NNG15SD34B36C10B21F0174-Redacted.pdf

PAGE 1 OF1. REQUISITION NO.

2. CONTRACT NO. 3. AWARD/EFFECTIVE DATE 4. ORDER NO. 5. SOLICITATION NUMBER 6. SOLICITATION ISSUE DATE

a. NAME b. TELEPHONE NO. (No Collect Calls) 8. OFFER DUE DATE/LOCAL

TIME

9. ISSUED BY CODE 10. THIS ACQUISITION IS UNRESTRICTED OR SET ASIDE: % FOR:

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

8(A)

NAICS:

SIZE STANDARD:

11. DELIVERY FOR FOB DESTINA-. DELIVERY FOR FOB DES

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13b. RATING

14. METHOD OF SOLICITATION

RFQ IFB RFP

15. DELIVER TO CODE 16. ADMINISTERED BY CODE

17a. CONTRACTOR/OFFEROR CODE FACILITY CODE 18a. PAYMENT WILL BE MADE BY CODE

TELEPHONE NO DUNS: DUNS+4:

PHONE: FAX:

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW IS CHECKED

SEE ADDENDUM

19. 20. 21. 22. 23. 24.19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

(Use Reverse and/or Attach Additional Sheets as Necessary)

25. ACCOUNTING AND APPROPRIATION DATA 26. TOTAL AWARD AMOUNT (For Govt. Use Only)

27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA ARE ARE NOT ATTACHED.

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA ARE ARE NOT ATTACHED

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN _______________ 29. AWARD OF CONTRACT: REF. ___________________________________ OFFER COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DATED ________________________________. YOUR OFFER ON SOLICITATION DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY (BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED SET FORTH HEREIN IS ACCEPTED AS TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

30b. NAME AND TITLE OF SIGNER (TYPE OR PRINT) 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (TYPE OR PRINT) 31c. DATE SIGNED

AUTHORIZED FOR LOCAL REPRODUCTION (REV. 2/2012)

PREVIOUS EDITION IS NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.212

7. FOR SOLICITATION

INFORMATION CALL:

STANDARD FORM 1449

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS 36

See Continuation Page

NNG15SD34B See Block 31c 36C10B21F0174

William Freer, Contract Specialist 732-795-1063

R DUE DATE/LOCA

Department of Veterans Affairs Technology Acquisition Center

23 Christopher Way Eatontown NJ 07724

X

N/A

X

See Delivery Schedule

Eatontown NJ 07724

Department of Veterans Affairs Technology Acquisition Centergy q

23 Christopher Way p y Eatontown NJ 07724

Minburn Technology Group

PHONE: FAX:

EPHONE NO UNSDD D965431815

Department of Veterans Affairs

Financial Services Center PO Box 149971 Austin TX 78714-8971

LIES/SERVICES QU

Veterans Integrated Service Network 5 Clinical Monitoring and Intervention Software

Order Type: Firm-Fixed Price William Freer, William.freer@va.gov, William Freer, William.freer@va.gov, PO- See Continuation Page

( y) $583,774.05See Continuation Page

N __________ ________________________________ ARD OF CONTRACT

SET FORTH HEREIN IS ACCEPTED AS TO ITEMS:

ME OF CONTRACTING OFFICER (TYPE OR PRINT)

Edward Hebert Contracting Officer

Digitally signed by EDWARD HEBERT 250463 Date: 2021.06.10 14:45:00 -04'00'

NNG15SD34B 36C10B21F0174

Table of Contents

SECTION A

Continuation Page-

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

B.2 GOVERNING LAW

B.3 SOFTWARE LICENSE, MAINTENANCE AND TECHNICAL SUPPORT:

B.4 DELIVERY SCHEDULE

B.5 PRODUCT DESCRIPTION

SECTION C - CONTRACT CLAUSES

C.1 NASA SEWP V RFQ INTRODUCTORY LANGUAGE

C.2 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

C.3 52.217-7 OPTION FOR INCREASED QUANTITY-SEPARATELY PRICED LINE

ITEM (MAR 1989)

C.4 52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000)

C.5 VAAR 852.212-70 PROVISIONS AND CLAUSES APPLICABLE TO VA

ACQUISITION OF COMMERCIAL ITEMS (APR 2020)

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

Continuation Page

1. This Delivery Order 36C10B21F0174 entitled, “Veterans Integrated Service Network

5 Clinical Monitoring and Intervention Software” is issued on a Firm Fixed Price (FFP) basis, in accordance with the terms and conditions of the National Aeronautics and Space Administration (NASA) Solution for Enterprise-Wide Procurement (SEWP) V Government Wide Acquisition Contract (GWAC) NNG15SD34B and modifications thereto after.

2. The Delivery Order period of performance is as follows:

Base Period: June 17, 2021 through June 16, 2022 Option Period One: June 17, 2022 through June 16, 2023 Option Period Two: June 17, 2023 through June 16, 2024 Option Period Three: June 17, 2024 through June 16, 2025 Option Period Four: June 17, 2025 through June 16, 2026

3. The total value of this Deliver Order is $3,159,863.22, broken down as follows:

Base Period (Funded):

Base Period Optional (Funded) Task :

Total Base Period Amount: $583,774.05

Option Period 1 (Unfunded):

Option Period 1 Optional Task (Unfunded):

Total Option Period One Amount $606,643.44

Option Period 2 (Unfunded):

Option Period 2 Optional Task (Unfunded):

Total Option Period Two Amount $630,908.97

Option Period 3 (Unfunded):

Option Period 3 Optional Task (Unfunded):

Total Option Period Three Amount $656,145.54

Option Period 4 (Unfunded):

Option Period 4 Optional Task (Unfunded):

Total Option Period Four Amount $682,391.22

4. Funding in the amount of $571,733.25 has been obligated for Contract Line Item

Number (CLIN) 0001. Additionally, in accordance with Federal Acquisition Regulation FAR clause 52.217-7, “Option for Increased Quantity – Separately Priced Line Item”, the Government hereby exercises the FFP Optional Task, Solution Training under CLIN 0002, Sub-Contract Line Item Number SLIN 0002AA in the amount of $12,040.80. Accordingly, the total obligated amount for the base period and optional task is 583,774.05, as set forth in Section B.

