DISCLAIMER This RFI is issued solely for information and planning purposes only and does not constitute a solicitation. All information received in response to this RFI that is marked as proprietary will be handled accordingly. In accordance with FAR 15.201(e), responses to this notice are not offers and cannot be accepted by the Government to form a binding contract. Responders are solely responsible for all expenses associated with responding to this RFI. In accordance with FAR 15.201(e), under Exchanges with Industry before Receipt of Proposals, responses to this notice are not offers and cannot be accepted by the Government to form a binding contract. Responders are solely responsible for all expenses associated with responding to this RFI. The Department of Veterans Affairs (VA) is seeking potential sources capable of providing, delivery, installation, and training of a physiological and telemetry system to outfit its facility with maintenance and support services. The GE physiological and telemetry system is a hardware and software solution that is comprised of various components designed to monitor, collect, analyze and alert clinicians to changes in a patient s pulse, respiratory rate, respiratory volume, body temperature, and blood pressure, and evaluate and compare patients 12 lead EKG studies and is fully interoperable with the existing GE Healthcare MUSE cardiology system, which houses an extensive database of historical 12 lead studies that are displayed with unique algorithms that are proprietary to GE. Only GE Healthcare physiological bed monitoring and telemetry system is capable of meeting VA s requirement to capture, store, analyze, compare, and display previously stored patient data in GE Healthcare MUSE version 8 format Interested parties would be expected to provide all personnel, equipment, tools, materials, supervision, facilities, transportation, and other items and services necessary to perform this requirement. The following is the facility address: VA Medical Center 1500 Weiss St, Saginaw Michigan 48602: The following are the anticipated supplies, systems, services, but not limited to: Description Estimated Quantity Carescape Monitor B450 34 ***(Beside Monitors) 30*** ***(Portable Monitors) 4*** Carescape Patient Data Module 34 Carescape Central Station V2 MAI 700 ATO 7 ACT Telemetry System 1 ACT Carecscape Telemetry Server V4 ATO 1 ApexPro CH Telemetry Receiver 1 Carescape Gateway G9 1 Carescape Network 1 Configuration and Education Services 1 4. Some characteristics include but are not limited to: 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: Display must be 20 inch minimum Full Disclosure At least 72 hours At least user choice 6 parameters per patient May be stored at central station or on a separate server Ability to transfer full disclosure information from one unit to another at the time of patient transfer The number of patients displayed on the central station will be unit specific Up to 16 simultaneous views on single display. Displays waveforms and numerical information Central Station and full disclosure may be on separate computers Enables users of central station to rapidly view, adjust, and respond to alarms. Alarm review At least 3 levels of alarms with visual and audible alerts Ability to print alarms and measured parameters Arrhythmia Histories Graphic trends Tabular trends Easy trend data review capability for physicians Bed overview of any patient on network Touch screen and Keyboard and mouse to enter patient information 2 channel strip recorder Industry standard Printer Industry standard non-proprietary display UPS to power the central station processor and monitor for at least 10 minutes 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. Networked to allow view of patients in other units from any central station. Include features that enable remote diagnostics, troubleshooting, and maintenance of equipment. System shall permit the exchange of HL7 data within VISN Clinical Information Systems including our Cardiology MUSE System Both mouse and touch screen operator interface Both wall or table mount options Bedside Data availability to mobile provider device Operator control of bedside functions 96% or better accuracy of arrhythmia detection and analysis Selected EKG waveforms exported electronically to the patient record. Bedside Monitors This equipment shall be mounted near the patient bedside in a manner that permits efficient workflow with the department staff. These monitors shall include, but not be limited to, all connections and accessories to accommodate the following functionality: Minimum 12 inch Display Networked with the ability to view other monitors within network via patient monitor Shall include modular device for efficient patient transfer to various departments. Saved event and memory are easily retrievable with minimal steps (less than 5 steps) 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 SpO2 Module Shall be Nellcor Non-Invasive Blood Pressure Monitoring End Tidal CO2/ Capnography monitoring enabled with cable sets 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 Supply and cable management at the bedside unit. 8 out of a total 16 Bedside Monitoring on Ambulatory Surgery shall be installed on a rolling stand for Aleda E. Lutz VAMC Seamless bed transfer 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. These monitors shall include a rolling stand. The monitors may also be utilized in transferring patients to and from care areas in the medical facility. These monitors shall include, but not limited to, all connections and accessories to accommodate the following functionality: 10-15 inch Display Touch Screen Display Carrying handle for ease of transport Robust rolling stands for transport Lightweight (less than ten pounds) Various mounting options for effective transport Extended battery operation, offeror shall specify battery life. SpO2 Module Shall be Nellcor Non-Invasive Blood Pressure Monitoring End Tidal CO2/ Capnography enabled with following modules/cable sets Temperature Monitoring Enabled 12 Lead