JA - 25-0366 Bio_Redacted.pdf
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- Biopsychosocial Redacted J & A
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Defense Health Agency
About this file
This is a Justification and Approval (J&A) document for other than full and open competition for Biopsychosocial Training for Physicians at Walter Reed National Military Medical Center. The Defense Health Agency proposes to award a sole-source contract to Dr. Harold Wain for providing specialized physician training focused on understanding and treating unexplained medical symptoms and chronic pain.
The contract will be a Firm-Fixed-Price contract with economic price adjustment, consisting of a 9-month base period (January 13, 2025 - September 12, 2025) and four 9-month option periods, plus a potential 6-month extension through March 12, 2030. The sole-source justification is based on Dr. Wain's unique capabilities and specialized course development specifically for Walter Reed. Market research included a Notice of Intent to Sole Source posted on SAM.gov in November 2024 with no objections received. The training program aims to address the estimated $635 billion annual cost of chronic pain in the U.S. and rising opioid abuse rates by improving how physicians understand and treat patients with unexplained medical symptoms. The program will serve fellows, residents, and staff physicians throughout the Military Health System.
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Print J&A Form Status: Approved
FOR OFFICIAL USE ONLY - Source Selection Information – Se
Justification and Approval for Federal Acquisition Regulation (F
Other Than Full and Open Com Title: Biopsychosocial Training for Physicians J&A Number: JA-25-0366 Created By: Additional POCs:
1. Identification of the agency and contracting activity:
National Capital Region Contracting Division
Biopsychosocial Training for Physicians for the National Capital Region Pain Initiative out of Walter Reed National Milita Physicians throughout the MHS. (Trainees: fellows, residents, staff physicians)
2. Nature and/or Description of Action being Approved:
new contract
3. Description of Supplies/ Services:
Walter Reed are required to explaining the “Unexplained Medical" symptoms and in particular pain are the most frequen estimated 100 million Americans who suffer from chronic pain. The annual cost of chronic pain in the U.S. is estimated productivity. These unexplained medical symptoms have increased the death rate from opioid abuse at alarming rates.
moves forward with a patient to better treat them increasing a better outcome for the patients and overall patient satisfa
This requirement requests the approval of a Sole Source Contract to Dr. Harold Wain, in order to procure Patient Interv to issue a Firm-Fixed-Priced (FFP) contract with an estimated dollar value of and an anticipated Period of periods.
Within the acquisition package provided by the Walter Reid, the customer provided a signed Independent Government
Contract Value
Performance Periods Performance Period Dates
Base Period 13 JAN 2025 – 12 SEP 2025
Option Period 1 13 JAN 2026 – 12 SEP 2026
Option Period 2 13 JAN 2027 – 12 SEP 2027
Option Period 3 13 JAN 2028 – 12 SEP 2028
Option Period 4 13 JAN 2029 – 12 SEP 2029
6-month extension IAW 52.217-8 13 JAN 2030 – 12 MAR 2030
Base + All Options
DHA HEALTH.MIL TRICARE DHHQ
Administrator
Health Affairs DHA Chief of Staff Resources & Personnel Integration (J-1/8) Health Care Administration Support/CAE (J-4/6) DHA J-3/5/7
Services Accessibility Get Connected!
