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Picture Archive and Communications VISN 7 RFQ #36A797-18-Q-0003System (PACS) for RadiologyRequest for Quotation RFQ- Pre-SolicitationPOC-Cheryl SimmonsVANACPO Box 76Hines, IL 60141(708) 786-5214cheryl.simmons@VISN 7 PACS STATEMENT OF WORK (SOW)A. RequirementsThe purpose of this Request for Quotation is to enter a direct purchase contract to provide VISN 7 an enterprise wide PACS and tightly integrated voice recognition system for eight medical (8) facilities, a Primary Data Center at Augusta, Georgia and a Secondary Data Center at Birmingham, Alabama, and approximately forty-six (46) Community Based Outpatient Clinic (CBOC’s). [see appendix #1] The project shall be provided on a direct capital purchase basis. The contractor will provide all hardware, software, installation, training and extended warranties lasting five years on all equipment. This shall include all hardware and software upgrades and updates, to include everything required for installation and operation. The vendor shall integrate with the VA’s existing RIS (Radiology Information System)/HIS (Health Information System)/EMR (Electronic Medical Record) for the Veterans Integrated Service Network 7 (VISN 7), and demonstrate full conductivity with the Cerner EHR. Vendor will maintain a VISN-wide PACS that is integrated with a Primary Data Center located in Augusta, Georgia, with a Secondary Data Center located at the Birmingham, Alabama VISN 7 facility. Currently all facilities except Atlanta and Birmingham utilize the VA PACS product, VistaRad, and Atlanta and Birmingham utilize a commercial PACS. The PACS system and all associated products shall provide “any image, anywhere, at any time.” as the standard for interoperability between all facilities in VISN-7. Radiologists will read studies acquired both locally and elsewhere in VISN-7. The system will be configured to accommodate all imaging modalities and study volumes with appropriate scalability for future growth of up to 5% per year for 5 years.The vendor shall meet or exceed the requirements stated in the Digital Imaging Network-Picture Archiving and Communications System (DIN-PACS) IV Contract and this VISN 7 PACS RFQ. All submissions will be restricted to either (i) vendors currently holding a Defense Logistics Agency (DLA) DIN-PACS IV Indefinite Delivery/Indefinite Quantity (ID/IQ) contract, or (ii) vendors having submitted a proposal for award of a DIN-PACS IV contract from DLA, even if not yet awarded, however, the award of such a delivery order will be contingent upon the successful vendor having been awarded a DIN-PACS IV contract by the time of delivery order issuance. The vendor is required to have a Business Associate Agreement [BAA] and a Memorandum of Understanding (MOU) with the VHA to allow the vendors representative to request VHA and VHA receive elevated privileges. The Medical Facilities are: Atlanta VAMC: 1670 Clairmont Road, Decatur, GA 30033 Augusta VAMC-Uptown Division: 1 Freedom Way, Augusta, GA 30904 (Charlie Norwood). Downtown Division: 950 15th Street, Augusta, GA 30901 Birmingham VAMC: 700 S. 19th Street, Birmingham, AL 35233 CAVHCS VAMC-West Campus: 215 Perry Hill Road, Montgomery, AL 36109-3798 East Campus: 2400 Hospital Road, Tuskegee, AL 36083-5501 Charleston VAMC: 109 Bee Street, Charleston, SC 29401-5799 (Ralph H. Johnson) Columbia VAMC: 6439 Garners Ferry Road, Columbia, SC 29209-1639 (Wm. Jennings Bryan Dorn) Dublin VAMC: 1826 Veterans Blvd, Dublin, GA 31021 (Carl Vinson) Tuscaloosa VAMC: 3701 Loop Road, East, Tuscaloosa, AL 35404. Augusta Uptown VAMC Primary Data Center: Uptown Division: 1 Freedom Way, Augusta, GA 30904 (Charlie Norwood). Birmingham VAMC Secondary Data Center: 700 S. 19th Street, Birmingham, AL 35233.Vendors will be allowed to make site visits for information gathering purposes only, before the RFQ process is initiated. The Government will not be under any obligations at the time of vendors’ site visits. The vendors will be required to follow all relevant policies and procedures during these visits.B. APPLICABLE DOCUMENTSDocuments referenced or germane to this PWS are listed below. The Contractor shall be guided by the referenced information contained in the documents in performance of this PWS.1.44 U.S.C. § 3541, “Federal Information Security Management Act (FISMA) of 2002”2.FIPS Pub 201, “Personal Identity Verification of Federal Employees and Contractors,” March 20063.10 U.S.C. § 2224, "Defense Information Assurance Program"4.Software Engineering Institute, Software Acquisition Capability Maturity Modeling (SA CMM) Level 2 procedures and processes5.5 U.S.C. § 552a, as amended, “The Privacy Act of 1974” 6.42 U.S.C. § 2000d “Title VI of the Civil Rights Act of 1964”7.Department of Veterans Affairs (VA) Directive 0710, “Personnel Suitability and Security Program,” September 10, 20048.VA Directive 6102, “Internet/Intranet Services,” July 15, 20089.36 C.F.R. Part 1194 “Electronic and Information Technology Accessibility Standards,” July 1, 200310.OMB Circular A-130, “Management of Federal Information Resources,” November 28, 200011.32 C.F.R. Part 199, “Civilian Health and Medical Program of the Uniformed Services (CHAMPUS)”12.An Introductory Resource Guide for Implementing the Health Insurance Portability and Accountability Act (HIPAA) Security Rule, March 200513.Sections 504 and 508 of the Rehabilitation Act (29 U.S.C. § 794d), as amended by the Workforce Investment Act of 1998 (P.L. 105-220), August 7, 199814.Homeland Security Presidential Directive (12) (HSPD-12)15.VA Directive 6500, “Information Security Program,” August 4, 200616.VA Handbook 6500, “Information Security Program,” September 18, 200717.VA Handbook 6500.6, “Contract Security,” March 12, 201018.NBS SP500-153, “Guide to Auditing for Controls and Security: A System Development Life-Cycle Approach,” April 198819.Technical Reference Model (TRM) (reference Contractor Library at )20.National Institute Standards and Technology (NIST) Special Publications21.VA Memorandum; VA Maintenance/Installation (Warranty) Contracts (VAIQ 7058822); March 24, 201122.VHA Directive 0004; Education and Learning Delivery Systems; April 201223.Digital Imaging Network Picture Archive and Communication Systems (DIN PACS) III; SPM2D1-10-R-0011; February 11, 2010C. Base cost for capital purchase format shall includeNote: 52.211-6 - Brand Name or Equal (Aug 1999) [Overview]***** If an item in this solicitation is identified as “brand name or equal,” the purchase description reflects the characteristics and level of quality that will satisfy the Government’s needs. The salient physical, functional, or performance characteristics that “equal” products must meet are specified in the solicitation.VISN 7 will include an attachment (PACS current/future modalities within 18 months,3rd party 3-D reconstruction hardware/software, voice recognition hardware/software and any other software add-ons), but it is subject to change and will require the vendor to verify and update when preparing their offer. [See appendix #1]. This list will give Vendors an idea of the modalities within VISN 7 but is not an “all inclusive” list. Contractors will be responsible for evaluating each site within VISN 7 for current and future imaging modality projections, compliance with Digital Imaging and Communications in Medicine (DICOM) connectivity to the PACS. Vendors will schedule walk-throughs and surveys. 1.1.Unlimited web access licenses1.2.Unlimited diagnostic (Radiologist) workstation licenses1.3.Unlimited Quality Assurance/Quality Control (QA/QC) workstation licenses1.4.Unlimited clinical workstation licenses1.5.All training for biomedical engineers, PACS administrators, super users, radiologists, and clinical users, to include all necessary tuition for local and off-site training. Travel, meals and lodging, where required for off-site training, are the responsibility of the sending facility. Please see reference document AS1365 for minimum details. Where this RFQ exceeds the requirements of AS1365, the more stringent requirement will apply. This will include the following personnel:1.5.1.1-PACS Administrator at each site and the Primary and Secondary Data Centers.1.5.2.1-BioMedical Technician per site and the Primary and Secondary Data Centers.1.5.3.1-Superuser / DRT/ADPACS at each site and 4-Hubs DRT/ADPACS1.5.4.Every 6-months the vendor will provide training webinars to all new staff or refresher training to any staff. 1.6.All specified hardware, software, software add-ons, monitors, or other specialized or third-party equipment required for integration and interpretation of all imaging modalities shall be included in the base price. 1.7.Unlimited study access without additional fee.1.7.1.Any outside images shall be imported into the PACS from any location in VISN 7. Images imported shall be solely at the discretion of the clinical needs of the VISN-7 clinical locations, and shall include any modality.1.8.Export Capabilities: PACS Cube or equal with salient characteristics to include: import and burn images for each facility for patients requiring images for outside examinations. Utilizes Windows-7 or another VA-compliant operating system. Vendor’s system shall be able to export selected images to other applications using DICOM Key Images DICOM 3.0 part 10 compliant or the latest; encrypted CD/DVD; Anonymous CD/DVD capability and can scan CD/DVDs or provide a CD/DVD burning system from the approved list that shall meet the Federal FIPS 140-2 certified encryption requirements as per VA Directive and Handbook 6500. Studies shall be able to be exported per IHE [Integrating the Health Enterprise] PDI (Portable Data Interchange) profile for one or more exams for a single patient. Studies exported to disc shall contain a viewer and the associated examination report. Shall include a tracking method as to which images are exported and by whom. Must interface with all VA software packages. Must be validated with VistA imaging/Cerner EHR.1.8.1.Provide 10 PACS Cubes, 1 for each for the Primary and Secondary Data Centers and one at each of the 8 hospital locations within VISN-7. Additional PACS Cubes shall be provided at each satellite location or CBOC site that is part of the PACS network.1.8.2.These devices shall be supported and maintained by the PACS vendor with a five-year extended warranty and remain VISN-7 property. Supplies for daily use will be site’s responsibility. Devices shall use supplies that can be purchased through GAO contract sources.1.9.Powerscribe 360 version 4.0 or equal [or most recent upgrade/update at time of order] with salient required characteristics to include the following: Utilizes Windows-7 or another VA-compliant operating system, solution technically capable of upgrading the VA’s current investment at the Augusta VAMC, system that is standardized and certified by both DHA and VHA, complete ability to integrate into the DoD and VA’s Cerner platform, auto-loading templates based on procedure code, age, gender, and patient classification, integrates modality information into patient reports, ability for each radiologist to customize their voice profiles and format their preferences, ability to checkpoint voice profiles, embeds the American College of Radiology’s (ACR) assist follow-up guidelines, Granular search and analytics of entire radiology reporting spectrum and data, Customizable and expandable auto text capabilities, Ability to share radiology reports for over read or peer review purposes, track follow up patients who are due or past due for follow-up for low dose lung CT cancer screening and other purposes, proven interfaces with VISTA RIS/Cerner EHR, Dedicated HL7 Engineer for Veteran Affairs accounts, Multiple sites can be managed uniquely in the database, Redundancy and Failover accommodated by secondary system all relevant prior reports are presented, Expandable to accommodate growth and future workflow requirements, 1.10.Workstation hardware requirements for Mammography and Tomosynthesis [Each monitor displays two screens and two monitors are present for each workstation for quad display]: Twenty-Five (25) dual monitors and workstations. VISN-7 locations performing or who will perform mammography and/or breast tomosynthesis within one year of the date of award shall receive diagnostic workstations for mammography and breast tomosynthesis images using the Barco Coronis Uniti (MDMC-12133) 12MP diagnostic display system for PACS and breast or equal with salient characteristics: A minimum resolution of 12 MP [Resolution 4200 x 2800 (optionally 2x 5MP)], and shall certified by MQSA and FDA. Utilizes Windows-7 or another VA-compliant operating system, Screen technology IPS or equal, Active screen size (diagonal) 853.44 mm (33.6"), Active screen size (H x V) 708.1 x 472.1 mm (27.8 x 18.6"), Pixel pitch 0.1686 mm, Color imaging, Gray scale imaging, Viewing angle (H, V) 178°, CR >= 10, Uniform Luminance Technology (ULT) Color Per Pixel Uniformity (PPU), Color support, Ambient Light Compensation (ALC), Rapid Frame technology, I-Luminate button or equal, Backlight Output Stabilization (BLOS), Maximum luminance > 2100 cd/m? (PPU on), DICOM calibrated luminance (PPU on) 1000 cd/m?, Contrast ratio (dark reading room, typical) 1200:1 (PPU on), Response time (Tr + Tf) < 33 ms, Scanning frequency (H; V) 25 - 85 Hz, Housing color RAL 9004 + RAL 9003, Video input signals DP1.2, USB ports 4 (1 upstream, 3 downstream), USB standard 2.0, Power requirements (nominal) 100 - 240 V, Power consumption (nominal) 190W, Power save mode, Power management, Dot clock 195 MHz, Tilt -5° / +30°, Swivel -23° / +23°, Mounting standard VESA (200 x 100 mm & 100 x 100 mm) or equal, Dimensions with stand (W x H x D) 795 x 610 x 300 mm (lowest position), Dimensions w/o stand (W x H x D) 795 x 572 x 131 mm, Screen protection is Protective, non-reflective glass cover [Certifications IEC 60950-1:2005 + C1:2006 + A1:2009 + C1:2012 + A2:2013, EN60601-1:2007 + A11:2011, IEC, 60601?1:2005 + A1:2012, NSI/AAMIES 60601-1:2005 + A1:2012, CAN/CSA C22.2 No.60601?1:2014IEC 60601?1-2:2007, EN 60601?1?2: 2007 + AC:2010, KCC, VCCI, FCC Class B,ICES?001 Class B, RoHS]. Supplied accessories include User Guide, Quick Installation Sheet, Video cables (2 x DisplayPort), Main cables (USA (UL/CSA; adaptor plug NEMA 5-15P), USB 2.0 cable, External power supply, Film clip, MultiTouchPad or equal. QA software QAWeb or equal. Warranty 5 years, 40,000 hours of backlight warranty. Hard copy and softcopy training materials will be provided with each workstation designed for clinical or administrative users.The computer for the workstation shall be HP Z640 Workstation HP Z640 Workstation or equal, with salient characteristics: P Z640 925W 90Percent Efficient Chassis / Win 10 Pro 64 US / Intel Xeon E5-1680v4 3.4 20M 2400 8C CPU / 32GB DDR4-2400 (2x16GB) 1CPU RegRAM / No Integrated GFX / 256GB SATA 1st SSD / HP USB Keyboard US / HP No Mouse Option / 9.5mm Slim DVD-Writer 1st ODD / HP Remote Graphics Software (RGS) for Z640 / HP, 3/3/3 Warranty US / HP Z640 Country Kit US. HP - HW maintenance, HP 5y Next Business Day Onsite WS Only HW Support, HP 5y Next Business Day Onsite WS Only HW Support. 