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Servicios asistenciales de salud", "hasEnquiries": true, "value": {"amount": 19777502160, "currency": "PYG"}, "datePublished": "2023-06-15T12:27:58-04:00", "tenderPeriod": {"startDate": "2023-07-17T08:00:00-04:00", "endDate": "2023-07-18T08:00:00-04:00", "durationInDays": 1}, "awardPeriod": {"startDate": "2023-07-20T09:00:00-04:00"}, "enquiryPeriod": {"endDate": "2023-06-21T10:00:00-04:00", "startDate": "2023-06-15T12:27:58-04:00", "durationInDays": 5}, "mainProcurementCategory": "goods", "additionalProcurementCategories": ["services"], "procurementMethod": "open", "procurementMethodDetails": "Licitaci\u00f3n P\u00fablica Nacional", "procuringEntity": {"id": "DNCP-SICP-CODE-157", "name": "Instituto de Previsi\u00f3n Social (IPS)"}, "criteria": [{"id": "1", "title": "Garant\u00eda de Mantenimiento de Ofertas", "description": "Los oferentes, proveedores o contratistas deber\u00e1n garantizar la seriedad de sus ofertas, mediante la garant\u00eda de mantenimiento de la oferta", "source": "tenderer", "requirementGroups": [{"id": "1-1", "description": "La garant\u00eda debe ser de un cierto porcentaje, periodo y tipo", "requirements": [{"id": "1-1-1", "title": "Porcentaje de la garantia", "expectedValue": "3"}, {"id": "1-1-2", "title": "Validez de la garantia en d\u00edas", "expectedValue": "180"}]}]}], "enquiries": [{"id": "4", "date": "2023-06-20T22:54:52-04:00", "title": "sobre ESPECIFICACIONES T\u00c9CNICAS", "description": "Se especifica en la parte Detalles de los productos y/o servicios con las respectivas especificaciones t\u00e9cnicas - CPS, la necesidad de contar con la menos un equipo de RMI de 1,5 tesla, pero la exigencia, es de 2 (dos) Equipos, que capacidad debe tener el otro Equipo, de menor o mayor potencia?", "author": {"name": "MEDICINA COMPUTARIZADA PARAGUAYA S.A.-MECOMPA S.A.", "id": "PY-RUC-80004221-2"}, "answer": "Se aclara, que se solicitan (2) dos equipos (1) uno de ellos de 1.5 tesla o m\u00e1s, y el otro puede ser de menor, igual o mayor potencia.", "dateAnswered": "2023-07-06T11:19:00-04:00"}, {"id": "6", "date": "2023-06-21T09:47:52-04:00", "title": "SOBRE PLIEGO DE BASES Y CONDICIONES ", "description": "SE PUEDE ESPECIFICAR LA CAPACIDAD DEL TOMOGRAFO, DE 16 O 64 CORTES?, Y NO SE DEBER\u00cdA SOLITAR M\u00cdNIMAMENTE TENER 2 (DOS) EQUIPOS EN CASO DE NECESIDAD, DADO QUE ESTAD\u00cdSITICAMENTE, EXISTEN MUCHAS MAS URGENCIAS DE TOMOGRAFIA, QUE DE RESONANCIA MAGNETICA.", "author": {"name": "MEDICINA COMPUTARIZADA PARAGUAYA S.A.-MECOMPA S.A.", "id": "PY-RUC-80004221-2"}, "answer": "Se aclara que, el equipo puede ser de 16 o 64 cortes. El IPS solicita solo (1) Un equipo tom\u00f3grafo en caso de necesidad, teniendo en cuenta que en el Hospital Regional de Ciudad del Este la Instituci\u00f3n cuenta con (1) Un equipo que tiene sus a\u00f1os de servicio y cuando no est\u00e9 disponible por razones t\u00e9cnicas, se utilizara el servicio tercerizado o cuando la demanda sobrepase la capacidad del mismo.  ", "dateAnswered": "2023-07-06T11:19:39-04:00"}, {"id": "5", "date": "2023-06-21T09:27:08-04:00", "title": "Varios", "description": "Con relaci\u00f3n a las cl\u00e1usulas y condiciones de este llamado surge un sinn\u00famero de incongruencias / contradicciones y errores que merecen atenci\u00f3n del IPS y equipo de transici\u00f3n del futuro nuevo gobierno a instaurarle el 15/08/2023\n\nEn tal sentido un llamado muchas veces millonario como es este merece una adecuada formulaci\u00f3n de sus cl\u00e1usulas y condiciones \n\n1- equipos requeridos: llama la