Naval Medical Logistics Command, Code 05, 521 Fraim Street, Ft. Detrick, MD 21702-5015

B -- OBSTETRICS DECISION MODEL, BETHESDA, MD SOL N62645-98-Q-1007 DUE 091198 POC Dan Clever, Contract Specialist, (301) 619-2464, or Susan Wellen, Contracting Officer, (301) 619-3022 This modification to RFQ N62645-98-Q-1007 replaces the original announcement and all subsequent revisions, in their entirety. The Naval Medical Logistics Command, (NMLC) seeks proposals for a computer Decision Model for simulation and analysis of outpatient services at the National Naval Medical Center (NNMC) Bethesda, MD; performance to begin by COB 9/28/98. This is a combined synopsis/solicitation for commercial items prepared in accordance with FAR Subpart 12.6 format, as supplemented with additional information included in this notice. This announcement constitutes the only Request for Quotation under Solicitation N62645-98-Q-1007; A WRITTEN SOLICITATION WILL NOT BE ISSUED. The solicitation document and incorporated provisions and clauses are those in effect through FAC 97-5. SIC is 8742, all responsible sources are encouraged to submit proposals. The Navy contemplates award of a Firm Fixed Price contract for an est period of performance of 32 wks. NNMC is developing a product-line approach to manage obstetrical (OB) services. The goal is to meet cost, quality, and access objectives for OB patients. These goals depend on management of the care process. The care process is a relationship involving patient volume, clinical practice patterns, capacity and staffing. Managing these relationships requires the development of decision support tools. The NNMC OB inpatient model effectively determined the maximum volume of inpatient care that can be supported with staffing and facility capacity. With this model in place, a rational decision offers the opportunity to minimize purchased care costs for inpatient OB workload referred outside NNMC. Increasing the volume of OB inpatients creates additional demand for outpatient clinical services. While the previous simulation modeling efforts helped the NNMC support an expanded volume of inpatients, limitations in the outpatient clinic hampers the effort to attract added patient volume. In an era of patient choice, patient dissatisfaction with the outpatient clinic may discourage patients away from the NNMC. Patients using the facility and using purchased care need to be compared using a standard survey tool. The NNMC needs an OB outpatient clinic model to provide decision support information similar to that provided by the inpatient simulation model. The contractor shall develop a simulation model to determine the minimum facility capacity and staff requirements needed to meet the performance parameters established by the Head, Ob/Gyn at NNMC. The contractor shall: (1) Visit the NNMC within one week After Contract Award (ACA) to collect data supporting simulation findings. A written Final Project Mgt Plan (CLIN 0001), must be submitted in 3 copies, within 14 days ACA. It shall include an estimated expenditure rate in labor hrs by month and task. Provide a file that showing events for the period of performance. 3 copies of a Monthly Progress and Performance Report (CLIN 0002) will be furnished on the 1st day of each month. This will include a summary of efforts expended in labor hrs by task item, and an itemization of Other Direct Costs. (2) Specify functional requirements that describe specific decisions that will be supported by the resulting model and context in which they are made in the managerial environment. The decision-makers must be identified by function and must be actionable. Identify anticipated frequency of use and correlation to cyclical business processes. 10 copies of a draft document (CLIN 0003) will be delivered 8 wks ACA. 10 copies of a revised document (CLIN 0004) incorporating additional insight obtained during the course of the model development activities will be delivered 32 wks ACA. (3) Provide an analysis of current operations of the outpatient OB clinic. 10 copies of draft version (CLIN 0005) will be provided 16 wks ACA. Draft version will at a min identify patient types, patient flow patterns through the outpatient area, staffing resources by type, existing clinic space constraints, and patient dissatisfiers with clinic functions and procedures. 10 copies of a final report (CLIN 0006) will be delivered 32 wks ACA. (4) Specify the parameters of the simulation model. The parameters at min must include forecasted patient volume, identification of patient types, patient flow patterns through the outpatient area, staffing resources by type, existing clinic space and constraints. Measurable targets must be established for the clinic staff such as allowable patient wait times. Information will be provided to the Head, Ob/Gyn Dept for monitoring the clinic's success in meeting the targets. Clinic performance objectives will be identified in terms of provider types (including Graduate Medical Education), appointment scheduling, patient wait time, and service time for different patient types. Parameters will be identified as to type, empirical or user specified. 10 copies of these parameters will be enumerated and described in a report (CLIN 0007) which will be delivered 24 wks following contract award. (5) Build a working simulation model (CLIN 0008) of the outpatient OB clinic to identify the facility, staffing and capacity requirements to meet the performance objectives defined for various forecasted vol. of outpatient workload. 