Justification GE Carescape SIGNED.pdf

PM Part 813.5 SAP for Certain Commercial Items Page 1 of 7 Original Date: 08/30/17 Revision 02 Date: 08/04/2020

DEPARTMENT OF VETERANS AFFAIRS

BRAND NAME JUSTIFICATION UNDER SIMPLIFIED PROCEDURES FOR CERTAIN COMMERCIAL

ITEMS IN ACCORDANCE WITH FAR 13.5

Acquisition Plan Action ID: 36C259-21-AP-0887

RPOW JOFOC Tracking ID: 2021-03-12T13:33:15

1. Contracting Activity: Organizational Activity:

Department of Veterans Affairs Department of Veterans Affairs Network Contracting Office 19 Jack C. Montgomery VA Medical Center 6162 S. Willow Dr. Suite 300 Tulsa Health Care Center Greenwood Village, CO 80111 8921 S Mingo Rd.

Tulsa, OK 74133

2237: 623-21-1-2320-0010

2. Nature and/or Description of the Action Being Processed:

This brand name justification is intended to result in the award of a single firm fixed price award for a GE CareScape B450 Patient Monitoring System.

The system will be installed in the newly activated Tulsa Health Care Center in Tulsa, OK which serves as a care extension for the Jack C. Montgomery VA Medical Center in Muskogee, OK.

The Tulsa Health Care Clinic is in need of one (1) brand name GE CareScape B450 Patient Monitoring System to monitor three (3) endoscopy patient rooms, ten (10) patient prep and recovery rooms, and a central monitoring station. The system will be a used daily in the performance of patient care at the newly activated Tulsa Health Care Center. The system will be installed no earlier than 6/1/2021 when the Eastern Oklahoma Health Care System is able to take occupancy of the facility.

Delivery, install. and operation must be completed within 90 days thereafter to be fully integrated prior to facility opening.

Total estimated cost is $338,586.02.

3. Description of Supplies/Services Required to Meet the Agency’s Needs:

Item Description Part Number Qty Unit

1 Carescape Monitor B450, item# 2068491-001 2068491-001 13 EA

2 B450 Frame without WLAN, item# 2065433-

20654433-001 13 EA

3 Carescape B450 ESP V2 Software US, item# 5822895

5822895 13 EA

4 B450 No Recorder Option, item# 2066522-001 2066522-001 13 EA

5 B450 English US Gov Localization, item# 5822718

5822718 13 EA

6 B450 English US Keyboard SW Setting, item# 2068494-005

2068494-005 13 EA

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7 B450 Power Frequency Setting 60Hz, item# 2068494-017

2068494-017 13 EA

8 B450 4ICU – Critical Care Software Package, item# 2064277-001

2064277-001 13 EA

9 B450 PARR – Full Arrythmia License, item# 2064304-001

2064304-001 13 EA

10 B450 AVOA – Auto View On Alarm License, item# 2064495-001

2064495-001 13 EA

11 B450 CHMO – Hemodynamic Calculations License, item#

2064496-001 13 EA

12 B450 PPCO – PICOO Cardiac Output License, item#

2065172-001 13 EA

13 B450 PSCV – Central Venous Oxygen Saturation License, item#

2066494-001 13 EA

Patient Data Module (PDM)

14 Patient Data Module, item# 2042084-001 13 EA

15 Nellcor SpO2, item# 2041390-002 13 EA

16 English, item# 2041390-020 13 EA

17 60Hz, item# 2041575-002 13 EA

18 Invasive Pressures, item# 2041575-002 13 EA

19 Battery, item# 2041390-041 13 EA

20 No Bedside Dock 13 EA

21 CBL SpO2 Nellcor Oximax#m Cable Assy SpO2 Nellcor Oximax 3.6m, item#

2021406-001 13 EA

22 Dinaclick Airhose, 12ft (3.6m) Care Hose w/ Rectangle Connector to Adult 2T Dinaclick Connector, item#

2058203-002 13 EA

23 Soft-CUF Assortment Kit, 2T Dinaclick – 20/pk (5 sm.adult, 10 adult, 5 lg.adult) item#

2059303-001 13 EA

Carescape Monitor B450

24 Carescape Monitor B450, item# 2068491-001 1 EA

25 B450 Frame without WLAN, item# 2065433-001 1 EA

26 Carescape B450 ESP V2 Software US, item# 5822895 1 EA

27 B450 No Recorder Option, item# 2066522-001 1 EA

28 B450 English US Gov Localization, item# 5022718 1 EA

29 B450 English US Keyboard SW Setting, item# 2068494-005 1 EA

30 B450 Power Frequency Setting 60Hz, item# 2068494-017 1 EA

31 B450 4ICU – Critical Care Software Package, item#

2064277-001 1 EA

32 B450 PARR – Full Arrythmia License 2064304-001 1 EA

33 B450 AVOA – Auto View On Alarm License, item#

2064495-001 1 EA

34 B450 CHMO – Hemodynamic Calculations License, item#

2064496-001 1 EA

35 B450 PPCO – PICOO Cardiac Output License, item#

2065172-001 1 EA

36 B450 PSCV – Central Venous Oxygen Saturation License, item#

2066494-001 1 EA

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Revision 02 Date: 08/04/2020

