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FBO DAILY ISSUE OF APRIL 09, 2011 FBO #3423
MODIFICATION

D -- Medical Image sharing through a patient-controlled exchange system.

Notice Date
4/7/2011
 
Notice Type
Modification/Amendment
 
NAICS
541512 — Computer Systems Design Services
 
Contracting Office
Department of Health and Human Services, National Institutes of Health, National Heart, Lung and Blood Institute, Rockledge Dr. Bethesda, MD, Office of Acquisitions, 6701 Rockledge Dr RKL2/6100 MSC 7902, Bethesda, Maryland, 20892-7902
 
ZIP Code
20892-7902
 
Solicitation Number
NHLBI-CSB-(EB)-2011-149-RNP
 
Archive Date
5/6/2011
 
Point of Contact
Rieka Plugge, Phone: (301) 435-0376, Aaron Blackshire, Phone: (301) 435-0335
 
E-Mail Address
Rieka.plugge@nih.gov, aaron.blackshire@nih.gov
(Rieka.plugge@nih.gov, aaron.blackshire@nih.gov)
 
Small Business Set-Aside
N/A
 
Description
*THIS SOURCES SOUGHT NOTICE HAS BEEN AMENDED, REFER TO THE 2ND TO LAST PARAGRAPHG UNDER THE DESCRIPTION. This Sources Sought Notice (SS) is for information and planning purposes only and shall not be construed as a solicitation or as an obligation on the part of the National Heart, Lung, and Blood Institute (NHLBI). The purpose of this SS is to identify qualified small business concerns [including Small Disadvantaged Businesses (SDB), Woman-owned Small Businesses (WOSB), Historically Underutilized Business Zone (HUBZone) Small Businesses, Veteran-owned Small Businesses (VOSB), and Service-Disabled Veteran-owned Small Businesses (SDVOSB)] that are interested in and capable of providing the below medical image sharing services for a patient-centered and healthcare providers facilitated medical image sharing system. The NHLBI does not intend to award a contract on the basis of responses nor otherwise pay for the preparation of any information submitted. As a result of this Sources Sought Notice, the NHLBI may issue a Request for Proposal (RFP). THERE IS NO SOLICITATION AVAILABLE AT THIS TIME. However, should such a requirement materialize, no basis for claims against NHLBI shall arise as a result of a response to this Sources Sought Notice or the NHLBI's use of such information as either part of our evaluation process or in developing specifications for any subsequent requirement. The NHLBI is seeking capability statements from all eligible small business concerns [particularly Small Disadvantaged Businesses (SDB), Woman-owned Small Businesses (WOSB), Historically Underutilized Business Zone (HUBZone) Small Businesses, Veteran-owned Small Businesses (VOSB), and Service-Disabled Veteran-owned Small Businesses (SDVOSB)] under the North American Industry Classification System (NAICS) code 541512 with a business size standard of $25.0 Million. Based on the responses received from this Sources Sought Notice, the proposed acquisition may be solicited as a Total Small Business Set-Aside. All eligible small business concerns responding to this Sources Sought Notice must have the capabilities to provide the below services at time of award. Interested parties are expected to review this notice to familiarize themselves with the requirements of this project; failure to do so will be at the firm's own risk. Statement of Work Background Medical imaging is a routine practice in patient care. Many diagnosis and treatment decisions are made by heavily depending on image data (including images and reports). In today's medical environment, most patients have multiple encounters at geographically separate locations, with image data dispersed across a number of sites. The lack of ability to access medical image data across separate organizations results in significant problems: inadequate patient service due to absent data, delayed service due to ineffective image distribution solutions (film, CD, etc.), technology hurdles, and significant increases in cost and potential health risk due to duplicate image acquisition. Sharing image data through electronic health records (EHRs) through a network for image exchange will lead to better informed medical decisions, better analysis of medical outcomes, reductions in unnecessary expenses and improvements in the quality and safety of patient care. The value of patient care will improve, if systems at different locations are capable of managing, exchanging, and displaying medical information in its many forms, including images. Existing network infrastructure and technologies have great potential to solve the image sharing problem. In addition, an optimal solution could dramatically reduce overhead on the health care infrastructure. To this end, NIBIB has funded several endeavors over the last few years to establish basic infrastructures to promote the exchange of medical images across broad geographic areas within the United States. Several foundations have been identified in previous efforts for successful image sharing system, e.g. security, identity, privacy and confidentiality, consent and permissions, bandwidth, ease of use, etc. Today we have a limited set of solutions enabling interoperability of clinical information and image data. Patients and physicians need a better way to inform and access existing image exams and results with appropriate utilization. There is a need to develop and extend image sharing systems in the context of health information exchange and "meaningful use" of EHR. There is a need for some standardization and common mechanisms to move data throughout our healthcare system. While the intent is not to stifle innovation, some underlying first principles of exchange can in fact foster innovation, by providing developers with a common reference framework upon which to deploy novel solutions. Purpose The purpose of this contract is to develop a patient-centered and healthcare providers facilitated medical image sharing system where patients can directly visualize and control their images for effective and safe image sharing among radiologists and clinicians with broad participation