A13- JA for Other Than Full and Open Competition_redacted.pdf

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NOI: The General Hospital Corporation
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PR-84381
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This document is a Justification and Approval (J&A) for Other Than Full and Open Competition for a follow-on requirement related to the Electronic Health Record of the Surveillance Based Lyme Disease Network (SubLyme) in the Northeast.

The General Hospital Corporation will provide robust electronic health record (EHR)-derived data to support the development of an enhanced Lyme disease surveillance platform. The period of performance is 09/30/2024 - 09/29/2026, with a 12-month base period and a 12-month option period. The key tasks include implementing the SubLyme network protocol to identify and characterize Lyme disease cases, exploring data elements for clinical manifestation monitoring, proposing research study protocols, and preparing for Lyme disease vaccine impact studies. The justification cites the authority under 41 U.S.C. 3304 as the basis for the sole source award to the incumbent contractor, the General Hospital Corporation. This follow-on requirement was previously competed under a Broad Agency Announcement, and openly competing it again at this time would delay meeting the network's objectives.

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Template for Justification and Approval for Other Than Full and Open Competition Completion Instructions: The Department of Health and Human Services (HHS) has established a standard template for the preparation of a J&A for Other Than Full and Open Competition. If this is an 8(a) set-aside, please note this form is not required unless the acquisition is valued (including all options) at greater than $22 million. This template is NOT applicable for actions using simplified acquisition procedures (FAR Part 13), Federal Supply Schedule orders (FAR 8.4) or task or delivery orders subject to fair opportunity (FAR 16.505).

Tailor all aspects of this template to the individual acquisition. Consult FAR Subpart 6.3 for guidance. An addendum may be added in case additional space is needed.

When this document is printed, the blue italic instructions are automatically deleted on the printed version.

JUSTIFICATION AND APPROVAL FOR OTHER THAN FULL AND OPEN COMPETITION

2. Description of Action:

Nature:

Pricing:

Funds:

3. Description of Services or Supplies:

Basis for Approval (FAR 6.303-1(d)):

As applicable, briefly describe the services or supplies required to meet the agency's needs, including make & model number where appropriate. Include quantities of supplies or period of performance for services. Provide information for any options included. If the action is a modification to an existing contract, distinguish clearly between the work covered by the original contract and the work to be obtained by the proposed modification.

4. Authority and Rationale: Identify the statutory authority, FAR title and FAR citation permitting other than full and open competition. It may be one of the following most commonly used citations by the operating divisions of the Department of Health and Human Services (HHS), but other exceptions may apply per FAR Subpart 6.3.

Actions other than simplified acquisition procedures (select only one and provide an explanation):

Explain why the intended contractor is the only responsible source who can provide the required supplies or services. Discuss the unique capabilities, expertise, etc. that support the lack of competition/why no other type of supplies or services will satisfy agency requirements. Explain factors/unique qualifications such as proprietary data or exclusive licensing rights, if applicable. When competition is limited to items particular to one manufacturer, this justification must explain why the particular brand name, product, or feature is essential to the Government's requirements, and that market research indicates other companies' similar products, or products lacking the particular feature, do not meet, or cannot be modified to meet the agency's needs in accordance with FAR 11.105. If in connection with a follow-on contract for continued development or production of highly specialized equipment, detail the substantial duplication of cost or unacceptable delays. May not Exceed one year, including all options, unless the head of the agency (Secretary of HHS) determines that exceptional circumstances apply.

If unusual and compelling urgency is the basis for the justification, explain the chronological events leading up to the requirement and explain why time constraints cannot permit even a limited competition. Describe the detrimental effects/serious injury to the mission of the requiring activity or to the government, financial or otherwise, that will result if this justification is not approved. Describe impact of required delivery/performance date. Describe the detrimental effects/serious injury to the mission of the requiring activity or to the government, financial or otherwise, that will result if this justification is not approved and the product or service cannot be provided by the intended sole source contractor. Failure to plan for expiring funds is not a valid reason for citing this exception. May not exceed one year, including all options, unless the head of the agency determines that exceptional circumstances apply.

