The VA is conducting market research to identify qualified sources—particularly small businesses, including certified SDVOSBs and VOSBs—for Lean and High Reliability Organization transformation consulting, training, coaching, and implementation support for the Orlando VA Healthcare System. Services may include readiness assessment, transformation roadmap development, executive and frontline coaching, role-based training, rapid-improvement/value-stream event facilitation, visual management and dashboard development, outcome measurement, and building internal sustainment capability. Performance may occur at OVAHCS medical center, clinic, administrative, or other designated locations in the Orlando, Florida, service area, with onsite/virtual mix and specific requirements to be defined later. The contemplated work may involve scalable key personnel such as an executive Lean/HRO sensei, DMS/gemba coach, improvement-event facilitator, HRO/patient-safety SME, executive clinical Lean coach, and Lean Six Sigma trainer; respondents should demonstrate relevant healthcare Lean/HRO experience and ability to support the Orlando service area. This market-research effort is for planning only, and respondents should not submit proposals or pricing at this time.