Novarad™ Corporation Implementation Services

Statement of Work

Prepared for

refCustomerName

refProjTitle

Revision: N/A

STATEMENT OF WORK

This Statement of Work RefSOWTitle (“SOW”) is issued pursuant to the Novarad Customer Agreement dated as of refCustAgreementDate between refCustName (“Recipient”), and Novarad Corporation (“Novarad”) and is effective as of RefSOWEffectiveDate.

Services to be Performed and Schedule of Performance

The services to be performed (“Services”) and any associated schedule, are detailed in this Statement of Work. All work will be documented in this Statement of Work signed by authorized representatives of both parties and, except as otherwise indicated in this Statement of Work, shall be performed by Novarad, or Novarad’s partners or consultants.

Project Stakeholders

The following defines the Project Stakeholders for this project.

Title	Name	Email	Phone
Primary Recipient Contact
Novarad Territory Sales Manager (OSR)	refOSR	refOSREmail	refOSRPhone
Novarad Inside Sales Manager (ISR)	refISR	refISREmail	refISRPhone
Novarad Sales Engineer (SE)	refSE	refSEEmail	refSEPhone
Other	refOtherName1	refOtherEmail1	refOtherPhone1
Other	refOtherName2	refOtherEmail2	refOtherPhone2
Other	refOtherName3	refOtherEmail3	refOtherPhone3
Other	refOtherName4	refOtherEmail4	refOtherPhone4
Other	refOtherName5	refOtherEmail5	refOtherPhone5
Other	refOtherName6	refOtherEmail6	refOtherPhone6

Engagement Address(es)

Primary Location:	refPrimaryAddress
Additional Location 1:	refAddLocation1
Additional Location 1:	refAddLocation2
Additional Location 2:	refAddLocation3
Additional Location 3:	refAddLocation4
Additional Location 4:	refAddLocation5
Additional Location 5:	refAddLocation6
Additional Location 6:	refAddLocation7
Additional Location 7:	refAddLocation8
Additional Location 8:	refAddLocation9
Additional Location 9:	refAddLocation10

Document Revision Log

Date	Revision	Author(s)	Changes
RefRevisionDate	N/A	RefCreator	Initial draft for Recipient.

Background

Drawing upon 20 years of experience, Novarad today is recognized as a leading provider of PACS and RIS solutions for the Radiology industry. In addition to delivering leading edge technologies, we provide professional consulting, training, and support services that help you leverage your technology investments to the fullest. Novarad Services provides remote and onsite engagements tailored to your singular imaging needs. And because Novarad is certified by xyz and abc, you can be confident your implementation will be designed, validated and implemented in accordance with all industry standards and within industry guidelines.

Statement of Work

The objective of this Statement of Work (“SOW”) is to describe and contain all the relevant information that will allow the Recipient to understand both the delivery mechanism employed and also what will be included in the delivery phase. This implementation is based upon a joint partnership with the Recipient ensuring that the Project achieves its objectives in the required timeframe.

The content of this SOW is based on Novarad’s current understanding of Recipient requirements. Novarad will use a ‘commercially reasonable effort’, based on industry standards, to deliver the Project and Services within the agreed upon timeframe, in accordance with the tasks listed below. Tasks may be completed in a different order than listed at the discretion of the Novarad Project Manager, and/or Recipient Project Manager.

Project Methodology

Project methodology goes here…
Project Description

refProjectDescription

Project Task Breakdown

The following list summarizes each of the phases of the project. These phases are described in greater detail in the Project Tasks section of this document.

Section	Description
1	RefTaskTitle
2	RefTaskTitle
3	RefTaskTitle
4	RefTaskTitle
5	RefTaskTitle

Novarad Software

The following defines Novarad-provided software that will be implemented as part of this project:

Software Title	Version	# of Licenses	Location
Novarad™ NovaPACS
Novarad™ NovaRIS
NovaPro
ClinicPACS
NovaDose
NovaCardio
NovaMG
NovaOrtho
Nuance Dragon
MARZ

Hardware

The following defines Novarad-provided hardware that will be implemented as part of this project:

Item	Description	Quantity	Purpose	Location
1
2
3
4
5
6
7
8
9
10

Customer Hardware

The following defines Recipient hardware that will be within the scope of this project:

Item	Brand	Description	Location	Quantity
1	CR
2	MR
3	CT	Location 1	1
4	CT	Location 2	2
5
6
7
8
9
10

Workflow Description

The following describes Novarad’s understanding of Recipient’s workflow requirements.

Registration:

Recipient will be registering patients through select system and will select paperwork and/or select system and will scan this documentation into select system via select scanning mechanism.

Scheduling:

Insert Facility Name Here will be scheduling their patients through select system and this select system.

Tech Work: The modality(ies) which fall within the scope of this project select modalities. The modality(ies) select MWL method.. The Technologists select digitizing method via select digitizing equipment and select scanning software

Reading:

The Radiologist(s) will primarily be reading from select reading location via NovaPACS. Studies for offSite reading will be select offSite reading method.

