MC4_EFO_FBO_Posting_15_Aug_2019.pdf

GSA ITSS Order ID No.: ID03140028

NOTE: This document is prepared in accordance with FAR 16.505(b)(2)(ii)(B)

Source Selection Information - See FAR 2.101 and 3.104

Exception to Fair Opportunity

Department of the Army, Enterprise Information Systems (PEO EIS), Medical Communications for Combat Casualty Care (MC4)

This document is prepared in accordance with FAR 16.505(b)(2)(ii)(B).

1. IDENTIFICATION OF THE AGENCY AND THE CONTRACTING ACTIVITY

The requiring activity is the Department of the Army, Enterprise Information Systems (PEO EIS), Medical Communications for Combat Casualty Care (MC4) Program Management Office (PMO) located at Fort Detrick in Maryland. The MC4 PMO provides fully integrated medical products and information/communications solutions to effectively and seamlessly link all echelons of deployable medical care.

The contracting activity is GSA/FAS, Region 03, the DOW Building, 100 S. Independence Mall West, 3rd Floor, Philadelphia, PA, 19106.

2. NATURE AND/OR DESCRIPTION OF THE ACTION BEING APPROVED

The Government intends to issue a modification to extend the GSA Contract No.:

GS00Q09BGD0037, Task Order No.: GSQ0315DS0005 with CACI by 12 months to support the current needs of the MC4 program. The cost of the extension is estimated to be which is consistent with the cost of the fourth option of this task order. The extension is needed to allow MC4 to continue to support its current mission, while a Memorandum of Agreement to define roles and responsibilities between the Joint Operational Medicine Information Systems (JOMIS) PMO and the MC4 PMO is finalized, and the revised Joint Operational Medicine Information Systems, Increment 1 (JI1) software delivery schedule is approved.

3. DESCRIPTION OF THE SUPPLIES REQUIRED TO MEET THE AGENCY’S NEEDS

MC4 systems provide visibility of deployed medical forces and casualties, as well as, an accurate and timely means for documenting healthcare from the point of care to a centralized database – making the information available worldwide. The system is comprised of joint software (Theater Medical Information Program-Joint (TMIP-J) applications), commercial and government-off-the-shelf software and IT hardware products. The MC4 PMO deploys the Army capability required by federal law that ensures Service members have a secure, accessible, lifelong electronic medical record (EMR) to improve health care outcomes and enhance access to Veterans Affairs benefits. The TMIP- J suite of software will eventually be modernized with a Commercial-off-the-Shelf (COTS) solution JI1 under a new joint program that will also be supported by the MC4 PMO.

The incumbent, CACI NSS, Inc. is currently providing the following services: advanced development of enabling software and technologies; integration and initial testing; production engineering;

operational testing; new equipment fielding and training; and post deployment system technical (PDST) support and system administrator support. Performance under this contract is required throughout the continental United States (CONUS) and 32 foreign countries, as well as contingency (combat) areas, which are defined by the US State Department as hazardous duty areas.

Contingency operations areas include or have included: Iraq, Afghanistan, and Operation Enduring Freedom (OEF) in Southwest Asia (SWA).

4. IDENTIFICATION OF THE EXCEPTION TO FAIR OPPORTUNITY AND THE SUPPORTING

RATIONALE

This exception to fair opportunity is supported by FAR 16.505(b)(2)(i)(A), the agency need for the supplies or services is so urgent that providing a fair opportunity would result in unacceptable delays.

The MC4 program supports all Army medical documentation systems worldwide. A break in service would jeopardize patient medical data and point-of-care treatment, with increased risk of endangering lives.

The Program Executive Office, Defense Healthcare Management Systems (PEO DHMS) is the acquisition organization that oversees integration and implementation of both the legacy and modernized Electronic Health Record (EHR) Software Systems (Theater Medical Information Program-Joint (TMIP-J) and MHS GENSIS, respectively) in the Department of Defense (DoD). PEO DHMS relies on the DoD Healthcare Management System Modernization (DHMSM) Program Management Office (PMO) for fixed medical facility implementation and the JOMIS PMO for implementation of the deployed modernization SW, as well as, sustainment of TMIP-J SW for the US Army, Navy, Marine Corps, and Air Force. PEO DHMS has approved an acquisition plan that initiates modernization with fielding of pilot installs at fixed medical facilities by DHMSM followed by deployed modernization executed by the JOMIS PMO.

MC4 PMO is the Army’s chartered acquisition organization responsible for integration, deployment and operational support to the EHR SW Systems provided by JOMIS to deployed or deploying units.

MC4 reports to an O6 Program Manager within the Program Executive Office, Enterprise Information Systems (PEO EIS). PEO EIS has responsibility within the Army for acquisition management of tactical and non-tactical information technology systems and communications.

