36C77625Q0276.docx

Special Notice Special Notice

GENERAL INFORMATION

Program Contracting Activity Central

6100 Oak Tree Blvd, Suite 490 Independence OH 44131

POINT OF CONTACT*

Contract Specialist Andrew Allen Andrew.Allen6@va.gov 216-447-8321

ADDITIONAL INFORMATION

DESCRIPTION

VisualDX Subscription FBO Notice: 36C77625Q0276 The Department of Veterans Affairs (VA) Veterans Health Administration (VHA) requires an existing commercial off-the-shelf web based, Visual Point of Care Diagnostic Clinical Decision Support Product that will be made available throughout the VHA healthcare system.

The Department of Veterans Affairs (VA), Veterans Health Administration (VHA) Program Contracting Activity Central (PCAC) intends to solicit and negotiate with Logical Images Inc., 302 N Goodman ST STE E200, Rochester, New York 14607 USA: to provide an annual subscription to VisualDX Subscription. These products may also be referred to as bedside information tools because they have been designed to provide information at the patient’s bedside or other point of care spaces. They tend to provide information that will directly affect patient care. What distinguishes these products from sources, such as electronic textbooks or bibliographic citations databases, is that it includes a mechanism to support and provide clinical dermatology decision support knowledge at the point-of-care.

The procurement is being conducted by authority of FAR Part 6.302-1 and 13.106-1(b)(2), "soliciting from a sole source."

FAR 52.219-8 Utilization of Small Business Concerns and FAR 52.219-9 Small Business Subcontracting Plan will be included in this procurement.

The NAICS code for this procurement is 519290 and the Small Business Administration Size Standard is 1,000 Employees.

This notice of intent to is not a request for competitive quotes. No solicitation document is available, and telephone requests will not be accepted. However, any responsible source who believes it is capable of meeting the requirements may submit a capability statement, proposal, or quotation, which shall be considered by the agency, and a resellers agreement only if received by the closing date and time of this notice.

Responses received will be evaluated; however, a determination by the Government not to compete the proposed procurement based upon responses received to this notice is solely within the discretion of the Government.

Responses to this notice are due on or before Wednesday September 3, 2025, 10:00 a.m. EST to contract specialist, Andrew Allen at Andrew.Allen6@va.gov.

Contracting Office Address:

Department of Veterans Affairs Program Contracting Activity Central 6100 Oak Tree Blvd, Suite 490 Independence, OH 44131

STATEMENT OF WORK

POINT OF CARE DERMATOLOGY DIAGNOSTIC CLINICAL DECISION SUPPORT PRODUCT

December 2024

The Department of Veterans Affairs (VA) Veterans Health Administration (VHA) requires an existing commercial off the shelf web based, Visual Point of Care Diagnostic Clinical Decision Support Product that will be made available throughout the VHA healthcare system.

To this solicitation, these products may also be referred to as bedside information tools because they have been designed to provide information at the patient’s bedside or other point of care spaces. They tend to provide information that will directly affect patient care. What distinguishes these products from sources, such as electronic textbooks or bibliographic citations databases, is that it includes a mechanism to support and provide clinical dermatology decision support knowledge at the point-of-care.

Performance Period: One year award with four (4) option years

1.1 Objectives

The desired goals of the nationwide provision of a commercial Dermatology Diagnostic Decision Support Product subscription are as follows:

1.1.1 Providing access nationwide to standard knowledge based clinical information resources available at the point of care, will build on the enterprise-wide availability of the web-based resources currently subscribed to by the Library Network Office.

1.1.2 Negotiating one license/contract to decrease the current contracting and reviewing efforts that are required at the facility and/or VISN level and thereby avoid the costs and workload associated with multiple procurements.

1.1.3 Making this Dermatology Diagnostic Decision Support Product available through CPRS (Computerized Patient Record System), the VA’s Electronic Health Record, nationwide to insure consistent access at the bedside for all VHA health professionals and staff.

2.0 Scope of Work:

2.0.1 The vendor will provide all sites on the VHA network with access to a single online, web-based product. Authentication will be through VA Gateway IP addresses and LibLynx. There will also be vendor additional validation. This will remove need for users to enter identification, username and/or password.

2.0.2 An unrestricted number of simultaneous users are to have immediate access from any web-enabled computer within VHA. It is required that all authorized remote users with VPN access have access to the product.

2.0.3 This license must cover all Department of Veterans Affairs employees as authorized users no matter their physical work location or point of access to this product.

2.0.4 This license will also allow for authorized user access at all Department of Veterans Affairs current and future physical facilities included but not limited to current and future medical centers, community-based outpatient clinics, DOMs, vet centers and all other locations where Department of Veterans Affairs employee’s work.

2.0.5 Currently the VHA libraries are providing remote access through Liblynx authentication service. This resource must have technical capability to include Liblynx authentication for remote users in this contract.