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Pulled from the PWS
TOTAL Contract Value
POP: From 1/13/2025 to 3/12/2030
Estimated Value
BASE
POP: From 1/13/202
Estimated Value
Type of Contract (Primary):
FAR 16.203 Fixed-Price w/ Economic Price Adjustment
Options: Yes
Number of Options:
POP (All options): From
Estimated Value (all optio
Funding Type:
Other Procurement (OP)
Extension of Services: No
Clause:
Estimated Value:
Number of Months:
4. Statutory and Regulatory Authority Permitting Other Than Full and Open Competition (see FAR 6.302), or the Exception to 8(a) Program Competitive Requirements (see FAR 19.805-1):
10 U.S.C. 2304(c)(1) 6.302-1 -- Only One Responsible Source and No Other Supplies or Services Will Satisfy Agency R
10 U.S.C 2304(C)(1) 6.302-1 – Only One Responsible Source and No Other Supplies of Services Will Satisfy Agency R
5. Rationale Justifying Use of the Statutory Authority Cited:
Walter Reed National Military Medical center Biopsychosocial Training for Physicians has identified the annual cost of c expenses, lost income, and lost productivity. These unexplained medical symptoms have increased the death rate from impact how and why a provider moves forward with a patient to better treat them increasing a better outcome for the pa seamlessly interface with (1) Rigorously execute its progress on Walter Reed and in the National Capital Region Biopsy execution effectiveness, transparency, and compliance; (2) Strengthen communication and intervention approaches an Biopsychosocial Training for Physicians Program listening and understanding the variables that contribute to patient pre Dr. Harold Wain has the unique capability of providing the Biopsychosocial Training for Physicians Program, including d on learning the techniques, management of topics that concern each provider and is tailored to the needs of each indiv consult and support and other webinars, overlook and contribute to the chronic abuse of opioids or medical intervention biopsychosocial model, meeting and supervising all attendees on understand concepts and implementing them with pa
If the training for physicians is replaced with a Psychiatry/ Psychology and Internal Medicine & Addiction Medicine docto Program would fail as no other Psychiatry/ Psychology and Internal Medicine & Addiction Medicine doctor would be abl teaching in this course that Dr. Harold has developed specifically for Walter Reid. No other Psychiatry/ Psychology and Biopsychosocial Training for Physicians that Dr. Harold Wain provides without significant customization for how the train course.
Having a Psychiatry/ Psychology and Internal Medicine & Addiction Medicine doctor other than Dr. Harold Wain at Walte biopsychical model, meeting and supervising all attendees on understand concepts and implementing them with the pa
6. Efforts to Obtain Competition:
Market research was conducted by issuing a “Notice of Intent to Sole Source" on SAM.gov for five days IAW FAR 5.203 Physicians, on November 26, 2024. In the notice, the Government identified the applicable North American Industry Cla The Government did not receive any objections to the notice of intent.
7. Determination that Anticipated Cost to the Government will be Fair and Reasonable:
The Contracting Officer determines that the anticipated prices will be fair and reasonable by using the techniques identi prices. The Government will conduct a comparison of the proposed prices to the independent cost estimates and with p we are not in a non-commercial environment where certified pricing is needed per the listed FAR 15.403. This r conducting a Price analysis (the over cost of the proposal) and NOT a Cost analysis (evaluating each element).
8. Market Research:
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Market Research Conducted? Yes When was it conducted? 7/15/2024 to 11/15/2024 Description:
Market research was conducted by issuing a “Notice of Intent to Sole Source" on SAM.gov for five days IAW FAR 5.203 Immunochemistry System, on January 11, 2023. In the notice, the Government identified the applicable North American Laboratory Instrument Manufacturing. The Government did not receive any objections to the notice of intent.
Additional market research consisted of reviewing mandatory and non- mandatory sources for Biopsychosocial Training conducted on the General Services Administration (GSA) and the Federal Supply Schedule (FSS), which also revealed Conversation with the program manager, , indicated that there are no practical alternatives av Management physicians. Based on the market research findings and vendor information obtained, it was determined th unique type of training for the Department of Pain Management located at WRNMMC, Bethesda, MD.
9. Other Facts:
N/A
10. Interested Sources:
N/A
11. Actions to overcome barriers:
Market research was conducted in an attempt to identify other sources. At this time, there are no sources available that for full details). For future requirements of similar products, the Government will consider new technology if market rese WRNMMC mission, and the alternative products provide additional benefits to the Government such as cost savings an
Coordination & Approval
12. Technical/Functional Representative:
I certify that the information provided in this justification is accurate and complete to the best of my knowledge and beli
Name: Title: Senior Pro
Approved:
Comments:
13. Requirements Certification:
I certify that the information provided in this justification is accurate and complete to the best of my knowledge and beli
Name: Title:
J-Directorate Office
Approved:
Comments:
14. Fair and Reasonable Cost Determination:
I have determined that the anticipated cost to the Government for this contract action is fair and reasonable.
Name: Title: Contracting Off
Approved:
Comments:
15. Legal Review:
I have reviewed this justification and have found it to be legally sufficient.
Name: Title: Offi
Approved:
Comments:
16. Contracting Officer:
I certify that this justification is accurate and complete to the best of my knowledge and belief.
Name: Title: Contracting Off
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Approved: Sikaffy, Carlos - 19 Dec 2024, 11:03:16
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