JA_HCQAR_FBO_POsting_09_09_2019.pdf

JUSTIFICATION FOR AN trXCEPTION TO FAIR OPPORTUNITY

Acquisition Title:

Agencv:

Acquisition Year:

Author:

l-lealthcare Quality Analytics and Reports (HCQAR)

Centers for Medicare and Medicaid Setvices

Center for Clinical Standards and Quality (CCSQ) lnf'ormation Systerns Group (lSG)

Ginny Valles-McCullough

1 Description of Action:

A. Natule

a. _ New Requirenrent b, _ Follow-On Order

c. _X Modification of Existing Purchase Or.der / Contract N¡lmber

B. Order Against

a. IIHSN3 16201200075W Multiple Award IDIQ ContractNumber

C. Contract Type ù. _ Firm-Fixed Plice

b. _ Tirne and Materials

c. _X_ Cost Plus Fixed Fee (CPFF')

r. _X Telrn

ii. _ Completion

d. _ Cost PIus Awald Fee (CPAF) e.

D. Projected Cost/ Plice of contract (Base & All Options): $70,836,049.23 (lnclusive of additional work)

E. Thetotal estimated value ol'the proposed sole source action (for modifications only):

$ 10,320,000

F. Funding Source (s): QIO

G. _: Basis fol Approval (Fal:6.303-l(d)

X : Individual Basis

: Class Basis

This J&A will enable the Government to inoorporate additional scope into the HCQAR contlact and increase the total potential conlraat value by 17%o.

The below list represents the additional scope being incolporated into the contrâct:

Providing support for design, implementation, operations & rnaintenance, enhancernents, and other necessaly fìxes requir.ed for tlre successful implementation ofthe Cloud-based technologysolution to suppolt QIO plogram Establishment of a data souroe lepository

Modernization and continuor¡s improvement of a set of data analytic tools (Trifacta, Alcadia, Tibco. & Dataguise)

Modernization of the FICQAR database aud continuous improvement of the nraintenarrce of data sources

Allow CCSQ ISG to implemerrt the strategies developed under tlre CAADS (I-IHSM-500-2017-00057C) and Data Strategy (HIISM-500- 2017-0005 I C) cotìtlacts that ate er, ding this year

Lead discovery discussions with QIO progtam and CCSQ business ownets to determine data needs for making trusted and highly reliable data available across CCSQ business area.

Gathe¡' business tequirements fol data ingestion and workflow automation t'om valious data sources lequiled to suppolt QIO plograrn and CCSQ business owners.

Docunrent and maintain artifacts related to source-to-target mapping, analytic tools technology and ISC's Cloud-based technology solution, including collabolation with Portfolio, Ptogram and Project Management

(PM3) contractor for publishing al'tifacts to HCQIS Confluence. Maintain existing documetrtation fol analytic services and tools oflèred through ISG's

Data and Analytics Cloud-based technology solution.

As part of I{CQIS Data management and Data Governance activities, develop and publish data catalogue and data telnperature rnonitoring for ISG's Cloud-based technology solution. Maintain data in the Cloud- based technology solution based on the data ten'ìperature observations. Setup technology governance to infolm ISG about technologies used for anal;itics, compute, and storage.

Wolk on data and analytic requests ftorn QIO program and CCSQ stalceholders, including data soul'ce research/lnapping and dala availability/ingestion tasks making data available l'ol analytics in the Cloud-based technology solution. Ilesearch and irnprove plocesses how ISG collects and uses data to meet CCSQ stakeholder needs.

Autor¡ate data ingestion workflows for current and future CCSQ data sources. lmplement inrptovements fol the existing data sources aligning with CCSQ and ISG goals for reducing data duplication and incleasing data timelines and availability.

Collabotate with other CMS centers to research, design and prototype a solution fbr establishing connectio¡.t fol claims data ingestior.r directly from

CMS soulce systems, such as Common Work File (CWF) lor Part A/B claims, Part D drug Processing System (DDPS) foL Part D claims, and

Encounter l)ata Processing System (EDPS) foL Part C clair¡s data, As Part of the HCQIS Data Privacy activities, etrsure privacy and security of sensitive datasets in accordance with CMS Data Security/Privacy

Policies. Provide secut'e data for end user consumption'

Gather business requitements and develop a workflow for I'eady-to-use, self-service secure datasets that are always available for end user consumption.

Support ISG in lnodemization effotts to transforln legacy analytic processes/code to the Cloud-based technology, including evaluation of SAS code translation solutions based on the CCSQ business requ irements.

Set've as a Subject Matter Experts (SMEs) supporting QINiQIO users and other CCSQ stakeholders on any data/tools/Cloud-based technology requests and plovide uecessary research, clarifìcation, de¡¡onstration for the dataltools/Cloud-based technology.

