36C24818Q9578-006.pdf

Attachment #2 36C248-18-Q-9578

SALIENT CHARACTERISTICS/PRICING SCHEDULE

*Brand Name or Equal*

(Truven Health Analytics) Micromedex Clinical Decision Support Software Package 12.

Equal must explain how the product works based on the statement of need.

VISN 8 Electronic Medical References for Drug Information On-Line Data Base.

Statement of Need (SON)

A. GENERAL GUIDANCE

1. Title of Project: Library Services/Pharmacy Services for VISN 8 Electronic Medical Drug Information

Database

2. Scope of Need: The contractor shall provide all resources necessary to accomplish the deliverables described in this statement of Need (SON), except as may otherwise be specified. The contractor shall provide 24/7 online web access to electronic medical references for drug information as stated herein for staff at facilities/offices in the VA Sunshine Health Care Network. The system should provide tools to improve patient outcomes, reduce medication errors, enhance disease management, and to education tools for the patients.

3. Background: The U.S. Health Care System has transitioned from hardcopy medical references to electronic reference databases. Staff in the VA Sunshine Health Care Network (VISN 8) requires an online web access to searchable medical reference databases for quick and easy retrieval of up-to-date and evidence-based medical information for health care providers and patients. Electronic medical references reduce the need for multiple individual copies of expensive resources and are kept current by the publishers. This method provides a more efficient manner of retrieving medically necessary information to meet the clinical mission of serving Veterans within the VA Sunshine Health Care

Network, VISN 8.

B. GENERAL REQUIREMENTS

The contractor must provide 24/7 license rights for immediate access to multiple simultaneous users.

License rights for immediate access to multiple simultaneous users, from any web-enabled computer, to employees in facilities/offices (See Attachment A) of the VA Sunshine Health Care Network, VISN 8. For deliverables, equal to or exceeding the electronic drug reference database currently in use, (Truven Health

Analytics) Micromedex Clinical Decision Support Software Package 12.

1. The VA Sunshine Health Care Network requires online access to a medical drug reference database that the clinical content is evidence-based and accredited by an outside accreditation body

(preferred).

2. Said database shall provide, via one interface and one search platform for ease and quickness of retrieval of information, access to the following titles: (Brand Name or Equal)

a. AAPCC Codes in Poisionex

b. AltMedDex™including RPS Herbal Medicine

c. CareNotes ™ System (Intranet and Internet)

d. DISEASEDEX ™ Emergency Medicine

e. DISEASEDEX ™ General Medicine

f. DRUGDEX ® System

g. DRUG-REAX ® System

h. Imprint Code in Identidex

i. IV INDEX ™ System

j. Lab Advisor

k. Martindale

l. Material Safety Data Sheets (MSDS)

m. Physician Desk Reference

n. POISINDEX ® System

o. Red Book Online

p. REPRORISK ® System

q. TOMES ® System

3. The above items comprise of a database with a common (primary) interface that shall provide:

a. Drug Information and Dosing Tools

i. Primary drug information clinical content is reference in each line with links to primary literature and full literature references. Summaries of clinically relevant primary literature with the resource are also included.

ii. All dosing content must have full references.

iii. Comprehensive medication monographs include FDA and non-FDA indications. iv.

Clinical drug data must include p-values.

v. Comprehensive information on drug use in special populations including (but not limited to) renal impairment, hepatic impairment, geriatrics, dialysis, obesity as well as relevant disease dates will be include. Information will vary by drug.

vi. Adverse drug reactions will include percentages of patients affected by the interaction where available and include case reports.

vii. Drug information will include complementary and alternative medicine products

(national and international) including but not limited to over-the-counter, herbals, supplements, vitamins, household products, etc.

b. Drug Identification and Interaction Tools – Provides tools that shows active ingredients(s), Drug excipient information (not just color ingredients), and manufacturer data. Direct links from drug identification results to relevant toxicology data and/or drug clinical information within search results are included for ease of use and timeliness. Drug interactions must be provided for single and multi- drug interactions.