ECG Capability Multiple Lead Capability Capable of associating with telemetry pack EKG capabilities Design features that enable efficient data transfer from department to department. Supply and cable management at the unit Telemetry Packs The telemetry system should provide coverage for the facility through use of existing infrastructure, new infrastructure, or a combination of both. Offeror shall be responsible for site survey, design, system and network infrastructure as detailed in this SOO, 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, SpO2 Functionality For Aleda E. Lutz VAMC patients on telemetry that are to be transported to and from Building 1 Second Floor (Entire Floor) and to Building 22 procedure areas and Urgent care shall be able to be continuously monitored seamlessly Single module lead insertion waterproof patient activated event recording minimum 4 foot drop survival Battery life of 36 hours or more minimal pull down of patient clothing General Specifications All monitoring hardware must be able to interface with VISTA/CPRS. This includes complete implementation and set-up for all monitoring hardware to be able to view VISTA/CPRS records and send/receive (i.e. open/ close consults) information into VISTA/CPRS. Must be able to integrate with our current Nurse Call system and MC-40 Zebra phones at Saginaw VAMC Must achieve seamless integration with MUSE Cardiology Management System: Physician can read, electronically annotate, and sign the ECG from the monitor (bedside) on the MUSE. Is an electronic serial comparison, with mathematical and automatic comparison to the first previous ECG available when the MUSE is comparing an ECG from your bedside monitor to a stored ECG When reviewing 12-lead ECGs on the MUSE workstation, the waveforms can be expanded, manipulated, and measured on the MUSE workstation display Must be able to review MUSE data from central station, bedside monitors, and portable monitors. 12-lead ECG acquired at bedside monitor is gender specific (different algorithm) 12-lead ECG acquired at bedside monitor is age specific (different algorithm) Ability to pull past patient data after discharge via server interface. For Ambulatory Surgery at Aleda E. Lutz VAMC the system must: Quickly change alarm settings based on patient type through alarm management tools. Access to ECG database from pre-op to recovery, to assist in the early detection and treatment of potentially lethal cardiac problems, dysfunctions or disorders. Innovative gas monitoring, including Patient Spirometry, to optimize ventilation and detect airway-related complications In adults, Entropy monitoring may aid in monitoring the effects of certain anesthetic agents and may be associated with a reduction of anesthetic use and faster emergence from anesthesia. Physiological Monitoring system for Ambulatory Surgery use must combine patient monitoring, anesthesia delivery, predictive drug modeling, perioperative imaging and EMR devices in a single, integrated system. A national ISA- MOU agreement must be active to meet the minimum security and privacy requirements VA requires that all facilities and program offices monitor information security control compliance of their respective contracts and acquisitions by doing the following: (1) Adhere to the security and privacy contract language as outlined in the contracts. (2) Ensure that COs work with their COTR, ISO, and PO and other applicable staff to complete Appendix A for all service acquisitions and contracts. This appendix assists in determining the security requirements for VA acquisitions and contracts during the planning phase of the acquisition process. The checklist must be included as part of the overall contract file by the CO for new service acquisitions and contracts and a copy must be maintained in the applicable contracts file and accessible to the COTR, ISO, and PO. (3) Ensure that contracting officials include VA s approved security clause, Appendix B, into any applicable contracts, if required as indicated by completing Appendix A. NOTE: The Security clause in Appendix B is currently undergoing official VA rulemaking by the Office of Acquisitions and Logistics (OA&L). The final version of the clause may be revised after it is presented to the public for review via the Federal Register. (6) Ensure that Certification and Accreditation (Authorization) (C&A), is accomplished in compliance with VA policy (per the results of the completed checklist provided in Appendix A) and VA Handbook 6500.3, Certification and Accreditation of VA Information Systems. The OI&T CPO within the Office of Cyber Security (OCS) must be contacted regarding procedures for C&A (Authorization) of contractor managed systems. (7) Ensure that the Program Manager, the COTR and the CO, with the assistance of the ISO, monitor compliance with the contract or agreement security requirements throughout the life of the contract. For IT systems, this includes ensuring that annual self-assessments are conducted by the contractor with appropriate Plan of Actions and Milestones (POA&M) initiated and completed. (8) Ensure that service providers and contractors who have negotiated agreements with VA that involve VA sensitive information, but do not maintain systems that require C&A, complete a Contractor Security Control Assessment (CSCA) within 30 days of contract approval and annually on the due date of the contract renewal. The ISO/COTR or CO can also request that a CSCA be completed by the contractor anytime there are potential security issues identified or suspected by VA or to ensure that applicable security controls are being implemented. The completion of the CSCA by the contractor is the responsibility of the COTR. The CSCA template is maintained on the IPRM portal under the C&A Section. The COTR can contact the ISO to obtain a copy of the CSCA from the portal or to seek assistance in the completion of the assessment. The completed CSCA must be provided and reviewed by the ISO and by the CPO to ensure that adequate security is being addressed by contractors in situations where the