Q522--Health Physics Services.
The purpose of this amendment is to: Extend the offeror due date to April 8, 2020 at 12 pm EST time. Replace the previous Performance Work Statement with the following Performance Work Statement. PERF... The purpose of this amendment is to: Extend the offeror due date to April 8, 2020 at 12 pm EST time. Replace the previous Performance Work Statement with the following Performance Work Statement. PERFORMANCE WORK STATEMENT (PWS) Health Physics Services Part 1 General Information 1. GENERAL: This is a non-personnel services contract to provide Health Physics Services. The Government shall not exercise any supervision or control over the contract service providers performing the services herein. Such contract service providers shall be accountable solely to the Contractor who, in turn is responsible to the Government. 1.1 Description of Services/Introduction: The Contractor, a.k.a. Consulting Physicist, shall furnish all labor, material, supplies, equipment, and qualified personnel to provide on-site diagnostic Qualified Medical Physics support; and on-site and off-site Health Physics Services for the Veterans Health Administration (VHA) Boston Healthcare System (BHS), under the terms and conditions defined in this Performance Work Statement, except for those items specified as government furnished property and services. The contractor shall perform to the standards in this contract, and must adhere to VHA Handbook 1105.04, Fluoroscopy Safety, dated July 6, 2012 (or most current), VHA Handbook 1105, Management of Radioactive Materials, dated February 5, 2015 (or most current), and VHA Directive 1129, Radiation Protection For Machine Sources Of Ionizing Radiation dated February 5, 2015 (or most current). Additionally, the Contractor shall comply with radiation protection standards in 29 CFR 1910.1096 and immediately report any unsafe conditions with the potential to adversely impact the facility radiation workers or patients to the Radiation Safety Officer (RSO), and to the individual responsible for the equipment. A Fault Report shall be placed on equipment that is found unsafe to use, with the reason for the condition. 1.2 Background: For purposes of this contract, the term Contractor/Consulting Physicist is an individual(s) with offices nearby VA Boston Healthcare System (BHS) facilities; and capable of ensuring that BHS is compliant with applicable provisions of Title 10 Chapter 20, Title 10 Chapter 35, NUREG-1556, 49CFR, and with other pertinent State and Federal regulations, and with conditions specified in the NHPP Permit. The Contractor shall be familiar with VHA regulations, and practices of other medical licensees in the vicinity of BHS. Work under this contract may be carried out at the Jamaica Plain Campus, West Roxbury Campus, Brockton Campus, Lowell, and/or other Community Based Outpatient Clinics. Contactor required to be on site a minimum of 2 eight-hour days per month and up to 4 days a month as needed with advanced notice in the event temporary RSO duties are needed. 1.3 Objectives: The Consulting Physicist may provide services including but not limited to the following: Physics testing on x-ray equipment Perform x-ray machine shielding evaluations and surveys Perform shielding transmission studies Annual accuracy tests on dose calibrators Handheld instrument calibrations Sit in person on the Radiation Safety Committee Act as the RSO during temporary leaves of absence of the VA RSO In the event the current RSO permanently discontinues duties, act as temporary licensed RSO until a permanent RSO is named. Verify adequacy and integrity of lead aprons Analyze, design, develop, implement, and evaluate training programs in selected radiation safety areas. This includes providing annual training needs outlined in this PWS. Provides guidance for the Radiation Safety Program Review and conduct annual audits of BHS Radiation Safety Program Provide emergency services to estimate doses from accidents and/or misadministration of radioactive material. Develop curriculum and provide necessary Radiation Safety training to new Radiation Safety Officer at VA Boston. This includes contractor availability onsite a minimum of 2 eight-hour days per month NOTE: All bid responses must include example reports, surveys, documents, etc. demonstrating recent performance and documentation for completing tasks required by this PWS. 1.4 Scope: The contractor shall provide Health Physics Services Period of Performance: The period of performance shall be for one (1) Base Period of seven(7) months and four (4) 12-month option years. The Period of Performance reads as follows: Base Period: June 1, 2020 December 31, 2020 Option 1: January 1, 2021 December 31, 2021 Option 2: January 1, 2022 December 31, 2022 Option 3: January 1, 2023 December 31, 2023 Option 4: January 1, 2024 December 31, 2024 1.6 General Information 1.6.1 Quality Control The contractor shall develop and maintain an effective quality control program to ensure services are performed in accordance with this PWS. The contractor shall develop and implement procedures to identify, prevent, and ensure non-recurrence of defective services. 