JA Physio Monitors.pdf

Part 806.3 Other Than Full and Open Competition (OFOC) Attachment 7: Request for Sole Source Justification Format >SAT

Rev: 13 Effective Date: 02/01/22 Page 1 of 7

DEPARTMENT OF VETERANS AFFAIRS

Justification and Approval (J&A) For

Other Than Full and Open Competition (>SAT)

Acquisition Plan Action ID: 36C255-22-AP-1887

1. Contracting Activity: Department of Veterans Affairs (VA), Network Contracting Office 15 (NCO 15), 3450 S. 4th St, Leavenworth, KS 66048 in support of Veterans Integrated Service Network (VISN) 15, Heartland Region. The following VA Medical Centers (VAMC) are included in this acquisition:

Wichita, Topeka, Leavenworth, Kansas City, Columbia, St. Louis (Jefferson Barracks and John Cochran), Marion (including the Evansville, IN Health Center) and Poplar Bluff Medical Centers.

Each facility will fund their portion of the contract:

Wichita: 491-22-2-1025-0018; Topeka: 491-22-2-1025-0017; Leavenworth: 491-22-2-1025-0016;

Kansas City: 491-22-2-1025-0014; Columbia: 491-22-2-1025-0012; St. Louis: 491-22-2-1025-0019;

Marion and Evansville: 491-22-2-1025-0013; Poplar Bluff: 491-22-2-1025-0015.

2. Nature and/or Description of the Action Being Processed: Request for a brand name acquisition to upgrade the Philips PIIC iX bedside patient monitoring equipment and to purchase two new orbital consolidated Philips IntelliBridge Interface Engines (IBE) within VISN 15. The Philips PIIC iX Monitoring system is standardized across VISN 15 in all patient monitoring areas, including telemetry locations. This is to be solicited as a new firm-fixed-price contract.

3. Description of Supplies/Services Required to Meet the Agency�s Needs: Provide all new bedside monitoring devices that seamlessly integrate with the existing Philips PIIC iX system. The existing Philips PIIC iX monitoring system provides a compreshensive patient monitoring platform across the continuum of care within VISN 15. This includes central stations which offer powerful clinical decision support tools, early warning scoring and advanced algorithms to identify critical patient events.

Upgrade and reconfigure existing system into two orbital (Eastern and Western) and redundant IBE environments which will allow the bedside monitors to communicate with Electronic Health Record (EHR) platforms. Philips PIIC iX is intergratable with multiple EHR vendors including Cerner, Philips ICCA, and Draeger Innovian using their IBE platform, of which VISN 15 already has an installed base.

The IBEs shall include test environments and failover capability.

Table of items and quantities being ordered and installed.

Description/Part Number Qty

402 Draeger Apollo Driver 865115_402-1 229

402 Draeger Apollo ID Module 865114_402-1 59 711 Edwards EV1000 driver 865115_711-V15 229 711 Edwards EV1000 ID Module 865114_711-V15 85

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739 Edwards HemoSphere driver 865115_739-V15 229 739 Edwards HemoSphere IDM 865114_739-V15 85 862277 Invasive Blood Pressure Module 862277-15

