65--Physiological Monitors (Sioux Falls & Des Moines)

VISN 23 Patient Monitoring System STATEMENT OF WORK SUPPLIES OR SERVICES AND PRICE/COST Contractor shall provide all equipment, labor, material, and supplies necessary to provide a fully functional physiologic patient monitor system, including wireless telemetry, to the VA Health Care Systems located in Sioux Falls, South Dakota and in Des Moines, Iowa as defined in the Statement of Work (SOW) and in accordance with the respective Federal Supply Service (FSS) contract. This procurement is being conducted under the authority Federal Acquisition Regulation (FAR) Part 8. Prices are all inclusive for items and conditions identified in the SOW and any associated shipping and handling to or from Sioux Falls, SD or Des Moines, IA. 1. OVERVIEW A. Contractor to provide all equipment, labor, material, and supplies necessary to install a complete physiological patient monitoring system, including wireless telemetry, for the Des Moines VA Health Care System located at 3600 30th Street, Des Moines, IA 50310 and the Sioux Falls VA Health Care System located at 2501 West 22nd Street, Sioux Falls, SD 57117. B. A single contract will be awarded for both medical centers. Offers should be based on volume of supplies and services summarized in the table below. Specifications for each line item are further described in the Patient Monitor System Requirements section. Line Item Line Item Description Quantity Unit Price Extended Price 1 Central Station 7 EACH 2 Central Station Clients 7 EACH 3 OR Monitors 3 EACH 4 PACU Monitors 11 EACH 5 ICU Monitors 15 EACH 6 Bedside Monitors 11 EACH 7 Med/Surg Monitors 38 EACH 8 Portable Monitors 17 EACH 9 Transport Monitors 14 EACH 10 Telemetry Packs 50 EACH 11 Network & Cabling 2 SETS 12 HL7 Solution 2 EACH 13 Web Viewing Solution 2 EACH 14 Clinical Training 2 JOBS 15 Biomedical Training 2 JOBS 16 Service Workstation 2 EACH 17 Installation Services 2 JOBS 18 Trade-In Total Cost C. The following table summarizes the supplies and services required for the Sioux Falls VA Health Care System. Table 2: Sioux Falls VA Health Care System Care Area Quantity Description 3 South Telemetry 8 EACH 8 EACH 1 EACH 2 EACH Med/Surg Monitors Telemetry Packs Central Stations Central Station Clients 2 South Telemetry 20 EACH 18 EACH 2 EACH 1 EACH 3 EACH Med/Surg Monitors Telemetry Packs Telemetry Packs (Spare) Central Stations Central Station Clients ICU 6 EACH 2 EACH 1 EACH ICU Monitors Transport Monitors Central Station OR 3 EACH OR Monitors PACU 3 EACH 1 EACH 1 EACH PACU Monitors Transport Monitors Central Station Emergency Department 3 EACH 3 EACH 1 EACH Bedside Monitors Portable Monitors Central Station Endoscopy 9 EACH Portable Monitors Biomedical Engineering 1 EACH 1 EACH Service Workstation Portable Monitors Stress Lab 1 EACH Bedside Monitors A. The following table summarizes the supplies and services required for the Des Moines VA Health Care System. Table 3: Des Moines VA Health Care System Care Area Monitors Monitor Type ICU 9 EACH 2 EACH 1 EACH ICU Monitors Transport Monitors Central Station Cath Lab 3 EACH 3 EACH Bedside Monitors Transport Monitors Telemetry 10 EACH 20 EACH 2 EACH 2 EACH 1 EACH 2 EACH Med/Surg Monitors Telemetry Packs Telemetry Packs (Spare) Portable Monitors Central Station Central Station Client PACU 7 EACH 2 EACH 1 EACH PACU Monitors Transport Monitors Central Station Emergency Department 7 EACH 3 EACH 1 EACH Bedside Monitors Transport Monitors Central Station Endoscopy 2 EACH Portable Monitors Biomed 1 EACH 1 EACH Service Workstation Portable Monitors B. Instructions to Offeror. Offeror shall provide equipment that meets or exceeds the following requirements. Responses shall include a statement of compliance to each bullet item, utilizing the provided format, and a succinct description that permits technical evaluation of features and functionalities. A Best Value contract will be awarded based on technical evaluation, past performance, and price. See section labeled Evaluation Criteria for complete instructions and evaluation criteria. 2. PATIENT MONITORING SYSTEM REQUIREMENTS 1) Central Station This equipment shall permit a user to view all networked monitors associated with the particular care area. This shall include, but not be limited to, a large high quality display, software, mounts, UPS and all connections and accessories to accommodate the remote monitoring functionality. The equipment shall provide the following features and functionality: " Enable up to 16 simultaneous views on single display. " System shall be configured to allow all telemetry packs and/or patient monitors networked in associated care area to be viewed on the central station and any central station client system associated with said central station. " Enables users of central station to rapidly view, adjust, and respond to alarms. " Include features that enable remote diagnostics, troubleshooting, and maintenance of equipment. " System shall permit the exchange of HL7 data with VISN 23 Clinical Information Systems. " Central