2 PCIex16 based MXRT 7600 display controller.1.10.1.Workstation hardware requirements for dual display 6 MP Diagnostic Workstations [Each monitor displays two screens and two monitors are present for each workstation for quad display]: One Hundred and Fifty (150) dual monitor and workstations. The offeror shall provide the Barco Coronis Fusion 6MP LED (MDCC-6430) 6MP diagnostic color display system or equal with salient characteristics: all workstations shall be VistARad/Cerner EHR approved. Utilizes Windows-7 or another VA-compliant operating system, Screen technology IPS-TFT color LCD, Active screen size (diagonal) 772 mm (30.4"), Active screen size (H x V) 654 x 409 mm (25.8 x 16.1"), Aspect ratio (H:V) 16:10, Resolution Native 6MP (3280 x 2048), Configurable to 2 x 3MP+ (1640 X 2048), Configurable to 2 x 3MP (1536 X 2048), Pixel pitch 0.1995 mm, Color imaging, Gray scale imaging, Bit depth 30 bit, Viewing angle (H, V) 178°, Uniform Luminance Technology (ULT) Color PPU, Ambient Light Compensation (ALC) reading room selection, Ambient light sensor, Backlight Output Stabilization (BLOS) (2x), Front sensor Yes, I-Guard or equal, Maximum luminance (panel typical) 1050 cd/m?, DICOM calibrated luminance 600 cd/m?, Contrast ratio (panel typical) 1500:1, Response time (Tr + Tf) (typical) 18 ms, Video input signals DVI-D Dual Link (2x), DisplayPort (2x), USB ports 1x USB 2.0 upstream (endpoint), 3x USB 2.0 downstream, Power requirements External power supply (100-240 Vac, 50-60 Hz), Power consumption 100 W (nominal) @ calibrated luminance of 600 cd/m?, 64 W (nominal) @ calibrated, Dimensions in landscape: 731 x 528~628 x 259 mm, Dimensions w/o stand in Landscape: 731 x 485 x 140 mm, Tilt -5° to +25°, Swivel -30° to +30°, Height adjustment range 100 mm, Mounting standard VESA (100 mm) or equal, Screen protection with Protective, anti-reflective glass cover, [Certifications CE0120 (MDD 93/42/EEC; A1:2007/47/EC class IIb product), CE- 2014/30/EU, IEC 60950-1:2005 +, A1:2009, EN 60950-1:2006 + A1:2010 + A11:2009 + A12:2011 + A2:2013, IEC 60601-1:2005 +, C1:2006 + C2:2007 + A1:2012, ANSI/AAMI ES 60601-1:2005 + , 1:2012 + C1:2009 + A2:2010 + ,R1:2012, CAN/CSA C22.2 No. 60601-1:14, EN 60601-1:2006 + A11:2011 + A1:2013, EN, 60601-1-2:2007, CCC - GB9254-2008 + GB4943.1-2011 + GB17625.1-2012, KCC, VCCI, FCC class B, ICES-001 Level B, FDA 510(k), RoHS]. Supplied accessories include User Guide, Quick Install Sheet, Documentation disc, System disc, Video cables, Mains cables (USA (UL/CSA; adaptor plug NEMA 5-15P), USB cable, External power supply, Optional accessories Graphics board, Touch pad, QA software MediCal QAWeb or equal, Warranty 5 years, including 40,000 hours backlight warranty. Hard copy and softcopy training materials will be provided with each workstation designed for clinical or administrative users. The computer for the workstation shall be HP Z640 Workstation HP Z640 Workstation or equal, with salient characteristics: P Z640 925W 90Percent Efficient Chassis / Win 10 Pro 64 US / Intel Xeon E5-1680v4 3.4 20M 2400 8C CPU / 32GB DDR4-2400 (2x16GB) 1CPU RegRAM / No Integrated GFX / 256GB SATA 1st SSD / HP USB Keyboard US / HP No Mouse Option / 9.5mm Slim DVD-Writer 1st ODD / HP Remote Graphics Software (RGS) for Z640 / HP, 3/3/3 Warranty US / HP Z640 Country Kit US. HP - HW maintenance, HP 5y Next Business Day Onsite WS Only HW Support, HP 5y Next Business Day Onsite WS Only HW Support. 1PCIex16 based 2 DVI display controller MXRT-5600.1.10.2.One Hundred Sevety-Five (175) 2 MP monitors to go with all Radiologist workstations. Workstation requirements for the single monitor 2 MP color/administrative dictation workstations shall be: Barco Eonis (MDRC-2221) or equal, with salient characteristics: Screen technology TFT Color LCD, Active screen size (diagonal) 541 mm (21.3"), Active screen size (H x V) 432 mm x 324 mm (17" x 12.76"), Aspect ratio (H:V) 4:3, Resolution 2MP (1600 x 1200), Pixel pitch 0.270, Color imaging, Gray scale imaging, Color support 10 bit, Viewing angle (H, V) 178°, Ambient Light Compensation (ALC), preset values in OSD or equal, Front sensor, Maximum luminance 440 cd/m2; typical DICOM calibrated luminance 250 cd/m?, Contrast ratio 1500:1 typical, Response time (Tr + Tf) 20 ms, Video input signals DisplayPort, DVI, USB ports 1 upstream, 2 downstream, USB standard 2.0, Power requirements (nominal) 100 – 240 V, Power consumption (nominal) 32 W (< 1W in stand-by), Power save mode, Power management DPMS or equal, 21" clinical display for clinical image review, Dimensions with stand (W x H x D) 376 x 591.7 x 201.33 mm (portrait), Dimensions w/o stand (W x H x D) 376 x 484 x 75.93 mm (portrait), Height adjustment range 100.0 +/- 5.0 mm, Tilt -5° / +20°, Swivel -45° / +45°, Pivot, Mounting standard VESA (100 mm) or equal, Certifications [CE (MDD 93/42/EEC class I product), CE-2014/30/EU, IEC 60601-1:2005, ANSI/AAMI ES60601-1, (2005/(R)2012 + C1:2009/(R)2012 + A2:2010/(R)2012), CAN/CSA-C22.2 No. 60601-1 (2008), DEMKO - EN 60601- 1:2006, EN 60601-1-2:2007, EN60601-]. Supplied accessories: User Guide, Cable routing strap, Video cables (1x DVI + 1x DP), Main cables (USA (UL/CSA; adaptor plug NEMA 5-15P), USB 2.0 cable, Cleaning cloth, the adapter is a forming part of the medical device. (Manufacturer: BridgePower Corp., BPM060S24F09; Input: 100-240 V AC, 50-60 Hz, 1.5 A; Output: +24V DC, 2.7 A), QA software MediCal QAWeb & QAWeb PP or equal. Warranty 3 years. Hard copy and softcopy training materials will be provided with each workstation designed for clinical or administrative users.1.10.3.Fifty (50) CBOC and Facility additional 6 MP monitors for ancillary areas. The offeror shall provide the Barco Coronis Fusion 6MP LED (MDCC-6430) 6MP diagnostic color display system or equal with salient characteristics: all workstations shall be VistARad/Cerner EHR approved. Utilizes Windows-7 or another VA-compliant operating system, Screen technology IPS-TFT color LCD, Active screen size (diagonal) 772 mm (30.4"), Active screen size (H x V) 654 x 409 mm (25.8 x 16.1"), Aspect ratio (H:V) 16:10, Resolution Native 6MP (3280 x 2048), Configurable to 2 x 3MP+ (1640 X 2048), Configurable to 2 x 3MP (1536 X 2048), Pixel pitch 0.1995 mm, Color imaging, Gray scale imaging, Bit depth 30 bit, Viewing angle (H, V) 178°, Uniform Luminance Technology (ULT) Color PPU, Ambient Light Compensation (ALC) reading room selection, Ambient light sensor, Backlight Output Stabilization (BLOS) (2x), Front sensor Yes, I-Guard or equal, Maximum luminance (panel typical) 1050 cd/m?, DICOM calibrated luminance 600 cd/m?, Contrast ratio (panel typical) 1500:1, Response time (Tr + Tf) (typical) 18 ms, Video input signals DVI-D Dual Link (2x), DisplayPort (2x), USB ports 1x USB 2.0 upstream (endpoint), 3x USB 2.0 downstream, Power requirements External power supply (100-240 Vac, 50-60 Hz), Power consumption 100 W (nominal) @ calibrated luminance of 600 cd/m?, 64 W (nominal) @ calibrated, Dimensions in landscape: 731 x 528~628 x 259 mm, Dimensions w/o stand in Landscape: 731 x 485 x 140 mm, Tilt -5° to +25°, Swivel -30° to +30°, Height adjustment range 100 mm, Mounting standard VESA (100 mm) or equal, Screen protection with Protective, anti-reflective glass cover, [Certifications CE0120 (MDD 93/42/EEC; A1:2007/47/EC class IIb product), CE- 2014/30/EU, IEC 60950-1:2005 +, A1:2009, EN 60950-1:2006 + A1:2010 + A11:2009 + A12:2011 + A2:2013, IEC 60601-1:2005 +, C1:2006 + C2:2007 + A1:2012, ANSI/AAMI ES 60601-1:2005 + , 1:2012 + C1:2009 + A2:2010 + ,R1:2012, CAN/CSA C22.2 No. 60601-1:14, EN 60601-1:2006 + A11:2011 + A1:2013, EN, 60601-1-2:2007, CCC - GB9254-2008 + GB4943.1-2011 + GB17625.1-2012, KCC, VCCI, FCC class B, ICES-001 Level B, FDA 510(k), RoHS]. Supplied accessories include User Guide, Quick Install Sheet, Documentation disc, System disc, Video cables, Mains cables (USA (UL/CSA; adaptor plug NEMA 5-15P), USB cable, External power supply, Optional accessories Graphics board, Touch pad, QA software MediCal QAWeb or equal, Warranty 5 years, including 40,000 hours backlight warranty. Hard copy and softcopy training materials will be provided with each workstation designed for clinical or administrative users. 1.10.4.Fifty (50) CBOC and Facility additional reviewing stations for ancillary areas. The computer for the workstation shall be HP Z640 Workstation HP Z640 Workstation or equal, with salient characteristics: P Z640 925W 90Percent Efficient Chassis / Win 10 Pro 64 US / Intel Xeon E5-1680v4 3.4 20M 2400 8C CPU / 32GB DDR4-2400 (2x16GB) 1CPU RegRAM / No Integrated GFX / 256GB SATA 1st SSD / HP USB Keyboard US / HP No Mouse Option / 9.5mm Slim DVD-Writer 1st ODD / HP Remote Graphics Software (RGS) for Z640 / HP, 3/3/3 Warranty US / HP Z640 Country Kit US. HP - HW maintenance, HP 5y Next Business Day Onsite WS Only HW Support, HP 5y Next Business Day Onsite WS Only HW Support. 1PCIex16 based 2 DVI display controller MXRT-5600. 1.10.5.Two Hundred Fifty (250) Uninterrupted Power Supply UPS for each for each workstation. UPS for one Small Workflow Manager, DS, CS, TS, OT, Basix server, or CM.APC BACK-UPS 1300VA/780 Watts 120V (model BR1300G) Contains (5) NEMA 5-15R output connections for battery backup and (5) NEMA 5-15R output connections for surge protection Input 120V/60 Hz, 6 foot cord with NEMA 5-15 plug.1.11.Other additional workstation hardware: Two Hundred (200) Wired 5WC5F - Multi-button mouse Logitech G400 gaming mouse or equal gaming mouse for each radiologist programmed by the trainer. Salient characteristics: PACS Administrator and ADPACS will be trained how to program the mouse functions. The mouse must be wired. Wireless function is not acceptable. 1.12Workstation furniture: One Hundred and twenty-five (125) Sit to stand desks for every Radiologist in VISN-7 and for Primary and Secondary Data Center staff. Specifications shall be Black dual tier Cart 60” x20” AFC Industries, INC. SKU 771656 with an attached work light or equal, with salient characteristics of electronic adjustable sit to stand positioning.1.13 The Contractor will be responsible for purchasing, installing and maintaining the TeraRecon 3D reconstruction system or equal, with salient characteristics: ?Independent Automatic Pre-processing Capability. ?Independent DICOM routing capability. ?Thin-client deployment of advanced visualization capabilities such that the rendering and manipulation is performed on the server-side and the required thin-client application supplying the functionality can be loaded on any number of ordinary PC systems throughout the enterprise. ?Ability to create user-defined workflows. ?Ability to save entire read cases with the workflow steps as a DICOM series to PACS for archival, future reference or subsequent volumetric review and manipulation. ?Browser-based volumetric viewer using only JavaScript technology. ?Fully integrated EVAR device templates. Fully integrated TAVR planning template. All clinical users are “Advanced Users” and have access to all clinical tools. Includes A sophisticated suite of advanced clinical applications is offered including Vessel Analysis (including coronary), Calcium Scoring, TVA (Cardiac Function), SAT (lung module/mass analysis), Flythrough (Colon), TDA (Brain Perfusion), CT/CTA Subtraction, Breast MR, Multi-Modality support, Lung CAD Colon CAD, are available as part of the standard software suite and as such will not need to be separately purchased as third party software. ?A dedicated Server performs tasks that the technologist or physician otherwise would need to perform, and this improves efficiency of technologists and physicians alike. ?Automatic pre-fetching of prior studies, automatic creation of coronal and sagittal image stacks for reading on PACS, automatic bone-removal, table removal, centerlines, anatomic labeling and more can all be achieved without human intervention and before the study is even opened. ?Features both command-line API and URL methodologies to the client/server solution. ?The solution can be deployed in both centralized and distributed fashion, meaning that many servers can function and integrate as a unified single server, or one single server can be scaled in a single location to handle all the rendering work performed in the enterprise. ?Includes a web service provided by a Server allowing for a zero-footprint secure volumetric viewing experience through a web browser to provide access most broadly to those who would not be able to load Java, Active X, or be provided VPN access into the network.?The system shall include all software, hardware, and all relevant servers, to allow viewing and manipulation of 3-D imaging at each facility in VISN-7 for Nuclear Medicine, PET/CT, SPECT CT, MRI, CT and other applicable imaging and non-radiology modalities. The contractor should provide at least 15 floating licenses for each component of the system, to include the most recent version as of the time of the RFQ, which allows at least 15 users for each system component simultaneously in VISN-7. Vendor shall include all subsequent updates and upgrades for five years. Utilizes Windows-7 or another VA-compliant operating system.1.14.The system shall provide a zero-footprint viewer that can be utilized using a web browser, such as Medicom Endpoint or equal, with salient characteristics: response time shall be less than five seconds, connects electronically with your radiology providers, manages your clinic without CDs, VPNs, or the Cloud, has a zero-footprint viewer, open studies with one click from EMR [Vista/Cerner], accesses all imaging studies anywhere through the web, one-click in PACS pushes a copy of images directly to your referrers, and physicians have full-time remote access to all their images. Utilizes Windows-7 or another VA-compliant operating system. Integrated support for the voice recognition system used on the main PACS workstations is required. The display performance of the remote client should be the same for clients immediately outside the firewall as within. Some display speed loss is allowed at remote sites depending on the bandwidth at those sites and slowness induced by firewalls, but response time shall be less than five seconds.1.15.Interpretation of Mammography and Tomosynthesis Images: Integration with a VISN7 mammography reporting system should be included. For example, Mammography Reporting System [MRS] or equal with salient characteristics: BI-RADS 5 edition lexicon compliant with NMD-Certified?3.0 BI-RADS?5th edition approved software.Administration and the data gathered in the system for all breast related procedures will allow for generation of many statistical reports to assist with the annual MQSA audits and the management of the practice. Export data to cancer registries, the National Mammography Database, and other data gathering organizations. Scanning documents into MRS for each patient, such pathology reports, history sheets, and insurance information.Patient Tracking with reminders to patients, clinicians, and staff. When a recommendation is made for the patient, either a recall or reminder is generated based on your site preferences to assure the patient is compliant with follow-up. Short-term follow-up reminders are sent automatically and if they don’t return at the appropriate time, a problem case is created and problem case letters are generated for both the patient and the referring clinician.Radiologist Workflow, with customizable, user-defined templates for quick procedure and report generation. If a voice recognition system is in use, the system integrates with those 3rd party systems. The VR system templates and data mapping will populate