ADDENDUM NUMBER THREE THE UNIVERSITY OF NEW MEXICO HOSPITALS Purchasing Department 933 Bradbury Dr. SE Ste 3165 Albuquerque, New Mexico 87106 Date: 3/3/15 Proposal Number: P317-15 Name of Procurement Specialist: Ed Ybarra Due Date: 3/17/15 @ 2:00 pm MDT Notice to all respondents: Amend the Proposal: UNMH Cardiac Monitoring Acquisition Archiving & Alarm Monitoring This addendum becomes part of the Proposal Documents and modifies, as noted below, the original Bidding Documents. Question 1: Clarification required for the Scope of Work listed under 1.1 on Page 3 of RFP P317-15: Monitor counts in UNM Hospitals have been provided, what is the count required for Requirement #1 vs Requirement #2 as stated in Scope of Work 1.1? UNMH Response to Question 1 Requirement # 1: Disclosure that exceeds current 72 Hour Full Disclosure is required on "91" Monitors selectable by UNM Hospitals and moved as required. Requirement # 1 is only for Research purposes to improve/anticipate better outcomes to our Cardiac Monitored Patients. Solution will require access to the GE Unity Network directly and the ability to select from any Cardiac Monitors that reside on the GE Unity Network. This also includes future Networks that UNM Hospitals may utilize, please provide other Vendors Platforms your Company can interface with. This Requirement only includes UNM Hospitals departments and not UNM Sandoval Regional Medical Center located in Rio Rancho, NM. UNMH Response to Question 2 Requirement # 2: Alarm Tracking & Assessment includes all current and future Cardiac & Fetal Monitors that reside on either the GE Unity Network and/or the GE Centricity Network. This also includes future Networks that UNM Hospitals may utilize, please provide other Vendors Platforms your Company can interface with. Our current and future Patient Monitoring & Fetal Monitoring count will reach just over 700 Monitors. This Requirement only includes UNM Hospitals departments and not UNM Sandoval Regional Medical Center located in Rio Rancho, NM. Question 2: In the Reason for Purchase section in section 1.1, page 3 of the RFP(P317-15), it indicates the RFP is in response to The Joint Commissions adoption of NPSG.06.01.01 where it requires critical access hospitals to make improvements to ensure that alarms on medical equipment are heard and responded to on time. However, the issue of alarm management to address this purpose is not reflected in the two requirements illustrated in Section 1.1 – Page 3 Scope of Work. Are there any technical requirements specific to alarm management? UNMH Response to Question 2: The 2 requirements do address Alarm Management with our current Patient Monitoring networks for area of assessment. Question 3: Is UNMH looking for a solution that acts as a storage system or repository for waveforms, vital signs and other clinical information with more than full 72hr full disclosure as an adjunct to the current GE System, what is the storage capacity being sought? If not will GE release waveform images and video files for access by all vendor systems and store these waveform files for more than 72hrs for disclosure purposes UNMH Response to Question 3: One of the requirements is intended to have additional disclosure than current 72 Hour Disclosure, this is not to replace (rather enhance/Research) our current GE 72 Hour Disclosure. Vendor's shall provide storage capacity options they can currently provide. The scope within the RFP stated that Vendor will have to include technology that allows for direct connectivity to existing GE Monitoring Networks. Question 4: 1.1. Scope of Work. Are the following monitors part of this RFP or will they be added at some later time? In addition, we have 31 Fetal Monitors all connecting to the GE Centricity Network. We also have the capability of 24 GE Telemetry APEX Pro transmitters; we are anticipating additional growth to our Telemetry count. UNMH Response to Question 4: Vendor's shall provide solutions currently available to current and future Products in use at UNM Hospitals. Question 5: 3.3.1 Requirement 1. Vendor needs to provide connectivity direct to GE Unity Network, we currently utilize auxiliary connection points on our Monitors to feed our Cerner CareAware iBus network. Please confirm that UNMH prefers a direct integration from our Alarm Management solution to GE. We can do this and will not require integration to Cerner’s iBus UNMH Response to Question 5: Vendor's solution requires direct Network access to current and future, requires nuetral OEM dependency. Question 6: 3.3.12 Installation and Implementation End user training determine by DAL and CAL licenses purchased. What does DAL and CAL licenses refer to? UNMH Response to Question 6: Item 3.3.12 is deleted in its entirety. Question 7: 4.7 Security Plan. The successful Awardee may be required to complete the UNMHs Information Security Plan Information. Is the Security Plan to be completed at the time of RFP submission, or is this document for information and to be completed once the selection is made UNMH Response to Question 7: This document is to be completed once the selection is made. Question 8: Period of Contract. Please confirm that submitted pricing will be valid for 3 years from the award of the contract. UNMH Response to Question 8: It is UNMH intent to enter into a 3 year contract. Question 9: Please confirm that the alarm notification solution will be utilizing Smartphones and if they will be provided by vendor or UNMH. UNMH Response to Question 9: Vendor shall provide all available options. Question 10: What is the