stations shall be licensed to monitor the following number of beds/telemetry packs: o Sioux Falls: " 3 South: 8 EACH " 2 South: 18 EACH " ICU: 6 EACH " PACU/OR: 6 EACH " ED: 6 EACH o Des Moines: " ICU: 9 EACH " Tele: 20 EACH " PACU: 8 EACH " ED: 10 EACH 2) Central Station Client This equipment shall permit a user to view all networked monitors associated with the particular care area. This shall include, but not be limited to, a large high quality display, software, mounts, UPS and all connections and accessories to accommodate the remote monitoring functionality. The equipment shall provide the following functionality: " This equipment shall permit a user to utilize the functionality of the central station associated with their care area. " System shall provide features that protect patient privacy. 3) Operating Room (OR) Monitors This equipment shall permit user to monitor a wide variety of parameters commonly utilized in the OR environment. These monitors shall include, but not be limited to, all connections and accessories to accommodate the following functionality: " Networked with the ability to view other monitors within network via OR patient monitor. " Ability to view and manipulate additional medical IT systems from the OR patient monitor. " Features that maximize space in the OR environment. " Shall include modular device for efficient patient transfer to PACU. " OR appropriate software package, associated hardware and modules. " Large flat panel touch display " Anesthesia gas module " SpO2 Module- Shall be Massimo " Invasive & Non-Invasive Blood Pressure Monitoring " BIS Module " Capnography monitoring module with cable sets " Temperature Monitoring Enabled " Mount compatible with Drager Anesthesia Carts 4) Post-Anesthesia Care Unit (PACU) Monitors: This equipment shall permit user to monitor a wide variety of parameters commonly utilized in the PACU environment. These monitors shall include, but not be limited to, all connections and accessories to accommodate the following functionality: " Networked with the ability to view other monitors within network via patient monitor " Design features that maximize space in the ICU patient room. " Shall include modular device for efficient patient transfer from OR and ICU. " PACU Appropriate Software and associate hardware and modules. " Large flat panel touch display " SpO2 Module- Shall be Massimo " Invasive & Non-Invasive Blood Pressure Monitoring " Capnography monitoring module enabled with cable sets " Temperature Monitoring Enabled " 12 Lead ECG Capability " ST Monitoring Capability " Ability to display third party equipment such as Continous Cardiac Output monitoring. " Central venous pressure monitoring capability 5) Intensive Care Unit (ICU) Monitors: This equipment shall permit user to monitor a wide variety of parameters commonly utilized in the ICU environment. These monitors shall include, but not be limited to, all connections and accessories to accommodate the following functionality: " Networked with the ability to view other monitors within network via patient monitor " Ability to view and manipulate additional medical IT systems from the patient monitor. " Features that maximize space in the ICU patient room. " Shall include modular device for efficient patient transfer from PACU. " General & Intensive Care Software and associate hardware/module bays. " Large flat panel touch display " SpO2 Module- Shall be Massimo " Invasive & Non-Invasive Blood Pressure Monitoring " Capnography monitoring module enabled with cable sets " Temperature Monitoring Enabled " 12 Lead ECG Capability " ST Segment Monitoring Capability " Ability to display third party equipment on the provided patient monitor such as Continuous Cardiac Output monitoring. " Central venous pressure monitoring capability 6) Bedside Monitors This equipment shall be mounted near the patient bedside in a manner that permits efficient workflow with the emergency department staff. These monitors shall include, but not be limited to, all connections and accessories to accommodate the following functionality: " Networked with the ability to view other monitors within network via patient monitor " Shall include modular device for efficient patient transfer to various departments. " Shall include variable height, pivoting mount, and cable management solution. " Ability to dismount and utilize monitor in event portable monitoring is required. " Touch Screen Display " Shall include lithium ion batteries, offeror shall specify battery life. " SpO2 Module- Shall be Massimo " Invasive & Non-Invasive Blood Pressure Monitoring " Capnography monitoring enabled with cable sets " Temperature Monitoring Enabled " 12 Lead ECG Capability " ST Monitoring Capability " Multiple Lead Capability " Ability to display telemetry parameters through connection to telemetry transceiver 7) Med/Surg Monitor These monitors will be utilized in the Med/Surg (Telemetry) care areas. This equipment will be mounted at the bedside. These monitors shall include, but not be limited to, all