Q531--HCR - Dialysis Industry Day 36C25926Q0353

THIS IS AN INDUSTRY DAY NOTICE ONLY, NOT A SOLICITATION ANNOUNCEMENT AND SHOULD NOT BE CONSIDERED AS SUCH. The Government will not pay for any information received in response to this notice, nor will the Government compensate any respondent for any cost incurred in developing the information provided to the Government. This notice does not constitute a commitment by the Government. Any information provided in response to this market survey will be used for informational purposes only and will not be released. Vendor participation is not a promise of future business with the Government. The purpose of this notice is to conduct market research and obtain information from current industry providers of dialysis services. The services are in support of the Veterans Affairs Medical Center (VAMC), James Moutain Inhofe, 440 S Houston Ave, Tulsa, OK 74127. The services shall support the provision of Intermittent Hemodialysis (IHD) and Prolonged Intermittent Renal Replacement Therapy (PIRRT). Continuous Renal Replacement Therapy (CRRT) and Peritoneal Dialysis (PD) are not within scope of this requirement. Category Description Dialysis Registered Nurse (RN) [MANDATORY] Licensed RN with dialysis competency. CDN/CNN certification required or eligible. Responsible for patient assessment, dialysis initiation/monitoring/termination, medication administration coordination, and PCT supervision. Biomedical Technician [MANDATORY] CBET certified or equivalent. Responsible for dialysis machine maintenance, water treatment system maintenance, RO unit maintenance, equipment troubleshooting, and quarterly QA participation. Patient Care Technician (PCT) [OPTIONAL] State-certified where applicable. BONENT/NNCC certification preferred. Must work under RN supervision per Oklahoma state regulations. Assists with dialysis setup, monitoring, patient care tasks. Supply Demarcation: Contractor Provides: Personnel (RN, Biomed, PCT as applicable), all dialysis equipment (machines, water treatment systems), and consumables (membranes, tubing, needles, access supplies). VA Provides: Intravenous fluids (0.9% NS, LR, D5W), medications administered during dialysis sessions (from VA Pharmacy), ESAs, and activated vitamin D analogs. The Tulsa VAMC will be pursuing a firm fixed price contract; a base plus 4 option year. Potential sources must demonstrate experience and knowledge of required equipment, services and capability of performing said service. This is an opportunity for each contractor to discuss equipment, staffing, and other aspects needed to create an effective performance work statement (PWS) for on-site dialysis services. Prior to the Industry Day potential sources shall submit: Business name, address, point of contact and phone number Business size, any applicable socio-economic category and DUNS number Information for recent/relevant projects similar in nature/size and complexity along and contract number(s) Capability statement and product literature that demonstrates the ability to meet the requirements The NAICS Code for this procurement is 621492. The proposed Industry Day is April 7, 2026, and will be virtual; times will be decided once responses are received. Please feel free to suggest a time. Meetings will be scheduled with Microsoft Teams. Any presentations should be no longer than 30 minutes. Any questions prior to April 7th should be directed to Tamanica Danford-Leaf at Tamanica.danford-leaf@va.gov NLT April 2nd, 2026. This notice is to assist in determining sources interested in participating in the Industry Day. There is no solicitation currently available. There is no guarantee, expressed or implicit, that the market research for this acquisition will result in a particular set-aside, sole source award or any other guarantee of award strategy. All information is to be provided on a voluntary basis and at no charge to the Government. End of Document

3/20/2026 This is an amendment to the Special Notice Industry Day, 36C25926Q0353 The purpose of the amendment is to change the format from virtual to written questions and answers. The questions will be posted through an amendment by April 14th, 2026. Prior to that time interested vendors are encouraged to email their capabilities to Tamanica.danford-leaf@va.gov. The capabilities should directly address in-person (by the vendor s company) dialysis services provided to medical centers.

