65--VISN 11 VISN Wide Cardiology DINS PACS Mr. Marlon Powell

VISN 11 RFI-PWS Draft FBO POSTING All vendors are requested to review the entire attached Draft Performance Work Statement Request For Information (RFI), which opens on 10/31/2014 and closes 11/14/2014, 4:00pm CST 1. No confidentiality forms or cost or pricing information is required from vendors as part of the RFI response. No offers are requested from vendors at this time, and no proprietary information required. This RFI is for marketing research purposes. 2. The Government's intent is to obtain general information from the vendors concerning their product and the draft Performance Work Statement (PWS); and vendors may ask general questions addressed to the Government. Participating vendors are required to read the entire PWS. Vendors may make suggestions and comments. The Governments' will respond back to vendors in writing to vendors questions related to the PWS. These written answers to vendors' questions and comment will be the official communications between Government and vendors'. The Government will publish all answers to vendor questions after the RFI has closed. The RFQ will be issued immediately after the RFI has closed. Vendors' questions should address the areas and topics contained in the Draft PWS and Functional Requirements Worksheet and highlight other relevant key features of the vendor system. This procurement is for one base and 4 option years. The Government reserves the right to exercise any or all option years. The Contracting Officer will send all written vendors' questions to the Integrated Product Team (IPT) Chairperson for coordination purposes before issuance of final PWS/RFQ Solicitation. All offers must monitor Federal Business Opportunity for dates for proposal submittal. 3. The RFQ will open for 30 calendar days (TBD)/2014 closing date (TBD)/2014. All proposals will be due on or before (TBD)/2014. No offers will be accepted after due date (TBD)/2014 3:00pm CST. Please be advised that the VA is planning to have a technical evaluation of all vendors' technical proposals. Technical proposal submission and the appropriate language and other information will be included in the RFQ that is now being drafted. NOTE: Department of Veterans Affairs VISN 11 requires that all vendors be on the DIN PACS III contract Defense Logistics Agency Troop Support (DLA-TS) on, or before the closing date of the RFQ posting date (TBD)/2014 Closing date (TBD)/2014. All proposals are due to the Contracting Officer. Marlon Powell Contract Specialist as stated in the RFQ once issued. You may contact me via email contact@example.gov or by phone +1 (555) 000-0000. RFQ #VA797N-14-Q-0013 VETERANS INTEGRATED SERVICE NETWORK (VISN 11) Consolidated Picture Archive and Communications System (PACS) POC: MARLON POWELL PO BOX 76 HINES, IL 60141 contact@example.gov +1 (555) 000-0000 Cardiology Information PACS System Date: April 11, 2014 PWS Version Number: 1.0 Table of Contents 1.0 Background 4 1.1 General Project Description 4 1.2 Purpose of Project 5 2.0 List of Cardiology Equipment per Site 6 3.0 List of Users By Site 7 4.0 Definitions/Glossary of Terms 7 5.0 Tasks/ Requirements 8 5.1 General Requirements 8 5.2 Ease Of Use 10 5.3 Data Management/ Connectivity 11 5.4 Technical Requirements 12 5.5 Data Security 15 5.6 Customer Service/ Support/ Training 16 5.7 Maintenance (during warranty and extended warranty period) 17 5.8 Future Updates 17 5.9 Other Requirements 17 6.0 Deliverables/ Delivery Schedule 17 6.1 What Contractor Will Provide 17 6.2 Contractor's Responsibilities 17 6.3 Specialized Expertise and Services, Training, and Documentation 17 6.4 Schedule For Delivery (quantities, where, etc) - chart ??? 18 6.5 Documentation Provided 19 7.0 ACCEPTANCE PROCEDURES 19 7.1 No Substantial Clinical Use 19 7.2 Final Acceptance/Rejection Procedures 19 7.3 Final Payment 20 8.0 Period Of Performance 20 9.0 VA PERSONNEL INFORMATION 21 10.0 OTHER 21 ? BACKGROUND General Project Description The mission of the Department of Veterans Affairs (VA) is to provide excellent healthcare services to veterans of the United States. The National Acquisition Centers, National Contracting Division, Contracting Office (NAC) is seeking competitive proposals from prospective contractors to provide, install and implement a turnkey VISN 11 Cardiology Information PACS System solution. This will be a straight purchase acquisition. Picture Archiving and Communication Systems (PACS) have been acquired and implemented in various configurations within VHA. It is beneficial