connections and accessories to accommodate the following functionality: " Ability to display telemetry parameters through a wireless or wired connection to telemetry transceiver. " Ability to quickly associate with specific telemetry pack. " Features that when combined with central stations improve accuracy and efficiency of med/surg workflow and data measurement. " Shall include features that enable monitor to be dismounted and easily transported with patient and their associated telemetry pack. " Monitor shall include lithium ion battery, offeror shall specify battery life. " SpO2 Module- Shall be Massimo " Non-Invasive Blood Pressure Monitoring " Capnography enabled " Temperature Monitoring Enabled " 12 Lead ECG Capability " ST Monitoring Capability " Multiple Lead Capability 8) Portable Monitor This equipment shall be light weight, easy to carry, compact, and robust in design. These monitors will also be used in a variety of care areas. The monitors may also be also be utilized in transferring patients to and from care areas in the medical facility. These monitors shall include, but not be limited to, all connections and accessories to accommodate the following functionality: " Carrying handle " Lightweight " Various mounting options for effective transport " Extended battery operation, offeror shall specify battery life. " SpO2 Module- Shall be Massimo " Invasive & Non-Invasive Blood Pressure Monitoring " Capnography enabled with following modules/cable sets in following care areas: Sioux Falls Endo: 3 Des Moines Cath: 3 Des Moines Endo: 2 " Temperature Monitoring Enabled " 12 Lead ECG Capability " Multiple Lead Capability " Capable of associating with telemetry pack 9) Transport Monitor This equipment shall be light weight, easy to carry, compact, and robust in design. These monitors will be used in a variety of care areas. The monitors will be utilized in transferring patients to and from care areas in the medical facility and utilized in overflow situations within the ED. These monitors shall include, but not be limited to, all connections and accessories to accommodate the following functionality: " Carrying handle " Design features that enable efficient physical transfer from department to department. " Design features that enable efficient data transfer from department to department. " Lightweight; offeror shall specify weight with and without module attached if applicable. " OR, PACU, ICU and CathLab transport monitors shall be compatible with modular monitoring devices. " Transport monitors utilized in the ED shall be capable of communicating with the ED central station over wired and wireless network. " Extended battery operation, offeror shall specify battery life. " Offeror shall specify all physiological monitoring capabilities of transport system. 10) Telemetry Packs The telemetry system should provide expanded coverage in the areas indicated in attached drawings for each facility through use of existing infrastructure, new infrastructure, or a combination of both. Offeror shall be responsible for site survey, design, system infrastructure, installation, commissioning, and project management. The telemetry solution shall include, but not be limited to, all connections and accessories to accommodate the following functionality: " Patient worn device enabling wireless monitoring of physiological data " Transmits in 600 MHz or 1.4 GHz (WMTS Spectrum) " Permits viewing from remote central monitoring station " Monitoring Functionality: ECG, NBP,SpO2 11) Cabling/Network " Turn-Key Installation providing all hardware and accessories for a complete system, services shall include removal of current patient monitoring infrastructure. " All cabling and accessories to provide a complete and functional system " All above ceiling cabling runs shall be tie-wrapped and placed in telephone/data trough, in a conduit, or properly routed through interstitial area per hospital facilities requirements and local electric codes. " Cables shall be bundled neatly and in a professional manner especially when cables converge at network hardware. " Cables shall be marked at each end indicating the termination point of the other end. " Network cabling, terminations, and any patch panels used shall be CAT6 certified. " All cables shall be terminated TIA568A. " Any cable run through plenum space shall be plenum rated according to NEC and applicable fire codes. " All cable runs shall be tested and certified in accordance with TSB-67 and TIA/EIA 568-A or latest TIA/EIA Revisions. " The Offeror shall provide a copy of all test results to the COTR in electronic format that can be displayed and/or viewed. o Cable length shall be included in this report. o Documentation of the network shall also be provided and include a marked up drawing (as built) showing jacks and room locations. " The system will be configured to view patients throughout the hospital or care areas. " Drawings that indicate the location of the monitoring devices will be provided for the Medical Center. " Interface will be compliant with VA National interface standard. " Any offsite server or network maintenance or support provided by the Offeror can only be done VPN access after the Offeror has obtained the VPN access from the VA. " All networking hardware shall be rack mounted in room designated by Facility Project Manager or COTR. 12) HL7 Solution Offeror shall provide an HL7 interface solution allowing the exchange of data from point-of-care equipment through HL7 messaging to VISN 23's Clinical Information System (CIS) / Anesthesia Record Keeper (ARK). 