Loren Data's SAM Daily™

FBO DAILY ISSUE OF AUGUST 24, 2002 FBO #0265
SOLICITATION NOTICE

70 -- Consult Evaluation System see statement of work b

Notice Date

8/22/2002
 

Notice Type

Solicitation Notice
 

Contracting Office

9000 Rockville Pike Bldg. 10/1n226; Bethesda, MD 20892
 

ZIP Code

20892
 

Solicitation Number

CC263-02-Q-LL-0582
 

Response Due

9/6/2002
 

Point of Contact

Andrea McGee 301-402-0735
 

Small Business Set-Aside

Total Small Business
 

Description

NA Buyer: NIH Clinical Center 9000 Rockville Pike Bldg. 10/1n226 Bethesda MD 20892 Reference Number: CC263-02-Q-LL-0582 Required By: 09-06-02 Delivery By: 09-19-02 Delivery FOB: Y Small Business Set-aside: Y FAR: 52.219-1 SMALL BUSINESS CONCERN REPRESENTATION 84041 SIC: 7371 FSC: 7010 Simplix Key: 7LILS8G0 Delivery Destination: Colleen McGowan; 10 Center Drive; Bethesda, MD 20892 LINE ITEM 01: 1 Each Consult Evaluation System see statement of work below on line 2 attachements on line items 3/4 LINE ITEM 02: 1 Each Statement of Work Consult Evaluation System Background The mission of the National Institutes of Health is to uncov er new knowledge that will lead to better health for everyon e. The NIH accomplishes that mission by: conducting research in its own laboratories; supporting the research of non-Fed eral scientists in universities, medical schools, hospitals, and research institutions throughout the country and abroad ; helping in the training of research investigators; and fos tering the communication of biomedical information. As an organization, the NIH is unique. Management is intenti onally decentralized into 24 Institutes and Centers, which c ooperate and collaborate in the management and conduct of re search. This decentralized environment fosters a broad range of investigator-initiated research. The Warren Grant Magnuson Clinical Center, a 240-bed biomedi cal research hospital, is part of the NIH campus in Bethesda , Maryland. The Clinical Center is the setting in which most NIH intramural clinical trials are carried out, and it acco unts for about half the NIH-funded dedicated clinical resear ch beds in the country. About 7,000 patients per year are ad mitted to the inpatient services, and 70,000 per year are se en as outpatients. Care for inpatients and outpatients in the Clinical Center i s provided by staff physicians who, in general, are employed by the 17 Institutes that have clinical programs on the NIH intramural campus in Bethesda. The hospital is organized in to floors and clinics, with each floor or clinic typically s erving one or a small number of Institute programs. For exam ple, the National Cancer Institute (NCI) cares for patients admitted on NCI protocols on two floors and one clinic in th e hospital. General guidelines to establish the standard of care in the hospital are established by the Medical Executiv e Committee (MEC), a body composed of the Director of the Cl inical Center and the Clinical Directors of all the Institut es with clinical programs. The MEC is responsible for patien t safety and quality of care throughout the Clinical Center. The Consult Review Committee is a chartered subcommittee of the MEC that is responsible for assuring that consults perf ormed within the Clinical Center meet the hospital's standar ds for quality and safety. Subspecialty consults are not performed by hospital staff, b ut rather by staff belonging to the Institute that covers th at particular subspecialty within its mission. Oncology cons ults are provided by NCI, ophthalmology consults are provide d by the National Eye Institute (NEI), Dental Consults by th e National Institute of Dental and Craniofacial Research (NI DCR), etc. Because of the relative autonomy of the Institute s, it is difficult to capture information on consult quality for use by the Consult Review Committee or for feedback to the Institute providing the consult service. The consult process starts when a provider enters an order f or a consult into the Medical Information System (MIS) and i s completed when the consultant files a consult on an NIH fo rm M513 in the patient's chart. This form is printed by the MIS when the consultant logs into the system and completes t he consult order. The detailed operations of the consult ser vice between these two processes are left largely up to the Institute that runs the consult service. This Statement of W ork is for the development of an ancillary Consult Evaluatio n System (CES) that will automatically generate electronic e valuation questionnaires for both the consult requestor and the consultant, that will securely collect the information o n these forms, and that will make the contents of these eval uations available both individually and as aggregated data i n reports. Volumes There are currently 39 consult services, although this numbe r is expected to increase. These are: Adult auditory assessment Allergy and immunology Anesthesiology Cardiology Children's hospital pediatric consult Critical care medicine Dental Dermatology Endocrinology Gastroenterology Genetics Gynecology Hematology Hepatology Infectious disease Internal medicine Nephrology Neurology Neurosurgery Nutrition Ophthalmology Orthopedics Otolaryngology Pain and palliative care Pediatric auditory assessment Pediatric rheumatology Podiatry Psychiatry Radiation therapy Surgery, general Therapeutic phlebotomy Thoracic surgery Transfusion medicine Urology Vascular access device Vestibular assessment Wound, ostomy, continence Annual consult volumes, based on six months of data ending 3 /02, range from 4 consults per service to 1706 consults per service. Total consult volume, based on six months of data e nding 3/02, is 10,140 consults per year. REQUIREMENTS Infrastructure The system shall use an established SQL compliant relational database management system (DBMS) to store evaluation data. This DBMS shall be one already in use in the NIH Clinical C enter (e.g. Oracle, Sybase). The DBMS shall run under an operating system (OS) already in use in the NIH Clinical Center (e.g. Windows 2000, Windows XP, Mac OS X, Sun Solaris, IBM AIX). The