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FBO DAILY - FEDBIZOPPS ISSUE OF APRIL 05, 2018 FBO #5977
DOCUMENT

R -- Quality Governance (VA-18-00052215) - Attachment

Notice Date

4/3/2018
 

Notice Type

Attachment
 

NAICS

541611 — Administrative Management and General Management Consulting Services
 

Contracting Office

Strategic Acquisition Center - Frederick;Department of Veterans Affairs;321 Ballenger Center Drive, Suite 125;Frederick MD 21703
 

ZIP Code

21703
 

Solicitation Number

36C10X18Q9095
 

Response Due

4/11/2018
 

Archive Date

6/10/2018
 

Point of Contact

Danielle M. McGriff
 

E-Mail Address

:
 

Small Business Set-Aside

N/A
 

Description

RFI 36C10X18Q9095 Department of Veterans Affairs (VA) Veterans Health Administration (VHA) Request for Information (RFI) Fractal Governance Implementation THIS IS A REQUEST FOR INFORMATION (RFI) ONLY (as defined in FAR 15.201(e)), this is not a solicitation. Solicitations are not available at this time. Requests for a solicitation will not receive a response. Respondents are advised that the Government is under no obligation to acknowledge receipt of the information received, provide feedback to respondents with respect to any information submitted, or respond to any questions or comments that may be submitted in response to this RFI. This notice does not constitute a commitment by the United States Government and does not obligate the Government to award a contract or otherwise pay for the information provided in response. Responders are solely responsible for all expenses associated with responding to this RFI. The purpose of this Sources Sought / RFI is twofold: 1) conduct market research to obtain information pertaining to industry capabilities for implementation of a fractal governance model in a large organization (over 300,000 employees) with repeating structures at clinic, hospital, regional and national level to oversee quality, safety, access and satisfaction outcomes and improvement; and 2) determine the acquisition strategy (including Veteran-owned, Service-disabled Veteran-owned, and other small business participation, and vehicles and methods to acquire the services). VA is requesting the capabilities and experience of large and small business contractors interested in providing these services for VA. Interested small business contractors including Veteran-Owned, Service Disabled Veteran-Owned Small Businesses, and other small businesses are encouraged to respond. The Government requests that contractors respond to the specific questions provided in this Request for Information. Responses should demonstrate capability, not just confirm the company s belief that the capability exists. The agency does not intend to award a contract as a result of this RFI, but rather gather capabilities and market information pertinent for acquisition planning. The responses to this RFI will be captured as market research and may contribute to the development of an acquisition strategy. Information provided may be used to assess tradeoffs and alternatives available for the potential requirement and may lead to the development of a solicitation. All submissions become Government property and will not be returned. The Government reserves the right to use information provided by respondents for any purpose deemed necessary and legally appropriate. The information provided in the RFI is subject to change and is not binding on the Government. Any organization responding to this notice should ensure that its response is complete and sufficiently detailed. PURPOSE This Request for Information (RFI) is for a Market Research Only. BACKGROUND VA operates one of the country s largest and most complex organizations, with 1,600 care sites (including 167 medical centers) across 50 states, currently staffed by approximately 300,000 employees who cared for nearly six million Veterans last fiscal year. VA s largest Administration, the Veterans Health Administration (VHA), is a major research and teaching organization, with a $1.2 billion annual research budget. Its health professional education program is the nation s largest, clinically training nearly 120,000 individuals each year via affiliations with more than 1,800 educational institutions. VA s delivery system is challenged by a unique combination of factors including its significant scale and scope, unique Veteran population, and congressionally mandated funding, governance, and oversight. The Veterans Health Administration (VHA) is committed to providing Veterans with timely, accessible, and high-quality care. The Department of Veterans Affairs (VA) intends to honor this commitment by improving performance, promoting a positive culture of service, increasing operational effectiveness and accountability through a modernized governance structure. In preparation for this transition, VA is embarking on a major transformation to operate as a High Reliability Organization (HRO) creating a healthcare environment that focuses on continuous quality improvement where every patient experiences safe, high-quality, efficient and timely care. This journey will promote a culture that anticipates and recovers from risks, rewards respectful interactions based on trust and values, promotes speaking up, and is committed to a unified purpose of preventing harm and eliminating waste while continuously improving quality and the Veteran experience. To achieve