-20080.pdf

VHAPM Part 806.3 Other Than Full and Open Competition (OFOC) SOP Attachment 2: Request for Sole Source Justification Format >SAT

OFOC SOP Revision 08 Page 1 of 4 Original Date: 03/22/11 Revision 08 Date: 04/18/2018

DEPARTMENT OF VETERANS AFFAIRS

Justification and Approval (J&A) For

Other Than Full and Open Competition (>SAT)

Title: Tele-ICU Mobile Carts Acquisition Plan Action ID: 36C776-20-AP-1899

1. Contracting Activity: Department of Veterans Affairs

The Department of Veterans affairs, in partnership with the Program Contracting Acitvity Central (PCAC), requires the procurement and rapid deployment of Tele Critical Care equipment in response to the COVID-19 National Emergency. The Healthcare Technology Program Office (10NA) has submitted the 2237 for this procurement. Total Estimated cost:

2237: 101-20-2-3759-0001

2. Nature and/or Description of the Action Being Processed:

The proposed action is for the award of a brand name, Firm Fixed Price delivery order for VHA. The VHA Tele Intensive Care (Tele-ICU) is seeking to award a new emergency procurement to Philips Healtcare to rapidly deploy and expland the existing infrasture to meet the needs of the VHA medical centers for Tele Critical Care coverage due to the COVID-19 national emergency.

3. Description of Supplies/Services Required to Meet the Agency’s Needs:

This procurement will enable the Department of Veterans Affair, Veterans Health Administration (VHA) to rapidly respond to the increased clinical coverage needs; due to the COVID-19 national emergency. The contract will include software license, mobile Tele Critical Care carts, professional services, installation, and support monitoring of Two hundred twenty five (225) audio/video endpoints to be deployed at medical centers who are not currently participating in the Tele Critical Care program. Eighty one (81) medical centers have been identified as not participating in the Tele Critical Care program currently, which means they have no current capabilities of clinical coverage via the Tele Critical Care software platform and clinical resources. These facilities will require rapid deployment of mobile carts to enable this capability with six to twelve weeks.

VHA will require procurement of two hundred twenty five (225) ICU licenses for the provisioning of the current Philips Ecare Manager platform to accommodate the additional audio/video endpoint (mobile carts). These license have an estimated value of with implementation fees from Philips Healthcare valued at approximately

Philips eCareManager has only two approved audio/video endpoint technologies which are approved for use with their platform. Based on the available funding and ability to deliver the carts

OFOC SOP Revision 08 Page 2 of 4 Original Date: 03/22/11 Revision 08 Date: 04/18/2018 within the emergent timeline we require, Caregility will be subcontracted by Philips to manufacture and procure the mobile audio video endpoints. The approximate value of the mobile audio/video endpoints; including installation and provisioning, is

The total estimated value of the procurement; including the software licensing, hardware, installation services, and professional service is

Statutory Authority Permitting Other than Full and Open Competition:

( X ) (1) Only One Responsible Source and No Other Supplies or Services Will Satisfy Agency Requirements per FAR 6.302-1 (X ) (2) Unusual and Compelling Urgency per FAR 6.302-2

Demonstration that the Contractor’s Unique Qualifications or Nature of the Acquisition Requires the Use of the Authority Cited Above (applicability of authority):

Due to the COVID-19 national emergency and the need to rapidly expand our Tele Critical Care coverage to every medical center with intensive care beds, VHA must utilize the currently installed platform for support Tele Critical Care. The currently installed platform was supplied by Philips Healthcare. Philips Healthcare is the only vendor capable of providing rapid expansion of the highly specialized software platform via increased software licensing and providing the necessary hardware; audio/video (A/V) endpoint, which are approved for use with their platform, in the necessary and urgent timeframe required to provide adequate care to Veterans.

Philips is the original and sole manufacturer of the eCareManager software platform currently installed in VHA. VHA is currently provisioned for approximately five hundred A/V endpoints. The current infrasture has been reviewed and is capable of expanding to cover all one thousand seven hundred (1,700) intensive care beds throughout the VA. In order to meet the urgent requirement to provide coverage throughout all ICU beds in VHA, the current Philips platform must be utilized.