from a large number of academic institutions, professional societies, and industry vendors. Contractor Requirements To be able to qualify for this contract, offerors must demonstrate that they have already institutionalized, at their respective institute, a sound medical image sharing system with which patients can control how and when they want to share their medical images. The image sharing system must be readily extended to meet the technical requirements. The offerors must also demonstrate, by themselves or by collaboration, the ability to include extremely broad expertise, such as medical imagers, radiologists, physical scientists, engineers and informatics specialists. The offerors must also demonstrate the capability of collaboration with a large number of academic institutions, industries that provide multiple imaging modalities and EHR solutions. Finally, the offerors must provide plans and measures to ensure that that the solution they developed under this contract will be readily disseminated and adopted by industry partners who have an EHR system in clinical use. In another word, NIBIB requires the offerors clearly define the sustainably model and pave the clear path for the successful translation of the developed image sharing system into clinical practice. • Develop use cases for the extension of the existing institutionalized image sharing system. The use case must be based on real world scenarios of image examination workflow in health care environment and research environment and must address unmet needs or technical challenges. • Implement the extension of the image sharing use cases based on the existing institutionalized image sharing system. • Demonstrate consumer based control and ownership of their imaging exams through integration of Personal Health Records (PHRs) with the above system in a secure fashion, recognizing HIPAA requirements. • Demonstrate that internet based imaging exchange is an extensible model in multiple venues, including the numerous venues of standard clinical care as well as in the research environment. • Extend the current system to provide reference framework and metadata for data mining, quality assurance (QA), and structured reporting capability toward future "meaningful use" of image in EHR. • Extend the current system to provide reference framework for comparative effectiveness analysis based on clinical indications and outcomes for providing better clinical decision support. • Demonstrate that the offerors possess quality clinical and image data in their existing institutionalized system that can be leveraged, consolidated, integrated, aggregated, and de-identified for data mining, comparative effectiveness analysis and clinical decision support. • Leverage the radiology ontologies, standard vocabularies, and structured radiology report whenever possible and appropriate. • Develop partnership with industry and the community to facilitate the adoption of the solution as a reference for interoperability by industry and the community. • Explore economic model and financial rewards scheme of image exchange to develop a sustainability model using the data generated from this contract or similar projects. • Extend the current system to resolve remain issues in policy, safety, and security to enable the secure but transparent exchange of imaging exams throughout the healthcare systems into the rapidly emerging solutions that patients will be leveraging. • Demonstrate novel approaches to allow patient-controlled and healthcare providers facilitated medical image sharing networks. • Develop flexible end user preferences and permissions for patients easily to control the when, who, and what to sharing. Patients should be able to select individual images or report for sharing. Patient should also be able to cancel the permission or put a time limit on a shared image. At the end of the project, an evaluation of the patient-controlled medical image sharing system shall be conducted for: • The reduction of the time and the cost for sharing and transferring longitudinal record among regional networks • The reduction of the time and the cost for selecting images and export them to clinical study • The efficiency and security of patient-controlled image sharing • The benefits of such a patient-controlled medical image sharing network to patients, physicians and researchers The period of performance is estimated to be for one (1) two year base period with one (1) two year option period. Interested parties should submit a tailored capability statement for this requirement, not to exceed 20 pages (including all attachments, resumes, charts, etc.) presented in single-spaced and using 12-point font size minimum that clearly details the ability to perform the aspects of the notice described above. All proprietary information should be marked as such. Statements should also include an indication of current certified small business status; this indication should be clearly marked on the first page of your capability statement (preferably placed under the eligible small business concern's name and address). Responses will be reviewed only by NIH personnel and will be held in a confidential manner. All capability statements sent in response to this Sources Sought Notice must be submitted electronically (via e-mail) to Ms. Rieka Plugge, Contract Specialist, at rieka.plugge@nih.gov in either MS Word or Adobe Portable Document Format (PDF), by April 21, 2011, 7:30 AM, EST. All responses must be received by the specified due date and time in order to be considered.
 
Web Link
FBO.gov Permalink
(https://www.fbo.gov/spg/HHS/NIH/NHLBI/NHLBI-CSB-(EB)-2011-149-RNP/listing.html)
 
Place of Performance
Address: Bethesda, Maryland, 20892, United States
Zip Code: 20892
 
Record
SN02419683-W 20110409/110407234724-a2e1a53062c6415632acafaa704c9155 (fbodaily.com)
 
Source
FedBizOpps Link to This Notice
(may not be valid after Archive Date)

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