A.02 Justification and Approval REV3MAR23KOSanitized.pdf

CUI//SP-PROCURE

Control Number: 23-RHCO-A-238

RFQ/RFP #: W91YTZ23Q0038

Sole Source Justification for Acquisitions under the Simplified Acquisition Threshold

(Simplified Acquisition Threshold is $250K)

1. Contracting Activity:

Medical Readiness Contracting Office-East (MRCO-E) Bragg Health Contracting Branch 9275 Doerr Road, Bldg. 1221

Fort Belvoir, VA 22060

2. Description of Action:

Requirement: New Repeat Pricing: Firm-Fixed Price Time & Materials Cost Funds: OMA Other Funds: DHP Bag 106 Total Dollar Value: XXXXXX

Name of Intended Contractor: MedHub, LLC

Street Address: 501 Marquette Avenue S. 3d Floor City, State, Zip: Minneapolis, MN 55402

Phone: (734)580-2000

Period of Performance: 01 July 2023 – 30 June 2028

3. Description of Services: This requirement is to purchase a software management tool used by the Womack Army Medical Center (WAMC) Graduate Medical Education Faculty and Program Directors to assess and measure performance of interns and residents. This evaluation software is used daily to capture residency duty hours, and it is used daily to monthly to document resident and faculty evaluations and feedback.

4. Authority Cited:

(a) FAR 13.106-1(b)(1)(i): Only one source reasonably available (e.g., urgency, exclusive licensing agreement, brand name or industrial mobilization); OR

Controlled by: USAHCA CUI Category: SP-PROCURE Limited Dissemination Control: FED ONLY POC: Cynthia Richardson-Rhone (910) 904-9310

(b) FAR 13.106-1(b)(1)(ii): Only one source can provide a portion of the purchase that is a particular brand-name item; OR

(c) FAR 8.405-6(a)(1)(i)(A): An urgent and compelling need exists, and following the procedures would result in unacceptable delays; OR

(d) FAR 8.405-6(a)(1)(i)(B): Only one source is capable of providing the supplies or services required at the level of quality required because the supplies or services are unique or highly specialized; OR

(e) FAR 8.405-6(a)(1)(i)(C): In the interest of economy and efficiency, the new work is a logical follow-on to an original Federal Supply Schedule order not previously issued under sole-source or limited-sources procedures.

5. Reason for Authority Cited: MedHub, LLC is the only on-line learning portal software provider in the industry that offers a 24/7 on Demand Training and Learning for residency and fellowship programs located at WAMC. This software program is a unique, proprietary and custom software application that provides features and services not available anywhere else as per the attached letter located in PCF cabinet W91YTZ23Q0038, folder A.02. Proprietary letter is dated 24 February 2023 and signed by Mike Burica, Vice President, Medhub Brand Leader. This tool is also the system of record to capture faculty evaluations of residents during rotations to include monthly, semi-annual formative milestone assessments, and annual Program Director summative assessments, all required by the Accreditation Council for Graduate Medical Education (ACGME). Additionally, this management tool/assessment sheets can be accessed electronically on an automated website which enables GME Faculty and Program Directors/ Program Coordinators to enter data on students that assess their performance and progress in meeting academic requirements by ACGME contract that ends 30 June 2023. This software program will benefit residents from multiple departments.

The Training and Learning Portal will be also used for onboarding and training new staff and offers refresher training to existing personnel. This Portal contains professional development opportunities for staff that include ACGME 101 and The National Board of Certification for Training Administrators of Graduate Medical Education Programs (TAGME) fundamentals, that enable staff to work the evaluation system. MedHub, LLC has a mobile application (APP) that can be used with either iOS or Android phones for real time evaluation of academic work, logging of clinical procedures and clinical rotations by Program Directors and Faculty. These two features are essential to manage the evaluation processes required by ACGME for accreditation.

