P03 HCA Signed NCO 1 P03 LSJ 36C241-25-AP-5436 Bedford Beds for HCA Rev1.pdf

Attachment 2: Request for Limited Sources Justification Format >SAT

VHAPG Part 808.405-6 Limiting Sources Page 1 of 5 Revision: 01 Effective Date: 09/01/2024 Acquisition ID#: 36C241-25-AP-5436

LIMITED SOURCES JUSTIFICATION

ORDER >SAT

FAR PART 8.405-6

Acquisition Plan Action ID: 36C241-25-AP-5436

(1) Contracting Activity: Department of Veterans Affairs, Network Contracting Office 01, located at 200 Springs Road, Bedford, MA 01730, in support of VISN 1 VA Bedford HCS, located at 200 Springs Road, Bedford, MA 01730. 518-25-4-7077-0113

(2) Description of Action: This acquisition is conducted under the authority of the Multiple- Award Schedule Program (41 U.S.C. 152(3) and 40 U.S.C. 501).

The action being reviewed and approved is a new delivery order using the VA Northeastern Consortium (VANEC) Hospital Bed Blanket Purchase Agreement (BPA). The VANEC Hospital Bed (BPA) is a multiple-award BPA awarded to Federal Supply Schedule (FSS) contract holders in accordance with FAR 8.4.

Order against: FSS Contract Number: 36F79721D0021

VA NEC BPA Number:

Name of Proposed Contractor:

Street Address:

City, State, Zip:

Phone:

36C24525A0024 Stryker Corporation 3800 E Centre Ave Portage MI 49002 Amanda Blackburn, Amanda.Blackburn@stryker.com

(3) Description of Supplies or Services:

The estimated value of the proposed action is $883,500.00

Procurement of (57) Stryker ProCuity LEX Pack (X=Wireless) w/IsoTour Premium.

(4) Identify the Authority and Supporting Rationale (see below and if applicable, a demonstration of the proposed contractor’s unique qualifications to provide the required supply or service.

FAR 8.405-6(a)(1)(A): An urgent and compelling need exists and following the ordering procedures would result in unacceptable delays:

https://www.acquisition.gov/far/part-8#FAR_8_405_6 http://uscode.house.gov/browse.xhtml;jsessionid=114A3287C7B3359E597506A31FC855B3 https://www.gpo.gov/fdsys/pkg/USCODE-2011-title40/pdf/USCODE-2011-title40-subtitleI-chap5-subchapI-sec501.pdf https://www.acquisition.gov/far/part-8#FAR_8_405_6

VHAPG Part 808.405-6 Limiting Sources Page 2 of 5 Revision: 01 Effective Date: 09/01/2024 Acquisition ID#: 36C241-25-AP-5436

FAR 8.405-6(a)(1)(B): Only one source is capable of providing the supplies or services required at the level of quality required because the supplies or services are unique or highly specialized;

FAR 8.405-6(a)(1)(C): In the interest of economy and efficiency, the new work is a logical follow-on to an original Federal Supply Schedule order provided that the original order was placed in accordance with the applicable Federal Supply Schedule ordering procedures. The original order must not have been previously issued under sole source or limited source procedures.

FAR 8.405-6(b): Items peculiar to one manufacturer:

A patent, copyright or proprietary data limits competition. The proprietary data is:

These are “direct replacements” parts/components for existing equipment.

The material/service must be compatible in all aspects (form, fit and function) with existing systems presently installed/performing.

Bedford VAMC requires a bed system that will successfully cross multiple care environments:

long term care, mental health, and geriatrics. In review of the various solutions available on the healthcare bed BPA’s available at the VANEC, the clinical team found multiple aspects of the Stryker system warranted limited source selection:

• The Bed selected offer a low enough entry/exit (11.5 inches) that it can be used for both fall risk, and non-fall risk patients.

• The bed selected also offers an integrated extension system. This system accommodates several key clinical workflow considerations: taller patients, ability to transport equipment with the patient without separate carts, and the ability to integrate with specialty care surface(s). Each of these improves both comfort as well as patient and staff safety.

• The surface selected offers several unique features, in conjunction with the above noted extension, it will dramatically reduce our need for specialty care mattress rentals.

Specifically, the mattress will support most of our current population and with the procurement of an associated pump system it should be able to cover >90% of our specialty surface needs as well. This capability alone will save tens of thousands of dollars in currently incurred rental costs annually.