the system with the information needed to create the procedure report and the patient correspondence.Breast Cancer Risk Assessments on every patient. Using published risk assessment models, every patient will have a risk assessment evaluation. A High-risk report can be generated for the patient to use for insurance pre-certification when a Breast MRI is recommended. High Risk Reports are available for the referring clinicians notifying them of patients at an elevated risk for breast cancer.Density Notification to Patients. The density paragraph can be modified to match the requirements of each state law or VHA requirements.Additional plug-ins or software to be provided to enable all system options. This equipment shall be provided at no additional cost for all stations performing mammography or planning to perform mammography within one year of the Delivery Order being issued, as specified by each site in VISN-7. Utilizes Windows-7 or another VA-compliant operating system.1.16.Dose Tracking: The PACS Contractor shall also provide and support Radiation Dose Tracking software such as Radimetrics or equal with, salient characteristics: Customer-hosted (Non-cloud) solutionIntegration of radiation and contrast dose data on a singular software platformDICOM Modality Worklist Integration for Point of Care Contrast data capturePersonalized Weight-Based Contrast Dosing: personalizes CT contrast enhanced patient protocols while ensuring consistency across varied patient populations, clinician and imaging technologists. The MedRad Certegra Workstation with P3T software is the only FDA-cleared patient based dosing option for contrast delivery in the CT suite. Protocol Manager - monitor and manage protocols and ensure necessary updates and enterprise consistency across all imaging protocolsICRP 103 Effective Dose calculation.Interactive Dosimetry (Dose simulator) to model ‘what if’ scenarios and hypothetical changes to imaging protocol.Cumulative Dose Tracking – Track a patient’s cumulative radiation and contrast dose across multiple imaging procedures.Assist with Regulatory Compliance - integrates with existing PACS/RIS and voice recognition system to provide a single system for tracking patient radiation across imaging modalities - e.g. California SB1237 and Joint Commission Imaging Standards.Automate contrast record keeping and facilitate compliance.QA/QC access to customizable dashboards.Dash boarding allowing for easy tracking and submission for quality initiatives.Dashboards could be doses by protocol, machine, or technologist; system/scanner utilization, tech productivity.External interfacing to ACR DIR for national benchmarking and Certificate of Excellence Accreditation.Vendor neutral and multi-modality.HL7 and web-services outbound interfaces for automated reporting to hospital/radiology IT Targets.Reduce Risk - Protocol specific alert thresholds based on patient age, gender, protocol.Identify outliers - automated alerting when thresholds are exceeded, capturing follow up action for audit trail. For example, dose thresholds can be individual exams, cumulatively for patients.Data sent to CPRS and other Radiology systems and have functionality that allows the CT or other source of ionizing radiation dose to be exported in Excel or similar MS Office-compatible spreadsheet format for use by the Radiation Safety Officer. This shall include cumulative dose tracking across modalities [to include non-radiology sources of ionizing radiation] with results sent to Vista and importable into radiology and nuclear medicine reports.1.17.High-volume Film Digitizer: Vidar Diagnostic Pro Advantage Film Digitizer Complete with Digitizing Workstation [Mfg. Product Number: 15787-001] or equal with salient characteristics: Capable of digitizing Mammography/plain films to the PACS in interpretation format. Must interface with all VA software packages. Must be validated with VistA Imaging/Cerner EHR and Department of Defense [DOD]. Utilizes Windows-7 or another VA-compliant operating system. Minimum speed of digitizing is 200 lines/second (135 films per hour, 18cm x 24cm). All standard film formats can be digitized, up to a width of 14 inch (35 cm), without length limitation. Resolution: at least 44 microns (up to 570 dpi). Bit Depth: 12-bit (4096 shades of grey). Clinical Optical Density Range: 0.05 to 4.0.1.18.Philips Invivo DYNACAD 3.3 BREAST w/INT & PROSTATE DIAG or Equivalent DYNACAD 3 BREAST AND PROSTATE DIAG SOFTWARE AND SERVERDynaCAD 3 Combo software offers unlimited concurrent users in a client-server software configuration. The DynaCAD 3 application allows unlimited clients to be installed and includes Unlimited Concurrent User Option to the DynaCAD 3 servers. Any computer that meets the client minimum software and hardware requirements can be used as a DynaCAD 3 client. Clients throughout the enterprise have access to the DynaCAD 3 advanced feature set including:Updated GUISoftware-only packageOS virtualization readyDynaLOC Interventional Planning for Breast**Multi-vendor compatibilityFully automated processing for streamlined workflowAdvanced motion correctionOne click lesion segmentationImage MIP and MPR reformattingAutomatic Prostate gland segmentationInter-sequence image registrationReporting of quantificationDiffusion imaging with ADC values, and color mappingColor overlays mapped onto other sequences (T1, T2, DWI)User customizable hangings for simplicity of useResult image generation and integrated reporting tool for DICOM export to PACS***Fiducial Marker Block (4535-300-96541) included X 2 per VISN 7 facility ***DynaLOC Interventional planning with DynaTRIM for Prostate included, 1-each per VISN 7 facilityVendor supplied Rack mounted server must meet or exceed the following hardware configuration will be used as the DynaCAD 3 server computer:OS Windows 7 or Server 2008: “VISN 7 IT Department will provide which version required at the time of installation”Windows 7, 64 bit Professional, SP1Windows Server 2008 R2 Standard, SP1Processor:Dual (2) Intel 8-core Xeon E5-26XX processors (image resolution > 512x512 & high study volume)RAM:64GB 1600MHz (image res > 512x512 & high study volume)Other RequirementsHard Drive SSD: 300 GB System, 900 GB Data DVD: DVD RW driveGraphics: Integrated or independent graphics cardUSB: 1 free slot required for license keyNetwork: 100/1000 Mbps network cardSoftware Prerequisites provided:Adobe ReaderMicrosoft .NET Framework 4.0 or 4.5 Full ProfileInternet Explorer 7 or newer “VISN 7 IT Department will provide which version required at the time of installation” Installation, Training, Warranty & Service:On-site installation and connection to DynaCAD 3 client workstations (purchased from Invivo) and VISN 7 selected PACS. Connectivity to VISN 7 PACS and the Primary Data Center at Augusta, Georgia, MRI units and Servers will be included, with full integration of all components. Five (5) consecutive days on-site DynaCAD 3 system training.Additional on-site training of 2-days will be provided at client’s request within 5-years per facility. DynaCAD v3.X > general software upgrades and updates will be provided for 5-years per facility. If new hardware is required for upgrades, they will be included.Five (5) year extended warranty remote system diagnostic and training support are included.Required cabling to customer's computer network and available 115VAC 60Hz outlet power sources are included if not currently in place.Requires access to high-speed Internet connection/Remote Access for service will be included if not currently in place.Vendor will provide VHA compliant field engineers with VHA Elevated Privileges that allows for remote access. D. Capability or PerformanceDIN-PACS IV shall be the standard of performance, unless local requirements are more stringent. Among other capabilities, this requires an open system network of digital devices designed for the effective acquisition, transmission, display, and management of diagnostic imaging studies. DIN-PAC S IV provides for diagnostic x-ray images in digital output that can be transmitted for analysis anywhere in the hospital or in the world. DIN-PACS IV includes a Statement of Work and Functional Requirements.Tab A. Vendor QualificationsTab B. PACS Product OverviewTab C. Vendor Configuration ResponseTab D. System FunctionalityTab E. System Acceptance [see appendix #4]Tab F. System Reliability [see appendix #5]Tab G. System MaintenanceTab H. DIN-PACS System SupportTab I. System Documentation and TrainingTab J. DICOM RequirementsTab K. InteroperabilityTurnkey Installation will be required in the procurement. This shall include, but not be limited to, site planning, site preparation, furnishing and installation of new CAT 7 cabling from Modality to server room, 1 Gigabit bandwidth connections to all components of the PACS system, new switch, new routers, racks and complete installation of medical systems throughout VISN-7 at all locations with PACS capability, power cabling and required connectors to computer room PDU will be furnished by vendor as required for complete system installation. Network cabling between all devices and to router /switches shall be furnished by vendor as required. All interconnecting wiring and cabling shall be pulled through conduit and raceways as per required at installation site. Vendor shall provide a tentative Network diagram, IT Topography and Data Flow Diagram of the VISN 7 configuration to include the 8 hospitals, all the CBOCs, and the Primary and Secondary Data Centers, as part of its technical proposal. Once a Delivery Order has been awarded, IP addresses, AE titles and other relevant information will be included on network diagram and updated by the vendor annually for five years after installation at each location.Vendor is responsible for the complete installation of the PACS system. Unless otherwise noted the Vendor shall be responsible for all network connectivity from the modality wall jack and to all components that are connected to the local and wide area network (WAN), with the Vendor’s responsibility does not end at the wall jack. Installation shall include: surveying existing utility interfaces, network topology and installations; reporting any discrepancies, or omissions that will delay installation; assembling, positioning, and mounting of all Vendor furnished equipment; installing local storage servers; furnish and install required junction boxes, wall/ceiling mounts and support structures for Vendor supplied equipment; furnish and install all wiring, cables, conduits, junction boxes, routers, switches, outlets and connections to establish 1 Gigabit bandwidth connections to all components of the PACS system; conduct all work in compliance with federal and state or local code requirements, design data, and other factors necessary to design and install the system at each facility. Vendor will follow all Infection Control requirements of ICRA [See appendix #2] while installing the PACS and all accessories.Vendor shall provide image acquisition, virtual servers (short term cache and long term storage archive, distribution, and visualization). The acquisition, complete redundant back-up, disaster recovery and business continuity, and security shall be accomplished through the management of contractual relationships with a single prime contractor. Vendor shall provide all hardware, software, installation, training and ongoing full 5-year warranty support of the PACS and all associated third-party hardware/software and networking/server/cable installations. Vendor will schedule all hardware/software installs/upgrades/updates at the Government’s convenience, to include all necessary cabling, switches, routers, hardware and software required.Vendor shall interface proposed system with existing DICOM interfaces currently installed in accordance with the applicable DICOM standard in effect 6 months prior to the date of the Delivery Order being issued as required by Appendix I of the DIN-PACS IV document), with all upgrades included during performance as new standards are issued by the National Electrical Manufacturer Association (NEMA). Vendor shall support future replacements or additions without additional charges for implementation, support or daily operation. All of this is explained in DIN-PACS IV Solicitation and this VISN 7 RFQ.The successful offeror must be on the approved HL7 list at the time of proposal submission. Please use the following link for additional information: . The VA will reject any proposals that are not HL7 approved at the time of proposal submission. The VA will not return such proposals and will dispose of them. E. Vendor ConfigurationThe vendor shall describe a PACS infrastructure strategy that includes, but is not limited to:?Eliminates Single Points of Failure?Multiple, Protected Copies of all data?Redundant technology with automatic failover?Redundant media and network paths?Redundant Power ?Proactive Performance Monitoring & response?Service Level Agreements with multiple service providersThe system shall not use near-line or off-line storage for studies. Five years of studies shall be stored online at the local Veterans Affairs Medical Center (VAMC), the Primary and Secondary Data Centers and all applicable CBOC sites with PACS. All images shall be stored on line, all the time in the VISN Storage Primary Data Center at Augusta, Georgia and the Secondary Data Center in Birmingham, Alabama.Vendor shall provide a description of its quality control schema to include how errors made on a study are updated by the PACS manager or relevant personnel through a Quality Control (QC) workstation or similar device and how foreign (non-VA) studies are imported to the system. The vendor shall provide QA/QC workflow management workstations and/or software for each facility within the 8 VISN-7 hospital locations, CBOCs that have PACS capability and the Primary Data Center at the Augusta, Georgia facility and the Secondary Data Center at Birmingham.The vendor shall provide an initial description of its quality control plan for this project as part of its proposal. A more thorough quality control plan is required to be delivered within 30 days of Delivery Order award, which shall break down the project into phases and identify individuals who are responsible for maintaining the project quality. All work shall be performed in accordance with the DIN-PACS IV Statement of Work and Functional Requirements. At a minimum, the deliverable quality control plan shall include:a.People who are responsible for the quality control of the project.b.The escalation procedures for when deficiencies are identified.c.The project schedule.d.Inspection plans/records/control procedures.e.Acceptance testing criteria.f.Project Manager or official with similar function, and team on site for each install Vendor shall provide the Contracting Officer’s Technical Representative (COTR) with the ability to run activity reports that show the number of studies captured periodically, within the consolidated VISN-7 and at each local facility. F. ScopeOverview of VISN-7VISN 7 is made up of multiple physical sites, comprising eight (8) main organizational entities and approximately forty-six (46) Community Based Outpatient Clinic (CBOCs) [See appendix #1] plus any new CBOCs or similar facilities added by the time contract solicitation is completed. (Each site’s Electronic Health Record RIS/HIS is VistA [Veterans