ADDENDUM NUMBER SIX
THE UNIVERSITY OF NEW MEXICO HOSPITALS
Purchasing Department
933 Bradbury Dr. SE Ste 3165
Albuquerque, New Mexico 87106
Date: December 12, 2013
Proposal Number: P271-13
Name of Procurement Specialist: Ed Ybarra
Due Date: November 19, 2013 @ 2:00 pm MDT
Addendum # 6: See Below
Notice to all respondents:
Amend the Proposal: BBRP Operating Room Integration
This addendum becomes part of the Proposal Documents and modifies, as noted below, the
original Bidding Documents.
Question 1: 3.2.24 & 3.2.25, page 12. Please provide more detailed information such as specific
sections/standards to comply.
Response to Question 1: 3.2.24 – The Offeror needs to comply with HITECH NIST standards.
3.2.25 – Does your company ensure user role based access controls?
Question 2: 3.3.8, page 12. KVM allowing up to 3 external computers to be controlled through
integration touch panel.
Question 2.1: Has the number of computers been determined to integrate into the AV
system?
Response to Question 2.1: We still are currently requiring 3 external computers per OR
Room with clarification.
1) There was discussion regarding how some OR Rooms had 1 UNM Hospital PC
Terminal and some had 2 in the OR Room. UNM Hospitals requires the ability to
have “2” IT PC Terminals for each OR Room.
2) We do require the other “1” PACS PC to be the remaining 3rd PC Terminal with
connectivity to Integration. At this time however, UNM Hospitals intent is to
continue use of roll-around cart, this may change depending on physical limitations.
3) UNM Hospitals Physicians may require the ability to view the “2” IT PC Terminals
on the Integration. It is also important to understand that these terminals will require
dual operation at same time. So the Mouse & Keyboard functions will be required to
control each PC Terminal simultaneously
4) UNM Hospitals has no intention at this time to have the Cerner Surginet terminal
located on the Anesthesia machine to be connected to Integration.
5) UNM Hospitals has no intention of having the WOW PC Terminal on roll-around
cart connected to Integration.
6) UNM Hospitals does intend to have the “2” IT PC Terminals be located on wall with
Integration hardware. Mouse & Keyboard will be required next to Integration
Controller.
7) UNM Hospitals will require the opportunity to add/move the PACS PC Terminal at a
later date if we determine need, with the Mouse & Keyboard next to the Integration
Controller.
8) UNM Hospitals uses Intel as our standard PC Terminal throughout the campus and
have many different models throughout. At this time our current standard model is the
Optiplex 7010 (Small Form Factor SFF) 11.4”H x 3.7”W x 12.3”D. UNM Hospitals
utilizes the built in 2 Display Ports for slave monitors. Please refer to Dell Website
spec’s for any additional information required.
Question 2.2: Can all of these computers be located in the AV rack in the CV OR pump
equipment room order to reduce clutter?
Response to Question 2.2 – If Vendor determines run distance no conflict, yes. If
Vendor cannot have required connectivity based on run length, we choose the wall
mounted area in OR Room with Integration Hardware location (please also refer to
answers in Question 2.1, 6 & 7.
Question 2.3: Are you planning on having a separate monitor and keyboard for the
PACS PC next to the nurse touch panel?
Response to Question 2.3 – Please refer to answers in Question 2.1, 2 & 7.
Question 2.4. What are the dimensions of your computers to determine space in the
rack?
Response to Question 2.4: - Please refer to answer in Question 2.1, 8.
Question 2.5: What type of video outputs and how many video outputs are there per
computer in order to use output?
Response to Question 2.5: - Please refer to answer in Question 2.1, 8.
Question 3: To reduce nurse desk clutter, can printers be shared outside of the rooms or all
printers located outside the room? Do the surgeons take pictures often?
Response to Question 3: - UNM Hospitals will utilize shared Printer at OR Nurse Desk,
Vendors shall provide on options a price for 1 back-up Printer for back-up.
Question 4: 3.3.5 & 3.3.9, page 12. Various video connect input points located throughout the
room that are capable of handling all signal types for mobile equipment. What is the total
quantity necessary for complete flexibility and future devices.