2.1 Information Scope

The product should include:

2.1.1 Images and knowledge-based information to assist the primary care provider in the identification, diagnosis, and management of common skin disorders.

2.1.2 A diagnostic decision support system to assist primary care providers in differential diagnosis of dermatologic diseases and conditions.

2.1.3 Vivid displays of dermatology images showing the variation of disease presentation through age, stage, and skin type.

2.1.4 A decision support system to allow the clinicians to enter patient findings to dynamically build a differential diagnosis displayed by medical images.

2.2 Information Quality

2.2.1 Information is accurate, authoritative, and relevant.

2.2.2 Authors and sources are well recognized subject experts in their fields.

2.2.3 Topics are presented succinctly, but with adequate detail to be useful to clinicians.

2.2.4 “Best practice” or evidence-based information is included in recommendations for diagnosis or therapy.

2.2.5 Policies for determining validity and standards for inclusion of material are well described.

2.2.6 Guidelines and summaries include references or sources.

2.2.7 When necessary to the topic, images, tables and diagrams are available and clearly shown.

2.3 Usability

2.3.1 There is fast access to topics and subtopics. Topic linking or indexing retrieves material of high relevance quickly.

2.3.2 The product has “user friendly” help and direction aids.

2.4 Currency

2.4.1 Content areas are updated on a continuous, incremental cycle rather than on a single anniversary date for the entire product.

2.4.2 The date a topic was last reviewed for content is stated and easily found.

2.5 Access, content, support

2.5.1 Product is 508 compliant. (http://www.section508.gov/)

2.5.1.1 If product is not 508 compliant, vendor must describe measures being taken to bring product into compliance and date, within 12 months of contract award, that product will be 508 compliant. OR

2.5.1.2. If product is not 508 compliant and vendor must describe why no work is being done to make it 508 compliant.

2.5.2 An unrestricted number of simultaneous users are to have immediate access from any web-enabled computer throughout VHA. It is required that all authorized remote users (with VPN, dial-up, wireless, etc. access) have access to the product through any VA networked computer and/or CPRS. A username and/or password option must be offered for remote users if needed.

2.5.3 The product is compatible with most standard web browsers, which have cookies enabled. To ensure privacy, the product uses session cookies rather than persistent cookies.

2.5.4 All site content and support of the web site is the responsibility of the contractor. This includes tech support to VHA users nationwide.

2.5.5 System downtime is minimal and VA project manager is notified when such o

2.5.6 The product’s licensing agreement must permit free use for educational purposes of all pictures and graphics.

2.5.7 Usage statistics are available to the system administrator on an enterprise level.

2.5.8 Graphics, pictures, and/or images that are searchable are highly desirable.

2.5.9 The contractor should offer training services. On an as requested basis, training session (web-based or live) will be set up to train VHA staff on use of the product. Specialized training sessions may be requested for VA library staff.

2.5.10 Availability of usage statistics at an VA Gateway IP level is highly desirable.

2.5.11 Topics can be emailed among VHA colleagues.

7.0 Required Subscription Requirements and Salient Characteristics:

1. Images and knowledge-based information to assist the primary care provider in the identification, diagnosis and management of common skin disorders.

1. Vivid displays of dermatology images showing the variation of disease presentation through various ethnic groups and skin types in relation to age and stage.

1. A decision support system to allow the clinicians to enter patient findings to dynamically build a differential diagnosis displayed by medical images.

1. A substantial, considerable, and exhaustive number of images from sources with a long standing, authoritative history of producing the photographic visual representations of required subjects in clinical medicine.

1. A diagnostic clinical decision support system to enhance diagnostic accuracy, aid therapeutic decisions, and improve patient safety. Includes searching by diagnosis, building a patient-specific differential, and reviewing travel or medication-related events at the point of care, including but not limited to the areas of diagnosing skin conditions, general and emergency medicine conditions, and medication reactions.

1. Provides access to the full spectrum of human diseases across skin types, body location, morphologic variation, and other diagnostic features. To adequately capture the immense variation inherent in disease requires access to hundreds of specialized image collections that span dermatology, ophthalmology, oral medicine, infectious disease, emergency medicine, radiology, and pathology.

1. An established and efficient means for uploading and centralizing images developed by medical experts from around the world; cases that include tropical and rare diseases, as well as common conditions represented within various ethnic groups and skin types.

1. Continuing Medical Education (CME) included: Users shall be able to track CME activity after establishing an account as provided by the contractor. All username/password and account maintenance shall be the responsibility of the contractor. CME credits shall include AMA PRA Category 1. Credits would primarily be appropriate for physicians in the Family Medicine, Internal Medicine, Emergency Medicine, Hospital Medicine, Dermatology, and other medical specialties.

End of Document

Special Notice