3 copies of CLIN 0008 will be provided 24 wks ACA. The model must be provided in a Windows PC-based format. Delivery of the simulation model will be accompanied by its source software coding for components which are not Commercial-Off-The-Shelf COTS (CLIN 0009). To validate/test the model, the operation of 3 simulation scenarios will be prepared and documented to analyze a range of patient volumes and administrative or clinical practice patterns (CLIN 0010). (6) Identify the data element requirements for the model. Necessary data elements will be identified to build a management information system to manage the critical targets required to achieve the simulation model results defined in (4). An assessment will be made of the availability of these data elements in Military Health Services System data systems or from other data sources (CLIN 0011) and will be delivered 32 wks ACA. (7) Prepare a benefits realization collection plan (CLIN 0012) to be used by NNMC for collecting data and information to allow the Gov't to evaluate and attribute benefits realized by the MHSS with the use of the model. Provision will be made primarily for the use of quantifiable results, and secondarily to subjective assessments. The plan will include at a min recommendations for a controlled study and the establishment of baseline measurements. 10 copies of CLIN 0012 will be provided 32 wks ACA. Performance may require access to personnel and patient medical records; compliance with the Privacy Act of 1974 required. The model and all medical data received, processed, evaluated, loaded and/or created as a result of this contract will remain the sole property of the Gov't unless exception is granted, in writing, by the contracting officer. A delivery schedule for all deliverables specified above will be attached to the award document. All deliverables are FOB Destination. Provisions at FAR 52.212-1, Instructions to Offerors-Commercial Items, applies to this acquisition with the exception of (d), (h), and (i) of the clause, which are RESERVED. FAR 52.212-2, Evaluation -- Commercial Items, is applicable to this acquisition. The Gov't intends to make award to the responsible offeror whose offer, conforming to the solicitation, is determined most advantageous to the Gov't, cost/price and other factors considered. Proposal evaluation factors: (Technical) Past Performance, Preliminary Project Management Plan, and (Cost) Total Cost. The combined technical evaluation factors are significantly more important than cost. However, the closer the merits of the technical proposals are to one another, the greater will be the importance of cost in making the award determination. In the event that two or more technical proposals are determined not to have any substantial technical differences (i.e. are technically equivalent), the award may be to the lower priced proposal. If the offeror's proposal is determined unacceptable in any of the technical factors, the proposal may not be considered for award. Award may be made on the basis on initial offers without discussions. Proposal Content. Proposals shall include 2 volumes, Vol. I: Technical, and Vol. II: Cost. Volume I must include and address the following items: (A) PP Information -- Identify Corporate PP within the last 5 years as it relates to this contract (or affirmatively state that your firm has no relevant directly related or similar PP). Specifically address PP in OB and in developing and implementing decision /simulation models in other clinical categories for gov't agencies or private organizations. Emphasize any specific background that demonstrates an ability to plan for the operation and management of OB care. Include any special or unique circumstances that were overcome in development. State your record of performance under similar contracts to include: (1) detailed description of work performed, (2) detailed explanation demonstrating relevance of work performed under similar contracts, (3) contract number(s), (4) name & phone number of point of contact at the federal, state, local gov't or commercial entity for which the contract was performed, (5) dollar value of contract, (6) names of subcontractor(s) used and description of extent of work performed by subcontractor(s), and (7) number, type and severity of any quality, delivery or cost problems in performing contract, corrective actions taken and effectiveness of corrective actions. (B) Project Management Plan. Report shall include estimated expenditure rate in labor hrs by calendar month & task, & a schedule of events for period of performance. Offeror shall include completed copy of provision at FAR 52.212-3, Offeror Representations and Certifications -Commercial Items, with offer. Offeror shall include completed copy of provision at DFARS 252.212-7000, Offeror Representations and Certification-Commercial Items. Addenda to this provision includes DFARS 252.225-7000, Buy American Act-Balance of Payments Program Certificate; 252.225-7006, Buy American Act-Trade Agreements-Balance of Payments Program Certificate; and 252.225-7035, Buy American Act -- North American Free Trade Agreement Implementation Act -- Balance of Payments Program Certificate. FAR 52.212-4, Contract Terms and Conditions-Commercial Items, applies to this acquisition. FAR 52.212-5, Contract Terms and Conditions Required to Implement Statutes or Executive Orders-Commercial Items, applies to this acquisition. In compliance with said clause, the following FAR clauses apply: 52.222-26, Equal Opportunity; 52.222-35, Affirmative Action for Special Disabled and Vietnam Era Veterans; 52.222-36, Affirmative Action for Handicapped Workers; 52.222-37, Employment Reports on Special Disabled Veterans and Veterans of the Vietnam Era. Posted 09/03/98 (W-SN245513). (0246)

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