Services Provided: The Contractor shall provide VA and Joint Commission Certified Intraoperative Monitoring services that meet the standards of the Department of Veterans Affairs (VA) and The Joint Commission. Services shall be delivered in accordance with the specifications outlined in this Performance Work Statement (PWS) to beneficiaries of the Department of Veterans Affairs (VA) and Kansas City VA Medical Center (herein, known as KCVAMC).

Place of Performance: Contractor shall furnish services at the KCVAMC VA Medical Center. Address: Kansas City VA Medical Center, 4801 Linwood Boulevard, Kansas City, MO 64128-2226.

Scope: The Contractor shall provide comprehensive Intraoperative Neurophysiologic Monitoring (IONM) services for patients undergoing surgical procedures at the KCVAMC Health Care System. The Contractor shall furnish all required personnel, equipment, software, network infrastructure, materials, and supervision necessary to deliver these services. Services shall include on-site technologists and remote neurologist oversight with real-time interpretation.

Coverage shall be available 24 hours a day, 7 days a week, 365 days a year for scheduled and emergency cases. The Contractor shall respond promptly to all requests, including elective and urgent/emergent cases, ensuring that an on-site technologist and a remote neurologist are available within 60 minutes of notification for emergencies. The Contractor shall promptly communicate any changes to scheduled monitoring, including date, time, or type of monitoring, to the VA.

The Contractor shall provide qualified Electro Neurophysiologic Technologists to perform on-site intraoperative neurophysiologic monitoring (IONM) services. Monitoring shall include, but is not limited to: Somatosensory Evoke Potential (SSEPS), Transcranial motor evoked potential (TcMEP), Stimulus Evoked Electromyograph (S-EMG), Triggered Electromyograph (T-EMG), spinal cord mapping including D- Waves, Descending neurogenic evoked potential (DNEPs), Neurogenic motor evoked potential (NMEPs), Cortical, motor, sensory, language mapping, white matter tract and brainstem nuclei mapping, brainstem auditory evoked responses, visual evoked potentials, cranial nerve monitoring, and intraoperative EEG. All monitoring shall be performed in real time with continuous communication to the surgical team.