SOLICITATION NOTICE
D -- Military Health Systems (MHS) Joint Patient Safety Reporting (JPSR) Commercial-Off-the-Shelf (COTS) and COTS Maintenance Solution - J&A JA16058
- Notice Date
- 1/21/2016
- Notice Type
- Presolicitation
- NAICS
- 541519
— Other Computer Related Services
- Contracting Office
- Department of the Army, U.S. Army Medical Research Acquisition Activity, U.S. Army Medical Research Acquisition Activity, Attn: MCMR-AAA, 820 Chandler Street, Frederick, MD 21702-5014, Maryland, 21702-5014, United States
- ZIP Code
- 21702-5014
- Solicitation Number
- W81XWH-16-R-0022
- Archive Date
- 2/12/2016
- Point of Contact
- Michael T. Collins,
- E-Mail Address
-
michael.t.collins108.civ@mail.mil
(michael.t.collins108.civ@mail.mil)
- Small Business Set-Aside
- N/A
- Description
- Justification and Approval The U.S. Army Medical Acquisition Activity (USAMRAA) intends to issue a sole source award for Military Health Systems (MHS) Joint Patient Safety Reporting (JPSR) Commercial-Off-the-Shelf (COTS) and COTS Maintenance Solution supporting Defense Health Agency (DHA) – Solution Delivery Division (SDD) Program Executive Office (PEO) – Clinical Support Division for the purchasing of license and maintenance agreements for the Department of Veterans Affairs Healthcare Administration (VHA) with the VHA joining Department of Defense/Defense Health Agency (DoD/DHA) as an added partner to the current PSR Commercial off the Shelf (COTS) product. The Contractor shall develop an export interface to connect the COTS product to the VHA RCA tool for additional analysis conducted by the VHA. The Contractor shall provide code maintenance, configuration and application support activities for the Joint Patient Safety Reporting (JPSR) solution. This solution will be accessed via both Personal Identity Verification (PIV) and Common Access Card (CAC) and shall continue to support the completion of the Capacity Services transition during the migration of JPSR COTS solution. This includes services necessary for the contractor to manage its own staff, resources, products, and schedules in performing work. Datix (USA), Inc. is the sole proprietor of the COTS product and only contractor that can provide proprietary services for the PSR system. Datix (USA), Inc. does not have any authorized resellers of the software or the services in support of the software. Any firm that believes it can provide the stated capability as outlined in the below Sole Source Justification are invited to submit written notification to the Contract Specialist NLT 11:00 AM Eastern Time on 28 JAN 2016 Supporting evidence must be furnished in sufficient detail to demonstrate the firm’s ability to provide the stated capability. Information shall be sent electronically to Mr. Michael T. Collins, Contract Specialist, at michael.t.collins108.civ@mail.mil. No telephone requests will be accepted. Responses received will be evaluated; however, a determination by the Government not to compete the proposed requirement based upon responses to this notice is solely within the discretion of the Government. If no responses are received, USAMRAA will proceed with the sole source contract. Solicitation Number: W81XWH-16-R-0022 Sole Source Justification: Approval is being requested for a two (2) year contract with Datix (USA) Ltd for the DoD/DHA and the Department of Veterans Affairs (VA)/Veterans Health Administration (VHA) to integrate the reporting of patient safety events by including VHA as an additional partner to an expanded Patient Safety Reporting (PSR) system, currently used by DoD. The period of performance will be a 24 month base period. This contract provides for license and maintenance agreements for the Department of Veterans Affairs Healthcare Administration (VHA) with the VHA joining DoD/DHA as an added partner to the current Datix PSR COTS product. To achieve this partnership, an interface for VHA data will be developed to connect the COTS product to the VHA Root Cause Analysis (RCA) tool. Work will include a comprehensive assessment and review of business processes for VHA medical centers and community based outpatient clinics (CBOCs). The assessment will include agency impacts for governance and organizational structure, accessibility of information using Personal Identity Verification (PIV) and/or Common Access Card (CAC), training and education, IT connectivity and interface to the VHA-developed RCA tool. In order to comply with the Congressionally mandated Public Law 106-398, Section 742, the Department of Defense (DoD)/Defense Health Agency (DHA) and the Department of Veterans Affairs (VA)/Veterans Health Administration (VHA) established and executed a charter by signature in October 2015. The Joint Patient Safety Reporting System Charter defines that the VHA will leverage the DoD’s Datix PSR tool, due to the success of the DoD PSR, the more than $70 million currently invested in the tool, and the successful and wide deployment of the product by DoD. With this inclusion, DoD and VHA will integrate reporting systems for a shared taxonomy in which to better identify global patient safety issues, and to increase collaboration in pursuing interventions through collection of common data points. The importance of reporting patient safety events (PSE) in a secure, non-punitive environment has been emphasized over the last decade by experts in healthcare and patient safety arenas. There are documented instances where the reporting of patient safety events has led to improvements in healthcare. Department of Health and Human Services (HHS) data show quality improvements saved 15,000 lives and $4B in health