. Support ISG in lnodernization effolts to pr.ovide analytics environment for building, training, maintain¡ng, and publishing predictive models, including capabilities fol developing models to analyze unstructur.ed data.

. Miglate existing I{CQAR WB on prenise environment (Ashbum Data Centel) into thc IìCQIS Cloud-based solution and inregrate with ì-ICQIS data soulce repository for future data requirements.

The new work being incorporated into the contract will enable CMS to transition away from legacy technologies. This tlansitiou will enable increased data analytic capabilities needed to meet the changing needs of the QIO progran.

2. Description of Supplics orServices

CMS is mandated by the Office of Management and Budget (OMB) to provide complex analytic data selvices and data management to suppolt the Center.s for.Clinical Standards and Quality (CCSQ) Lines of Business. These lines of business are funded by the eLrality Lnprovement Organizatiou (QIO) program, one of fhe lar.gest feder.al proglams dedicated to irnploving health quality for Medicate berreficiaries. The QIO progr.anr is an integrzl part of the U.S. Department of Health and llurnan Services' (HHS) National Quality Strategy fol providing better cal'e and better healtlì at lower cost. By law, the rnission of the QIO Program is to improve the effectiveness, efficiency, economy, and quality of services delivered to Medicare benefi ciaries.

CMS identifies the core functions of the QIO Prograrn as:

Improving quality ofcare forbeneficial ies;

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

Protecting beneficialies by expeditiously addressing individual complaints, such as beneficialy conrplairrts; plovider-based rrotice appeals; violations ofthe Emergency Medical Treatment and Labor Act (EMTALA); and other related resporrsibilities as alticulated in QIO-related law.

The Information Systems Cloup (lSG) supports the QIO ploglarn by providing ad hoc leporting, complex analytic and data extractioll services. data managernent, fàcilitation of business requirements, developnrent and testing ofthe analytical code and data\nreasul'es through Ilealthcale Quality Analytics and Reports (HCQAR) contractot.

On December'20, 2016, CMS awarded HllSN3l620l200075w/Task Order HHSM-500- 2017-000051J to Customer Value Partners (CVP) to provide ad hoc reporting, analytics and data nranagement services to the HCQIS Line of Business (LOB) and QIO program.

including othel CMS cetitets, and extetttal stakeholders:

. Flospital Quality Reporting ([ IQR) o Quality hnprovement Olganizations (QlO) o Quality lmprovement and Evaluation System (QIES/iQlES) ¡ End Stage Renal Disease (ESRD) Quality Reporting Systems (EQRS) o Quality Payment Proglatn (QPP) r Other CMS center'- Center for Medicat'e and Medicaid Innovation (CMM l) o External stakeholders - Department of Defense and Vetelan Administration

Hospitals (VA)

Corìtract Period of Performance:

o Base Period - December' 20, 2016 to December 19,2017

. Option Period I - December 20,2017 to Decembel 19,201 8

¡ Option Peliod 2 - Decer.nbet'20. 2018 to December 19,2019

. Option Period 3 - Decenrber 20,2019 to December 19,2070

. Option Period 4 - December 20, 2020 to Decenibel I 9.2021

3. Authority and Rationale:

The Contr.acting Officer. shall give every awardee a faif opportunity to be considefed for a delivery/task or.der exceeding $3,500 unless one ofthe f'ollowing stattltory exceptions applies.

IìAR I (r.505(b) (2). Malk the applicable exception:

-X The order must be issued ou a sole-source basis in the iuterest of economy and efficiency because it is a logical follow-orr to an order already issued under the contract, provided that lall awardees were given a fair oppoltunity to be considered fot'tlre original order rr¿B_t ¡l!5ft)0)o(c)l;

The inclusion of this additional work into the existing HCQAR contract represents a logical follow orr because the contractor (CVP) is curreutly responsible for providirig similar data and analytic services to support QIO plogram and CCSQ business owners. These services include fhe specialized leporting, data ì AII contlactors that wotc NI I

^AC

cont!act holdcrs and an ll(a) small bttsiness wct c pt ovicled a fail opportt¡llity 1() compelc

1¡r the I ICQAR contract. l'hc N IT^^C CIO-SI,3 IDIQ has fi ve poo ls of small business conh aclors 1() se lect t on, whìch incluclc S¡ralt Business. 8(a), Service Disabled Veteran Owned. IIUIIZ¡ne, and Women-Orvned bLrsìness lypcs 'l'he