Provide a citation to the statutory authorization and a brief description of its content, or identify the specified source or other agency.

Provide the authority and citation to the applicable section of FAR 6.3.

Provide a full explanation to justify use of the exception.

5. Agency Actions to Take or Remove Barriers That Led to Other Than Full and Open Competition (If applicable):

Describe the actions, if any, the agency may take to remove or overcome any barriers that led to the restricted consideration prior to any subsequent acquisition for the supplies of services is made. If no such actions have been taken, explain why.

6. Bridge Contracts:

For contract extensions or bridge contracts when a competitive follow-on is in the process of being developed, summarize history of current contract and explain the reasons for any delays in the acquisition. Include discussion of the milestones for the follow-on action; the milestones should be as efficient as possible. Discuss why it would be neither cost effective nor realistic to expect another contractor to perform during the brief interim period; include issues such as start-up costs, phase-in, transfer of GFP, recruitment and staffing, etc. If the action is because of a protest, provide a brief discussion of the protest including the date the protest was filed and the basis of the protest. Explain that the action will provide the minimum quantity or performance period.

7. Actions to Increase Competition:

Describe efforts made to compete the action, including whether a notice was or will be publicized as required by FAR Subpart 5.2 or which exception under FAR 5.202 applies. If a notice was publicized, discuss the number of written responses to the synopsis and the results of the assessment of the written responses. List sources, if any, that expressed, in writing, an interest in the acquisition. Provide rationale if interested sources were rejected. If applicable, state that no other sources have expressed interest, but all offers received shall be considered. Describe what actions will be taken to increase competition before subsequent acquisition of the supplies or services is required. You may state that an action is a one-time requirement, but if a similar requirement arises, every effort will be made to compete it to the maximum extent possible. If action is sole source because of proprietary data or licensing rights and there will be a continuing need for the requirement, there must be evidence that advanced planning has been initiated to overcome the barriers to competition, or there should be documentation to support an analysis that replacement costs/licensing purchase costs outweigh the benefits of competition. If the action is a contract extension or bridge, explain actions to compete the follow-on. If action is an urgent new requirement and a competitive follow-on is anticipated, explain that efforts are underway to facilitate a full and open competition.

8. Market Research:

Describe the extent of the market research conducted to identify all qualified sources and the results thereof. “Market Research” is defined as those attempts you made to ascertain whether other qualified sources exist, and can include contact with knowledgeable experts regarding similar or duplicate requirements, contact with industry, results of a sources sought synopsis, or draft solicitations. Research of the marketplace may consist of written, electronic (i.e. email) telephonic, or world wide web inquiries. Lack of advanced planning is not an acceptable reason for the lack of market research, but true urgency may necessitate abbreviated market research that is limited to readily available historical and commercial information. If action is a contract extension or bridge contract, describe the market research efforts underway or completed for the follow-on. See FAR 10.002(b)(2).

9. Procurement History:

Was action competed?

If action was not competed, state the cited authority, summarize rationale, and describe the actions that were supposed to be taken to increase competition and the results thereof:

10. Additional Information to support the justification:

If applicable, explain why technical packages or specifications to facilitate competition were not developed or available; describe actions taken to remedy the situation.

11. Technical / Requirements Certification: By my signature below, I certify that the supporting data included in this J&A is accurate and complete.

Program Manager Name:

Position Title:

Email address:

Phone:

Program Manager Supervisor (or one level above Program Manager) Name:

Position Title:

Email address:

Signature:

Date:

12. Fair and Reasonable Price/Cost Determination: As Contracting Officer, by my signature below, I hereby determine that the anticipated price/cost to the Government for this contract action will be fair and reasonable.

Provide the basis for this determination, e.g., describe techniques to be used to determine fair and reasonable price (FAR Subpart 15.402), such as price analysis, cost analysis, cost realism. Per FAR Subpart 15.403-4(a)(1), the threshold for obtaining cost or pricing data is $750,000.