• Bedford VAMC is an alarm free facility. While Vocera integration is available on multiple beds, the addition of a multi-point scale, in conjunction with continuous monitoring, https://www.acquisition.gov/far/part-8#FAR_8_405_6

VHAPG Part 808.405-6 Limiting Sources Page 3 of 5 Revision: 01 Effective Date: 09/01/2024 Acquisition ID#: 36C241-25-AP-5436 improves both the safety and accuracy of the alerts transmitted to nursing staff, thereby reducing false alerts which in turn strengthen compliance with alerts and improves patient safety.

(5) Describe Why You Believe the Order Represents the Best Value consistent with FAR 8.404(d) to aid the contracting officer in making this best value determination:

GSA has already determined the prices of supplies and services under schedule contracts to be fair and reasonable. Therefore, ordering activities are not required to make a separate determination of fair and reasonable pricing. Since these beds are offered on a VA FSS schedule, the NAC determined price reasonableness, and the publicized prices are Firm-Fixed.

Nevertheless, IAW FAR 8.405-4, the Contracting Officer requested a price reduction.

(6) Describe the Market Research Conducted:

The Veterans First (Rule of Two) was considered and applied for the VA Northeas Consortium (VANEC) Hopsital Bed BPA. Market research was conducted by reviewing the BPA award documents, price lists, and product brochures of the Multi-VISN Multiple Award BPA awardees. The Stryker products are the only ones that can meet the requirements at the level required by the VA.

(7) Any Other Facts Supporting the Justification:

With advanced technologies, this system will help reduce patient falls and provide a safer operating environment for our clinical staff.

(8) A Statement of the Actions, if any, the agency may take to remove or overcome any barriers that led to the restricted consideration before any subsequent acquisition for the supplies or services is made:

• The new ProCuity LEX Pack (X=Wireless) w/IsoTour Premium beds is replacing existing Hill Rom and Stryker beds, integrating with nurse call systems, Vocera hardware to enhance communication, including immediate alerts when Veterans exit the bed. These beds will interface with the Vocera system and bed board to ensure accurate bed assignments, alarm management, and real-time staff notifications, reducing fall risks.

They feature built-in accurate scales for monitoring fluid gain in Veterans with CHF exacerbation, a self-contained bed extender for Veterans over six feet, and a motion-activated under-bed light, which is especially important since our Veteran rooms only have lights that need manual activation. This feature benefits Veterans with dexterity or cognitive challenges. With a 550-pound capacity and side-to-side rotation, these beds improve mobility assistance, eliminate the need for bariatric beds, and provide a versatile, safe, and accommodating environment tailored to our Veterans’ diverse needs.

Recognizing that advancements in bedside fall prevention have been limited until now, the Bedford VA continues to direct the fall champion task force to continually monitor emerging technologies and best practices in healthcare safety. For future acquisitions, we will actively seek out the latest technological innovations, such as beds with integrated fall prevention features,real-time alerts, and enhanced safety mechanisms, to support the goal of creating a fall-free zone for Veterans. Additionally, fostering partnerships with industry leaders and investing in pilot programs could help overcome previous barriers and ensure that cutting-edge solutions inform procurement decisions.

(9) 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. I understand that processing of this limited sources justification restricts consideration of Federal Supply Schedule contractors to fewer than the number required by FAR Subpart 8.4.

John D. McHale Chief, SCM Supply Chain Management Bedford VA HCS

(10) Approvals in accordance with the VHAPM Part 806.3 OFOC SOP:

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

Manasés Cabrera Contracting Officer

NCO1

b. One Level Above the Contracting Officer (Required over the SAT but not exceeding $750K):

I certify the justification meets requirements for other than full and open competition.

Sheryl Anthony Branch Chief

NCO1

VHAPG Part 808.405-6 Limiting Sources Revision: 01 Effective Date: 09/01/2024 Acquisition ID#: 36C241-25-AP-5436

MANASES

CABRERA

Digitally signed by

MANASES CABRERA

Date: 2025.09.17 08:01:36 -04'00'

JOHN

MCHALE

Digitally signed by JOHN

MCHALE

Date: 2025.09.17 09:48:05 -04'00'

SHERYL ANTHONY

Digitally signed by

SHERYL ANTHONY

Date: 2025.09.17 08:23:58 -04'00'

VHAPG Part 808.405-6 Limiting Sources Page 5 of 5 Revision: 01 Effective Date: 09/01/2024 Acquisition ID#: 36C241-25-AP-5436

Attachment 2: Request for Limited Sources Justification Format >SAT

HIGHER LEVEL APPROVAL (Required for orders over $750,000):

c. VHA RPO HCA Review and Approval (over $750,000 to $75 million): 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 restricting consideration of the Federal Supply Schedule contractors to fewer than the number required by FAR Subpart 8.4.

Gerald F. Jacobs Executive Director, Regional Procurement Office East VHA Head of Contracting Activity (HCA)