to establish a standardized VISN-wide PACS with a common interface standard in order to, at a minimum, facilitate the care of patients referred amongst facilities within VISN 11, to ensure interface compatibility with the Veterans Health Information and Technology Architecture (VistA) and to share technical equipment expertise within VISN 11 straight purchase systems. The adoption of PACS in VHA is now nearly universal. PACS speeds health care decisions by making images available anywhere in the medical facility as soon as the image is acquired. PACS were initially acquired as independent systems at each Department of Veterans Affairs (VA) medical center. The process of transferring a study from one independent VA medical center PACS to another is laborious. It requires an order for the study to be placed at the second medical center, which results in duplicate medical record entry. More recently PACS have been acquired as a single system for the entire VISN. In this configuration, images are automatically shared across the VISN eliminating the need for an order to be placed in multiple VistA systems. In order to ensure this multi-facility interoperability, an enhanced HL7 interface has been developed. This interface improves on the older interface by ensuring that truly unique case numbers and study instances are generated by VistA. Unique identification is necessary to ensure compliance with the Digital Imaging and Communication in Medicine (DICOM) standard and is necessary when VISN 11 decides to transmit all studies to a Vendor Neutral and/or national archive. Competition for this RFQ shall be restricted to Defense Logistics Agency (DLA) Digital Imaging Network Picture Archive and Communications Systems (DIN PACS) III contract holders who are awardees as of the due date for receipt of offers. DIN-PACS III awardees may submit a bid, however, the successful offeror must be on the approved HL7 list at the time of the offer due date. Please use the following link for additional information: https://www.va.gov/IMAGING/HL7.asp. The VA will reject any proposals that are not HL7 approved at the time of the offer due date. The VA will not return such proposals and will dispose of them. Vendors will be allowed to make site visits for information purposes only. The Government will not be under any obligations at the time of vendors' site visits. Site visit will only be for information, questions, answering, oral presentations, and demo sessions. Purpose of Project Replace disparate Cardiac Catheterization and Echocardiography image management systems with a single, comprehensive VISN 11 Cardiology Information PACS System that provides open access to image interpretation and comparison, image capturing workstations, acquisition, viewing, archiving, and structured reporting regardless of where exams are performed. This shall include the software application and licenses, relevant hardware, including but not limited to VISN 11 redundant central archive medical device server, local servers, and local workstations, interfaces to medical devices, interfaces to VA's CPRS/ VistA, and interfaces to other systems. The scope of this initiative includes seven Medical Centers within VISN 11. This project enables VISN 11 to consolidate cardiology studies and patient monitoring sources on a standard computerized format, facilitating multiple data type integration from a diverse range of cardiology modalities and systems. 1.1.1 A migration plan with associated costs and timeline for comprehensive storage of existing digital archives (includes CDs) with verification of data - ability to read and migrate DICOM compatible CDs to a Vendor Neutral Archive without Vendor propriety tags. The total migration capacity of existing systems is approximately 20TB. 1.1.2 The proposed system solution shall provide a single point-of-access to unify data across the cardiac care continuum including: 1.1.2.1.1 Multiple Care Venues - Cardiac specialty hospitals and centers, catheterization and EP laboratories, cardiac ultrasound, ECG, stress and Holter, cardiovascular surgery, emergency departments, cardiologist offices, congestive heart failure and lipid clinics. 1.1.2.1.2 Multiple Imaging Modalities - Cardiac ultrasounds, nuclear medicine, computed tomography, x-ray angiography, magnetic resonance, computed and digital radiography. 