1.6.3 Recognized Holidays: New Year s Day Labor Day Martin Luther King Jr. s Birthday Columbus Day President s Day Veteran s Day Memorial Day Thanksgiving Day Independence Day Christmas Day 1.6.4 Hours of Operation: The contractor is responsible for conducting routine business, between the hours of 7:00 and 15:30 Monday thru Friday except Federal holidays or when the Government facility is closed due to local or national emergencies, administrative closings, or similar Government directed facility closings. For other than firm fixed price contracts, the contractor will not be reimbursed when the government facility is closed for the above reasons. The Contractor must at all times maintain an adequate workforce for the uninterrupted performance of all tasks defined within this PWS when the Government facility is not closed for the above reasons. Some equipment testing may require scheduling on back shifts and holidays, so as not to interfere with the clinical operation of the equipment. When hiring personnel, the Contractor shall keep in mind that the stability and continuity of the workforce are essential. Emergency services shall be available 24/7. 1.6.5 Place of Performance: The work to be performed under this contract will be performed at the Jamaica Plain Campus, West Roxbury Campus, Brocton Campus, Lowell, and/or other Community Based Outpatient Clinics. 1.6.6 Type of Contract: The government will award a firm-fixed price contract. 1.6.7 Security Requirements: Contractor personnel performing work under this contract shall secure all radioactive material they use. 1.6.7.1 PHYSICAL Security: The contractor shall be responsible for safeguarding all government equipment, information and property provided for contractor use. At the close of each work period, government facilities, equipment, and materials shall be secured. 1.6.7.2 Lock Combinations and Keys. The Contractor shall not provide lock combinations or keys to areas containing radioactive material to any unauthorized persons. 1.6.8 Special Qualifications: Contractor staff shall meet the requirements of VA Directives and Policies. 1.6.9 Post Award Conference/Periodic Progress Meetings: The Contractor agrees to attend any post award conference convened by the contracting activity or contract administration office in accordance with Federal Acquisition Regulation Subpart 42.5. The contracting officer, Contracting Officers Representative (COR), and other Government personnel, as appropriate, may meet periodically with the contractor to review the contractor's performance. At these meetings the contracting officer will apprise the contractor of how the government views the contractor's performance and the contractor will apprise the Government of problems, if any, being experienced. Appropriate action shall be taken to resolve outstanding issues. These meetings shall be at no additional cost to the government. 1.6.10 Contracting Officer Representative (COR): The (COR) will be identified by separate letter. The COR monitors all technical aspects of the contract and assists in contract administration The COR is authorized to perform the following functions: assure that the Contractor performs the technical requirements of the contract: perform inspections necessary in connection with contract performance: maintain written and oral communications with the Contractor concerning technical aspects of the contract: issue written interpretations of technical requirements, including Government drawings, designs, specifications: monitor Contractor's performance and notifies both the Contracting Officer and Contractor of any deficiencies; coordinate availability of government furnished property, and provide site entry of Contractor personnel. A letter of designation issued to the COR, a copy of which is sent to the Contractor, states the responsibilities and limitations of the COR, especially with regard to changes in cost or price, estimates or changes in delivery dates. The COR is not authorized to change any of the terms and conditions of the resulting order. 1.6.11 Key Personnel: The follow personnel are considered key personnel by the government: Qualified Medical Physicist and Certified Health Physicist. The contractor shall provide a contract manager who shall be responsible for the performance of the work. The name of this person and an alternate who shall act for the contractor when the manager is absent shall be designated in writing to the contracting officer. The contract manager or alternate shall have full authority to act for the contractor on all contract matters relating to daily operation of this contract. The contract manager or alternate shall be available between 07:00 am and 15:30 pm, Monday thru Friday except Federal holidays or when the government facility is closed for administrative reasons. 1.6.12 Identification of Contractor Employees: All contract personnel attending meetings, answering Government telephones, and working in other situations where their contractor status is not obvious to third parties are required to identify themselves as such to avoid creating an impression in the minds of members of the public that they are Government officials. They must also ensure that all documents or reports produced by contractors are suitably marked as contractor products or that contractor participation is appropriately disclosed. 