5. The current funding summary is as follows:

Total Delivery Order Value: $3,159,863.22 Total Delivery Order Obligated $ 583,774.05 Total Amount Remaining: $2,576,089.17

6. Continuation from Stand Form (30):

SF 30, Block 4: SF 30, Block 12:

Requisition / Purchase Req. No. Accounting and Appropriation Data

Purchase Order Amount

$194,591.35 $194,591.35 $194,591.35

7. For billing purposes, special instructions for the following DO CLIN/SLINs is as follows:

Location Purchase

Order CLIN/SLIN Obligated Amount

Baltimore, MD 0001 $

0002/0002AA

Total Amount $194,591.35

Order CLIN/SLIN Obligated Amount

Martinsburg, WV 0001 $1

0002/0002AA $

Order CLIN/SLIN Obligated Amount

Washington DC 0001 $

0002/0002AA $

8. The Contracting Officer’s Representative (COR) is:

NAME:

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

1. Contract Administration: All contract administration matters will be handled by the following individuals:

a. CONTRACTOR: Minburn Technology Group, LLC 9716 Arnon Chapel Road Great Falls, VA 22066

b. GOVERNMENT: Contracting Officer 003B2F4

Edward Hebert Department of Veterans Affairs Technology Acquisition Center 23 Christopher Way Eatontown, NJ 07724

2. CONTRACTOR REMITTANCE ADDRESS: All payments by the Government to the contractor will be made in accordance with:

[X] 52.232-33, Payment by Electronic Funds Transfer—System for Award Management, or

[] 52.232-36, Payment by Third Party

3. INVOICES: Invoices shall be submitted in arrears:

a. Quarterly []

b. Semi-Annually []

c. Other [x] Upon Acceptance of deliverables in section B.4

4. GOVERNMENT INVOICE ADDRESS: All Invoices from the contractor shall be submit ted electronically in accordance with VAAR Clause 852.232-72 Electronic Submission of Payment Requests.

5. ACKNOWLEDGMENT OF AMENDMENTS: The offeror acknowledges receipt of amendments to the Solicitation numbered and dated as follows:

AMENDMENT NO DATE

A00001 5/28/2021 A00002 6/1/2021

B.2 GOVERNING LAW

Federal law and regulations, including the Federal Acquisition Regulations (FAR), shall govern this Contract/Order. Commercial license agreements may be made a part of this Contract/Order but only if both parties expressly make them an addendum hereto, as permitted by FAR 12.212. If the commercial license agreement is not made an addendum, it shall not apply, govern, be a part of or have any effect whatsoever on the Contract/Order; this includes, but is not limited to, any agreement embedded in the computer software (clickwrap), any agreement that is otherwise delivered with or provided to the Government with the commercial computer software or documentation (shrinkwrap), or any other license agreement otherwise referred to in any document. If a commercial license agreement is made an addendum, only those provisions addressing license and data rights regarding the Government’s use, duplication and disclosure of commercial software and/or data (e.g., restricted computer software) are included and made a part of this Contract/Order, and only to the extent that those provisions are not duplicative or inconsistent with Federal law, Federal regulation, the incorporated FAR clauses and the provisions of this Contract/Order; those provisions in the commercial license agreement that do not address license or data rights regarding the Government’s use, duplication and disclosure of commercial software and/or data shall not be included or made a part of the Contract/Order. Federal law and regulation including, without limitation, the Contract Disputes Act (41 U.S.C. § 7101 et seq.), the Anti-Deficiency Act (31 U.S.C. § 1341 et seq.), the Competition in Contracting Act (41 U.S.C. § 3301 et seq.), the Prompt Payment Act (31 U.S.C. § 3901 et seq.), Contracts for Data Processing or Maintenance (38 USC § 5725), and FAR clauses 52.212-4, 52.227-14, 52.227-19 shall supersede, control, and render ineffective any inconsistent, conflicting, or duplicative provision in any commercial license agreement. In the event of conflict between this clause and any provision in the Contract/Order or the commercial license agreement or elsewhere, the terms of this clause shall prevail. The Contractor shall deliver to the Government all data first produced under this Contract/Order with unlimited rights as defined by FAR 52.227-14. Claims of patent or copyright infringement brought against the Government as a party shall be defended by the U.S. Department of Justice (DOJ) in accordance with 28 U.S.C. § 516; at the discretion of DOJ, the Contractor may be allowed reasonable participation in the defense of the litigation. Any additional changes to the Contract/Order must be made by modification (Standard Form 30) and shall only be made by a warranted Contracting Officer. Nothing in this Contract/Order or any commercial license agreement shall be construed as a waiver of sovereign immunity.

