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The Contractor shall provide all supervision, personnel, material, equipment, supplies, labor, and transportation in providing Cardiac Monitoring Services VAMC Connecticut. Three different types of Ca... The Contractor shall provide all supervision, personnel, material, equipment, supplies, labor, and transportation in providing Cardiac Monitoring Services VAMC Connecticut. Three different types of Cardiac Monitoring are required: (1) Mobile Cardiac Outpatient Telemetry Device (MCOT). This is a real-time remote monitor that uses cellular technology and an advanced algorithm to automatically detect and transmit arrhythmia with/without patient intervention MCOT is used for patients experiencing intermittent symptom as palpitations, syncope, dizziness, and shortness of breath. Key features include auto-trigger for Atrial Fibrillation, Tachycardia, Bradycardia, and Pause, and full disclosure ECG of up to 30 days. In each of the devices there is an algorithm that is programmed to recognize rhythms; it records the patient’s ECG. The ECG is automatically transferred to a cardiac monitoring center, where it is immediately reviews and the Cardiologist is informed according to pre-selected notification criteria. This detection and reporting helps cardiologists identify optimal patient treatment. Report will be provided at end of service. While many companies provide MCOT monitoring, few offer a patch MCOT monitor. Our patients prefer a patch monitor to multielectrode monitors due to comfort and ease of use, and we would require this capability from a monitoring company. (2) Event Monitoring: this is a non-real-time lightweight cardiac monitor that continuously records every heartbeat for up to 14 days. Monitor may be returned via shipping bag provided by vendor. After monitor is returned a report will be provided with a concise, accurate summary of findings. (3) 48 Hour Holter Monitoring: non-real time continuous 48-hour monitoring of an electrocardiogram in a symptomatic patient providing a continuous record of the electrocardiographic activity of a patient’s heart while engaged in daily activities; report will be provided