,469 276 798 798 2,494 290 806 806 9. Maintenance Contractor will perform all preventive maintenance and quality control of all Holter, memory loop/event and ACT equipment used in performance of this contract to ensure and maintain maximum accuracy. Proper documentation of maintenance results and corrective action taken, as necessary, must be available to the Government. In the event of an equipment failure of the (up to) 30-day memory loop/event or Ambulatory Cardiac Telemetry (ACT) monitors, contractor shall ship a replacement monitor to the patient within 24 hours and the defective monitor will be mailed back to contractor in the prepaid envelope for return via U.S. mail by the patient. In turn, patient shall ensure cell phone remains charged, batteries for the sensor are changed, if needed, and device is shipped back to contractor in a timely manner. The resultant contract will consist of a three-year ordering period, funded annually. Year 1 will be from the date of award (anticipated February 1, 2017) through January 31, 2018. The small business size standard for North American Industry Classification System (NAICS) 621999 is $14M. All qualified firms who believe they can provide the required services are encouraged to respond. Responses shall indicate the firm s background, socioeconomic status and experience in providing these services. Firms that are Service-Disabled Veteran-Owned Small Businesses (SDVOSBs) or Veteran-Owned Small Businesses (VOSBs) shall include proof of verification in the VIP database at www.vetbiz.gov. Additionally, estimated contract line item (CLIN) pricing shall be provided and will be used as market research. Offerors are reminded to complete registration in the System for Award Management (SAM) system, including Offeror Representations and Certifications-Commercial Items. This is not a Request for Quote. Release of the solicitation is anticipated to be December 1, 2016 and due date for offers will be approximately three (3) weeks after issuance. Responses must be received by the Contracting Officer (CO), Roberta Bobbie DeWeese @ Roberta.DeWeese@va.gov no later than 5:30 p.m. Central Time on Friday, November 25, 2016.
 
Web Link
FBO.gov Permalink
(https://www.fbo.gov/spg/VA/VAGLHS/VAGLHCS/VA69D17N0210/listing.html)
 
Document(s)
Attachment
 
File Name: VA69D-17-N-0210 VA69D-17-N-0210.docx (https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3121848&FileName=VA69D-17-N-0210-000.docx)
Link: https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3121848&FileName=VA69D-17-N-0210-000.docx

 
Note: If links are broken, refer to Point of Contact above or contact the FBO Help Desk at 877-472-3779.
 
Record
SN04332854-W 20161123/161121233846-c44af130a1123ad328f4b4d280065784 (fbodaily.com)
 
Source
FedBizOpps Link to This Notice
(may not be valid after Archive Date)

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