Response to Question 4: - As stated in on-site review visits, UNM Hospitals is requiring the
experience and recommendations from the Vendors to provide best solution now and future.
Future recommendations should be addressed in options section of response.
Question 4.1: On equipment boom there is endoscopic camera input connect point.
I believe anesthesia vitals will be requested to be integrated and displayed? At least one
connect point. Would you request that the anesthesia/power boom at the foot of the bed
have input connect point?
Response to Question 4.1: - Yes, and we require best solution from Vendors based on
their own requirements.
Question 4.2: 4 connect points throughout for versatility plus equipment boom camera
connect and anesthesia vitals connect = 6. * Vendors may reduce the number of
universal/multiple signal connect points throughout the room due to their added costs and
limited input/output router, so will a specified amount of universal/multiple signal
connect points be stated in order for to keep proposals equal?
Response to Question 4.2: - Understood, UNM Hospitals recommends the Vendor to
represent best solution based on their product offering. To maintain equal scoring of
Vendors responses, UNM Hospitals highly recommends including all connect options in
the Options section of response, by following this recommendation, UNM Hospitals will
have the required information to compare and score equally.
Question 5: 3.3.35 -37, page 14. Cerner Careware iBus connectivity. These questions are
difficult to establish exactly what modules and pricing would be required without sufficiently
researching and continuous communications with the Cerner vendor as well as determining what
specifically the hospital requires and how many modules. We have extremely talented engineers
that have successfully integrated with various EMR systems such as EPIC, MediTech.. and we
are very confident we can meet the needs of UNMH. Presently, we have not integrated with
Cerner but we have been awarded 48 integrated rooms at UAB Hospital, a nationally ranked
teaching hospital, where a requirement is to integrate Cerner. This developmental process will
begin shortly.
Response to Question 5: - Clarification, UNM Hospitals currently owns CareAware Multimedia
module, which is a multimedia storage functionality. For the ability to have OR Integration
interface to Cerner Power Chart (EMR) and the ability to interface (ADT) with Cerner Surginet,
the current Cerner solution is CareAware MultiMedia Endoscopy Imaging, at which time UNM
Hospitals currently doesn’t own.
Vendors will be required to demonstrate the ability to interface with Cerner CareAware
MutliMedia Endoscopy Imaging or Cerner equivalent to enable multi-media to be placed into
Cerner Power Chart and to receive information from the required demographics.
If Vendor has established relationship with Cerner for the above, Vendors will be allowed to
provide quotation on response options section for these solutions.
Vendors will also be required to identify any other interface requirements/programming not
provided by Cerner or Integration Vendor that will require UNM Hospitals IT staff to perform or
implement.
Question 6: 3.3.49, page 15. Live video & Audio Streaming Conferencing System (Pathology).
Can the equipment requirements be defined? I will propose a basic bi-directional
communications system between pathology and the OR. The pathology image capture and
sharing can be managed identically how we manage image captures from the OR for image
storage. Possible equipment requirements? Bi-directional AV router, audio, image capture,
streaming and conferencing, telestration software for drawing and annotation of specimen,
grossing station HD dome camera...
Response to Question 6: Vendor should provide remote terminal access solutions for the
Pathology use. UNM Hospitals is currently only interested for access to real-time AV that is
available in the integrated OR Room for Pathology and we understand the video options will be
limited to only devices we provide that are connected.
Question 7: During the walk through a question was asked in regards to the input/output
requirement listed in the scope of work in the RFP. Currently the RFP calls for a 16 input/16
output capability. However, during the walk through we asked if we could provide a solution
that would allow for 8 inputs and 7 outputs. This would exceed the capability required currently
and allow room for the OR to grow. Can you confirm that this is acceptable? Please let me know
when you have a moment.
Response to Question 7: It is acceptable.
Question 8: Section 4.16 TAXES: Is the appropriate Gross Receipts Tax Rate for services 5%?
Response to Question 8: The NM Gross Receipts tax schedule effective July 31, 2013 through
December 31, 2013 listed Albuquerque at 7.0.