Background: Womack Army Medical Center, as designated by Defense Health Agency (DHA), is responsible for conducting residency and fellowship programs to train physicians in a variety of specialty programs in support of the DHA mission. To conduct a residency or fellowship program, all of the programs must meet the accreditation standards and undergo a site review in order to be accredited through the ACGME. WAMC has existing residents in various program year groups that an accreditation by ACGME has already covered. All residency and fellowship programs are accredited by ACGME. To sustain accreditation, ACGME requires assessments or performance review of students to measure progress in meeting academic requirements toward graduation from the programs.

Adding MedHub, LLC as the evaluation system that brings consistency in the preceptors' criteria to evaluate our residents but also benefits the onboarding process for both institutions. In addition, WAMC can onboard learners from Walter Reed National Military Medical Center, Bethesda, Maryland, and the Uniformed Services University of the Health Sciences (USUHS), Bethesda, Maryland, which also uses MedHub, LLC The Orthopedic Residency Program is the first-ever shared program of military and civilian residents as WAMC partnered with Cape Fear Valley Medical Center, Fayetteville, North Carolina. WAMC is the sponsoring ACGME site for the shared program, so WAMC’s Orthopedics residents will work in both WAMC and Cape Fear. Failure to provide the Resident Evaluation tool will be detrimental to the academic progress of the medical students.

6. Actions to Increase Competition: MedHub, LLC is the only software provider in the industry that offers the 24/7 On Demand Training and Learning Portal. MedHub, LLC. has provided a proprietary letter to support Sole Source acquisition.

7. Market Survey: Market Research conducted in accordance with FAR Part 10. Today, 1 February 2023, I researched the following areas indicated below using the Small Business Administration (SBA) Quick Market Research with multiple keywords as well as the North American Industry Classification System (NAICS) code of 513210.

SBA Searches using NAICS 513210 and Key Words Resident Evaluation Tool

Economic Group Number of Firms Found Currently SDB Certified 0 Service – Disabled Veteran 0 Currently 8(a) Certified 0 Woman or Women Owned 0 Veteran 0 Currently 8(a) Certified 0

SBA Searches using NAICS 541940”

Economic Group Number of Firms Found Service-Disabled Veteran 102 Currently SDB Certified 10 Currently HUBZone Certified 36 Currently 8(a) Certified 70 Woman or Women Owned 181 Veteran Owned Small Business 160

Key word Search “Resident Evaluation Tool”

Economic Group Number of Firms Found Service-Disabled Veteran 0 Currently SDB Certified 0 Currently HUBZone Certified 0 Currently 8(a) Certified 0 Woman or Women Owned 0 Veteran Owned Small Business 0

These items are not available on the General Schedule Administration (GSA) contract schedule.

8. Procurement History:

Previous Contract or Purchase Order Number: or N/A W91YTZ18P0257 MyEvaluations Previous contract was sole sourced to MyEvaluations, since the requirement has changed MedHub LLC is the only software provider in the industry that offers the 24/7 On Demand Training and Learning Portal.

Previously competed? N/A No Yes Previous authority for less than Full & Open Competition: FAR 13.106-1(b)(1)(i): Only one source reasonably available (e.g., urgency, exclusive licensing agreement, brand name or industrial mobilization);

9. Technical / Requirements Certification: I certify that the support data under my cognizance which are included in this mini-J&A are accurate and complete to the best of my knowledge and belief. I certify the required services and supplies are not available using mandatory sources and delivery cannot be made by the required delivery date.

Submitted By: Martha L. Maloy Position Title : Deputy Director, Department of Medical Education

Email address: martha.l.maloy.civ@health.mil

10. Contracting Officer Certification and Approval: I certify that this justification is accurate and complete to the best of my knowledge and belief.

Signature:

Typed Name: Donna L. Blossom Position Title: Contracting Officer

Email address: donna.l.blossom.civ@health.mil Date:

mailto:martha.l.maloy.civ@health.mil