Q522 - Teleradiology Services for Oklahoma City VA Health Care System (OKCVAHCS)
ID: 36C25925Q0230Type: Solicitation
Overview

Buyer

VETERANS AFFAIRS, DEPARTMENT OFVETERANS AFFAIRS, DEPARTMENT OFNETWORK CONTRACT OFFICE 19 (36C259)Greenwood Village, CO, 80111, USA

NAICS

Diagnostic Imaging Centers (621512)

PSC

MEDICAL- RADIOLOGY (Q522)

Set Aside

Service-Disabled Veteran-Owned Small Business (SDVOSB) Set-Aside (FAR 19.14) (SDVOSBC)
Timeline
    Description

    The Department of Veterans Affairs is seeking proposals for Teleradiology Services to support the Oklahoma City VA Health Care System (OKCVAHCS). The contract, estimated at $19 million, requires the contractor to provide off-site radiological interpretations, ensuring compliance with standards set by the American College of Radiology, and to maintain timely communication regarding abnormal findings. This procurement is critical for enhancing healthcare delivery to veterans by providing efficient access to radiology expertise, particularly during off-hours. Interested parties should contact Fanta M Cooper-Wells at fanta.cooper-wells@va.gov, with the performance period scheduled from March 1, 2025, to February 28, 2026, and options for extension available.

