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D -- HEALTH APPLICATIONS FOR THE NATIONAL INFORMATION INFRASTRUCTURE POC Daniel J. Hartinger, Contracting Officer, 301/496-6546 The National Library of Medicine (NLM) awarded contract NO1-LM-6-3544 to Georgetown University, 37th and O Streets, N.W., Washington, D.C., to plan and carry out an evaluation of the impact of the National Information Infrastructure (NII) on health care, research, or public health. The NLM proposes to negotiate on a sole source basis with Georgetown University to extend contract N01-LM-6-3544 for nine months and to add kidney dialysis patients in the home environment to the contract. Georgetown University is currently providing and evaluating telemedicine support for kidney dialysis patients in a clinical environment to assess whether telemedicine provides better management and monitoring of dialysis patients, and in turn, will help prevent complications, obtain better patient outcomes and reduce the costs of treating chronic illness. Authority: 41 U.S.C. 253 (c)(1) as set forth in FAR 6.302-1. Unique capabilities for providing services, inherent duplication of cost to the government and unacceptable delays in completing this project make competition unfeasible. Georgetown University has established the Renal Dialysis Patient Management (RDPM) network using NII technology. The RDPM network allows remote patient monitoring of renal dialysis patients from a tertiary care center to an off-site dialysis clinic. This system allows the physician to compare the patient's past clinical history to the present clinical status and allows the patient to have direct access to a physician for interactive video sessions whereby the physician can monitor the dialysis and discuss the patient's condition. By providing the ability to monitor the clinics from an off-site location, the telemedicine system will allow the physician to monitor early signs of future emergencies. The addition of the home dialysis patients will test the capability of providing similar remote services in the home dialysis setting. Advances in computer and communication technology, in addition to the experienced gained under this contract using RDPM makes adding the home dialysis population beneficial to the overall study. By virtue of their expertise and the experience gained through remote transmission to off-site locations under the contract, Georgetown University is uniquely qualified and the only source capable of carrying out these required services in the required time frame and without undue delays. This notice of intent is not a Request for Proposals (RFP), nor is an RFP available. See numbered Notes 22 and 26. Posted 08/09/99 (W-SN365126). (0221)

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