Clinical Decision Support (CDS)

The Department of Veterans Affairs Technology Acquisition Center Austin awarded a Master IDIQ for clinical decision support services on September 30, 2020, with ordering authority extending through September 29, 2030. The vehicle is a total small business set-aside at the vehicle level, structured as a multiple-award IDIQ with a shared ceiling of $49 million. Ordering authority closes in approximately four years and two months.

The scope covers subject matter expertise, policy guidance, and strategic recommendations regarding clinical decision support standards implementation for VA IT systems, supporting the Veterans Health Administration's Clinical Informatics and Data Management Office. Work is performed on a firm-fixed-price basis under FAR Parts 12, 15, and 16.

Sixteen task orders have been awarded since vehicle inception, with most recent activity occurring in September 2024. The vehicle shows consistent ordering activity, averaging 3.2 orders per year over the past five years (2020: 3; 2021: 4; 2022: 2; 2023: 3; 2024: 4). Combined task-order potential value stands at $42.4 million, with $35.7 million obligated (84% of combined potential), leaving approximately $6.7 million in unobligated ceiling available.

Four prime contractors hold all awarded task orders. Innovet Health LLC leads with 6 orders totaling $17.6 million in combined potential value, followed by Cognitive Medical Systems, Inc. with 5 orders ($12.4 million), It Concepts, Inc. with 4 orders ($10.8 million), and ICF Esac, LLC with 1 order ($1.7 million). Competition remains open; the vehicle does not restrict awards to previously successful bidders.

All 16 orders fund VA Technology Acquisition Center Austin, indicating zero cross-agency demand. The actual set-aside mix differs from the vehicle-level designation: 6 orders (38%) carry no set-aside, 6 orders (38%) are designated Total Small Business, and 4 orders (25%) are Service-Disabled Veteran-Owned Small Business. Task-order values range from under $100 thousand to approximately $10.3 million, with typical durations running under one year. Recent terminations for convenience in 2024 and 2025 suggest programmatic adjustments; contractors should monitor posting activity closely given the vehicle's age and the concentration of recent obligations.

The scope of the IDIQ includes providing the Veterans Health Administration (VHA), CIDMO Program Office with subject matter expertise, policy guidance, and strategic recommendations regarding clinical decision support (CDS) standards implementation for the Department of Veterans Affairs (VA) Information Technology (IT) systems.