FY26: Inoperative Neuromonitoring (IONM) Services

SOLICITATION NUMBER 36C24826Q0341 AMENDMENT 0001 The purpose of this amendment is to make the following changes to the RFQ:

1. Revised Contract Provision Section E, Volume 2 – Technical Capability, Subfactor A – Qualifications of Candidates, 3. For both Neurophysiologist Physician and IONM Technologist candidates quoted, the following documentation is required for submission. “For IONM Technologist candidates quoted, the following documentation is required for submission.” Vendor Questions and Answers: Q1. 1.1 Description of Services says IONM providers must be able to support “Spine surgery, Neurosurgery, Vascular Surgery, Otolaryngology, Cardiac Surgery, Thoracic Surgery, Orthopedics, and if necessary, Interventional Neuroradiology.” Can you please break out the estimated volume of each case type? A1. The estimated volumes are as follows: Neurosurgery: 245 cases total, consisting of approximately 5–10 craniotomies, with the remaining cases involving spine and peripheral nerve procedures.

Vascular: 24 cases, including open carotid endarterectomy and transcarotid stent procedures. Other Specialties Listed (Spine, Neurosurgery, Vascular, Otolaryngology, Cardiac, Thoracic, Orthopedics, Interventional Neuroradiology): No recent IONM?supported cases outside the neurosurgery and vascular categories.

Reference: PWS Section 1.1, Description of Services, page 9. Q2. Can you please clarify the types of cases you classify under cardiac surgery? A2. Cardiac surgery cases that may require IONM include arch or aneurysm procedures, and on rare occasions, high?risk valve or coronary bypass cases.

Reference: PWS Section 1.1, Description of Services, page 9. Q3. How many estimated cranis per year? A3. Estimated at 5–10 cases annually.

Reference: PWS Section 1.1, Description of Services, page 9. Q4. What is the average concurrency of cases that need IONM? What is the maximum concurrency? A4. Concurrency typically occurs every other week, with a maximum of two rooms requiring IONM services at the same time. Q5. How many surgeons at JAHVH use IONM? Can you please provide their specialties? A5. Currently, all Neurosurgery and Vascular Surgery providers use IONM (approximately 8 surgeons), with rare use by one Otolaryngologist (ENT) and one Orthopedic surgeon. Q6. Do you anticipate a change in surgeon staffing or case types covered that would increase/decrease these case types over the next few years? A6. A slight increase in case volume is anticipated in 2027, though no major shifts in provider staffing or case types are expected at this time. Q7. Page 63 requires Basic Life Support (BLS) for both the onsite IONM technologists and the remote neurologists. The Neurophysiologist Physician is a remote role. Because they will never physically be in a position to administer direct life support, please remove the requirement for the Neurophysiologist Physician to have Basic Life Support (BLS) and/or Advanced Cardiovascular Life Support (ACLS) certification. Q7. Refer to answer #1 above. Q8. What is the name and UEI of the incumbent contractor for these services? A8. This is a new requirement, and there is no incumbent contractor. Q9. What is the contract number of the current agreement for these services? A9. This is a new requirement, and no prior contract exists. Q10. Will the new agreement be exclusive or will other vendor(s) be allowed to perform services under other arrangement such as PO on case-by-case basis? A10. This procurement will be awarded to a single source and not multiple awards. Q11. Please clarify the timeframe. With proposals due July 1, will services still be expected to start under new contract August 1? When will award happen? A11. Proposals are due July 1, 2026, at 4:00pm. The new contract is anticipated to be awarded by August 1, 2026, with services expected to begin immediately upon award.