CQM Sources Sought Notice.pdf

SOURCES SOUGHT

CLINICAL QUALITY MANAGEMENT (CQM) SUPPORT

1.0 Description

1.1 THIS SOURCES SOUGHT IS BEING ISSUED IN ACCORDANCE WITH FAR 19.805, IN

WHICH DHA SEEKS TO ISSUE A COMPETITIVE 8(a) REQUIREMENT. The Medical Affairs, Clinical Support Division, Clinical Quality Management (CQM) Branch, Clinical Quality Measurement Program of the Defense Health Agency (DHA) has a requirement to provide specialized support to the CQM program, to include: all personnel, equipment, supplies, facilities, transportation, tools, materials, supervision, and non-personal services necessary to perform analytical, programmatic, technical, and healthcare management support for the CQM program.

1.2 THIS IS A SOURCES SOUGHT. This Source Sought is being issued for market research and to identify potential contractors with the capability to fulfill the Government’s need. It does not constitute a Request for Proposal (RFP) or a promise to issue an RFP in the future. Respondents are advised that the U.S. Government will not pay for any information or administrative costs incurred in response to this Sources Sought; all costs associated with responding to this Sources Sought will be solely at the interested party’s expense. Not responding to this Sources Sought does not preclude participation in any future RFP, if any is issued. Either a notice of intent to sole source or solicitation synopsis will be posted via SAM.gov.

2.0 Background

2.1. This is a non-personal services contract to provide professional, administrative, and management support to sustain the CQM Program per current DHA Procedure Manual 6025.13. This support is required to execute operational support to the CQM program to meet current DHA Strategic Initiatives.

This PWS executes the requirements for operational support to the CQM program providing an organized structure for an integrated framework of programs to objectively define, measure, assure, and improve the quality of care received by Military Health System (MHS) beneficiaries. This framework is guided by CQM strategic elements and supported by CQM functions and programs.

2.2. DHA supports the Combatant Commanders and Military Services to execute the Department of Defense (DoD) medical mission in peacetime and wartime. As a Combat Support Agency, the DHA delivers joint functions and activities for the MHS that enable rapid adoption of proven practices, reduce unwanted variation, and improve the coordination of care across time and treatment venues. The MHS includes multiple Inpatient Hospitals and Medical Centers, Ambulatory Care and Occupational Health Clinics, and Dental Clinics and cares for over 9.5 million beneficiaries, delivering care globally in military hospitals and clinics and providing coordinated, integrated care through civilian TRICARE networks. TRICARE is the healthcare program for uniformed Service members, retirees, and their dependents around the world, that provides comprehensive coverage to all beneficiaries including routine and specialty care, special health programs, and ancillary services.

3.0 Objective

3.1. The objective of this requirement is to provide administrative and programmatic support to establish the CQM program (Healthcare Risk Management and Clinical Measures) and the four CQM sub-programs (Clinical Quality Improvement, Credentialing and Privileging, Patient Safety and Accreditation and Compliance) to include, but not limited to, the following support:

• Data management and analysis measures

• Measures and reporting

• Healthcare risk management, malpractice claims management, healthcare regulatory compliance and accreditation, and clinical performance improvement

• Administrative support and program management

• Subject Matter Expert consultative services

• Documentation of program performance

• Management of studies, analysis, response and deliverable preparation

• Support for policy development

3.2. Capability Needs

In accordance with the PWS, the Contractor, at a minimum, should have the capability to:

• Providing equipment, supplies, facilities, transportation, materials, supervision and non-personal services necessary to perform analytical, programmatic, technical and healthcare management support

• Provide oversight and management of contracted personnel, to include onboarding and required training

• Obtain and maintain security clearances (background checks) to meet Common Access Card (CAC) requirements and gain access to DHA networks

• Obtain and maintain access, training and successful operation of the Procurement Integrated Enterprise (PIEE) Government Furnished Property (GFP) Module application for the entirety of the performance period

• Safeguard government equipment, information and property provided for use

• Execute various initiatives and projects under the six CQM programs

• Define and maintain standards for consistency across the six CQM programs

• Maintain compliance, generate and update various reports weekly, monthly and/or annually

• Attend in-person meetings at DHA Headquarters in Falls Church, VA

• Provide increased support for surge activities (increase in workload)

• Demonstrate an understanding of healthcare clinical measurement strategies, technical specifications and analysis of data

• Provide subject matter expertise and consultation to the Clinical Measures leadership

• Provide guidance on participate in national quality database registries and provide support for all domains as defined by the National Patient Safety Foundation

• Develop correction action plans and evaluate initiatives to determine effectiveness

