Attachment G - SHEP IDIQ Line Item Worksheet 7.10.23.xlsx
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- 36C77622R0126
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Action Line Item Information
| Action Type Name | Primary ID | Secondary ID | Mod Number | Title | Order Discount Type Name | Order Discount Type | Order Discount |
| RFP | 36C77622R0126 | SHEP IDIQ Request for Proposals | Percent | 0 |
KB Version: FY23.05B
Items
| Item Number | SLIN | Description | Ref CLIN | Comment | Include Comments in Document | Contract Period | Pop Begin | Pop End | Quantity | Unit of Measure | Packaging Multiple | Receipt Type | Line Item Is | Unit Price | Item Discount Type Name | Item Discount | Date Updated | Address1 | Address2 | Address3 | City | State | Zip | Zip4 | Country | Mark For | Contact Name | Contact Phone | Contact Email | Delivery Date | FOB | Special Instructions | Include Instructions/Comments in Document | PRINCIPAL NAICS CODE | PRODUCT/SERVICE CODE | UNSPSC | SIC CODE | MANUFACTURER PART NUMBER (MPN) | NATIONAL STOCK NUMBER | LOCAL STOCK NUMBER | DM DOC ID | DELIVERY REF. COUNTER | UNIT TEXT/DESCRIPTION | DELIVERY REFERENCE | ITEM MASTER FILE NUMBER | EXPENDABLE/NON-EXPENDABLE | QUANTITY REQUESTED | UNIT OF PURCHASE CODE | UNIT OF PURCHASE TEXT/DESC. |
| 0001 | Recently Discharged Inpatient Survey | Est. 14,500/MO | Yes | Base | 14500 | EA | 0 | Quantity | Priced | 0 | Percent | 0 | NONE | No | 541910 | R422 | |||||||||||||||||||||||||||||||||
| 0002 | Patient Centered Medical Home (PCMH) | Est. 60,375/MO | Yes | Base | 60375 | EA | 0 | Quantity | Priced | 0 | Percent | 0 | NONE | No | 541910 | R422 | |||||||||||||||||||||||||||||||||
| 0003 | VA Specialty Care | Est. 54,000/MO | Yes | Base | 54000 | EA | 0 | Quantity | Priced | 0 | Percent | 0 | NONE | No | 541910 | R422 | |||||||||||||||||||||||||||||||||
| 0004 | Care in the Community | Est. 10,000/MO | Yes | Base | 10000 | EA | 0 | Quantity | Priced | 0 | Percent | 0 | NONE | No | 541910 | R422 | |||||||||||||||||||||||||||||||||
| 0005 | White Mail | Number of pieces varies month to month. Anticipate estimated 300-400 individual pieces per month | Yes | Base | 1 | MO | 0 | Quantity | Priced | 0 | Percent | 0 | NONE | No | 541910 | R422 | |||||||||||||||||||||||||||||||||
| 0006 | Advanced Analytics | Yes | Base | 0 | Quantity | NSP | 0 | Percent | 0 | NONE | No | ||||||||||||||||||||||||||||||||||||||
| 0006 | AA | Low Complexity | Based on historical average per year | Yes | Base | 11 | EA | 0 | Quantity | Priced | 0 | Percent | 0 | NONE | No | 541910 | R422 | ||||||||||||||||||||||||||||||||
| 0006 | AB | Medium Complexity | Based on historical average per year | Yes | Base | 7 | EA | 0 | Quantity | Priced | 0 | Percent | 0 | NONE | No | 541910 | R422 | ||||||||||||||||||||||||||||||||
| 0006 | AC | High Complexity | Based on historical average per year | Yes | Base | 5 | EA | 0 | Quantity | Priced | 0 | Percent | 0 | NONE | No | 541910 | R422 | ||||||||||||||||||||||||||||||||
| 0007 | Training/Education Products | Price at TO level | Yes | Base | 0 | EA | 0 | Quantity | Priced | 0 | Percent | 0 | NONE | No | 541910 | R422 | |||||||||||||||||||||||||||||||||
