P03 SSJ MPT-SAT - Rheumatology - Renal - Pulmonary Lab Testing Svcs - Fully Exe.pdf

VHAPM Part 813.106 Page 1 of 3 Original Date: 08/30/17 Revision 02 Eff Date: 03/31/2020

DEPARTMENT OF VETERANS AFFAIRS

Justification for Single Source Awards IAW FAR 13.106-1 For

Over Micro-Purchase Threshold but Not Exceeding the SAT ($250K)

Acquisition Plan Action ID: 36C241-21-AP-0223

1. Contracting Activity: Department of Veterans Affairs, VISN 01, VA Connecticut Healthcare System, 950 Campbell Street, West Haven CT 06516

PR-IFCAP: 523-21-1-2765-0029

The VISN 1 Healthcare System is searching for contractors to provide Rheumatology, Renal and Pulmonary Testing Services for the below coverage areas:

VA Boston Healthcare System 1400 VFW Parkway West Roxbury, MA 02132

VA Maine Healthcare System 1 VA Center Augusta, ME04330

Other Additional sites to use the services are as follows:

Manchester VA Medical Center (608) 718 Smyth Road Manchester, NH 03104

VA Connecticut Healthcare System, West Haven Campus (Station 689) 950 Campbell Avenue West Haven, CT 06516

White River Junction VA Medical Center (Station 405) 215 North Main Street White River Junction, VT 05009

VA Central Western Massachusetts Healthcare System (Leeds, MA) (Station 631) 421 North Main Street Leeds, MA 01053-9764

Providence VA Medical Center (Station 650) 830 Chalkstone Avenue Providence, RI 02908-4799 https://www.acquisition.gov/?q=/browse/far/13

VHAPM Part 813.106 Page 2 of 3

Revision 02 Eff Date: 03/31/2020

VA Bedford Healthcare System 200 Springs Road, Bedford, MA 01730

2. Brief Description of Supplies/ Services required and the intended use/Estimated Amount: VISN 1

Network Consolidated Laboratories has a requirement for Rheumatology, Renal and Pulmonary Lab Testing Services for patients from the above locations. The Affiliate Blanket Purchase Agreement will be for Base plus 3-Years at a cost of $231,240.00. Period of Performance: 12/1/2020 – 11/30/2023.

Please see below for a description of the tests and estimated quantities.

Description/Part

Number

CPT Code Quantity

C-ANCA 86021 x 2,88346 220

C-ANTI-GBM 84181 10

ANTI-PLA2R 86021, 88347 75

3. Unique characteristics that limit availability to only one source, with the reason no other supplies or services can be used: Per FAR 6.302-5/603-5, Massachusetts General Hospital (Large Business) has specialized in providing Rheumatology, Renal and Pulmonary Testing Services for over 12 years for the area. They have the infrastructure and organizational capability to provide the service for the area in need. The contractor has the ability to perform the following tests; ANCA, Anti-GBM, and Anti-PLA2R. The contractor provides a turnaround time (TAT) (turn around time), specificity and sensitivity of the MGH assays that meet the clinical needs of the Pulmonary, Renal and Rheumatology Departments of the VA.

We have reviewed the test offerings from Quest in the past (for comparative purposes) with these physicians and they advised that the MGH tests offered them more information and assisted them with making clinical decisions for their patients. Anti-Glomerular Basement Membrane (Anti-GBM) by Western Blot. Quest does not offer an Anti-GBM by Western Blot. Quest offers an Anti-GBM by immunoassay. This method lacks the sensitivity and specificity that is needed for patients being followed for disease management.

4. Description of market research conducted and results or statement why it was not conducted: As another potential source for testing, Quest Diagnostics (Large Business) was surveyed as another possible provider since they provide laboratory services for several VISN 1 Sites. As mentioned above , Quest does not offer one of the tests needed for this specialized testing. MGH is an academic affiliate of VA Boston. Therefore, they are uniquely experienced and qualified to meet the STAT and specialized laboratory testing for the VISN 1 geographic area. The VA clinicians are very satisfied with these tests and results for patients being followed for disease management.

VHAPM Part 813.106 Page 3 of 3

Revision 02 Eff Date: 03/31/2020

5. Contracting Officer's Certification: Purchase is approved in accordance with FAR13.106-1(b). I certify that the foregoing justification is accurate and complete to the best of my knowledge and belief.

Note: COs are required to make a determination of price reasonableness IAW FAR 13.106-3. See the

S19 Open Market (FAR13) Award Documentation Form with Abstract to document price reasonableness.

Name: Date Title: Program Manager

Name: Julie Lemire Date Title: Contracting Officer https://acquisition.gov/far/current/html/Subpart%2013_1.html#wp1125466 https://vaww.pclo.infoshare.va.gov/PMWeb/S19%20Open%20Market-FAR13%20Award%20Documentation%20Form.pdf