atenci\u00f3n equipos de tan poca capacidad que se exige en el llamado por ejemplo equipos de tomograf\u00eda de 16 cortes, que en la actualidad tiene poco usos ya que no se pueden efectuar diagn\u00f3sticos avanzados como estudios vasculares, estudios cardiol\u00f3gicos y otros estudios que necesiten reconstrucci\u00f3n en 3D. Deben ser requeridos equipos m\u00ednimamente de 64 cortes o 128. Lo mismo ocurre con los equipos de resonancia magn\u00e9tica donde se visualiza que pueden ser utilizados resonadores de muy bajo campo inferior incluso al 1.5 tesla. Esto es muy llamativo pues en todos los llamados hoy en d\u00eda, se exigen resonadores de 3.0 teslas para diagn\u00f3stico de mamas, pr\u00f3statas, estudios cardiol\u00f3gicos y otros. Esto debe ser replanteado, de manera a que los pacientes de IPS tengan acceso a estudios con tecnolog\u00eda de punta. Se deber\u00eda considerar que exista posibilidad de consorciar con empresas del sector que tenga equipos modernos de 3 tesla en otra ciudad que permita atender mejor el volumen de trabajo; de la lectura del pbc no queda claro esa posibilidad.\n\n2- documento habilitante del ministerio de salud publica: en el llamado se exige que la empresa cuente con: Certificado de Categorizaci\u00f3n a Centro de Diagn\u00f3stico Digital emitido por la Superintendencia de Salud, dependiente del Ministerio de Salud P\u00fablica y Bienestar Social.  Todos los centros especializados en servicios que son requeridos en este llamado cuentan con documentos de habilitaci\u00f3n del ministerio de salud que le permite operar como tales. En este caso se peticiona un documento totalmente extra\u00f1o (si no inexistente). Esto es peligroso porque una de dos: o es un error que debe ser subsanado o estamos ante un documento que solo un oferente tiene y que no se sabe de que se trata ni que representa. Favor aclarar.\n\n3- capacidad financiera: este punto es clave en un contrato de 20.000 millones solo se exige 500 millones de capital operativo; que no cubre ni 30 d\u00edas de servicio sabiendo que el ips tiene 90 y hasta 120 d\u00edas de proceso de pago para cobro efectivo; esto es contradictorio con otros pliegos del IPS donde se pide al menos 20 % de capital operativo. Lo mismo ocurre con la experiencia exigida que deber\u00eda ser en los \u00faltimos 2 a\u00f1os que es el tiempo del llamado y no a cinco a\u00f1os como se permite.\n\n4- horario de atenci\u00f3n:  leyendo el PBC hay dos horarios de atenci\u00f3n y entonces surge la duda: es de lunes a s\u00e1bado o domingo a s\u00e1bados? \n\n5- servicios incluidos: se visualiza una extensa lista de posibles exploraciones absolutamente confusa. Cual es el motivo de modificar lo que normalmente realiza el IPS? Donde la cotizaci\u00f3n es simple: exploraci\u00f3n / sedaci\u00f3n / contraste / estudios especializados (artroresonancia, estudios cardi\u00e1cos, de mamas), se sugiere entonces simplicar el listado de posibles exploraciones . \n\nEstas son solo alguna de las inconsistencias que a simple vista se observa; podr\u00edamos suponer que se tratan de errores propios de llamados que se realizan en entidades p\u00fablicas, pero lo que preocupa es que actualmente en Alto Parana existe un centro de im\u00e1genes que si cumple con estos equipos obsoletos y que tambi\u00e9n tiene poca experiencia y escaso margen de capital operativo que nos podr\u00eda llevar a suponer en direccionamiento del llamado a dicha empresa. \n\nPeticionamos aclaraciones puntuales a todas estas cuestiones \n\nAtentamente", "author": {"name": "GMA S.R.L.", "id": "PY-RUC-80057054-5"}, "answer": "Se