Name:

Phone:

Signature:

Date:

13. Contracting Officer's Approval (Required for proposed contract not to exceed $700,000 (value calculated including all options)): I hereby certify that this justification is accurate and complete to the best of my knowledge. I approve this justification subject to availability of funds, and provided that the services and supplies herin describe have otherwise been authorized for acquisition.

Name:

Phone:

Signature:

Date:

14. Legal Review:

All J&As greater than $68 million must have a legal review from the General Law Division of the Office of the General Counsel prior to sending it to the Department.

15. OPDIV Competition Advocate Approval (Required for proposed contract over $700,000 but not exceeding $13.5 million value calculated including all options)):

I have reviewed this justification and find that it adequately supports other than full and open competition.

Name:

Phone:

Signature:

Date:

16. Office of Small and Disadvantaged Business Utilization:

I have reviewed this justification and find that it adequately supports other than full and open competition.

Name:

Phone:

Signature:

Date:

17. OPDIV HCA Approval (Required for proposed contract over $13.5 million but not exceeding $68 million value calculated including all options)):

Name:

Phone:

Signature:

Date:

18. Department Competition Advocate:

Concur:

Non-Concur:

Name:

Phone:

Signature:

Date:

(The below approval paragraph is required if the cumulative contract value, including all options, exceeds $68 million.)

19. HHS Senior Procurement Executive (SPE) Approval:

Based on the foregoing justification, I hereby approve other than full and open competition for the above stated procurement, subject to the availability of funds, and provided that the services herein described have otherwise been authorized for acquisition.

State supplies/services being procured:

State the full statutory authority and FAR cite and title, consistent with paragraph 4, e.g. 41 U.S.C. 3304:

State the full statutory authority and FAR cite and title, consistent with paragraph 4, e.g. 41 U.S.C. 3304 Name:

Phone:

Signature:

Date:

11.0.0.20130303.1.892433.887364 Justification & Approval - Other Than Full and Open Competition Health and Human Services Justification & Approval - Other Than Full and Open Competition

AcquisitionTitle: Electronic Health Record of Surveillance Based Lyme Disease Network (SubLyme), Northeast
Agency: CDC
NIHDrop:
PSCDrop:
PSCOther:
AcqusitionYear: 2024
Author: Cindy Summerhawk, COR II
CheckBox4: 0
CheckBox5: 1
CheckBox1: 0
Purchase order/contract number:
CheckBox8: 1
CheckBox7: 0
CheckBox6: 0
CheckBox9: 0
Agency Actions to Take or Remove Barriers That Led to Fair Opportunity Exception (If applicable): The current contract with the General Hospital Corporation was awarded under the FY23 CDC-wide BAA, and per FAR 6.102(d)(2)(i), the BAA is a competitive procedure that satisfies the CICA requirement for full and open competition. This follow-on contract will continue the work of the original contract that was competed through the BAA mechanism. The General Hospital Corp. works directly with Westat, the data coordinating center, to provide the necessary EHR data to achieve network goals. Two more years of work by the General Hospital Corp. will fulfill all obligations of the work the vendors competed for requirements Westat is currently funded for until September 2026. Openly competing the current requirements at this time will significantly delay meeting the network objectives and Westat’s deliverables; data delivery would be delayed by at least one year. To continue the work of the network after September 2026, we anticipate open competition for a new acquisition at that time.
CheckBox10: 0
CheckBox11: 0
Other funds:
TextField5: The General Hospital Corporation d/b/a Massachusetts General Hospital
TextField5: 55 Fruit Street
TextField5: Boston, MA 02114
CheckBox2: 1
CheckBox3: 0
TextField7:
As applicable, briefly describe the services or supplies required to meet the agency's needs, including make & model number where appropriate. Include quantities of supplies or period of performance for services. Provide information for any options included. If the action is a modification to an existing contract, distinguish clearly between the work covered by the basic order and the work to be obtained by the proposed modification.: The General Hospital Corporation shall provide robust electronic health record (EHR)-derived data for development of an enhanced surveillance platform for Lyme Disease (LD). This will encompass follow-on for contract 75D30123C18173.

