A.03._Bridge_Contract_Memo-W81XWH-08-D-00025-0042_fully_executed_redacted_for_FBO_Post.pdf

DEPARTMENT OF THE ARMY

US ARMY MEDICAL RESEARCH ACQUISITION ACTIVITY

820 CHANDLER STREET

FORT DETRICK MD 21702-5014

MCMR-AAA-SF

14 May 2018

MEMORANDUM FOR PRINCIPAL ASSISTANT RESPONSIBLE FOR CONTRACTING

(PARC) APPROVAL BRIDGE CONTRACT ACTION WITH NO SCOPE INCREASE

SUBJECT: PARC Approval to Issue a Bridge Contract Action in accordance with USAMRAA

Policy 17-08, Use of Bridge Contracts for Interim Continuity of Services.

A. Requirement Information:

1. Group and Branch: Service Branch 6

2. Contract Specialist and Contracting Officer:

CS:

KO:

3. Requiring Activity: Defense Health Agency (DHA) Operations (J3), Clinical Support

Division

4. Existing Contract Number/ TO # where applicable: W81XWH-08-D-0025-0042

5. Bridge Contract Number / TO # / Mod # where applicable: To Be Determined

6. J&A Log Number (if known): JA-18133

7. Bridge Contract Description: Approval is being requested to award a new, three (3) month, firm fixed price, contract to XXXXXXXXXXXXX, under XXXXXXXX. The new period of performance will be 30 June 2018 through 29 September 2018. Fiscal

Year 2018 Operations and Maintenance (O&M) funds will be utilized for this requirement.

This Task Order provides programmatic support to include analytical, programmatic, and technical support to the Patient Safety Program (PSP) and the Clinical Support Division

(CSD). This award also provides professional consultative services, management of studies, analysis, response preparation, meeting support and policy development for

Health Services Policy and Oversight (HSP&O) for the Office of the Deputy Assistant

Secretary of Defense. This includes:

SUBJECT: APPROVAL BRIDGE CONTRACT ACTION WITH NO SCOPE INCREASE

DoD PSP and associated components;

CSD Directorate programmatic and technical staff; and

Provides programmatic and technical support for the Office of the Deputy

Assistant Secretary of Defense HSP&O as outlined in this Performance Work

Statement (PWS).

As the Defense Health Agency meets all current and future legislative mandates, such as

NDAA 2017; designated programs, organizational structures and/or program names may change.

The total estimated cost for the three month bridge contract is $.

8. Date Current Contract Period of Performance Expires:

29 June 2018

9. Date Requirement for Bridge Contract Identified:

30 March 2018

10. Bridge Estimated Period of Performance and Value:

$ for the period of 30 June 2018 through 29 September 2018.

11. Anticipated Award date for Follow-On Contract (after bridge contract completion):

15 September 2018

12. Reason for Bridge Contract Action:

The reason for the Contract Bridge Action is due to insufficient Procurement Acquisition

Lead Time (PALT) provided to USAMRAA for the recompete. The procurement request was received on 28 February 2018, however the requirements documentation, was not completed until 16 March 2018.

The purpose of the three month bridge is to ensure that there will not be a break in service for the DoD Patient Safety Program, the Clinical Support Division and Health Services

Policy and Oversight (HSP&O)

The competitive follow-on procurement is being competed and is expected to be awarded by 15 September 2018.

13. Has this been bridge before? Number of times bridged before?:

No previous bridge exist.

14. Describe the Urgency and mission failure if Bridge Contract is not approved:

XXXXXXXX was awarded Task Orders under the TEAMS IDIQ. Their final Task Order expires on 29 June, 2018. It is anticipated that a follow-on requirement will be awarded by 15 September 2018. A Request for Information (RFI) was issued on 9 May 2018 and expires on 9 May 2018. It is anticipated that this will be solicited on either a GSA

Schedule or OASIS. Failure to award the three (3) month bridge prior to the follow-on being awarded will be detrimental. The Defense Health Agency (DHA) is a combat support agency supporting the healthcare needs of our warfighters and beneficiaries throughout the Military Health System (MHS. The DHA is embarking on the monumental task of taking over management and oversight of all MHS Direct Care

Facilities by October 2018 as mandated in Public Law 114-28, the 2017 National Defense

Authorization Act. The integration to an Intermediate Management Organization command structure and governance is in flux so it is critical for the contract support team to remain intact during this ongoing transition period. This transition is to achieve greater standardization of healthcare across the MHS, streamline management of healthcare activities, support in an environment that has become much more joint than in the past and accomplish the intent of the Military Health System's (MHS) Quadruple

Aim which outlines the MHS' priorities and strategies. DHA has been responsible for this transition, initially as responsible for shared services, functions and activities of the

Military Health System (MHS) and other common clinical and business processes—now shifting to comprehensive management. To ensure success, this contract bridge maintains continuity for knowledge sharing, agility, integration, and continuous improvement to positively impact the success of the current and future health of all stakeholders served.

As the MHS progresses toward becoming a more integrated healthcare system, with the bridge in place, the DHA continues to shape and document how the takeover of administration of the Military Treatment Facilities (MTF) and is expected to capture efficiencies in four ways:

Realizing economies of scale through operational efficiencies;

Implementing leading clinical practices;

Improving patient safety by implementing standardized processes and procedures across all MTFs; and

Promote standardization and reduce variation to promote the best outcomes for patients.

Without a bridge, there would be no programmatic and technical support for the DoD

PSP, the DHA CSD (Medical Affairs/J-3), and Office of Assistant Secretary of Defense

(OASD) Health Affairs (HA) HSP&O in five major areas: professional consultative services, management studies/MHS/DoD data analysis, preparation of responses, reports, documents, and correspondences, meeting support and policy development/communication/education/drafts. As well, administrative, analytical, programmatic, and technical support to the Patient Safety Program (PSP) and the Clinical

Support Division (CSD) would be effected. Without this bridge--contractual support, civil servants, active duty and public health officers in these divisions would be crippled and unable to perform requirements that impact healthcare delivery in support of readiness for the entire Military Health System.

One small example--support in coordination for preparing and drafting policy guidance which each MTF will use to oversee clinical quality management and patient safety daily operations must be in place by early September supported by education and training for

MTF leadership and staff—all to be in place by October 1, 2018—mandated in NDAA

2017 Section 702.

15. Actions Taken to Eliminate Future Need for Bridge Contract:

The follow-on requirement is currently in procurement, with an anticipated award date of

15 September 2018. Below is the current milestone schedule for the follow-on requirement:

Date Milestone

2 May 2018 RFI posted to GSA

2 May 2018 RFI posted to OASIS

17 May 2018 DA Form 2579 Approved

21 June 2018 Request for Proposal (RFP) posted to GSA

20 July 2018 Proposals due from Offerors

20 August 2018 Technical Evaluation of proposals completed

31 August 2018 Source Selection Award Decision made

15 September 2018 Award

B. I certify that the bridge contract action will exactly mirror the previous contract

Performance Work Statement (PWS) in its entirety, including services and quantity and does not include an increase in scope, except for changes required by statue or regulation.

( X ) Concur ( ) Non-Concur

( X ) Approve ( ) Disapproved