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2 VA Pittsburgh Healthcare Systems (VAPHS) Performance Work Statement (PWS) Bariatric Bed, Wheelchair and Shower/ Commode Chair Rentals SERVICES AND QUANTIES /PRICES/COSTS - Furnish rental specialized... 2 VA Pittsburgh Healthcare Systems (VAPHS) Performance Work Statement (PWS) Bariatric Bed, Wheelchair and Shower/ Commode Chair Rentals SERVICES AND QUANTIES /PRICES/COSTS - Furnish rental specialized medical beds and bariatric beds for veteran s acute care and long-term use for VAPHS at both the University Drive and HJ Heinz Divisions. Items need to be available 24 hours, 7 days a week including holidays within 2-6 hours of call-in time to contractor. Patient safety is one of the primary goals for VAPHS. A recent action item forwarded by the Associate Director of Patient Care Services, directs the use of rental beds which perform all functions from the lowest position possible to minimize fall injuries. Pricing must include all services and requirements stated in the solicitation. The contract will be for a base plus four (4) option years to exercise at the discretion of the VA. All quantities listed herein are estimated only. The Government is not obligated to any specified amount of services but shall be obligated to provide payment for all services performed in accordance with (IAW) the contractual terms and conditions. 2. DESCRIPTION/SPECIFICATIONS/REQUIREMENTS 2.1 SERVICES: Contractor shall deliver, repair and exchange the required medical deliverables directly to patient care Units within a reasonable time of between 2 to 6 hours with an average of four hours within normal business hours (8a-5p, Monday through Friday). For calls received outside this time, add one hour. If for any reason any deliverable cannot be delivered within the scheduled time of 2 to 6 hours, the contractor is required to call and cite reasons for delay to the contact person (Program POC) and give a time when product will be delivered. 24 hours/7 days a week Care Center availability to place orders or report service issues. Upon discharge of patient or no longer needing the deliverable, notification will be given to contractor to pick-up used product. Billing for the item(s) will end at the time the contractor is notified. Contractor is required to pick-up equipment within 36 hours of the call. VAPHS has both long-term and acute care facilities, there are occasions when patients are transferred between these facilities. When this happens VAPHS enterostomal nurses will analyze each case to determine if the bed should be held for the patient s return. This will eliminate delivery wait time for the patient s return to long -term care facility or medical units after treatment. The contractor will be notified to stop billing if the bed is being placed on-hold. The contractor will also be notified when the hold is lifted, and billing should continue. VAPHS will not place holds for less than 1 day, or more than 7 days. Only assigned nursing personnel or assigned administrative personnel can order specialty equipment and place holds either by telephone or online ordering. Upon discharge of patient, or when no longer needed; the same assigned personnel are to call contractor for pick-up of used medical deliverable. 2.2 DELIVERABLES: Charges begin to incur when the deliverable is delivered on-site and charges end when the contractor is called for deliverable to be picked-up. The full day charge may not apply if the bed was not in possession for the entire period. Charges may incur for only one bed per patient at a time regardless if the contractor leaves their equipment on-site. The services to be performed by the Contractor will be monitored by the Contracting Officer Representative (COR). 