INDUSTRY DAY TELECONFERENCE DIALYSIS TREATMENT CHIP-IN, TULSA, OK Dept. of Veterans Affairs (VA), Eastern Oklahoma VA Health Care System (EOVAHCS) Page 2 of 2 1. Unit of Issue & Pricing Structure 1.1 What unit of measure does the industry routinely use to price inpatient hemodialysis services? Per session? Per hour? Per treatment modality? Is it normal industry practice to distinguish standard, after-hours, and delay-related charges? 1.2 If session is used for the unit of measure, what is the industry standard for duration in terms of hours for the following? Intermittent Hemodialysis (IHD) Prolonged Intermittent Renal Replacement Therapy (PIRRT) 1.3 What ancillary activities are typically included in the industry on a per-session(unit) rate? Examples: setup, breakdown, machine priming, reporting, documentation, consumables, machine disinfecting. 1.4 Is it standard industry practice to bill for delay in treatment due to hospital issues? 2. Patient Care Technician (PCT) 2.1 Is it a standard industry practice for a PCT to be a part of the service delivery? If yes, what percentage of the unit cost are customarily attributed to the use of a PCT? If not, what instances would determine whether a PCT is necessary for the provision of services? 2.2 Do vendors commonly staff inpatient dialysis with a PCT in addition to an RN? 2.3 If it is determined that use of a PCT is necessary, what does industry consider average cost allocation for a PCT per-session(unit) rate? What cost structures are typical? Would including a PCT normally be included or added to the session (unit) cost? 2.4 What staffing models does the industry routinely use for inpatient dialysis services in comparable hospital settings, of similar size, scope, and complexity as the JMIVAMC facility? RN-only model? RN + PCT model? 3. Equipment, Space, and Biomedical Technician Requirements 3.1 Is your company capable of providing all dialysis machines, reverse osmosis (RO)/water treatment systems, and consumables as required? 3.2 Does the required 8 8 storage room meet industry expectations for storing all required dialysis equipment and consumables? 3.3 Is it standard industry practice to include a certified Biomedical Technician (CBET) as part of their staffing model for preventive maintenance and repairs when providing services on site at medical facilities? If yes, is this included in per-session (unit) pricing? If yes, does the biomed require additional space beyond the 8 X 8 storage room already referenced? What does industry standard for equipment maintenance and repairs process look like when providing services on site at a medical facility? Is it standard practice for your equipment to remain onsite at the customer's facility? 3.4 What equipment brands/models does the industry routinely use? What are the space, power, and water requirements for equipment? 4. Scheduling, Coverage, and Response Time Expectations 4.1 Is your company capable of being available 24/7/365 with on-site arrival within 240 minutes? 4.2 Is after-hours work, with >25% of the pricing unit occurring between 8:00PM and 6:00AM, consistent with how after-hours services are defined within the industry? 4.3 Does the industry have standard or recommended practices for forecasting inpatient dialysis staffing demand and contingency plans to ensure continuity of service? 4.4 What staffing challenges has the experience in remote or hard-to-fill areas like Tulsa, OK for inpatient dialysis? 5. Market Capacity, Competition, and Small Business Participation 5.1 Please provide your socioeconomic status for NAICS code 621492. Are you capable of provide inpatient dialysis services stated in the PWS under PSC Q531? Are you capable of providing inpatient dialysis services in Tulsa, OK? Is your company registered in SAM? If your company is an SDVOSB or VOSB: Are you verified in the SBA s VetCert portal? *If set-aside for SDVOSB/VOSB, certification of the limitations on subcontracting will be required in response to a subsequent solicitation. 6. Implementation, Transition, and Quality Assurance (QA) 6.1 What transition-in timeline would be required for contractor staff to complete the following: Secure the staff required to provide services. Install the equipment required to provide services. Test water systems required to provide services. Complete credentialing documentation, background investigation packages, and TMS training required to provide services. 6.2 The PWS currently requires quarterly Quality Assurance (QA) participation from contractor Biomed Tech. Are there any recommended or standard Quality Assurance (QA) /Quality Improvement (QI) metrics the industry routinely uses to report in inpatient dialysis contracts? 6.3 What challenges does the industry experience and/or anticipate in documenting inpatient dialysis care within the VA electronic health record (EHR)? 7. Lessons Learned Questions These often produce extremely valuable insights. 7.1 Based on your experience, what aspects of inpatient dialysis contracts most frequently lead to performance challenges? 7.2 Are there any PWS sections that may unintentionally increase cost, reduce competition, or create operational barriers? 7.3 What industry innovations (equipment, staffing, workflow) could improve delivery of inpatient dialysis services for VA facilities?