c. Toxicology

i. Contain drugs other than those commonly associated with drug overdoses such as acarbose, capreomycin, busulfan, anagrelide. Searching can be on generic and/or street name.

ii. Provide a ranking system for general toxicity, and grading scales for level of reproduction hazard.

d. Disease – disease information is integrated in the primary interface to ensure quick and easy access. Direct links from disease database result to the drug database is required. A clinical checklist that provides current information on performance measures and recommendations for said disease in included.

e. Clinical Teaching and Patient Education

i. Medication information on adverse effects, side effects, special instruction and/or radiological or lab concerns, potential interactions is included within the drug monograph for staff to utilize with patients.

ii. Patient education material is includes for drugs, diseases, diet, procedures, and laboratory tests. Items are available in at least English and Spanish and allow for customization (including branding) by respective facilities for both print and web materials.

f. Formulary

i. Provide an electronic formulary application within the main user interface with the ability to host multiple formularies, including local documents, links to other websites, and specific formulary communications.

ii. Provide links to search the VA National Formulary from within the clinical reference system. Must be able to display the established VA criteria for use of the VA specific drug information.

g. Training and Administration

i. Onsite training to be performed at each facility within VISN 8 on an annual basis and shall be coordinate with points of contacts for each facility. Training will be conducted by a clinician from the clinical reference company. Training can be supplemented with webinar when requested by the facility.

ii. Provide administration/Point of Contacts with tracking tools to include statistics on overall use and/or particular components use by VISN and/or individual facilities as identified.

h. Drugs and Chemical Safety

i. Material Safety Data Sheets (MSDS) for drugs and chemicals includes information on health hazards, handling procedures and government regulations. Chemical information on frequently compounded medications such as progesterone (suppositories), ketamine

(oral pain formulation) and verapamil is included.

Information is integrated into the primary interface and within each drug search result automatically to ensure quick and timely access.

ii. Provide unbiased, reviewed, and reference medical and hazard information to help safely manage chemicals in the workplace, evaluate exposures, facilitate emergency response, and meet regulatory compliance.

iii. Treatment guidelines for acute chemical exposure, evacuation procedures, personal protection data and chemical disposal information. General areas unrelated to chemicals address such as ergonomics and human health risk. Information is integrated into the primary interface.

iv. Provide comprehensive, detail reproduction risk information, covering a full-range of health effects when assessing the reproductive risks of drugs, chemicals, and physical and environmental agents. Physical agents information also include heat, noise, and radiation.

v. Information on risk to females, males and unborn children for drugs and other substances (legal and illegal) is required.

i. Other

i. Provide users with a multitude of web-based calculators designed to meet the needs of healthcare providers, especially pharmacist, physicians, and nursing staff.

ii. An international directory providing formulas, synonyms and therapeutic courses of drugs and drug derivatives

iii. Multi-drug interaction checker and evidence-based application for Internet-enabled portable devices

4. The system is updated at least weekly and on a daily basis when major developments in the drug field by a review board of subject specialists.

5. Provides a static URL, account number, and password (if necessary).

6. Electronic reference must be accessible remotely through contractor or remote access registration to a 3rd party (e.g. My Athens by Eduserv) for electronic devices such as smartphones, tablets or other

Internet-enabled portable devices.

7. If a plug-in, additional software or recommended software is required for optimal use, specific requirements need to be included. Contractor will address any questions or problems encountered when using this product with supported software or hardware.

8. Contractor shall provide toll free telephone technical support to all facilities on a 24-hour/7-day per week basis: this support can be supplemented with online support. Contractor will provide technical support with a four (4) hour response time from the time a VISN 8 facility notifies the contractor of a problem with the database. Contractor involvement will continue until the problem is resolved. If database site is inaccessible due to problems at the contractor’s site, VISN 8 facilities will be notified within two (2) hours of the problem and the expected length of time until resolution. If it will be for an extended period lasting more than 24-hours, an alternative method of securing the information will be provided at no additional cost. Customer service shall be available to troubleshoot website/connectivity issues via phone, email etc.