As the DHMSM PMO approves MHS GENSIS SW updates, engineering drops are provided to JOMIS PMO for test and evaluation of JI1 software. Both of these PMO’s can affect how and when the MC4 implements the modernized SW System, as well as, the sustainment period for the current TMIP-J system. While JI1 technical efforts are ongoing, the JOMIS PMO continues to provide sustainment updates to the legacy SW (TMIP-J). Army/MC4 will continue operational support to TMIP-J SW until JOMIS PMO delivers the modernized system and all active users are fielded and trained. During this transition period, MC4 will be supporting both SW baselines for approximately 8- 12 months.

Approximately 1 year ago, JOMIS PMO had an approved plan for JI1 to be delivered to Army/MC4 for integration testing by 4Q19; although this date has slipped, no firm delivery date has been announced. The schedule slip was primarily the result of difficulties associated with DHMSM implementation for the first wave of pilots at fixed medical facilities. MC4 Product Director has been advised that the TMIP-J software, which is currently being deployed by MC4, must maintain viability until JI1 software is fielded to Army units.

Currently, JOMIS and MC4 PMOs are in the process of developing a Memorandum of Agreement (MOA) to define each organization’s roles and responsibilities (with regard to user training, Software (SW)/Hardware (HW) integration, testing) for the TMIP-J and JI1 SW Systems. When complete, this MOA will provide the necessary mission clarity to define Army support to the legacy and modernized systems beyond FY20. A one-year task order extension through 31 Dec 2020 will enable MC4 to continue TMIP-J SW support, while the JOMIS PMO finalizes the MOA with the Services and determines its JI1 deployment schedule. It is anticipated that the JOMIS PMO will work with the Services to complete the MOA over the next 6-8 months. A completed MOA and updated deployment schedule are critical to developing the Performance Work Statement and Independent Government Cost Estimate for the recompete of the MC4 support task order. As a result of the previously stated JOMIS delay, MC4 cannot accurately define the technical requirements beyond the end of 2020.

The extension will provide MC4 12 months to establish the schedule with JOMIS and solidity of the roles and responsibilities.

Any break in service will lead to degraded Army readiness and adversely impact contingency operations. If MC4 support were to end on 31 DEC 2019, Army medical providers would be forced to change from electronic documentation of health care to paper and medical logistics support would become a manual process placing Soldier health at increased risk.

5. FAIR AND REASONABLE DETERMINATION

The Government has determined that it is impracticable to secure services of the kind and quality required without use of Time and Materials type task order. The Government realizes that although the risk of performance is higher in a non-fixed-price task, there will be adequate controls in place such as a not-to-exceed ceiling price, overall contractor performance monitoring and surveillance methods to assure quality and control costs. Based upon the nature of this requirement and the presence of the above-described risk-mitigating controls, such task order contract type is justified.

6. OTHER FACTS SUPPORTING THE JUSTIFICATION

The GSA Alliant GWAC was selected as the best procurement approach for this acquisition in terms of scope, skill category depth, teaming partner potential, and breadth of contractor pool capable of promoting strong competition. Ultimately, it was determined that conducting a competitive acquisition under the GSA Alliant GWAC, following the procedures in FAR Part 16, offers the best and most efficient acquisition strategy for the client. The GSA Alliant GWAC provides a means of meeting the client’s needs quickly, efficiently, and cost effectively. In addition, the MC4 program has been successfully performed under the GSA Alliant GWAC since 2014 via Task Order GSQ0315DS0005 / ITSS Order ID03140028.

7. ACTIONS TO REMOVE OR OVERCOME ANY BARRIERS THAT LED TO THE EXCEPTION

TO FAIR OPPORTUNITY

The MOA between JOMIS and MC4 is anticipated to be completed by December 2019. This agreement will provide the necessary detail required for the Government to begin developing the PWS for the re-compete of this requirement. MC4 and JOMIS are completing the below discussed interim activities that will lead to an executed MOA by December 2019. The milestones include completion by both PM JOMIS and PD MC4. The milestones include:

Draft MOA completed in Spring 2019

Leadership review of Draft MOA to be completed by 30 June 2019

Staff review and revision of Leadership comments to be completed by 30 July 2019

Final Draft review to be completed by 15 August 2019

Final MOA staffing for signature to begin by 1 September 2019

The Government will solicit only CACI NSS, Inc. under their GSA Alliant GWAC contract to enable the fulfillment of this requirement. No other firm can provide the necessary services at requisite level of expertise within the timeframe required; however, the Government anticipates that the forthcoming MC4 requirement will be competed under fair opportunity upon expiration of this 12 month extension.

CERTIFICATIONS AND APPROVALS