1.1.2.1.3 Interface Capabilities - Hemodynamics, pacemaker and ICD systems, patient monitoring devices, infusion devices, laboratory reference labs, ECG units and stress machines. How Project Relates To Other Projects All proposals must be fully compatible with a separate vendor neutral archive. Where Is Work Being Performed This proposal calls for the acquisition, installation, training and maintenance and interfacing with several common echo machine manufacturers of all cardiology equipment as well as all Cardiac Catheterization equipment within VISN 11. LIST OF CARDIOLOGY EQUIPMENT PER SITE Site Equipment Type Quantity Manufacturer Device Name/Model VA Ann Arbor Ultrasound 5 Philips IE33 Ultrasound 2 Philips CX50 Ultrasound 1 Siemens Acuson Sequoia Cardiac Cath 1 Siemens Artis Zee Single Plane Cardiac Cath 1 Siemens Axiom Artis Bi Plane EP Lab 1 GE Innova 2100 IQ Single Plane GE MAC Labs 1 GE MAC LABS Echo Image Mgmt. Sys 1 ProSolv ProSolv VA Detroit Ultrasound 3 Philips IE33 Cardiac Cath 1 Siemens Axiom Artis dFC Echo Image Mgmt. Sys 1 ProSolv ProSolv GE MAC Labs 1 GE Mac Labs VA Saginaw Ultrasound 2 Philips IE33 Echo Image Mgmt. Sys 1 ProSolv ProSolv VA Battle Creek Ultrasound 1 Philips IE33 Echo Image Mgmt. Sys 1 ProSolv ProSolv VA Indianapolis Ultrasound 4 Philips IE33 Cardiac Cath 1 Philips Allura XPER FD20 EP lab 1 Philips Allura XPER FD10/10 GE MAC Labs 1 GE Mac Labs Echo Image Mgmt. Sys 1 ProSolv ProSolv VA Danville Ultrasound 1 Philips IE33 Ultrasound 1 Siemens Acuson Sequoia Ultrasound 1 Philips i33 Cardiac Cath 1 Siemens Cath Cor Echo Image Mgmt. Sys 1 ProSolv Prosolv VA Ft. Wayne Ultrasound 2 Philips IE33 Echo Image Mgmt. Sys 1 ProSolv ProSolv LIST OF USERS BY SITE: Site Physicians Technicians Concurrently working Ann Arbor 12 11 10 Detroit 3 5 5 Saginaw 1 1 2 Battle Creek 0 2 2 Indianapolis 8 11 4 Danville 3 4 3 Ft Wayne 3 2 5 DEFINITIONS/GLOSSARY OF TERMS " AE - Application Entity " AQL-Acceptable Quality Level " CCOW - Clinical Context Object Workgroup " CE - Cardiology Equipment " CLWS - Clinical Workstation " CPRS - Computerized Patient Record System. The GUI interface to the Department of Veterans Affairs' HER - Electronic Health Record " CO-Contracting Officer " COR - Contract Officer Representative " DICOM - Digital Imaging and Communications in Medicine. A standard for distributing and viewing any kind of medical image regardless of the origin. " DXWS - Diagnostic Workstation " ePHI - Electronic Protected Health Information " HIPPA - Health Insurance Portability and Accountability Act " HIS - Healthcare Information System " HL7 - Health Level Seven. An all-volunteer, not-for-profit organization involved in development of international healthcare standards. "HL7" is also used to refer to some of the specific standards created by the organization. HL7 and its members provide a framework (and related standards) for the exchange, integration, sharing and retrieval of electronic health information. The standards, which support clinical practice and the management, delivery, and evaluation of health services, are the most commonly used in the world. " IHE - Integrating the Healthcare Enterprise " MOU - Memorandum Of Understanding " MPPS - Mega Pixel per Second " PACS - Picture Archiving and Communication System, medical device system " PHI - Patient Health Information " PWS-Performance Work Statement " QA-Quality Assurance " QASP-Quality Assurance Surveillance Plan " RPM-Required Performance Metrics " SLA - Service Level Agreement " SOW-Statement of Work " TJC -the Joint Commission on the Accreditation of Healthcare Organizations " VA - Department of Veteran Affairs " VAMC - Veterans Affairs Medical Center " VISN - Veterans Integrated Service Network. The VA is divided in to 21 VISNs (or regional authorities). " VISN 11 VA Medical Centers in Ann Arbor (MI), Detroit (MI), Battle Creek (MI), Saginaw (MI), Ft. Wayne (IN), Marion (IN), Danville (IL), and Indianapolis (IN). " VistA - Veterans Information Systems and Technology Architecture " VistA Imaging - An FDA-approved Image Management system used in the Department of Veterans Affairs healthcare facilities nationwide. It is one of the most widely used image management systems in routine healthcare use, and is used to manage many different varieties of images associated with a patient's medical record. " VNA - Vendor Neutral Archive TASKS/ REQUIREMENTS General Requirements Diagnostic cardiac images shall be accessed by any clinical provider in VISN 11 when fully launched within VISN 11, facilitating patient care. 1.1.2.2 Use of existing echocardiography image management systems will remain in use until replacement of existing echocardiography systems occurs, the contractor will implement DICOM communication between existing systems and central repository that will enable continued use of existing systems while also enabling data sharing with the central repository, with the goal to transition to a standardized platform/ solutions. 