Philips Healthcare is the only vendor capable of providing the licenses and professional services to provide the current platform with the additional coverage in the timeframe required by the VA Tele Critical Care Program.

Philips Healthcare is the only vendor with the capability to provide all of the necessary components; including the eCareManager expansion provisioning, mobile A/V endpoints, installation services, professional services, and other require items, due to their current relationship with Caregility and ability to subcontract Caregility to provide all requirements for this

OFOC SOP Revision 08 Page 3 of 4 Original Date: 03/22/11 Revision 08 Date: 04/18/2018 procurement. Award to another vendor would cause unacceptable delays due to the urgent and compelling need for rapid expansion.

Determination by the CO that the Anticipated Cost to the Government will be Fair and Reasonable:

The Government developed an Independent Government Cost Estimate (IGCE) of using pricing considered fair and reasonable from previously held government contracts for similar work with the same vendor. The vendor's quote came in at at $4,266,308.25. For these reasons, it is determined that Philips quote is fair and reasonable.

Description of the Market Research Conducted and the Results, or a Statement of the Reasons Market Research Was Not Conducted:

Market research has been done over the course of the last fifteen months regarding the capabilities of the market to provide a Tele Critical Care solution which meets the needs of the VA. A thorough analysis of the market was completed as part of an Enterprise Tele ICU IDIQ procurement. Based on the research done, on Philips Healthcare is capable of rapidly expanding the current platform;

Philips eCareManager, to accommodate for the urgent needs of the VA during the COVID-19 national emergency. All other vendors in the Tele Critical Care market would require a full replacement of the entire platform and A/V equipment, as well as require clinical competency training on the new software. Based on the urgent need and rapid implementation required to provide care to Veterans during this national emergencys, Philips Healthcare is the only vendor capable of providing an full solution to expanding our current Tele Critical Care platform. IAW FAR 10.002(a)(1) The Contracting Officer may use market research conducted within 18 months before the award of any task or delivery order if the information is still current, accurate, and relevant. The CO has determined all information is still current, accurate, and relevant.

Any Other Facts Supporting the Use of Other than Full and Open Competition:

Full and open competition is not suitable for this procurement due to the overwhelming need to expand our Tele Critical Care capabilities in a minimal timeframe. (6-12 weeks) In order to accomplish this rapid expansion to provide care to Veterans safely and effectively, we must utilize the current platform installed in the VA; the Philips eCareManager Platform and approved A/V end points. Based on the funding provided in the emergent situation, we must award directly to Philips Healthcare.

Listing of Sources that Expressed, in Writing, an Interest in the Acquisition:

A Statement of the Actions, if any, the Agency May Take to Remove or Overcome any Barriers to Competition before Making subsequent acquisitions for the supplies or services required:

All actions that may be taken to overcome the barriers associated with this procurement; including but not limited to urgency of delivery, funding limites, and immediate expansion needs, are being considered in the Enterprise TeleICU IDIQ contract. That contract has been solicited as full and open competition.

11. Requirements Certification: I certify that the requirement outlined in this justification is a Bona Fide Need of the Department of Veterans Affairs and that the supporting data under my cognizance, which are included in the justification, are accurate and complete to the best of my knowledge and belief.

12. Approvals in accordance with the VHAPM Part 806.3 OFOC SOP:

Contracting Officer or Designee’s Certification (required): I certify that the foregoing justification is accurate and complete to the best of my knowledge and belief.

Date

One Level Above the Contracting Officer (Required over SAT but not exceeding $700K): I certify the justification meets requirements for other than full and open competition.

VHA SAO HCA Review and Approval: I have reviewed the foregoing justification and find it to be complete and accurate to the best of my knowledge and belief and approve ($700K to $68 million) for other than full and open competition.

-04'00'

03/27/2020

-05'00'