The period of performance will be from 09/30/2024 - 09/29/2026; this includes one 12-month base period and one 12-month option period. 52.217-8 will be included in the contract.

The General Hospital Corp will work with CDC and SubLyme network sites, including the data coordinating center, Westat, regarding the form, format, and content of data deliveries to ensure standardized data collection and reporting.

Task 1. Implement SubLyme network protocol to identify and characterize LD cases based on standardized EHR data within The General Hospital Corp systems.

Task 2. Explore data elements that inform clinical manifestations of LD and develop plan for routine monitoring of clinical manifestations (e.g., erythema migrans, arthritis, cardiac complications, neurologic complications) and epidemiology of the disease.

Task 3. Propose research study protocols to conduct clinical research studies to address questions regarding LD in certain patient populations including, but not limited to, pregnant women with LD, those with LD and other tickborne disease coinfections, and those with LD who experience persistent symptoms after treatment.

Task 4. Prepare to conduct LD vaccine impact studies (e.g., coverage, effectiveness, adverse events) once a LD vaccine, or other preventive, is available.

CheckBox12: 1
State the full statutory authority and FAR cite and title, consistent with paragraph 4, e.g. 41 U.S.C. 3304: CDC established the Surveillance Based Lyme disease Network (SubLyme) in September 2023. This network includes several large healthcare systems in Lyme disease endemic areas in the United States who provide EHR-based Lyme disease data, managed by a data coordinating center. The first full year of network objectives have included developing, validating, finalizing, and implementing EHR algorithms to provide routine estimates of LD incidence and LD outcomes, and to monitor trends in LD epidemiology. The start-up efforts, in terms of time, experience, and knowledge sharing, for all network participants has been significant; onboarding brand new sites at this point in establishing the network would significantly delay (by at least one year) these network objectives. Westat was funded from September 2023-September 2026 (contract # 75D30123C18329) to serve as the data coordinating center of the SubLyme network, which involves receiving, compiling, and cleaning data from the participating healthcare systems, and, in partnership with CDC and the healthcare systems, producing reports of annual incidence estimates, descriptive epidemiology, and other research questions. However, the participating healthcare systems were each funded for one base year only, from September 2023-September 2024, under CDC’s Broad Agency Announcement (BAA) funding mechanism (75D30123C18193 Geisinger, 75D30123C18173 The General Hospital Corp, 75D30123C18280 Marshfield Clinic). Therefore, CDC seeks to fund the General Hospital Corp. healthcare systems, which are already providing data to the network, for the next two years to align with Westat’s period of performance and ensure consistency in the data delivered to Westat and summary results provided to CDC. The General Hospital Corp. healthcare systems represent patient data from the northeastern U.S., one of three regions in the U.S. with high incidence of Lyme disease (Geisinger represents the mid-Atlantic region and Marshfield Clinic represents the upper midwestern region of the U.S.). These three regions have the highest incidence of LD in the U.S. and the network requires representative health systems as risk factors, ecologic factors, and even care-seeking may differ by region. The same patient populations and healthcare systems are necessary for further development and refinement of EHR-based algorithms for estimating Lyme disease incidence within the established network. Lyme disease (LD) and other tick-borne diseases are a growing threat to public health in the United States. Proceeding with this network with new healthcare systems would cause a significant delay (e.g., time needed for Intuitional Review Board and Data Use Agreement approvals with a new system, determining whether a new EHR coding system is compatible with current network protocols, etc.) in achieving the network's goals of establishing enhanced surveillance for Lyme disease and would significantly impede the network's ability to monitor the impact of a Lyme disease vaccine, once it comes to market.