9. A designated account representative will be assigned to assist the COR with any potential concerns that may arise during the period of the contract,

10. Easy to use

a. One click access to drugs with REMS components.

b. One click access to Black Box Warnings drug list.

c. One click access to list of Drug Classes.

d. Ability to go directly into the indications, adverse effects, or interactions section of a drug monograph upon initiation of a search (by entering drug name in search box).

e. Ability to go into a different reference database directly from the drug monograph retaining the search term. Example: From drug to disease content, from drug to toxicology content, from drug to another drug database.

f. Must be able to create a list of drugs that treat a specific indication with results ranked by effectiveness of the drug.

g. Must be able to filter clinical results by drug, disease, or toxicology content upon initial search for ease of use.

h. Provide the chemical and structural formula for the drug.

Facilities and Offices of the VA Sunshine Network (VISN 8)

The following sites (including their respective medical centers, outpatient clinics, and community based clinics) are to be included. Any new facilities open during the period of the contract are also to be included.

Bay Pines VA Healthcare System 10000

Bay Pines Blvd.

Bay Pines, FL 33744

James A. Haley Veteran’s Hospital

13000 Bruce B. Downs Blvd.

Tampa, FL 33612

Miami VA Healthcare System

1201 NW 16th Street

Miami, FL 33215

North Florida/South Georgia Veterans Health System

Lake City VA Medical Center

619 South Marion Avenue

Lake City, FL 32025

Malcom Randall VA Medical Center

1601 SW Archer Road

Gainesville, FL 32608

Orlando VA Medical Center

13800 Veterans Way

Orlando, FL 32827

VA Caribbean Healthcare System

10 Casia Street

San Juan, Puerto Rico 00921

VISN 8: VA Sunshine Healthcare Network Office

Franklin Templeton Building

140 Fountain Parkway, Suite 600 St.

Petersburg, FL 33716

West Palm Beach VA Medical Center

7305 N. Military Trail

West Palm Beach, FL 33410

B.3 PRICE/COST SCHEDULE ITEM INFORMATION

ITEM

NUMBER

DESCRIPTION OF

SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0000 SUBSCRIPTION:

Micromedex Online

Database for a period of one (1) year to begin:

Base Year:

October 1, 2018 to

September 30, 2019.

1.00 YR __________________ _________________

0001 SUBSCRIPTION:

Micromedex Online

Database for a period of one (1) year to begin:

Option Year 1:

October 1, 2019 to

September 30, 2020.

1.00 YR __________________ _________________

0002 SUBSCRIPTION:

Micromedex Online

Database for a period of one (1) year to begin:

Option Year 2:

October 1, 2020 to

September 30, 2021.

1.00 YR __________________ _________________

0003 SUBSCRIPTION:

Micromedex Online

Database for a period of one (1) year to begin:

Option Year 3:

October 1, 2021 to

September 30, 2022.

1.00 YR __________________ _________________

0004 SUBSCRIPTION:

Micromedex Online

Database for a period of one (1) year to begin:

Option Year 4:

October 1, 2022 to

September 30, 2023.

1.00 YR __________________ _________________

0005 SUBSCRIPTION:

Micromedex Online

Database

Extension: for a period of six months (6) to begin:

October 1 2023 to April

30,2023.

6.00 MO __________________ __________________

GRAND TOTAL __________________

B.4 DELIVERY SCHEDULE

0000 Base Year October 1, 2018 to September 30, 2019 1 YR

0001 Option Year 1 October 1, 2019 to September 30, 2020 1 YR

0002 Option Year 1 October 1, 2020 to September 30, 2021 1 YR

0003 Option Year 1 October 1, 2021 to September 30, 2022 1 YR

0004 Option Year 1 October 1, 2022 to September 30, 2023 1 YR

0005 6 Month

Extension

October 1, 2023 to April 30, 2023 6 Mo