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FBO DAILY - FEDBIZOPPS ISSUE OF SEPTEMBER 30, 2017 FBO #5790
DOCUMENT

D -- TAC-17-45334 TheraDoc Patient Monitoring Solution - Attachment

Notice Date

9/28/2017
 

Notice Type

Attachment
 

NAICS

541519 — Other Computer Related Services
 

Contracting Office

Department of Veterans Affairs;Technology Acquisition Center;23 Christopher Way;Eatontown NJ 07724
 

ZIP Code

07724
 

Solicitation Number

VA11817Q2501
 

Archive Date

11/27/2017
 

Point of Contact

William Freer
 

Small Business Set-Aside

N/A
 

Award Number

NNG15SD34B VA118-17-F-2445
 

Award Date

9/28/2017
 

Awardee

MINBURN TECHNOLOGY GROUP, LLC;10113 MINBURN ST;GREAT FALLS;VA;22066
 

Award Amount

$1,925,388.23
 

Description

TheraDoc Patient Monitoring Software Solution Control Number: TAC-17-45334 3 of 7 TheraDoc Patient Monitoring Software Solution Control Number: TAC-17-45334 JUSTIFICATION FOR EXCEPTION TO FAIR OPPORTUNITY 1. Contracting Activity: Department of Veterans Affairs (VA) Office of Acquisition Operations Technology Acquisition Center 23 Christopher Way Eatontown, NJ 07724 2. Description of Action: The proposed action is for a firm-fixed-price task order to be issued under the National Aeronautics and Space Administration (NASA) Solutions for Enterprise-Wide Procurement (SEWP) V Government-wide Acquisition Contract (GWAC) for the procurement of Document Storage System (DSS) brand name TheraDoc Patient Monitoring software solution with maintenance, installation, and user training. 3. Description of Supplies or Services: VA Veterans Health Administration (VHA), Veterans Integrated Service Network (VISN) 6 requires a clinical Decision Support Tool (DST) used for real-time clinical surveillance, alerting, documentation, and reporting. The requirement is to procure the Document Storage Systems (DSS) TheraDoc Patient Monitoring software solution at the following VISN 6 sites: Durham, NC; Salisbury NC; Fayetteville, NC; Richmond, VA; Hampton VA, Salem, VA; and Asheville, NC. Currently the VISN 6 Medical Centers do not have immediate access to existing VA reports such as real time drug reports, drug combination/interaction reports, drug/lab reports, drug utilization reports, real-time infection/microbiology surveillance reports, and antibiograms. The TheraDoc Patient Monitoring software solution shall provide clinical staff immediate real-time lists of patients, identify those patients who need clinical intervention, and provide the ability to monitor and protect patients from drug interactions and adverse events. This can only be provided by interfacing with Veterans Information Systems and Technology Architecture (VistA). This solution will provide interfacing for various data systems including. Admission, Discharge, and Transfer (ADT), Radiology, Surgery, Inpatient Pharmacy, Outpatient Pharmacy, Barcode Medication Administration (BCMA), Lab/Microlab, and the problem list in Computerized Patient Record System (CPRS). Additionally, the DSS TheraDoc Patient Monitoring software solution will provide clinical staff antimicrobial stewardship which will directly assist VHA in meeting its Directive 1031, Antimicrobial Stewardship Programs (ASP), dated January 22, 2014 which provides VAMC responsibilities with antimicrobial stewardship. VISN 6 VAMC s require compliancy with the American Society of Health-System Pharmacists (ASHP) and the Joint Commission Accreditation, Health Care, Certification (JCAHO) standards for antimicrobial stewardship. The JCAHO released standards which are enforceable as of January 1, 2017. These standards include utilizing tools/software to track and trend antimicrobial use and outcomes within institutions. The ASHP has also adopted the JCAHO antimicrobial standards and require monitoring use of antimicrobials and outcomes associated with their use. In addition, as part of VA standards of care, VAMC centers report to the Center of Disease Control and Prevention (CDC). This reporting includes local antibiotic data which is managed locally to determine patters and then when reported to the CDC is managed nationally. This provides oversight into the country s population for antibiotic trends and data. The DSS TheraDoc software solution will ensure the VISN 6 VAMCs will be compliant with these standards and reporting to the maximum extent. The DSS TheraDoc Patient Monitoring software solution is a complete solution that is comprised of software and server hardware. Also the software maintenance shall include security patches and software updates, and 24x7 technical support via multiple channels, including telephone support. Specifically, the software maintenance shall triage any software issue when possible and in the event of required on-site maintenance response time shall be within 48 hours from the time of the call. All installation and training shall be completed within 120 days of award. Maintenance support shall be for 12 months from date of installation with two 12-month option periods. In addition to the aforementioned brand name solution, the Contractor shall provide a main server system to host the TheraDoc Patient Monitoring software solution at one of the VISN 6 sites. These additional items are not required to be a specific brand and will be specified as brand name or equal in the solicitation to include salient characteristics. The total estimated price of the brand name or equal requirements is $. The total estimated price for the brand name requirements, including options, is $. 