Inactive

Request for Information Antimicrobial Stewardship Infection Control Clinical Decision Support Software for VISN5 VA-21-00002478 INTRODUCTION This RFI is for planning purposes only and shall not be con... Request for Information Antimicrobial Stewardship Infection Control Clinical Decision Support Software for VISN5 VA-21-00002478 INTRODUCTION 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. 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 information provided may be used by the VA in developing its acquisition strategy and Product Description (PD). Interested parties are responsible for adequately marking proprietary, restricted or competition sensitive information contained in their response. Be advised that set-aside decisions may be made based on the information provided in response to this RFI. A company that is a Service-Disabled Veteran-Owned Small Business (SDVOSB) or a Veteran-Owned Small Business (VOSB) must be VIP registered and verified (http://www.va.gov/OSDBU/index.asp). The North American Industry Classification System (NAICS) for this requirement is 541519 with a size standard of 150 employees. A BRIEF SYNOPSIS OF THE REQUIRED PRODUCT SERVICES: Department of Veterans Affairs (VA) is seeking information on patient monitoring software that meets the salient characteristics listed below. If interested and capable of providing an equal product, please see How to respond instructions below to submit proposals/ response or questions if Applicable. VA Veterans Health Administration (VHA) Pharmacy Service services the following VISN5 sties: Washington DC VAMC, Baltimore VAMC and Martinsburg VAMC. These sites are currently using TheraDoc patient monitoring software solution. The TheraDoc software solution provides clinical staff immediate real-time lists of patients, identifies those patients who need clinical intervention, and provides the ability to monitor and protect patients from drug interactions and adverse events. The current contract expires in March 2021, and VA is seeking information on similar products that may meet its needs for future contracts. Clinical decision support program (CDSP) REQUIREMENTS The Contractor shall provide a Commercial-Off-The-Shelf (COTS) surveillance software solution which provides both standard and customized intervention documentation which serve the needs of the ASP programs, and provide real-time and historical data to produce reports and quality improvement projects necessary to meet our directives and joint commission elements of performance for both inpatient and outpatient Antimicrobial Stewardship. The COTS solution would also need to be able to maintain critical program existing cumulative data (noted below) and reasonably be expected to replace the day-day data which has been collected since 2016 in each of the programs for both Antimicrobial Stewardship Program and Infection Control Program work, and minimize the loss of existing accumulated data and effort which has been expended by staff members at all programs across the region. Tracking of data over time is a crucial function. With the COVID pandemic, the data on testing and alerts for patients who have had a positive test are maintained and will be necessary over time to be referred to as we enter into the next potential cycle of infection in Fall 2020- Spring of 2021 and again in Fall of 2021 and beyond. VA Minimum Requirement/Salient Characteristics The COTS Software solution shall include clinical surveillance that can be customized for and by VA users including but not limited to Antimicrobial Stewardship/ID, Pharmacy Services and Infection Prevention via alert panels stratified by clinical section, alert type, date/time range, unit/hospital/outpatient location, etc. The COTS Software solution must provide accurate and real time data on items including but not limited to drug administration, laboratory testing, location of patient and ADT information. The COTS Software solution must have the capability to provide medical center and patient specific COVID-19 related infection tracking, treatment and testing information. The COTS Software solution must provide real-time listing of patients which will include but not limited to the active inpatient admissions, patients admitted with COVID-19 infection and patients admitted to the hospital with antimicrobial therapy. The COTS Software solution shall provide Tier II (Advanced) Help Desk support to government users, of all aspects of the service purchased under this contract. The Contractor shall provide Tier II Help Desk support via phone, email and/or chat accessible for government users from Monday through Friday between the hours of 8:00 AM Eastern Time and 8:00 PM Eastern Time, excluding federal holidays. Help Desk support shall be available 24x7 during times of National Crisis either man-made or natural to support the Nation Response Framework Plan. Critical deliverables for clinical surveillance shall include, but are not limited to, the following: Customizable alerts (e.g., positive testing for COVID-19 and other transmissible diseases, broad-spectrum de-escalation after 48 hours, drug-bug mismatch, positive cultures, penicillin allergy panel, renal dosing/acute kidney injury predictive analytics, febrile neutropenia, anticoagulation, notifiable disease, and patient contact tracing); Clinical rounding panel(s) that satisfy Bates s Commandments for Clinical Decision Support with pre-fetched, single-page display of active antimicrobial orders, medication administration record, vitals (with minimum and maximum values), labs, therapeutic drug monitoring, radiology, microbiology, pathology, antipyretics, and immunosuppressants for current and past admissions; CLSI-concordant antibiograms for Gram-positive, Gram-negative, and antifungal agents at minimum from May 2016 and carried forward. Antibiograms should have option to be location and source specific. Critical reporting function should include customizable reports for intervention tracking by user to calculate intervention acceptance rates, automatic calculation of antimicrobial days/1000 days present by agent and hospital location, and selected infection rates (i.e., MRSA, C. difficile, COVID-19, influenza, legionella, etc.). SUBMITTAL INFORMATION: All responsible sources may submit a response in accordance with the below information. There is a page limitation for this RFI of 10 pages. The Government will not review any other information or attachments included, that are in excess of the 10 page limit. NO MARKETING MATERIALS ARE ALLOWED AS PART OF THIS RFI. Generic capability statements will not be accepted or reviewed. Your response must address capabilities specific to the services required in the attached PWS and must include the following: Interested Vendors shall