HARP_J&A_01_18_2019.pdf

FEDERAL SUPPLY SCHEDULE LIMITED-SOURCES JUSTIFICATION

Acquisition Title: Enterprise Systems and Services

Agency: Centers for Medicare and Medicaid Services, CCSQ, ISG Acquisition

Year: 2019

Author:

Jonathan

Brown

1. Description of Action:

Nature:

_ New Requirement

• Follow-On Order

X Modification of Existing Purchase Order / Contract

Contract Type:

• _x Firm-Fixed Price

• Time and Materials

_ Cost Plus Fixed Fee (CPFF) _____ _ Term

• _____ _ Completion

• _ Cost Plus Award Fee(CPAF)

• Other:

Projected Cost / Price:

$2,300,000 (anticipated impact to current year) / anticipated total contract increase as a result of addition of new work $ 10,300,000 / Total contract value inclusive of options after the inclusion of new work is anticipated to be $56,285,955.31

Funding Source (s): QIO Contract#: HHSM-500-2016-00013B / 75FCMC18F0001

Name of Proposed Contractor(s): VENTERA

Street Address: 1881 Campus Commons Dr., STE

350 City, State, Zip: Reston, VA

20191

2. Description of Supplies or Services:

CMS is mandated by the Office ofManagement and Budget (0MB) to provide Enterprise Systems and Services to support the Centers for Clinical Standards and Quality (CCSQ) Lines of Business. These lines of business are funded by the Quality Improvement Organization (QIO) program, one of the largest federal programs dedicated to improving health quality for Medicare beneficiaries. The QIO program is an integral part of the U.S. Department of Health and Human Services' (HHS) National Quality Strategy for providing better care and better health at lower cost. By law, the mission of the QIO Program is to improve the effectiveness, efficiency, economy, and quality http:56,285,955.31 of services delivered to Medicare beneficiaries. CMS identifies the core functions of the Q [0 Program as:

[mp roving quality of care for beneficiaries;

Protecting the integrity of the Medicare Trust Fund by ensuring that Medicare pays only for services and goods that are reasonable and necessary and that are provided in the most appropriate setting; and

Protecting beneficiaries by expeditiously addressing individual complaints, such as beneficiary complaints; provider-based notice appeals ; violations of the Emergency Medical Treatment and Labor Act (EMTALA); and other related responsibilities as articulated in Q[O-related law.

The Healthcare Quality Information Systems (HCQIS) network supports the QIO program by providing Enterprise Systems and Services (ESS), which have been in production since 2012. Historically the ESS requirements were established in the Program Management and Business Requirements (PMBR) Statement of Work (SOW) that was awarded on July 1, 2009 and expired on June 30, 2017.

On February 24, 2017, CMS awarded HHSM-500-2016-00013B / HHS M-500-BOOOl to the Ventera Corporation. This contract was responsible for Operational and Maintenance (O&M) support of existing Enterprise Architecture and applications to include patching updates and minor releases. Period of Performance:

• Base Period - February 27, 2017 to June 18, 2017

• Option Period 1 - June 19, 2017 to June 18, 2018

On June 11 , 2018, CMS awarded the current contract HHSM-500-2016-00013B / 75FCMC18F0001 to the Ventera Corporation with a POP of July 6, 2018 through July 5, 2023 . This contract is responsible for providing operations, maintenance, and re architecture of Enterprise Systems and Services to transition to the Healthcare Quality lnfom1ation Systems (HCQIS) Cloud.

The list of Enterprise Systems and Services covered by this task order are:

• Portal Services - QualityNet Portal (QNP), QualityNet Secure PortalQSP)

• Data Submission Services - Date Exchange (DE), Pre-Submission Validation

API (PSVA), and Nationwide Health Information Exchange(NwHIN)

• Data and Information Management(DIM)

• Enterprise Reporting Services (Portal Reporting Information Service(PRIS))

• Enterprise Security Services (ESS)

• Legacy System Support

3. Authority:

ORDER AGAINST FSS: Authority of the Multiple Award Schedule Program, Title III of the Federal Property and Administrative Services Act of 1949 (41 U.S .C. 251 , et seq .); Title 40 501 , Services for Executive Agencies; and Section 803 of the National Defense Authorization Act of 2002 (PL 107-107) and implemented by FAR 8.405-6.

Mark the applicable exception and for each discuss how the cited authority applies in accordance with FAR 8.405- 6(c)(2)(iv).

_: An urgent and compelling need exists, and following the procedures would result in unacceptable delays (FAR 8.405-6(a)( 1 )(i)(A));

_X: Only one source is capable of providing the supplies or services required at the level or quality required because the supplies or services are unique or highly specialized (FAR 8.405- 6(a) (i) (B)); or

This is a recently awarded task order under the ADELE BPA which included scope for the transformation of the authorization and role management, but was awarded prior to the decision to utilize additional CMS approved enterprise technology as part of the solution for the transformation of the QARM system to the HARP authorization and role management tool.

The proposed modification will increase the current scope of work to include the use of the CMS approved enterprise technology. This work will include providing an additional agile team for operations and maintenance, enhancements, and other necessary fixes required for the successful implementation of the HARP tool.

To successfully implement the HARP tool the contractor will be responsible for the following:

• HCQIS Access, Roles and Profile management system (HARP), (replacement for QualityNet Authorization and Role Management (QARM))SaaS solution for credential and roles access management

• SaaS agency authentication credential store

• Common UI: Custom developed application platform used to offer tools and services common to all users and product teams

• ESS will gather user stories and feature requests based on the proposed user and product communities. Develop the initial framework to meet Technical Reference Architecture (TRA), Acceptable Risks Safeguards (ARS) and Information Systems Group (ISG) implementation requirements as directed. Design features and services that meet the proposed user community needs in the CCSQ/ISG Agile approach.