B.3 SOFTWARE LICENSE, MAINTENANCE AND TECHNICAL SUPPORT:

(1). Definitions.

a) Licensee. The term “licensee” shall mean the U.S. Department of Veterans Affairs (“VA”) and is synonymous with “Government.”

b) Licensor. The term “licensor” shall mean the Contractor having the necessary license or ownership rights to deliver license, software maintenance and support of the computer software being acquired. The term “Contractor” is the party identified in Block 17a on the SF1449. If the Contractor is a reseller and not the Licensor, the Contractor remains responsible for performance under this Contract/Order.

c) Software. The term “software” shall mean the licensed computer software product(s) cited in the Schedule of Supplies/Services.

d) Maintenance. The term “maintenance” is the process of enhancing and optimizing software, as well as remedying defects. It shall include all new fixes, patches, releases, updates, versions and upgrades, as further defined below.

e) Technical Support. The term “technical support” refers to the range of services providing assistance for the software via the telephone, email, a website or otherwise.

f) Release or Update. The term “release” or “update” are terms that refer to a revision of software that contains defect corrections, minor enhancements or improvements of the software’s functionality. This is usually designated by a change in the number to the right of the decimal point (e.g., from Version 5.3 to 5.4). An example of an update is the addition of new hardware.

g) Version or Upgrade. The term “version” or “upgrade” are terms that refer to a revision of software that contains new or improved functionality. This is usually designated by a change in the number to the left of the decimal point (e.g., from Version 5.4 to 6).

(2). Software License.

a) The software license provided to the Government is a term, nonexclusive license to use the software.

b) The Government may use the software in a networked environment.

c) Any dispute regarding the license grant or usage limitations shall be resolved in accordance with the Disputes Clause incorporated in FAR 52.212-4(d).

d) All limitations of software usage are expressly stated in the Schedule of

Supplies/Services and the Performance Work Statement/Product Description, and incorporated license agreement.

(3). Software Maintenance and Technical Support.

a) If the Government desires to continue software maintenance and support beyond the period of performance identified in this Contract/Order, the Government will issue a separate contract or order for maintenance and support. Conversely, if a contract or order for continuing software maintenance and technical support is not received, the Contractor is neither authorized nor permitted to renew any of the previously furnished services.

b) The Contractor shall provide software support services, which includes periodic updates, enhancements and corrections to the software, and reasonable technical support, all of which are customarily provided by the Contractor to its commercial customers so as to cause the software to perform according to its specifications, documentation or demonstrated claims.

c) Any telephone support provided by Contractor shall be at no additional cost.

d) The Contractor shall provide all maintenance services in a timely manner in accordance with the Contractor’s customary practice or as defined in the Performance Work Statement or Product Description. However, prolonged delay (exceeding 2 business days) in resolving software problems will be noted in the Government’s various past performance records on the Contractor (e.g., www.ppirs.gov).

e) If the Government allows the maintenance and support to lapse and subsequently wishes to reinstate it, any reinstatement fee charged shall not exceed the amounts that would have been charged if the Government had not allowed the subscription to lapse.

(4). Disabling Software Code. The Government requires delivery of computer software that does not contain any code that will, upon the occurrence or the nonoccurrence of any event, disable the software. Such code includes but is not limited to a computer virus, restrictive key, node lock, time-out or other function, whether implemented by electronic, mechanical, or other means, which limits or hinders the use or access to any computer software based on residency on a specific hardware configuration, frequency of duration of use, or other limiting criteria. If any such disabling code is present, the Contractor agrees to indemnify the Government for all damages suffered as a result of a disabling caused by such code, and the contractor agrees to remove such code upon the Government’s request at no extra cost to the Government. Inability of the Contractor to remove the disabling software code will be considered an inexcusable delay and a material breach of contract, and the Government may exercise its right to terminate for cause. In addition, the Government is permitted to remove the code as it deems appropriate and charge the Contractor for consideration for the time and effort expended in removing the code.

(5). Manuals and Publications. Upon Government request, the Contractor shall furnish the most current version of the user manual and publications for all products/services provided under this Contract/Order at no cost.

B.4 DELIVERY SCHEDULE

Base Period- Period of Performance (PoP) shall be 12-months after acceptance of fully operational solution.

CLIN Description QTY Unit Unit Price Total

Clinical Monitoring and Intervention Software Solution.

(Three Sites)

In Accordance With (IAW) Product Description (PD) sections 1.0 through 1.4, and all associated subsections.

Invoice Not to Exceed (NTE) $190,577.75 against PO No.

512-C10299

Invoice NTE $190,577.75 against PO No. 613-C10199

Invoice NTE $190,577.75 against PO No. 688-C10204

LO

Base Period Required Tasks Total $ Base Period Optional Tasks

This optional task is hereby exercised IAW FAR 52.217-7, Option for Increased Quantity – Separately priced Line Item (MAR 1989).

The period of performance shall be June 17, 2021 through June 16, 2022.

Solution Training

IAW PD Section 1.5

Invoice NTE $4,013.60 against PO No. 512-C10299

Invoice NTE $4,013.60 against PO No. 613-C10199

Invoice NTE $4,013.60 against PO No. 688-C10204

1 EA $

0002AA

Training Materials

IAW PD Section B.5 1.5

1 LO NSP NSP

Base Period Optional Tasks Total $ Base Period Total (Including Optional Tasks) $ 583,774.05

Option Period One This 12-month option period may be exercised in the sole discretion of the

Government IAW FAR 52.217-9 Option to Extend the Term of the Contract. If exercised, this option shall commence immediately after expiration of the Base

Period.

Clinical Monitoring and Intervention Software Solution.

(Three Sites)

In Accordance With (IAW) Product Description (PD) sections 1.0 through 1.4, and all associated subsections.

