MODIFICATION
D -- Innovation iForms, MedRec, Checkout, IntelliNote
- Notice Date
- 11/24/2009
- Notice Type
- Modification/Amendment
- NAICS
- 541512
— Computer Systems Design Services
- Contracting Office
- Department of Veterans Affairs;Technology Acquisition Center;260 Industrial Way West;Eatontown NJ 07724
- ZIP Code
- 07724
- Solicitation Number
- VA118-10-RQ-0047
- Response Due
- 11/30/2009
- Archive Date
- 1/29/2010
- Point of Contact
- Brandon UttContract Specialist
- E-Mail Address
-
Contract Specialist
(brandon.utt@va.gov)
- Small Business Set-Aside
- N/A
- Description
- The purpose of this Request for Information is to search for qualified vendors capable of meeting the Department of Veterans Affairs requirement for Advanced CPRS Forms in support of the Veterans Hospital Association (VHA) Innovations Program. The VHA electronic medical record, known as the Veterans Health Information System and Technology Architecture (VistA)/Computerized Patient Record System (CPRS), has a built-in capability for developing custom electronic forms. The applications under consideration are all to be based upon an existing Component Object Model (COM) framework for developing and delivering applications to users of the VA's Computerized Patient Records System (CPRS). CPRS has the capability of being extended by means of COM modules. These are custom programs that enhance and extend the functionality of CPRS. The Loma Linda VA Healthcare System (LLVAHCS) has developed a versatile and robust framework based upon CPRS's COM technology. The LLVAHCS CPRS COM Object is a general-purpose CPRS extension that provides us with the ability to enhance CPRS now and in the future without the necessity of deploying additional CPRS COM object DLLs to the workstations throughout the medical center. We can extend the functionality of the COM object by writing server-side logic that processes client requests and returns content back to the COM object to be displayed to the CPRS user. The four applications to be developed based upon COM technology are VistaForms (iForms), Medication Reconciliation, Automated Clinic Checkout Sheet, and the IntelliNote Diabetes Care Tool. VistaForms: The tool used to create custom forms in CPRS is fairly basic, involving a text editor and a list of fields that can be manually added to create a form. This precludes many users from creating more advanced forms due to the rather primitive tools available for form creation, and thus places the burden for the development of advanced forms on a relatively small number of users and programmers. The Contractor shall develop a framework for rapidly creating and delivering advanced electronic forms for clinical users within the CPRS environment that would facilitate the continued improvement of electronic clinical documentation in the VA. The application shall provide a development interface for designing the form interface and implementing business logic within the form. The application shall also provide a hosting platform for the delivery mechanism of the forms to the clinical user within the CPRS environment. The forms development interface is a standalone application that allows a non-programmer to create forms by means of a drag-and-drop, rapid application development (RAD) interface. Medication Reconciliation: Currently, the LLVAHCS uses COM object interface to remind clinicians to perform and document medication reconciliation. Specifically, when a patient is admitted to the hospital, the COM object is initiated at patient selection, requesting completion of medication reconciliation before proceeding further into the patient's record. The Contractor shall redesign the current COM object medication reconciliation tool to include a medication ordering function. LLVAHCS COM object would provide a form with a list of pre-admission medications. At discharge, the discharge pharmacist or clinician can invoke the discharge medication reconciliation COM object that will generate the pre-admission medication list as well as the current inpatient medication list. The clinician or pharmacist will take action on each medication and generate a list of discharge medications. The COM object-based application will create a discharge medication note as well as a patient-friendly list of discharge medications for the patient. Automated Clinic Checkout Sheet: The contractor shall develop an application to provide patients with a patient-friendly summary of their outpatient visit or inpatient stay in an efficient and mostly automated manner. Using COM technology, medication, lab, consult, imaging and text orders in VistA/CPRS would be translated into a readable, patient-friendly instruction sheet. At the conclusion of an outpatient visit, clinic staff will invoke the COM object through the CPRS templates, a note title or from the CPRS tools menu. Therefore the discharge instructions will display discharge medications, self-care instructions, patient education, future appointments, orders for imaging tests and other procedures, consults, lab tests and contact information for the patient's primary care physician. IntelliNote Diabetes Care Tool: The Contractor shall develop IntelliNote as an innovative and unique solution to diabetes care, using COM technology. The application will incorporate decision support logic that will allow it to provide recommendations to the clinician based upon current clinical guidelines from various sources, including VA guidelines and formularies. The clinician will take action on the form which will result in the application automatically ordering appropriate labs and exams, medications, and appointments. This is a request for information only. This is not a solicitation announcement. The NAICS code for this effort is 541512. The period of performance is expected to be 12 months from date of award.
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