Attachment Y3 VITAL Services_4-18.pdf
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- Solicitation number
- 36C10X24R0026
About this file
This document is an attachment (Attachment Y3) to a solicitation (Solicitation 36C10X24R0026) for the Department of Veterans Affairs' (VA) VHA Integrated Healthcare Transformation (IHT) 2.0 IDIQ contract. The attachment is a form that offerors must complete to provide information on their capabilities in three key areas: 1) Delivery of complex services within a large agency/administration like the VHA, 2) Effective engagement with senior leadership, stakeholders, and program officials in a large agency/administration, and 3) Healthcare integration and contract management/administration.
Offerors must provide narrative responses of up to 2,500 characters for each area, as well as examples of relevant past performance. The solicitation is anticipated to be officially released on March 14, 2024, with the VA not accepting questions or proposals at this time. Interested parties should continue to monitor SAM.gov for updates on this opportunity.
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Solicitation: 36C10X24R0026 Attachment Y3: Phase 2 VITAL Services Form (Delivery of Services, Healthcare Integration, and Contract Management and Administration) Offeror Name:
If JV, complete the table below.
JV Type (Mentor/Protégé or Small/Small)
Protégé or Lead Venturer
(SDVOSB)
Partner 2 Partner 3
1. Delivery of Service
[Area of Interest 1: Delivery of complex services within a large Agency/ Administration like VHA]
Offeror’s plan to fulfill activities specific to Area of Interest 1: Delivery of complex services within a large Agency / Administration like VHA.
Narrative (2,500 Character Limit)
Attachment Y3: Phase 2 VITAL Services Form (Delivery of Services, Healthcare Integration, and Contract Management and Administration)
Protégé or Lead Venturer
Example 1
Contract Number:
Contract Awardee:
Describe relationship to contract awardee if offeror/awardee not same company name:
Agency / Administration / Program Supported:
Dollar Value/Scale:
Period of Performance:
Narrative (2,500 Character Limit) – Work described must only be the work that was performed by the VITAL
Attachment Y3: Phase 2 VITAL Services Form (Delivery of Services, Healthcare Integration, and Contract Management and Administration)
Protégé or Lead Venturer
Example 2
Contract Awardee:
Narrative (2,500 Character Limit) – Work described must only be the work that was performed by the VITAL
Attachment Y3: Phase 2 VITAL Services Form (Delivery of Services, Healthcare Integration, and Contract Management and Administration)
Protégé or Lead Venturer
[Area of Interest 2: Effective engagement with senior leadership, stakeholders and program officials with a large Agency/ Administration like VHA]
Offeror’s plan to fulfill activities specific to Area of Interest 2: Effective engagement with senior leadership, stakeholders and program officials with a large Agency/ Administration like VHA.
Attachment Y3: Phase 2 VITAL Services Form (Delivery of Services, Healthcare Integration, and Contract Management and Administration)
Protégé or Lead Venturer
Contract Awardee:
Narrative (2,500 Character Limit) – Work described must only be the work that was performed by the VITAL
Attachment Y3: Phase 2 VITAL Services Form (Delivery of Services, Healthcare Integration, and Contract Management and Administration)
Protégé or Lead Venturer
Contract Awardee:
Narrative (2,500 Character Limit) – Work described must only be the work that was performed by the VITAL
Attachment Y3: Phase 2 VITAL Services Form (Delivery of Services, Healthcare Integration, and Contract Management and Administration)
Protégé or Lead Venturer
2. Healthcare Integration
Offeror’s approach to healthcare integration, including the application of knowledge, tools and methods to meet potential demand of the IDIQ contract.
Attachment Y3: Phase 2 VITAL Services Form (Delivery of Services, Healthcare Integration, and Contract Management and Administration)
Protégé or Lead Venturer
Exposure to, capability in, and mastery of deep healthcare integration, including the application of knowledge, tools and methods to meet potential demand in a large complex healthcare environment.
Contract Number:
Contract Awardee:
Narrative (2,500 Character Limit) – Work described must only be the work that was performed by the VITAL
Attachment Y3: Phase 2 VITAL Services Form (Delivery of Services, Healthcare Integration, and Contract Management and Administration)
Protégé or Lead Venturer
Exposure to, capability in, and mastery of deep healthcare integration, including the application of knowledge, tools and methods to meet potential demand in a large complex healthcare environment.
Contract Number:
Contract Awardee:
Narrative (2,500 Character Limit) – Work described must only be the work that was performed by the VITAL
Attachment Y3: Phase 2 VITAL Services Form (Delivery of Services, Healthcare Integration, and Contract Management and Administration)
Protégé or Lead Venturer
3. Contract Management and Administration Offeror’s proposed structure and plan to manage contractor onboarding and training, travel administration, budgeting and invoicing, and general contract executions and administration.