this vision, the VHA must focus on: Improving governance, accountability and integrated performance reporting Understanding clinical risk at the provider, unit and system level Enabling an operating model that supports continuous, enterprise-wide learning and improvement Ensuring the Veteran and family are at the center of all care experiences To begin the HRO journey, the VHA implemented a proof of concept, new clinical quality, safety and value oriented governance structure leveraging high reliability principles and cascading accountability structures to support and enable care teams at every level of the organization. Research, academic and healthcare contract support were utilized to co-design a governance structure based on previous published fractal models VA requires experts working with clinical and governance operational components of the Department in the areas of: partnership development, labor management relations, training, communications, governance, risk assessment and management, commercial and government, human centered design, organizational design, performance management, data analysis, clinical operations, and change management. The Contractor shall provide the services of a cadre of highly successful and knowledgeable contractor resources and Commercial* Health Industry Subject Matter Experts (SMEs) to provide direct expert advice and assistance in support of the Department s mission-oriented business and clinical functions key to achieving desired outcomes. It shall work closely with the highest levels of the Organization to provide assessment, planning, training, and implementation of a fractal approach to governance across the organization. The strategy may include: referring to studies, analyses, market scenarios/simulations, reports, policy and regulation development assistance and strategy formulation; facilitation, communications support, business architecture, and related decision support services; survey services, using a variety of methodologies, including survey planning, design, and development; survey administration; data management, validation, and analysis; reporting, and stakeholder briefings. *For the purposes of this RFI, Commercial is defined as non-government, industry/private-sector based expertise. INSTRUCTIONS FOR RESPONDING TO THIS RFI CONFIDENTIALITY: No proprietary, classified, confidential, or sensitive information should be included in your response. The Government reserves the right to use any non-proprietary technical information in any resultant solicitation(s). Response Format/Page Limitations: The overall total page limit for responses to this RFI is fifteen (15) pages. Responses should be submitted in Microsoft Word format with Times New Roman font, 12 pt. or greater font size. Interested parties should limit marketing material in order to allow sufficient space for adequately, directly, and substantively responding with the information of most interest to the Government. In all correspondence relevant to this RFI please identify it as a response to the VHA Quality Governance RFI and refer to the identifying number of 3610C10X-18-9095. Any organization responding to this notice should ensure that its response is complete and sufficiently detailed. Respondents are requested to limit responses to the information, and in the format provided below. A - GENERAL INFORMATION Organization Name and the year in which the company was established/ founded (please list any previous names used). Company ownership (public, private, joint venture). What North American Industry Classification System (NAICS) code do you recommend for this procurement and why? What is your business size designation in accordance with Small Business Administration (SBA) standards for the recommended NAICS code? What is your socio economic designation, if applicable? If Service-Disabled Veteran-Owned, are you Veteran Information Pages (VIP) Verified? Identify any Government Services Administration (GSA) schedules and Special Item Number (SIN) Categories or other contract vehicles you hold that support this work as described in the draft Performance Work Statement (PWS)? B CAPABILITY AND EXPERIENCE INFORMATION Describe how your experience in commercial and Government healthcare and current capability as a prime contractor (within the last 3 years) has equipped you with the knowledge, skills and ability to successfully accomplish implementation of a shared governance operating model (i.e. fractal-type) in a large complex healthcare organization. The Government anticipates the need for expertise in myriad labor categories including clinical, administrative, project management, labor management, training, communications, commercial and government health operations, human centered design, organizational design, performance management, data analysis, and change management. As part of your response to B1., please provide the size of the governance implementation in terms of dollars (budget), whether it was Government or commercial, regional or national, number of people, and number of locations (i.e. number of hospitals, level of hospital case complexity, and separate outpatient facilities involved). Please Identify any labor categories and your anticipated labor mix you would recommend needed to support the areas of expertise stated above (level of effort not necessary but may be suggested). Describe your experience as a contractor (specify prime or sub and if sub the percentage of effort your firm contributed) and current capability to support a highly complex project with numerous stakeholders. This includes development and implementation of shared governance operating model (i.e. fractal-type) from a current state to a modern, high-reliability organization (HRO) exuding mission-centric and values-based principles. Provide examples of your company s experience in functional and structural healthcare organizational re-design in a commercial setting as well as in the government sector. Describe the outcomes associated with each example. Describe your experience as a contractor (specify prime or sub and if sub the percentage of effort your firm contributed) within the last 3 years in supporting change across varied clinical disciplines. When providing your response, identify the professional and peer resources and how they were utilized to facilitate and sustain change. Provide examples of your experience as a contractor providing large program and project management, training/education, communications strategy design and execution, and phased implementation support of large organizational changes. When providing response, consider the complexity of supporting phased modernization into the healthcare markets described in this RFI Background section. Please detail and describe your experience and expertise with a risk-based approach for oversight and accountability within a governance system for performance management and improvement in the categories of quality, safety, access and experience (satisfaction). Provide examples of how you directly contributed to governance design at a large organization of similar complexity and outcomes (both negative and positive). Commercial health experience is experience working with not-for-profit and private sector healthcare delivery systems.     This experience is critical because these systems are innovating and addressing the changing healthcare environment.   As the industry changes, the Government system also must change.   The VA Under Secretary for Health (USH) desires that VA leads industry in the area of patient-driven or consumer-based healthcare delivery.     In the past (and at present), VA leveraged consultants with Government experience.   VA now seeks to leverage industry expertise in addition to government expertise, as well as the innovations that are occurring in industry.   VA believes that Commercial consultants bring experience in rolling out enterprise wide initiatives not unlike the scale that VA will experience. As VA moves to a patient-driven system of care, it must prioritize its innovations and streamline its approach to executing policy and new initiatives.   VA must also lead industry in care coordination and continue to lead in the delivery of Telehealth and other virtual delivery models.   Describe your understanding of and provide advice related to expertise needed to improve oversight and accountability through a robust governance framework in terms of how industry (commercial) expertise and government knowledge/expertise can or should work together. Include the potential mix of expertise needed and explain the logic of such mix. Please provide demonstrated experience to support the advice provided. **************************************************************************** Submission: Responses to this RFI shall be submitted to the Contracting Officer and Contract Specialist via email at Allen.Smith3@va.gov and Danielle.McGriff@va.gov respectively no later than at 12:00PM ET on April 16, 2018. Questions: No Questions are being accepted at this time. Depending upon the responses received, VA may request additional information, may conduct future question and answer sessions, or may conduct meetings or an industry day. 52.215-3 Request for Information or Solicitation for Planning Purposes (Oct 1997) (a) The Government does not intend to award a contract on the basis of this solicitation or to otherwise pay for the information solicited except as an allowable cost under other contracts as provided in subsection  31.205-18, Bid and proposal costs, of the Federal Acquisition Regulation. (b) Although proposal and offeror are used in this Request for Information, your response will be treated as information only. It shall not be used as a proposal. (c) This solicitation is issued for the purpose of: Information. (End of provision)
 

Web Link

FBO.gov Permalink
(https://www.fbo.gov/spg/VA/AFMLOVASS/VASSMD/36C10X18Q9095/listing.html)
 

Document(s)

Attachment
 

File Name: 36C10X18Q9095 36C10X18Q9095.docx (https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=4198733&FileName=36C10X18Q9095-004.docx)

Link: https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=4198733&FileName=36C10X18Q9095-004.docx

 

File Name: 36C10X18Q9095 P01_PERFORMANCE WORK STATEMENT_Draft.docx (https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=4198734&FileName=36C10X18Q9095-005.docx)

Link: https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=4198734&FileName=36C10X18Q9095-005.docx

 

Note: If links are broken, refer to Point of Contact above or contact the FBO Help Desk at 877-472-3779.
 

Record

SN04876556-W 20180405/180403231649-0c51445539b75259708ebb8a7d279e0a (fbodaily.com)
 

Source

FedBizOpps Link to This Notice
(may not be valid after Archive Date)

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