36C10G25Q0040-RFI Medical Calculators SaaS.pdf

Special Notice

*= Required Field Special Notice

SUBJECT* REQUEST FOR INFORMATION- MEDICAL CALCULATORS

GENERAL INFORMATION

CONTRACTING OFFICE’S ZIP CODE* 22408-2697

SOLICITATION NUMBER* 36C10G25Q0040

RESPONSE DATE/TIME/ZONE 01-31-2025 12:00PM EASTERN TIME, NEW YORK, USA

ARCHIVE 15 DAYS AFTER THE RESPONSE DATE

RECOVERY ACT FUNDS N

PRODUCT SERVICE CODE* 7420

NAICS CODE* 518210

CONTRACTING OFFICE ADDRESS U.S. Department of Veterans Affairs

OPAL | Strategic Acquisition Center 10300 Spotsylvania Ave | STE 400 Fredericksburg VA 22408-2697

POINT OF CONTACT*

Contracting Officer William Milline William.Milline@va.gov Contract Specialist Cristine Carmody Cristine.Carmody@va.gov

ADDITIONAL INFORMATION

AGENCY’S URL

URL DESCRIPTION

AGENCY CONTACT’S EMAIL ADDRESS

EMAIL DESCRIPTION

DESCRIPTION

Request for Information (RFI) Digital Health Office Medical Calculators

THIS IS A REQUEST FOR INFORMATION (RFI) ONLY (as defined in FAR 15.201(e)); this is not a solicitation. A formal solicitation is not available at this time. This notice does not constitute a commitment by the United States Government and does not obligate the Government to award a contract or pay for the information provided in response. Responders are solely responsible for all expenses associated with responding to this RFI.

INSTRUCTIONS FOR RESPONDING TO THIS RFI

Response Format/Page Limitations:

The overall total page limit for responses to this RFI has no limit; however, the Government recommends a clear and concise response to reduce the number of pages submitted to ensure that its response is complete and sufficiently detailed. Interested parties should limit marketing material in order to allow sufficient space for adequately, directly, and substantively responding with the information of most interest to the Government.

When responding, please also confirm your company’s Socio-Economic Category and Unique Entity Identifier (UEI).

If responding as a Service-Disabled Veteran Owned Small Business or Veteran Owned Small Business, please submit proof of your certification with your submission. Verification of your certification can be found through https://veterans.certify.sba.gov/.

IMPORTANT NOTE: If your company has an existing contracting vehicle that can fulfill this need i.e. GSA Schedule, Federal Supply Schedule (FSS), NASA SEWP, NIH, Supply Schedule, or any other existing contract or Basic Ordering Agreements (BOA), etc., in your response, please provide enough information for the Government to analyze those resources to include points of contact, contract number/name, etc.

Submission: Responses to this RFI shall be submitted to William Milline and Cristine Carmody via email William.Milline@va.gov and Cristine.Carmody@va.gov no later than January 31, 2025.

52.215-3 Request for Information or Solicitation for Planning Purposes (Oct 1997)

(a) The Government does not intend to award a contract on the basis of this solicitation or to otherwise pay for the information solicited except as an allowable cost under other contracts as provided in subsection 31.205-18, Independent Research and Development and Bid and Proposal costs, of the Federal Acquisition Regulation.

(b) Although “proposal” and “offeror” are used in this Request for Information, your response will be treated as information only. It shall not be used as a proposal.

(c) This solicitation is issued for the purpose of: seek information from interested and capable firms.

(End of provision)

Request for Information 36C10G25Q0040

Digital Health Office

Medical Calculators

Office of the Chief Technology Officer (OCTO) and the Office of Health Informatics (OHI) is a program within the Veterans Health Administration (VHA) Digital Health Office (DHO) that have developed and implemented CDS console to host clinical applications with the capability of connecting directly to the electronic health record (EHR) and other data systems capabilities to support Veterans, their families, survivors, and caregivers.

The program serves clinicians by creating a suite of context-aware, standards based Clinical Decision Support (CDS) tools that provide a common, cohesive user experience and integrate with CPRS as well as Oracle Health. VA has internally developed CDS applications, on-boarded Government Off-the-Shelf (GOTS) and looks to incorporate Commercial Off-the-Shelf (COTS) applications in the future for use in this platform.

The purpose of this RFI is to seek information from interested and capable firms who can assist the Government to integrate and implement a third-party CDS application directly into clinical workflows using the CDS Console. The expected results of this project are improved Veteran clinical outcomes and improved quality of life. As well as job satisfaction for providers using VA health information systems to ensure Veteran health and well-being.

Any responding contractor may respond to any number of questions posed in this RFI, and a submission does not mandate a response to each question asked. Any and all socioeconomic categories are encouraged to respond.

Expected time frame to begin work: Q3 FY25 Expected Period of Performance: One Year base, plus four optional year periods

(dependent on quality of responses and agency need)

The North American Industry Classification System (NAICS) for this requirement is 518210.

Be advised that set-aside decisions may be made based on the information provided in response to this RFI. Responses should be as complete and informative as possible.

Scope of Work – High Level Overview

The details of the scope of work can be found within the PWS; however, below is an overview of the primary objectives to be met:

The primary goal is to integrate CDS calculators and risk assessments with underlying EHRs and existing applications and grant access to all VA clinicians at the point of care in order to increase care quality and safety and enhance clinician efficiency.

