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FBO DAILY ISSUE OF MARCH 13, 2010 FBO #3031
SOURCES SOUGHT

Q -- Cardiac Holter and Event Monitoring Svs

Notice Date
3/11/2010
 
Notice Type
Sources Sought
 
NAICS
621511 — Medical Laboratories
 
Contracting Office
Department of Veterans Affairs;Contracting Section;3601 S. 6th Avenue;Tucson AZ 85723
 
ZIP Code
85723
 
Solicitation Number
VA-258-10-RP-0104
 
Response Due
3/17/2010
 
Archive Date
3/22/2010
 
Point of Contact
Mr. Gregory D. Manning520-792-1450 ext. 6529
 
E-Mail Address
Gregory.Manning2@va.gov
(Gregory.Manning2@va.gov)
 
Small Business Set-Aside
N/A
 
Description
SOURCES SOUGHT The purpose of this sources sought is to determine how many and what type of businesses are capable of performing the below described services and to determine whether or not a set-aside and which type, may be appropriate. If your company directly provides the below service, not through a subcontracting or similar arrangement, please contact this office and let us know your if you are interested in performing. You must respond Not Later Than: March 17, 2010 to: Gregory.Manning2@va.gov If you have any questions, please forward to the above email address. CARDIAC HOLTER AND EVENT MONITORING SERVICES AT THE SOUTHERN ARIZONA VA HEALTH CARE SERVICE, TUCSON ARIZONA 1. Scope of Work: The contractor shall provide all labor, management, equipment, parts, transportation, facilities, materials, software, scanning services, electronic data transfer and all other necessary elements required to provide complete Cardiac Holter and Event Monitoring Services for the Southern Arizona Veteran Affairs Health Care System (SAVAHCS), Tucson Arizona. 2. Background: As a result of the lack of appropriate equipment or trained personnel, SAVAHCS has previously contracted out this requirement in the commercial marketplace. The need now exists again for continued in-house holter or event monitoring services for our patients. Event and holter monitoring services are a necessary component of a full service cardiology program and necessary to the provision of quality care to veterans. This service allows the ability to make timely diagnosis of disorders related to cardiac rhythms. This process has proven to be a very cost-effective alternative to long stays in CCU and in-house telemetry monitoring. Also, because the patient is performing routine daily activities, chances of documenting arrhythmias causing transient problems are greatly enhanced. At the onset of a symptom (flutters, dizziness, presyncopal episodes, etc.), the patient simply presses a button on the recorder. Previously, the device has been programmed to record a multiple number of events with a variable amount of time recorded. Depending how the recorder was programmed, events have been recorded both prior and post event. B. SPECIFIC PERFORMANCE REQUIREMENTS 1. Cardiac Event Monitoring: Cardiac Event monitoring is a continuous loop, digital memory recorder worn for extended periods of time (up to 30 days or more) that can record transient events felt by the patient at any time. Because of the transient and infrequent nature of these symptoms, this is the acceptable tool for documenting arrhythmias that are missed on a 24-hour Holter Monitor. Event monitoring services include a 14-30 day period and require the contractor to monitor services by a team of certified cardiology technicians staffing their respective laboratory 24 hours a day, seven days a week. Upon enrollment of a patient for Cardiac Event monitoring services, the contractor shall ship a Cardiac Event recorder directly to the patients home address. Each recorder shall come complete with enough electrodes, batteries, and other consumable items to allow the patient to use the device for up to 30 days. A pre-paid shipping envelope shall also be included so that the patient can return the event recorder directly to contractors lab at the conclusion of the monitoring period. Contractor staff shall instruct the patient via the telephone on how to wear the monitor and record their ECG when they experience symptoms such as palpitations or dizzy spells. During the monitoring period patients call a toll-free telephone number after they have felt a symptom and recorded an ECG. The contractors cardiac technicians will then ask the patients to describe their symptoms, what they were doing when they experienced their symptoms, and then ask them to transmit the ECG from the event recorder. Contractor personnel shall be sufficiently familiar with the operation of their specific event recorders, and help instruct patients on how to make the transmission. Once the transmission has been received, technicians will prepare a report to be delivered to the referring physician either via fax or via an approved internet-based Global Cardio software program. If the transmitted ECG demonstrates an abnormal rhythm that fits pre-established notification criteria, a physician shall be contacted immediately by contractor personnel. These notification criteria may be established individually per customer or per physician preference. Contractor shall offer the government multiple report formats that can be selected by the patient, COTR, or physician, and make them available through the internet utilizing the contractors specific capabilities. Physicians or Nurses with an internet connection shall be able to log on to a secure web application provided and maintained by the contractor and review any of their patient transmissions within minutes of the ECG being transmitted to the contractor. 2. Holter Monitoring: Holter Monitoring is sometimes called continuous EKGs (electrocardiograms) and is based on a 24 or 48 hour time period and is used for the monitoring of patients heart rhythms. The Holter monitor is a small device which can be carried in a pocket Wires connect the device to sensors that are stuck to the patients chest using sticky patches. These sensors detect and record the hearts electrical signals. When the patient returns the recorder to the ordering facility, the client shall utilize an internet application, data exchange, to digitally transmit the ECG to the contractors secure computer server. The contractors laboratory technicians (credentialed as Certified Cardiac Technicians by Cardiovascular Credentialing International) shall analyze each recording using a Century series Holter analysis system, or equal, and post a completed report back to the web site within 24 hours of receipt at the contractors facility. When the client logs back on to the HIPAA compliant Data Exchange program, a final report shall be available for viewing and/or printing. Turnaround shall not exceed 24 hours. 3. Contractor shall maintain the security and integrity of patient information in accordance with all applicable Federal, State, Local, and VA regulations/guides/directives/etc. Violation of patient confidentiality may result in contract termination. 4. Quality Control Records: The Contractor's facilities, methodologies, and quality control procedures may be examined by the Contracting Officer, his/her designee, or respective COTRs at any time during the life of the contract. All applicable activities are to be performed in accordance with VAs Quality Management Program. 5. The Contractor shall perform the functions required in this statement of work in accordance with the rules of medical ethics, Federal, State and local laws, rules and regulations. The Contractor will not participate in, 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 will notify the COTR or the Contracting Officer to resolve such issues. The Contracting Officer will document the file and refer the matter to the local privacy officer for resolution of any such situations. Neither the VA nor the Contractor will be responsible for delays or failures to perform due to causes beyond each party's control. The VA and contractor may, upon mutual consent, modify the timing and schedule of services. 6. The contractor shall be responsible for establishment, maintenance and all costs associated with toll-free telephone lines, computer related operations, and all necessary shipping fees required for performance of this service. 7. The Contractor shall have an adequate back-up system in place to maintain satisfactory coverage in the event of a primary system failure. In case of scheduled downtime, Contractor will notify respective COTR at least 72 hours in advance with the date and estimated period of downtime.
 
Web Link
FBO.gov Permalink
(https://www.fbo.gov/spg/VA/TuVAMC/VASAHCS/VA-258-10-RP-0104/listing.html)
 
Place of Performance
Address: Tucson, AZ
Zip Code: 85629
 
Record
SN02089697-W 20100313/100311235102-0d5ba061e373dba29590083fbe7c6b1d (fbodaily.com)
 
Source
FedBizOpps Link to This Notice
(may not be valid after Archive Date)

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