HT001124RFI0092 Request for Info NSQIP.pdf

REQUEST FOR INFORMATION (RFI)

NATIONAL SURGICAL QUALITY IMPROVEMENT PROGRAMS (NSQIP) FOR

ADULT, PEDIATRIC, BARIATRIC, AND TRAUMA

1.0 Description

1.1 THIS RFI IS BEING ISSUED IN ACCORDANCE WITH DFARS PGI 206.302-1, IN

WHICH DHA SEEKS TO ISSUE A SOLE SOURCE CONTRACT FOR SURGICAL

QUALITY IMPROVEMENT PROGRAMS AND ACCREDITATIONS. The Medical Affairs, Clinical Support Division, Clinical Quality Management Branch, Clinical Quality Measurement Program of the Defense Health Agency (DHA) has a requirement to provide surgical quality improvement programs for the Department of Defense (DoD) military treatment facilities (MTFs) located worldwide to sustain and improve the quality of inpatient surgical care.

1.2 THIS IS A REQUEST FOR INFORMATION (RFI) ONLY. This RFI is being issued solely for information and planning purposes. 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 RFI; all costs associated with responding to this RFI will be solely at the interested party’s expense. Not responding to this RFI 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 requirement to provide memberships in national quality programs, to include the National Surgical Quality Improvement Programs (NSQIP) for Adult and Pediatric, Metabolic and Bariatric Surgical Accreditation and Quality Improvement Program (MBSAQIP), Trauma Quality Improvement Program (TQIP) and Cancer Accreditation and Quality Programs. Memberships and membership support/training will be provided by the contractor. In addition, the contractor shall provide program verification and/or accreditation.

The Government will not provide direct supervision or control over the contract service personnel performing the services herein. Contractor personnel shall be accountable solely to the Contractor who, in turn is responsible to the Government.

2.2. The DoD is committed to providing quality inpatient surgical care. In 2003, DoD designed for implementation a pilot program to test the applicability of the Veteran Affairs (VA) and American College of Surgeons (ACS) National Surgical Quality Improvement Programs (NSQIP) program in DoD hospitals. Three military hospitals representing the Army, Air Force and Navy were selected to participate in the NSQIP program. As a result of the pilot program and the continued success of the VA and ACS NSQIP, the Assistant Secretary of Defense for Health Affairs adopted ACS NSQIP as the DoD initiative to improve the quality of surgical patient care in MTFs. The program is designed to support the MTFs and program offices in meeting quality assurance directives and patient privacy requirements. These directives require surgical quality improvement programs to be employed to improve inpatient surgical care.

3.0 Requested Information

3.1. DHA has a requirement to provide ACS NSQIP in adult, pediatric, bariatric, and trauma specialty areas with the requirements listed below in section 3.2 and 3.3. Describe your capability and experience to provide surgical quality programs in adult, pediatric, bariatric, and trauma specialty areas for hospitals with established nationally recognized standards, tools, materials, reporting, and accreditation capabilities.

3.2. Capability Needs:

3.2.1. Capability to provide valid, risk-adjusted outcome measures for inpatient/outpatient surgery for surgical specialty areas of adult, pediatric, bariatric, and trauma.

3.2.2. Capability to compare military hospitals inpatient surgery outcomes to civilian hospital surgical patient outcomes.

3.2.3. Capability to provide a surgical program that may be used in both the academic (Graduate Medical Education Programs) and non-academic hospital settings.

3.2.4. Capability to provide consistent methodology that allows outcomes from other surgical programs to be compared with each other.

3.2.5. Capability to develop and maintain current standards focused on surgical quality patient care.

3.2.6. Capability to meet DOD and Federal Law requirements for cybersecurity and agreements (hospital participation and business/data sharing agreements) prior to the contract award.

3.2.7. Capability to provide training programs available for the data abstractor to assure consistency in data abstraction. Inter-reliability must be assured.

3.2.8. Capability to provide regular reports minimum four per year comparing outcomes to civilian hospitals.

3.2.9. Capability to provide collaborative reports comparing MTFs with each other.

3.2.10. Capability to provide online support and tools for quality improvement (patient risk assessment, reference materials, etc.).