Contracring OfficeL (CO) belicvos the selected iustilìcation ìs the rnost approptiale lor tho silu¿ìtio¡r described.'l'hc Co dcter,nrined the pur.pose 01'the requi¡cmenl. limiting thc use o1'this cxception to làir oÞporlunity, is 1() ersule that orders pr.cviously awarcleci as sole source o¡ders carrnot bc arvardetl indelìnitely as sole sourcc otdets. As a tpstìlt ofthe provious srnall business sct-asido colììpelitiolÌ. i1 is applopriate lo usc this exclrptio!ì to fail oppollunity managenrent and ad-hoc analytics, hence HCQAR team is already flamiliar with QIO Prograrn data and analytic reporting needs. Additionally, HCQAR contractor.

currently serves as the subject matter expert fbr CCSQ/HCQIS systems, including HCQIS legacy applications, ploviding users the access to customized data and analytic services. Instead ofestablishing a separate contract for these services it was determined to be in the best interest of the Government to incorporate these lequirements into the HCQAR contract. Sepalating analytic and reporting services using Cloud-based technology from the culrent ad-hoc repolting and analytics services for the CCSQ/QIO stakeholders would introduce significant project risk and delay to the QIO program timeline fbr onboarding new usets in August. The proposed nlodification includes the use of the Cloud-based technology and analytic tools stack by HCQAR contractor in order to mitigate the lisk ol technology deliver'y delays and oonfusion among the new users and CCSQ stakeholders.

4. Plovide a slatement of the actions, if any, the âgency may take to remove ol.ovelcome any barriers that led to the exception to fair opportunity befble any subsequent acquisition f'or the supplies or setvices is made:

These additional services/ requirements will be included into the existing order.and will be cornpeted in accordance with the stlategy deemed lnost appl'opriate at the end of tlre contract period ofpelf'ormance.

5. State any otl'ìer facts supporting thej u stification:

The services described above must be implernented to ensure that CMS's meets the requirements ofthe QIO Ptogram, one of the lalgest federal ptograms dedicated to irnproving patient health quality, for I 2th Statement of WoLk (SOW). QIO ploglam will onboard new QIN/QIO users and QIO support contractors for the l2th SOW wolk stalting in August, 2019. This requires that the technology solution is in place for the new user onboarding and to supporf significant QIO Proglarn data gr.owth requirements, Applovals:

Program Ofli ce Celtification. This is to ceÉily that poúions of this j ustification have been developed by the undelsigned prograrn office personnel, including suppotting infblrnatiou and/or data velifying the Government's miniurum needs, schedule t'equirements and other rationale fol Exceptions to Fair Opportunity, which form the basis f'ol this.iustification have been ceftified as complete and accurate by the technical or requirements personnel.

Ginny ValleS- DisitallvsisnedbvGinnvValles-mccullough-s il:iiiT3i;ir'8:15:17-04,00, Contracting Officer Reprcsentative (COR) / Date

Farid Menhaj . - Digitally signed by Farid Menhaji

| -5-s Date: 201 9.07.09 09:3 1 :46 -04'00'

Program/Project Manager (P/PM) / Date

Best Value Determination. By rny signature below. after review of tlre relevant docunrents, I have determined that the order subject to this Justificatioll represents the best value for the Government as set fortlr in FAR 16.505(bX2Xii)(BX5), and constitutes a fair and reasonable price. The basis fot ny determination is asfollows:

Prior to the award ofa modification, the Contracting Offìcer will request a proposal, conduct cost analysis / cost realisn analysis, and obtain a technical t'eview o1'the proposal by Govet'nment Subject Matter Experls (SMEs). In the execution of the pt'ocess described, the Contracting Officer will have access to current actuals, cost data, and otheL resources to ensure proposed costs are fait. reasonable, and realistic priol to award.

Contracting Officer Certification: This isto certify that the iusti{ication for the proposed acquisition has been reviewed and that to the bost of rny knowledge and belief. the information and/or data provided to suppoft the rationale and recommendation for apploval, is accurate and complete.

N ath a n i e I M. Dea n -S 3:1y,å,ï';,:3fi)fi[îål$P*"

Contracting Oflicer / Date

Additional OAGM Approvals

I hereby confir'rn the circt¡mstances described above apply and approve the justification fol.

Exceptions to Fail Opportunity.

J a i m e G a I vez - S 3:ill,ä,1'.1,:îfl;i'fr."."1",;ã'

OAGM Division Director / Date

Theresa A.

Schultz -S

Digitally s¡gned by Theresa A.

Schultz -S

Date: 2019.07.1 1 08:01 :37 -04'00'

OAGM Group Director / Date

Head of Contracting Authority (HCA) Approval I lTereby conlÌrm that the circunstances described above apply and approve this Justification fol Exception(s) to Fair Opportunity.

D e r r i c k L. H e a rd - S B:'.:':lð,';';;îf if,.ïlI.bulåi'o nc¿. Namö /Datò For Melissa Star¡nsky

Competition Advocate Approval

I heleby confirm that the circumstances described above apply and approve this Justification fol Exception(s) to Fail Opportunity.

Name /