spending. This joint effort will improve the efficiency, effectiveness, and quality of patient safety for both agencies in a variety of ways, including but not limited to the following benefits: • Allows for the strategic support of quality reporting which will ultimately lead to improved patient care. Identify trends and issues at a national and/or interagency level. • Creates the ability to leverage Lessons Learned for both agencies as a result of data analysis. • Generates cost efficiencies by sharing software licenses and data centers. • Meets the Congressional Mandate that DoD and VHA have a better integration of several key service areas. • Aligns with DoD/VHA Joint Executive Committee, Joint Strategic Plan (JSP) FY 2013-2015. • Reduces system sustainment costs and help-desk/training workload. • Provides DoD and VHA with a common taxonomy for patient safety events to study systems and process errors. • Aligns with future expansion of data sharing opportunities between DoD and VHA to determine common issues and common solutions. • Increases user satisfaction with an enhanced reporting module and less duplication of data entry. The current MHS PSR is a proprietary tri-service web-based application that enables standardized patient safety event reporting for the Department of Defense [DoD] Military Health System’s direct care facilities. PSR provides analytic tools to identify areas for patient safety and quality improvement initiatives to achieve goals for reducing the frequency and severity of medical safety events. DoD’s web-based PSR COTS solution provides state-of-the-art collection, storage, management, analysis and reporting of event information rapidly and accurately, using dynamic screens and role-based security to be implemented at all military treatment facilities (MTFs), Regional and Service headquarters, National Capital Region Medical Command (NCRMD), and the Patient Safety Analysis Center (PSAC). This single, web-based automated PSR system services a population of over 9.2 million patients. Award of a sole source contract will allow the VA to leverage the DoD’s PSR. The costs associated with replacing Datix’s web-based software product with a different Patient Safety Reporting COTS solution would exceed $70 million, as this system has been fielded to 950 military treatment facilities (MTFs) and hospitals world-wide, deployed theater sites with all (3) military services, and is widely used and fielded throughout the Military Healthy System (MHS). Further, additional funding would be required to migrate historical data from the current PSR into a new PSR tool. Completion of the entire acquisition process, to include milestone reviews, limited deployment, and full deployment would take a minimum of three years. Implementation of the Datix PSR tool took three years; full operational capability was achieved in June 2011. The preliminary activities involved in selecting a different PSR solution would require in excess of $25 million to acquire hardware, install at Defense Information Systems Agency (DISA), and complete a National Institute Standards and Technology (NIST) Risk Management Framework package for an Authority to Operate (ATO). To date, more than 40,000 DoD users have been trained to use the Datix PSR tool. Furthermore, selection of a different PSR tool would result in non-compliance with the mandated joint process for sharing information regarding error tracking established in the DoD/VHA charter established to meet the Congressional Mandate of Public Law 106-398, Sec 742. Additionally, to meet the Congressional Mandate of Public Law 106-398, Section 742, VHA will join DoD/DHA as an added partner to the PSR Commercial Off the Shelf (COTS) product and an interface for VHA data will be developed to connect the COTS product to the VHA Root Cause Analysis (RCA) tool. Phase I of the JPSR will include a comprehensive assessment and review of business processes for VHA medical centers and CBOCs. This assessment will consider the impact for both agencies regarding governance, organization level, ability to access via Personal Identity Verification (PIV) and/or Common Access Card (CAC), training and education, IT connectivity and interface to the VHA-developed RCA tool. Concurrent with the first phase will be a pilot of approximately 50 VHA sites of varying complexity levels combined with at least two VA/DoD integrated healthcare facilities testing the COTS product. Datix is the only contractor who has the skills and background knowledge necessary to provide these vital services, sustaining the current DoD PSR, and the VA’s PSR system, once fully deployed. Datix has successfully performed the sustainment services during the previous contract period of performance. Awarding to any other contractor would lead to significant costs, and would undermine the adoption and joint usage of the Datix PSR product by the VA. Due to the proprietary nature of the software, no other source than Datix could render the required services required by this contract without a significant and unacceptable break in service and prohibitive cost and schedule impacts. The Patient Safety Reporting Software is currently installed at the 950 sites where the government requires the web-based PSR tool, with over 48,000 registered users; financial constraints, system downtime and limited web-based functionality as a result of transitioning to a product other than Datix would result in a violation of the National Defense Authorization Act (NDAA); there is no other authorized re-seller of the proprietary Datix Software.
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