Option Period One Required Tasks Total $ Option Period One Optional Tasks

IAW FAR 52.217-7, Option for Increased Quantity – Separately priced Line Item (MAR 1989) may be exercised at any time up to the quantity set forth in CLIN(S)

0002. Work shall not commence until, and unless, a formal modification is issued by the Contracting Officer

Solution Training

IAW PD Section 1.5

1 EA

1002AA

Training Materials

IAW PD Section B.5 1.5

1 LO NSP NSP

Option Period One Optional Tasks Total Option Period One Total (Including Optional

Tasks) $606,643.44 Option Period Two

This 12-month option period may be exercised in the sole discretion of the Government IAW FAR 52.217-9 Option to Extend the Term of the Contract. If exercised, this option shall commence immediately after expiration of the previous Option Period.

Clinical Monitoring and Intervention Software Solution.

(Three Sites)

In Accordance With (IAW) Product Description (PD)

Option Period Two Required Tasks Total $ Option Period Two Optional Tasks

IAW FAR 52.217-7, Option for Increased Quantity – Separately priced Line Item (MAR 1989) may be exercised at any time up to the quantity set forth in CLIN(S)

0002. Work shall not commence until, and unless, a formal modification is issued by the Contracting Officer

Solution Training

2002AA

Training Materials

IAW PD Section B.5 1.5

1 LO NSP NSP

Option Period Two Optional Tasks Total $ Option Period Two Total (Including Optional

Tasks) $630,908.97

Option Period Three This 12-month option period may be exercised in the sole discretion of the

Government IAW FAR 52.217-9 Option to Extend the Term of the Contract. If exercised, this option shall commence immediately after expiration of the previous

Option Period.

Clinical Monitoring and Intervention Software Solution.

(Three Sites)

In Accordance With (IAW) Product Description (PD)

1 LO

Option Period Three Required Tasks Total Option Period Three Optional Tasks

IAW FAR 52.217-7, Option for Increased Quantity – Separately priced Line Item (MAR 1989) may be exercised at any time up to the quantity set forth in CLIN(S) 0002. Work shall not commence until, and unless, a formal modification is issued by the Contracting Officer

Solution Training

3002AA

IAW PD Section B.5 1.5

1 LO NSP NSP

Option Period Three Optional Tasks Total $ Option Period Three Total (Including Optional

Tasks) $656,145.54 Option Period Four

This 12-month option period may be exercised in the sole discretion of the Government IAW FAR 52.217-9 Option to Extend the Term of the Contract. If exercised, this option shall commence immediately after expiration of the previous Option Period.

Clinical Monitoring and Intervention Software Solution.

(Three Sites)

In Accordance With (IAW) Product Description (PD)

1 LO $

Option Period Four Required Tasks Total $ Option Period Four Optional Tasks

IAW FAR 52.217-7, Option for Increased Quantity – Separately priced Line Item (MAR 1989) may be exercised at any time up to the quantity set forth in CLIN(S) 0002. Work shall not commence until, and unless, a formal modification is issued by the Contracting Officer

Solution Training

4002AA

IAW PD Section B.5 1.5

1 LO NSP NSP

Option Period Four Optional Tasks Total $ Option Period Four Total (Including Optional

Tasks) $

Contract Total (Base and Options) $3,159,863.22

B.5 PRODUCT DESCRIPTION

1.0 REQUIREMENTS:

The Department of Veterans Affairs (VA), Veterans’ Health Administration (VHA), Veterans Integrated Service Network (VISN) 5 facilities Washington DC Veterans Administration Medical Center (VAMC), Martinsburg VAMC and VA Maryland Health (Baltimore VAMC) requires a comprehensive, on-site, patient Clinical Monitoring and Intervention Software solution that provides clinical staff immediate, real-time lists of patients, identifies those who need clinical intervention based on current best practice guidelines and facility determined criteria and provides the ability to monitor and protect patients from drug interactions and adverse events. This greatly assists clinical staff by targeting only those patients who need clinical interventions, resulting in increased resources of staff. Additionally, the software solution shall provide support for the efforts of the Antimicrobial Stewardship program at each medical center in meeting its Directive 1031, Antimicrobial Stewardship Programs (ASP), dated January 30, 2019 which provides VA Medical Center responsibilities covering antimicrobial stewardship.

The solution must support the Infection Control and Infection Prevention Program at each medical center. The solution shall transfer and maintain existing cumulative data including the details of programmatic interventions, attributions of COVID-19 infection status, attribution of hospital and non-hospital acquired infections and annotations of the Infection Control and Antimicrobial Stewardship teams to support accurate analysis over time and cumulative data comparisons. All three medical centers are actively engaged in the global COVID-19 Pandemic response. The solution shall provide support to the efforts of each medical center’s Infection Control Program and Antimicrobial Stewardship Program in the COVID-19 pandemic response with minimal impact on the staff workload and minimal interruption in service. With increasing reliance on off -site work during the pandemic, the solution shall offer hand-off between users working collaboratively within an institution and option to remove and/or suppress information to allow effective workflow between team members who may be working remotely. The solution shall have the capability to provide inpatient and outpatient tracking of COVID- 19 infections by specific location through testing that is rapidly adaptable to changes that have and will continue to occur in laboratory diagnostics (including all versions over time of the past and current antibody, PCR and other testing modalities); in the containment of infection, patient movement within the medical center as well as the ability to track and monitor medication usage relating to COVID-19 management must be provided and rapidly adaptable to FDA emergency and expanded use agreements.