Information Systems & Technology Architecture] currently, but the vendor must also demonstrate full connectivity with the CPRS/Cerner EHR).Identification of PACS Examinations with Unique Location-Specific DataSince the one PACS will communicate with multiple instances of the EHR [VistA and the Cerner product] the proposed PACS shall uniquely identify each imaging study utilizing accession numbers, regardless of the site of origin. It shall do this in such a way as to guarantee that the reports are ultimately sent back to the correct VistA system and that any additional site identifiers which might be appended to the accession number are stripped off before the information is sent back to the appropriate VistA/Cerner EHR system. The vendor shall describe how their system manages unique identifiers. Each facility in VISN 7 will house a hardware cache with a five-year storage capacity for studies acquired there. Vendor shall be required to migrate five years of previous studies from the existing system to the vendor’s system in accordance with all Delivery Order requirements and shall validate that five years of prior studies are available for viewing after migrating the studies at all VISN-7 PACS locations. This shall include all imaging and nuclear medicine and PET/CT and PET/MR modalities, to also include, but not be limited to, cardiac catheterization, urology, airway bronchoscopy, CT virtual bronchoscopy, CT colonoscopy, cardiac and vascular CT angiography with 3-D and reconstruction capability, MR spectroscopy, vascular surgery/neuro-interventional angiography/procedural images, GI medicine endoscopy, retinal/ophthalmology images, pathology images, dermatology images, cardiology/echocardiography/transesophageal echocardiography [TEE], operating room [OR], Dental, Neurology/carotid US/transcranial Doppler, Endoscopy, Vascular Interventional Radiology etc. Contractor shall accept import all existing VistA/Cerner EHR Imaging data and all existing commercial PACS data from the Atlanta, Birmingham Georgia and, Alabama facilities into the PACS at no charge. Such migration, including all existing VistA/Cerner Imaging data and all existing commercial PACS data from the Atlanta, Georgia Birmingham Georgia and, Alabama facilities into the PACS shall be performed at no extra charge to the Government. All the images must be available at the Primary Data Center and the Secondary Data Center and at all local PACS locations.PACS AnalyticsThe system shall provide access to and graphical display of information such as utilization of radiology rooms, referring physicians, productivity of technologists and radiologists, studies in the process of being performed, radiologist peer review and other information gathered from multiple disparate information systems utilized by the radiology department, scanned documents and hospital to enhance decision support and analysis of radiology and other hospital operations. Data ExtractionThe PACS system shall provide the ability to automatically data-mine all patient information from the PACS and other VA radiology information systems and provide statistical reports and Clinical Decision Software [CDS] support tools. The system shall provide direct and detailed access to SQL/Oracle data base or provide alternative access. Documentation shall include a list of all data tables, a copy of tables, frequency of use (i.e. static versus frequently updated tables), a list of all data fields, database architecture and data definitions.SchedulingThe PACS solution shall have a Radiology scheduling module that will allow the Imaging Department to schedule and print off exam preps to mail/print/email to the patient. In addition, the system shall provide an interface with the VistA/Cerner EHR scheduling package. PACS DICOM RequirementsThe proposed PACS shall interface with VistA/Cerner EHR via HL7 to receive patient and exam information. Proposed PACS shall comply with the latest [“latest” is defined in DINS-PACS IV] version of DICOM Conformance, HL7 Standards Requirements and support IHE standards such as scheduled workflow profile, the DICOM services Storage Commitment and MPPS. The PACS shall not interfere with direct modality image output to DICOM print servers to preserve the means to print directly from modalities as part of a fail-over strategy if the modality-PACS interface or PACS were not functioning, or there is a known need for filmed images at the time a study is performed. PACS shall print DICOM images in True Size or Full Size with system customizable overlays to a variety of commercial available DICOM printers. The proposed PACS shall be capable of DICOM Query and Retrieve functions from other DICOM devices. The PACS system shall describe the role (provider or user) and what information model (patient/study)].Critical Reporting CapabilitiesThe PACS system shall support identification of studies with urgent, critical, and possible new malignancy findings and will provide a means to communicate those findings to referring clinicians and then to receive and track their responses to “close the loop”. The PACS solution will include a STAT/URGENT study reporting mechanism that will send abnormal results to the ordering physician or his/her designee via email/Instant message/text message by phone alerting the physician and having a quality control mechanism for tracking the process. This shall be performed either (i) within the PACS software or (ii) by a fully integrated add-on product, and shall also generate a view alert within the EHR [CPRS or Vista or Cerner]. The system shall allow Prioritization of Work List by Urgency. Messaging and shall include small and larger groups.PACS Teaching and Research CapabilitiesThe system shall save all images for teaching or research presentations easily as follows:Support image ‘Save As’ with anonymization of patient demographicsSupport movie generation (AVI) with anonymizationTeaching Files:A mechanism shall be provided to permit a user with proper privileges to select images or exams for inclusion into one or more manually created folders for teaching and research purposes. Retrieval of exams from teaching folders shall be by individual or multiple database elements (i.e., requesting all exams within a diagnosis or age range). Teaching files should be able to be exported to file and/or disc.Vendor will provide a method of migration of current teaching files.Shall provide de-identified research and teaching file systems and shall provide the ability to query data for research and educational classes and conferences. Image export shall be in standard formats including DICOM (.dcm), bmp, tiff, jpg and support export of video/cine at full spatial resolution as .avi and .mov formats plus at least one new MPEG 4 format. If lossy compression is used, the level of compression must be user specified or system administrator specified and not fixed. Integration of the Electronic Health Record, Voice Recognition and PACSThe system shall allow launch of the visualization system from both the CPRS/VISTA/Cerner EHR radiology report display and the chosen VISN 7 speech recognition system. A high level of integration with the voice dictation system is required. This integration should include two way communications, support for transfer of DICOM SR [The scope of DICOM SR is the standardization of structured data and clinical observations in the imaging environment. [SR objects record observations made for an imaging-based diagnostic or interventional procedure, particularly those that describe or reference images, waveforms or specific regions of interest], information (including measurements) into the voice recognition system and “one button” operation. This means that the radiologist shall be able to activate the voice dictation system by pressing one button from within the PACS software without taking his/her eyes from the case and will be able to both close the case and sign the dictation by pressing another single button residing on the PACS workstation (either residing in the PACS software or in the voice recognition system). Single Sign-OnThe system shall support single sign-on (active directory). Active Directory Integration with multiple access group levels IE Clinical Access Group, Radiologist Access Group, Tech Access Group, and Administrative Access Group. Shall accept Active Directory (AD) from all sites/hospitals. Document ArchivingThe system shall support document archiving, to include from paper scanners. The imported documents shall be set up to open when the radiologist opens the study. Compression of ImagesThe VA requires that no irreversible compression shall be performed on an image before primary diagnosis has been completed. It is required that images be stored on a permanent basis using a lossless compression method. Vendor shall specify compression technology (proprietary or not) that is used for archiving. If an image is compressed, the Offeror shall specify how Vendor will designate this compression.The system shall allow the following administrative tools:HIPAA compliant audit logs of all changes and data transfersAdd/Remove imaging modalitiesProvide imaging Modality utilization reportsPermit Technical issue trackingAbility to data-mine imaging statisticsAbility to track technical problemsThe system shall allow the following QA\QC software/hardware and tools:Correction of any data entry errorsCorrection of incorrect Case numbersCorrection of Duplicate Case numbersMerging and splitting of Case numbersThe system workstations and PACS shall supportBoth forward and backward sorting/paging localizer abilitywindow/level adjustmentsKey ImagesScalePan/ZoomInvertOrientationAdvanced visualization tools to include Cardiac imaging, Stent Placement and GI enterography applications [CT and MR]SharpnessResetCine Loop Tools:i.Startii.Stopiii.Loopiv.Adjustable loop speedMagnifying GlassShapes and LabelsThe system shall support Orthopedic templates and leg lengthMeasurementsThe system shall provide support for image segmentation and labeling as well as inherent support for volumetric imaging and volumetric measurementLine:i.Arcii.Volumeiii.Cobb plimentary Anglev.Average pixel volume and range of Hounsfield unitsHounsfield Tooli.Circleii.Squareiii.Rectangleiv.Free-Handv.must support display of pixel value or other numerical value underlying the pixel if calibration information for such a function exists in the DICOM headervi.Distancevii.Angle viii.Persistence of measurements after the case is closed, as part of the permanent case record.Other Tools: The system shall support the following tools. All tools shall be available to all PACS users at all locations. ?4-D Imaging?Cine tools?Sorting tools?Customizable hanging protocols, that can also be made “on the fly” and radiologist-specific hanging protocols to include:Radiologist modifiable hanging protocols for image display and arrangement including those for advanced (multi-planar and volumetric) imaging; Automatic adjustment and optimization of hanging protocols depending on the monitor configuration of the specific workstation being used.?The workstation shall allow a user with the proper privileges to save the information that controls the display of the images of an exam – e.g. display sequences, orientation and annotations. Site personnel shall be able to assign privileges to users without Vendor assistance.The workstation shall support the display of multiple images from one exam on 1-4 monitors.Summing: The system shall support arithmetic summing which will allow display of multiple “thin” slices simultaneously. An example of this would be the ability to display four (4) combined 0.75 mm slices as a 3-millimeter slice without using Maximum Intensity Projection (MIP) but rather by averaging the pixel values.Segmentation toolsAnnotation toolsThe system shall display the first image of a digital radiography or other type of examination within 1.5-3.0 seconds at each local site or faster.Shortcut keys for measurements. Toolboxes that be opened with one click or remain open for each study. Tool bar customizability. STAT cases shall be easily identified on the reading list so they can be interpreted ahead of routine exams.Scout lines shall be automatically set up for each study.Linking of current and prior examinations, including how to register the series when the slices do not start at the same anatomic location.Spine labeling and any shortcuts for this process.Shortcuts to generate coronal and sagittal reconstructions of a thin-section series. Ability for these MPR’s be saved as a series by the userCine loops (such as U/S) shall be displayed on diagnostic (not just primary) monitors.Capability to view ultrasounds real time to include utilization of 3D and 4D ultrasound images.Displaying/Moving images on monitors by drag and drop between the multiple display monitorsCapability to save “key images” and integration into the permanent examination record.Creation of custom work lists, including “assigning” an examination to a specific radiologist. Work lists shall be sorted by modality, referring physician, organ system, CPT code or other methodologies.Technologists shall be able to leave “notes” about image quality, patient movement on the system for the radiologist to review.Capability for the emergency room [ED] physician to leave a preliminary note, with a technique to monitor discrepancies between the ED interpretation and radiologist interpretation, with a report of discrepant readings generated by a user or the PACS Administrator or Super user.Orthopedic templating software shall be included in the PACS, to include leg length measurement.The viewing monitor shall have the capability to retain up to 15-25 “last read studies” available for review.The report of the previous study shall be available with the image in the PACS screen (i.e. a report icon)There shall be a “fast scroll” capability.There shall be the capability to change font size on display monitors.The system shall provide arbitrary image rotation capability.The system shall provide PEER Review and Chat (second opinions) capability.The system shall provide ADC [Apparent Diffusion Coefficient] and MR spectroscopy measurement capability.The system shall provide Critical Test Results reporting capability, tracking each step in the notification process, to include the requesting provider, date and time stamped and radiologist-specific tracking.The system shall provide 3D image manipulation of CT, MR and vascular/Interventional and other images.The system shall provide Lung volume and tumor size tracking capabilities.The system shall provide Coronary Calcium scoring.The system shall provide CT and MR liver analysis and surgical planning. The system shall provide MRI cartilage calculation, perfusion, diffusion, subtraction and spectroscopyThe system shall provide CT/MR vascular/vessel analysis [to include angiography, cardiac angiography, coronary catheterization and vascular interventional radiology/vascular surgery procedures capabilities for stenosis measuring, coronary CTA, EVAR analysis and ability to do vascular multiplane are reconstructions, to include customizing and saving the images and adding them into the final stored data set.The system shall be able to link multiple studies for a single interpretation.All workstations shall compute point-to-point measurements with automatically calibrated, user-selectable scales (mm or cm).All workstations shall require all images to be viewed in a stack.Nuclear Medicine and PET ImagingThe system shall provide view and manipulate capability for all Nuclear Medicine imaging studies, to include 3D. The workstation shall display Nuclear Medicine Images for primary interpretation. This shall include but not be limited to general Nuclear Medicine, Cardiac Nuclear Medicine with cine loops of the heart, gated SPECT, PET/MR, PET/CT, SPECT/CT, PET/CT with SUV measurement and image processing and analysis to include any Nuclear Medicine image that provides true count data. The external DICOM interface shall support storage and retrieval of nuclear medicine images/data as Nuclear Medicine Service Object Pair (SOP) Class. Nuclear Medicine data shall have the capability of being stored and retrieved for processing via PACS and the original modality workstation, with DICOM support for standard DICOM Nuclear Medicine, Nuclear Cardiology, PET/CT Information Objects Information Objects. The PACS shall provide the following:Ease of image processing, display customization and annotation, as well as simplified QC, archive management, and prior study retrieve. Seamless workflow integration, including VA infrastructure/architecture/ VR dictation platform and Vista/CPRS/Cerner EHR.Support to Nuclear Medicine initiatives through supported customization and upgradeability and QC features that integrate with VA VR dictation platform and Vista/CPRS/Cerner EHR.The system shall provide simple to utilize serial comparison and simple navigation for comparison of several modalities (i.e. Echocardiography, Cardiac Catheterization, Electrocardiogram, and Nuclear Cardiology, simultaneously on a single display screen. DICOM Support for Nuclear Medicine quantitative analysis with multiple region of interest [ROI] format, including mirrored and volumetric, as well as cine loops to include projection (MIP) display. DICOM support for, or integrated solution that enables Nuclear Medicine display protocols with inclusion of SPECT/CT, as well as planar and SPECT multiphase/multi-isotope exams. Note: Multi-modality, multi-tomographic fusion capability is required. Customizability should facilitate specific workflows (ex: SPECT MUGA, 4-hour Gastric Emptying Exam). Fusion display shall incorporate background subtraction, as well as alpha blending.DICOM, or other imaging format, to store, process, quantify, and display Nuclear Cardiac Exams. Quantitative analyses include perfusion with comparison to validated normative database, TID [Transient Ischemic Dilatation], SSS, [Summed Stress Score], wall motion, thickening, phase analysis (MUGA). Attenuation corrected, and/or prone, datasets shall be seamlessly incorporated into workflow. Myocardial blood flow quantitation/analysis is required.DICOM, or other imaging format, support to quality assurance procedure(s), such as motion/misregistration correction and review of transmission data.DICOM, or other imaging formats, to store fused PET/CT images. Processing, quantification, and display protocols shall include fusion PET/CT for oncologic, cardiac, and neurologic applications, at a minimum with associated normative data. PACS, or integrated solution, will include flexible multiplanar image review with multiple prior study comparison. Customizability and flexibility/adaptability to facilitate adoption of evolving best practice patterns, including adherence to accrediting body requirements, shall be considered in best value determination.DICOM Support for PET and PET/CT quantitative analyses with multiple ROI format, including volumetric and standardized uptake value [SUV]. Statistical mapping and correlation with reference database is preferred. Myocardial Blood Flow quantitation/analysis for all clinically available radiotracers with integration of list-mode data.DICOM Support for PET/CT treatment planning, including respiratory gating (prospective/retrospective) display function. This will include Radiation Oncology/Therapy Objects and tumor analysis and growth patterns.DICOM support for standard DICOM Bone Densitometry [DEXA] Information Objects. Incorporation of [International Society for Clinical Densitometry [ISCD] standards and FRAX [Fracture Risk Assessment] is rmation System IntegrationThe RIS/PACS interface shall support: i. Exam order entry transfer from the RIS/VISTA/CPRS/Cerner EHR tothe PACS to support prefetching and transfer of patient demographic information.ii. Bi-directional transfer status change information.iii. Transfer of radiographic report text from the RIS to the PACS and bi-directional transfer of status information to provide synchronization of the two systems with changes.iv. The RIS/PACS interface shall be bi-directional.Vendor product shall be Clinical Context Object Workgroup (CCOW) compliant.VISN 7 uses the VistA (Veterans Information Systems and Technology Architecture), Hospital/Radiology Information System (HSI). Refer to the most current revision of the Joint VA/DoD DICOM Modality Conformance Requirements for information on communications between VistA and the commercial PACS. Vendor shall support and comply with Joint VA/DoD DICOM Conformance Requirements for Digital Acquisition Modalities.Joint VA/DoD DICOM Conformance Requirements for Digital Acquisition Modalities are available at:. Profiles for HL7 Messages from VistA to Commercial PACS: shall remain the primary source of data entry. VistA notifies external applications when changes occur to certain identified types of information using HL7 standards. VistA and the PACS will exchange information about scheduled procedures, patient demographics, and final reports. The two systems will also perform mutual data integrity functions such as patient and exam merge, exam cancellation, and status tracking and synchronization. An Integrated PACS and VistA work list management is required. Each facility is using VistA and has its own instance of VistA with the VISN Data Center serving as a backup and located in Augusta, GA. The PACS shall handle the existing site specific accession number as well as the EHR HIS/RIS/Cerner accession number (with the site-specific facility code e.g. 509 or AUG) to distinguish cases from VISN-7 uniquely from all locations.Vendor shall locate all equipment on VA premises. It is required that ALL equipment be located on US Government property. Vendor shall provide a means to ensure that both the Vendor’s database and VistA Imaging are updated with the same studies as they are generated from the modality. Vendor shall supply a method to ensure that auto-routed images from PACS to VistA/Cerner/CPRS EHR have occurred.The Vendor shall be responsible for cooperating with site and modality vendors to ensure acceptable DICOM interoperability and connectivity.System SecurityThe PACS shall comply with the HIPAA mandates and all regulatory guidelines. The vendor shall describe its approach to system patient data security, including any encryption methods employed and the solutions compliance with HIPAA requirements.The system shall have a time-out feature which automatically locks a user if a workstation is left unattended without logging off for a selected time period. The system shall support the association of individual users to one or more user-groups, each having individually configurable access-privileges.The system shall be configurable to limit access to certain studies depending on the user’s association with the study. The system shall support system-wide authentication of users through the use of a unique user-ID and password for each user or through an alternative approach with equivalent result. Active Directory [AD] Integration with multiple access group levels IE Clinical Access Group, Radiologist Access Group, Tech Access Group, and Administrative Access Group. The system shall accept AD from all sites/hospitalsVendor shall comply with all applicable VA security and privacy regulations (Attachment B), as well as applicable non-VA laws and regulations, such as HIPAA. Security Banner prior to login Screen. The system shall also have an Information Banner for general announcements.Vendor shall specify authorized virus protection software.Vendor shall provide patch testing/installation plan.Vendor shall provide or allow PACS Managers ability to report patch status.System shall have complete audit trails that include tracking when an individual sends images to an external medium.System shall allow for user customizable queries to be made using the audit information to produce reports, such as a bill audit report.Contractor Personnel Security RequirementsThe following security requirement must be addressed regarding Contractor supplied equipment: Contractor supplied equipment, PCs of all types, equipment with hard drives, etc. for contract services must meet all security requirements that apply to Government Furnished Equipment (GFE) and Government Owned Equipment (GOE). Security Requirements include: a) VA Approved Encryption Software must be installed on all laptops or mobile devices before placed into operation, b) Bluetooth equipped devices are prohibited within the VA; Bluetooth must be permanently disabled or removed from the device, c) VA approved anti-virus and firewall software, d) Equipment must meet all VA sanitization requirements and procedures before disposal, which includes the removal and disposal of the hard drives. The COR, CO, the Project Manager, and the Information Security Officer (ISO) must be notified and verify all security requirements have been adhered rmation made available to the Contractor/Subcontractor by VA for the performance or administration of this contract or information developed by the Contractor/Subcontractor in performance or administration of the contract shall be used only for those purposes and shall not be used in any other way without the prior written agreement of the VA. This clause expressly limits the Contractor/Subcontractor's rights to use data as described in Rights in Data - General, FAR 52.227-14(d) (1).VA information should not be co-mingled, if possible, with any other data on the Contractors/Subcontractor’s information systems or media storage systems to ensure VA requirements related to data protection and media sanitization can be met. If co-mingling must be allowed to meet the requirements of the business need, the Contractor must ensure that VA’s information is returned to the VA or destroyed in accordance with VA’s sanitization requirements. VA reserves the right to conduct onsite inspections of Contractor and Subcontractor IT resources to ensure data security controls, separation of data and job duties, and destruction/media sanitization procedures are following VA directive requirements.Prior to termination or completion of this contract, Contractor/Subcontractor must not destroy information received from VA, or gathered/created by the Contractor during performing this contract without prior written approval by the VA. Any data destruction done on behalf of VA by a Contractor/Subcontractor must be done in accordance with National Archives and Records Administration (NARA) requirements as outlined in VA Directive 6300, Records and Information Management and its Handbook 6300.1 Records Management Procedures, applicable VA Records Control Schedules, and VA Handbook 6500.1, Electronic Media Sanitization. Self-certification by the Contractor that the data destruction requirements above have been met must be sent to the VA CO within 30 days of termination of the contract.The Contractor/Subcontractor must receive, gather, store, back up, maintain, use, disclose and dispose of VA information only in compliance with the terms of the contract and applicable Federal and VA information confidentiality and security laws, regulations and policies. If Federal or VA information confidentiality and security laws, regulations and policies become applicable to the VA information or information systems after execution of the contract, or if NIST issues or updates applicable FIPS or Special Publications (SP) after execution of this contract, the parties agree to negotiate in good faith to implement the information confidentiality and security laws, regulations and policies in this contract. As pertains to VA Memorandum 00-023-10, “Electronic Media Sanitization and Disposal Program,” this will include surrendering all hard drives containing sensitive patient information to the VISN 7 VA. The Contractor/Subcontractor shall not make copies of VA information except as authorized and necessary to perform the terms of the agreement or to preserve electronic information stored on Contractor/Subcontractor electronic storage media for restoration in case any electronic equipment or data used by the Contractor/Subcontractor needs to be restored to an operating state. If copies are made for restoration purposes, after the restoration is complete, the copies must be appropriately destroyed.If VA determines that the Contractor has violated any of the information confidentiality, privacy, and security provisions of the contract, it shall be sufficient grounds for VA to withhold payment to the Contractor or third party or terminate the contract for default or terminate for cause under Federal Acquisition Regulation (FAR) part 12.The Contractor/Subcontractor must store, transport, or transmit VA sensitive information in an encrypted form, using VA-approved encryption tools that are, at a minimum, FIPS 140-2 validated.The Contractor/Subcontractor’s firewall and Web services security controls, if applicable, shall meet or exceed VA’s minimum requirements. VA Configuration Guidelines are available upon request.Except for uses and disclosures of VA information authorized by this contract for performance of the contract, the Contractor/Subcontractor may use and disclose VA information only in two other situations: (i) in response to a qualifying order of a court of competent jurisdiction, or (ii) with VA’s prior written approval. The Contractor/Subcontractor must refer all requests for, demands for production of, or inquiries about, VA information and information systems to the VA CO for response.Contractor Personnel Security Requirements (cont.)Notwithstanding the provision above, the Contractor/Subcontractor shall not release VA records protected by Title 38 U.S.C. 5705, confidentiality of medical quality assurance records and/or Title 38 U.S.C. 7332, confidentiality of certain (but not limited to) health records pertaining to drug addiction, sickle cell anemia, alcoholism or alcohol abuse, or infection with human immunodeficiency virus. If the Contractor/Subcontractor is in receipt of a court order or other requests for the above-mentioned information, that Contractor/Subcontractor shall immediately refer such court orders or other requests to the VA CO for response.For service that involves the storage, generating, transmitting, or exchanging of VA sensitive information but does not require Certification and Accreditation (C&A) or a Memorandum of Understanding-Interconnection Service Agreement (MOU-ISA) for system interconnection, the Contractor/Subcontractor must complete a Contractor Security Control Assessment (CSCA) on a yearly basis and provide it to the COR.Position Sensitivity and Background Investigation - The position sensitivity and the level of background investigation, completed prior to awarding of contract, commensurate