VISN Teleradiology Staffing Services - **Please convert the 21 specialized teleradiology scans on pages 21 thru 23 into FTE hours** This is not a Request for Quote.

PERFORMANCE WORK STATEMENT (PWS) Department of Veterans Affairs Teleradiology Staffing Services SECTION 1 PURPOSE AND BACKGROUND 1.1 Purpose This Performance Work Statement (PWS) establishes the requirements for teleradiology interpretation services to support STAT and routine priority imaging studies at Department of Veterans Affairs (VA) medical facilities. Based on a 12-month analysis of 17,278 STAT priority imaging studies across five VA facilities (June 2025 May 2026), 41.2% of STAT examinations failed to meet required timeliness standards, representing a significant patient safety and care quality risk. The Government requires a qualified contractor to provide licensed radiologist interpretation staffing services during identified high-risk coverage periods to reduce late reporting rates and ensure Veterans receive timely diagnostic care. 1.1 Background Physician personnel shortages and turnover in the Diagnostic Radiology Services at the covered VA medical facilities have created a significant need for additional professional diagnostic radiology interpretive capacity to ensure that both routine and emergent radiology imaging examinations are always available to Veterans. Contracted teleradiologists will provide final radiology interpretations for exams performed during off tours, and in some cases for exams performed during routine tours when other radiologist services are not available or insufficient to meet clinical demand. The use of teleradiology outsourcing provides a highly cost-effective and expeditious alternative to meet ongoing needs across the covered facilities. Data analysis of STAT imaging volume and timeliness identified three critical coverage gaps: Weekday Overnight Gap (Monday Friday, 8:00 PM 7:30 AM): STAT late rates range from 22% to 60% during overnight hours, with volumes averaging 2 10 studies per overnight shift per facility. Weekend Gap (All Day Saturday and Sunday): Saturday and Sunday represent the highest-volume and worst-performing periods, with late rates reaching 63.6% and average STAT volumes of up to 33 studies per day across facilities. Federal Holiday Gap: Federal holidays represent near-complete coverage failures, with late rates of 75 100% on holidays such as Presidents' Day, MLK Day, Labor Day, and New Year's Day across most covered facilities. The covered facilities use electronic image and health record management and distribution systems including CPRS, VistA Imaging, Philips Intellispace PACS, and Nuance PowerScribe. Contractors with prior experience connecting to VISN 4 radiology systems are preferred. 1.3 Covered Facilities The following VA medical facilities are covered under this contract: Facility Address Altoona VAMC 2907 Pleasant Valley Boulevard, Altoona, PA 16602 Erie VAMC 135 East 38th Street, Erie, PA 16504 Lebanon VAMC 1700 South Lincoln Avenue, Lebanon, PA 17042 Philadelphia VAMC 3900 Woodland Avenue, Philadelphia, PA 19805 Pittsburgh VAMC 4100 Aliquippa Street, Pittsburgh, PA 15240I was in touch with the CO, Erik Whitaker and CS, David Santiago who will be working on this package and is the current CO/CS for Pitt s current contract. They both confirmed that if we added Pitt and Phila into the PWS, they can order off the contract at a later date and it won t be considered out of scope . Wilmington VAMC 1601 Kirkwood Highway, Wilmington, DE 19805 Wilkes-Barre VAMC 1111 East End Boulevard, Wilkes-Barre, PA 18711 * Philadelphia VAMC and Pittsburgh VAMC are not currently placing orders under this contract. However, the awarded vendor must be able to fulfill future orders from these facilities if requested. 