36C10B21Q0198 – Sources Sought – DA01–Clinical Assessment, Reporting and Tracking (CART)

Mar 19, 2021 | Sources Sought

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Request for Information (RFI)
Office of Information & Technology (OIT), Clinical Assessment, Reporting, and Tracking System for the Application Suite (CART-APPS) Services.
Department of Veterans Affairs
This is a Request for Information (RFI) only. Do not submit a proposal. This RFI is for planning purposes only and shall not be considered an Invitation for Bid, Request for Task Execution Plan, Request for Quotation or a Request for Proposal. Additionally, there is no obligation on the part of the Government to acquire any products or services described in this RFI. Your response to this RFI will be treated only as information for the Government to consider. You will not be entitled to payment for direct or indirect costs that you incur in responding to this RFI. This request does not constitute a solicitation for proposals or the authority to enter into negotiations to award a contract. No funds have been authorized, appropriated or received for this effort. The information provided may be used by the VA in developing its acquisition strategy. Interested parties are responsible for adequately marking proprietary, restricted or competition sensitive information contained in their response. The Government does not intend to pay for the information submitted in response to this RFI.

The CART-APPS software collects Cardiology data from 81 VA Cardiology laboratories throughout the entire network of VA hospitals and stores that data into a centrally managed database system located at the Eastern Colorado Heath Care System. Over 7000 providers have used the software to produce more than 600,000 standardized reports on more than 375,000 since its first release in 2003. Data collected by the CART-APPS software application is used by the VA to produce reports for inclusion in official patient records, assist with day-to-day clinical operations, provide data for operations and clinical research, measure performance levels of cardiology staff and laboratories, and identify potential problems with devices and procedures.
CART-APPS is a standalone application fully integrated with Computerized Patient Record System (CPRS) that enables providers to reuse and annotate existing Veterans Health Information Systems and Technology Architecture (VISTA) and CPRS data, such as vitals, medications, labs and problems, and enter additional discrete and textual data for assessment, diagnostic procedures and percutaneous coronary intervention (PCI) interventions in the cardiac catheterization lab setting, as well as follow-up notes and information on patient status at the time of discharge. The application automatically creates corresponding assessment, diagnostic procedures, PCI, follow-up, and discharge reports that are uploaded into CPRS and signed in CPRS. The application also tracks the procedures performed and can upload this information into VISTA. The additional data that is not available in VISTA/CPRS is modeled and collected in a standard relational database that can be easily deployed and migrated to any SQL database system. CART-APPS is configured to connect via the VA intranet to a single national database server that serves all cardiac catheterization labs.
The Office of Clinical Systems Development and Evaluation (CSDE) maintains the application, with substantial input from clinicians. This project has been a key element of the VHA Cardiac Care Initiative since its inception. CART-APPS was mandated to be a national program for use in all 81 catheterization laboratories in the VA system by the Deputy Undersecretary for Health.

See attached draft Performance Work Statement.
The Contractor shall provide maintenance for the existing Clinical Assessment Reporting and Tracking Application Suite (CART-APPS), such that CATH/Percutaneous Coronary Intervention (PCI) module and ensure CART-APPS are operational 99% of the time at all installed at all sites. CART-APPS is built on top of an object-relational model-driven infrastructure using dynamic late binding of application specifications to run-time objects. Maintenance shall include updating the CART-APPS interfaces, using the Delphi and SQL Data programming languages, including: VA VistA Remote Procedure Call (RPC) Broker for access to VistA databases, VA Decision Support System (DSS) for workload and costing and the new VA Real-Time Locator Services (RTLS) for supply chain management of products such as devices and supply items used in the VA Cath labs. The Contractor shall be available 24X7 to provide support for the CART-APPS and respond via e-mail or phone within four hours of being contacted by the CART Program. Support shall include defect fixes for the applications and related databases including:
Trouble shooting
Coding or configuration to resolve or fix errors and defects
Testing/verification of fixes
Adaptation and testing with new MS Windows versions (like Windows 10)
Deployment of new versions