Dictation:

The Radiologist(s) will be dictating into select PACS/RIS system via select dictation device which will record the dictation into select dictation program.

Transcription:

Transcription will select system and select footpedal solution.

Signing:

The Radiologist will log into the select system and sign pending reports. The report will typically be select finalization process.

Distribution:

Reports will be distributed via distribution method.

Importation:

Insert Facility Name Here has select PACS import process that need to be imported from _____________. They have ____ TB worth of data. This will be done select PACS import solution. Insert Facility Name Here has no RIS data needing importation.

Project Limitations/Constraints

This SOW contemplates the entire agreement between the parties, and Novarad makes no promise to perform or offer any services not expressly included herein.

For the avoidance of doubt and without limitation to the foregoing, the following services are expressly excluded from this SOW:

Novarad Installer is not responsible for any changes to modality setting required, or client hardware not under Novarad service contract.

Exclusion 2

Exclusion 3

Exclusion 4

Project Assumptions

In the interest of facilitating timely project planning, the following assumptions have been made in the absence of absolute certainty regarding some aspects of Recipient’s environmental factors.

Assumption 1

Assumption 2

Assumption 3

Overview

A proposed high-level project plan is described below. The Novarad and Recipient Project Managers will review the Statement of Work, and may create a revised project plan at the start (“kick-off”) of the project. Tasks may be completed in a different order than listed at the discretion of the onsite Novarad Consultant, Novarad Project Manager, and/or Recipient Project Manager.

Project Tasks

Pre-implementation Phase

Hardware Build and Baseline Configuration
The Hardware Build and Baseline Configuration phase of the project shall include…
The following activities are included in this section: Primary PACS Server Build/Configuration Task Description Backup PACS Server Build/Configuration Task Description Enterprise Workstation Build/Configuration Task Description Tech Workstation Build/Configuration Task Description Telerad Build/Configuration Task Description
Prerequisites/Assumptions Xxx Xxx

Data Gathering
The Data Gathering phase of the project shall include the gathering and acceptance of data as it applies to this project. The data gathering process shall be managed by the Novarad Project Manager. Note that many of the tasks under this section are prerequisites to follow-on tasks and must be completed in a timely manner.
The following activities are included in this section: PACS Pre-install Checklist (if applicable) The Site-to-site VPN form provides Novarad with the information necessary to… RIS Pre-install Checklist (if applicable) The Site-to-site VPN form provides Novarad with the information necessary to… RIS Templates The Site-to-site VPN form provides Novarad with the information necessary to… Site-to-site VPN The Site-to-site VPN form provides Novarad with the information necessary to set up and test a VPN connection from your site to the Novarad data center where backups will be routed for archiving. This VPN connection is critical to the overall success of the implementation and the required information must be submitted prior to the commencement of the hardware installation phase. SSL Setup Document (if applicable) The Site-to-site VPN form provides Novarad with the information necessary to… Training Schedule The Site-to-site VPN form provides Novarad with the information necessary to…
Prerequisites/Assumptions Xxx Xxx

Implementation

Hardware Installation
asdf…
Asdf
Prerequisites/Assumptions Xxx Xxx

Training
The Training phase of this project includes the
Pre-training Call Appointed Novarad Applications Specialist (trainer) shall contact Recipient Primary Contact no later than one (1) business day prior to arriving onsite, to discuss the logistics of the scheduled onsite training. In the event that the Novarad Applications Specialist and the Recipient Primary Contact are unable to meet prior to the onsite visit, both parties shall meet the day the onsite training is to commence, and discuss the logistics of the training at that time. Onsite Training The appointed Novarad Applications Specialist shall conduct RefNumberTrainingDays days of over-the-shoulder training for each staff member who appears in the approved Training Scheduleat the location specified. Role Quantity Location Radiologist Cardiologist Technologist PACS Administrator Transcriptionist Screener Receptionist Biller Referring Physician Follow-up Training Recipient is entitled to one (1) one-day onsite follow-up training no sooner than thirty (30) days following the initial onsite training visit. Remote training may be substituted at the request of Recipient. Recipient is entitled to one (1) one-day onsite follow-up training no sooner than one (1) year following the initial onsite training visit. Remote training may be substituted at the request of Recipient. Additional Training Recipient shall be entitled to additional remote training support for the period of their Customer Agreement. Recipient shall contact Novarad Support at 801-221-5895 to request training support. Additional onsite training may be provided at the cost of $1995 USD per day (with a minimum of two days per engagement). This fee is all inclusive and all costs associated with travel and accommodation shall be the responsibility of Novarad.
Prerequisites/Assumptions The Training Schedule document must be completed and signed by Recipient and approved by Novarad project manager prior to confirming training with Recipient.