• Collaborate to develop appropriate risk-reduction strategies to improve safety and reliability

• Provide extensive knowledge of the Joint Commission accreditation standards in application and assessment of compliance

• Provide administration and management of healthcare clinical measurement utilizing Healthcare

Effectiveness Data and Information Set (HEDIS), National Perinatal Information Center (NPIC), National Surgical Improvement Program (NSQIP) Trauma Quality Improvement Program (TQIP), National Committee for Quality Assurance (NCQA), Oryx, Hospital Compare and Leapfrog

4.0 Responses

4.1 Interested parties are requested to respond to this Sources Sought with a Capability Statement to include two sections: Section 1-Administrative Information per Section 4.3 and Section 2-Requested Information per Section 3.2. Capability Statements should be tailored to the particulars of this effort. In addition, if significant subcontracting or teaming is anticipated in order to deliver technical capability, organizations should address the administrative and management approach for such arrangements.

4.2 Capability Statements should be submitted in Microsoft Word for Office compatible format and are due no later than 1:00 PM EST, Tuesday, October 7, 2025. Responses shall be limited to 8 (eight) pages for Section 2 – Requested Information per Section 3.2 and submitted via e-mail to Crystal Randolph, crystal.d.randolph.civ@health.mil. Please use the following title in your email subject line HT001125RE0034-CQM Support. Proprietary information, if any, should be minimized and MUST BE CLEARLY MARKED. To aid the Government, please segregate proprietary information. Please be advised that all submissions become Government property and will not be returned. Sources Sought submissions submitted after the due date will not be assessed.

4.3. Section 1 of the Capability Statement shall provide administrative information, and shall include the following as a minimum:

4.3.1. Company name, mailing address, phone number, Authorized Point of Contact (POC) and POC e-mail.

4.3.2. In order for the Government to assess the market capability of your company or organization as to the administration of one or more aspects of the CQM contract, please provide the following information:

Please provide the following company information:

a. DUNS;

b. CAGE CODE;

c. Applicable NAICS Codes;

d. Business size status and date of last certification; and

e. Applicable GSA SINs [to include description of SIN product/service classification/description];

f. Contracting vehicles that would be available to the Government for the procurement of the service. [i.e. GSA PSS, GSA OASIS, NASA SEWP, etc.] (This information is for market research only and does not preclude your company from responding to this notice.)

4.3.3. Questions to Respondents – Provide answers to the following questions, include assumptions or other conditions.

a. Given a complete solicitation, would you be able to perform 50% of the cost incurred for personnel with your own employees in accordance with FAR 19.809-2(a)?

b. Considering the answer to the previous question and the likelihoods the results of this Sources

Sought could support a competitive solicitation, would your company respond to a solicitation for competitive proposals?

c. Given the nature of this requirement, do you agree these services are customarily available in the commercial marketplace or are they highly specialized?

d. Given you response to the previous question, what aspects of this requirement do you feel are customarily available or highly specialized?

e. Under which NAICS code does your company usually provide the requirements described in the Sections 2.0 and 3.0?

f. As a small business, does your company have experience, as a prime contractor, with the requested scope of work or similar?

g. If your company has performed this type of effort or similar type effort (to include size and complexity) in the past, provide a brief description of your direct support of the effort?

h. Is your company 8(a) certified by SBA?

mailto:crystal.d.randolph.civ@health.mil

i. Under the current SB 8(a) recertification regulations, do you anticipate your company remaining a small business, under primary stated NAICS code 541611?

j. Because this requirement is anticipated as a 8(a) competitive, will your company be capable of maintaining continuing eligibility in the program prior to award in 2026?

4.4 The number of pages in Section 1 – Administrative Information of the Capability Statement shall not be included in the 8 (eight) page limitation for Section 2 – Requested Information of the white paper.

Section 2 – Requested Information of the Capability Statement shall provide the information as requested in Section 3.0 of this Sources Sought and shall be limited to 8 (eight) pages.

5.0 Industry Discussion

N/A

6.0 Summary

THIS IS A SOURCES SOUGHT ONLY to identify sources that can provide CQM support. The information provided in the Sources Sought is subject to change and is not binding on the Government.

The DHA has not made a commitment to procure any of the items/services discussed, and release of this Source Sought should not be construed as such a commitment or as authorization to incur cost for which reimbursement would be required or sought. All submissions become Government property and will not be returned. Telephone inquiries will not be accepted or acknowledged, and no feedback or evaluations will be provided to companies regarding their submissions. Questions submitted regarding this Sources Sought will not be accepted or acknowledged nor will there be a response.