The software maintenance and support shall include security patches and software updates, and 24 hours by seven day (24x7) monitoring support, including telephone support.

VISN 5 Antimicrobial Stewardship Clinical Collaborative was developed in 2014 in VISN 5 to align resources, define similar high-quality interventions, and to increase integration throughout VISN 5 with affiliates. The collaborative addresses goals outlined in the annual VISN Strategic Plan to provide an improvement in inpatient care services (VHA Goal 1), to achieve measurable improvements in health outcomes (VHA Goal 2) and to align resources and increase integration of research programs within the VISN (VHA Goal 3). This combined VISN-wide collaborative enhances each individual program and provides the opportunity to coordinate activities and align analyses from all three sites.

The contractor shall provide a Commercial Off-The-Shelf software solution. The solution shall be configurable to fully support VA requirements. Solutions requiring development, customization or modifications to make the software operational is not desired and will not be accepted. The Contractor’s solution shall support mapping of the software to a Government system supporting a complex organizational structure that includes varying user access and permission. The solution shall run on, VA provided, virtual servers hosted on the government network. Each facility has an existing on-site server that shall be used to support the solution. The contractor provided solution shall be delivered and installed within 30 days of contract award and fully operational within 120 days of contract award. The Period of Performance of this effort shall be 12 months from acceptance of the fully operational solution with four 12-month option periods with optional tasks.

1.1 CLINICAL MONITORING AND INTERVENTION SOFTWARE SOLUTION

SALIENT CHARACTERISTICS

The Clinical Monitoring and Intervention Software solution shall provide the following Clinical Decision Support System features:

a. Perform active Antimicrobial Stewardship/Infection Control surveillance to include, at a minimum, the following:

i. Broad-spectrum de-escalation after 48 hours

ii. Drug-bug mismatch

iii. Use of restricted and/or limited access antimicrobial agents

iv. Positive cultures stratified by specimen source (especially blood cultures for rapid diagnostics)

v. Positive C. difficile testing (inpatient and outpatient)

vi. Positive multidrug resistant organism (MDRO) by PCR and/or cultures

(inpatient and outpatient); ideally with alert/notice of extended spectrum beta-lactamase or carbapenems producing organism/s by PCR

vii. Real-time COVID-19 diagnostic testing results, inpatient admission alert and options for tracking locations/bed-trace. COVID-19 test results must allow inclusion of all testing modalities and platforms and be responsive to changes in testing which may occur at the laboratory level over time.

viii. Access to negative culture and test results (obtain % positive rate for certain conditions, e.g. % COVID-19 positive rate)

ix. Penicillin-allergic patients cross-referenced with active anti-infective orders

x. Intravenous to oral conversions for highly bioavailable antimicrobials

xi. Alerts for notifiable diseases to respective (Washington DC, Maryland, West

Virginia) Departments of Health

xii. Query for patients on specific drugs and/or laboratory parameters

xiii. Query for out of range laboratory values during treatment with particular prescription medication/s, including antimicrobials

xiv. Query for specific laboratory test usage (when order is placed by provider)

xv. Query for therapeutic drug levels

xvi. Ability to pull and maintain data for research/QI projects with appropriate approvals to meet directive/medical center and joint commission elements of performance; with particular need for capability to collect and synchronize regional data across centers.

xvii. Susceptibly testing over time against antimicrobial agents for gram positive and gram negative organisms

xviii. The solution should allow hand-off between users working collaboratively within an institution to remove and/or suppress information to allow effective workflow between team members.

xix. Transfer and maintain existing cumulative data including but not limited to the current and preexisting capture team entry of interventions, annotations on interventions, attributions for hospital acquired or associated infection status, disease/infection and program flags customized for team-interventions and tracking (ASP tracking, COVID status, CRE, MDRO, OPAT, PCN allergy); to include specific data-annotations of the Antimicrobial Stewardship and Infection Control Programs for continuity of reporting, maintenance of data integrity and ability to compare and manipulate data over time with an accurate historical baseline.

b. Patient Summary Page for Clinical Data Preview to include, at a minimum, the following:

i. Clinical rounding panel(s) that satisfy established guidance for clinical decision support in accordance with Bates Criteria A.

ii. Prefetched, single-page display of current admission and pre-admission data (i.e., Emergency Department)

1. Antimicrobial orders throughout admission encounter (antibiotics, antivirals, antifungals, and antiparasitic agents)

2. Medication administration record which displays real-time data

3. Vitals (temperature, respiratory rate, heart rate, SaO2, blood pressure)

4. Diagnostic lab orders and results (CBC and creatinine)

5. Therapeutic drug monitoring

6. Radiology results

7. Microbiology

8. Pathology

9. Admission, Discharge and Transfer locations

10. Miscellaneous infection-related medications (ex. antipyretics, immunosuppressants, etc.)

A (*Bates DW et al J Am Med Inform Assoc Nov-Dec 2003;10(6):523-30.

doi: 10.1197/jamia.M1370. Epub 2003 Aug 4.)

c. Track antimicrobial stewardship operational efficiency and interventions to include, at a minimum, the following;

i. Intervention documentation for transparency/communication among licensed users

ii. Calculate estimated cost savings per intervention type

iii. Create ordering reports by provider, groups of providers and/or location of order generated for antimicrobial agents and/or laboratory test/s

iv. Operationalize follow-up for licensed users (i.e., pending, complete, accepted, rejected)

d. Antimicrobial Stewardship reporting functionality to include, at a minimum, the following:

i. Clinical intervention reports during specified time ranges by user for intervention acceptance rates

ii. CLSI-concordant antibiograms for Gram-positive, Gram-negative, and antifungal agents from March 2016 or earlier and carried forward

iii. COVID-19 infection status by location for contact tracing

iv. Health and Safety Network calculations and reporting of days of therapy per 1000 days present (or admissions for nursing home residents)

v. Selected hospital-associated infection rates (e.g., COVID-19, MRSA, C.