1.4 Period of Performance The estimated Period of Performance (POP) for this 5-year contract is from December 31, 2026, to December 30, 2031. SECTION 2 SCOPE OF WORK 2.1 General Scope The Contractor shall provide professional teleradiology staffing services for diagnostic radiology imaging examinations performed at the covered VA medical facilities. Contract services will include off-campus image interpretation via a secure network connection to VA informatics systems, and as needed, providing advice by telephone to clinical providers and radiology technologists regarding protocols or for clarifying questions about radiology exams. The Contractor shall comply with each facility's policies related to reporting of examinations, use of diagnostic codes, and communication of results. The Contractor must be a U.S.-based corporation capable of final interpretation and reporting services via a secure teleradiology network. All services SHALL be performed within the territorial borders of the United States. Contracting to radiologists outside of the territories of the USA is prohibited. The Contractor shall provide all professional personnel and technical support, medical and other equipment, telecommunications, supplies, and supervision necessary to perform, implement, and administer teleradiology services to meet the specific medical needs of the covered facilities. The Contractor is responsible for all Contractor personnel, subcontractors, agents, and anyone acting for or on behalf of the Contractor. 2.2 Modalities Covered The Contractor shall provide interpretation services for the following imaging modalities, which may include imaging of the head, neck, chest, abdomen, pelvis, and extremities: Modality Description Priority Facilities CT / CTA Computed Tomography / CT Angiography All facilities highest volume and highest late rate CR / XR Computed/Digital Radiography (plain film) All facilities high weekend/holiday volume DX Digital Radiography All facilities second-highest volume overall MR / MRA Magnetic Resonance Imaging / MR Angiography Wilkes-Barre, Altoona (limited volumes) US Ultrasound Wilmington, Wilkes-Barre, Altoona, Erie, Pittsburgh (limited volumes) Mammography Diagnostic and screening mammography As occasionally requested, Nuclear Medicine / PET-CT General nuclear medicine and PET/CT As occasionally requested, Diagnostic Radiology / Plain Film (Radiology) Computed Tomography (CT) CT Abdomen & Pelvis (W/O or W & W/O) / CT ABD & Pelvis CT Angiographs / Computed Tomography Angiography CT Angio Abd&Pelv w/o&w/dye / CT SBD & Pelv 1/>REGNS CT Abdomen & Pelvis Multiphase CT Angio Abdominal Arteries w/Runoffs Magnetic Resonance Imaging / Magnetic Resonance (MR) Exam Magnetic Resonance Imaging Angio Magnetic Resonance Imaging Prostate / MR Prostate Ultrasound / Ultrasound (US) Ultrasound - Head and Neck (Thyroid) + Transplants / US Head and neck Ultrasound - OB US Arterial Duplex Nuclear Medicine / Nuclear Medicine (NM) Positron Emission Tomography (PET CT)/Position Emission Tomography (PET)/CT 2D Mammography single breast exam / 2D Mammo 3D Mammography single breast exam / 3D Mammo MRI Cardiac (cpt codes 75557, 75559, 75561, 75563)/Magnetic Resonance Imaging (MRI) Cardiac CT Heart (cpt codes 75572, 75573, 75574) MR Abdomen Exams 2.3 Priority Classification Studies transmitted under this contract shall be classified as either STAT or Routine: STAT: All imaging performed on inpatients and Emergency Department (ED) patients will be considered STAT. Other outpatient studies will be considered STAT if they have been ordered as such or if an expedited interpretation is requested by facility staff. Routine: Outpatient studies not otherwise designated as STAT, with a preferred turnaround of 24 hours and a mandatory turnaround of 48 hours. The Contractor shall not commingle STAT VA studies with routine or non-VA workloads in a manner that degrades turnaround time performance. SECTION 3 COVERAGE PERIODS AND VOLUME ESTIMATES 3.1 Required Coverage Windows The Contractor shall provide continuous radiologist coverage during the following periods. Less often, teleradiology services may also be requested during regular business hours (Monday Friday, 8:00 AM 4:30 PM) during staffing shortages; the Contractor shall accommodate such requests when operationally feasible. 