Attachment Y3: Phase 2 VITAL Services Form (Delivery of Services, Healthcare Integration, and Contract Management and Administration)
Protégé or Lead Venturer
Exposure to, capability in, and mastery of the tools and methods essential to large scale contract management and administration.
Contract Number:
Contract Awardee:
Narrative (2,500 Character Limit) – Work described must only be the work that was performed by the VITAL
Attachment Y3: Phase 2 VITAL Services Form (Delivery of Services, Healthcare Integration, and Contract Management and Administration)
Protégé or Lead Venturer
Exposure to, capability in, and mastery of the tools and methods essential to large scale contract management and administration
Contract Number:
Contract Awardee:
Narrative (2,500 Character Limit) – Work described must only be the work that was performed by the VITAL
| 1. Delivery of Service |
| [Area of Interest 1: Delivery of complex services within a large Agency/ Administration like VHA] |
| Example 1 |
| Example 2 |
| [Area of Interest 2: Effective engagement with senior leadership, stakeholders and program officials with a large Agency/ Administration like VHA] |
| Example 1 |
| Example 2 |
| 2. Healthcare Integration |
| Example 1 |
| Example 2 |
| 3. Contract Management and Administration |
| Example 1 |
| Example 2 |
| Narrative 2500 Character LimitRow1: |
| Contract Number: |
| Contract Awardee: |
| Describe relationship to contract awardee if offerorawardee not same company name: |
| Agency Administration Program Supported: |
| Dollar ValueScale: |
| Period of Performance: |
| Narrative 2500 Character Limit Work described must only be the work that was performed by the VITALRow1: |
| Contract Number_2: |
| Contract Awardee_2: |
| Describe relationship to contract awardee if offerorawardee not same company name_2: |
| Agency Administration Program Supported_2: |
| Dollar ValueScale_2: |
| Period of Performance_2: |
| Narrative 2500 Character Limit Work described must only be the work that was performed by the VITALRow1_2: |
| Narrative 2500 Character LimitRow1_2: |
| Contract Number_3: |
| Contract Awardee_3: |
| Describe relationship to contract awardee if offerorawardee not same company name_3: |
| Agency Administration Program Supported_3: |
| Dollar ValueScale_3: |
| Period of Performance_3: |
| Narrative 2500 Character Limit Work described must only be the work that was performed by the VITALRow1_3: |
| Contract Number_4: |
| Contract Awardee_4: |
| Describe relationship to contract awardee if offerorawardee not same company name_4: |
| Agency Administration Program Supported_4: |
| Dollar ValueScale_4: |
| Period of Performance_4: |
| Narrative 2500 Character Limit Work described must only be the work that was performed by the VITALRow1_4: |
| Narrative 2500 Character LimitRow1_3: |
| Contract Number_5: |
| Contract Awardee_5: |
| Describe relationship to contract awardee if offerorawardee not same company name_5: |
| Agency Administration Program Supported_5: |
| Dollar ValueScale_5: |
| Period of Performance_5: |
| Narrative 2500 Character Limit Work described must only be the work that was performed by the VITALRow1_5: |
| Contract Number_6: |
| Contract Awardee_6: |
| Describe relationship to contract awardee if offerorawardee not same company name_6: |
| Agency Administration Program Supported_6: |
| Dollar ValueScale_6: |
| Period of Performance_6: |
| Narrative 2500 Character Limit Work described must only be the work that was performed by the VITALRow1_6: |
| Narrative 2500 Character LimitRow1_4: |
| Contract Number_7: |
| Contract Awardee_7: |
| Describe relationship to contract awardee if offerorawardee not same company name_7: |
| Agency Administration Program Supported_7: |
| Dollar ValueScale_7: |
| Period of Performance_7: |
| Narrative 2500 Character Limit Work described must only be the work that was performed by the VITALRow1_7: |
| Contract Number_8: |
| Contract Awardee_8: |
| Describe relationship to contract awardee if offerorawardee not same company name_8: |
| Agency Administration Program Supported_8: |
| Dollar ValueScale_8: |
| Period of Performance_8: |
| Narrative 2500 Character Limit Work described must only be the work that was performed by the VITALRow1_8: |
| Text: |
| JV Type MentorProtégé or SmallSmallRow1: |
| Protégé or Lead Venturer SDVOSBRow1: |
| Partner 2Row1: |
| Partner 3Row1: |
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