13) Near Real-Time Remote Viewing Solution Offers shall provide a solution for near real time viewing of the patient monitor network. This solution shall enable remote viewing of patient monitors in the Central Tele-ICU Command Center located at the Minneapolis VA Health Care System. 14) Clinical Training The successful Offeror will provide training for all shifts in care environments where patient monitors are installed. This will require more than one training session per shift, no more than three weeks prior to installation. Training would include initial setup and user training; onsite training for go-live support, super user training and follow-up training. 15) Biomedical Engineering Service Training The Offeror shall provide the training of at least two in-house service biomedical engineering technicians. This training shall be equal to the training provided by the manufacturer for their service personnel, and will train the designated in-house personnel on the calibration, maintenance, and repair of the entire system purchased. This training will occur at the location of the Offeror's training facility, and shall include associated travel and lodging expenses. This training shall be provided prior to expiration of the warranty period. 16) Service Workstation The service workstation should permit maintenance professionals that ability to connect to the patient monitoring network to perform diagnostics, troubleshooting, and maintenance. This workstation should include remote connectivity to off-site, vendor supported diagnostic services. 17) Installation and Implementation Services The offerors shall provide coordinated professional installation and implementation project management services to implement the system specified in the scope of work at both VA Health Care Systems. This service shall include a site visit to confirm final configuration of mounts, modules and peripheral equipment. Installation meetings and related activities shall begin within one week of contract award. This service shall include removal of existing system and turnkey installation. Offerors shall provide a firm estimate of working days required from date of purchase order to go-live based on scope of work. 18) Trade In Offers shall include new equipment and infrastructure for all care areas. Existing equipment will not be upgraded or utilized with the new system. All physiological monitoring equipment at both facilities is being offered for trade-in consideration. 3. IHE INTEGRATION STATEMENT Vendor shall provide IHE (Integrating the Healthcare Enterprise) integration statement(s) (IIS) for proposed solution. 4. MAINTENANCE REQUIREMENTS A. Licensing Software updates The Offeror shall provide at no charge for the duration of the warranty period (minimum of one year) all computer software, access keys or codes, or external devices required for the operation, calibration, or repair of the equipment purchased. Any such items not listed on the price quote and required for maintenance of the system, shall be taken as included with the purchase of the system. Any minor upgrades or changes to the maintenance software, hardware, or access keys or codes shall be provided at "no charge" to the medical center during the time the equipment is operational at this facility. All application software licenses are included in the purchase of the equipment and shall not a require renewal charge for the period of time the equipment is in use in the facility. B. Warranty The Offeror shall provide a minimum warranty of no less than one (1) year for parts and labor. C. Service The Offeror shall provide annual pricing for service and support post warranty for a period of five years. D. User and Service Manuals The Offeror shall provide, at no charge, two (2) complete and unabridged printed copies and one (1) electronic version (CD) of operator manuals, service manuals, electronic schematics, troubleshooting guides and parts lists for each piece of equipment purchased to the (Contracting Officer's Technical Representative (COTR) with delivery of equipment. Additionally any upgrades to these documents shall be provided by the Offeror free of charge. These manuals will include all components and subassemblies, including those not manufactured by the Offeror. These manuals and documentation shall be identical to the ones supplied to the manufacturer's service representatives and shall contain the diagnostic codes, commands, and passwords utilized in maintenance, repair and calibration of the equipment.