    Point(s) of Contact
    Fanta M Cooper-Wells (CS)
    fanta.cooper-wells@va.gov
    Files
    Title
    Posted
    The Quality Assurance Surveillance Plan (QASP) outlines the government’s approach to monitor and evaluate contractor performance under a specific contract. It defines monitoring objectives, methods, responsible personnel, and documentation processes, emphasizing that the contractor is accountable for management and quality control. Key figures in oversight roles include the Contracting Officer (CO) and Contracting Officer’s Representative (COR), who ensure compliance and effective surveillance. Performance standards are established to gauge contractor adherence to contract terms, with methods such as direct observation, periodic inspections, customer complaints, random sampling, and document verification. A Performance Report captures metrics against established standards, which will influence future assessments of the contractor’s past performances. CPARS ratings will be assigned based on the quality and effectiveness of contractor performance, ranging from "Exceptional" to "Unsatisfactory." The document also stipulates a systematic process for reporting performance issues, corrective action requirements, and engagements between the contractor and oversight officials. The QASP serves as a living document, subject to revision as needed, while maintaining transparency and fairness in evaluation, aiding the government in safeguarding its interests throughout the contracting process.
    This document provides an extensive list of MRI procedures alongside their associated CPT (Current Procedural Terminology) codes, categorized in a detailed manner. The main topic revolves around the various types of MRI imaging available for different anatomical regions of the body, including but not limited to the brain, neck, face, thorax, abdomen, and extremities. Each procedure is detailed with codes reflecting whether contrast is used during the imaging process. The document is structured as a comprehensive catalog, permitting healthcare providers and institutions to reference specific procedures and their corresponding codes for billing and insurance purposes. This organized framework facilitates efficient communication regarding MRI services within federal and state healthcare systems, potentially aiding RFPs and grants related to medical imaging practices. The focus on standardized coding emphasizes the importance of accuracy and compliance within healthcare services, ensuring that all MRI-related procedures are adequately documented and reimbursed. Overall, this list serves as a critical resource for healthcare professionals involved in diagnostic imaging and related administrative functions.
    The document outlines a comprehensive list of detailed radiographic (RAD) procedure types and corresponding CPT (Current Procedural Terminology) codes for various imaging services. Each entry includes descriptions and provides the requisite CPT codes for procedures related to different body parts such as the abdomen, ankle, bone density, chest, elbow, knee, and spine, among others. For example, it lists codes for single-view, two-view, and multiple-view procedures for specific body parts, showcasing the range of imaging services available. This catalog is essential for healthcare providers and medical billing professionals, ensuring adherence to standardized coding for billing and reimbursement purposes in alignment with government health programs. The systematic organization by body part facilitates easy access and utility for users. Overall, this document serves as a vital resource within the context of federal and state medical funding and reimbursement procedures for diagnostic imaging services.
    The document contains a detailed list of various ultrasound CPT codes related to medical imaging services. It specifies procedures such as AAA Screening, transrectal and transvaginal ultrasounds, and various guided imaging techniques. Each line includes the specific procedure type, imaging type, and associated CPT code (e.g., US AAA SCREENING with CPT code 76775). The compilation serves as a resource for healthcare providers and organizations to identify and utilize the correct codes for billing and insurance reimbursement purposes associated with ultrasound diagnostics. By providing a structured format, the document aids in standardizing the billing processes within federal and local healthcare systems, ensuring compliance with established coding practices. The clarity of this coding information is essential for facilitating efficient services in various medical settings, which may be relevant for government funding initiatives and procurement processes in the healthcare domain.
    The VHA Directive 1916 establishes a policy for the Veterans Health Administration (VHA) to effectively share radiology resources across Department of Veterans Affairs (VA) medical facilities through a teleradiology program. This directive eliminates the need for re-credentialing or re-privileging radiologists at each facility, allowing health care professionals to deliver services efficiently within the integrated VHA system. The document outlines the responsibilities of various stakeholders, including the Under Secretary for Health and facility directors, ensuring compliance and quality of care through Teleradiology Service Agreements (TSAs). Key components include the definitions of teleradiology, the process of privileging-by-proxy, and requirements for operational oversight and quality evaluations. The directive aims to provide timely access to radiology interpretations, uphold high standards of care, and support strategic resource management in the VHA. Scheduled for recertification in 2026, this directive facilitates the streamlined and safe provision of teleradiology services for veterans nationwide.
    The VHA Teleradiology Handbook outlines procedures for establishing and managing teleradiology services within the Veterans Health Administration (VHA). It defines teleradiology as the electronic transfer of imaging studies for interpretation across various locations and emphasizes its utility in providing timely access to radiologic expertise, especially during off-hours. Key sections cover the background of teleradiology, describing examples such as emergency consultations and outsourcing interpretations to specialized contractors. It details standards for remote oversight and responsibilities of technologists, as well as the essentials of credentialing teleradiologists to ensure patient safety. The handbook emphasizes the importance of technical and professional standards, including compliance with federal laws on privacy and security, medical record handling, and equipment specifications. Additionally, it advocates for the development of clear agreements delineating roles and expectations among all parties involved to facilitate effective communication and enhance overall workflow. The document serves as a guideline for effective and secure teleradiology operations, ensuring that the quality of care for veterans is upheld while addressing logistical and regulatory challenges inherent in remote medical services.
    The document outlines the essential elements to consider when drafting a teleradiology agreement for healthcare services. Key points include defining service hours, types and volumes of studies, qualifications of teleradiologists, and the handling of reports, including timeliness and accuracy standards. It emphasizes protocols for communication regarding urgent findings and procedural dependencies when no in-house radiologist is available. The agreement should also address quality assurance processes, malpractice insurance requirements, contingency plans for equipment failures, and the secure handling of patient data. Specific provisions for patient image storage, archival integrity, and limitations on subcontracting services are critical. Furthermore, it requires a pre-award inspection of the contractor’s facilities. This structured approach ensures compliance with healthcare regulations and the delivery of reliable teleradiology services, strengthening operational efficiency and patient safety across participating facilities.