PDM w/o cables: Biomed Spare

37 Patient Data Module, item# 2042084-001 1 EA

38 Nellcor SpO2, item# 2041390-002 1 EA

39 English, item# 2041390-020 1 EA

40 60Hz, item# 2041575-002 1 EA

41 Invasive Pressures, item# 2041575-003 1 EA

42 Battery, item# 2041390-041 1 EA

43 No Bedside Dock, item# 2041390-044 1 EA

44 Airway Gas Module with CO2 (single width), item#

E-MINI-00-EN 14 EA

45 Mini D-fend water trap, pkg of 10, item# 8002174 14 EA

CSCS v2.x All-In-One

46 Carescape Central Station V2 MAI 700 ATO Model, item#

2092670-001 1 EA

47 CSCS V2.1 SW with MAI700 Integrated HW, item#

2092695-005 1 EA

48 CSCS V2.1 English US Government Localization with eManuals, item#

2092690-47 1

49 CSCS English US Keyboard with Mouse, item# 2081739-004 1

50 Bed View License – 1 Bed, item# 2092862-001 14

51 MiltiKM License, item# 2092863-004 1

52 Patient Management Licenses, item# 2092863-001 1

53 ADT Picklist License, item# 2092863-002 1

54 Review Licenses, item# 2092864-001 1

55 FD Page and Realtime Trends Licenses, item# 2092864-002 1

56 OXYCRG License, 2092864-007 1

57 PDF to EMR License, item# 2092864-007 1

58 CSCS 24 Hr FD License, 2095336-001 14

59 inSite Connectivity, item# 2025330-001 1

60 CSCS V2.1 User Manual English, item# 2048001-418 1

Carescape Gateway G9

61 Carescape Gateway ATO Model, item# 2058580-002 1

62 Carescape Gateway – Hardware, ADT, Outbound Results, Network Time Synchronization 50 Licenses and Remote Access Software, item#

2058581-016 1

63 Test Interface (HL7 Only), item# 2058599-001 1

64 ITPS Basic Installation (HL7 Only), Requires VPN Access, item#

2058601-001 1

65 ITPS Configuration, Documentation, and Testing for HL7 Trended Bed License – Up to 50 beds, item#

2058601-018 1

66 ITPS ADT Configuration, item# 2058601-019 1

67 HL7 Custom Configuration – 4 hours (remote) Requires VPN Access, item#

2058601-005 1

Carescape Network, Turney

68 Network Design/ Consult Seg Network – 15+ Nodes, item#

2036075-001 18

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69 Network Design/ Consult Seg Network - < 15 Nodes, item#

2036075-034 14

70 Network Equipment w/Cisco (minimum 7 nodes), item#

2036075-009 32

71 Carescape Networking Documentation Kit and Labels, item#

2036075-058 1

4. Statutory Authority Permitting Restricted Competition:

FAR 13.5 Simplified Procedures for Certain Commercial Items. The statutory authority for applying the Simplified Procedures for Commercial Items of FAR 13.5 is 41 U.S.C. § 1901 and is implemented by FAR 13.106-1(b)(2) for restricting competition on this procurement. Competition is restricted on this procurement for the reason below:

(X) Only One Responsible Source and No Other Supplies or Services Will Satisfy Agency Requirements (Brand Name)

( ) Unusual and Compelling Urgency ( ) Industrial Mobilization, Engineering, Developmental or Research Capability or Expert

Services ( ) International Agreement ( ) Authorized or Required by Statute ( ) National Security ( ) Public Interest

5. Demonstration that the Contractor’s Unique Qualifications or Nature of the Acquisition Requires the Use of the Authority Cited Above (applicability of authority):

The staff that will be stationed and serve at the Tulsa Health Care Center will be trained on the equipment at the Muskogee VA Medical Center. Currently the Muskogee facility uses the GE B450 Patient Monitoring System as it was procured in FY20 on purchase order 36C25920P1109. Since the Muskogee facility is the designated training site for the Tulsa facility, staff will become proficient at operating the GE system as they prepare for the activation of the new site. Upon opening of the facility, staff must be able to operate effectively and efficiently to provide adequate care to veteran patients.

Any system other than the GE B450 for patient monitoring at the new facility would require additional training and create down time at both the Muskogee and Tulsa medical centers. Staff will be used interchangeably between the two locations; therefore, Nursing staff assigned to both locations must be proficient in the use of the monitoring system. Using different systems to monitor patients at the two locations has high potential to cause confusion when interpreting patient information, creating a safety risk for Veterans under care. The use of a different system would require current Muskogee staff to be trained as well as the Tulsa staff, creating reduced effectiveness and cancelled procedures at Muskogee due to limited staffing.