difficile, influenza, Legionella)

vi. Assign hospital-acquired status in cases of standard NHSN and IPEC reportable infections (such as CDI, CAUTI, CLABSI etc) and to create reports for Infection Prevention (such as hand hygiene, reports for hand hygiene monitors, surgical site infection etc)

e. Provide, at a minimum, the solution shall be capable of the following:

i. Create ad hoc alerts for clinical surveillance

ii. Create custom medication reports for viewing among licensed users (ex., patients on specific drugs in during a specified time range)

iii. Create custom infection reports for viewing among licensed users (ex., patients with specific diseases in during a specified time range)

iv. Create custom intervention types for ad hoc tracking

v. Create antibiogram with options to select source and/or location; allow for duration to be selected, with a minimum of 24 months and option for longer periods (36 months and more) preferable; there needs to be an option for locations to be selected (site-specific antibiogram with examples of intensive care or outpatient antibiogram) and the source of culture-specific antibiogram (for example urine culture only antibiogram for one or more locations)

vi. Figures/tables or other images created from data need to be able to be displayed in a manner conducive to education and feedback at the institutional and individual provider level.

vii. Export raw data to Excel or other comparable program

viii. Export figures/graphs and/or other images created within the program

ix. Provide real-time clinical surveillance/decision making with customizable reports with the ability to:

a. identify/sort patients by hospital location or provider

b. select which alerts to review from pre-existing alerts in software database

c. create new alerts

d. change time frame of alerts to review

e. identify patients by admission diagnosis and/or problem list diagnoses

x. Create targeted real-time patients lists by either medication, class, or lab values with ability to customize data fields displayed

xi. Provide solution for tracking allergies to antimicrobial agents

xii. Provide a solution for inpatient anticoagulation monitoring

a. Must recognize both inpatient and outpatient orders

xiii. Provide a solution for inpatient an opioid monitoring

a. Must recognize both inpatient and outpatient orders

xiv. Ability to generate individualized rosters to facilitate workflow

xv. Allow documentation within the system to communicate with other users

xvi. Provide real-time clinical support, trouble shooting and technical assistance

f. Data Retrieval:

i. The solution is able to pull the following data from VistA/CPRS- ADT (patient movement), Inpatient pharmacy, BCMA, Outpatient pharmacy, Problem List Lab/ Microbiology (Inpatient and outpatient), Vital Signs (Inpatient and outpatient), Radiology (Inpatient and outpatient) Pathology/Surgery (Inpatient and outpatient)

g. Technology Requirements to include, at a minimum, the following:

i. Include an interface (logical link) that can be incorporated into a VA specific VistA instance to generate and transmit HL7 messages to the software solution. If HL7 messages are inaccurate or an enhancement is required, the vendor shall have the ability to troubleshoot and correct HL7 message transmissions.

ii. Any client software required to be installed on VA computers, shall be approved in VA’s Technical Reference Model (TRM) by the Go Live date.

IAW section 5.1, the Contractor shall comply with OI&T VA TRM. More TRM information about the OI&T VA TRM process can be found here:

https://www.oit.va.gov/Services/TRM/TRMHomePage.aspx

iii. Utilize a data security interconnection infrastructure that shall address storage, generating, transmitting, and exchanging data.

iv. Include VA Single Sign On (SSOi) functionality so users can use their Personal Identity Verification (PIV) identification card and PIV pin (2FA) to sign into the software.

v. Shall run on, VA provided, virtual servers hosted on the government network.

vi. The solution must function on MS Windows 10 operating systems and be compatible with Chrome or MS Edge web browsers.

vii. The solution allows for access and permissions to be predetermined for each user

h. This solution shall offer VA management with customizable reporting functionality to streamline, standardize, as well as an innovative approach that helps VA management understand its progress. At a minimum, reports must be able to show interventions completed, the type of intervention and the status of the intervention (accepted, rejected, unknown). Reports must be able to include multiple individual users as well as a single user option and must include flexible date ranges.

1.2 SYSTEM ADMINISTRATION

The Contractor shall provide the following:

a. Maintenance and support services to ensure the software system has system availability at least 99.0% of the time 24 hours per day, 365 days per year.

"System availability" shall not include any minutes of downtime resulting from:

i. Scheduled maintenance pre-approved by the VA

ii. Events of force

iii. Malicious attacks on the system

iv. Issues associated with VA’s computing devices, local area networks, or internet service provider connections

v. Contractor’s inability to deliver services because of VA’s acts or omissions

b. All new software versions shall be covered in the maintenance services, including all subsequent versions designed to replace the version installed under this contract.

c. The Contractor shall distribute maintenance notification updates or releases by using an appropriate electronic or printed media to the point of contact (POC).

1.2.1 SUPPORT AND MAINTENANCE

Following initial installation and configuration the Contractor shall provide maintenance and technical support on the solution at each location to include 24x7x365 technical support, bug fixes, data fixes and enhancements, assistance with configuration setup, troubleshooting, communication of product changes and availability, and reporting of maintenance tickets and potential solution issues. The Contractor shall also facilitate monthly conference calls with each site to ensure optimal performance of the solution.