Question 9: Exhibit D INSURANCE REQUIREMENTS: Is an acceptable Certificate of
Insurance Form ACORD25 (2010/05)?
Response to Question 9: Please submit for UNMH’s consideration.
Question 10: I do have an additional question regarding Service and Warranty. Is there a stated
number of years that UNMH is requesting be covered under Service and Warranty or is the RFP
asking for the Vendor to list what their Service and Warranty is PLUS what the additional costs
would be per year?
Response to Question 10: UNM Hospitals is anticipating a 1 year warranty period from
Vendor offerings. We also are anticipating each Vendor to provide multiple year service &
technical support contracts along with options to include variable service coverage options,
such as partnership, parts only, and full service. The greater amount of options for varying
levels to choose from is always an added value.
Note 1: Need confirmation on work schedule. Will it be 7pm – 4:00 am Weeknights or 1 room
closed every six days to work on?
Answer to Note 1: UNM Hospitals has chosen to close room down consecutive days in effort to
complete installation quicker. All installation activities that produce noise must be limited to
7:00 PM through 6:00 AM. At ANY time, if Pediatric OR Charge Nurse requests work to stop as
result of unsafe noise or environment, install members will be required to comply (no
exceptions).
The schedule for the construction scope required by awarded Vendor, will be determined with
UNM Hospitals management, Contractor(s), and the awarded Vendor
Note 2: UNM did not buy Cerner Camm nor have an interface for it. Explain how your
company can provided the services without UNMH buying the Cerner Camm.
Answer to Note 2: Clarification, UNM Hospitals currently owns CareAware Multimedia
module, which is a multimedia storage functionality. For the ability to have OR Integration
interface to Cerner Power Chart (EMR) and the ability to interface (ADT) with Cerner Surginet,
the current Cerner solution is CareAware MultiMedia Endoscopy Imaging, at which time UNM
Hospitals currently doesn’t own.
Vendors will be required to demonstrate the ability to interface with Cerner CareAware
MutliMedia Endoscopy Imaging or Cerner equivalent to enable multi-media to be placed into
Cerner Power Chart and to receive information from the required demographics.
If Vendor has established relationship with Cerner for the above, Vendors will be allowed to
provide quotation on response options section for these solutions.
Vendors will also be required to identify any other interface requirements/programming not
provided by Cerner or Integration Vendor that will require UNM Hospitals IT staff to perform or
implement.
Note 3: Need confirmation on whether the printers can be centralized?
Answer to Note 3: UNM Hospitals will utilize shared Printer at OR Nurse Desk, Vendors shall
provide on options a price for 1 back-up Printer for back-up.
Note 4: You may use wall space but please keep in the height of the items on the wall mount
has to be at least 2 feet below from the ceiling.
Answer to Note 4: Yes, fire safety compliance requires
Note 5: For the large monitor for OR 6, please consider two monitors.
Answer to Note 5: Yes, this will be acceptable
Note 6: Need confirmation on whether we can remove all the cows.
Answer to Note 6: At this time, UNM Hospitals is not intending to remove the WOW rollaround PC terminals.
Note 7: Need conformation on networks that need to be included in the video integration.
Answer to Note 7: Question/note cannot be answered due to lack of definition of “networks”
Note 8: It is important to reduce the use of the Sony – UP51D.
Answer to Note 8: Yes
Note 9: UNMH conducted a secondary NON-MANDATORY pre-proposal conference a to
address process, conduct a site survey, and questions regarding this RFP at 7:00 pm on
Wednesday, November 6, 2013, at BBRP 2211 Lomas Blvd NE Albuquerque, NM 87106 in
room 5600. The following companies were represented.
Company Name
Company Representative
Image Stream Medical
Stryker
Black Diamond Video
Dax Rossini
Brad Wilson
John Mortarotti
Note 10: If your company has already submitted a response to this RFP prior to this addendum
been released, you may submit any changes to your response that may now be required.
Acknowledge receipt of this Addendum in the space provided in Exhibit A. 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.