| 0008 | Other Surveys Ad Hox | Price at TO level | Yes | Base | 0 | EA | 0 | Quantity | Priced | 0 | Percent | 0 | NONE | No | 541910 | R422 | |||||||||||||||||||||||||||||||||
| 0009 | Veteran Insight Panel - Monthly Maintenance | Monthly | Yes | Base | 1 | MO | 0 | Quantity | Priced | 0 | Percent | 0 | NONE | No | 541910 | R422 | |||||||||||||||||||||||||||||||||
| 0010 | Quantitiative Study | Yes | Base | 0 | Quantity | NSP | 0 | Percent | 0 | NONE | No | ||||||||||||||||||||||||||||||||||||||
| 0010 | AA | Low Complexity | Based on historical average per year | Yes | Base | 2 | EA | 0 | Quantity | Priced | 0 | Percent | 0 | NONE | No | 541910 | R422 | ||||||||||||||||||||||||||||||||
| 0010 | AB | Medium Complexity | Based on historical average per year | Yes | Base | 2 | EA | 0 | Quantity | Priced | 0 | Percent | 0 | NONE | No | 541910 | R422 | ||||||||||||||||||||||||||||||||
| 0010 | AC | High Complexity | Based on historical average per year | Yes | Base | 2 | EA | 0 | Quantity | Priced | 0 | Percent | 0 | NONE | No | 541910 | R422 | ||||||||||||||||||||||||||||||||
| 0011 | Qualitative Study | Based on historical average per year | Yes | Base | 0 | 0 | Quantity | NSP | 0 | Percent | 0 | NONE | No | ||||||||||||||||||||||||||||||||||||
| 0011 | AA | Blog, Deep Dive, Diary, Discussion Board | Based on historical average per year | Yes | Base | 2 | EA | 0 | Quantity | Priced | 0 | Percent | 0 | NONE | No | 541910 | R422 | ||||||||||||||||||||||||||||||||
| 0011 | AB | Moderated Live Chat | Based on historical average per year | Yes | Base | 5 | EA | 0 | Quantity | Priced | 0 | Percent | 0 | NONE | No | 541910 | R422 | ||||||||||||||||||||||||||||||||
| 1001 | Recently Discharged Inpatient Survey | Est. 14,500/MO | Yes | Option 1 | 14500 | EA | 0 | Quantity | Priced | 0 | Percent | 0 | NONE | No | 541910 | R422 | |||||||||||||||||||||||||||||||||
| 1002 | Patient Centered Medical Home (PCMH) | Est. 60,375/MO | Yes | Option 1 | 60375 | EA | 0 | Quantity | Priced | 0 | Percent | 0 | NONE | No | 541910 | R422 | |||||||||||||||||||||||||||||||||
| 1003 | VA Specialty Care | Est. 54,000/MO | Yes | Option 1 | 54000 | EA | 0 | Quantity | Priced | 0 | Percent | 0 | NONE | No | 541910 | R422 | |||||||||||||||||||||||||||||||||
| 1004 | Care in the Community | Est. 10,000/MO | Yes | Option 1 | 10000 | EA | 0 | Quantity | Priced | 0 | Percent | 0 | NONE | No | 541910 | R422 | |||||||||||||||||||||||||||||||||
| 1005 | White Mail | Number of pieces varies month to month. Anticipate estimated 300-400 individual pieces per month | Yes | Option 1 | 1 | MO | 0 | Quantity | Priced | 0 | Percent | 0 | NONE | No | 541910 | R422 | |||||||||||||||||||||||||||||||||
| 1006 | Advanced Analytics | Yes | Option 1 | 0 | Quantity | NSP | 0 | Percent | 0 | NONE | No | ||||||||||||||||||||||||||||||||||||||
| 1006 | AA | Low Complexity | Based on historical average per year | Yes | Base | 11 | EA | 0 | Quantity | Priced | 0 | Percent | 0 | NONE | No | 541910 | R422 | ||||||||||||||||||||||||||||||||
| 1006 | AB | Medium Complexity | Based on historical average per year | Yes | Base | 7 | EA | 0 | Quantity | Priced | 0 | Percent | 0 | NONE | No | 541910 | R422 | ||||||||||||||||||||||||||||||||