    The VA Handbook 6500.6 Appendix C outlines essential security and privacy requirements for contractors working with VA information. It mandates that contractors, personnel, and subcontractors comply with federal laws and VA regulations regarding data security. Key provisions include the VA's unlimited rights to data produced under the contract, restrictions on the use of information, and requirements for secure data handling and storage. Contractors must implement encryption for sensitive information, conform to security standards, and conduct proper data destruction following contract completion. Access to VA information systems requires specific training, background checks, and adherence to rules of behavior. Contractors must report security incidents promptly, cooperate with investigations, and may face penalties for breaches involving sensitive personal information. This document serves as a framework to ensure the protection of veterans' data and enhance compliance during federal acquisitions, reinforcing the importance of cybersecurity in government contracts.
    The document outlines the records management obligations applicable to Contractors dealing with Federal records, as defined by 44 U.S.C. § 3301. It emphasizes the importance of compliance with records management laws and National Archives and Records Administration (NARA) policies. Contractors must manage all records created or received under their contracts with strict adherence to legal regulations, including safeguarding non-public information and preventing unauthorized destruction or removal of records. The document also specifies that all deliverables are government property, and Contractors must undergo records management training provided by the agency. Additionally, requirements must flow down to subcontractors, holding the Contractor accountable for any violations. The purpose of this document is to ensure that all parties handle Federal records properly, aligning with RFPs and federal grants expectations within government contracts.
    The Department of Veterans Affairs (VA) issued VHA Directive 1088 on July 11, 2023, which mandates timely communication of test results to veterans. Test results requiring action must be communicated to patients within 7 calendar days, while non-actionable results are to be shared within 14 days. The directive outlines new responsibilities for various VA officials, establishes timeframe standards, outlines documentation requirements, and provides guidance on process workflows for communication. In cases of unsuccessful patient contact, certified letters may be used. Special circumstances such as patient transitions between care settings, mental health risks, and care continuity requirements for traveling veterans are included in the policy. The directive rescinds an earlier version (VHA Directive 1088(1) from 2015) and necessitates VA medical facilities to develop related policies and workflows within 6-12 months. It emphasizes the need for an efficient communication system that upholds patient safety and engagement in health care. The overarching aim is to enhance care quality for veterans by ensuring clear and timely sharing of vital health information.
    The document outlines the standard operating procedure (SOP) 114-25 for communicating abnormal imaging results at the Oklahoma City VA Health Care System, effective from July 26, 2022. It mandates processes that ensure timely reporting of abnormal findings by radiologists, which includes assigning diagnostic codes that trigger electronic alerts to clinicians. Certain codes require verbal notification to the ordering provider within specified timeframes, and documentation of this communication is essential. A defined protocol also exists for various radiology practices, including those within National Teleradiology Services and New Jersey Teleradiology, reinforcing timely clinician communication for critical findings. The SOP highlights specific codes for varying conditions, including urgent cases requiring immediate action. Radiology service staff, including the chief and radiologists, are tasked with ensuring compliance with these guidelines, with an emphasis on improved communication and patient safety. This document reflects the federal government’s commitment to enhancing healthcare processes and outcomes, aligning with broader objectives for efficiency and effectiveness in healthcare service delivery.
    The document presents the "Do Not Use" List issued by The Joint Commission, aimed at enhancing patient safety by eliminating dangerous medical abbreviations, acronyms, symbols, and dose designations in healthcare settings. This list addresses common misconceptions that could lead to medication errors, specifying alternatives for each item. For instance, abbreviations like "U" for unit and "IU" for International Unit are discouraged, as they are often confused with other symbols or numbers. The "Do Not Use" List was established following a 2001 alert on medical abbreviations and is now integrated into the Information Management standards. The document emphasizes that these guidelines apply broadly to all medication documentation, with the exception of precise data requirements in specific contexts. Overall, the purpose of this list is to enhance clarity and safety in healthcare communication, reflecting a commitment to reducing sentinel events related to medication errors.
    This document provides a comprehensive list of various Computed Tomography (CT) procedures and their corresponding Current Procedural Terminology (CPT) codes, essential for medical billing and insurance purposes within the healthcare system. It details types of CT scans, including CT abdomen, pelvis, brain, and various limb scans, each categorized based on the presence or absence of contrast media. The file is structured by procedure type, with each entry specifying the procedure name, a detail categorization, the imaging type (CT), and the relevant CPT code for invoicing. Overall, the document serves as a reference guide for medical professionals and billing departments to ensure accurate coding and reimbursement for a wide range of imaging services as part of federal and local health grant programs. This systematic cataloging of procedures also aids in fulfilling compliance and regulatory requirements pertinent to healthcare billing practices.
    The document outlines a Request for Proposal (RFP) from the Department of Veterans Affairs for Tele-Radiology Physician services to support the Oklahoma City VA Health Care System. The contractor will provide off-site radiological interpretations, adhering to high standards set by the American College of Radiology. The contract is estimated at $19 million and is structured as a Fixed-Price, Indefinite Delivery/Indefinite Quantity (FP-IDIQ) contract, with the initial performance period spanning from March 1, 2025, to February 28, 2026, and options for extension. Key requirements include delivering a specified number of radiological interpretations, maintaining up-to-date licensing, and ensuring all personnel are board-certified. The contractor must establish secure communication links and implement quality assurance measures to ensure timeliness and accuracy in reporting. Furthermore, strict adherence to privacy laws and quality standards is mandated, including protocols for conveying critical findings. This RFP reflects the VA’s commitment to enhance healthcare delivery via efficient tele-radiology services, emphasizing quality, compliance, and accessibility for veterans' health care.
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