1.6.13 Organizational Conflict of Interest: Contractor and subcontractor personnel performing work under this contract may receive, have access to or participate in the development of proprietary or source selection information (e.g., cost or pricing information, budget information or analyses, specifications or work statements, etc.) or perform evaluation services which may create a current or subsequent Organizational Conflict of Interests (OCI) as defined in FAR Subpart 9.5. The Contractor shall notify the Contracting Officer immediately whenever it becomes aware that such access or participation may result in any actual or potential OCI and shall promptly submit a plan to the Contracting Officer to avoid or mitigate any such OCI. The Contractor s mitigation plan will be determined to be acceptable solely at the discretion of the Contracting Officer and in the event the Contracting Officer unilaterally determines that any such OCI cannot be satisfactorily avoided or mitigated, the Contracting Officer may effect other remedies as he or she deems necessary, including prohibiting the Contractor from participation in subsequent contracted requirements which may be affected by the OCI. 1.7 REPORTING REQUIREMENTS: The Contractor shall be required to report to the Police Office to check in. This check- in is mandatory. Additionally, the Contractor shall schedule all service visits in advance with the Service line so they can be escorted by Service line personnel during equipment testing to ensure Patient information is not exposed. When the service is completed, the FSE shall document services rendered on a legible ESR(s). The FSE shall be required to check out with Engineering and submit the ESR(s) to the COR or designated representative. ALL ESRs shall be submitted to the equipment user for an "acceptance signature" and to the COR or designated representative for an "authorization signature". If COR or designated representative is unavailable, a signed, authorized copy of the ESR will be left with the user. 1.8 VA COR is: Joseph J. Darman, CHP Engineering Health Physicist/RSO Jamaica Plain Campus VA Boston Healthcare System 150 South Huntington Avenue Boston, MA 02130 Phone: (857) 364-5852 Fax: (857) 364-4545 Cell: (914) 443-0929 joseph.darman@va.gov 1.9 PAYMENT: - Invoices will be paid upon the completion and acceptance of the procured equipment. Invoices shall include at a minimum, the following information: Contract Number, Purchase Order/Task Order Number, Contractor Name, and Item(s) installed. All invoices shall be mailed to the Department of Veterans Affairs Financial Services Center s address as follows: 1.10 ADDITIONAL CHARGES: There shall be no additional charge for time spent at the site (during, or after the normal hours of coverage) awaiting the arrival of additional FSE and/or delivery of parts. 1.11 IDENTIFICATION, PARKING, SMOKING, AND VA REGULATIONS: The Contractor's FSE's shall wear visible identification at all times while on the premises of the VAMC. The Contractor shall park in the appropriate designated parking areas. Information on parking is available from the VA Police Section. The VAMC will not invalidate or make reimbursement for parking violations of the Contractor under any conditions. Smoking is prohibited inside any buildings at the VAMC. Possession of weapons is prohibited. Enclosed containers, including tool kits, shall be subject to search. Violations of VA regulations may result in citation answerable in the United States (Federal) District Court, not a local district, state, or municipal court 1.11.1 Security Requirements: All contractor personnel shall obtain a short-term identification badge issued by the COR or government designated representative. Such badge shall be worn by the individual and prominently displayed at all times while on VA Property. No employee of the contractor shall enter the project site without a valid identification badge issued by the VA. In order to obtain a short-term identification badge, contractor personnel shall present to the COR a valid (non-expired) photo identification issued by a US federal, state or local government agency. 1.11.2 Escort will be provided as required in sensitive work areas. 1.11.3 The identified Sole Source Vendor shall be subject to the Federal laws, regulations, standards, and VA Directives and Handbooks regarding information and information system security as delineated in standard acquisition guidelines. Per the VA handbook 6500.6, no VA sensitive information will be transferred, shared, or stored with said vendor. As such, no additional mechanisms will be needed to ensure the protection of information. 1.11.4 Records Management Language for Contracts The following standard items relate to records generated in executing the contract and should be included in a typical Electronic Information Systems (EIS) procurement contract: 1. Citations to pertinent laws, codes and regulations such as 44 U.S.C chapters 21, 29, 31 and 33; Freedom of Information Act (5 U.S.C. 552); Privacy Act (5 U.S.C. 552a); 36 CFR Part 1222 and Part 1228. 2. Contractor shall treat all deliverables under the contract as the property of the U.S. Government for which the Government Agency shall have unlimited rights to use, dispose of, or disclose such data contained therein as it determines to be in the public interest. 3. Contractor shall not create or maintain any records that are not specifically tied to or authorized by the contract using Government IT equipment and/or Government records. 