3. CONTRACTOR RESPONSIBILITIES/TRAINING REQUIREMENTS 3.1 TRAINING/SECURITY: The Contractor shall remove any employee from the performance of this contract within five (5) workdays of receiving notice from the Contracting Officer that the employee's performance is unsatisfactory. All Contractor employees are subject to immediate removal from performance of this contract when they are involved in a violation of the law, VA security, confidentiality requirements and/or other disciplinary reasons. Contractor employees are required to complete the online training classes within TMS entitled: VA Privacy and Information Security Awareness and Rules of Behavior course number VA 10176 HIPAA and Privacy Training course number VA 10203. Other training may be added or deleted as policies and guidance from higher authority is received. A Certificate of successful completion will be generated for each course. Copies of the certificates shall be maintained by the vendor and can be obtained from the COR; if the contract employee cannot print them. Completion of these training courses is required on an annual basis based on the VA s fiscal year. Contractor employees are required to have a VA issued ID (PIV Card) to receive access to VAPHS facilities. To receive a VA issued ID (PIV card) contract employees will be fingerprinted and scheduled for photo and issuance of the card. 3.2 TRAINING OF CLINICAL STAFF: will be required if vendor product is selected with hands-on and e-learning modalities on the following topics: Installation and set-up of each placement. Patient transfer assistance at time of placement. Disinfecting and cleaning between each placement and periodic cleaning as needed. Ongoing user training and in-servicing as needed. Pre-installation maintenance and electrical safety checks between each patient use. Clinical staff to help to: recommend the right frames and surfaces in all areas of patient care create discharge and ICU transfer protocols to reduce readmission rates participate in clinical rounds when requested. DELIVERABLES and SPECIFICATIONS: Air fluidized therapy bed assembly with low air loss therapy to prevent and treat pressure injuries that specifically targets the sacrum, ischium, trochanter and heels were wounds are likely to occur. Bed must effectively manage pressure distribution for patients who have had surgical repair, a raiseable headrest to promote respiratory health, climate management, and pulsation to increase blood flow to tissue. Specifications: Low Position: Deck to Floor.9 High Position: Deck to Floor.30.75 Pressure Sensor Technology Weight Capacity: 600 lbs. Width: 35 Length: 80 Pulsation with adjustable Cycle times Low pressure and power failure alarms CPR emergency Feature Waterproof, vapor permeable Low High adjustment for mobility Accessory to assist in repositioning/transfers Total bed weight with microspheres, empty: 1250 lbs. Temperature range: 82 to 102 degrees F Therapeutic Patient Weight Limit: 350 lbs. Optional trapeze Bariatric bed for larger patients who are mobile and get in & out of bed frequently. Bed must meet the following: Specifications: Low Position: Deck to Floor 15 High Position: Deck to Floor.30 Pressure Sensor Technology Open Side rails Low working deck height Hand controls for the patient Cardiac Chair positioning Weight Capacity: 750 lbs. Width: 39 -48 Length: 80 or 86 Scale Protocol timer Repositioning assistance Expandable deck Pulsation with adjustable Cycle times Low pressure and power failure alarms CPR emergency Feature Waterproof, vapor permeable Low High adjustment for mobility Accessory to assist in repositioning/transfers Temperature range: 82 to 102 degrees F Therapeutic Patient Weight Limit: 350 lbs. Optional trapeze Powered transport ability Four-wheel braking and brakes lock both rolling and swiveling Touch screen Graphic Caregiver Interface panel to operate scale, bed exit, etc.) Maximum overall width: 44.5" Maximum overall length: 81.5"-93.5" Power requirements: 120v, 60 cycles AC, fuse: 15A, Max current: 9.9A Point-of-Care® side rail controls Head-of-Bed alarms (30°/45°) Head and Trendelenburg angle indicators: Head section: 0-65 degrees; knee Bed exit Alarm Battery backup In-bed scale within 1% of patient weight accuracy from any position Radiolucent sleep deck Flex foot mechanism ALE Patient helper trapeze, floor to top: 81.5 Bariatric bed for wide patients with fall risk. Must also show documentation of risk prevention and treatment benefits through stage IV pressure ulcers meeting the following: Specifications. Low Position: Deck to Floor 7.5 High Position: Deck to Floor 30.75 Weight compacity: 850lbs Pressure redistribution air surface Microclimate technology surface Transport in high or low position Touch button adjustable