1.1.2.3 Provide new echocardiography image management and structured reporting solutions for all VISN 11 sites. 1.1.2.4 Replace cardiac catheterization image management system at all facilities. 1.1.2.5 Integrate to CPRS to achieve an orders-driven workflow that ensures reliable sharing of patient and exam information between CPRS and the central cardiology system, access to images within CPRS via single sign-on and DICOM Modality Work list distribution. 1.1.2.6 The vendor shall describe its Technical Approach in response to this Performance Work Statement (PWS) that will meet or exceed current standards (DICOM, HL7, IHE etc.) including an itemized schedule of all milestones and deliverables, for the purposes of managing the resulting installation, implementation, modalities interfaces, training, support and the deployment of the entire Cardiology Information System including current and migrated old studies. 1.1.2.7 The vendor shall provide and implement an alternative strategy for database backup redundancy, automated failover and system recovery so that no single point of failure can cause a major breakdown to VISN 11 Cardiology Departments. The vendor shall document and meet a total system uptime of 99% monthly and individual components uptime of 95% monthly in accordance with DIN PACS III section 2.4 Uptime Calculation. Component and system downtimes will include scheduled and unscheduled outages. 1.1.2.8 The vendor shall provide the Contracting Officer's Representative (COR) the ability to run activity reports that show the number of studies captured in any billing cycle, maintenance/service and error logs, both consolidated VISN wide and by site. The installation plan will be due to the COR within 15 calendar days of contract award. 1.1.2.9 The vendor shall provide the required interfaces as specified in their submitted timelines and as further defined herein for a complete turnkey product and fully functional Cardiology Information System ready to operate. Turnkey Installation is defined as the procurement, site planning, site preparation, configuration, and complete modalities interface installation of Cardiology Information Systems at all VISN 11 facilities by a single prime vendor. 1.1.2.10 Remove chaos and disparity of paper-based solutions and disparate systems. 1.1.2.11 Unify operations and data within the cardiovascular department. 1.1.2.12 Reduce transcription costs associated with dictation. 1.1.2.13 Must have FDA clearance for Picture Archiving and communication system (PACS) for the healthcare environment. All medical device system components must comply with FDA regulations for its specific classification, Class I, MDDS (Class I), Class II or Class III. Ease Of Use Cardiac Catheterization Workflow archive and retrieval from multiple venues through a single User Portal. Clinical automation needs of the invasive and non-invasive departments including the Catheterization lab, EP lab, Echo, Stress, Nuclear Medicine, and ECG departments. Streamline diagnostic and interventional workflow. Echocardiogram Reporting System with an option for sites to continue using their own echocardiogram reporting systems. Ability to retrieve patient test results through one interface simply by entering patient ID number, expediting comprehensive clinical assessment. Scalable design - A highly scalable design is required to accommodate entry level needs on up to complex departmental systems involving numerous data types; system configurability should allow a more precise match to departmental workflow needs. Retrieval of ECG for display. Retrieval of Stress test. Retrieval of Pacemaker data. Management of EP lab data. Query/Retrieval of studies from PACS. Integrated or Integration with Advanced Visualization software tools (3D). Easy retrieval of echocardiography and cardiac catheterization images. Increase access to information from multiple locations simultaneously and securely. To establish a more streamlined process for the Catheterization Lab's archiving and retrieval system. Data Management/ Connectivity Migrate legacy images from all existing imaging repositories in order to build a single, common VISN 11 Cardiology Information PACS image library. A Data Migration Plan associated with costs and timeline for comprehensive storage of existing digital archives (includes CDs) with verification of data - ability to read and migrate DICOM compatible CDs to a Vendor neutral Archive without Vendor propriety tags. Nuclear Cardiology Data Retrieval. Create, electronically sign, and finalize reports, as well as interface with CPRS/VistA. Edit and export to AVI files. Seamless integration between VISN 11 Cardiology Information PACS System and CPRS/VistA with an unlimited number of site licenses. 