application server, if one is used, shall run under an o perating system (OS) already in use in the NIH Clinical Cent er (e.g. Windows 2000, Windows XP, Mac OS X, Sun Solaris, IB M AIX). The system user interface shall be World Wide Web based. The web-based interface shall run in a functionally equivale nt manner on the following client platforms: Windows 98, Win dows 2000, Windows NT 4, Windows XP, Mac OS 8.x, Mac OS 9.x, Mac OS 10.x. The web-based interface shall run in a functionally equivale nt manner in the following web browsers: Microsoft Internet Explorer version 5.1 or higher (Mac OS), Microsoft Internet Explorer version 5.5 or higher (Windows). The web-based interface shall require no installation of sof tware on client computers other than a standard installation of the OS and web browser software. All data transmitted by the application over the NIH intrane t or the public Intranet that contains patient identificatio n shall be encrypted. A solution that requires servers to re side behind a firewall for communication between the applica tion server, DBMS server, and web server, is acceptable. The system shall not require a real-time interface to the MI S. The MIS is able to send reports to a virtual printer; the se reports can be collected in a file system. A solution tha t requires electronic parsing of information from these repo rts is acceptable. Functional See attachment 1 - proposed process flowchart. See attachment 2 - proposed consultant and requestor evaluat ion forms. See attachment 3 - NIH Form M513. The system shall collect consult ordering information from t he MIS within 24 hours of the time that the consult order is entered in the MIS. This information shall include, at a mi nimum, date of consult request, patient identification, reas on for the consult, requestor identification, consult servic e requested, MIS order number, patient location, patient ser vice, and patient diagnosis. The system shall send notification requesting evaluation of the consult process to the consultant within 24 hours of com pletion of the consult in the MIS. Note that the notificatio n and the subsequent evaluation can be separate processes. The system shall send notification requesting evaluation of the consult process to the requesting provider 24 hours afte r the Consult Evaluation System is notified that the consult is completed in the MIS. Note that the notification and the subsequent evaluation can be separate processes. The system shall send reminders to the consultant and reques tor at weekly intervals until the evaluations are completed or until an established number of weeks have passed without an evaluation. The system shall have the ability to flag an evaluation as n ot returned, and to forego further reminders. The system shall collect the data entered on the consultant and requestor evaluation forms in a relational database. This relational database shall, at a minimum, include the fo llowing information: date of consult request, patient identi fication, reason for the consult, requestor identification, consult service requested, MIS order number, patient diagnos is, patient location, patient service, all fields from the e valuation forms, date of evaluation, and evaluator identific ation. The system may populate provider and patient tables t hrough an interface or view into another system (e.g. the Cl inical Data Repository, the MIS User Database). The system shall send notification to the Consult Review Com mittee upon the following events: completion of consultant e valuation, completion of requestor evaluation, flagging of a n evaluation as not returned. The system shall send notification to the Consult Review Com mittee based on the content of the evaluation forms. For exa mple, a consult process rated unsatisfactory or unsafe by ei ther the requestor or the consultant shall result in immedia te notification of the Consult Review Committee. The system shall provide, at a minimum, the following report s: number of consults performed aggregated by consultant, nu mber of consults performed aggregated by consult service, nu mber of consults performed aggregated by requesting service or location, summary evaluation statistics on consults perfo rmed aggregated by consultant, summary evaluation statistics on consults performed aggregated by consult service, and su mmary evaluation statistics on consults performed aggregated by requesting service or location The system shall provide the ability to make ad hoc queries of the consult review database using third party tools (e.g. Crystal Reports) or directly through the Consult Evaluation Application. Documentation The contractor shall provide full documentation of the datab ase data model and data dictionary. The contractor shall provide full documentation of mappings from MIS or Clinical Data Repository data fields to the Cons ult Evaluation System data fields. The contractor shall provide sufficient documentation of the user interface and application server so that the governmen t can modify evaluation forms or database tables without con tractor intervention after the system is "live." The contractor shall provide a computer-based training modul e on the use of the system. The contractor shall provide full documentation on the use o f the system. Maintenance The system shall be designed so that maintenance of the appl ication server, DBMS, database, data dictionary, and interfa ces can be performed by the government at completion of the contract. The contractor should be available up to 90 days after the s ystem activation to troubleshoot problems. Reporting The contractor shall provide at the time of award a detailed timeline and project plan. This project plan shall include all anticipated activities, and should clearly identify the project's critical path. The project plan shall also include identification of resources associated with each identified task. The contractor shall provide biweekly status reports that sh all include, at a minimum: activities planned for the report ing period, work completed during the reporting period, stat us of ongoing