4. Contractor shall not retain, use, sell, or disseminate copies of any deliverable that contains information covered by the Privacy Act of 1974 or that which is generally protected by the Freedom of Information Act. 5. Contractor shall not create or maintain any records containing any Government Agency records that are not specifically tied to or authorized by the contract. 6. The Government Agency owns the rights to all data/records produced as part of this contract. 1.11.5 The Government Agency owns the rights to all electronic information (electronic data, electronic information systems, electronic databases, etc.) and all supporting PART 2 DEFINITIONS & ACRONYMS 2. DEFINITIONS AND ACRONYMS: 2.1. DEFINITIONS 2.1.1. CONTRACTOR. A supplier or vendor awarded a contract to provide specific supplies or service to the government. The term used in this contract refers to the prime. 2.1.2. CONTRACTING OFFICER. A person with authority to enter into, administer, and or terminate contracts, and make related determinations and findings on behalf of the government. Note: The only individual who can legally bind the government. 2.1.3. CONTRACTING OFFICER'S REPRESENTATIVE (COR). An employee of the U.S. Government appointed by the contracting officer to administer the contract. Such appointment shall be in writing and shall state the scope of authority and limitations. This individual has authority to provide technical direction to the Contractor as long as that direction is within the scope of the contract, does not constitute a change, and has no funding implications. This individual does NOT have authority to change the terms and conditions of the contract. 2.1.4. DEFECTIVE SERVICE. A service output that does not meet the standard of performance associated with the Performance Work Statement. 2.1.5. DELIVERABLE. Anything that can be physically delivered, but may include non-manufactured things such as meeting minutes or reports. 2.1.6. KEY PERSONNEL. Contractor personnel that are evaluated in a source selection process and that may be required to be used in the performance of a contract by the Key Personnel listed in the PWS. When key personnel are used as an evaluation factor in best value procurement, an offer can be rejected if it does not have a firm commitment from the persons that are listed in the proposal. 2.1.7. PHYSICAL SECURITY. Actions that prevent the loss or damage of Government property. 2.1.8. QUALITY ASSURANCE. The government procedures to verify that services being performed by the Contractor are performed according to acceptable standards. 2.1.9. QUALITY ASSURANCE Surveillance Plan (QASP). An organized written document specifying the surveillance methodology to be used for surveillance of contractor performance. 2.1.10. QUALITY CONTROL. All necessary measures taken by the Contractor to assure that the quality of an end product or service shall meet contract requirements. 2.1.11. SUBCONTRACTOR. One that enters into a contract with a prime contractor. The Government does not have privity of contract with the subcontractor. 2.1.12. WORK DAY. The number of hours per day the Contractor provides services in accordance with the contract. 2.1.12. WORK WEEK. Monday through Friday, unless specified otherwise. 2.2. ACRONYMS: ACOR Alternate Contracting Officer's Representative AFARS Army Federal Acquisition Regulation Supplement AR Army Regulation CCE Contracting Center of Excellence CFR Code of Federal Regulations CONUS Continental United States (excludes Alaska and Hawaii) COR Contracting Officer Representative COTR Contracting Officer's Technical Representative COTS Commercial-Off-the-Shelf DA Department of the Army DD250 Department of Defense Form 250 (Receiving Report) DD254 Department of Defense Contract Security Requirement List DFARS Defense Federal Acquisition Regulation Supplement DMDC Defense Manpower Data Center DOD Department of Defense FAR Federal Acquisition Regulation HIPAA Health Insurance Portability and Accountability Act of 1996 KO Contracting Officer OCI Organizational Conflict of Interest OCONUS Outside Continental United States (includes Alaska and Hawaii) ODC Other Direct Costs PIPO Phase In/Phase Out POC Point of Contact PRS Performance Requirements Summary PWS Performance Work Statement QA Quality Assurance QAP Quality Assurance Program QASP Quality Assurance Surveillance Plan QC Quality Control QCP Quality Control Program TE Technical Exhibit PART 3 GOVERNMENT FURNISHED PROPERTY, EQUIPMENT, AND SERVICES The Contractor shall provide all property, equipment and services to perform the Consulting Physicist Services. PART 4 CONTRACTOR FURNISHED ITEMS AND SERVICES The Contractor shall provide all items and services to perform the Consulting Physicist Services PART 5 SPECIFIC TASKS Specific Tasks: 5.1 ROUTINE Routine Service shall normally be reconciled within one week or scheduled mutual consent. Routine Service shall normally be in accordance with current applicable standards. VA may request routine services from the Consulting Physicist including but not limited to the following: 5.1.1 Performance All work shall be performed by a qualified diagnostic medical physicist. A qualified diagnostic medical physicist is a person who is certified by the American Board of Radiology, American Board of Medical Physics, or the Canadian College of Physicists