| 1006 | AC | High Complexity | Based on historical average per year | Yes | Base | 5 | EA | 0 | Quantity | Priced | 0 | Percent | 0 | NONE | No | 541910 | R422 | ||||||||||||||||||||||||||||||||
| 1007 | Training/Education Products | Price at TO level | Yes | Option 1 | 0 | EA | 0 | Quantity | Priced | 0 | Percent | 0 | NONE | No | 541910 | R422 | |||||||||||||||||||||||||||||||||
| 1008 | Other Surveys Ad Hox | Price at TO level | Yes | Option 1 | 0 | EA | 0 | Quantity | Priced | 0 | Percent | 0 | NONE | No | 541910 | R422 | |||||||||||||||||||||||||||||||||
| 1009 | Veteran Insight Panel - Monthly Maintenance | Monthly | Yes | Option 1 | 1 | MO | 0 | Quantity | Priced | 0 | Percent | 0 | NONE | No | 541910 | R422 | |||||||||||||||||||||||||||||||||
| 1010 | Quantitiative Study | Yes | Option 1 | 0 | 0 | Quantity | NSP | 0 | Percent | 0 | NONE | No | |||||||||||||||||||||||||||||||||||||
| 1010 | AA | Low Complexity | Based on historical average per year | Yes | Base | 2 | EA | 0 | Quantity | Priced | 0 | Percent | 0 | NONE | No | 541910 | R422 | ||||||||||||||||||||||||||||||||
| 1010 | AB | Medium Complexity | Based on historical average per year | Yes | Base | 2 | EA | 0 | Quantity | Priced | 0 | Percent | 0 | NONE | No | 541910 | R422 | ||||||||||||||||||||||||||||||||
| 1010 | AC | High Complexity | Based on historical average per year | Yes | Base | 2 | EA | 0 | Quantity | Priced | 0 | Percent | 0 | NONE | No | 541910 | R422 | ||||||||||||||||||||||||||||||||
| 1011 | Qualitative Study | Based on historical average per year | Yes | Base | 2 | 0 | Quantity | NSP | 0 | Percent | 0 | NONE | No | ||||||||||||||||||||||||||||||||||||
| 1011 | AA | Blog, Deep Dive, Diary, Discussion Board | Based on historical average per year | Yes | Base | 2 | EA | 0 | Quantity | Priced | 0 | Percent | 0 | NONE | No | 541910 | R422 | ||||||||||||||||||||||||||||||||
| 1011 | AB | Moderated Live Chat | Based on historical average per year | Yes | Base | 5 | EA | 0 | Quantity | Priced | 0 | Percent | 0 | NONE | No | 541910 | R422 | ||||||||||||||||||||||||||||||||
| 2001 | Recently Discharged Inpatient Survey | Est. 14,500/MO | Yes | Option 2 | 14500 | EA | 0 | Quantity | Priced | 0 | Percent | 0 | NONE | No | 541910 | R422 | |||||||||||||||||||||||||||||||||
| 2002 | Patient Centered Medical Home (PCMH) | Est. 60,375/MO | Yes | Option 2 | 60375 | EA | 0 | Quantity | Priced | 0 | Percent | 0 | NONE | No | 541910 | R422 | |||||||||||||||||||||||||||||||||
| 2003 | VA Specialty Care | Est. 54,000/MO | Yes | Option 2 | 54000 | EA | 0 | Quantity | Priced | 0 | Percent | 0 | NONE | No | 541910 | R422 | |||||||||||||||||||||||||||||||||
| 2004 | Care in the Community | Est. 10,000/MO | Yes | Option 2 | 10000 | EA | 0 | Quantity | Priced | 0 | Percent | 0 | NONE | No | 541910 | R422 | |||||||||||||||||||||||||||||||||
| 2005 | White Mail | Number of pieces varies month to month. Anticipate estimated 300-400 individual pieces per month | Yes | Option 2 | 1 | MO | 0 | Quantity | Priced | 0 | Percent | 0 | NONE | No | 541910 | R422 | |||||||||||||||||||||||||||||||||
| 2006 | Advanced Analytics | Yes | Option 2 | 0 | Quantity | NSP | 0 | Percent | 0 | NONE | No | ||||||||||||||||||||||||||||||||||||||