activities, problems or issues projected or id entified, recommended and alternative solutions for identifi ed or projected problems or issues, resource (staff and fund ing) status. The bi-weekly status report shall also include any updates or modifications to the project plan or timeline , with projected impact of these updates on project completi on date or projected resources required. The contractor's Project Manager and other necessary staff s hall participate in weekly management meetings and be prepar ed to present and discuss, at a minimum, the items identifie d in the requirements for the biweekly status report. The contractor shall maintain an electronic problem-tracking database which contains, at a minimum: problem description, problem status, date problem was identified, date problem w as resolved, individual or contact responsible for resolving problem, problem priority. Timelines Total system deployment and activation should occur within 9 0 days of the contract award date. Evaluation Criteria: Best Value Award The government will award a purchase order resulting from th is procurement to the responsible offeror whose offer confir ming to the requirements contained herein, will be most adva ntageous to the Government, price and other factors consider ed. The following factors shall be used to evaluate offers: The offeror's proposal will be evaluated scored against the following: Understanding the Requirement and Proposed Technical Approac h-40% The offeror shall demonstrate its understanding of the Gover nment's requirements through a detailed description of its p roposed approach (including timelines and relevant milestone s) to creating a Consult Evaluation System. This could also include sample screens and reports from a possible prototyp e. The offeror shall identify a primary and secondary person to work on this project. They shall fully describe the qualif ications, availability, training and experience of the propo sed personnel to be utilized on the project. Resumes or cur riculum vitae should be provided and should be sufficiently detailed enough for the Government to assess personnel exper ience, competence and knowledge in the area of health care a s well as information technology. Past Performance and Industry Knowledge-20% Offeror shall submit 2-4 references from work performed or o ngoing in the health care field. This information should pr ovide the contract numbers, names and telephone numbers of i ndividuals (Project Officers) whom the Government can contac t for information on the quality of past performance by the offeror. This information should be sufficiently detailed e nough to demonstrate previous effectiveness in furnishing th e same or similar services to that requested by this procure ment. Past performance will be evaluated from a business and techn ical standpoint to determine the relative merits of the prop osal. The information presented by the contractor together with that available from sources within the Government as we ll as other sources known to the Government will provide the information for this portion of the technical evaluation. Price-40% A total firm-fixed price shall be offered. The cost proposa l shall be a detailed breakout of the labor categories, hour ly rates and all other direct costs as well as indirect rate s and profit. Contact Information: Andrea McGee at AmcGee@cc.nih.gov LINE ITEM 03: 1 Each Requester's Evaluation of Consultant Requester's name:Consultant's name: Consultation service:Date the consult request was sent: Patient's name:NIH #: Location:Institute: Attending's name: Consult requested by:Telephone ___Written ___MIS _X_E-mail ___ Type of consult: Routine In-patient ___ Outpatient ___ Em ergency ___ Teaching ___ Consult was requested primarily for: Medical advice _X_ Te aching case ___ Please assess the consultation performed in service to the a bove patient: Overall quality of the consult:Superior ____Satisfactory ___ _Poor _____ - Were there any problems contacting the consultant?Yes ___ No ___ - Was the consultation performed in a timely manner?Yes ___ No ___ - Did a member of the Senior Staff participate in the consu lt?Yes ___No ___ Uncertain ___ - Were the recommendations clinically helpful?Yes ___No ___ - Did the consultant provide appropriate follow-up?Yes ___N o ___ - Was the consultation report legible?Yes ___No ___ Additional comments and recommendations for quality improvem ent: LINE ITEM 04: 1 Each Consultant's Evaluation of the Requester Consultant's name:Requester's name: Consultation service:Date consultant received the request: Patient's name:NIH #: Location:Institute: Attending's name: Consult request received by:Telephone ___Written ___MIS ___ E-mail ___ Type of consult: Routine In-patient ___ Outpatient ___ Em ergency ___ Teaching ___ Consult was requested primarily for: Medical advice ___ Te aching case ___ Please assess the request for consultation in service to the above patient: Overall interaction with the requesting team: Satisfactory ____Poor _____ - Were the clinical issues clearly delineated in the consul t request?Yes ___No ___ - Was the urgency of the consult properly represented?Yes _ __No ___ - Was an appropriate clinical database present prior to the consult?Yes ___No ___ - Was the primary team familiar with the patient's clinical status?Yes ___No ___ - Did existing progress notes clearly document the clinical issues?Yes ___No ___ - Was it difficult to communicate with the referring team?Y es ___No ___ - Did the requesting team follow your key recommendations?Y es ___No ___ Additional comments and recommendations for quality improvem ent: ADDITIONAL PROVISIONS AND REPRESENTATIONS: Please send ALLl quotes electronically to AMcGee@cc.nih.gov. 19.502-2 Total Small Business Set-Aside
 

Web Link

Simplix
(http://www.simplix.com)
 

Place of Performance

Address: 10 Center Drive

Zip Code: 20892

Country: USA
 

Record

SN00147637-W 20020824/020822213349 (fbodaily.com)
 

Source

FedBizOpps.gov Link to This Notice
(may not be valid after Archive Date)

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