1.1.3 Provide an enterprise license for VISN 11, providing software support for the VISN 11 Cardiology Information PACS System server, local acquisition/caching servers, and all medical device workstations throughout the following facilities within VISN 11 - to VA Medical Centers in Ann Arbor (MI), Detroit (MI), Battle Creek (MI), Saginaw (MI), Ft. Wayne (IN), Marion (IN), Danville (IL), and Indianapolis (IN). The Cardiology Information System enterprise viewer shall come with cardiac ready-made templates, and customize templates to suit cardiology provider preferences. The Cardiology Information System shall be an open architecture Windows program providing compatibility for image direct capture with all name-brand echocardiograph ultrasounds and cardiac catheterization lab systems. The system's algorithms shall be built on a single language, facilitating multiple data type integration from a diverse range of cardiology and patient monitoring sources. Reading via a VPN connection through the hospital system. The system will operate with LAN connection speeds within the Cardiology Reading Centers and shall guarantee diagnostic quality images to be viewed in real time without any delay for any requested exam regardless of exam age, provided the image does not need to be drawn from the central archive. Technical Requirements Imaging Management Hardware Requirements: 1.1.3.1 Each facility will require a vendor provided local caching server at their facility for storage of Cardiac Catheterization images and Echocardiogram images with an option for sites to continue using their own echocardiogram reporting systems. A minimum of five (5) years of studies shall be stored on-line at the local facility. All images will be stored on-line, all the time in the VISN server. 1.1.3.2 Images will then be uploaded to the vendor provided VISN Central Archive server (VA site to be determined) which will house a cardiology acquisition, archiving, storage and retrieval server. 1.1.3.3 The Central Server archive must have enough capacity to hold at a minimum of an estimate of 20 years' worth of VISN's echocardiography and cardiac catheterization images and Clinical automation needs of the invasive and non-invasive departments including the Catheterization lab, EP lab, Echo, Stress, Nuclear Medicine, and ECG departments as well as any associated programs including a test/training account. Dedicated Medical Workstation Requirements 1.1.3.4 Shall be bidirectional and interface with CPRS/VistA Imaging: able to retrieve procedure consults from VistA (work list), and then send a report to complete the consult. 1.1.3.5 Shall analyze images and generate a report that can be sent to CPRS/VistA. Minimum Server Requirements 1.1.3.6 Vendor to provide appropriate server numbers at each location based upon their technical proposal. 1.1.3.7 The server shall be a standard rack mount. 1.1.3.8 All servers shall have a dedicated UPS. 1.1.3.9 The server shall have Technology Adapted (FATA) drives and dual ported Solid State Drives (SSD). 1.1.3.10 Shall provide support for Direct Attach connection to Windows, Unix and Linux servers, without the need for SAN switches, and have SAN support for integrated EVA iSCSI connectivity options with Windows and Linux, Apple Mac, OS X, Microsoft Windows, Sun Solaris, VMware. 1.1.3.11 The server shall have management of up to 1024 disks (256 per HBA), ranging in size from 1GB to 32TB per disk, in 1GB increments, along with Dynamic Capacity Management support to expand (in 1GB increments) and shrink LUNs up to 2TB and disk data load leveling (non-disruptive background activity). 1.1.3.12 It shall have distributed sparing of disk capacity, redundant FC-AL loops from each controller to dual disk ports, dual redundant controller operation for increased fault tolerance, and robust local and remote replication capabilities. 1.1.3.13 The server shall also be High availability with hot plug drives, power supplies, fans, and industry failover software, Multiple Bus Failover Support using industry popular multiple path software, and Battery-Back-Up for controller cache memory. Asynchronous Disk Swap (hot swap), Clustered Server Support, Mirrored Write-Back Cache Support, and read-Ahead and Adaptive Read Caching Support are also required. 