C&A of a system is not applicable. A copy of the CSCA is uploaded by the ISO and maintained in the document section of the SMART database. (9) Ensure that contractors and third party servicers accessing VA information sign the Contractor Rules of Behavior, Appendix D. The VA National Rules of Behavior do not need to be signed if the VA Contractor Rules of Behavior are signed. Vendors to complete the network security documentation required during the solicitation phase. Cabling/Network Turn-Key Installation providing all hardware and accessories for a complete system, services shall include removal of current patient monitoring infrastructure. Located in First, Second, and Third Floors of Building 1, and Second Floor of Building 22 for Telemetry. This is a standalone network just for Patient Monitors. All cabling and accessories to provide a complete and functional system If current cabling and antennas are to be re-used it must be recertified with proper documentation presented to the COR. Current cabling must be CAT 5e certified or higher, and shall have a yellow jacket. All current network hardware: switches, routers, hubs, etc. must be replaced The quote for the network installation needs to be a separate line item than the equipment and shall include cost per network node, including cable run, terminations, any necessary hardware and installation cost. Unit to unit connection charge shall include all cable runs, hubs, switches, routers and any other hardware or software required. All above ceiling cabling runs shall be tie-wrapped and placed in telephone/data tray or 3/4th EMT conduit where cable tray does not exist per hospital facilities requirements and local electric codes for Saginaw VAMC All penetrations shall be sealed in accordance with the NEC, VA policy, and applicable Fire codes. Penetrations shall be sealed with HILTI Firestop Systems. 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. All new network cabling, terminations, and any patch panels used shall be CAT5E/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 COR in electronic format that can be displayed and/or viewed. Cable length shall be included in this report. 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. All networking equipment must be Cisco. (Switches, hubs, routers, etc.) 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. Offeror must provide VPN contract number if applicable. All networking hardware shall be rack mounted in room designated by Facility Project Manager or COR. All installations and equipment will be compliant with VA OIT requirements and policy. All installation will be performed in compliance with Aleda E. Lutz VAMC policies including infection control, burning, and safety. For Server Configuration Vendor/ Supplier must meet the following requirements: The following versions are approved, with baseline compliance, for enterprise use: - 2008 R2 (SP1) - 2008 R2 (SP1) Core - 2012 - 2012 Core - 2012 R2 (Update) - 2012 R2 (Update) Core Approved with listed constraints: - 2008 x86 (non-core) is approved for SCCM 2007 infrastructure only. No new non-SCCM installations. Isolated VENDOR supported medical devices. These are not managed or maintained by OIT, often called turn-key and are considered industry servers. These installations will require separate Microsoft Server licensing including server client access licensing AND maintenance support agreements Windows Server must be added to the applicable VA.gov domain to ensure the appropriate Group Policy Objects (GPO's) are applied to the servers. VA mandatory GPOs provide a significant portion of the baseline security lockdown. Required VA Group Policy objects should be assigned to all Microsoft Servers. WMI filters should be applied as required to target specific systems 5. The purpose of this notice is to determine interest and capability of potential qualified companies relative to the North American Industry Classification code (NAICS) 334510Â Electromedical and Electrotherapeutic Apparatus Manufacturing with a size standard of 1,250 employees and The Small Business Administration (SBA) has issued a non-manufacturing waiver for NAICS code 334510. To make an appropriate acquisition decision for this requirement, the Government will use the response to this RFI. The type of solicitation to be issued and the manner of advertisement will also depend on the response to this RFI. To be considered a SDVOSB/VOSB concern, offerors shall be registered and verified in www.vip.vetbiz.gov. 6. Responses to this RFI shall be sent via emailed to
[email protected] not later than 13:00 CST, March 23th, 2018. Please include VA250-18-AP-5164 - Physiological Monitoring System in the subject line of all correspondence. Telephone inquiries will not be accepted. Questions received after the specified date and time will not be considered. Responses should include the following information: Name, and address; Business size; DUNS Number; Identification of any socioeconomic categories (i.e. SDVOSB, VOSB, etc.); Capabilities Item description of product; Please provide detailed description if your company can provide for the entire VISN(s) specified above; Please describe your supply chain process. Is your company a manufacturer or a distributor? If a distributor, who do you distribute from? Do you have an agreement/contract in place with the manufacturer? Please describe your ability to distribute to the medical centers located in the Central Region. If a distributor, how do you manage the invoicing and reconciliation process? Does your company hold a current FSS contract in hospital Physiological Monitoring System? If so, please state the contract number and item identification number under your FSS contract. Estimated Prices Any other pertinent information DISCLAIMER This RFI is issued solely for information and planning purposes only and does not constitute a solicitation. All information received in response to this RFI that is marked as proprietary will be handled accordingly. Responders are solely responsible for all expenses associated with responding to this RFI.