Attachment C Limited Source Justification - Philips MX40.pdf

DEPARTMENT OF VETERANS AFFAIRS

Justification and Approval (J&A) For

Other Than Full and Open Competition (BRAND NAME ONLY) (>SAT)

Acquisition Plan Action ID: 36C258-21-AP-1398

1. Contracting Activity:

Department of Veterans Affairs

VISN 22

Albuquerque Medical Center

NCO22-G

2237: 501-21-3-119-0228

Nature and/or Description of the Action Being Processed: The NMVAHCS has a requirement to expand the current Philips Telemetry System into the 4A Quadrant of the main facility in building 41 and GI Out Patient Area. The hospital will be opening a new Step-Down Unit (SDU) on 4A which will require a full physiological monitoring system and the GI Area has an end-of-life system that is is no longer supported. This system will allow the facility to monitor COVID-19 patients in, 4A Step-Down Unit (SDU) Patients, GI Out-Patient Recovery, and additional patient monitoring applications as required by the NMVAHCS. This system will allow remote monitoring of patient’s cardiac rates and rhythms. A Physiological Monitoring System for the Step-Down Unit (SDU) Veteran population is necessary for this level of patient. This patient population is one step below an ICU level patient and often are on the verge of becoming an ICU level patient.

The monitoring system is necessary to evaluate cardiac rhythm, waveforms, blood pressure, heart rate, oxygen saturation, CO2, and respirations. This information is needed when transporting the patient and by the Care Team to tailor the specific interventions needed for the patient; often at a moments notice. The primary reason for the upgrade is to replace end-of-life equipment with the Original Equipment Manufacturer (OEM). The upgrade will also provide new technology not resident on the current equipment. This requirement will be awarded as a new firm-fixed price contract. This is a commodities acquisition.

Description of Supplies/Services Required to Meet the Agency’s Needs: The New Mexico VA HealthCare System (NMVAHCS) has a requirement to expand the current Philips Telemetry System into the 4A Quadrant of the main facility in building 41. This requirement is to expand the current Philips Telemetry System into the 4A quadrant in Building 41 and Physiological Monitoring system for GI Clinic and 4A quadrant at the NMVAHCS. This expansion shall integrate into the current Philips Telemetry, shall be capable of being monitored within the 5D Telemetry room, and shall be a full Turnkey Solution. The suggested NAICS code is 334510 – Electromedical and Electrotherapeutic Apparatus Manufacturing. The expected delivery date is 90 days after receipt of the order

(ARO).

2. 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;

Demonstration that the Contractor’s Unique Qualifications or Nature of the Acquisition Requires the Use of the Authority Cited Above (applicability of authority): The New Mexico VA Health Care System (SAVAHCS) has a requirement to expand the current Philips Telemetry System into the 4A Quadrant of the main facility in building 41. This expansion of equipment must fully integrate with the current Philips Medical Systems PIIC iX central station monitoring network. The material/service must be compatible in all aspects (form, fit and function) with existing systems presently installed/performing. The monitoring system and telemetry will be utilized in the new 4A Step Down Unit. This unit will frequently require constant monitoring of their cardiac rate and rhythm as well as their oxygen saturation due to being in a decompensated state. Adding remote telemetry monitoring capabilities to 4D Medicine will enable the hospital to flex up to care for more COVID patients. This will expand the current telemetry system (to include transfer routes) to provide a wider coverage on remote monitoring capabilities for patients during COVID. The system will also be able to be utilized after COVID by providing additional Telemetry monitoring for the hospital. GI will replace their current physiological monitors due to end-of-life and being no longer supported by the manufacturer. Physiological Monitoring System for the Step-Down Unit (SDU) Veteran population is necessary for this level of patient. This patient population is one step below an ICU level patient and often are on the verge of becoming an ICU level patient. The monitoring system is necessary to evaluate cardiac rhythm, waveforms, blood pressure, heart rate, oxygen saturation, CO2, and respirations. This information is needed when transporting the patient and by the Care Team to tailor the specific interventions needed for the patient, often at a moments notice. This requirement is to expand the current Philips Telemetry System into the 4A Quadrant of the main facility in building 41 and is highly specialized in its nature. The Government would incur substantial duplication of costs if a new product, along with all the existing infrastructure were to be removed and replaced. The Government would incur undue and unacceptable delays in the medical treatment of veterans if the entire infrastructure and equipment were replaced. For this reason, it is critical that the contractor provided BRAND NAME Philips North America equipment to meet the needs of the Government. This system is part of the larger Philips Intellivue patient monitoring network used throughout the New Mexico VA Health Care System. No other product will meet the requirement to fully integrate with the existing Philips Intellivue platform. Accordingly, Philips North America, is the only firm capable of providing the supplies and services described in Section III above without the Veteran’s Health Administration experiencing substantial duplication of cost that could not be expected to be recovered through competition and unacceptable delays in fulfilling its requirements.