State the full statutory authority and FAR cite and title, consistent with paragraph 4, e.g. 41 U.S.C. 3304: This will not be a bridge contract so this is not applicable.
State the full statutory authority and FAR cite and title, consistent with paragraph 4, e.g. 41 U.S.C. 3304: The current contract with the General Hospital Corporation was awarded under the FY23 CDC-wide BAA, and per FAR 6.102(d)(2)(i), the BAA is a competitive procedure that satisfies the CICA requirement for full and open competition. All actions to increase competition and innovation were performed through the original BAA call for white papers and full proposals. To continue the work of the network after September 2026, we anticipate open competition for a new acquisition at that time. Furthermore, a notice of intent to sole source will be posted for 15 days after this J&A is approved.
State the full statutory authority and FAR cite and title, consistent with paragraph 4, e.g. 41 U.S.C. 3304: Market research was performed during the BAA review process in FY23 in the form of a call for white papers to meet our objectives. We received 13 white papers from industry and academia; we invited 9 to submit proposals and ultimately selected 4 (Westat, Geisinger, Marshfield Clinic, and the Mass General Corporation) for funding.
State the full statutory authority and FAR cite and title, consistent with paragraph 4, e.g. 41 U.S.C. 3304: The price will be evaluated and determined to be fair and reasonable by comparing historical data, using the IGCE, or doing a price analysis. One of the techniques thats described will be used as a basis. In addition, the breakdown will be provided in the price negotiation memo and we will obtain certified cost or price analysis.
CheckBox13: 0
CheckBox14: 0
CheckBox15: 0
TextField9: 75D30123C18173
CheckBox16: 1
CheckBox17: 0
Program Manager name: Cindy Summerhawk
Program Manager position title: COR
Program Manager email address: hrf8@cdc.gov
Program Manager phone: 970-225-4240
Program Manager Supervisor name: Ed Cotton
Program Manager Supervisor position title: Program Management Officer (PMO)
Program Manager Supervisor email address: euq8@cdc.gov
HHS Senior Procurement Executive (SPE) signature:
Program Manager Supervisor date: 2024-03-20
Contract Officer's Approval name: Sheena Delaine
HHS Senior Procurement Executive (SPE) phone: 770.488.2974
HHS Senior Procurement Executive (SPE) phone: 770-488-8219
HHS Senior Procurement Executive (SPE) phone: 202-758-5124
Contract Officer's Approval date: 2024-04-02
HHS Senior Procurement Executive (SPE) name: Kem Williams
HHS Senior Procurement Executive (SPE) name: Gwendolyn Miles
DateField6: 2024-04-15
Office of Small Business date: 04/15/2024
OPDIV HCA date:
Concur with Acquisition: 0
Non-Concur with Acquisition: 0
HHS Senior Procurement Executive (SPE) date:
State supplies/services being procured: The General Hospital Corporation shall provide robust electronic health record (EHR)-derived data for development of an enhanced surveillance platform for Lyme Disease (LD). This will encompass follow-on for contract 75D30123C18173.

The period of performance will be from 09/30/2024 - 09/29/2026; this includes one 12-month base period and one 12-month option period. 52.217-8 will be included in the contract.

The General Hospital Corp will work with CDC and SubLyme network sites, including the data coordinating center, Westat, regarding the form, format, and content of data deliveries to ensure standardized data collection and reporting.

Task 1. Implement SubLyme network protocol to identify and characterize LD cases based on standardized EHR data within The General Hospital Corp systems.

Task 2. Explore data elements that inform clinical manifestations of LD and develop plan for routine monitoring of clinical manifestations (e.g., erythema migrans, arthritis, cardiac complications, neurologic complications) and epidemiology of the disease.

Task 3. Propose research study protocols to conduct clinical research studies to address questions regarding LD in certain patient populations including, but not limited to, pregnant women with LD, those with LD and other tickborne disease coinfections, and those with LD who experience persistent symptoms after treatment.

Task 4. Prepare to conduct LD vaccine impact studies (e.g., coverage, effectiveness, adverse events) once a LD vaccine, or other preventive, is available.

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