INDUSTRY DAY TELECONFERENCE DIALYSIS TREATMENT CHIP-IN, TULSA, OK Dept. of Veterans Affairs (VA), Eastern Oklahoma VA Health Care System (EOVAHCS) Page 2 of 2 The purpose of this amendment is to extend the time for industry to response with their interest and answers to the below questions. The date for responses is now 4/30/26 @ 4:30 MST 1. Unit of Issue & Pricing Structure 1.1 What unit of measure does the industry routinely use to price inpatient hemodialysis services? Per session? Per hour? Per treatment modality? Is it normal industry practice to distinguish standard, after-hours, and delay-related charges? 1.2 If session is used for the unit of measure, what is the industry standard for duration in terms of hours for the following? Intermittent Hemodialysis (IHD) Prolonged Intermittent Renal Replacement Therapy (PIRRT) 1.3 What ancillary activities are typically included in the industry on a per-session(unit) rate? Examples: setup, breakdown, machine priming, reporting, documentation, consumables, machine disinfecting. 1.4 Is it standard industry practice to bill for delay in treatment due to hospital issues? 2. Patient Care Technician (PCT) 2.1 Is it a standard industry practice for a PCT to be a part of the service delivery? If yes, what percentage of the unit cost are customarily attributed to the use of a PCT? If not, what instances would determine whether a PCT is necessary for the provision of services? 2.2 Do vendors commonly staff inpatient dialysis with a PCT in addition to an RN? 2.3 If it is determined that use of a PCT is necessary, what does industry consider average cost allocation for a PCT per-session(unit) rate? What cost structures are typical? Would including a PCT normally be included or added to the session (unit) cost? 2.4 What staffing models does the industry routinely use for inpatient dialysis services in comparable hospital settings, of similar size, scope, and complexity as the JMIVAMC facility? RN-only model? RN + PCT model? 3. Equipment, Space, and Biomedical Technician Requirements 3.1 Is your company capable of providing all dialysis machines, reverse osmosis (RO)/water treatment systems, and consumables as required? 3.2 Does the required 8 8 storage room meet industry expectations for storing all required dialysis equipment and consumables? 3.3 Is it standard industry practice to include a certified Biomedical Technician (CBET) as part of their staffing model for preventive maintenance and repairs when providing services on site at medical facilities? If yes, is this included in per-session (unit) pricing? If yes, does the biomed require additional space beyond the 8 X 8 storage room already referenced? What does industry standard for equipment maintenance and repairs process look like when providing services on site at a medical facility? Is it standard practice for your equipment to remain onsite at the customer's facility? 3.4 What equipment brands/models does the industry routinely use? What are the space, power, and water requirements for equipment? 4. Scheduling, Coverage, and Response Time Expectations 4.1 Is your company capable of being available 24/7/365 with on-site arrival within 240 minutes? 4.2 Is after-hours work, with >25% of the pricing unit occurring between 8:00PM and 6:00AM, consistent with how after-hours services are defined within the industry? 4.3 Does the industry have standard or recommended practices for forecasting inpatient dialysis staffing demand and contingency plans to ensure continuity of service? 4.4 What staffing challenges has the experience in remote or hard-to-fill areas like Tulsa, OK for inpatient dialysis? 5. Market Capacity, Competition, and Small Business Participation 5.1 Please provide your socioeconomic status for NAICS code 621492. Are you capable of provide inpatient dialysis services stated in the PWS under PSC Q531? Are you capable of providing inpatient dialysis services in Tulsa, OK? Is your company registered in SAM? If your company is an SDVOSB or VOSB: Are you verified in the SBA s VetCert portal? *If set-aside for SDVOSB/VOSB, certification of the limitations on subcontracting will be required in response to a subsequent solicitation. 6. Implementation, Transition, and Quality Assurance (QA) 6.1 What transition-in timeline would be required for contractor staff to complete the following: Secure the staff required to provide services. Install the equipment required to provide services. Test water systems required to provide services. Complete credentialing documentation, background investigation packages, and TMS training required to provide services. 6.2 The PWS currently requires quarterly Quality Assurance (QA) participation from contractor Biomed Tech. Are there any recommended or standard Quality Assurance (QA) /Quality Improvement (QI) metrics the industry routinely uses to report in inpatient dialysis contracts? 6.3 What challenges does the industry experience and/or anticipate in documenting inpatient dialysis care within the VA electronic health record (EHR)? 7. Lessons Learned Questions These often produce extremely valuable insights. 7.1 Based on your experience, what aspects of inpatient dialysis contracts most frequently lead to performance challenges? 7.2 Are there any PWS sections that may unintentionally increase cost, reduce competition, or create operational barriers? 7.3 What industry innovations (equipment, staffing, workflow) could improve delivery of inpatient dialysis services for VA facilities?