862277 Invasive Blood Pressure Module 862277-VA15

862453 Cables for IntelliVue 862453-1-V15

862453 Cables for IntelliVue 862453-V15

865114 IntelliBridge EC5 ID-Module 865114

865114 IntelliBridge EC5 ID-Module 865114-1-V15

865115 IntelliBridge EC10 Modul 865115-1-V15

865115 IntelliBridge EC10 Module 865115 229

865383 IntelliVue NMT Modul 865383-1

866066_NAM

IntelliVue MX550 US 866066_NAM

866336 Thermal Array Recorder Module 866336-VA15

866421 IntelliVue BIS Module 866421-V15

866468 IntelliVue FMX-4 866468-1-V15

866468 IntelliVue FMX-4 866468-2-V15

866468 IntelliVue FMX-4 866468-V15

866471 IntelliVue MX750 patient monitor 866471-1-V15

866471 IntelliVue MX750 patient monitor 866471-V15 372

867030 IntelliVue Multi-Measurement Module X3 867030-1-V15 12 867041 IntelliVue Microstream Extension 867041

867041 IntelliVue Microstream Extension 867041-1-V15

989803104341 Adult NIBP Air Hose 3.0m 989803104341-15

989803125841 5 Leadset, Grabber, AAMI, ICU 989803125841-15

989803128651 Sp02 8-pin D-sub Adapter cable 3m (8pin) 989803128651-15

Effective Date: 02/01/22 Page 3 of 7

989803145061 CBL 5 Lead ECG Trunk, AAMI/IEC 2.7m 989803145061 12

989803199741 Dual IBP Adapter 989803199741-15

989805710227 Hook: VHM, M-Series, 2 Hook 989805710227-15A 12

989805710340

VHM-PL: MX600-850, AD75/85, SA, 9" DP 989805710340-15A 380

989805710348

VHM-PL: MX400-550, MP20-50, SA 989805710348-15A 241

A01 EC10 module RS232/LAN 865115_A01-1 229 A08 8-wave capability 866471_A08-V15 372 AL1 MX550 Advanced Monitor 866066_NAM_AL1_V15 241 B01 BIS Device 866421_B01-V15 177 B01 Deploy EC5 mod EC40/80 hub MXU0130_B01-1-V15 207 B06 Add dual IBP, Temp 867041_B06 598 C01 Analog Output for Balloon 862277_C01-V15 175 E20 Multi-Measuremnt Module Mt 866468_E20-V15 372 E24 One Lithium Ion Battery 866066_NAM_E24-1 241 H12 Intensive Care Software 866471_H12-V15 372 J13 RS232/MIB Interface 866066_NAM_J13-1 241 J13 RS232/MIB interface 866471_J13-V15 372 J15 Adaptive Secondary Display 866066_NAM_J15-15 241 J15 Replica Display 866471_J15-V15 372 J45 Smart Hopping IF 1.4 GHz 866066_NAM_J45-1 241 K01 NMT Patient Cable 865383_K01 152 K20 BIS 4-Electrode Sensors 866421_K20-V15 177 L02 Connection Cables 3m 865114_L02-1 229

MXU0462

Roll Stand: MX400-800, MP40-70, MP5 MXU0462-15

SC1 System Cables 0.75m 862453_SC1-V15 354 SC1 System Cables 0.75m 862453_SC1-V15-1 18 SC2 System Cables 2.0m 862453_SC2-V15 354 SC2 System Cables 2.0m 862453_SC2-V15-1 18 866183 IntelliBridge Enterprise 866183-0 4 A02 LABS System License 866183_A02-15 1 A03 Orders System License 866183_A03-15 1 A05 OTHER System License 866183_A05-15 2 A19 Config for ADT Changes MXU0130_A19-1-V15 2 E01 Expression IP5 30 Bed Conf MXU0130_E01-V15 2 M01 Expression IP5 License 866183_M01-15 9 P02 PIIC iX 128 Beds License 866183_P02-2 6 P02 PIICix Pat.Identity Match MXU0130_P02-1-V15 3

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P03 PIIC Patient ID Matching 866183_P03-2 2 P06 PIICix Lab Interfce Config MXU0130_P06-V15 2 P07 PIIC Document Export 866183_P07-1 2 P08 PIIC iX Lab 866183_P08-1 2 P12 PIIC iX Orders Interface 866183_P12-15 2 P12 PIIC/PIIC iX 128 Bed Confg MXU0130_P12-1-V15 1 S01 SureSigns VS 400 Beds 866183_S01-V15 5 S01 SureSigns VS 400 Beds. 866183_S01-V15 4 S06 SS Patient ID Match 866183_S06-15 9 S07 SS User Dev Authentication 866183_S07-15 9

The total estimated cost of all equipment requested: $17,266,621.24. Delivery and scheduling of installation is estimated to be 12 months for completion of all facilities.

4. Statutory Authority Permitting Other than Full and Open Competition:

(X ) (1) Only One Responsible Source and No Other Supplies or Services Will Satisfy

Agency Requirements per 41 USC §3304(a)(1) as implemented by FAR 6.302-1;

5. Demonstration that the Contractor�s Unique Qualifications or Nature of the Acquisition Requires the Use of the Authority Cited Above (applicability of authority): VISN 15 standardized to all Philips patient monitors after a General Services Administration (GSA) Federal Supply Schedule (FSS) competitive procurement in 2013, V797P-2238D/VA255-13-F-4066. Maintenance of that system has been accomplished under various GSA FSS and Government Wide Acquisition Contract (GWAC) delivery and task orders to authorized Service-Disabled, Veteran-Owned Business (SDVOSB) authorized Philips resellers.

The Philips PIIC iX Monitoring System is a highly specialized hardward and software platform that allows nurses and physicians to monitor and assess a patients physiological data. The Philips physiological monitoring system is a major system that is used throughout all VISN 15 Medical Centers. Any new equipment must be compatible with the existing Philips brand equipment. There are no known brands of equipment, other than Philips, that are compatible with the Philips PIIC iX Monitoring System. If VISN 15 were to change brands, all the front-end hardware, servers, and software would have to be replaced by another manufacturer�s product. This acquisition is not a complete replacement of the system, but rather an upgrade to certain pieces of equipment and software in support of the Electronic Healthcare Record Modernization (EHRM) initiative. Not all of the system hardware is at its end of useful life. A complete replacement of our VISN-wide Physiological Monitoring System(s) would result in additional costs exceeding $13.7M. This cost was determined by valuing the replacement cost of existing equipment that will remain in use. Replacing the system with another brand would result in a substantial duplication of cost that is not expected to be recovered through competition. Additionally, it would take an estimated two years to complete an entire replacement of the systems. This replacement would result in an unacceptable delay in fulfilling the VISN�s requirements. The use of the Philips brand name description is essential to the Government�s requirements, thereby precluding consideration of a product manufacturered by another company.

