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FBO DAILY - FEDBIZOPPS ISSUE OF APRIL 03, 2015 FBO #4878
DOCUMENT

Q -- Adult Day Health Care - Justification and Approval (J&A)

Notice Date

4/1/2015
 

Notice Type

Justification and Approval (J&A)
 

NAICS

624120 — Services for the Elderly and Persons with Disabilities
 

Contracting Office

Department of Veterans Affairs;VA Maryland Health Care System;Contracting Officer (90C);P.O. Box 1000, Bldg. 101, Room 26;Perry Point MD 21902
 

ZIP Code

21902
 

Archive Date

4/11/2015
 

Point of Contact

Crystal Hinton
 

E-Mail Address

2-2411
 

Small Business Set-Aside

N/A
 

Award Number

VA245-15-A-0037
 

Award Date

4/1/2015
 

Description

DEPARTMENT OF VETERANS AFFAIRS VISN 5 Justification and Approval For Other Than Full and Open Competition 1.Contracting Activity: Department of Veterans Affairs, NCO 5, VA Medical Center Department of Veterans Affairs, VISN 05, NCO Medical Sharing, Baltimore, MD 21201 Requisition No. Funded/Paid thru VA Form 138, Obligation or Change in Obligation, in accordance with Volume II - Chapter 6 2.Nature and/or Description of the Action Being Processed: Pursuant to FAR 6.302-1 and 41 U.S.C. 253(c) (1), the VA has a requirement which can only be reasonably met by a single supplier. This action is to establish a new Basic Ordering Agreement with current contractor Friends & Family Adult Day Services, Inc. to Adult Day Health Care (ADHC) Services at this time may be deemed to be available only from the original source in the case of a follow on contract, when it is likely that an award to another source would result in unacceptable delays in fulfilling the agency's requirement and substantial duplication of cost to the Government that is not expected to be recovered through competition. The Baltimore, Perry Point VA Medical center (PP/Baltimore VAMHCS) anticipates entering into a sole source acquisition negotiation for eligible Veterans to "continue" receiving Adult Day Health Care (ADHC) services located in MD. Friends & Family Adult Day Services is currently supporting the (PP/Baltimore VAMHCS) by providing service which would otherwise require nursing home placement. ADHC services will be furnished to Veterans in the community for whom such care is specifically authorized by the VA Maryland Health Care System (VAMHCS). Provided services include Registered Nurse/Case Manager to VA veteran patients. The Government anticipates awarding a Basic Ordering Agreements, in accordance with FAR 16.703. A binding contract is will be formed, in accordance with the terms and conditions of this BOA, when the Department of Veterans Affairs (VA) agrees non-VA is required and the contractor agrees to accept the patient and provide direct patient care services. Upon acceptance by the Contractor of beneficiaries of VA, all clauses and terms and conditions of this BOA shall apply and become a part of the resultant contract during such time as VA patient remains in the contractor care at the expense of VA. 3.Description of Supplies/Services Required to Meet the Agency's Needs: A sole source award will be made to Friends & Family Adult Day Services, Inc. Adult Day Health Care for continuous services to veterans and eligible beneficiaries. Friends & Family Adult Day Services hereafter referred to as "ADHC" will provide care to include: activities of daily living, instrumental activities of daily living, adult day health care services. Striving to meet and maintain the healthcare needs and promote maximum wellbeing, a break in continuity of care to our Veterans would prove detrimental and "negatively" impact the quality of life for this aged Veteran population who require critical assisted services and supportive environment. This Basic Ordering Agreement cost estimate is as follow: (5)-Five Year Cost Estimate: $386,540.73 Period of PerformanceAnnual AmountAnnual IncomeIncrease AmountAnnual Amount Base Period$75,354.220.00%$0.00$75,354.22 Option Period 1$75,354.221.28%$964.54$76,318.76 Option Period 2$76,318.761.28%$976.88$77,295.64 Option Period 3$77,295.641.28%$989.39$78,285.03 Option Period 4$78,285.031.28%$1,002.05$79,287.08 Grand Est. 5 Years $386,540.73 "COR's IGCE: $386,540.73 "Contracting Officer's (CO) Cost Estimate: Placements will be made in contract facilities based in availability of facilities and the desires of the veterans and their respective families. Because it is impossible to determine actual usage of any particular contract facility; the VA uses Basic Ordering Agreements with no guaranteed minimums. However, based on a usage rate of one veteran for 365 days, a reasonable estimate for the value of any particular contract would be around $50,000 per year, with many facilities experiencing authorized Veteran populations in excess of 15 per year. Daily rate differ depending on negotiated terms based on the Medicare Rate. Five-(5) Year estimate: $250. 4.Statutory Authority Permitting Other than Full and Open Competition: Implemented by FAR 6.302-1. The specific paragraph must be cited. Most likely, only the -1 or -2 authorities will be cited. Please be aware that failure to adequately plan for future requirements does not constitute appropriate use of the unusual and compelling urgency statutory authority. (x ) (1) Only One Responsible Source and No Other Supplies or Services Will Satisfy Agency Requirements per FAR 6.302-1; ( ) (2) Unusual and Compelling Urgency per FAR 6.302-2; ( ) (3) Industrial Mobilization, Engineering, Developmental or Research Capability or Expert Services per FAR 6.302-3; ( ) (4) International Agreement per FAR 6.302-4 ( ) (5) Authorized or Required by Statute FAR 6.302-5; ( ) (6) National Security per FAR 6.302-6; ( ) (7) Public Interest per FAR 6.302-7; 5.Demonstration that the Contractor's Unique Qualifications or Nature of the Acquisition Requires the Use of the Authority Cited Above (applicability of authority): As noted in paragraph 3, ADHC services are essential to the provision of planned programming designed to promote social