at a minimum, provide the following information in the initial paragraph of the submission: Name of Company Address Point of Contact Phone Number Fax Number Email address Company Business Size and Status For VOSB and SDVOSBs, proof of verification in VIP. NAICS code(s) Socioeconomic data Data Universal Numbering System (DUNS) Number Existing Contractual Vehicles (GWAC, FSS, or MAC) Provide a detailed response to each of the following items relating to the systems capability of the solution, please be as complete as possible for both review by the clinical-users and/or information/safety technology officers at the site/s: HARDWARE/SOFTWARE REQUIREMENTS What are the minimum hardware, software, server, licensing (permanent or other) requirements needed to run your solution. If the solution is web-based, provide detailed specifics on the current status of any approvals obtained or in process within VHA. GENERAL/ADMINISTRATIVE Please provide your standard commercial price structure, as well as commercial price history and a rough order of magnitude for the same or similar products/solutions. Is the solution customizable to allow on site super-user (or equivalent) role which allows expanded access to functions for select group of users to include but not limited to : the creation of new users, the monitoring of system use, the monitoring of user-use ? Does the solution allow for the access level for any one or group of users to be limited based on their job requirements or if they may be a trainee? If yes, please give example of the limitations that can be placed on individual users. TECHNICAL How is the solution set up to assist in monitoring outpatient stewardship? Can outpatient locations be defined for specific outpatient medical/surgical services? provider groups? Please provide specifics. Is there the capability to make hospital acquired infection (HAI) assignments to particular events and/or catheter acquired infection assignments to particular events? collect device-days surveillance and tracking? Is there the ability to collate hand-hygiene data and for the hand-hygiene floor monitors to submit data directly into the solution? Please describe ASP (antimicrobial stewardship program) intervention tracking and reporting; if the solution includes tracking or collating healthcare costs saved or avoided with interventions of the ASP, please provide additional details on the methods used if applicable. Please describe the solution s ability to track and identify allergies to antimicrobials. Can a real-time report be created on current inpatients with allergies to PCN or beta-lactams? Historical reports? Outpatient? COVID-19 RELATED How does the solution address COVID-19 and in what ways can the solution assist Infection Prevention, Infectious/Diseases and Antimicrobial Stewardship in the response to the pandemic? Describe the solution s capability to create a list of patients for review. Using the example of a list of patients with active inpatient antimicrobial use and a list of patients with COVID-19 infection by PCR testing, how would the user create and access these examples in your solution? Describe the solution s ability to perform bed-tracking and/or contact tracing for communicable exposures. DATA What is the relationship between the solution s ability to pull data from the Bar Code Medication Administration (BCMA) and the Corporate Data Warehouse (CDW)? Is both the ordering and administration data for pharmacy order available for individual orders in the inpatient setting? Describe how the solution provides real-time data on patients to reflect the current status of a patient location, patient s therapy and/or laboratory test/s. We ask that the solution be able to import the accumulated existing data in the current solution from the last five years; please provide details on how this would be accomplished. REPORTING Describe your COTS Software Solutions standard and customizable reporting capabilities and output formats. How does the solution generate antimicrobial DOT (days of therapy) reports for inpatient antimicrobial use? What options does the solution provide for outpatient antimicrobial use data? In the solution s antibiograms reporting, is there an option to create location and specimen-source specific reports? Is the time for the review period adjustable? If so, how far back can the report be generated? Does the solution offer provider-specific reports to track ordering behavior? If yes, please describe if those are available for inpatient/outpatient setting and what agents (class or individual drugs) can be generated. Are reports exportable in Word or PDF formats? Can data be exported to Excel from within solution? Is there an option to make the exporting function user-limited? CUSTOMIZATION Please describe the customization options for allowed both individual users at a site and how customization may be employed to support users working collaboratively between several regional medical centers. Corporate experience or expertise in performing these services and specific examples or references. Specific examples or references provided must include the agency, point of contact, dollar value, and contract number. Your company s intent and ability to meet the set aside requirement in accordance with VAAR 852.219-10 (JUL 2016) (DEVIATION) VA Notice of Total SDVOSB and 13 CFR §125.6, which states the contractor will not pay more than 50 percent of the amount paid by the Government to it to firms that are not SDVOSBs. Your response shall include information as to available personnel and financial resources; full names of proposed team members and the PWS requirements planned to be subcontracted to them, which must include the prime planned percentage or the names of the potential team members that may be used to fulfill the set aside requirement. Has the draft requirements provided sufficient detail to describe the technical requirements that encompass the software development and production operations support services to be performed under this effort. ______ YES _______ NO (if No, answer question g) If NO , please provide your technical comments/recommendations on elements of the draft requirements that may contribute to a more accurate proposal submission and efficient, cost effective effort. Responses are due no later than 12 PM EST, February 10, 2021 via email to Christine Keen-Deputy, Contract Specialist at (Christine.Keen-deputy@va.gov) and (Edward Hebert), Contracting Officer at (Edward.Hebert@va.gov). Please note RFI Title, Antimicrobial Stewardship Infection Control Clinical Decision Support Software for VISN5 in the subject line of your response. Mark your response as Proprietary Information if the information is considered business sensitive. The email file size shall not exceed 5 MB.