| 2006 | AA | Low Complexity | Based on historical average per year | Yes | Base | 11 | EA | 0 | Quantity | Priced | 0 | Percent | 0 | NONE | No | 541910 | R422 | ||||||||||||||||||||||||||||||||
| 2006 | AB | Medium Complexity | Based on historical average per year | Yes | Base | 7 | EA | 0 | Quantity | Priced | 0 | Percent | 0 | NONE | No | 541910 | R422 | ||||||||||||||||||||||||||||||||
| 2006 | AC | High Complexity | Based on historical average per year | Yes | Base | 5 | EA | 0 | Quantity | Priced | 0 | Percent | 0 | NONE | No | 541910 | R422 | ||||||||||||||||||||||||||||||||
| 2007 | Training/Education Products | Price at TO level | Yes | Option 2 | 0 | EA | 0 | Quantity | Priced | 0 | Percent | 0 | NONE | No | 541910 | R422 | |||||||||||||||||||||||||||||||||
| 2008 | Other Surveys Ad Hox | Price at TO level | Yes | Option 2 | 0 | EA | 0 | Quantity | Priced | 0 | Percent | 0 | NONE | No | 541910 | R422 | |||||||||||||||||||||||||||||||||
| 2009 | Veteran Insight Panel - Monthly Maintenance | Monthly | Yes | Option 2 | 1 | MO | 0 | Quantity | Priced | 0 | Percent | 0 | NONE | No | 541910 | R422 | |||||||||||||||||||||||||||||||||
| 2010 | Quantitiative Study | Yes | Option 2 | 0 | 0 | Quantity | NSP | 0 | Percent | 0 | NONE | No | |||||||||||||||||||||||||||||||||||||
| 2010 | AA | Low Complexity | Based on historical average per year | Yes | Base | 2 | EA | 0 | Quantity | Priced | 0 | Percent | 0 | NONE | No | 541910 | R422 | ||||||||||||||||||||||||||||||||
| 2010 | AB | Medium Complexity | Based on historical average per year | Yes | Base | 2 | EA | 0 | Quantity | Priced | 0 | Percent | 0 | NONE | No | 541910 | R422 | ||||||||||||||||||||||||||||||||
| 2010 | AC | High Complexity | Based on historical average per year | Yes | Base | 2 | EA | 0 | Quantity | Priced | 0 | Percent | 0 | NONE | No | 541910 | R422 | ||||||||||||||||||||||||||||||||
| 2011 | Qualitative Study | Based on historical average per year | Yes | Base | 2 | 0 | Quantity | NSP | 0 | Percent | 0 | NONE | No | ||||||||||||||||||||||||||||||||||||
| 2011 | AA | Blog, Deep Dive, Diary, Discussion Board | Based on historical average per year | Yes | Base | 2 | EA | 0 | Quantity | Priced | 0 | Percent | 0 | NONE | No | 541910 | R422 | ||||||||||||||||||||||||||||||||
| 2011 | AB | Moderated Live Chat | Based on historical average per year | Yes | Base | 5 | EA | 0 | Quantity | Priced | 0 | Percent | 0 | NONE | No | 541910 | R422 | ||||||||||||||||||||||||||||||||
| 3001 | Recently Discharged Inpatient Survey | Est. 14,500/MO | Yes | Option 3 | 14500 | EA | 0 | Quantity | Priced | 0 | Percent | 0 | NONE | No | 541910 | R422 | |||||||||||||||||||||||||||||||||
| 3002 | Patient Centered Medical Home (PCMH) | Est. 60,375/MO | Yes | Option 3 | 60375 | EA | 0 | Quantity | Priced | 0 | Percent | 0 | NONE | No | 541910 | R422 | |||||||||||||||||||||||||||||||||
| 3003 | VA Specialty Care | Est. 54,000/MO | Yes | Option 3 | 54000 | EA | 0 | Quantity | Priced | 0 | Percent | 0 | NONE | No | 541910 | R422 | |||||||||||||||||||||||||||||||||
| 3004 | Care in the Community | Est. 10,000/MO | Yes | Option 3 | 10000 | EA | 0 | Quantity | Priced | 0 | Percent | 0 | NONE | No | 541910 | R422 | |||||||||||||||||||||||||||||||||