and health related services to aging Veterans in the service area who are no longer able to manage independently or who are isolated without an essential support network to facilitate needed care services. A break in the continuity of care to our Veterans would prove detrimental and negatively impact the wellbeing of the aged Veteran population who require assisted services and supportive environment. Recompleting the services would result in a change in services to the existing Veterans who already are enrolled and receiving service based on medical necessity for years. Veterans with long term psychiatric conditions or organic brain dysfunctions would likely experience a decline in functioning or experience an exacerbation in their level of functioning mentally, emotionally, and physically resulting from a disruption or change in vendor. A decrease in stability could potentially lead to irreversible harm or even death. (Note: stability with respect to such medical treatment as may be necessary to assure, within reasonable medical probability that no material deterioration of the condition is likely to result from or occur during the transfer of an individual from a vendor). Consistency in their therapeutic milieu is warranted. The primary goal is to maintain or restore the Veteran to the highest attainable level of health and well-being, thus Veteran treatment should be focused on stabilizing symptoms as much as possible. The benefit of a supportive environment would serve both veterans and their caregivers. The ADHC Program is the Maryland Health System non-medical Adult Day Care purchased care program serving over 700 Veterans. With a huge Veteran demand and lack of funding, a waiting list of over 300 Veterans has prompted a need for ADHC agencies capable of service larger amounts of Veterans with quality care. ADHC is a premier Adult Day Health Care agency that has proven its superb care quality and dependability with our Veterans. ADHC meets our expectations on the geographic coverage area of Cecil and Harford counties. There are also fiscal ramifications that will ensue. These include initial assessment fees ($100.00) for each Veteran and additional tie-consuming administrative issues. The primary goal of the VAMC is to maintain or restore the Veterans to the highest level of well-being, while assisting Veterans and their families in the daily tasks of caring for them and keeping them at home as opposed to a nursing home. Therefore changing Adult Day Health Care agencies at this time is not in the best interest to the Veterans and the Government. Discontinuation of the current contract services will cause an unacceptable delay in fulfilling the agency's requirement for Veteran support and cause substantial duplication of cost to the Government that is not expected to be recovered through competition. The current facility have and will continue to meet all state licensing requirements including the state requirement pertaining to level of medical liability insurance. 6.Description of Efforts Made to ensure that offers are solicited from as many potential sources as deemed practicable: A notice of Intent to sole source will be published on FedBizOpps. 7.Determination by the Contracting Officer that the Anticipated Cost to the Government will be Fair and Reasonable: In order to determine the contractor's proposed price is fair and reasonable, the Contract Specialist will review the proposed rates against VHA Benchmark rates. If the contractor's proposed price appears to be questionable for reasonableness, a justification from the contractor will be required in order to determine whether the propose price is fair and reasonable before award. 8.Description of the Market Research Conducted and the Results, or a Statement of the Reasons Market Research Was Not Conducted: Research was conducted on a limited basis due to the limitation of the geographic area. Research was conducted to establish ADHC contract services located throughout the local VA's catchment area to provide homemaker services to Veterans near or as near as possible to family or friends. Market research for future agreements is dependent on the needs of the patient's population in the catchment area and resources availability of the VA Medical Center. The objective is to maximize patient care while maintaining compliance with VA regulations. 9.Any Other Facts Supporting the Use of Other than Full and Open Competition: Continuing service is critical to Veterans to sustain a quality of life at an acceptable level. 10.Listing of Sources that Expressed, in Writing, an Interest in the Acquisition: Not Applicable for this requirement. 11.A Statement of the Actions, if any, the Agency May Take to Remove or Overcome any Barriers to Competition before Making subsequent acquisitions for the supplies or services required: The Contracting Office has identified way to improve and increase competition for the medical services in areas where completion can be considered. Approval not to compete does require VA Director and Chief of Staff approved prior to acquiring the medical services. The procurement action will be posted to the Government Point of Entry. Any responses will be referred the GEC coordinator for future consideration and marker research of source availability.
 

Web Link

FBO.gov Permalink
(https://www.fbo.gov/notices/8297b164dccd4e8bb871abf354c9753e)
 

Document(s)

Justification and Approval (J&A)
 

File Name: VA245-15-A-0037 VA245-15-A-0037_1.docx (https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=1957644&FileName=VA245-15-A-0037-000.docx)

Link: https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=1957644&FileName=VA245-15-A-0037-000.docx

 

Note: If links are broken, refer to Point of Contact above or contact the FBO Help Desk at 877-472-3779.
 

Record

SN03685737-W 20150403/150401235017-8297b164dccd4e8bb871abf354c9753e (fbodaily.com)
 

Source

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

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