pulsation and percussion vibration surface Intellidrive powered transport ability Four-wheel braking and brakes lock both rolling and swiveling Turn Assist uses the bed's pressure redistribution surface to turn the patient Touch screen Graphic Caregiver Interface panel to operate scale, bed exit, etc. Low position: sleep deck to the floor: 7.5" High position: sleep deck to the floor: 38" Maximum overall width: 44.5" Maximum overall length: 81.5"-93.5" Patient weight capacity: at least 500 lbs. CLRT, tilt table position, Full Chair position, chair egress with stand assist, patient lifts or bariatric accessories enable walking support Sleeping surface: 7.5 Point-of-Care® side rail controls Head-of-Bed alarms Head and Trendelenburg angle indicators: Head section: 0-65 degrees; knee gatch: 0-20 degrees; max trend/reverse trend: 15/15 degrees. Chair position (Head-Seat-Foot-Thigh): 50-65 degrees, 0-20 degrees, 0-10 degrees, 10 degrees and Egress position (Head-Seat-Foot-Thigh): 65-75 degrees, 0-10 Bed exit Battery backup In-bed scale within 1% of patient weight accuracy from any position Radiolucent sleep deck Flex foot mechanism ALE Patient helper trapeze, floor to top: 81.5 Optional low air loss surface with turn assist 4.4 Bariatric bed for extra wide patients that facilitates progressive mobility by converting from bed to cardiac chair position with pulmonary functions meeting the following: Specifications: Low position: sleep deck to the floor: 9 High position: sleep deck to the floor: 30" Pressure redistribution air surface Microclimate technology surface Intellidrive powered transport ability Four-wheel braking and brakes lock both rolling and swiveling Turn Assist uses the bed's pressure redistribution surface to turn the patient Touch screen Graphic Caregiver Interface Maximum overall width: 44.5" Maximum overall length: 81.5"-93.5" Patient weight capacity: 1000 lbs. lifts or bariatric accessories enable walking support Sleeping surface: Low air loss with CLRT continuous lateral rotation therapy and P&V- percussion and vibration modules Power requirements: 120v, 60 cycles AC, fuse: 15A, Max current: 9.9A Point-of-Care® side rail controls Head-of-Bed alarms (30°/45°) Head and Trendelenburg angle indicators: Head section: 0-65 degrees; knee gatch: 0-20 degrees; max trend/reverse trend: 15/15 degrees. Chair position (Head-Seat-Foot-Thigh): 50-65 degrees, 0-20 degrees, 0-10 degrees, 10 degrees and Egress position (Head-Seat-Foot-Thigh): 65-75 degrees, 0-10 degrees, 70-85 degrees, 10 degrees Bed exit Battery backup In-bed scale within 1% of patient weight accuracy from any position Radiolucent sleep deck Flex foot mechanism ALE Patient helper trapeze, floor to top: 81.5 Optional wearable patient pendant Optional low air loss surface with turn assist 4.5 Therapy bed to facilitate progressive mobility by converting from bed to cardiac chair position and has pulmonary functions: Surface width 35 Deck Height 9 Weight compacity: 600lbs Continuous Lateral Rotation Therapy PI Prevention/Treatment Cardiac Chair positioning 40 degrees or more rotation Low air loss 1740 Liters of air per minute Assist in wound Management Pressure redistribution Mechanical percussion and vibration for the immobile patient Ability for Nursing staff to adjust the degree of pressure Percussion and Vibration Therapy, including postural setting options Weight based pressure redistribution in any bed position Point-Of-Care siderail controls with Graphical Caregiver Interface feature. Digital Head of bed angle indicator and alarm 3 mode bed exit sensor with alarm silence and alarm suspend modes One-button Boost patient repositioning support Turn assist Optional IntelliDrive powered transport Flex-A-foot electrical bed retraction and extension Hands Free emergency CPR and Trendelenburg History data on patient weight, head of bed elevation, chair position, and pulmonary therapies Therapy reminder Safety stop and alarm for pulmonary therapies when side rails are down Overall length: Flex-A-foot fully retracted: 81.5 Overall length: Flex-A-foot fully extended: 93.0 Overall Width: 38.0 side rails stowed Overall Width: 40 side rails up Height from floor to top of deck Minimum: 9 Maximum: 30 (92.7 cm) Trendelenburg/Reverse Trendelenburg: 