SOLICITATION NOTICE
B -- Integration of a CDC-Developed Web Application, Prevent Group B Strep, into an Electronic Medical Record (EMR) System and an Assessment of Acceptability and Impact of This Effort on Clinician Behavior
- Notice Date
- 8/7/2012
- Notice Type
- Combined Synopsis/Solicitation
- NAICS
- 622110
— General Medical and Surgical Hospitals
- Contracting Office
- Department of Health and Human Services, Centers for Disease Control and Prevention, Procurement and Grants Office (Atlanta), 2920 Brandywine Road, Room 3000, Atlanta, Georgia, 30341-4146
- ZIP Code
- 30341-4146
- Solicitation Number
- 00HCVGGD-2012-48598
- Archive Date
- 8/15/2012
- Point of Contact
- Linda M Young, Phone: (770) 488-2655
- E-Mail Address
-
lml3@cdc.gov
(lml3@cdc.gov)
- Small Business Set-Aside
- N/A
- Description
- The Centers for Disease Control and Prevention intends to issue a sole source purchase order to LeHigh Valley Hospital, Cedar Crest &I-18, Allentown, PA 18105, for integration of a CDC-developed web application, Prevent Group B Strep, into an Electronic Medical Record (EMR) system and an assessment of acceptability and impact of this effort on Clinician behavior. Statement of Work follows: Background -- Group B Streptococcal (GBS) Disease is the most common infectious cause of neonatal morbidity and mortality in the United States. Since widespread implementation of prevention strategies in the mid-1990s, such as the administration of antibiotics given during labor, rates of neonatal GBS disease have declined dramatically. Despite the progress made in decreasing the burden of GBS disease, GBS disease remains the leading cause of neonatal sepsis and missed opportunities for prevention remain. A recent review of early-onset GBS cases, cases of GBS disease occurring among neonates less than 7 days old, found that one opportunity for prevention was missed in 54 percent of cases. The objectives of this project are to use technology to increase implementation of evidence-based guidelines in order to prevent cases of GBS disease. CDC's Guidelines for the Prevention of Perinatal GBS Disease, a document outlining the strategies for the prevention of neonatal GBS disease and detailing the evidence behind these strategies, is a complex document with more than seven (7) algorithms and tables. Clinicians must use patient demographic and clinical characteristics to determine guideline-concordant management of their patients using one or more of the algorithms and tables. This project seeks to simplify the process by which clinicians obtain guideline-concordant management of patients so that more patients are receiving guideline-concordant therapy, which will prevent cases of GBS disease. This project would develop computer software that integrates Prevent Group B strep, CDC's newly developed web-based application, into the electronic health record (EHR) to increase utilization of the guidelines. Integration of Prevent Group B Strep with EHR addresses several concerns with respect to implementation of the GBS Guidelines. EHR integration makes guideline implementation passive, meaning that clinicians would no longer need to access the guidelines in print, via website, or application. Prompts to clinicians for indicated lab tests and medications would facilitate clinician implementation of the guidelines for prevention of GBS disease. EHR integration would remove two barriers to guideline implementation: the need for clinicians to know about the GBS guidelines and the need for clinicians to navigate the complex algorithms to obtain the correct management strategy for patients. EHR integration would simplify and decrease human error in implementation of the guidelines. This project would use specialized computer code that would extract pertinent clinical and demographic information from admission notes, lab results, prenatal records, and other sources, to provide correct, guideline-concordant clinical management recommendations. EHR integration also allows for alerts to be sent to providers if the patient's condition changes. For example, a delivering woman with unknown GBS status who is delivering a full-term baby does not require antibiotics during labor unless she develops fever. Currently, this requires the clinician to know that fever is a symptom that will change appropriate clinical management and institute the antibiotics should fever occur. This project would create software that would prompt clinicians to start antibiotics if a change in management is necessary based on a change in the patient's clinical status. Purpose -- To develop software that will extract pertinent information from the electronic health record and return evidence-based clinical management recommendations to the clinician using the algorithm developed by CDC, through the electronic health record, for the prevention of GBS disease. This project is critical to the agency mission; it focuses saving lives and protecting people by reducing missed opportunities for prevention of GBS disease, the leading infectious killer of neonates. Scope of Work -- The vendor will provide all labor, materials, and equipment required to complete the tasks outlined below. The vendor may require travel or communications with CDC to obtain materials needed to complete the tasks. Tasks to Be Performed -- The vendor shall perform the following tasks to develop the following: 1. Develop computer code / software that will extract and deliver pertinent data from an electronic health record to a matching algorithm. 2. Develop computer code / software that will codify and label (i.e. "tag") specific clinical management guidelines for matching with clinical data to be delivered by the extraction software / computer code. 3. Develop a matching algorithm that will correctly match clinical data with the labeled (i.e. "tagged") clinical management guideline. 4. Develop computer code / software that will deliver the correct, matching guideline back to the EHR / EMR application and display it in a format readable to the end-user. The formatted clinical guideline should be delivered and displayed within the EHR / EMR application and not require the user to access any other application to view the guideline. Period of Performance -- estimated September 1, 2012 - February 28, 2013, with payment made at the end of the project. Deliverables -- The vendor shall produce the following deliverables: 1) An architectural diagram that depicts components of the software and the interactions / dependencies of different components. 2) Software that will reliably extract and transmit data elements containing pertinent clinical data to the GBS guidelines from an EHR / EMR platform to a clinical decision support (CDS) platform 3) Software that will codify and label (i.e. "tag") GBS clinical management guidelines 4) Software containing a matching algorithm for data elements from an EHR and GBS clinical management guidelines. 5) Software that formats the resulting GBS guidelines and create a delivery channel for clinicians to receive the information within the HER / EMR system's workflow. Minimum Vendor Qualifications -- The recipient must be a health system that provides antenatal care to pregnant women, intrapartum care to pregnant women delivering babies, and post-natal care to both mothers and their neonates. The recipient must have an EHR for both inpatient (including intrapartum encounters) and ambulatory encounters with the capacity to integrate data from antenatal, intrapartum, and neonatal electronic medical records data and extract key variables with reliability. A demonstrated history of success in meaningful use work is necessary. A recipient with a strong knowledge of GBS prevention guidelines, and prior establishment of quality controls related to GBS within the EHR is highly desirable. A recipient with a strong bridge between obstetric and informatics knowledge is necessary. The recipient must be a health system with a paperless, highly digital system. Health systems currently implementing quality control measures for guideline implementation for prevention through the electronic health record (EHR) are preferable, because such systems will have an existing foundation for the necessary work. CDC believes that this requirement is met by only one provider. This procurement will be processed under the authority of FAR 13.106-1(b)(1). Only one responsible source and no other sources will satisfy agency requirements. No solicitation is being issued. Interested persons may use e-mail to identify their interest and capability to respond to this requirement before the expiration date of the advertisement. This procurement is not set-aside for small business. For contractual questions contact Linda M. Young.
- Web Link
-
FBO.gov Permalink
(https://www.fbo.gov/spg/HHS/CDCP/PGOA/00HCVGGD-2012-48598/listing.html)
- Place of Performance
- Address: 1600 Clifton Road, Atlanta, Georgia, 30333, United States
- Zip Code: 30333
- Zip Code: 30333
- Record
- SN02830046-W 20120809/120808000842-d6aac6d2cb8bf8f895715ba84f380168 (fbodaily.com)
- Source
-
FedBizOpps Link to This Notice
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