36C25219Q0686-001.pdf

This request is for the procurement for PROVATION MD Gastroenterology software, which is an all-encompassing electronic procedure software allowing a physician (General Surgeon / Gastroenterologist / Pulmonologist) to electronically document their procedure following the care of the patient. Additionally, this software package is a Multi-Care giver where an element of the features will allow for electronic nursing documentation which also enable VA nurses the ability to document pre-procedure, intra-procedure and post-procedure patient information. The current focus of this request to sole source is to allow communications of these recorded documentations of patient care to be conveyed from one medical center/station to another that has this very same program currently (Indianapolis VA Medical Center/Madison VA Medical Center and as well Carle (Private Medical Center in Champaign IL). This program allows standardization that is critical for the VA Illiana Health Care System medical staff to communicate effectively, allow a standard method of endoscopy reporting from one medical center to the next. The utilization of PROVATION as the bridge between Medical Center information systems will enhance effectiveness in promoting better care for our veterans while promoting a reliability that to date has at best been fragmented due to out of date processes that do not allow effective communications or transmissions of data. No other programs of this like or similar will meet the requirement due to comparability requirements between software.

The purchase of the PROVATION software is consistent with the Eight for Excellence goal to continuously improve the quality and safety of healthcare for Veterans, particularly in those health issues associated with military service as well as the Under Secretary’s VHA Power of Performance goal to put patient care first and improve access to care.

Colorectal cancer is the second leading cause of cancer death in North America. Screening of asymptomatic average risk individuals via colonoscopy has been recommended by the VHA Directive on Colorectal Cancer Screening (1015), the United States (US) Preventive Services Task Force, the American Cancer Society (ACS) and the Multi-Society Task Force on Colorectal Cancer (MSTF-CRC). In 2002, the MSTF-CRC identified key quality indicators that would improve the quality of colonoscopy. The Quality Assurance Task Group of the National Colorectal Cancer Round Table (NCCRT) developed a standardized Colonoscopy Reporting and Data system (CO- RADS), as the consensus data elements that should be considered when colonoscopy is performed. Implementation of a GI endoscopic application based upon CO-RADS, would help VHA to improve the quality of care provided to Veterans.

Standardization of the language of GI endoscopy is becoming increasingly important on account of standardized documentation requirements, and computer-based reporting. The Minimal Standard Terminology (MST) for GI endoscopy is the result of continuous work by the European Society of Gastrointestinal Endoscopy (ESGE), the American Society of Gastrointestinal Endoscopy (ASGE), the World Endoscopy Organization (WEO), and other international collaborators. Incorporation of the MST into the GI endoscopy application will enable structured documentation of endoscopic results, bringing VHA into alignment with international standards.

Description of market research conducted and results or statement why it was not conducted:

VIP search was conducted using the search criteria of NAICS Code: 511210, the search resulted in 370 matches. A second search was conducted using the search criteria of NAICS Code:

511210 and the Keyword: PROVATION, the search resulted no vendor matches.

The NMR does not apply to this procurement, as the IGCE is less than $250,000.00.

Ability One website search was conducted; Ability One does not provide the requirement.

FSS search conducted, resulting in no FSS contract holders that can provide the full requirement.

CO communicated with the manufacturer, PROVATION MEDICAL, INC., and was advised that they do not have any authorized distributors.

Based on the information provided above, it is determined this procurement will be fulfilled by issuing a sole source purchase order to the manufacturer PROVATION MEDICAL, INC., i/a/w:

FAR 13.106.

Contracting Officer's Certification:

Purchase is approved in accordance with FAR13.106-1(b). I certify that the foregoing justification is accurate and complete to the best of my knowledge and belief.

Thomas H. Chesak Contracting Officer NCO-12

Thomas H Chesak 676576

Digitally signed by Thomas H Chesak 676576 Date: 2019.06.11 12:05:02 -05'00'