| 3005 | White Mail | Number of pieces varies month to month. Anticipate estimated 300-400 individual pieces per month | Yes | Option 3 | 1 | MO | 0 | Quantity | Priced | 0 | Percent | 0 | NONE | No | 541910 | R422 | |||||||||||||||||||||||||||||||||
| 3006 | Advanced Analytics | Yes | Option 3 | 0 | Quantity | NSP | 0 | Percent | 0 | NONE | No | ||||||||||||||||||||||||||||||||||||||
| 3006 | AA | Low Complexity | Based on historical average per year | Yes | Base | 11 | EA | 0 | Quantity | Priced | 0 | Percent | 0 | NONE | No | 541910 | R422 | ||||||||||||||||||||||||||||||||
| 3006 | AB | Medium Complexity | Based on historical average per year | Yes | Base | 7 | EA | 0 | Quantity | Priced | 0 | Percent | 0 | NONE | No | 541910 | R422 | ||||||||||||||||||||||||||||||||
| 3006 | AC | High Complexity | Based on historical average per year | Yes | Base | 5 | EA | 0 | Quantity | Priced | 0 | Percent | 0 | NONE | No | 541910 | R422 | ||||||||||||||||||||||||||||||||
| 3007 | Training/Education Products | Price at TO level | Yes | Option 3 | 0 | EA | 0 | Quantity | Priced | 0 | Percent | 0 | NONE | No | 541910 | R422 | |||||||||||||||||||||||||||||||||
| 3008 | Other Surveys Ad Hox | Price at TO level | Yes | Option 3 | 0 | EA | 0 | Quantity | Priced | 0 | Percent | 0 | NONE | No | 541910 | R422 | |||||||||||||||||||||||||||||||||
| 3009 | Veteran Insight Panel - Monthly Maintenance | Monthly | Yes | Option 3 | 1 | MO | 0 | Quantity | Priced | 0 | Percent | 0 | NONE | No | 541910 | R422 | |||||||||||||||||||||||||||||||||
| 3010 | Quantitiative Study | Yes | Option 3 | 0 | Quantity | NSP | 0 | Percent | 0 | NONE | No | ||||||||||||||||||||||||||||||||||||||
| 3010 | AA | Low Complexity | Based on historical average per year | Yes | Base | 2 | EA | 0 | Quantity | Priced | 0 | Percent | 0 | NONE | No | 541910 | R422 | ||||||||||||||||||||||||||||||||
| 3010 | AB | Medium Complexity | Based on historical average per year | Yes | Base | 2 | EA | 0 | Quantity | Priced | 0 | Percent | 0 | NONE | No | 541910 | R422 | ||||||||||||||||||||||||||||||||
| 3010 | AC | High Complexity | Based on historical average per year | Yes | Base | 2 | EA | 0 | Quantity | Priced | 0 | Percent | 0 | NONE | No | 541910 | R422 | ||||||||||||||||||||||||||||||||
| 3011 | Qualitative Study | Based on historical average per year | Yes | Base | 2 | 0 | Quantity | NSP | 0 | Percent | 0 | NONE | No | ||||||||||||||||||||||||||||||||||||
| 3011 | AA | Blog, Deep Dive, Diary, Discussion Board | Based on historical average per year | Yes | Base | 2 | EA | 0 | Quantity | Priced | 0 | Percent | 0 | NONE | No | 541910 | R422 | ||||||||||||||||||||||||||||||||
| 3011 | AB | Moderated Live Chat | Based on historical average per year | Yes | Base | 5 | EA | 0 | Quantity | Priced | 0 | Percent | 0 | NONE | No | 541910 | R422 | ||||||||||||||||||||||||||||||||
| 4001 | Recently Discharged Inpatient Survey | Est. 14,500/MO | Yes | Option 4 | 14500 | EA | 0 | Quantity | Priced | 0 | Percent | 0 | NONE | No | 541910 | R422 | |||||||||||||||||||||||||||||||||
| 4002 | Patient Centered Medical Home (PCMH) | Est. 60,375/MO | Yes | Option 4 | 60375 | EA | 0 | Quantity | Priced | 0 | Percent | 0 | NONE | No | 541910 | R422 | |||||||||||||||||||||||||||||||||