Upgrades to the CART-APPS CATH/PCI applications and database are defined as being within the scope of the existing CART infrastructure and require no major changes to the underlying architecture and infrastructure. The Contractor shall develop and install enhancements to existing CART-APPS applications per feedback from the CART Program Director and CART-APPS Clinical Advisory subcommittee. This shall include assistance with prioritization of upgrades, developing time and resource estimates for upgrades, implementation and testing of upgrades to the CART-APPS applications and the database and the deployment of the upgrades to all installed sites. Enhancements to the CART-APPS applications result from user feedback, VA Policy and Procedure changes, emergent technologies, integration requests with other VA and Department of Defense (DoD) systems, and from standardization efforts by various organizations such as the American College of Cardiology (ACC) and the Joint Commission on Accreditation of Healthcare Organizations (JACHO). Enhancements may require changes the existing CART infrastructure. The Contractor shall assist with prioritization of enhancements, develop time and resource estimates, provide trade-off analysis for various enhancement requests, implement and test the enhancements to the CART infrastructure, CART applications and the CART database, and deploy the enhancements to all installed sites.
The Contractor shall be an active participant with the CART Program personnel during regular conference calls and weekly face-to-face meetings with the Program Director and other CART staff, as well as regular 1:1 meetings monthly. The CART Program Director and personnel will provide the Contractor with the necessary information and instruction on the unique aspects of the project, especially the clinical components, if conventional sources of information are not available. Guidance will be provided by the Office of Information and Technology with regard to software certification and security. Request for information within the VA, from departments such as the Office of Clinical Systems Development and Evaluation and Patient Care Services shall be required by the contractor.
The current contract expires on May 15, 2021; therefore, the period of performance is anticipated to begin in May 16, 2021. The contract period of performance is 12-month base period, with two 12-month option periods. The Government anticipates a Firm Fixed Price Contract.
This market research is issued for information and planning purposes only and does not constitute a solicitation nor does it restrict the Government as to the ultimate acquisition approach. In accordance with FAR 15.201(e), responses to this notice are not offers and cannot be accepted by the Government to form a binding contract. Any contract that might be awarded based on information received or derived from this market research will be the outcome of a competitive process.

Submittal Information:

It is requested that all companies interested in participating in this effort note their interest and provide indication of their respective capabilities to provide a solution that meets the requirements described above. Marketing material will not be accepted as an indication of capability. Only responses related to the Government s requirements as listed above will be considered.

The preliminary North American Industry Classification System (NAICS) assigned to this requirement is 541519 with a size standard of $27.5 million.

Respondents shall include the following in their submissions:

Company Information:
Name of Company:
Cage Code and DUNS Number:
Point of Contact /Company Representative:
Phone Number:
Email Address:
Socioeconomic Type (Note: If you are a Service-Disabled Veteran-Owned Small Business (SDVOSB) or a Veteran-Owned Small Business (VOSB), please indicate if you are registered and verified in in Vendor Information Pages (VIP) database (http://www.va.gov/OSDBU/index.asp) and indicate your intent and ability to meet set-aside requirements for performance of this effort. Specifically, for SDVOSB/VOSB firms, indicate whether at least 50% of the cost of performance incurred is planned to be expended for employees of your concern or employees of other eligible SDVOSB/VOSB firms.

Please indicate any and all scheduled contracts your company may have (i.e. General Services Administration (GSA) Schedules, Government Wide Acquisition Contracts (GWAC), etc.) with specific regard to this RFI and the requirements hereunder? Please include Contract Number, expiration date, etc.

Provide any other pertinent information as deemed necessary to demonstrate your and any proposed team member s capabilities and prior experience as it relates to the requirements.

Please submit a Capabilities Statement, limited to 15 pages for your company, your teammates and or subcontractors and also denote the business size for North American Industry Classification System (NAICS) Code 541512.
All responsible sources may submit a response in accordance with the following:
Proprietary information, if any, should be kept to minimum and MUST BE CLEARLY MARKED.
Responses shall not exceed 15 pages (excluding transmittal page)
*Please Note: VA may elect to contact individual companies based upon the content of their RFI submission. VA may engage these companies to gather further information through email correspondence, telephone calls, virtual or physically located meetings, or other means.

Please submit your responses through email to the Contract Specialist and Contracting Officer at Joseph.Pignataro@va.gov and Kathryn.Pantages@va.gov . Responses must be received by 3:00PM EST on April 1, 2021.

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