preferred Smartphone manufacturer/OS? UNMH Response to Question 10: Vendor shall provide all current offerings they can interface to, also provide for UNM Hospitals for review in the appropriate "Options" section of RFP Response. Question 11: Will the Smartphones be shared by staff and if so how will this be accomplished? What is the quantity if provided by our company? UNMH Response to Question 11: UNM Hospitals will select "Best Practice" at a later date to be determined. Please provide your preferred Tier level offerings (for quantity) in appropriate "Options" section of RFP Response. Question 12: Our company will conduct an onsite readiness assessment and we require the square footage of hospital. UNMH Response to Question 12: Unable to provide this information at this time. This information may be provided and discussed with the selected vendor. Question 13: What are the # of beds that will utilize the solution? UNMH Response to question 13: 700+ Question 14: What is the current process that you are using to conduct alarm management: overhead paging, telemetry techs? UNMH Response to Question 14: Dedicated Tech's/Nurses at Centrals, and 1 Centralized Monitoring Room for 161 Monitors, 8 SAC Departments Question 15: Who is your current middleware provider(s)? UNMH Response to Question 15: Question cannot be addressed without additional detail. Patient Monitoring Networks have been identified. Cerner is our EHR Provider and is running iBus. Question 16: What are the names of the units that you will be deploying the solution to? UNMH Response to Question 16: Not required for purposes of Response. This information may be provided and discussed with the selected vendor. Question 17: Will the solution be deployed in phases, if so describe how and when you anticipate rolling out the solution? UNMH Response to Question 17: Not required for purposes of Response. This information may be provided and discussed with the selected vendor. Question 18: What are the # of end users to be trained for each unit? What percentage requires training during nights or weekends? UNMH Response to Question 18: UNM Hospitals will review "Best Practice" at later date following selection of Vendor. Recommend Vendor to provide their different offerings in the "Options" section of RFP Response. UNM Hospitals has 3 Adult ICU Departments (72 Beds), 1 Pediatric ICU, (16 Beds), 3 Newborn ICU Depts. (62 Beds, possible growth of 10), 14 Adult SAC Departments (249 Beds, possible growth of 4), 3 Pediatric SAC Departments (77 Beds), 3 OR PACU Depts. (72 Beds), 1 Adult ED (71 Beds, 7 Trauma), Ped's ED (14 Beds), 2 GI Procedure & Pre & Post Depts. (31 Beds), Radiology Interventional (7 Beds), Cardiac Cath Lab (8 Beds), our In-Patient departments work a 7 to 7 shift x2 each 24 hour period. Question 19: # of trainers to be trained? # of web console users to be trained? # of system administrators to be trained? (Note: End user class sizes are 6/class and we conduct 7/day) UNMH Response to Question 19: UNM Hospitals will review "Best Practice" at later date following selection of Vendor. Recommend Vendor to provide their different offerings in the "Options" section of RFP Response. UNM Hospitals has 3 Adult ICU Departments (72 Beds), 1 Pediatric ICU, (16 Beds), 3 Newborn ICU Depts. (62 Beds, possible growth of 10), 14 Adult SAC Departments (249 Beds, possible growth of 4), 3 Pediatric SAC Departments (77 Beds), 3 OR PACU Depts. (72 Beds), 1 Adult ED (71 Beds, 7 Trauma), Ped's ED (14 Beds), 2 GI Procedure & Pre & Post Depts. (31 Beds), Radiology Interventional (7 Beds), Cardiac Cath Lab (8 Beds), our In-Patient departments work a 7 to 7 shift x2 each 24 hour period. Question 20: What mechanism will UNMH use to assign nurses to specific beds and how will these assignments be updated from shift to shift and over time? Our company can provide this as part of our solution. UNMH Response to Question 20: UNM Hospitals utilize BedTracker. For Alarm Tracking on Cardiac, Telemetry, Fetal Patient Monitoring, the "intent" for this product/requirement is to evaluate and assess this area of (Alarm) coverage only, not all Clinical alarms. Question 21: 3.2.21 What does AV refer to in this question: Provide information on how the system is patched, updated and does it support AV? UNMH Response to Question 21: Section 3.2.21 is deleted in its entirety. Question 22: Does UNMH require redundancy in for this solution? UNMH Response to Question 22: information/detail regarding question. Unable to provide a response without additional Question 27: Is UNMH looking for a solution for full disclosure of alarm management information (e.g.: number of alarm occurrences, duration of alarm, timestamps, etc.)? UNMH Response to Question 27: Monitoring Networks. Yes, for current and future Cardiac & Fetal Patient Question 28: According to Section 1.1 of the RFP(P317-15), UNMH has a total of 852 Patient Monitors: 70 off network, 31 fetal monitors, and 24 Telemetry packs. How many GE Gateways are being used with the UNMH facility including all standalone GE networks? UNMH Response to Question 28: Two, UNM Hospital currently has the GE Unity Network (Cardiac) and the GE Centricity (Fetal) Networks in place Acknowledge receipt of this Addendum in the space provided in Exhibit B. Failure to do so may subject Offeror to disqualification. All other provisions of the Proposal Documents shall remain unchanged. This addendum is hereby made a part of the Proposal Documents to the same extent as those provisions contained in the original documents and all itemized listing thereof.