Novarad Project Resources and Responsibilities

Novarad will assign adequate resources to initiate the project in a timely manner with high quality standards.

Novarad will make every effort to maintain a consistent staff for the required number of days to complete all tasked described above. However, Novarad reserves the right to assign and remove resources as required.

Novarad may choose to utilize the services of our qualified partners to complete the services. These partners are experienced with Novarad product implementation. While on contract to Novarad, our partners are fully recognized and supported as an extension of Novarad's Services Group.

Novarad will provide knowledge transfer, coaching, demonstrations, and discussions throughout entire implementation, to available staff as time allows, for the purpose of improving Recipients understanding, comprehension, and ability to use the product’s features in a productive manner.

Novarad will document daily deployment progress, scope modifications, and outstanding issues and distribute to all project stakeholders at the end of each work day.

Recipient Responsibilities

Recipient shall complete, submit, and have accepted by Novarad project management, all prerequisite documentation as requested by Novarad, by the prescribed due dates. Prerequisite documentation may include, but not be limited to the any of the following:

Training Schedule – Due two weeks before initial onsite training

Pre-install Checklist – Due two weeks before initial onsite installation

Required document 3 – Due two weeks before initial onsite installation

Required document 4 – Due two weeks before initial onsite installation

Required document 5 – Due two weeks before initial onsite installation

Required document 6 – Due two weeks before initial onsite installation

Required document 7 – Due two weeks before initial onsite installation

Required document 8 – Due two weeks before initial onsite installation

Recipient shall be responsible for obtaining a Secure Socket Layer (SSL) certificate prior to, or during, the initial onsite installation visit, for the purpose of providing secure remote web access for all third-party computers that will be accessing the Novarad system within Recipient facility (if applicable).

Recipient shall honor the approved Training Schedule and shall take full responsibility for ensuring that personnel are available as agreed upon during the onsite training visit(s).

Recipient shall provide all networking, AC power, and space required by the Novarad PACS system as described in the Pre-install Checklist, no later than two weeks prior to initial onsite installation visit.

Recipient shall schedule qualified Modality vendor Engineers for all applicable modalities, to be onsite during the initial onsite installation visit.

Vendor shall schedule a Physicist to be onsite during the initial installation visit, to certify all 5MP Mammography reading stations (if applicable).

Recipient project personnel will be available on a timely basis and will be able to allocate the necessary time to the Novarad Consultant while onsite. Anticipated Recipient resources required will be Administrators for the following:

Windows Operating Systems

Relational Database Management System

Infrastructure

Meetings and interviews will be conducted at a single location, and as required, Recipient personnel will be made available at either that location or via alternate means (e.g. teleconference or videoconference).

Adequate workplace facilities shall be made available to the Novarad Consultant for the duration of the project, (e.g., desk, network connection with internet access <or an analog line to the desk>, telephone, test account, and contractor identification with afterhours access as needed), and will be provided by Recipient at the commencement of the project.

Recipient will assign a Project Manager who will serve as Novarad’s executive-level and primary contact.

Agreed to and accepted by:

Novarad Corporation	RefCustomerName (Recipient)
By:	By:
Name:	Name:
Title:	Title:
Date: ________________________________	Date:_______________________________

ATTACHMENT 1 TO STATEMENT OF WORK - RefSOWTitle

Change Request Form

This document serves as an addendum to the Statement of Work executed between Novarad Corporation ("Novarad") and RefCustomerName (“Recipient”) dated RefSOWDate (“Addendum”). Recipient has requested that changes be made to this Statement of Work. If additional time is required to implement these changes, Novarad will provide an additional quote. This Addendum is not considered approved until all necessary initials are gathered and a purchase order is received (if days are added). Changes in this Addendum may impact the original project schedule and price.

Date:
Acceptance – Please Sign
Brief description of changes to the initial Statement of Work:	Days (+/-)	Novarad	Recipient
1.
2.
3.
4.
5.
6.
7.
8.
Total Days Added;

ATTACHMENT 2 TO STATEMENT OF WORK - RefSOWTitle

Training Schedule

This document serves as an addendum to the Statement of Work executed between Novarad Corporation ("Novarad") and RefCustomerName (“Recipient”) dated RefSOWDate (“Addendum”). Novarad requires Recipient to complete and return the following training schedule no later than two (2) weeks prior to the scheduled onsite training visit. Recipient shall complete this document by inserting the names of those staff members or roles to be trained, in the desired available time slots.

ATTACHMENT 3 TO STATEMENT OF WORK - RefSOWTitle

PACS Pre-install Checklist

This document serves as an addendum to the Statement of Work executed between Novarad Corporation ("Novarad") and RefCustomerName (“Recipient”) dated RefSOWDate (“Addendum”). Novarad requires Recipient to complete and return the following PACS Pre-install Checklist no later than two (2) weeks prior to the scheduled onsite installation visit. Recipient shall complete this document by providing answers/information for each line item.