The cost of implementing a different system would also be prohibitive as there would be additional training cost above the actual purchase of the system. The 18 Nurses on staff would be required to attend training on a new system, costing approximately $3,680.00 per day in salary. This cost is not anticipated to be recovered through competition.

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Accordingly, the GE B450 Patient Monitoring System is the only product capable of providing the requirements as described in section 3. above without the Veteran’s Health Administration experiencing substantial duplication of cost that could not be expected to be recovered through competition and unacceptable delays in fulfilling its requirements.

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

A Sources Sought was posted to Contracting Opportunities, NASA SEWP, and GSA on 2/12/21 with a response date of 2/17/21. Responses indicated that the required product is not available on NASA SEWP. TrillaMed, LLC (SDVOSB) and Datex-Ohmeda dba GE Healthcare (Large Business) indicated in writing that they are interested in the requirement.

Jaken Medical, Inc. has been used as a source of similar purchases and has B450 components on their GSA schedule. Further research on GSA indicates that Jaken is the only provider of those components on GSA and; therefore, there is not a reasonable expectation of competition through schedule vendors.

FPDS was searched for keyword “CareScape” and refined for purchases by NCO 19. Results found that the required product has been purchased through TrillaMed, LLC (SDVOSB, 36C25920P1100), JPL & Associates (SDVOSB, 36C25918F4442), and Datex-Ohmeda (Large Business, 36C25920F0232).

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

Reasonable:

It is anticipated that costs will be considered fair and reasonable based on the expectation of competition during this brand name solicitation on Contracting Opportunities.

8. Description of the Market Research Conducted and the Results, or a Statement of the Reasons

Market Research Was Not Conducted:

Market research conducted and the results include the following:

- Contracting Opportunities sources sought posting on 2/12/21 with a response date of 2/17/21.

- GSA sources sought posting on 2/12/21 with a response date of 2/17/21.

- NASA SEWP sources sought posting on 2/12/21 with a response date of 2/17/21.

- FPDS Searches for Patient Monitoring. Search results were further narrowed to those made from NCO 19.

- The use of market research data used for the most recent award 36C25920P1109. The market research for that procurement is less than 12 months old.

Based on the previous market research conducted, there are SDVOSBs (Alliant Enterprises LLC and Global Engineering & Management Services) capable of supplying the requirement. Current market research also identified an additional SDVOSB (TrillaMed LLC) and a large business (Datex-Ohmeda DBA GE Healthcare) that are capable of fulfilling this brand name requirement.

Although there are two or more SDVOSBs identified that appeared capable of performing the requirement, the nonmanufacturer rule as set forth in 13 CFR 121.406(b)(1)(iv) and FAR 19.505(c)(1)(iv) cannot be satisfied and precludes the use of a set aside for this requirement. There is not a class waiver for the NAICS of 339112. Therefore, it is anticipated that all sources (large and

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Revision 02 Date: 08/04/2020 small businesses) will be solicited for this requirement using competitive procedures though beta.SAM on an unrestricted basis.

9. Any Other Facts Supporting the Use of Other than Full and Open Competition:

The immediate operation capability of the new activation site in Tulsa, OK requires staff to be fully trained and ready for patient care. In order to ensure this, continuity of training site operations and activation site operations is imperative. Due to the training of staff on an existing GE B450 platform, the same platform must be used at the activation site to ensure that there are no lapses in veteran care upon facility opening.

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

TrillaMed, LLC and Datex-Ohmeda dba GE Healthcare submitted interest in writing.

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:

The circumstances surrounding this acquisition are unique to the need for immediate operating ability for a newly activated care facility. Future acquisitions will not fall under the same need circumstances as open and operating facilities are more able to function while providing transition time for new equipment if it is a different brand than the equipment currently in use.

The Agency intends to pursue future acquisitions based on salient characteristics to encourage competition among multiple manufacturers and items which can be supplied through multiple vendors.

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.

A. Brett Fast Endoscopy Nurse Manager

Eastern Oklahoma VA Health Care System

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

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

David Bentley Contracting Officer, Supply 2 VHA Regional Procurement Office West Network Contracting Office (NCO) 19

b. One Level Above the Contracting Officer: I certify the justification meets requirements for other than full and open competition.

Maurice Walker Branch Chief, Supply 2 VHA Regional Procurement Office West

Network Contracting Office (NCO) 19

c. Division Chief: 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.

Albert Williams

Chief, Division 1

VHA Regional Procurement Office West

Network Contracting Office (NCO) 19 http://vaww.pclo.infoshare.va.gov/PMWeb/VHAPM_Part_806.3.aspx