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

B -- OBSTETRICS DECISION MODEL, JACKSONVILLE, FL SOL N62645-98-Q-1006 DUE 091198 POC Dan Clever, Contract Specialist, (301) 619-2464, or Susan Wellen, Contracting Officer, (301) 619-3022 17. This modification to RFQ N62645-98-Q-1006 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 inpatient services at the Naval Hospital in Jacksonville, FL. The estimated Period of Performance for this acquisition is 28 SEP 98 thru 27 SEP 99. This is a combined synopsis/solicitation for commercial items prepared in accordance with the format in FAR Subpart 12.6, as supplemented with additional information included in this notice. This announcement constitutes the only Request for Proposals under Solicitation N62645-98-Q-1006; A WRITTEN SOLICITATION WILL NOT BE ISSUED. The solicitation document and incorporated provisions and clauses are those in effect through Federal Acquisition Circular 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 estimated period of performance of one year. The Decision Model, and all computer generated deliverables, must be provided in a Windows PC-based format. The model desired must demonstrate the relationships between birth volume, practice patterns, and resources required to provide obstetrical use to the hospital's respective service populations, including bed and support personnel requirements. The contractor shall: (1) Visit the Naval Hospital Jacksonville, Jacksonville FL within one week after contract award to collect data supporting simulation findings. A written Final Project Management Plan (CLIN 0001), must be submitted in 3 copies, within 14 days following award. It shall include an estimated expenditure rate in labor hours by calendar month and task. Provided with this report shall be an MS-Project file that shows scheduled events for the period of performance. This file shall be submitted on a 3.5" computer diskette; (2) Furnish a written Monthly Progress and Performance Report (CLIN 0002), in 3 copies, on the 1st dayof each month. This will include a summary tabulation of efforts expended in labor hours by task item, and an itemization of Other Direct Costs that have been generated. (3) Specify obstetrical decision model parameters by applying various methodologies including analysis and forecast of demand for obstetrical services, analysis of physician practice patterns and their effect on facility and staff requirements, and analysis of existing and required facility capacity based upon demand, physician practice patterns, and method of care delivery. Included in this requirement are three sub-task requirements: (a) Forecast demand for obstetrical services and provide catchment and beneficiary category specific, historical population and fertility rate data for single-year age groups to develop a birth forecast for the facility. (b) Analyze the geographic distribution of DoD beneficiaries in need of obstetric services. (c) Develop birth volume forecasts for the range of possible and likely conditions that may occur. This information shall be submitted in computer file format. This data (CLIN 0003) must be submitted 20 weeks after contract award on 3.5" computer diskettes, 10 copies are required. (4) Analyze historical inpatient obstetrical practice patterns for each individual provider. This data will be compared to national, regional, and peer group benchmarks. Targets for key clinical indicators will be established in conjunction with the head, obstetrics department for the purpose of establishing model parameters. These targets shall include but not be limited to: C-section rates, length-of-stay for vaginal and C-section deliveries, and admission rate for non-birth obstetric admissions. This data (CLIN 0004) shall be submitted in computer file format. It must be submitted 20 weeks after contract award on 3.5" computer diskettes, 10 copies are required. (5) Conduct an analysis of the existing facility and its capacity, and calculate future plant requirements based upon expected demand for services, provider practice patterns, and the selected method of care delivery. (6) Apply mathematical models to analyze the affect of demand, practice patterns, and method of delivery on facility requirements. (7) Determine the annual expected met demand, expected average occupancy, and expected patient turn-aways for a range of demand, practice pattern, and facility-sizing solutions. The contractor shall document assumptions made, recommend a solution and provide an analysis and recommendations for the best way to implement the solution including facility construction requirements. This data (CLIN 0005) must be submitted on 3.5" computer diskettes, 20 weeks after contract award; 10 copies are required. (8) The contractor shall construct a model that simulates day-to-day operation of the obstetrical service over time which includes but is not limited to service demand, practice pattern, selected method of care delivery, admission/discharge policies, facility size, patient acuity, and nursing workload as model variables to support the development of a staff schedule. Provide this schedule for inpatient obstetrical staff (CLIN 0006). (9) Validate the model by comparing model output parameters (e.g., actual length of stay, distribution of daily