3.2.11. The data should include all age categories represented in the MHS active duty and beneficiary populations.

3.2.12. Capability to provide tools for real- time quality data trends.

3.2.13. Capability to provide DHA, Markets, and MTF’s with a secure, role-based organization-specific portal with a bi-directional communication capability for surgical quality information. The portal shall serve as the electronic access point for communications, reference materials for program support collaborative reports, quality program changes, submission of questions for standards clarification, and performance improvement services used in the surgical quality program.

3.2.14. Capability to provide national accreditation or verification for bariatric and trauma programs/centers.

3.2.15. Data pulled from chart abstraction.

3.3. Membership needs:

3.3.1 Training of Surgical Case Reviewers on variables for preoperative risk factors, intraoperative events, and 30-day postoperative mortality and morbidity outcomes for patients undergoing major surgical procedures in both inpatient and outpatient settings.

3.3.2 Data quality assurance, analysis, and modeling for observed to expected surgical outcomes based on a nationally validated, outcome-based, risk-adjusted model.

3.3.3 Reports which provide for continual viewing of aggregated facility data for comparison with other participating sites as well as DoD system aggregated data through established and ad hoc reporting capabilities.

3.3.4 Access to all program reports and program portal tools, provided to the Contracting Officer Representative (COR) and to the DoD Program Manager.

3.3.5 Membership Support Services and database availability.

3.3.6 Accreditation of MTF bariatric and cancer programs.

3.3.7 Consultation, Review, Verification/Reverification of MTF trauma programs.

3.3.8 Two Levels of Quality Verification Programs with NSQIP membership programs.

4.0 Responses

4.1 Interested parties are requested to respond to this RFI with a Capability Statement to include two sections: Section 1-Administrative Information per RFI Section 4.3 and Section 2- Requested Information per RFI section 3.0. 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 PM EST, Friday, November 8, 2024. Responses shall be limited to 8 (eight) pages for Section 2 – Requested Information per RFI 3.0 and submitted via e-mail to Crystal Randolph, crystal.d.randolph.civ@health.mil. Please use the following title in your email subject line HT0011-24-RFI-0092 ACS NSQIP Capabilities. 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. RFI 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. Name, mailing address, overnight delivery address (if different from mailing address), phone number, fax number, and e-mail of designated point of contact.

4.3.2. Recommended contracting strategy.

4.3.3. 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 Surgical Quality Improvement Programs contract, please provide the following information:

Please provide the following company information:

a. Company Name;

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

b. DUNS;

c. CAGE CODE;

d. Applicable NAICS Codes;

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

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

g. 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.)

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

a. Given a complete solicitation, what would be the minimum time the business concern would reasonably require for preparing a quote or proposal for a competition?

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

RFI could support a competitive solicitation, would the business concern respond to a solicitation for competitive quotes or proposals?

4.3.5. In response to this RFI, please answer the following questions based on DFARS Clause 252.204-7008 and 252.204-7012.

a. Is your company currently compliant with the requirements for information systems in the DFARS provision 252.204-7012?

b. If your company is not currently compliant, and your company is interested in submitting a quotation or proposal under any future resulting solicitation, could your company become compliant with DFARS 252.204-7012 by the time of submission of a quotation or within 30 days of submission of a quotation?

c. Is your company and associated company employees working Cybersecurity (Information Assurance (IA))/Cyberspace functions compliant with DoD training requirements in Department of Defense Directive (DoDD) 8140.01 (latest version), and DoD 8570.01-M (latest version)?

d. If your company is not currently compliant and your company is interested in submitting a quotation or proposal under any future resulting competition, could your company become compliant with DoDD 8140.01 and DoD 8570.01-M by the time of submission of a quotation or proposal or within 30 days of submission of a quotation or proposal?

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 RFI and shall be limited to 8 (eight) pages.

5.0 Industry Discussion

N/A

6.0 Summary

THIS IS A REQUEST FOR INFORMATION (RFI) ONLY to identify sources that can provide Surgical Quality Program with Accreditation Verification Capabilities. The information provided in the RFI 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 RFI 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 RFI will not be accepted or acknowledged nor will there be a response.