in Medicine. For mammography, a qualified medical physicist can have state licensure to perform mammography inspections in lieu of board certification. For diagnostic computed tomography (CT), nuclear medicine, PET, or MRI, a qualified medical physicist can meet the following requirements in lieu of board certification: A graduate degree in physics, medical physics, biophysics, radiologic physics, medical health physics, or a closely related science or engineering discipline from an accredited college or university Formal graduate-level coursework in the biological sciences with at least one course in biology or radiation biology and one course in anatomy, physiology, or a similar topic related to the practice of medical physics Documented 3 years of clinical experience in CT, nuclear medicine, PET, or MRI. The physicist must document the 3 years of experience for the modality being inspected. 5.1.2. Mandatory Services to be Performed a. The qualified diagnostic medical physicist shall perform imaging equipment (x-ray equipment, CT s, nuclear medicine cameras, PET/CT cameras, and MRIs) inspections to ensure compliance with the current American College of Radiology (ACR) and Mammography Quality Standards Act (MQSA) requirements. Any deficiencies or non-conformances discovered during the inspection shall be verbally communicated to the service supervisor or RSO prior to the qualified diagnostic medical physicist leaving the facility. Deficiencies or non-conformances which represent unsafe conditions with the potential to adversely impact the facility radiation workers or patients shall be reported to the RSO immediately upon discovery and to the individual responsible for the equipment. A Fault Report shall be placed on equipment that is found unsafe to use, with the reason for the condition. A written report of the results shall be provided to the service supervisor or RSO within 30 working days after completion of the inspection. All imaging equipment shall be inspected at least annually, not to exceed 14 months. b. The qualified diagnostic medical physicist shall perform acceptance testing of all new or relocated imaging equipment prior to first clinical use. The acceptance testing shall comply with ACR or MQSA requirements. Any deficiencies or non-conformances discovered during the inspection shall be verbally communicated to the service supervisor or RSO prior to the qualified diagnostic medical physicist leaving the facility. A fault report shall also be attached to the equipment in question. Deficiencies or non-conformances which represent unsafe conditions with the potential to adversely impact the facility radiation workers or patients shall be reported to the RSO immediately upon discovery. A written report of the results shall be provided to the service supervisor or RSO within 30 working days after completion of the inspection. c. The qualified diagnostic medical physicist shall oversee inspection of imaging equipment after repairs or modifications that may affect the radiation output or image quality. The qualified diagnostic medical physicist shall perform a full inspection of imaging equipment after repairs or modifications that may affect the radiation output or image quality. The inspection shall be completed within 30 days hours after the facility contacts the contractor. Any deficiencies or non-conformances discovered during the inspection shall be verbally communicated to the service supervisor or RSO prior to the qualified diagnostic medical physicist leaving the facility. A fault report shall also be attached to the equipment in question. Deficiencies or non-conformances which represent unsafe conditions with the potential to adversely impact the facility radiation workers or patients shall be reported to the RSO immediately upon discovery. A written report of the results shall be provided to the service supervisor or RSO within 30 working days after performing of the inspection. d. The qualified diagnostic medical physicist shall provide consultation for additional services including but not limited to the following: Physics testing on x-ray equipment Perform shielding transmission studies Perform x-ray machine shielding evaluations and surveys Annual accuracy tests on dose calibrators Hand held instrument calibrations Sit in person on the Radiation Safety Committee Act as the RSO during temporary leaves of absence of the VA RSO In the event the current RSO permanently discontinues duties, act as temporary licensed RSO until a permanent RSO is named. Verify adequacy and integrity of lead aprons Analyze, design, develop, implement, and evaluate training programs in selected radiation safety areas. This includes providing annual training needs outlined in this PWS. Provides guidance for the Radiation Safety Program Review and conduct annual audits of BHS Radiation Safety Program Provide emergency services to estimate doses from accidents and/or misadministration of radioactive material. Develop curriculum and provide necessary Radiation Safety training to new Radiation Safety Officer at VA Boston. This includes contractor availability onsite a minimum of 2 eight-hour days per month. e. The qualified diagnostic medical physicist shall spot check CT protocols at least annually. f. The qualified diagnostic medical physicist shall provide shielding design calculations