21-RHCO-P-51 JA_UWORLD signed.pdf

Control No. 21-RHCO-P-51

Version – March 2017 FOR OFFICIAL USE ONLY

JUSTIFICATION REVIEW DOCUMENT

FAR SUBPART 13.5 SIMPLIFIED PROCEDURES

COMMERCIAL ITEMS – UNDER THE SIMPLIFIED ACQUISITION THRESHOLD

(Simplified Acquisition Threshold < $250K)

JUSTIFICATION AND APPROVAL

1. Contracting Activity: Joint Base Lewis McChord, Health Contracting Branch 673 Woodland Square Loop, Suite 101 Lacey, WA, 98503-1066

2. Description of Action: Madigan (MAMC) Army Medical Center, Education & Research Division / Medical Library, Joint Base Lewis-McChord, Tacoma, WA, is requesting a contract with UWorld for annual licenses to use three products: (1) American Board of Internal Medicine question bank; (2) American Board of Family Medicine question bank; and (3) United States Medical Licensing Examination (USMLE) Step 3 question bank with Biostatistics Review.

An acquisition plan is not required because this procurement does not meet the threshold at Defense Federal Acquisition Regulation Supplement207.103(d)(i)(B).

(Insert approval authority title) approved an acquisition plan in accordance with DFARS 207.103(d)(i)(B) on (insert date).

The required acquisition plan in accordance with DFARS 207.103(d)(i)(B) is currently awaiting (insert approval authority title) approval.

3. Description of Supplies/Services: Madigan Army Medical Center, Education & Research Division / Medical Library, Tacoma, WA, is requesting to purchase licenses to use UWorld question banks to help senior residents in Internal Medicine and Family Medicine prepare to take their board certification exams; and to help first-year interns pass the final licensing examination so that they will earn their own licenses to practice medicine before advancing in their residencies.

Period of Performance: 01 October 2020 – 30 September 2021 Total Value: $39,704.00

For Actions with Options: N/A

Base Period: _______ to _______ Value: $________ Option Period 1: _______ to _______ Value: $________ Option Period 2: _______ to _______ Value: $________ Option Period 3: _______ to _______ Value: $________ Option Period 4: _______ to _______ Value: $________ Option Period 5: _______ to _______ Value: $________

FAR Clause 52.217-8 option: _______ to _______ or (insert completion date) N/A

Authority Cited: Simplified Procedures for Certain Commercial Items, 41 U.S.C.1901 (or 41 U.S.C. 1903 for Special Emergency Procurement) as implemented by FAR Subpart 13.5:

Unusual and compelling urgency Exclusive licensing agreements Industrial mobilization Other:

4. Reason for Authority Cited: Based on comparison with a similar product in the marketplace, UWorld offers the best combination of licensed study and test preparation resources for interns, Family Medicine residents, and Internal Medicine residents. The single interface makes training and support efficient, and the “Lifetime of the Resident” pricing makes it a good value. These question banks increase the likelihood of interns passing their licensing examinations to progress in their residencies; the questionbanks increase the likelihood of senior residents passing their board certification exams and successfully graduating from their residency programs. Increased likelihood of passing licensing and certification exams is a significant intangible benefit to the Government consistent with the mission of the US Army Medical Command.

5. Efforts to Obtain Competition: In accordance with FAR 5.201 this action with the J& A will be posted as a Special Notice of Intent to Beta SAM FBO.

6. Actions to Increase Competition: A general competitive effort is made by the library staff throughout the requirement review process which considers the applicability of products from various sources to determine the product that best meets the needs of the interns and residents. In addition, the intended contractor is the only source capable of serving the same interns and residents over the life of their residency.

7. Market Research: This requirement is for exam preparation services, NAICS code 611691. Internet research has identified a few companies that can provide parts of this requirement, but not all of it. Searching SAM.gov and SBA.gov revealed vendors that could provide parts of the requirement, but not all of it: Kaplan (DUNS:

008590473, CAGE: 7LE20); NEJM+ (DUNS: 075357079, CAGE: 8L599); The Pass Machine (DUNS: 016073724, CAGE: 5YN50); Rosh Review LLC (DUNS: 078649636, CAGE: 7YV326). UWorld (DUNS: 968061544, CAGE: 6USX4) is the only vendor that offers this combination of exam preparation question banks and a subscription that follows the resident from first year through graduation. Market research began 27 JAN 2020 and continued through 14 MAY 2020.

8. Interested Sources: To date, no sources other than UWorld, Inc., have appeared to express interest in the acquisition.

9. Other Facts: Discuss any other facts supporting the use of other than full and open competition, such as the following: N/A

a. Procurement History

Previous Contract or Purchase Order Number: or N/A Previously competed? N/A No Yes Previous authority for less than Full & Open Competition: FAR 13.106-1(b)(1)(i)

10. Other Facts:

a. Procurement History

Previous Contract or Purchase Order Number: or N/A Previously competed? N/A No Yes Previous authority for less than Full & Open Competition: FAR 13.106-1(b)(1)(i)

11. Technical / Requirements Certification: I certify 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.

Submitted By: Jeffery R. Ring Position Title: Chief, Medical Library Email Address: Jeffrey.r.Ring.civ@mail.mil Date: 21 August 2020

12. Fair and Reasonable Cost Determination: I hereby determine that the anticipated cost or price to the Government for this contract action will be fair and reasonable.

This determination will be made using the following: price analysis cost analysis IGCE audit: other: Market Research indicated only one source based on proprietary as a sole vendor ubscription.

As a part of this basis, certified cost or pricing data is not required because the item and/or services being acquired are considered commercial.

13. Contracting Officer Certification: I certify that this justification is accurate and complete to the best of my knowledge and belief.

Signature:

Typed Name: Scott A. Barr Position Title: Contracting Officer Email Address: Scott.a.Barr.civ@mail.mil Date: 21 August 2020

Digitally signed by

RING.JEFFERY.ROBE

RT.1517093587

Date: 2020.08.21 15:40:54 -07'00'

BARR.SCOTT.A.1

078903208

Digitally signed by

BARR.SCOTT.A.1078903208

Date: 2020.08.23 14:15:17 -07'00'