Effective Date: 02/01/22 Page 5 of 7

NAICS 334510 is on the NAICS Class Waiver list and the market research conducted supports setting aside the procurement to an SDVOSB. In the interest of the of the VA rule of two, competition shall be restricted to authorized, capable, and interested SDVOSB vendors.

6. Description of Efforts Made to ensure that offers are solicited from as many potential sources as deemed practicable:

Market research was conducted by the VA. VISN 15 sought to identify, through market research, any vendors that could supply Philips Bedside monitors and IBEs. A letter was obtained from Philips indicating that only authorized distributors or resellers were able to provide the items being requested and that there are two SDVOSB authorized distributors of Philips. A sources sought synopsis was posted on three different government points of entry (GPEs), System for Award Management Contract Opportunities (SAM), GSA eBuy, and Defense Logistic Agency�s Scientific and Engineering Workstation Procurement (SEWP) site. Two verified SDVOSBs responded to the sources sought as capable and interested in submitting a proposal, making it possible to set the acquisition aside for SDVOSBs in accordance with 38 U.S. Code § 8127(d) � Small business concerns owned and controlled by Veterans: Use of Restricted Competition.

7. Determination by the CO that the Anticipated Cost to the Government will be Fair and

Reasonable:

The Contracting Officer (CO) will primarily rely on the forces of competition to determine the price to be fair and reasonable. Additionally, the CO may use a comparison of prices offered to those offered under a GSA Schedule or SEWP contract for the same or similar items as well as other price analysis techniques identified in FAR 15.404-1(b)(2) to determine prices offered to be fair and reasonable.

8. Description of the Market Research Conducted and the Results, or a Statement of the Reasons Market Research Was Not Conducted:

The Government�s technical experts and Contracting Officer conducted market research from March � June 2022. The market research encompassed reviewing the following to identify products that would be compatible with Philips PIIC iX Monitoring System: Reviewing the acquisition history, Querying the Vendor Information Pages (VIP) to identify any VOSB/SDVOSBs, interviewed Subject Matter Experts at the VHA to obtain known sources and products, contacting the manufacturer to obtain a list of authorized distributors and to identify any compatible products, searching SAM, GSA eBuy, SEWP GWAC, VA Strategic Acquisition Center�s Agency Wide contracts, VA�s High Tech Medical Equipment contracts, and Federal Procurement Data System (FPDS) to find authorized disbtibutors of Philips products. Additionally, a sources sought synopsis was published on SAM Contract Opportunities, GSA eBuy, and SEWP GPEs. This market research resulted in two SDVOSBs responding as capable and interested in performing the work. No other sources were identified that could provide the products and services requested.

The items being acquired are manufactured outside the United States. The Buy American Statute will apply. The Trade Agreements Act is not applicable when awarding to a Small Business per FAR 25.401(a)(1). A Waiver to the Buy American Statute will be sought.

9. Any Other Facts Supporting the Use of Other than Full and Open Competition: None.

Effective Date: 02/01/22 Page 6 of 7

10. Listing of Sources that Expressed, in Writing, an Interest in the Acquisition:

Four Points Technology, LLC 14900 Conference Center Dr, Ste 100 Chantilly, VA 20151-3834

Alliant Enterprises, LLC 2140 Oak Industrial Dr NE Grand Rapids, MI 49505-6014

11. A Statement of the Actions, if any, the Agency May Take to Remove or Overcome any Barriers to

Competition before Making subsequent acquisitions for the supplies or services required:

Medical Equipment is high tech and proprietary in nature and generally manufacturer�s products are not cross compatible. The Contracting Officer will recommend that the using service continue to survey the market for products that may be compatible with Philips brand to obtain competition.

Additionally, when the system reaches its end of useful life and a replacement system is sought, a competitive acquisition will be planned.

12. Requirements Certification: I certify that the requirement outlined in this justification is a Bona Fide Need of the Department of Veterans Affairs and that the supporting data under my cognizance, which are included in the justification, are accurate and complete to the best of my knowledge and belief.

Kindall Druker Date Biomedical Engineer VA Heartland Network (VISN 15)

07/25/22

Effective Date: 02/01/22 Page 7 of 7

13. Approvals in accordance with the VHAPM Part 806.3 OFOC SOP:

a. Contracting Officer or Designee�s Certification (required): I certify that the foregoing justification is accurate and complete to the best of my knowledge and belief.

Paul Hemenway Date Contracting Officer Network Contracting Office 15

b. One Level Above the Contracting Officer (Required over SAT but not exceeding $750K): I certify the justification meets requirements for other than full and open competition.

Randall D. Combs Date Chief, Division II

c. Two Levels Above the Contracting Officer: I certify the justification meets requirements for other than full and open competition.

Andrew J. Raiber, CPCM Date Director of Contracting

d. VHA RPO HCA Review and Approval: I have reviewed the foregoing justification and find it to be complete and accurate to the best of my knowledge and belief and approve for other than full and open competition.

Terry L. Spitzmiller Date Executive Director Regional Procurement Office Central (VHA)

July 27, 2022