MC01 - JA Cont Opp.pdf

DEPARTMENT OF VETERANS AFFAIRS

Justification and Approval (J&A) For

Other Than Full and Open Competition

Acquisition Plan Action ID: TBD

1. Contracting Activity: Department of Veterans Affairs, Network Contracting Office (NCO) 12, Great Lakes Acquisition Center, 115 S. 84th Street, Suite 101, Milwaukee Wisconsin, on behalf of the Captain James A. Lovell Federal Health Care Center (FHCC), 3001 Green Bay Road, North Chicago, IL 60064.

2. Nature and/or Description of the Action Being Processed: Justification and approval for sole source contract modification to extend Cardiovascular/thoracic Surgeon Services for the FHCC for the period November 1, 2024 through November 30, 2024, under FAR 43.103(a)(3) Mutual Agreement of the Parties, with Cardiothoracic and Vascular Surgical Associates (CVSA) S.C., 1901 S. Meyers Road, Suite 158, Oak Terrance, IL, 60181.

3. : Contractor shall provide Cardiovascular/thoracic surgeon on-call coverage 24 hours per day/7 days a week/365 days per year, and eleven hours of clinic per week, other elective/emergent intermediate surgical procedures, and call-back, for the FHCC. All clinics will be performed at the FHCC. Elective intermediate surgical procedures will be performed at the FHCC. In addition, contractor shall provide a Cardiothoracic Surgeon to participate in lung tumor boards two times per month either telephonically or via Microsoft TEAMS.

Contractor shall be available to the FHCC to either perform or assist in Cardiovascular and Cardiothoracic surgical procedures whether routine or emergency cases. Contractor will also assist on other cases when appropriate. When the on-call provider is paged, they shall contact the FHCC within 15 minutes of being paged to be available for consultation for patient

-call provider, the provider must be able to report to the FHCC within 30 minutes of the end of the phone consultation. All consults and admissions will be seen within 24 hours or sooner as required

Progress notes shall be completed within the same shift or next visit. Contractor shall participate in performance improvement activities as required by the Cardiovascular and Cardiothoracic Section of the FHCC Surgical Service.

4. Statutory Authority Permitting Other than Full and Open Competition:

(X) (1) Only One Responsible Source and No Other Supplies or Services Will Satisfy

Agency Requirements per 41 USC §3304(a)(1) as implemented by FAR 6.302-1;

( ) (2) Unusual and Compelling Urgency per 41 USC §3304(a)(2) as implemented by FAR

6.302-2;

( ) (3) Industrial Mobilization, Engineering, Developmental or Research Capability or Expert Services per 41 USC §3304(a)(3) as implemented by FAR 6.302-3;

( ) (4) International Agreement per 41 USC §3304(a)(4) as implemented by FAR 6.302-4 ( ) (5) Authorized or Required by Statute per 41 USC §3304(a)(5) as implemented by FAR

6.302-5;

( ) (6) National Security per 41 USC §3304(a)(6) as implemented by FAR 6.302-6;

( ) (7) Public Interest per 41 USC §3304(a)(7) as implemented by FAR 6.302-7;

5.

Requires the Use of the Authority Cited Above:

CVSA S.C. is the only company that can provide uninterrupted on-call, clinic, staff leave coverage, call-back and elective procedures services to the FHCC on November 1, 2024.

Cardiothoracic and Vascular Surgical Associates, S.C., has Board Certified Cardiovascular Surgeons and Cardiothoracic Surgeons with vascular training on staff, who are currently credentialed and privileged at the FHCC and have an adjudicated Access National Agency Check and Inquires (ANACI) Background Investigation. Additionally, these surgeons hold clinical privileges at an off-site facility where cardiac surgeries that cannot be performed at the FHCC may be performed without a break in treatment (which is often time sensitive) because ion at the FHCC and perform the medically required surgical procedure at an off-site facility.

6. Description of Efforts Made to ensure that offers are solicited from as many potential sources as deemed practicable:

and solicitation language has been conducted to identify potential areas that may be changed to promote additional competion for a long-term contract. Solicitation 36C25224Q0496 to establish a new long term contract was issued on the Contract Opportunities website on October 10, 2024.

7. Determination by the CO that the Anticipated Cost to the Government will be Fair and Reasonable: The anticipated cost will be considered fair and reasonable based on historical and current market prices obtained through the response to the Sources Sought Notice.

Certified cost and pricing data is not required.

8. Description of the Market Research Conducted and the Results, or a Statement of the Reasons Market Research Was Not Conducted: Market research was conducted pursuant to FAR Part 10, VA Acquisition Regulation (VAAR) 810.001-70 Market Research Policy, and PPM 2016-05(Revised Aug 2019) for the long-term contract for the subject services. Market Research included querying various databases [Veterans Information Pages (VIP), Small Business Vet-Cert, GSA e-Library, and Small Business Dynamic Search Tool], reviewing acquisition/procurement history, and issuing a Sources Sought Notice on the Contract Opportunities website.

9. Any Other Facts Supporting the Use of Other than Full and Open Competition:

Continuation of these services are critical to the FHCC. If contract services are unable to jeopardized. As a result, the FHCC would have to curtail performing intermediate complexity surgeries and the transition to an in-house dialysis program would also likely be delayed.

10. Listing of Sources that Expressed, in Writing, an Interest in the Acquisition:

expressed interest in the Acquisition. All of these sources are large businesses.

11. A Statement of the Actions, if any, the Agency May Take to Remove or Overcome any Barriers to Competition before Making subsequent acquisitions for the supplies or services required: See paragraph 6 above. A competive solicitation has been issued and is planned to be awarded for an effective date of December 1, 2024.