PERFORMANCE WORK STATEMENT for ANATOMIC PATHOLOGY SERVICES Western Colorado Health Care System (WCHCS) Grand Junction VA Medical Center 2121 North Avenue Grand Junction, CO. 81501 Background The purpose of this Statement of Work (SOW) is to procure Anatomic Pathology Services from a qualified Reference Laboratory (hereafter Contractor) for the Western Colorado Health Care System (WCHCS), Pathology and Laboratory Medicine Services (P&LMS). The period of service is October 1, 2025, to September 30, 2026, with four consecutive option years. Services will be provided by the Contractor at both the Contractor s facility and on-site at WCHCS. WCHCS does not have an Anatomic Pathology department and needs a service that will provide a licensed consulting pathologist for surgical specimen processing with interpretation, cytological specimen processing with interpretation, and autopsy services. The Contractor shall provide all labor, supplies, equipment, maintenance, information technology, and supervision necessary to provide reference laboratory services to the WCHCS described herein. Contractor shall also have an existing VISTA connection. Reference laboratory services include, but are not limited to: specimen preparation and storage. transportation of clinical laboratory specimens, microbiology cultures, and stocks; performance of analytical testing; reporting of analytical test results; consultative services. Quality control activities. All Contractor s testing shall be executed in accordance with standard industry practices. It is preferred that test methods are FDA approved. Any non-FDA approved method being performed shall have a disclaimer and documented validation plan. Upon request, the validation plan and validation results shall be made available to the COR or designee. The Contractor shall ensure the accurate and timely performance of laboratory testing services on all biomedical materials. Specimen Testing The Contractor shall pick up, process, embed, stain, cut, and coverslip the specimens, provide pathological analysis, and report findings in a reasonable time frame, as noted below. Surgical specimens shall be reported in less than or equal to two (2) days. Procedures include, but are not limited to, the following (by CPT code) performed at the Contractor s laboratory: 85060: Blood Smear, Peripheral, Interpretation by Physician 85097: Bone Marrow, Smear Interpretation 87624: Infectious Agent Detection by Nucleic Acid (DNA or RNA) 88164: Cytopathology, Slides, Cervical or Vaginal 88300: Level 1 Tissue Exam By Pathologist 88302: Level 2 Tissue Exam By Pathologist 88304: Level 3 Tissue Exam By Pathologist 88305: Level 4 Tissue Exam By Pathologist 88307: Level 5 Tissue Exam By Pathologist 88309: Level 6 Tissue Exam By Pathologist 88311: Decalcification Procedure 88312: Special Stains Group 1, including Interpretation and Report 88313: Special Stains Group 2, including Interpretation and Report 88321: Consultation and Report on Referred Slides Prepared 88323: Consultation and Report on Referred Material 88341: Immunohistochemistry or Immunocytochemistry, per Specimen 88342: Immunohistochemistry or Immunocytochemistry + Immunoperoxidase Stain 89060: Crystal Identification by Light Microscopy Non-GYN Cytology Specimens. Shall be reported in less than two (2) business days. Procedures include, but are not limited to, the following (by CPT code) performed at the Contractors laboratory: 88108: Cytopathology Concentration Technique 88112: Cytopathology, Selective Cellular Enhancement Technique GYN Cytology Specimens. Shall be reported in less than two (2) days. Procedures include, but are not limited to, the following (by CPT code) performed at the Contractors laboratory: 88141: Cytopathology, Cervical or Vaginal, GYN Physician Interpretation 88142: Cytopathology, Cervical or Vaginal, GYN auto Frozen Sections. Shall be processed and the initial report received at WCHCS within 20 minutes or less from the time the specimen is received at the Contractor s place of business. Procedures include, but are not limited to, the following (by CPT code) performed at the Contractors laboratory: 88331: Pathology Consultation During Surgery, Frozen Section 88332: Pathology Consultation During Surgery, Frozen Section Add Rush Block Fine Needle Aspirates. Immediate evaluations are performed at bedside at WCHCS for Fine Needle Aspirates and Core Biopsies to determine if the specimens are adequate and to provide a preliminary report. Specimens are then treated as surgical and Non-GYN cytology specimens. Procedures include, but are not limited to the following (by CPT code): 88172: Cytopathology, Evaluation of Fine Needle Aspirate + Fine Needle Consult 88173: Cytopathology, Evaluation of Fine Needle Aspirate 88333: Pathology Consultation During Surgery, Cytologic Examination + Misc. AP test Autopsies. Shall be processed and completed within sixty (60) days. A provisional diagnosis sha