1.1.3.14 The server shall have online XCS software upgrade capability and online drive firmware upgrade capability. 1.1.3.15 Other requirements include Selective Storage Presentation and SAN-based Data Zoning (through switches), and monitor and control health, end-to-end SAN performance and monitoring, storage utilization and reporting for all key SAN infrastructure including servers, storage, HBAs, switches, and applications. 1.1.3.16 Server OS shall be Microsoft 2008 R2 64Bit or higher. Software Requirements 1.1.3.17 Shall collect DICOM echocardiography and cardiac catheterization image studies from any device manufacturer. 1.1.3.18 Shall be compatible and integrate with current echocardiography and cardiac catheterization image systems already functioning at each VISN 11 site. 1.1.3.19 Integration with VistA Modality Work list- Shall query patient information directly from the CPRS/VistA system without having to handle manually inputted patient demographics. Create, electronically sign, finalize reports, as well as interface with CPRS/VistA. 1.1.3.20 Ability to function even when the network is down - images shall be captured when the network is down, and when network comes back online, the images can simply be forwarded to the local server and to the VISN 11 central archive server. 1.1.3.21 Ability to support satellite clinics and all facilities - software shall support multi-clinic sites. If a patient is seen at the Saginaw or any other site, then his/her images will be available at all the other VA sites through central backup server. 1.1.3.22 Provide DICOM Modality Work list to all DICOM compliant imaging devices. 1.1.3.23 Software is DICOM and CPRS/VistA compliant. 1.1.3.24 In order to seamlessly integrate with CPRS/VistA, acquisition imaging software shall support DICOM query/retrieve. 1.1.3.25 Provide image interpretation software for all cardiac catheterization exams performed in VISN 11. 1.1.3.26 Provide image interpretation and structured reporting software for all echocardiography exams performed in VISN 11 (phased transition). 1.1.3.27 Provide the DICOM routing and communication protocols necessary to connect the existing VISN 11 echocardiography image management systems with the central repository (supports the phased transition to a single solution without interrupting patient care). 1.1.3.28 Provide a single VISN 11 work list that enables authorized users to access all current and historical image data from anywhere regardless of where exam is performed. 1.1.3.29 Provide HL7 communication to CPRS/VistA for orders and results. 1.1.3.30 Provide URL integration with CPRS/VistA for single sign-on access to images in CPRS. 1.1.3.31 Vendor must specify and provide VA authorized virus protection software compatible with proposed system. 1.1.3.32 All software licenses shall be perpetual. There shall not be any extra licensing costs for the life of the system. Data Security Any and all saving to a local system is required to be encrypted and the entire system needs to be compliant with all VA IT and privacy regulations All medical device components, including but not limited to: workstations and servers must be in compliance with VA MDIA (Medical Device Infrastructure Architecture) as well as comply with all FDA regulations. 2.5.3 All operating system and software (Java, Dot Net framework etc.) updates "patches" along with Intrusion Protection/ Prevention, Antivirus definition files, antivirus agents shall be kept current at all times. Regular virus scans shall be executed. Designated Biomedical and/ or VA Office of Information Technology staff will confirm compliance for patching and updating and report any instances where patching did not occur appropriately. Any suspected malware, breech of data or other information assurance concern will be reported to CIO; ISO and Biomedical staff immediately along with remediation plan (ensure system architecture is isolated to prevent further harm if required). Customer Service/ Support/ Training The vendor shall provide on-site installation to implement as well as configure the cardiac PACS system. Training for the management and maintenance of the cardiac PACS software will also be provided on-site to Biomedical Engineering Staff/system administrators at each of the VISN 11 site. Due to the extent of this project it is anticipated that a minimum of 2 days of training at each site in addition to the central server sites will be