General Services Administration, Information Technology Services, Fast Program (7TF), 819 Taylor St., Rm. 11A30, Fort Worth, TX 76102-6105

D -- MODELING AND SIMULATION APPLICATION SOL 7TF-98-0008 DUE 021398 POC Patricia G. renfro, contracting Officer, (817)9780039, Robert Richter, Technical Point of Contact, (310)295-3242 17(i). This is a combined synopsis/solicitation for commercial items prepared in accordance with the format in FAR Subpart 12.6, the test program in FAR Subpart 13.6, and FAR Part 15, as supplemented with additional information included in this notice. This announcement constitutes the only solicitation; proposals are being requested and a written solicitation will not be issued!! 17(ii). Solicitation Number 7TF-98-0007 Request for Proposal!! 17(iii). This solicitation document and incorporated provisions and clauses are those in effect through Federal Acquisition Circular 97-02!! 17(iv). This is a full and open procurement under SIC 7373 Computer Integrated Systems Design!! 17(v). Description: There are several contract line items, which are not optional: ITEMS LISTED Outpatient Orthopedic Clinic Modeling and Macro Simulation Project:1. STATEMENT OF WORK: 1.1 Background: The mission of the Program Analysis Directorate of the Naval Medical Information Management Center(NAVMEDINFOMGMTCEN) includes pro-actively providing information services and information systems that provide health care and other related data in support of current, evolving and future Managed Care, TriCare, and Lead Agent initiatives in the MHSS as directed by the Office of the Assistant Secretary of Defense (Health Affairs) and driven by customer requirements. In support of this mission, the Program Analysis Directorate conducts medical modeling and simulation software evaluations. The Navy Medical community does not have an orthopedic outpatient clinic model that satisfies its needs. 1.2 Description: The contractor shall develop a prototype model of the NNMC Orthopedic clinic designed to introduce business process reengineering through modeling and simulation technology to NNMC staff. The simulation and modeling project is for a military outpatient clinic where the clinic management will utilize a COTS simulation application consistent with that of the NNMC Medical Acute Care Clinic (MACC) model. This project will also demonstrate the feasibility of inter clinic modeling via patient referral between the MACC and the Orthopedics Clinic. 1.2.1 Task 1 -- Modeling and Simulation Application: The contractor shall acquire and install, in the NNMC orthopedic clinic, a simulation package whose software is completely compatible with that of the MACC simulation (MedModel) so that the two applications can be seamlessly merged as one simulation. 1.2.2 Task 2 -- Model the NNMC Orthopedic Clinic: The contractor shall model the patient flow and activities associated with the patient flow of the NNMC Orthopedic clinic (OC) in Bethesda, MD. The NNMC's Orthopedic Outpatient Clinic has about 32 staff members, including nine staff physicians, and fifteen residents. At the first and the fifteenth of each month one intern and two medical school students from USUHS rotate through the OC (total of 2 interns and 4 medical students per month). The clinic is open Monday through Friday from 0800 to 1600 or until the last patient is discharged. The same hourshold for the weekend and holidays but the staff is reduced to one physician and one technician. The clinic has 13 subspecialties including foot, ankle, upper extremities, hand, spine, sports medicine, total joint and pediatric area. Referrals are direct, NNMC inpatient, NNMC Emergency Room, NNMC Medical Acute Care Clinic and second opinion from the field. In addition to creating the orthopedic model the contractor shall merge the MACC and Orthopedic models to create a Joint MACC and OC model (JMO). The JMO shall demonstrate the patient's movement between the two clinics via MedModel's graphic interface. The contractor shall be provided a MedModel layout of the orthopedic clinic by the NMIMC Clinic Simulation team. The contractor will use Visio Technical or Visio Professional on their PCs to facilitate the modification of the OC layout as needed and also for the transfer of the layout to MedModel. The contractor will include not only patient entities, but also the entities of major supplies, including but notlimited to: casts, ordinary and specialty braces, fracture boots, fabricated and prefabricated splints, orthotics, prosthetic limbs, post-op shoes, bandages and wraps, crutches, linen (sheets, surgical and other uniforms), x-rays, and Pharmacy orders). Patient entity types will be defined by the contractor through discussions with the OC staff. The types should be defined so that the major procedures done at the clinic can be simulated with the appropriate processes, resources, and entities. The contractor will model resources to include staff physicians, residents, interns, medical students, physician assistants, nurses, technicians, and administrative staff. The contractor will provide run time interfaces to 1) enable the quantity of each of these resources to be changed, 2) change the distribution of patients arriving at the clinic, and 3) probability distributions for major tasks by staff physician, resident, and intern. The contractor will include mechanisms to permit daily staff scheduling for a numberof months determined by the orthopedic clinic head. The contractor will derive the processing logic of the events occurring to the patient and other entities