P03_RFO 8 SSJ over SAT_36C241-26-AP-4679_BC Signed_8Sep_Rv1_HCA Signed 1_Redacted.pdf

AP# 36C241-26-AP-4679

Request for Sole Source Format >SAT GSAM/R 538.7104-3(b) Sole Source Justifications - Federal Supply Schedule Ordering Procedures

SOLE SOURCE JUSTIFICATION

GSAM/R 538.7104-3(b)

This justification aligns with the deviation outlined in the Revolutionary FAR Overhaul (RFO) for Part 8.4 - Ordering under the Federal Supply Schedule and GSAM/R 538.71, as required by Executive Order (E.O.) 14275, Restoring Common Sense to Federal Procurement, signed April 15, 2025. Deviation effective date: November 3, 2025.

Acquisition Plan Action ID: 36C241-26-AP-4679

1. Contracting Activity: Department of Veterans Affairs, Network Contracting Office 01, located at 940 Belmont Street, Brockton, MA 02301, in support of VISN 01 Bedford VA Health Care System at 200 Springs Road, Bedford, MA 01730.

2237: 518-26-4-7077-0067

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 involves a new delivery order utilizing 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

Name of Proposed Contractor: Stryker Corporation

Street Address: 380 E Centre Avenue

City, State, Zip: Portage, MI 49002

Phone: Steven Fongeallaz

774-259-1394

3. Description of Supplies or Services: The procurement of Stryker Procuity EX and MV3 beds to replace the remainder of the bariatric beds in the facility that are no longer manufactured and are about to reach, if not already, end of service/support.

Item No. Product #

1.0 5900000001 MV3 6

2.0 3009PX-LEX-450 PROCUITY LEX W/ ISOTOUR PREM 132

3.0 5900000145 ASSY, PATIENT HELPER TOP LEVEL 1

GSAM/R 538.7104-3(b) Sole Source Justifications - Federal Supply Schedule Ordering Procedures

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.

GSAM/R 538.7104-3(b)(1)(i): An urgent and compelling need exists and following the ordering procedures would result in unacceptable delays:

GSAM/R 538.7104-3(b)(1)(ii): 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;

GSAM/R 538.7104-3(b)(1)(iii): 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.

GSAM/R 538.7104-3(b)(1)(iv): It is necessary to place the order with a particular FSS contractor to satisfy a minimum guarantee established in the FSS BPA; or

GSAM/R 538.7104-3(b)(1)(v): A law expressly authorizes or requires that the purchase be made from a specified source.

GSAM/R 538.7104-4: 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:

Procuity LEX w/ IsoTour Premium:

• The Bed selected offer a low enough entry/exit (11.5 inches) that it can be used for both

• 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.

AP# 36C241-26-AP-4679

• 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.

• While Vocera integration is available on multiple beds, the addition of a multi-point scale, in conjunction with continuous monitoring, 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

MV3 – Bariatric Bed:

• The bariatric bed selected offers a low bed height (12”) that can help enable egress/ingress for patients of various heights and weights as well as help prevent falls and reduce fall injuries.

• The bariatric bed selected also has iBed awareness that monitors local bed status information.

This alerts clinical staff visually if preset parameters are compromised. In addition, the single-zone bed exit alarm alerts clinical staff if the patient moves beyond the recommended safe zone.

• This selected bed also has the capability to sit upright in a cardia chair mode. This helps maintain proper circulation and prevent cardiovascular conditions such as deep vein thrombosis, hypertension, coronary artery diseases, pulmonary embolism, congestive heart failure, and stroke.

• This bariatric bed also has a safe working load of 1100lbs. It exceeds today’s industry standards while also providing a safe and durable alternative to bariatric rentals on the market today.

• This bed has three expandable settings, 36, 42, and 48 inches. It allows caregivers to easily accommodate patients of various sizes without needing assistance from fellow nurses.

ASSY, PATIENT HELPER TOP LEVEL

• This selected item is compatible with both the Stryker Procuity LEX bed as well as the MV3 bariatric bed

• Patient helper equipment is a crucial bed accessory that assists in the independent repositioning of the patient to encourage both mobility and independence.

Describe Why You Believe the Order Represents the Best Value consistent with GSAM/R 538.7102-2(4) 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.

Describe the Market Research Conducted among schedule holders and the results or a statement of the reason market research was not conducted.

The Veterans First (Rule of Two) was considered and applied for the VA Northeast Consortium (VANEC) Hospital Bed BPA 36C24525A0024. Market research was conducted by reviewing the BPA award documents, price lists, and product brochures for awardees under the Multi-VISN Multiple Award BPA.

Based on a comparative analysis of product specifications, (e.g. bed height, safe working load, integrated

AP# 36C241-26-AP-4679

scale/monitoring capability, extension systems, and compatibility with existing patient-helper equipment), it was determined that Stryker is the only manufacturer whose products meet the salient characteristics and performance requirements established by VAMC Bedford, MA. No other BPA awardee’s product met the combination of clinical and safety requirements described in Section 4 above.

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. As well as the facility already has 2 full units completely outfitted with these beds. By expanding the fleet, this would allow for fleet standardization across the facility allowing for ease of training and for float nurses to use. This would enhance the safety of patient care through minimal confusion with bed capabilities that can differ when having numerous standard bed models.

Many features on the selected bariatric bed reflects those on the Procuity bed that is already located at the facility making the training and education for both unit nurses and float nurses to be more coherent.

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:

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, the agency 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 will help overcome previous barriers and ensure that cutting-edge solutions inform procurement decisions. Furthermore, the agency will periodically reassess whether the original basis for restricted competition (e.g., fleet standardization, training continuity) continues to apply and will structure future solicitations to maximize competition to the extent operationally feasible.

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 sole source justification restricts consideration of Federal Supply Schedule contractors to fewer than the number required by GSAM/R 538.71 as directed by RFO 8.4. (This signature is the requestor’s supervisor, fund control point official, chief of service or someone with responsibility and accountability.)

Jennifer Downes Supervisory Biomedical Engineer VAMC Bedford, MA

Approvals in accordance with the VHAPM Part 806.3 OFOC SOP:

Contracting Officer’s Certification (required): I certify that the foregoing justification is accurate

JENNIFER

DOWNES

Digitally signed by

JENNIFER DOWNES

Date: 2026.09.08 09:51:28 -04'00' to the best of my knowledge and belief.

Manases Cabrera Contracting Officer

NCO 1

b. One Level Above the Contracting Officer (Required over the SAT but not exceeding $900k): I certify the

Sheryl Anthony Branch Chief

NCO 1

HIGHER LEVEL APPROVAL (Required for orders over $900,000)

c. VHA RPO HCA Review and Approval (over $900,000 to $90 million): I have reviewed the foregoing justification

Brent Goe Acting Executive Director Head of Contracting Activity Regional Procurement Office - East

MANASES

CABRERA

Digitally signed by

MANASES CABRERA

Date: 2026.09.08 10:03:02 -04'00'

SHERYL ANTHONY

Digitally signed by SHERYL

ANTHONY

Date: 2026.09.08 10:18:01 -04'00'

BRENT GOE

Digitally signed by BRENT

GOE

Date: 2026.09.11 11:47:12 -04'00'