aclara que,\n1- Un equipo de tomograf\u00eda de 16 cortes tiene la capacidad suficiente de realizar todos los estudios solicitados en la Descripci\u00f3n de Estudios obrante en el PBC, pero los potenciales oferentes pueden ofertar con equipos de mayor n\u00famero de cortes. \nSi bien los equipos de RM de 3.0 tesla poseen mejor definici\u00f3n, en la actualidad se encuentra limitados regionalmente dentro de la Rep\u00fablica del Paraguay, por tanto, para satisfacer necesidades regionales actuales, se solicita como m\u00ednimo un equipo de 1.5 tesla que, seg\u00fan trabajos cient\u00edficos, permite obtener im\u00e1genes de calidad aceptables que permiten responder a la mayor\u00eda casi total para los diferentes diagn\u00f3sticos.  \nAdem\u00e1s, es sabido, que en la interpretaci\u00f3n de las im\u00e1genes para diagn\u00f3stico, tiene fundamental preponderancia la formaci\u00f3n y experiencia del profesional, por tanto, la diferencia en capacidad del equipo se complementa con la exigencia relacionada al nivel de formaci\u00f3n profesional exigido en el PBC.\n2- El presente llamado tiene por objeto atender la necesidad insatisfecha en el Departamento de Alto Paran\u00e1, que actualmente se encuentra sin cobertura por parte del Instituto de Previsi\u00f3n Social, y que nuestros usuarios no tengan que movilizarse a otros sectores evitando as\u00ed gastos innecesarios y por ende al IPS. \n\n3- Si las empresas ofrecen servicios de Diagn\u00f3sticos digitales, deben solicitar esta documentaci\u00f3n a trav\u00e9s del Ente Rector de Salud, denominado CERTIFICADO DE CATEGORIZACION.\nEl IPS como convocante requiere exigencias m\u00ednimas para dar apertura a mayor participaci\u00f3n de potenciales oferentes, adem\u00e1s de que el oferente adjudicado contraer\u00e1 compromiso con la suscripci\u00f3n del contrato y garantizando su cumplimiento a trav\u00e9s de una P\u00f3liza.  \n\n4- La atenci\u00f3n debe ser todos los d\u00edas (Domingos a S\u00e1bados) de 08 a 17hs., y este disponible las 24 horas para los casos de Urgencia. Se solicita que la Contratista tenga a disposici\u00f3n los equipos para realizar los estudios todos los d\u00edas de la semana en horario normal agendado de 08:00 a 17:00 Hs. Y en caso de pacientes con situaci\u00f3n de urgencia se disponga de los servicios las 24 horas.\n\n5- El IPS elabora las especificaciones t\u00e9cnicas en base a las necesidades existentes, y siempre es bueno aclarar cada una de las exigencias y en este caso especificar cada tipo de exploraciones para una correcta ejecuci\u00f3n de contrato si as\u00ed lo tuviere.\n", "dateAnswered": "2023-07-06T11:19:28-04:00"}, {"id": "2", "date": "2023-06-20T22:18:55-04:00", "title": "sobre pliego de bases y condiciones", "description": "considerando la JUSTIFICACION DE LA NECESIDAD QUE SE PRETENDE SATISFACER MEDIANTE LA CONTRATACI\u00d3N A SER REALIZADA. para el acceso de asegurados del ips, al servicios especializados, creemos que un CONSORCIO, que cuente con equipos instalados, en la misma ciudad, pero que ademas cuente con otra empresa de contingencia en la capital.  cumpliria con las exigencias del Pliego?", "author": {"name": "MEDICINA COMPUTARIZADA PARAGUAYA S.A.