3.1.1 Weekday Overnight Coverage Monday through Friday: 8:00 PM to 7:30 AM (local facility time) (Excluding Federal Holidays see Section 3.1.3) Estimated average STAT volume per overnight shift by facility and modality: Facility CT CR DX MR US Total Avg/Shift Wilmington 1.84 1.98 1.98 1.18 6.98 Lebanon 2.44 2.13 2.15 6.72 Wilkes-Barre 2.27 2.31 2.32 1.5 1.57 9.97 Altoona 1.83 2.03 1.58 1 1.07 7.51 Erie 1.56 2.5 1.79 1 6.85 Pittsburgh* 4.12 2.18 2.76 1.33 1.24 11.63 Philadelphia* 2.89 4.33 3.69 1.60 1.20 13.71 Active Facility Total 9.94 10.95 9.82 2.50 4.82 ~38.0 System Total 16.95 17.46 16.27 5.43 7.26 ~63.4 3.1.2 Weekend Coverage All Day Saturday and Sunday: 12:00 AM to 11:59 PM (local facility time) (Excluding Federal Holidays see Section 3.1.3) Saturday Estimated Average STAT Volume per Day: Facility CT CR DX MR US Total Avg/Day Wilmington 7.33 10 9.63 26.96 Lebanon 9.56 9.2 8.32 27.08 Wilkes-Barre 6.88 10.6 8.86 1.33 2.23 29.9 Altoona 4.69 7.93 6.92 1.42 20.96 Erie 2.6 4.73 4.92 12.25 Pittsburgh* 11.48 3.27 6.94 2.15 1.85 25.69 Philadelphia* 18.98 26.33 24.42 3.00 1.54 74.27 Active Facility Total 31.06 42.46 38.65 1.33 3.65 ~117 System Total 61.52 72.06 70.01 6.48 7.04 ~217 Sunday Estimated Average STAT Volume per Day: Facility CT CR DX MR US Total Avg/Day Wilmington 7.13 10.38 7.74 25.25 Lebanon 11.3 11.88 10.42 33.6 Wilkes-Barre 7.78 10.06 8.35 1 27.19 Altoona 3.92 6.69 5.53 1.71 17.85 Erie 2.65 4.53 3.8 10.98 Pittsburgh* 11.25 3.52 6.71 2.08 1.90 25.46 Philadelphia* 13.68 24.81 18.89 2.03 1.06 60.47 Active Facility Total 32.78 43.54 35.48 1. 1.71 ~115 System Total 57.71 71.87 61.44 5.11 4.67 ~201 3.1.3 Holiday Estimated Average STAT Volume per Day Facility CT CR DX MR US Total Avg/Holiday Wilmington 5.33 10.5 7.75 __ 23.58 Lebanon 8 9 10.14 __ 27.14 Wilkes-Barre 5.14 8.5 8.4 __ 22.04 Altoona 4.71 10 8.17 __ 1.00 23.88 Erie 2.67 4 4.67 __ 11.34 Pittsburgh* 7.44 2.50 5.22 1.67 1.33 18.16 Philadelphia* 14.75 25.50 17. 4. 1.33 62.58 Active Facility Total 25.85 42.00 29.13 __ 1.00 ~108 System Total 48.04 70.00 61.35 5.67 3.66 ~189 Federal Holiday Coverage -- All Day (12:00 AM 11:59 PM) on the following Federal Holidays: HOLIDAYS New Year s Day January 1 Martin Luther King Jr. Day Third Monday in January Presidents Day Third Monday in February Memorial Day Last Monday in May Juneteenth June 19th Independence Day July 4 Labor Day First Monday in September Columbus Day Second Monday in October Veterans Day November 11 Thanksgiving Day Fourth Thursday in November Christmas Day December 25 This list may also include any other day specifically declared by the President of the United States to be a national holiday. If a holiday falls on Sunday, the following Monday will be observed as the legal holiday. If a holiday falls on Saturday, the preceding Friday is observed as a legal holiday by U.S. Agencies. 3.2 Estimated Annual Volume The following annual volume estimates are based on the prior 12-month data and are provided for planning purposes only. The Government does not guarantee minimum volume. Actual volumes may vary ±25%. Coverage Period Estimated Annual STAT Studies System Total incl. Philadelphia & Pittsburgh (Est. Annual) Weekday Overnight (M F, ~261 nights/yr) ~9,900 ~16,500 Saturday (~52 days/yr) ~6,100 ~11,300 Sunday (~52 days/yr) ~6,000 ~10,500 Federal Holidays (~11 days/yr) ~1,190 ~2,080 Total Estimated Annual Volume ~23,200 ~40,380 SECTION 4 CONTRACTORS PERFORMANCE 4.1 Turnaround Time (TAT) Standards The Contractor shall meet the following turnaround time standards, measured from the time the study is transmitted and available in the Contractor's worklist to the time a final, signed report is available in the VA electronic health record (VistA/CPRS): Priority Modality Required TAT Critical Finding Communication TAT STAT CT / CTA 60 minutes 60 minutes of identification; 15 minutes for immediately life-threatening findings STAT MR / MRA 60 minutes 60 minutes of identification; 15 minutes for immediately life-threatening findings STAT CR / DX / XR 45…