with the required level of access is: __Low/NACIX Moderate/MBI__High/BI20. PACS Functionality/Integration with Image Acquisition ModalitiesThe interface between a modality and the PACS shall not decrease the patient throughput of the modality. The PACS shall support integration of all image acquisition equipment (modalities). The integration shall be based on the DICOM requirements noted in the VistA/Cerner EHR DICOM Conformance Statement as specified in DINS-PACS IV. The Vendor shall provide, upon request, conformance-testing results that validate the Vendor’s DICOM Conformance Statement. The PACS shall conform to applicable requirements of the VistA Imaging/Cerner DICOM Conformance Statement and VistA/Cerner DICOM Conformance Requirements for Image Acquisition Modalities: (). If not currently validated, the DICOM specifications noted above shall be validated by the VistA/Cerner Imaging Development Team in cooperation with the Vendor prior to system acceptance. The presence of proprietary data tags shall not negatively impact DICOM Service Class Provider (SCP) operations. PACS shall provide Level 2 DICOM Storage Service. The vendor’s proposal shall include a list of other forms of data that can be accepted by the PACS for storage and user access, such as scanned documents and audio clips.21. Ability to Interpret Any Exam at Any Location in VISN-7VISN 7 will utilize regionalized interpretation of imaging studies and therefore shall require a PACS that makes this easy to accomplish. The PACS system shall be capable of handling a site locator as a prefix to the existing accession number format (Example: 509-092611-12345). This format is site [509], date [month-day-year], and case number [12345] specific. Additionally, however, it shall be possible for each workstation to easily filter / customize the Radiologist work list by facility, referring physician, modality, CPT-code, examination name etc. A standard DICOM Query/Retrieve functionality shall also be provided to support exam requests from other VISNs. Any radiologist from any facility in VISN-7 shall be able to create a work list and view/interpret/make a final report using voice recognition on imaging examinations from any location within VISN-7.22. Additional Growth and Server CapacityContractor shall supply, at no additional cost, additional virtual server(s) and storage capacity required to support the estimated quantities of studies identified in the schedule identified below plus 5%. 23. Image Volumes, System Capacity and Growth PathThe system shall have capacity to sustain optimal performance 365x24x7 across VISN 7 for the next 5 years based on FY 2016 image volume and projected growth of approximately 5% annually. Image volume at each facility is listed in the attached Data Sheet, Exams tab FY 2016. [See appendix #3]24. Image MigrationContractor shall migrate all existing VistA/commercial PACS Imaging data and all existing commercial PACS data from the Atlanta, Georgia and Birmingham Alabama facilities into the PACS and Primary Data Center and Secondary Data Center at no charge. The PACS shall support DICOM Query / Retrieve from VistA Imaging/Cerner EHR. The Queries / Retrieves will be at no charge. This data will be obtained when the vendor surveys the Atlanta and Birmingham facilities.25. Operational Image Archive RequirementsThe Operational Image Archive serves as the local cache tier 1 storage and shall retain the most recently captured (5 years) and/or accessed studies of the PACS. All studies retained in this component shall be displayable in a “fast response” mode to maximize the utilization of these studies for day-to-day operational functions of the Radiologists and Imaging Department staff. All facilities shall have their individual short term archive. There shall be a separate Operational Image Archive at the Primary Data Center at Augusta, Georgia that contains all images in digital format, no matter when they were originally created, and in the Secondary Data Center at the Birmingham facility.26. Remote AccessThe PACS system shall provide a means to remotely view images. This capability is important for the Ordering Clinicians. The Ordering Clinician can then access the PACS system to view the image while reading the radiologist’s report and/or consulting with the patient and family, by utilizing an icon/web browser on the Ordering Physician’s desktop.27. Concurrent Radiologist Reading Requirements and Cross Facility ProcessingThe PACS system shall support a minimum of seventy-five (75) Radiologists and Nuclear Medicine physicians reading exams at the same instant in time (concurrently) from any facility across the VISN. Each Radiologist shall be able to read studies from any facility within the VISN 7 Network. The PACS System shall not in any way prevent the Radiologist from reading studies from other VA Facilities. It is understood that the Radiologists will be required to be credentialed in each of the facilities where they plan to read. This limitation will be enforced at the HIS/RIS level rather than at the PACS application level. The PACS system shall prevent duplicate exam interpretation by providing an indicator or warning that an exam is open for review by another radiologist regardless of which division the radiologist is working in.28. Limit Image Access to Authenticated RadiologistsThe PACS system shall manage a list of authorized Radiologists and only permit viewing based on the authorization rights. PACS system shall provide a means to create, modify and delete list of valid Radiologists, Residents, Fellows, Medical Students and Attending Physicians from other specialties.29. Third Party ApplicationsThe system shall launch third-party applications from PACS directly. All 3rd party solution/s proposed by the vendor is/are subject to the same requirements as the VISN 7 PACS RFQ regarding service, upgrades/updates, training, and 5-year extended warranty. The Contractor shall provide up to three weeks of additional applications training for creation of site specific Nuclear Medicine/PET workflows and training in other modalities such as CT, MRI, Mammography and all other 3rd party applications. Travel, meals and lodging, where required for off-site training, are the responsibility of the sending facility. Please see reference document AS1365 for minimum details.30. Laboratory and PathologyThe PACS shall support review of pathology images and will provide direct access to the radiologist within the PACS to laboratory and pathology data and images and information from the hospital and radiology information systems. Imaging-Pathology Correlation: The system shall provide Radiology-Pathology correlation for designated follow-up studies31. Health Record UpdatesThe system shall provide output of images and patient reports to a patient designated health record automatically when patients request this from the VA32. Document ArchivingThe system shall support document scanning and archiving in the Vista/Cerner EHR.33. Database Sort and SearchThe system shall support sort-able and searchable database including the following: Read examinationsUnread examinationsImaging ModalityDate range of examinationsLast Name of patientFirst letter of last name and last 4 of SSNAccession number of imaging examinationSite location of patientG. Installation, Testing, Activation, Training and AcceptanceInstallation Process and Timeline:The Contractor’s installation work plan shall indicate the tasks required and the party responsible for each task. The installation work plan will be coordinated with the COR. The installation plan will be due to the COR within 20 calendar days of Delivery Order award.Implementation Timeline Roadmap:Vendor shall provide an implementation roadmap and time table that describes the deployment process within the guidelines listed below. The implementation roadmap will be due to the COR within 20 calendar days of Delivery Order award.Implementation Timeline CompletionImplementation shall be complete at all sites within 120 days of Delivery Order award. Final implementation priority will be based on VA approved, vendor proposed Implementation Plan. Augusta and Birmingham shall be implemented first and second to allow the Primary and secondary Data Centers to be operational and receiving all data from each facility coming on-line and receive 5-years of prior examsWorkflow Process EvaluationVendor shall provide each site with an in-depth workflow process evaluation prior to system implementation. Training:The vendor shall provide all necessary training materials and equipment for any training course conducted. Each student shall be provided one (1) complete copy of the pertinent materials (in English) at the start of the formal training program in hard copy and soft copy. This set of materials shall include reference materials guiding the basic procedures for using the PACS. One (1) complete hard and soft copy of the training materials shall be retained after training by the local facility PACS Administrator and Biomedical Engineering Department for use by users as reference. Complete softcopy and electronic copies of the training material will be given to each station PACS Administrator and one will be provided to the Project Manager. All training materials shall become the property of the Government and will be reproduced as needed.Clinical-User training:i.The vendor shall provide clinical training on all aspects of the PACS applications.ii.Shall provide a service account manageriii.Shall provide implementation managementiv.Shall provide assistance with the generation of customized hanging protocols for all radiologistsv.The clinical training shall be a minimum of 40 hours for each facility.vi.Shall provide ongoing training for at least 1 visit per quarter for the life of the service contract.PACS Administrator Training/Super users:Shall provide a minimum of 2 PACS Administrator training courses for each facility, both pre-and post-implementation. For off-site training, the vendor is responsible for all costs associated with the PACS training including travel, lodging and meals associated with schooling. ii.Shall provide a minimum of 24 hours of training for QA/QC personneliii.Shall provide a minimum of 24 hours of training for the technical personnelBiomedical Administrator Training: i.Shall provide a minimum of 24 hours of training for the biomedical staff for technical support Training shall be provided for the four (4) personnel employed at the Primary Data Center.iii.ADPAC iv.Shall provide a minimum of 1 ADPAC training course for each facility, both pre-and post-implementation. For local and off-site training, the vendor is responsible for all tuition costs associated with the ADPAC training. Travel, meals and lodging, where required for off-site training, are the responsibility of the sending facility.Additional PACS training and support The Vendor shall provide pricing for on-site personnel to provide additional PACS Administrator support on a month-to-month basis after installation is complete for the life of the warranty. Web based training-ongoing:The Contractor shall train the end users of the product on how to use the software and peripherals (i.e. monitors) associated with the product. This training shall be conducted at each facility where staff will be using the product to read radiology studies. The Contractor will train the Users on the proper use of the PACS system with date and time scheduled for each user at respective facilities. The Contractor shall ensure that all Users have a user account established on the PACS system and that they have been trained on how to properly read exams utilizing the PACS System. The Trainer will assist with creation and deployment of hanging protocols. The Trainer will observe each Radiologist as they process a minimum four (4) Radiology exams. It is expected that a Trainer will be present during the startup of the PACS system at each facility. The Trainer should be in attendance for the first three (3) days of PACS Facility startup.The Contractor shall provide all training materials for all trainees in all areas in hard copy and electronic format (.PDF, Word, Excel, PowerPoint, etc.). Permission will be granted so that these documents can be reproduced and distributed as appropriate within the network. The Contractor will be responsible for providing duty-relevant hard copies of all training documents to all trainees in the initial training session. Employees trained later will utilize copies of the materials provided by the Contractor. TestingThe vendor’s system shall be tested against VA Directive 6500 and 6550 and must have an ATO (Authority to Operate) in the VA. Storage System:Among the configurable options, the system shall store a permanent image in short-term storage, long-term storage, or archive it at a scheduled time. The Storage System shall be completely redundant, and shall support mirroring and hot swappable technology for fail-safe operation without interruption. Disaster Recovery & RedundancyImage storage under the Offeror’s proposed VISN 7 PACS Plan shall include the following: Facility Storage-shall provide on- line storage of all imaging data unique to a hospital and its supported outpatient imaging centers. VISN Storage shall consist of on-line, consolidated storage of all imaging data from all VISN 7 facilities. The VISN Primary Data Center Storage will be located at the Augusta, Georgia VA Data Center and will be used for minor disaster recovery – such as in the case of hardware failures. Off Site Storage must be inside the VA domain. It will be used for catastrophic disaster recovery. Your proposal shall include a description of how imaging exam data, including single exam, and multiple exam imaging data would be restored to the Facility Storage from the VISN Storage and how multiple exam and all exam imaging data would be restored from the Off-Site Storage to the VISN Storage with approximate time and degree of human interaction required. The secondary Data Center shall be located at Birmingham, Alabama. The vendor shall describe its redundant archive strategy. Vendor shall provide a Network Diagram of the Disaster Recovery Plan for VISN 7 as part of the proposal. The Vendor shall describe the process required to recover from a catastrophic failure as part of the proposal.In normal operation, exams shall be written to, and be read from, the Local Facility Storage. A copy of each exam shall be transferred to the VISN Off- Site Storage at the Primary Data Center at Augusta, Georgia for recovery and image sharing with other VISN sites. The VISN Off-Site Storage System shall provide inter-facility access to imaging exams for diagnostic and clinical review and provide automated failover support in the case of Facility Storage failure. When a Facility Storage System is restored after a failure there the system shall provide automated copying from the VISN Storage to the Facility Storage System. An Off- Site Archive storage shall be located at another VISN 7 facility and provide a redundancy to the VISN Off-Site storage as a backup for all data for a disaster recovery situation. This will be in Birmingham, Alabama. Each VISN 7 facility shall have the Local Storage hardware and shall not be dependent on other storage hardware that may be installed at that location. This insures that all sites will have the local capabilities regardless