census, nurse staffing, etc.) with historic experience. (10) Perform experiments with the model to estimate the impact on support personnel staffing (nurses and technicians) under a variety of practice patterns, admission/discharge and other policy assumptions. Generate support personnel requirements and input those requirements into a linear programming model for development of two-week staff work schedules. The contractor shall supply the constraints, variable definitions and objective function documentation as part of the deliverable report. Delivery of the Decision Model (CLIN 0008) will be accomplished with its source software coding for components which are not commercial-off-the-shelf . This model shall be submitted in Windows PC-based format. It must be submitted 52 weeks after contract award on 3.5" computer diskettes, 3 copies are required. (11) As part of the validation and testing of the model, the contractor shall prepare and document the operation of three simulation scenarios to analyze a range of patient volumes and clinical practice patterns. The results of this testing and validation (CLIN 0009) will be provided to the Government in computer file format 52 weeks after contract award on 3.5" computer diskettes; 10 copies are required. The Government will supply the contractor with: (1) Access to data developed through the Retrospective Case Mix Analysis System (RCMAS), (2) Access to female single age population numbers for each region or catchment area analysis, (3) Access to Labor and Delivery Log Data, (4) Access to Composite Health Care System (CHCS) Data, (5) Access to Nursing Acuity Data, (6) Nurse and other military representatives to accompany contractors on site visits. The contractor does not require access to classified data. Contractor will present recommendations related to the simulations during a second site visit to Naval Hospital Jacksonville, prior to the conclusion of the contract. The contractor shall also attend a meeting at the Navy Bureau of Medicine and Surgery in Washington, D.C. upon completion of work, and present all final reports. As performance may require access to personnel and patient medical records, compliance with the Privacy Act of 1974 is 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 Government unless specified 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 tothis acquisition. The Government intends to make award to the responsible offeror whose offer, conforming to the solicitation, is determined most advantageous to the Government, 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 of initial offers without discussions. Proposal Content. Proposals shall include 2 volumes, Volume I: Technical, and Volume II: Cost. Volume I must include and address the following items: (A) Past Performance (PP) Information. Identify Corporate PP within the last five 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 obstetrics and in developing and implementing decision/simulation models in other clinical categories for government agencies or private organizations. Emphasize any specific background that demonstrates an ability to plan for the operation and management of obstetrical care. Include any special or unique circumstances that were overcome in development. State your record of performance under similar contracts to include: (1) a detailed description of the work performed, (2) a detailed explanation demonstrating the relevance of the work performed under similar contracts, (3) contract number(s), (4) name and phone number of a point of contact at the federal, state, local government or commercial entity for which the contract was performed, (5) dollar value of the contract, (6) names of subcontractor(s) used, if any, and a description of the extent of work performed by the subcontractor(s), and (7) the number, type and severity of any quality, delivery or cost problems in performing the contract, corrective actions taken and the effectiveness of the corrective actions. (B) Preliminary Project Management Plan. This plan shall include an estimated expenditure rate in labor hours by calendar month and task, and a schedule of events for the period of performance. Provided with this report shall be an MS-Project file that shows scheduled events for the period of performance. This file shall be submitted on a 3.5" computer diskette, in MedModel compatible format. Volume II, Cost, must include prices for each of the CLINs listed above, and a summation showing the total cost proposed. Offeror shall include a completed copy of provision at FAR 52.212-3, Offeror Representations and Certifications-Commercial Items, with their offer. Offeror shall include a 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: 52.203-6, Restrictions on Subcontractor Sales to the Government, with Alternate I; 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. FAR 52.209-3, DFARS 252.212-7001, Contract Terms and Conditions Required To Implement Statutes Or Executive Orders -- -Commercial Items, applies to this acquisition. In compliance with said clause, following additional DFARS clauses apply: 252.225-7001, Buy American Act and Balance of Payment Program; and 252.225-7007, Trade Agreements. Posted 09/03/98 (W-SN245492). (0246)

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