• Manage all backlog activities and the development priorities and complexities with the product owner

• Proposing processes, technology and solution improvements .

• All services will include input from an ESS provided UI/UX expert to assure and high level of usability. To support HARP technology including but not limited to deployment pipelines, patching and technology updates, and replacement. Establish monitoring of operational resources to ensure a high level of availability and redundancies

Provide a DevOps team (members) for architectural support and fast action response to incidents. Comply with updates to CCSQ architectural changes where applicable

Maintain all operational documentation, monitoring and incident tracking.

Provide security experts to provide compliancy documentation to facili tate the CMS A TO process.

Complete and publish any necessary documentation to support internal product team integrations as well as documentation to assist with external user communications for services provided by HARP.

Note: Legacy QARM components, systems and sub-systems are anticipated to be transitioned to HARP during this contract. Non-Authority to Operate (Non ATO) systems maintained by organizational elements of CCSQ other than ISG will be transitioned to HCQIS and be supported by HARP.

These additional requirements will be included in the PWS and are anticipated to add approximately 2.06 million to each year of performance. These changes to the PWS will include: Legacy QARM components, systems and sub-systems are to be transitioned to HARP during this contract. Non-Authority to Operate (Non-A TO) systems maintained by organizational elements of CCSQ other than ISG will be transitioned to HCQIS and be supported by HARP, which may be needed in the future but may be facilitated through the already established surge CLINs reflected in thecontract.

There is only one reasonable source for these services / products for the following reason. The contractor, as part of this requirement, is responsible for providing shared services to support the HCQIS system. These services include the development of a web portal. HARP serves as the authorization and role management mechanism that allows users to access the web portal and monitors traffic. Separating the development of the web portal and the mechanism which allows access is not in the best interest of the Government and does not align with sound IT development practices.

__: [n the interest of economy and efficiency, the new work is a logical follow-on to an original Federal Supply Schedule order provided that the original order was placed in accordance with the applicable Federal Supply Schedule ordering procedures. The original order or BPA must not have been previously issued under sole-source or limited sources procedures (FAR 8.405-6(a) (1) (i) (C));or

__: An item peculiar to one manufacturer can be a particular brand name, product, or a feature of a product, peculiar to one manufacturer). A brand name item, whether available on one or more schedule contracts, is an item peculiar to one manufacturer.

(FAR 8.405-6(b );

4. Market Research:

The market research associated with this effort occurred previously. The first substantial market phase occurred for the initial award of this task order, which was made on July 6, 2018 . Substantial market research for this effort has been completed and is documented in the Acquisition Plan (AP). The other market research relevant to this acquisition surrounded CMS' s determination to move forward with the enterprise technology described above. Once CMS determined that it was within the Government best interest to move forward with the identified enterprise technology this technology was required to be incorporated into this contract.

5. Actions to Increase Competition:

The enterprise technology utilized for this modification will be included m all future competitions.

6. Any other facts supporting thejustification:

There are no other facts which support the justification provided above.

Approvals;

1. Program Office Certification: This is to certify that portions of this justification have been developed by the undersigned program office personnel , including supporting information and/or data verifying the Government's minimum needs, schedule requirements and other rationale, which form the basis for this justification for other than full and open competition.

Jonathan M Brown -S DigitallysignedbyJonathanM. Brown-5

• Date: 2018.1 2.18 13:44:11 -05'00'

Contracting Officer Representative (COR) / Date Ginny Valles- Digitally signed byGinnyValles mccullough -S mccullough -S Date: 2018.12.19 11 :00:19-05'00'

Program/Project Manager (P/PM) / Date

Best Value Determination. By my signature below, after review of the relevant documents, I have determined that the order subject to this Justification represents the best value for the Government as set forth in FAR 6.303-2{b){7), and constitutes a fair and reasonable price. The basis for my determination is as follows:

During the negotiation of this action, the CO will have access to actual costs from the current contract, recent competitive proposal information, data from bureau of labor statistics and other resources to negotiate a fair and reasonable cost/price. As a result, the CO is confident that the new award will be fair, reasonable, and will represent a best value to the Government.

2. Contracting Officer Certification: This is to certify that the justification for the proposed acquisition has been reviewed and that to the best of my knowledge and belief, the information and/or data provided to support the rationale and recommendation for approval , is accurate and complete.

Nathan ·1el M. Dean -5 DigitallysignedbyNathanielM.Dean-5 Date: 2018.12.19 11 :58:08 -05'00'

Contracting Officer/ Date

3. OAGM Approvals I hereby confirm the circumstances described above apply and approve the justification for other than full and open competition.

Ja ·1me Galvez -5 DigitallysignedbyJaimeGalvez-S Date: 2018.12.20 10:44:22 -05'00'

OAGM Division Director/ Date

Theresa A Schultz-S DigitallysignedbyTheresaA.Schultz-5

• Date: 2018.12.22 06:10:22 -05'00'

OAGM Group Director/ Date http:2018.12.22 http:2018.12.20 http:2018.12.19 http:2018.12.19

4. Head of Contracting Authority (HCA) Approval I hereby confirm the circumstances described above apply and approve the justification for other than full and open competition.

Melissa A. Starinsky Digitally signed by Melissa A.

Starinsky -5

-5 Date: 2019.01.08 07:44:26 -05'00'

HCA Name/ Date

5. CMS Competition Advocate (CA) Approval I hereby confirm the circumstances described above apply and approve the justification for other than full and open competition.

N~ http:2019.01.08