1.3 LICENSES

The Contractor shall include unlimited, non-exclusive software and interface site licenses for all products/services to include license and training for the individual facilities defined by the Government.

1.4 TRANSITION AND DATA MIGRATION SERVICES

The Contractor shall provide a COTS solution that is fully available no later than 120 days after award to allow for a transition. If the newly implemented system is not the incumbent, then the contractor shall be required to import existing data into the new software solution. The solution shall allow for interaction and sharing of data and/or solution-based interventions between sites.

1.5 SOLUTION TRAINING (OPTIONAL TASKS)

The Contractor shall provide virtual, instructor led, training to the VAMCs of Washington DC, Martinsburg WV, and Baltimore MD staff on the solution. Training shall consist of topical issues relevant to administrators and end users of the solution. At a minimum topics to be covered during training shall include:

General Solution Information Administration and Operation Accessing the System Data Operations using the solution Assigning access to facility staff Completing relevant tasks Documenting interventions Generating various reports

The Contractor shall provide technical support to answer questions from Government administrators and end-users and update Training Materials as needed for each execution of the training option. Training materials will be produced for each session, provided to the COR for review and approval prior to each session, and made available to end-users.

There will be a minimum of one day for each training session and classes shall consist of a minimum of three attendees per class and will not to exceed 30 attendees per class; however, these limitations may be waived by the COR This option may be exercised multiple times in the base and option periods.

Deliverable:

A. Training materials

2.0 NOTICE OF THE FEDERAL ACCESSIBILITY LAW AFFECTING ALL

INFORMATION AND COMMUNICATION TECHNOLOGY (ICT)

PROCUREMENTS (SECTION 508)

On January 18, 2017, the Architectural and Transportation Barriers Compliance Board (Access Board) revised and updated, in a single rulemaking, standards for electronic and information technology developed, procured, maintained, or used by Federal agencies covered by Section 508 of the Rehabilitation Act of 1973, as well as our guidelines for telecommunications equipment and customer premises equipment covered by Section 255 of the Communications Act of 1934. The revisions and updates to the Section 508-based standards and Section 255-based guidelines are intended to ensure that information and communication technology (ICT) covered by the respective statutes is accessible to and usable by individuals with disabilities.

2.1 SECTION 508 – INFORMATION AND COMMUNICATION TECHNOLOGY (ICT)

STANDARDS

The Section 508 standards established by the Access Board are incorporated into, and made part of all VA orders, solicitations and purchase orders developed to procure ICT.

These standards are found in their entirety at: https://www.access-board.gov/guidelines-and-standards/communications-and-it/about-the-ict-refresh/final-rule/text-of-the-standards-and-guidelines. A printed copy of the standards will be supplied upon request.

Federal agencies must comply with the updated Section 508 Standards beginning on January 18, 2018. The Final Rule as published in the Federal Register is available from the Access Board: https://www.access-board.gov/guidelines-and-standards/communications-and-it/about-the-ict-refresh/final-rule.

The Contractor shall comply with “508 Chapter 2: Scoping Requirements” for all electronic ICT and content delivered under this contract. Specifically, as appropriate for the technology and its functionality, the Contractor shall comply with the technical standards marked here:

E205 Electronic Content – (Accessibility Standard -WCAG 2.0 Level A and AA Guidelines)

E204 Functional Performance Criteria E206 Hardware Requirements E207 Software Requirements E208 Support Documentation and Services Requirements

2.2 COMPATABILITY WITH ASSISTIVE TECHNOLOGY

The standards do not require installation of specific accessibility-related software or attachment of an assistive technology device. Section 508 requires that ICT be compatible with such software and devices so that ICT can be accessible to and usable by individuals using assistive technology, including but not limited to screen readers, screen magnifiers, and speech recognition software.

2.3 ACCEPTANCE AND ACCEPTANCE TESTING

Deliverables resulting from this solicitation will be accepted based in part on satisfaction of the Section 508 Chapter 2: Scoping Requirements standards identified above.

The Government reserves the right to test for Section 508 Compliance before delivery.

The Contractor shall be able to demonstrate Section 508 Compliance upon Deliverables resulting from this solicitation will be accepted based in part on satisfaction of the Section 508 Chapter 2: Scoping Requirements standards identified above.

The Government reserves the right to test for Section 508 Compliance before delivery.

The Contractor shall be able to demonstrate Section 508 Compliance upon delivery.

3.0 INFORMATION TECHNOLOGY USING ENERGY-EFFICIENT PRODUCTS

The Contractor shall comply with Sections 524 and Sections 525 of the Energy Independence and Security Act of 2007; Section 104 of the Energy Policy Act of 2005;

Executive Order 13834, “Efficient Federal Operations”, dated May 17, 2018; Executive Order 13221, “Energy-Efficient Standby Power Devices,” dated August 2, 2001; and the Federal Acquisition Regulation (FAR) to provide ENERGY STAR®, Federal Energy Management Program (FEMP) designated, low standby power, and Electronic Product Environmental Assessment Tool (EPEAT) registered products in providing information technology products and/or services.

The Contractor shall ensure that information technology products are procured and/or services are performed with products that meet and/or exceed ENERGY STAR, FEMP designated, low standby power, and EPEAT guidelines. The Contractor shall provide/use products that earn the ENERGY STAR label and meet the ENERGY STAR specifications for energy efficiency. Specifically, the Contractor shall:

1. Provide/use ENERGY STAR products, as specified at www.energystar.gov/products (contains complete product specifications and updated lists of qualifying products).