of the status of any other storage hardware that may be located at that site. All images shall be backed up to a disaster recovery device for image (data) redundancy. Vendors must identify their ability to support an off-site DR strategy. Images shall be stored on the archive backup using either lossless or uncompressed forms only; the use of proprietary data compression algorithms for long-term storage (i.e. archive) including those defined by Vendors as a “visibly lossless” is not permitted. Vendor shall provide, at no additional cost, a complete Disaster Recovery solution, to include:i.Real-time backup of image filesii.Continuous log files are updatediii.Twice daily incremental backup of DBiv.Weekly full back up DBv.Annual test of planvi.DS3 [Digital Signal Level-3] lines, or better, needed for disaster recoveryvii.Requiring the system back up and running (at least at individual sites) within 72 hours of a disaster and WAN restoration. Worklist Failover: the PACS shall have a robust failover plan to mitigate work interruptions and data loss due to hardware failures (architecture subject to approval by VISN 7 CIO). This shall be an automatic failover that requires NO reconfiguration of Servers or Clients to complete. Sites shall be able to run completely independent of the Primary Data Center at Augusta, Georgia. The Primary Data Center at Augusta, Georgia shall be for long term storage, not daily operation of all sites, but shall have access to all images from all locations in order to serve as backup and restoration during disaster contingency.UPTIME AND MAINTENANCE REQUIREMENTSThe goal of the VISN 7 consolidated PACS system is to acquire an efficient and effective solution, thus limiting the amount of maintenance and support required to manage the application. DINS-PACS IV states that the system shall maintain a total system uptime of 99% monthly, and individual component uptimes of at least 99% monthly, calculated monthly during the first 6 months, and quarterly thereafter. Percentages will be calculated based on the Principal Period of Maintenance (see DINS-PACS IV Contract Award) Vendors shall document their current experience with their product that would demonstrate to the Government that this requirement can be met. (see DINS-PACS Appendix 6 for definitions of uptime and downtime.)Maintenance and support response time shall be 4 hours or less during the 0800-1700 time-period and 4 hours or less during the remainder of the day. Maintenance may be conducted remotely or onsite, or a combination of the two. Response time is measured from the time the vendor is notified of a need for maintenance or support, until maintenance is started from some remote location or support personnel arrive on-site and begin actively working on the problem. If remote maintenance and support is begun and the problem remains unresolved after the initial 4-hour time-period, vendor personnel shall immediately be dispatched to the site and arrive within 4 hours or less. The above response time applies to all CONUS sites. OCONUS response times will be established on a site-specific basis. The system shall be easy to upkeep and maintain, requiring only a minimum number of imaging, IT and Biomedical staff. Maintenance, Service and Upgrades shall be provide as follows:Vendor shall provide, 24/7/365 continuous remote monitoring of the PACS hardware and software, though a VA-approved VPN connection.Vendor shall provide a full-time Project Manager until all sites are implemented and accepted by VA.Vendor shall supply live technical support by telephone at all hours of the day. This support shall be provided by technical support staff not a message center.Vendor shall provide a problem reporting/resolution tracking system. System will allow PACS Administrators to track problem status and provide a searchable database for problem resolutions.Vendor will provide an SLA outlining expected problem resolution timeframes.Vendor shall include maintenance and upgrades of all included hardware and software, for the term of the Delivery Order.Vendor shall supply additional server(s) and storage capacity required to meet the needs of VISN 7, for the term of the Delivery Order.Three (3) electronic copies of each service bulletin affecting safety or maintenance of equipment furnished under this Delivery Order will be forwarded to the VA PACS Administrator at each station during the period of performance, as well as an email message.J. Interfaces The system shall provide interfaces with multiple systems including the following:Successful offeror must be on the VA-approved HL-7 list at the time of proposal submission. Use the following link for additional information: must be interfaced with VA’s VISTA system and transition to new Cerner HER, if implemented during the term of the Delivery Order.All HIPAA rules and regulations must be met or exceeded by the PACS Contractor as part of interface compliance.Must be validated by the Vista Imaging interface.Must interface with the Contractor’s proposed VISN 7 voice recognition [VR] dictation systems:The PACS system shall be able to seamlessly integrate with the VR dictation system that is installed in the VISN 7 Network. The PACS system will permit VR systems to run as seamlessly as possible from within the PACS application. Existing legacy voice recognition equipment of the same brand selected by the vendor shall be upgraded to the same operating system and standards as the Contractor’s proposed voice recognition system, unless the equipment is replaced at the discretion of the Contractor. The integration will ensure that VR system is synchronized with the current exam displayed on the PACS. Any incompatible VR equipment not of the brand selected by the vendor will be removed and replaced by the vendor.Must interface with existing legacy VISN 7 3D imaging systems of the same brand and bring them up to the same level of upgrade and update as new 3D reconstruction hardware/software for new installation across the VISN 7 Network. Any 3D reconstruction equipment not of the brand selected by the vendor will be removed and replaced by the equipment provided by the vendor. Contractor shall follow federal regulations concerning SENSITIVE patient medical records as part of interface compliance.Interface with CPRSHL7 Interface to each of the VISN 7 Facilities: The PACS system shall receive and send HL7 messages from / to each of the VISN 7 facilities HIS/RIS Systems and the imaging modalities housed within them. The PACS system will be responsible for receiving these messages and using them appropriately to facilitate the storage and retrieval of medical images.Health Record Updates: The system shall provide output of images and patient reports as part of interface compliance to a patient designated health record automatically when patients request this from the VA.Visualization Interface: The system shall allow launch of the image visualization system from the EHR/CPRS/Cerner radiology report display and the VR system.A high level of integration with the voice dictation system is required as part of interface compliance. This integration shall include two way communications, support for transfer of DICOM SR information (including measurements) into the voice recognition system and “one button” operation. Such integration shall allow the radiologist to activate the voice dictation system by pressing one button from within the PACS software without taking his/her eyes from the case and have the ability to both close the case and sign the dictation by pressing another single button residing in the PACS workstation (either residing in the PACS software or in the voice recognition system).PACS messaging capability shall include messaging from radiologists to clinicians for critical test results notification and messaging between larger groups to enable communication between themselves as part of interface compliance.K. Configurable The PACS system shall be configurable and shall be able to change the formats used both at the current PACS level and the HIS/RIS level. Each level (HIS/RIS & PACS) shall be changed and managed independent of the other level.L. Product Modification, Removal or RecallIf any PACS product included in an offeror’s proposal requires modification, is removed or recalled by the vendor or manufacturer, or if any required modification, removal or recall is suggested or mandated by a regulatory or official agency, the following steps will immediately be taken by the vendor or manufacturer:Notify the Contracting Officer in writing, by the most expeditious manner possible (Email message preferred). The notice shall be two copies of the official notification and shall include, but not be limited to the following:Complete item description and/or identification, order numbers from customers, and the Delivery Order number assigned as a result of an award on this solicitation; Reasons for modifications removal or recall; and Necessary instruction for return for credit, replacement or corrective action.Provide the above information to all agencies and VA Hospitals who purchased the product. After award of the Delivery Order, notify the designated Contracting Officer Representative (COR) in writing, by the most expeditious manner possible (Email message preferred), providing the same information as specified in (a) above. The Contracting Officer shall be provided a copy of the product recall/modification cited above.The National Contracts Service (049A1N1D) shall be provided a copy of the notification in (a) above, and a list of all agencies and/or VA facilities notified.Position SensitivityBackground Investigation (in accordance with 0710 Handbook Appendix A)LowNational Agency Check with Written Inquiries (NACI) A NACI is conducted by OPM and covers a 5-year period. It consists of a review of records contained in the OPM Security Investigations Index (SII) and the DOD Defense Central Investigations Index (DCII), FBI name check, FBI fingerprint check, and written inquiries to previous employers and references listed on the application for employment. In VA it is used for Non-sensitive or Low Risk positions.ModerateMinimum Background Investigation (MBI) A MBI is conducted by OPM and covers a 5-year period. It consists of a review of National Agency Check (NAC) records [OPM Security Investigations Index (SII), DOD Defense Central Investigations Index (DCII), FBI name check, and a FBI fingerprint check], a credit report covering a period of 5 years, written inquiries to previous employers and references listed on the application for employment; an interview with the subject, spouse, neighbors, supervisor, co-workers; and a verification of the educational degree.High Background Investigation (BI) A BI is conducted by OPM and covers a 10-year period. It consists of a review of National Agency Check (NAC) records [OPM Security Investigations Index (SII), DOD Defense Central Investigations Index (DCII), FBI name check, and a FBI fingerprint check report], a credit report covering a period of 10 years, written inquiries to previous employers and references listed on the application for employment; an interview with the subject, spouse, neighbors, supervisor, co-workers; and a verification of the educational degree.Contractor ResponsibilitiesThe Contractor shall prescreen all personnel requiring access to the computer systems to ensure they maintain the appropriate Background Investigation, and can read, write, speak and understand the English language. The Contractor shall provide the name, address, and date of birth, Social Security Number and any other pertinent and relevant information of the Contractor personnel assigned to this project to the COR and CO prior to Project Kickoff Meeting.The Contractor shall bear the expense of obtaining background investigations, if required. If the investigation is conducted by the Office of Personnel Management (OPM), the Contractor shall reimburse VA within thirty (30) days.The Contractor(s) and Contractor point of contact (POC) will receive an email notification from the Security and Investigation Center (SIC) identifying the website link that includes detailed instructions regarding completion of the background clearance application process and what level of background clearance was requested. Reminder notifications will be sent if the complete package is not submitted by the due date.The Contractor shall submit or have their personnel submit the required forms (SF 85P - Questionnaire for Public Trust Positions, SF 85P-S – Supplemental Questionnaire for Selected Positions, FD 258 – U.S. Department of Justice Fingerprint Applicant Chart, VA Form 0710 – Authority for Release of Information Form, Optional Form 306 – Declaration for Federal Employment, and Optional Form 612 – Optional Application for Federal Employment) to the VA Office of Security and Law Enforcement within 30 calendar days of receipt.All costs associated with obtaining clearances for Contractor provided personnel shall be the responsibility of the Contractor. Further, the Contractor shall be responsible for the actions of all individuals provided to work for VA under this contract. If damages arise from work performed by Contractor provided personnel, under the auspices of this contract, the Contractor shall be responsible for all resources necessary to remedy the incident.If the security clearance investigation is not completed prior to the start date of the contract, the contract employee may work on the contract with an initiated status while the security clearance is being processed. However, the Contractor will be responsible for the actions of the Contractor personnel they provide to perform work for the VA. In the event damage arises from work performed by Contractor personnel, under the auspices of the contract, the Contractor will be responsible for resources necessary to remedy the incident.The investigative history for Contractor personnel working under this contract must be maintained in the databases of either the OPM or the Defense Industrial Security Clearance Organization (DISCO).The Contractor, when notified of an unfavorable determination by the Government, shall withdraw the employee from consideration in working under the contract.Failure to comply with the Contractor personnel security requirements may result in termination of the contract for default.The Contractor shall not transmit, store or otherwise maintain sensitive data or products in Contractor systems (or media) within the VA firewall IAW VA Handbook 6500.6 dated March 12, 2010. All VA sensitive information shall be protected at all times in accordance with local security field office System Security Plans (SSP’s) and Authority to Operate (ATO)’s for all systems/LANs accessed while performing the tasks detailed in this PWS.LIQUIDATED DAMAGES FOR DATA BREACH Consistent with the requirements of 38 U.S.C. §5725, a contract may require access to sensitive personal information. If so, the Contractor is liable to VA for liquidated damages in the event of a data breach or privacy incident involving any SPI the Contractor/Subcontractor processes or maintains under this contract. However, it is the policy of VA to forgo collection of liquidated damages in the event the Contractor provides payment of actual damages in an amount determined to be adequate by the agency.The Contractor/Subcontractor shall provide notice to