for each new, replaced, or relocated x-ray imaging system. The calculations for each shall comply with the National Council for Radiation Protection and Measurements (NCRP) Report No. 147, and, for dental units, NCRP Report No. 145, and shall be documented in a written report which includes a diagram showing adjacent areas. The qualified diagnostic medical physicist shall perform a shielding survey to verify the structural shielding was installed per the shielding design report and complies with the design goals. A written report of the shielding survey shall be provided to the RSO within 30 workings days after the shielding survey has been completed. g. The qualified diagnostic medical physicist shall assist in the development of a comprehensive technical quality assurance (QA) program (e.g., technique charts, repeat/reject analysis monitoring, monitoring of exposure indices to radiographic image receptors, QA program for display monitors, QA for CT, monitoring of dose metrics from fluoroscopy studies), which complies with ACR recommendations, for all modalities. The qualified diagnostic medical physicist shall review at least annually the QA program. A written report of the results shall be provided to the service supervisor or RSO within 30 working days after performing of the inspection. h. The qualified diagnostic medical physicist shall perform a follow-up inspection to verify compliance of any necessary corrective action performed to correct deficiencies found. 5.1.3. Equipment Inspections The Contractor shall conduct equipment inspections or quality control surveys of the imaging equipment listed in Attachment 3/Technical Exhibit 3. Attachment A//Technical Exhibit 3 is a living document and equipment will likely be add and removed during the term of the contract. The Contractor shall ensure the imaging equipment s compliance with applicable Federal regulations and ACR recommendations, and shall include, but not be limited to, monitoring the following basic performance characteristics. A. Radiographic and Fluoroscopic Equipment Physics inspections of radiographic and fluoroscopic equipment shall comply with the ACR Technical Standard for Diagnostic Medical Physics Performance Monitoring of Radiographic and Fluoroscopic Equipment. The performance of each radiographic and fluoroscopic unit must be evaluated at least annually. This evaluation should include, but not be limited to, the following tests (as applicable). (1) Integrity of unit assembly. (2) Collimation and radiation beam alignment. (3) Fluoroscopic system spatial resolution. (4) Automatic exposure control system performance. (5) Fluoroscopic automatic brightness control performance (high-dose-rate, pulsed modes, field-of-view [FOV] variation). (6) Image artifacts. (7) Fluoroscopic phantom image quality. (8) kVp accuracy and reproducibility. (9) Linearity of exposure versus mA or mAs. (10) Exposure reproducibility. (11) Timer accuracy. (12) Beam quality assessment (half-value layer). (13) Fluoroscopic entrance exposure rate (or air kerma rate). Maximum output and output using a phantom representing a standard size patient for all clinically used settings. [The mode of operation [e.g., magnification mode, frame rate, and any other mode selected) must be documented for each measurement.] (14) Fluorographic (image recording) entrance exposure rate (or air kerma rate) for cine imaging, if performed and entrance exposure (or air kerma) for spot images (if performed). Maximum output and output using a phantom representing a standard size patient for all clinically used settings. [The mode of operation (e.g., magnification mode, frame rate, etc.) must be documented for each measurement.] (15) Image receptor entrance exposure. (16) Equipment radiation safety functions. (17) Patient dose monitoring system calibration. This includes, for radiographic systems, the metric of dose to the image receptor (IEC Exposure Index or proprietary index) and, for fluoroscopy systems, the displays of cumulative air kerma and, if available, DAP. (18) Display monitor performance. (19) Digital image receptor performance. (20) Grids used with portable x-ray units shall be imaged for uniformity. (21) For radiographic units, measurement of entrance skin exposure (or air kerma) for a standard size patient for common radiographic projections and comparision to published diagnostic reference levels and achievable doses (e.g., ACR practice parameter. Note: The information on entrance exposure rates (or air kerma rates) from fluoroscopy and from fluorography, in Items (13) and (14) above, for each fluoroscope, shall be in a format suitable for providing to the physicians who operate the fluoroscope. B. Computed Radiography (CR) and Digital Radiography (DR) Physics inspections of CR and DR equipment shall comply with the American Association of Physicist in Medicine (AAPM) Report Number 93, Acceptance Testing and Quality Control of Photostimulable Storage Phosphor Imaging Systems. The performance of CR and DR must be evaluated at least annually. This evaluation should include, but not be limited to, the following tests (as applicable). (1) Component and Imaging Plate Physical Inspection and Inventory. (2) Imaging Plate Dark Noise and Uniformity. (3) Exposure Indicator Calibration. (4) Linearity...
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