2. Provide/use the purchasing specifications listed for FEMP designated products at https://www4.eere.energy.gov/femp/requirements/laws_and_requirements/energ y_star_and_femp_designated_products_procurement_requirements . The Contractor shall use the low standby power products specified at http://energy.gov/eere/femp/low-standby-power-products.

3. Provide/use EPEAT registered products as specified at www.epeat.net. At a minimum, the Contractor shall acquire EPEAT® Bronze registered products.

EPEAT registered products are required to meet the technical specifications of ENERGY STAR, but are not automatically on the ENERGY STAR qualified product lists. The Contractor shall ensure that applicable products are on both the EPEAT Registry and ENERGY STAR Qualified Product Lists.

4. The Contractor shall use these products to the maximum extent possible without jeopardizing the intended end use or detracting from the overall quality delivered to the end user.

The following is a list of information technology products for which ENERGY STAR, FEMP designated, low standby power, and EPEAT registered products are available:

1. Computer Desktops, Laptops, Notebooks, Displays, Monitors, Integrated Desktop Computers, Workstation Desktops, Thin Clients, Disk Drives

2. Imaging Equipment (Printers, Copiers, Multi-Function Devices, Scanners, Fax Machines, Digital Duplicators, Mailing Machines)

3. Televisions, Multimedia Projectors

This list is continually evolving, and as a result is not all-inclusive.

4.0 SHIPMENT OF SOFTWARE

All software shall be electronically shipped to the POC(s) below.

Ship To and Mark For:

Primary Alternate Name:

a. SPECIAL SHIPPING INSTRUCTIONS Prior to shipping, Contractor shall notify Contract POCs, by phone followed by email, of all incoming deliveries including line-by-line details for review of requirements. The Contractor shall not make any changes to the delivery schedule at the request of Site

POC.

5.0 GENERAL REQUIREMENTS

5.1 VA TECHNICAL REFERENCE MODEL

The Contractor shall support the VA enterprise management framework. In association with the framework, the Contractor shall comply with OI&T Technical Reference Model (VA TRM). The VA TRM is one component within the overall Enterprise Architecture (EA) that establishes a common vocabulary and structure for describing the information technology used to develop, operate, and maintain enterprise applications. Moreover, the VA TRM, which includes the Standards Profile and Product List, serves as a technology roadmap and tool for supporting OI&T. Architecture & Engineering Services (AES) has overall responsibility for the VA TRM.

6.0 POINTS OF CONTACT

VA Program Manager:

Contracting Officer’s Representative:

Contracting Officer:

Name: Edward Hebert Address:

Contract Specialist:

Name: William Freer Address:

Voice: 2 Email: William.Freer@va.gov

7.0 INFORMATION SECURITY CONSIDERATIONS:

The Assessment and Authorization (A&A) requirements do not apply and a Security Accreditation Package is not required

All VA sensitive information shall be protected at all times in accordance with local security field office System Security Plans (SSP’s) and Authority to Operate (ATO)’s for all systems/LAN’s accessed while performing the tasks detailed in this Product Description.

a. A prohibition on unauthorized disclosure: “Information made available to the Contractor or Subcontractor by VA for the performance or administration of this contract or information developed by the Contractor/Subcontractor in performance or administration of the contract shall be used only for those purposes and shall not be used in any other way without the prior written agreement of the VA.” This clause expressly limits the Contractor/Subcontractor’s rights to use data as described in Rights in Data – General, FAR 52.227-14(d).(1).

b. A requirement for data breach notification: Upon discovery of any known or suspected security/privacy incidents, or any unauthorized disclosure of sensitive information, including that contained in system(s) to which the Contractor/Subcontractor has access, the Contractor/Subcontractor shall immediately notify the COR and simultaneously, the designated ISO, and Privacy Officer for the contract. The term “security incident” means an event that has, or could have, resulted in unauthorized access to, loss or damage to VA assets, or sensitive information, or an action that breaches VA security procedures. See VA Handbook 6500.6, Appendix C, paragraph 6.a.

c. A requirement to pay liquidated damages in the event of a data breach: “In the event of a data breach or privacy incident involving SPI the contractor processes or maintains under this contract, the contractor shall be liable to VA for liquidated damages for a specified amount per affected individual to cover the cost of providing credit protection services to those individuals.” However, it is the policy of VA to forgo collection of liquidated damages in the event the Contractor provides payment of actual damages in an amount determined to be adequate by the agency.

Based on the determinations of the independent risk analysis, the Contractor shall be responsible for paying to VA liquidated damages in the amount of $37.50 per affected individual to cover the cost of providing credit protection services to affected individuals consisting of the following:

1) Notification;

2) One year of credit monitoring services consisting of automatic daily monitoring of at least 3 relevant credit bureau reports;

3) Data breach analysis;

4) Fraud resolution services, including writing dispute letters, initiating fraud alerts and credit freezes, to assist affected individuals to bring matters to resolution;

5) One year of identity theft insurance with $20,000.00 coverage at $0 deductible; and

6) Necessary legal expenses the subjects may incur to repair falsified or damaged credit records, histories, or financial affairs

d. A requirement for annual security/privacy awareness training: “Before being granted access to VA information or information systems, all Contractor employees and Subcontractor employees requiring such access shall complete on an annual basis either: (i) the VA security/privacy awareness training (contains VA security/privacy requirements) within 1 week of the initiation of the contract, or (ii) security awareness training provided or arranged by the contractor that conforms to VA’s security/privacy requirements as delineated in the hard copy of the VA security awareness training provided to the Contractor.