| 4003 | VA Specialty Care | Est. 54,000/MO | Yes | Option 4 | 54000 | EA | 0 | Quantity | Priced | 0 | Percent | 0 | NONE | No | 541910 | R422 | |||||||||||||||||||||||||||||||||
| 4004 | Care in the Community | Est. 10,000/MO | Yes | Option 4 | 10000 | EA | 0 | Quantity | Priced | 0 | Percent | 0 | NONE | No | 541910 | R422 | |||||||||||||||||||||||||||||||||
| 4005 | White Mail | Number of pieces varies month to month. Anticipate estimated 300-400 individual pieces per month | Yes | Option 4 | 1 | MO | 0 | Quantity | Priced | 0 | Percent | 0 | NONE | No | 541910 | R422 | |||||||||||||||||||||||||||||||||
| 4006 | Advanced Analytics | Yes | Option 4 | 0 | Quantity | NSP | 0 | Percent | 0 | NONE | No | ||||||||||||||||||||||||||||||||||||||
| 4006 | AA | Low Complexity | Based on historical average per year | Yes | Base | 11 | EA | 0 | Quantity | Priced | 0 | Percent | 0 | NONE | No | 541910 | R422 | ||||||||||||||||||||||||||||||||
| 4006 | AB | Medium Complexity | Based on historical average per year | Yes | Base | 7 | EA | 0 | Quantity | Priced | 0 | Percent | 0 | NONE | No | 541910 | R422 | ||||||||||||||||||||||||||||||||
| 4006 | AC | High Complexity | Based on historical average per year | Yes | Base | 5 | EA | 0 | Quantity | Priced | 0 | Percent | 0 | NONE | No | 541910 | R422 | ||||||||||||||||||||||||||||||||
| 4007 | Training/Education Products | Price at TO level | Yes | Option 4 | 0 | EA | 0 | Quantity | Priced | 0 | Percent | 0 | NONE | No | 541910 | R422 | |||||||||||||||||||||||||||||||||
| 4008 | Other Surveys Ad Hox | Price at TO level | Yes | Option 4 | 0 | EA | 0 | Quantity | Priced | 0 | Percent | 0 | NONE | No | 541910 | R422 | |||||||||||||||||||||||||||||||||
| 4009 | Veteran Insight Panel - Monthly Maintenance | Monthly | Yes | Option 4 | 1 | MO | 0 | Quantity | Priced | 0 | Percent | 0 | NONE | No | 541910 | R422 | |||||||||||||||||||||||||||||||||
| 4010 | Quantitiative Study | Yes | Option 4 | 0 | Quantity | NSP | 0 | Percent | 0 | NONE | No | ||||||||||||||||||||||||||||||||||||||
| 4010 | AA | Low Complexity | Based on historical average per year | Yes | Base | 2 | EA | 0 | Quantity | Priced | 0 | Percent | 0 | NONE | No | 541910 | R422 | ||||||||||||||||||||||||||||||||
| 4010 | AB | Medium Complexity | Based on historical average per year | Yes | Base | 2 | EA | 0 | Quantity | Priced | 0 | Percent | 0 | NONE | No | 541910 | R422 | ||||||||||||||||||||||||||||||||
| 4010 | AC | High Complexity | Based on historical average per year | Yes | Base | 2 | EA | 0 | Quantity | Priced | 0 | Percent | 0 | NONE | No | 541910 | R422 | ||||||||||||||||||||||||||||||||
| 4011 | Qualitative Study | Based on historical average per year | Yes | Base | 2 | 0 | Quantity | NSP | 0 | Percent | 0 | NONE | No | ||||||||||||||||||||||||||||||||||||
| 4011 | AA | Blog, Deep Dive, Diary, Discussion Board | Based on historical average per year | Yes | Base | 2 | EA | 0 | Quantity | Priced | 0 | Percent | 0 | NONE | No | 541910 | R422 | ||||||||||||||||||||||||||||||||
| 4011 | AB | Moderated Live Chat | Based on historical average per year | Yes | Base | 5 | EA | 0 | Quantity | Priced | 0 | Percent | 0 | NONE | No | 541910 | R422 |
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