from the point of entrance to the point of exit of the orthopedic clinic or transfer from or to the MACC in the NNMC. The tasks of the resources shall appear in the model to include as separate processes the IM/IT processes of ADS and CHCS patient data entry and the time taken for these IM/IT processes shall appear in the model's report. The contractor shall take observations, collect input variable data, and derive the probability distributions for the resource processes. The contractor shall define the processing tasks in a task dictionary to a level of detail that illustrates the major tasks and their duration in the orthopedic clinic. These tasks would be differentiated by the area and complexity of treatment and associated time and materials required for the patient's care. As an example the creation of a cast would be a single process with component tasks aggregated and an average time for the cast process drawn from an appropriate probability distribution. The pre and post treatment physician patient consults would each have an average time for completion which may be a function of the case complexity. The simulation distributions of time of completion for given tasks may be different for permanent staff physicians and GME interns . The contractor will derive these distributions for permanent staff, residents, interns. These distributions shall be able to be changed by the user via run time interfaces. Training consults and other training efforts should be identified, modeled and appropriate distributions assigned. There are approximately 32 staff members at the NNMC orthopedic clinic including 9 staff physicians and about 15 graduate medical students. There are fifteen orthopedic technicians (corpsmen)authorized. The contractor shall document 1) the Orthopedic Clinic and 2) the combined Orthopedic and MACC clinic models using the Model Notes and other comment facilities of MedModel. The Model Notes shall include a description of 1) the patient types and other entities, 2) the resources and their breaks, 3) the processing logic for the patient's and other entities flow in the clinic 4) 4 month or other staff schedules. In generating the simulation the contractor shall include, but not be limited to, the tasks of 1) Project definition including a flow chart of patient processing, 2) Data collection, 3) Model generation, and 4) Model presentation including creation of the NNMC Orthopedic Clinic Simulation User's Guide and an on-site 8 hour training session. 1.3 Significant Milestones and Deliverables In fulfillment of this SOW, the contractor shall deliver to NMIMC: o Monthly Status Reports o Report on the Project Definition with patient/provider processing flow chart and other appropriate documentation o Data collection documentation including data definitions, methodology employed, and data collected. A sample run of data fitting via Stat::Fit or other statistical package shall be included. The data shall also be provided to NMIMC in a form to be accepted by an independent package of the Stat::Fit software provided to NMIMC by the contractor (see below). o MedModel simulation model for the NNMC Orthopedic Clinic o MedModel simulation model for the combined NNMC MACC and Orthopedic Clinic o A NNMC Orthopedic Clinic Simulation User's guide describing the models and the use of the run time interfaces along with instructions to change break and work schedule model components. o Full MedModel software package for model development and production with hardware key and documentation including MedModel Reference Manual, MedModel Users Guide, Stat::Fit user's documentation, and other simulation documentation as appropriate. o One copy of the Stat::Fit software with documentation for NMIMC's use in the analysis of data from the contractor's data collection phase. MILESTONE/DELIVERABLE Signed DO + 2 weeks, MedModel Layout of NNMC, Signed DO + 2 weeks, Orrthopedic Clinic and MACC, Monthly Project Status Reports, 1st working day after the 25th day of each month, Stat::Fit Software package,DO + 4 weeks, MedModel Full Licensed Model w. Key, DO + 4 weeks, Develop Orthopedic Clinic Model, DO + 20 weeks, Develop Orthopedic and MACC, Merged Model,DO + 26 weeks, NNMC Orthopedic Clinic User's, DO + 30 weeks, Guide our Training Session for NMC/NMIMC staff, DO + 32 weeks. The above schedule is based on the best information available at this time. As better information becomes available or should unforeseen circumstances arise, it may be necessary to modify this schedule. The contractor assumes the responsibility of formally notifying NMIMC as soon as it becomes likely that a scheduled date will slip by more than seven calendar days. 1.4 Period of Performance: Period of Performance for this Firm Fixed Price effort is 32 weeks from the date of the award of this delivery order.1.5 Selection Factors: Contractor selection factors include: o Prior experience in creating hospital clinic simulations (20%) o Prior experience in creating clinic simulations using MedModel (50%) o Prior experience in creating a simulation of an inpatient or outpatient orthopedic clinic (30%) 1.6 Place of Performance: The place of performance for this Cost Plus Fixed Fee effort is:The contractor's place of business and o The National Naval Medical Center, Bethesda, MD. and o Naval Medical Information Management Center National Naval Medical Center, 8901 Wisconsin Ave. Bldg 27, Bethesda, MD 1.6 Security: No access to classified information is required by the contractor. (0030)

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