The CDS Calculator application will read patient demographic and clinical data from the

EHR utilizing existing FHIR interfaces. EHR data will be used pre-populate relevant input fields to provide medical calculations. Initially, results will just be displayed to clinicians but will not automatically be stored or written back to the patient record in VistA through an API, though this functionality may be implemented in the future. Within the application, numerous clinical calculations and risk assessments will be supported.

The vendor will collaborate with VA OI&T to provide information necessary for the VA to integrate the CDS Clinical Calculator application within the VA CDS Platform.

Questions to be answered in response to this RFI:

All responsible sources may submit a response in accordance with the information.

Your response must address, in detail, how you can provide the government with the capabilities specific to the services required in the attached PWS. The responses should include, but are not limited to, the following:

a. Company Information:

i. Name of Company

ii. Address

iii. Point of Contact

iv. Phone Number

v. Fax Number

vi. Email address

vii. Company Business Size and Status

1. For VOSB and SDVOSBs, proof of verification in VetCert.

viii. NAICS code(s)

ix. Socioeconomic data

x. SAM UEI Number

xi. Existing Contractual Vehicles (GWAC, FSS, or MAC)

b. Provide a detailed summary of your capability to meet all the requirements contained within the draft PWS, and for the following areas:

1. Detail your company’s capabilities and experience supporting federal agencies in providing a Software as a Service (SaaS) product, and how your SaaS product can satisfy the requirements listed in the PWS. Include examples of federal experience implementing your SaaS product (specific examples or references provided must include the agency, point of contact, dollar value, and contract number).

2. Detail your company’s SaaS product cloud infrastructure and accessibility from various client devices through either a thin client interface, such as a web browser (e.g., web-based email) or a program interface. The system shall not require download of software to VA computers.

The VA shall not manage or control the underlying cloud infrastructure including network, servers, operating systems, storage, or individual application capabilities. The system shall be vendor or third-party hosted and require no servers within VA. Please validate that your proposed SaaS product is SaaS in accordance with the NIST 800-145 definition and describe its hosting environment.

3. Please detail any interfacing or custom development that your SaaS product requires ahead of go-live. Can your company’s proposed SaaS product meet all PWS requirements without developing an interface or performing any kind of custom development?

4. Please describe your company’s willingness and ability to adopt and incorporate customer feedback in the product roadmap of your proposed SaaS product.

5. As one alternative approach, please describe your company’s willingness and ability to implement its offering as a managed service installed within VA datacenters but managed by your company including routine maintenance, patches, updates, and other upgrades developed for your product throughout the period of performance.

6. As another alternative approach, please describe your company’s willingness and ability to implement its offering using a microservices architecture that is able have its software components be decomposed components into independently deployable and scalable services that communicate through well-defined APIs. The system's design, development, and deployment must adhere to the principles of Microservices architecture. Furthermore, please describe the way(s) in which your company utilizes containerization as the primary means to implement the Microservices architectural paradigm. Containerization technologies such as Docker, Kubernetes, or equivalent are to be used to package, deploy, and manage individual microservices and their dependencies. Please include details on how your company ensures that the Microservices architecture and containerization practices meet industry standards and best practices while also demonstrating the ability to scale and optimize microservices within containers to meet the evolving needs of the VA. Scalability should be achieved without compromising the system's stability, responsiveness, or security.

7. Please describe your pricing model to include the threshold for named user subscriptions vs.

an enterprise/site subscription. Is your pricing model driven by total users, concurrent users, transaction-based, number of records, etc? Are any additional services needed outside of the subscription model (e.g., configuration to meet functional requirements, data storage, data migration, additional features)? If so, please provide the items and proposed price for these additional services.

8. Please provide separate Rough Orders of Magnitude (ROMs) for the SaaS product in accordance with PWS.

9. For the SaaS portion of this effort, VA intends on providing limited payment until the SaaS product has achieved a FedRAMP Authorization and a VA Authority to Operate (ATO).

Once approved by the VA Authorizing Official, VA intends on setting up a subscription payment for the duration of the base period and option periods, if exercised.

a. Do you concur or propose different payment terms?

10. The Contractor shall comply with FedRAMP requirements as mandated by Federal laws and policies, including making available any documentation, physical access, and logical access needed to support this requirement.

a. Is your company’s SaaS product FedRAMP Authorized?

b. If not, are you willing and ready to begin the processes and documentation required to become FedRAMP Authorized within 30 days of award?

11. Following guidance from the Federal CIO, VA will utilize existing JAB ATO or agency ATO issued by another agency as a starting point for FedRAMP requirements. If neither of those exist, VA will sponsor FedRAMP ATO. VA will be using the FedRAMP baselines as a starting point, since they are specifically tailored for cloud services. Does your company’s SaaS product have an ATO from any federal agency?

12. Detail your company’s support Service Level Agreements (SLAs) for all tiers of service.

13. What was your uptime rate during the past 12 months?

14. Describe your standard release and patch cycle.

15. Has the draft PWS provided sufficient detail to describe the technical/functional requirements that encompass the software development and production operations support services to be performed under this effort.

______ YES _______ NO (if No, answer the next question)

16. If “NO”, please provide your technical comments/recommendations on elements of the draft PWS that may contribute to a more accurate proposal submission and efficient, cost-effective effort.

Responses are due no later than January 31, 2025 via email to William.Milline@va.gov and Cristine.Carmody@va.gov, Please note “Request for Information-36C10G25Q0040-Medical Calculators” in the subject line of your response. Mark your response as “Proprietary Information” if the information is considered business sensitive. The email file size shall not exceed 5 MB.