Accelerating Change and Transformation in Organizations and Networks II (ACTION II)

The Agency for Healthcare Research and Quality (AHRQ) awarded this master IDIQ on September 24, 2010, with ordering authority expiring October 31, 2015—the vehicle is closed and no longer accepting new task orders. The IDIQ funded health services research, quality improvement implementation, and patient safety initiatives delivered through 40 task orders totaling $93.8 million in combined potential value, of which $93.6 million (100%) has been obligated. ACTION II has been succeeded by ACTION III, awarded February 17, 2015.

Ordering activity concentrated early: 14 orders in 2011, 11 in 2012, 13 in 2013, and only 2 in 2014, with the final award on September 15, 2014. The vehicle was fully unrestricted with no set-aside designations applied to any task order.

Task-order scope centered on national implementation and evaluation of safety and quality improvement programs in healthcare settings. Representative work included national implementation of TeamSTEPPS team-communication training ($2.98 million, awarded September 2014), development and demonstration of Comprehensive Unit-Based Safety Programs (CUSP) to reduce catheter-associated urinary tract infections in long-term care ($9.42 million) and surgical sites ($9.19 million), evaluation of meaningful use objectives across multiple state combinations, hospital readmission reduction initiatives, and development of patient safety toolkits for informed consent, emergency department discharge processes, and perinatal care. Pricing was predominantly cost-plus fixed fee, with some cost-no-fee and firm fixed price orders.

Competition concentrated heavily on Health Research And Educational Trust, which received 9 orders worth $51.1 million—capturing 54% of combined potential value. The Johns Hopkins University (5 orders, $17.8 million), Research Triangle Institute (5 orders, $7.7 million), The Rand Corporation (3 orders, $4.1 million), and ABT Global LLC (5 orders, $3.2 million) held the remaining significant shares. All task orders funded AHRQ headquarters; no other federal agencies placed orders.

Task-order values ranged from roughly $193,600 to $19 million, with durations typically spanning two to three years. The largest single award was $19 million to Health Research And Educational Trust for national CAUTI implementation (August 2011).

Accelerating Change and Transformation in Organizations and Networks II (ACTION II)