-MECOMPA S.A.", "id": "PY-RUC-80004221-2"}, "answer": "Se aclara que, la Instituci\u00f3n con el af\u00e1n de satisfacer las necesidades en la zona cuyo objeto es el llamado espec\u00edfico para los asegurados del Departamento de Alto Paran\u00e1 y con eso se busca evitar gastos innecesarios de traslados tanto para el IPS como para nuestros usuarios, y, teniendo en cuenta la demanda insatisfecha que existe en la zona. Por lo tanto, el oferente deber\u00e1 ajustarse a lo establecido en el Pliego de Bases y Condiciones.", "dateAnswered": "2023-07-06T11:18:43-04:00"}, {"id": "3", "date": "2023-06-20T22:20:27-04:00", "title": "sobre ESPECIFICACIONES T\u00c9CNICAS", "description": "es factible, presentar, constancias de mesa de entrada u copias de inspecciones o dictamenes, en relaci\u00f3n al requisito Registro de Operaci\u00f3n actualizado, emitido por la Autoridad Reguladora Radiol\u00f3gica y Nuclear, dado que estos tr\u00e1mites tanto de registro como renovaci\u00f3n, normalmente, tienen un plazo prolongado.", "author": {"name": "MEDICINA COMPUTARIZADA PARAGUAYA S.A.-MECOMPA S.A.", "id": "PY-RUC-80004221-2"}, "answer": "Se aclara que, este requisito es indispensable para los que ofrecen servicios de im\u00e1genes especializados y deben estar actualizadas. Por lo tanto, el oferente deber\u00e1 ajustarse a lo establecido en el Pliego de Bases y Condiciones.", "dateAnswered": "2023-07-06T11:18:53-04:00"}, {"id": "1", "date": "2023-06-20T21:59:34-04:00", "title": "sobre pliego de bases y condiciones", "description": "en la parte de Oferente en Consorcio, requisitos m\u00ednimos, mencionan en la parte de experiencia: Demostrar la experiencia en la provisi\u00f3n de Servicios de estudios de Resonancia Magn\u00e9tica Nuclear y Tomograf\u00eda Computarizada, con Contratos y/o Facturas a instituciones p\u00fablicas o privadas por un monto equivalente al 30 % como m\u00ednimo del monto total ofertado en la presente licitaci\u00f3n, dentro de los \u00faltimos: 5 (cinco) (2018 2019 2020 2021 2022) a\u00f1os. ,,,\nLa convocante, no deberr\u00eda requerir el cumplimiento, al menos desde el 2018, en experiencia, y de ser as\u00ed quisieramos que el requisito sea mas expl\u00edcito, y describir, que el Oferente, debe cumplir con miminamente, con los a\u00f1os de experiencia desde el 2018, y que de alcanzar el %, ser\u00eda un requiisito meramente, cuantitativo, y no cualitativo.\n", "author": {"name": "MEDICINA COMPUTARIZADA PARAGUAYA S.A.-MECOMPA S.A.", "id": "PY-RUC-80004221-2"}, "answer": "Se aclara que, el presente requisito fue establecido de acuerdo a las necesidades y exigencias de la zona y que los potenciales oferentes deben cumplir para garantizar una correcta contrataci\u00f3n  y ejecuci\u00f3n del objeto del presente llamado, demostrando con documentos la experiencia y capacidad de respuesta a los requerimientos de los asegurados del Departamento de Alto Paran\u00e1. Por lo tanto, el oferente deber\u00e1 ajustarse a lo establecido en el Pliego de Bases y Condiciones.", "dateAnswered": "2023-07-06T11:18:35-04:00"}], "lots": [{"id": "n6YWQ2JGijo=", "title": "1 -  CONTRATACI\u00d3N DE SERVICIO TERCERIZADO PARA ESTUDIOS DE RESONANCIA MAGN\u00c9TICA NUCLEAR Y TOMOGRAF\u00cdA COMPUTARIZADA PARA EL DEPARTAMENTO DE ALTO PARAN\u00c1 ", "status": "complete", "statusDetails": "Cerrado Con Lances", "value": {"amount": 19777502160, "currency": "PYG"}, "openContractType": " Por monto", "minValue": {"amount": 9888751080, "currency": "PYG"}, "simultaneousSupply": false, "attributes": [{"name": "Orden", "value": "1", "id": "1"}]}], "items": [{"id": "L+XmqluGizWe8V6nXayTkg==", "description": "RESONANCIA MAGNETICA NUCLEAR CARDIACA", "classification": {"scheme": "catalogoNivel5DNCP", "id": "85121808-005", "description": "Resonancia", "uri": "https://www.contrataciones.gov.py/datos/api/v3/doc/itemClassification/n5/85121808-005"}, "additionalClassifications": 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