15°/15° Safe working load: 550lbs. Max Patient weight for Mattress: 1000 lbs. 4.6 Bariatric bed with Micro-Climate Management surface for bariatric patients who have pulmonary problems meeting the following: Specifications: Continuous Lateral Rotation Therapy Advanced Microclimate Management technology Percussion and Vibration Therapy, including postural setting options Weight based pressure redistribution in any bed position Point-Of-Care side rail controls with Graphical Caregiver Interface feature. Digital Head of bed angle indicator and alarm 3 mode bed exit sensor with alarm silence and alarm suspend modes Full Chair and chair egress with stand assist One-button Boost patient repositioning support Turn assist Optional IntelliDrive powered transport Flex-A-foot electrical bed retraction and extension Hands Free emergency CPR and Trendelenburg History data on patient weight, head of bed elevation, chair position, and pulmonary therapies Therapy reminders Safety stop and alarm for pulmonary therapies when side rails are down Overall length: Flex-A-foot fully retracted: 81.5 Overall length: Flex-A-foot fully extended: 93.0 Overall Width: 38.0 side rails stowed Overall Width: 40 side rails up Height from floor to top of deck Minimum: 15 Maximum: 36.5 Minimum under-bed clearance: 3.25 for 5 diameter casters, 4.75 (121.0 mm) for 6 diameter casters, 1.75 (Under the IntelliDriveTM System unit only) Trendelenburg/Reverse Trendelenburg: 15°/15° Max Head elevation: 75° Safe working load: 550 lbs. (249 kg) Max Patient weight for SpO2RT Mattress: 500 lbs. 4.7 Bariatric wheelchair for large patients meeting the following specifications: Swing-away, elevating leg rests allow for easier patient ingress and egress: Seat width: 30 Seat depth: 20 Maximum recommended weight capacity: 750 lbs. Anti-tip mechanism helps prevent the chair from tipping backwards Adjustable width leg supports to better accommodate patient size Attached IV pole and rear push bar let caregivers transport patients more efficiently Full-length removable, height-adjustable arm rests Metal mag-style 24 rear wheels and semi-pneumatic 8 x 2 front caster wheels help provide dependable support for mobility 4.8 Bracket unit for use with the trapeze. PH bracket unit is used for the beds while using the trapeze. NUMBER OF PATIENTS: VAPHS: University Drive and H.J. Heinz divisions averages yearly: 2,378 Air Fluidized Therapy beds 1,662 Bariatric Bed with air surface 600 Bariatric Bed with air and pulmonary surface 200 Bariatric Bed for use in ICU patients 1,719 Bariatric Bed with Micro-Climate Management surface 75 Bariatric wheelchairs 75 Bariatric shower/commode chairs 200 trapeze that work with all the beds mentioned above. These Beds and other supplies are ordered per-Veteran patient on an as-needed basis. The following two Units utilize the beds and equipment with various numbers of rented per unit, depending on the veteran s needs for the following areas: University Drive Units: OR, ED, MICU, CCU, 4W, 5W,6W, Consolidation Building, and SDU H.J. Heinz Units: Ground South, 1N, 1S, 2A, 2B, & 3A ORDERS: Request for services will be made by telephone or via internet by the Enterostomal Therapy Nurse, Patient Care Coordinator or nursing unit management teams. The contractor will be informed what commodity is needed (per the contract line items), what room and location it is going to be used in, name of Veteran, and when it is needed. The Contractor s employee will report to the unit nurse on duty but not before checking into the VA police department upon arrival. The commodity will be placed in the Veteran s room under the direction of nursing. The contractor will leave a delivery ticket with the unit nurse and the billing will begin once the beds or other items are in the room and in use. Whenever the bed or other commodity is no longer needed for Veteran, the Contractor will be notified to pick up the bed. Billing will stop at the time the Contractor is contacted that the bed or other commodity is no longer needed. Invoices shall be certified by the Certifying Official. Payment will be made upon certification of invoice. Invoicing will be submitted monthly in-arrears. All invoices from the contractor shall be submitted electronically through Tungsten Network.