required. All training, regardless of length must satisfy the requirements listed above. The vendor shall provide support materials for the training as described above. The vendor shall provide ongoing Cardiology Information System Training and support to existing and new staff. All trained personal shall be provided a complete copy of their training material. A post installation follow-up visit shall be included by the vendor in order to ensure that the operation of the Cardiology Information PACS System is optimized by all users (Cardiology, Biomedical Engineering/system administrators). Vendor shall provide technical support as well as e-mail support during clinic operation hours and off-hours for service if necessary. VPN access could be made available to the vendor with appropriate security measures. A minimum of 1 printed set and 1 digital set of user and service manuals (as per VAAR regulation AS7004 Service Data Manual (SEPT 2007) covering the system administration, network architecture, data flow diagram, operation, installation, interface/integration, configuration to each site medical equipment modalities/systems, existing networked medical devices and maintenance of all system components explaining the operational concept of the system as a whole shall be provided. Maintenance during warranty and extended warranty period shall be in accordance with DIN PACS III Appendix 6 Specifications Future Updates Vendor will provide software updates and patches to keep Cardiology Information PACS System current, at no additional cost to the government during warranty period. As new technology emerges that is compatible with DICOM, the selected system shall accommodate. 5.8.3 Hardware Lifecycle Management: Vendor shall provide a hardware end of life replacement plan. Other Requirements DELIVERABLES/ DELIVERY SCHEDULE What Contractor shall Provide Materials Rollout Schedule Migration Of Legacy Data New Studies Operations and Maintenance Contractor's Responsibilities 1.1.4 Provide onsite training, implementation services, project management and professional services necessary to complete the project successfully. Specialized Expertise and Services, Training, and Documentation 6.3.1 Vendor shall provide Biomedical Engineering technical training for two staff from each facility, including travel and lodging. 6.3.2 Vendor shall provide Information Technology technical training for two staff from each facility, including travel and lodging. Schedule For Delivery (quantities, where, etc.) Deliverables and Quantities Where/ When Delivered Delivery Schedule in Calendar Days From Date Of Award Services 1.1.4.1 Offeror's project manager is a single point of contact for the delivery of a turn-key Cardiology Information PACS System 1.1.4.2 Project Implementation teams that will install, configure, train, and test hardware and software components of the Cardiology Information PACS System. 1.1.4.3 A Project Implementation Plan for the complete assessment, planning, installation testing, training and final acceptance of a ready to use Cardiology Information PACS System. 1.1.4.4 Customized Cardiology Service clinical reports for interpretation, diagnosis, display, manipulation, printing, training, teaching, research, presentations, QC, coding, etc. 1.1.4.5 The VISN CARDIOLOGY ARCHIVE and the first site shall start (live on line) within 90 days from contract award. Each site thereafter will commence in no more than 60 days. 1.1.4.6 VA Vista, CPRS, existing and future Cardiology modalities interfaces. 1.1.4.7 User training. 1.1.4.8 System Admin training. 1.1.4.9 Full documentation. 1.1.5 Hardware 1.1.5.1 Server 1.1.5.2 Redundant / failover Server 1.1.5.3 Workstations 1.1.5.4 Switches 1.1.5.5 Uninterruptible Power Supply (UPS) 1.1.5.6 Equipment storage before installation (if required): 1.1.5.6.1 Each station shall provide storage for equipment delivered to the station before installation begins. The station will offer segregated storage for this equipment, but will not be accountable for the equipment other than receiving the equipment in its shipping boxes and moving the equipment into segregated storage. 1.1.5.6.2 Movement of the equipment from the storage location, rigging and special handling costs, if required to move the equipment from the storage area to the installation site are the contractor's responsibility. 1.1.5.6.3 The Contractor is responsible for un-crating un-boxing the equipment and all required materials. 1.1.5.6.4 Delivery shall be within 60 days and installation will be completed within 120 days ...