4. Statutory Authority: The statutory authority permitting this exception to fair opportunity is 41 U.S.C. 4106(c) (2) as implemented by the Federal Acquisition Regulation (FAR) Subpart 16.505(b)(2)(i)(B), entitled Only one awardee is capable of providing the supplies or services required at the level of quality required because the supplies or services ordered are unique or highly specialized. 5. Rationale Supporting Use of Authority Cited Above: Based on extensive market research, as described in section 8 of this justification, it was determined that limited competition is viable among authorized resellers for the DSS TheraDoc Patient Monitoring software solution. Only the DSS TheraDoc Patient Monitoring software solution is fully interoperable with VA Class 1 Protected National Software, (i.e. VistA) as listed in the VA Directive 6402, and any commercial software must not in part or in whole alter or modify VistA. DSS TheraDoc Patient Monitoring software solution is the only known solution that would not require local enhancements or modifications of Non-Protected Class 1 National Software. The DSS TheraDoc Patient Monitoring software solution will not modify the Class 1 National Software in any way and adhere to name spacing and interface control agreement standards as well as National Field Operations Processes, as required by VA Directive 6402. The DSS TheraDoc Patient Monitoring software solution is also the only Infectious Disease, Antimicrobial Stewardship and Clinical Pharmacy decision support tool and surveillance software product that has been identified to provide real time monitoring capabilities with VistA and ability to provide the required functionality and interoperability with existing VA systems. This is a critical VA functional requirement. In addition VA requires a software solution that is capable of collecting Health Level-7 (HL7) international standards to transfer patient clinical and administration data. The DSS TheraDoc Patient Monitoring software solution is currently the only solution able to interoperate and communicate with various pharmaceutical and patient data systems in order to collect HL7 data, which includes over 15 data sources, including but not limited to ADT, Radiology, Surgery, Inpatient Pharmacy, Outpatient Pharmacy, BCMA, Lab/Microlab, and the problem list in CPRS. No other solution is capable of interoperating and communicating with all these systems. Only TheraDoc is capable of automatically pulling all data points from these aforementioned systems for patient data and care; providing analysis on the pulled data; and filtering and generating prioritized information on patients that required immediate clinical intervention. The use of any other solution would not meet all of VA s functional requirements and cannot pull the above data sources to meet VA s needs. Additionally, only TheraDoc Patient Monitoring software, through its interoperability and communication with VA systems, can ensure the all VISN 6 Medical Centers will be compliant with the ASHP and JCAHO standards to the maximum extent. Also, due to its unique capability to interoperate and communicate with VA systems, only the DSS TheraDoc Patient Monitoring software solution has the capability to streamline the VISN 6 Medical Centers reporting to the maximum extent possible. These are all critical VA functional requirements. Additionally, only the DSS TheraDoc Patient Monitoring software solution can provide the VISN 6 Medical Centers access to all reporting mechanisms from all VAMC locations utilizing DSS TheraDoc. Due to its proprietary source code, only DSS TheraDoc software can seamlessly interoperate with its own solution reporting mechanisms which is already in place at VA Medical Centers Nationwide. This is required in order to provide efficiencies to clinician practice and also grant access to any innovations in reporting developed by other VAMCs. Finally, DSS TheraDoc Patient Monitoring software is a proprietary software product; therefore, only DSS or its authorized resellers can provide maintenance on its software product. The proprietary code is required to ensure all DSS TheraDoc software updates and patches are properly pushed through to the fielded software and to ensure the software is properly configured. Access to this code is also required to ensure all services provided on the DSS TheraDoc Patient Monitoring software is properly configured. Access to DSS proprietary data and source code is required to provide the required software maintenance on TheraDoc Patient Monitoring software. No source other than DSS or its authorized resellers have access to the proprietary data and source code necessary to provide the required patching and version upgrades/enhancements and security updates for DSS TheraDoc Patient Monitoring software solution. Furthermore, only DSS and its authorized resellers can provide the associated knowledge base specific installation and training services for the DSS TheraDoc Patient Monitoring software as both require access to required proprietary code and technical data. Without acquiring the DSS TheraDoc clinical decision support software, the VISN 6 Medical Centers will continue to fail to meet requirements from JCAHO and ASHP. More specifically the VISN 6 Medical Centers will continue to be unable to provide the most efficient and high quality patient care available through TheraDoc s integration with VistA. 6. Efforts to Obtain Competition: Market research was conducted, details of which are in the market research section of this document. This effort did not yield any additional sources that can meet the Government s requirements. It was determined however that limited competition is viable among authorized resellers for this brand name item.  