EXP2513 PUR7776 Trackvia Final.pdf

PUR 7776 (Revised 07/2022) Page 1 of 2 Incorporated by Reference: Rule 60A-1.045, F.A.C.

DESCRIPTION OF INTENDED

SINGLE SOURCE PURCHASE

(PUR 7776)

This description of commodities or contractual services intended for purchase from a single source is posted in accordance with Sections 120.57(3) and 287.057(3), Florida Statutes (F.S.), and will remain posted for a period of at least 15 business days.

Commodity or Contractual Service Required (commodity or United National Standard Products and Services Code (NSPSC), manufacturer, model, and description, as appropriate):

83121603: Computerized Information Retrieval Systems 83121604: Online Database Information Retrieval Systems 83121605: Remote Database Information Retrieval Systems

Quantity or Term (as appropriate):

Three Years

Requestor (division, bureau, office, individual, as appropriate):

FDOH, Correctional Medical Authority (CMA)

Performance and/or Design Requirements (e.g. intended use, function or application, compatibility, requirements; reference to policy, rule, statute or other act of the Legislature, etc., as appropriate):

The FDOH CMA has a need to purchase a subscription to TrackVia, which is a third-party business application. The CMA is required per section 945.6031, Florida Statutes to conduct triennial surveys of the Florida Department of Corrections health care delivery system. To facilitate surveys, the CMA conducts clinical medical records reviews. The CMA is transitioning to electronic records keeping for auditing. CMA’s current electronic data collection platform, Formstack

AGENCY: Florida Department of Health (FDOH)

TITLE: Trackvia

Short description of the commodity or services desired: TrackVia web-based low-code business application that integrates with the Formstack platform to automate business workflows.

CONTACT

Name: Bill Zimmerman Address:4052 Bald Cypress Way Telephone: (850) 617-5897 Email: bill.zimmerman@flhealth.gov

Internal tracking number, if any: EXP2513

Date posted: 6/26/2023 Last day for receipt of information: 7/18/2023

PUR 7776 (Revised 07/2022) Page 2 of 2 Incorporated by Reference: Rule 60A-1.045, F.A.C.

Forms, requires additional program integrations for data analysis and reporting. Formstack Forms requires users to select applications within their menu of app integrations to activate additional program automations and workflow uses.

In accordance with Chapter 60A-1.045, Florida Administrative Code, the FDOH, Correctional Medical Authority requests authorization to purchase as a single source, the transitioning of electronic records keeping.

Intended Single Source:

Trackvia, Inc.

Estimated Dollar Amount:

$64,400.00

Justification for single source acquisition (what is necessary and unique about the product, services or source; steps taken to confirm unavailability of competition, as appropriate):

• Trackvia’s platform is the only available integration through CMA’s data collection platform, Formstack Forms, that facilitates data analysis and reporting capabilities.

Approved By (names & titles, as appropriate, e.g., requestor, requestor management, information systems, budget, purchasing):

Allegra Small, Purchasing Director

Prospective vendors are requested to provide information regarding their ability to supply the commodities or contractual services described. If it is determined in writing by the agency, after reviewing any information received from prospective vendors, that the commodities or contractual services are available only from a single source, the agency shall provide notice of its intended decision to enter a single-source purchase contract in the manner specified in Rule 60A-1.045, Florida Administrative Code, and section 120.57(3), F.S.