3. Description of Efforts Made to ensure that offers are solicited from as many potential sources as deemed practicable: Through market research, Philips North America LLC is the Original Equipment Manufacturer for the required products. Philips, a large company, was contacted to determine if there are any small business concerns that have been authorized to distribute their products. The Government was informed that Four Points Technology, and Alliant Enterprises, LLC, both SDVOSB concerns are authorized distributors of this product line. This requirement will be solicited utilizing NAICS code 334510, Electromedical and Electrotherapeutic Apparatus Manufacturing. This NAICS code is resident on the Small Business Administration Non-manufacture waiver listing. Therefore, a service-disabled, veteran-owned small business (SDVOSB) set-aside will be utilized. The Contracting Officer has a reasonable expectation that two or more SDVOSB concerns will provide offers and that the offers will be made at fair market prices.

4. Determination by the CO that the Anticipated Cost to the Government will be Fair and

Reasonable: The Contracting Officer has a reasonable expectation that two or more SDVOSB concerns will provide offers and that the offers will be made at fair market prices.

5. Description of the Market Research Conducted and the Results, or a Statement of the Reasons Market Research Was Not Conducted: Through market research, Philips North America LLC is the Original Equipment Manufacturer for the required products. Philips, a large company, was contacted to determine if there are any small business concerns that have been authorized to distribute their products. The Government was informed that Four Points Technology, and Alliant Enterprises, LLC, both SDVOSB concerns are authorized distributors of this product line. This requirement will be solicited utilizing NAICS code 334510, Electromedical and Electrotherapeutic Apparatus Manufacturing. This NAICS code is resident on the Small Business Administration Non-manufacture waiver listing. Therefore, a SDVOSB set-aside will be utilized. The Contracting Officer has a reasonable expectation that two or more SDVOSB concerns will provide offers and that the offers will be made at fair market prices. The authority cited for this decision is FAR 6.302-1, only one responsible source and no other supplies or services will satisfy agency requirements. As described in Section 6 above, market research, in accordance with FAR Part 10, was conducted by synopsis of the proposed acquisition, advising industry of the pending acquisition and soliciting inquiries from interested parties.

6. Any Other Facts Supporting the Use of Other than Full and Open Competition: N/A

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

Four Points Technology, LLC (SDVOSB) Alliant Enterprises, LLC (SDVOSB)

8. 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: N/A

9. Requirements Certification: I certify that the requirement outlined in this justification is a Bona Fide Need of the Department of Veterans Affairs and that the supporting data under my cognizance, which are included in the justification, are accurate and complete to the best of my knowledge and belief.

Brennon Cucullu Date Supervisory Biomedical Engineer NMVAHCS Albuquerque

07/07/2021

Brennon P.

Cucullu 1090551

Digitally signed by Brennon P. Cucullu 1090551 Date: 2021.07.07 12:43:48 -06'00'

10. Approvals in accordance with the VHAPM Part 806.3 OFOC SOP:

a. Contracting Officer or Designee’s Certification (required): I certify that the foregoing justification is accurate and complete to the best of my knowledge and belief.

Abdalia Smith Date Branch Chief / Supply Branch 2

NCO22G