VA of a “security incident” as set forth in the Security Incident Investigation section above. Upon such notification, VA must secure from a non-Department entity or the VA Office of Inspector General an independent risk analysis of the data breach to determine the level of risk associated with the data breach for the potential misuse of any sensitive personal information involved in the data breach. The term 'data breach' means the loss, theft, or other unauthorized access, or any access other than that incidental to the scope of employment, to data containing sensitive personal information, in electronic or printed form, that results in the potential compromise of the confidentiality or integrity of the data. Contractor shall fully cooperate with the entity performing the risk analysis. Failure to cooperate may be deemed a material breach and grounds for contract termination. Each risk analysis shall address all relevant information concerning the data breach, including the following: Nature of the event (loss, theft, unauthorized access); Description of the event, including: a. date of occurrence; b. data elements involved, including any PII, such as full, social security number, date of birth, home address, account number, disability code; Number of individuals affected or potentially affected; Names of individuals or groups affected or potentially affected; Ease of logical data access to the lost, stolen or improperly accessed data in light of Amount of time the data has been out of VA control; The likelihood that the sensitive personal information will or has been compromised (made accessible to and usable by unauthorized persons); Known misuses of data containing sensitive personal information, if any; Assessment of the potential harm to the affected individuals; Data breach analysis as outlined in 6500.2 Handbook, Management of Breaches Involving Sensitive Personal Information, as appropriate; and Whether credit protection services may assist record subjects in avoiding or mitigating the results of identity theft based on the sensitive personal information that may have been compromised.Based on the determinations of the independent risk analysis, the Contractor shall be responsible for paying to VA liquidated damages in the amount of $37.50 per affected individual to cover the cost of providing credit protection services to affected individuals consisting of the following: Notification; One year of credit monitoring services consisting of automatic daily monitoring of at least 3 relevant credit bureau reports; Data breach analysis; Fraud resolution services, including writing dispute letters, initiating fraud alerts and credit freezes, to assist affected individuals to bring matters to resolution;One year of identity theft insurance with $20,000.00 coverage at $0 deductible; and Necessary legal expenses the subjects may incur to repair falsified or damaged credit records, histories, or financial affairs. For additional detailed information on Information Security and Privacy Requirements refer to the following:DIN PACS IV Contract Award. System SecurityDIN PACS IV Contract Award: Information Assurance/Information Security, Service Specific Guidance, Department of Veterans Affairs VHA Handbook 0710Department of Veterans Affairs VA Handbook 6500.6N. System Turn-Over/Phase Out and Cooperation with follow-on vendor/Government OptionUpon ending performance of the contract under this Delivery Order, either by completion of the Delivery Order period, Termination for the Convenience of the Government or Termination for Default, the vendor shall assist the Incoming Follow-on Contractor with the efficient turnover and transfer of all stored studies to the Incoming Follow-on Contractor or Government, as determined by the Contracting Officer. Any migration related costs shall be included as part of this Delivery Order.This coordination shall include, but is not limited to the following:Copy all stored studies from vendor’s PACS system to follow-on vendor’s system.Verify that copied studies have properly migrated from vendor’s PACS system and are available for use on the follow-on vendor’s system.Continue to operate the current PACS system until the follow-on vendor’s system has been installed, tested, activated and accepted by the Government.Allow the follow-on vendor access to interfaces, utilities, and spaces needed to install the new system.After the expiration of the contract the Contractor will convert the image files to a non-vendor specific format for storage in Vista Imaging and another commercial PACS.There shall be no additional cost for these services.O. Administrative ItemsAccreditation and Performance StandardsThe proposed PACS solution shall meet all existing and future Joint Commission for the Accreditation of Healthcare Organizations [THE JOINT COMMISSION], HIPAA and currently mandated security requirements concerning PACS and medical records that are, or may be, mandated during the term of this Delivery Order.Food and Drug Administration Certification. All PACS shall be approved by the FDA. This guidance is applicable to medical devices that provide functions related to the management of medical images after acquisition, including communication, storage, processing and display generally known as PACS.This guidance is not applicable to manufacturers of general purpose image management products (e.g. software, communications devices, storage devices, TV monitors, scanners and frame grabbers), which are not labeled or promoted for medical use (21 CFR 807.65(c)). Such manufacturers are exempted from registration, listing and pre-market notification. However, when integrated into a medical image management system by another manufacturer, a general-purpose image management product becomes a medical device. Medical image storage devices and medical image communications devices were classified as Class I devices, thus are subject to this provision of FDAMA (Food and Drug Administration Modernization Act of 1997)A Post Award Conference may be held at a time and place designated by the Contracting Officer, to be attended by the vendor, the COR and other officials designated by the Delivery Ordering Officer.Services provided under this Delivery Order will be provided 24 hours per day, 7 days per week, 52 weeks per year. As requested by the COR, the vendor shall meet (conference calls are acceptable) with the COR(s) to discuss Delivery Order performance, process improvement ideas and the status of any Delivery Order issues. This could be as often as weekly.Health Insurance Portability and Accountability Act (HIPPA) and Business Associate Agreement (BAA)During the performance of this Delivery Order, the VA will disclose/discloses to Business Associate Protected Health Information (PHI) and Electronic Protected Health Information (EPHI) that is subject to protection under the regulations issued by the Department of Health and Human Services, as mandated by the Health Insurance Portability and Accountability Act of 1996 (HIPAA); 45 CFR Parts 160 and 164, Subparts A and E, the Standards for Privacy of Individually Identifiable Health Information (“Privacy Rule”); and 45 CFR Parts 160 and 164, Subparts A and C, the Security Standard (“Security Rule”).Patient Records: The VA shall provide access to those portions of patient records necessary to permit smooth functioning of the PACS. These records will contain PHI as defined in HIPAA. Patient records will remain the property of the VA.The successful PACS Vendor will be required to execute a BAA immediately following award of Delivery Order and before installation of its system.Data Privacy and Confidentiality:Any storage media that fails becomes property of the VA. Upon termination of the Delivery Order, all media becomes property of the VA and will not be removed from the VA premises. No defective storage media can be exchanged or returned to the vendor for any reason. The VA will not be charged for any media that it takes possession of for any reason. VA reserves the right to seize or retain any media, data, or hardware that is involved in any Federal investigation for any reason and not be charged for said items.Where appropriate the system shall comply with the Federal Privacy Act. Each party will implement appropriate policies and procedures for purposes of preventing unauthorized access to data, and unauthorized disclosure of data. All information and data relating to Department of Veterans Affairs' business submitted to the vendor under this Agreement shall be treated as confidential by the vendor and shall not, unless otherwise required by law, be disclosed to any third party by the vendor without Department of Veterans Affairs' prior written consent.To the extent required by the provisions of HIPAA and regulations promulgated thereunder, the vendor does hereby assure the Department of Veterans Affairs that it will appropriately safeguard protected PHI made available to or obtained by the vendor. Without limiting the obligations of the vendor otherwise set forth in this Agreement or imposed by applicable law, the vendor agrees to comply with applicable requirements of law relating to PHI and with respect to any task or other activity the vendor performs on behalf of Department of Veterans Affairs, specifically the vendor shall:Not use or further disclose data other than as permitted or required by this Agreement or as required by law; Use appropriate safeguards to prevent use or disclosure of data other than as provided for by this Agreement;Report to Department of Veterans Affairs any use or disclosure of data not provided for by this Agreement of which the vendor becomes aware;Make available data in accordance with applicable law;Make internal practices, books, and records relating to the use and disclosure of data received from Department of Veterans Affairs available to the Secretary of the United States Health & Human Services for purposes of determining Department of Veterans Affairs' compliance with applicable law (in all events, the vendor shall immediately notify the Department of Veterans Affairs upon receipt by the Vendor of any such request, and shall provide Department of Veterans Affairs with copies of any such materials);Make available the information required to provide an accounting of disclosures pursuant to applicable law; and At termination of this Agreement, return or destroy all data received from Department of Veterans Affairs that the Vendor still maintains in any form and retain no copies of data.Without limiting the rights and remedies of Department of Veterans Affairs set forth elsewhere in this Agreement or available under applicable law, the Department of Veterans Affairs may terminate this BAA without penalty or recourse to Department of Veterans Affairs if Department of Veterans Affairs determines from substantial and credible evidence that the vendor has violated a material term of the provisions of this Section of this BAA and the vendor has had an opportunity to cure such breach. The Vendor will be held liable for all costs associated with conversion to an alternate system if termination is required. Vendor agrees that this Agreement may be amended from time to time by Department of Veterans Affairs if and to the extent required by the provisions of HIPAA and regulations promulgated there under, to assure that this Agreement is consistent therewith. All patient data acquired by the vendor through the PACS remains the sole property of VA.Vendor as part of the Delivery Order shall meet all required regulatory deadlines to maintain full HIPPA compliance. An explanation of what the vendor is currently and will be doing to achieve this shall be included in the technical proposal.Vendor Personnel Security Requirements: all Delivery Order employees will be required to complete VA Information Security Awareness Training and to sign VISN 7 Rules of Behavior statements before gaining access to VA information technology systems and networks.If a vendor employee requires a VA account to log on to the system, they will require fingerprinting and a National Access Check Investigation (NACI).P. Performance MetricsThe Contractor shall monitor performance against the established schedule, milestones, risks and resource support outlined in the Project Plan.??The Contractor shall report any deviations in the weekly progress report. As a minimum, the following metrics shall be included: TasksPerformance StandardAcceptable levelSurveillance MethodsWeekly Progress ReportThe Friday of each week starting first Friday after award.90%100% Weekly Progress reportsEnd User TrainingEnd users demonstrate competence in using PACS98%100% Competency Assessment FormsSystem Clinical Application Administrator Trainingadministrators demonstrate competence in configuring and managing PACS software100%100% Competency Assessment FormsTechnical System Administrator TrainingBiomedical Engineering and OI&T staff demonstrates competence in managing and maintaining technical aspects of the PACS hardware and software.100%100% Competency Assessment FormsTraining MaterialsDelivery of electronic copies of all training materials to the COR100%100% Review of the training materials by the CORInstall and Configure Hardware and Application SoftwareInstallation and configuration of PACS hardware and software100%100% COR and Facility COR’s POC will inspect the installation and test the applicationIntegration TestingTest Plan delivered to COR.PACS system functions properly and is integrated properly with all associated applications (HIS/RIS, VR, etc.). Documented test results delivered to COR. 98%100% Signed Integration Testing Completion Certificate (Signed by Facility COR’s POC and COR)Clinical Use StartupClinical staff successfully uses PACS at the facility.100%100% COR’s Facility POC will certify clinical staff use of PACSAcceptance Contractor will notify CO when installation is complete and ready for inspection 100%100%COR will sign and return NAC Inspection form. Q. Schedule for Performance DeliverablesTaskDeliverable Description1Weekly Progress ReportDue Friday each week throughout the period of performance.Electronic submission to: VA COR, CO2End User TrainingCompleted at least one (1) day prior to Clinical Use Startup at each facility.Electronic submission to: VA COR, CO3System Administrator TrainingCompleted at least thirty (30) days prior to Clinical Use Startup at each facility.Electronic submission to: VA COR, CO4Technical TrainingCompleted at least thirty (30) days prior to Clinical Use Startup at each facility.Electronic submission to: VA COR, CO5Training MaterialsForty-five (45) days after contract award and updated monthly thereafter Electronic submission to: VA COR, CO6Install & Configure Hardware and SoftwareNinety (90) days after contract award and updated as needed thereafter.Electronic submission to: VA COR, CO7Integration TestingForty-five (45) days after completion of Installation & Configuration of Hardware and SoftwareElectronic submission to: VA COR, CO8Clinical Use StartupFirst site to complete this step no later than Forty-five (45) days after completion of Integration Testing. Each subsequent site to follow in order separated by no more than forty-five (45) days after the completion of System Acceptance at the proceeding site.Electronic submission to: VA COR, CO ................
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