In accordance with FAR 5.301 and 16.505(b)(2)(ii)(D), the award notice for this action will be synopsized on the Federal Business Opportunities Page (FBO) and this justification will be made publicly available within 14 days of award. 7. Actions to Increase Competition: The Government will continue to conduct market research to ascertain if there are changes in the market place that would enable future actions to be competed. 8. Market Research: Government technical experts conducted market research by reviewing similar software providers to ascertain if they could meet Government requirements. This market research is an ongoing process starting in January 2017 and continuously being conducted, as recently as July of 2017. Specifically, the technical experts reviewed similar products and services including MedMined, Sentri7, SafetySurveillor, and QC PathFinder. Review of these products included the use of primary literature comparing these software tools as well as some face to face and web based demonstrations. In addition, internet research and email inquiries sent throughout VA enterprise were performed to ascertain if any other product became available. Based on reviews of these products, the technical experts determined that none of these products can provide clinical decision support software that can interoperate and communicate with VA systems as outlined in section 5 of this justification. Also, none of these brand name software solutions can provide the VISN 6 Medical Centers access to all reporting mechanisms from interconnected VAMC s due to the DSS proprietary source code. Only TheraDoc software is capable of not modify the Class 1 National Software in any way and adhere to name spacing and interface control agreement standards as well as National Field Operations Processes, as required by VA Directive 6402. Furthermore, it was determined that no other company has access to the proprietary source code and technical data required for the software TheraDoc Patient Monitoring Software Solution maintenance, installation and training services. Based these market research efforts, the Government has determined that only TheraDoc software and associated software maintenance can meet all of VA s needs and requirements for a clinical decision support software. Additional market Research was conducted during June 2017 by utilizing the NASA SEWP V GWAC Provider Lookup Tool. The Provider Lookup Tool yielded four contract holders, of which one is a Group B(2) Service Disabled Veteran-Owned Small Businesses (SDVOSB) offering DSS brand name products. Direct communications with DSS indicated that requests from additional NASA SEWP SDVOSB contract holders would be considered. Furthermore, the NASA SEWP V GWAC has a dynamic catalog where line items can be added based on customer requests; therefore, as long as the required item or service is within scope of the NASA SEWP V GWAC, items and services can be added to the catalog on a daily basis. This requirement has been found to be within scope of the NASA SEWP V GWAC in a separate determination. There is reasonable expectation that limited competition exists on the NASA SEWP V GWAC amongst Group B(2) SDVOSB concerns for TheraDoc Patient Monitoring software solution to include software licenses, maintenance, installation/implementation, and training. 9. Other Facts: NA 10. Technical and Requirements Certification: I certify that the supporting data under my cognizance, which are included in this justification, are accurate and complete to the best of my knowledge and belief. 11. Fair and Reasonable Cost Determination: I hereby determine that the anticipated price to the Government for this contract action will be fair and reasonable because contracts awarded on the NASA SEWP IV GWAC have already been determined to be fair and reasonable, we will have price competition and it will be compared to the Independent Government Cost Estimate. 12. Procuring Contracting Officer Certification: I certify that this justification is accurate and complete to the best of my knowledge and belief. Approval In my role as procuring activity Advocate for Competition, based on the foregoing justification, I hereby approve the acquisition of a DSS brand name TheraDoc Patient Monitoring software solution with maintenance, installation, and user training on an other than fair opportunity basis pursuant to the authority cited in paragraph 4 above, subject to availability of funds, and provided that the property and services herein described have otherwise been authorized for acquisition. Date: ____________ Signature: _________________________________ Ronald J. Bakay Advocate for Competition Technology Acquisition Center Office of Acquisition Operations
 

Web Link

FBO.gov Permalink
(https://www.fbo.gov/notices/57fe415042e341e31d9899d262886948)
 

Document(s)

Attachment
 

File Name: NNG15SD34B VA118-17-F-2445 NNG15SD34B VA118-17-F-2445.docx (https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3824406&FileName=NNG15SD34B-057.docx)

Link: https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=3824406&FileName=NNG15SD34B-057.docx

 

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

Record

SN04698969-W 20170930/170928232239-57fe415042e341e31d9899d262886948 (fbodaily.com)
 

Source

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

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