Product Description for RFI_MedKnowledge_FINAL_26Oct2021.pdf

PRODUCT DESCRIPTION

DEPARTMENT OF VETERANS AFFAIRS

Veterans Health Administration (VHA) Pharmacy Service

MedKnowledge Drug Database and Decision Support Tools

Date: October 26, 2021

VA-22-00013050

PD Version Number: 1.0

TAC Number: VA-FY-22-00013050

Contents

1.0 PRODUCT REQUIREMENTS

2.0 NOTICE OF THE FEDERAL ACCESSIBILITY LAW AFFECTING ALL

INFORMATION AND COMMUNICATION TECHNOLOGY (ICT)

PROCUREMENTS (SECTION 508)

2.1 SECTION 508 – INFORMATION AND COMMUNICATION TECHNOLOGY

(ICT) STANDARDS

2.2 COMPATABILITY WITH ASSISTIVE TECHNOLOGY

2.3 ACCEPTANCE AND ACCEPTANCE TESTING

3.0 INFORMATION TECHNOLOGY USING ENERGY-EFFICIENT PRODUCTS

3.1 EPEAT

3.2 ENERGY STAR

3.3 FEMP

4.0 GENERAL REQUIREMENTS

4.1 VA TECHNICAL REFERENCE MODEL

4.2 SOCIAL SECURITY NUMBER (SSN) REDUCTION

4.3 INTERNET PROTOCOL VERSION 6 (IPV6)

1.0 PRODUCT REQUIREMENTS

The Department of Veterans Affairs (VA), Veterans Health Administration (VHA), Pharmacy Service has a requirement to renew the commercial clinical knowledge database license that is utilized for clinical decision support (CDS) within the VA’s VistA Electronic Medical Health Record System, Medication Order Check Healthcare Application (MOCHA) suite of pharmacy software applications. These clinical decision support tools are required for medication order checks such as drug-drug interactions, duplicate therapy, and maximum dose checks during provider medication order entry and pharmacy medication order processing. These order checks are vital to the mission of VA and will place patients at significant risk if they are not available. The MedKnowledge database is also required for inventory control, claims adjudication, market research for contracting and to validate internal VA data such as National Drug Code (NDC) and pricing information.

MedKnowledge Drug database is a comprehensive clinical knowledge database that is tightly coupled with the VistA Application Program Interfaces (APIs) that access FDB Standard Reference Tables. VistA MOCHA applications, including MOCHA, Pharmacy Product System (PPS)/ National Drug File (NDF), Pharmacy Enterprise Customization System (PECS), Data Update (DATUP), and MOCHA Server are fully dependent and were strictly developed according to the vendor’s database schema, API calls and algorithms.

The period of performance (PoP) for this proposed contract will consist of a Base Period of 12 months and four 12-month Option Periods. There are also eight Optional Tasks for the Base Period and Option Periods that can be exercised at any point during those periods for a maximum of twelve months.

1.1 MEDKNOWLEDGE LICENSE REQUIREMENTS:

The Contractor shall provide MedKnowledge framework and MedKnowledge information architecture licenses, with all of the associated modules, for duration of 12 months from contract award. The Contractor shall provide MedKnowledge database and tools given the following assumptions:

1. The Contractor shall provide VA with an enterprise license for 12 months for the MedKnowledge framework, architecture and modules identified in the table below.

2. The MedKnowledge database and tools shall be available to all VA personnel. The MedKnowledge database and tools shall also be available to VA Contractors working for VA.

3. Non-Proprietary information shall also be shared with users outside VA, for example, Department of Defense and other VA vendors.

4. The MedKnowledge database and tools shall be accessible by VA developed, open source code designed to utilize the database information.

5. The Contractor shall ensure the information is available for use for the following purposes:

a. The information will be accessed by the VA Veterans Health Information Systems and Technology Architecture (VistA) system for use in Pharmacy, Physician order entry, Electronic Medical Records, E-prescribing, Bar Code Administration

b. Reports

c. Inventory control

d. Web sites

e. Validation of internal data.

6. VA reserves the right to use the information in other ways not listed.

7. VA reserves the right to use consumer drug monographs (i.e. Patient Medication Information PMI), images, and drug names on VA website, including the use of NDCs and other identifying information to direct users to the correct information. Any other information contained on the web will be placed either on the VA intranet or be password protected.

8. The Contractor shall provide updates of any changes to the architecture, framework and any modules daily, or on another recurring schedule determined by VA, not to exceed daily.

9. The Contractor shall provide drug database updates to the packages listed.

10. The Contractor shall provide FDB customer service support for VA personnel and VA Contractors.

Base Period - 01.31.2022 to 01.30.2023

Description Quantity

MedKnowledge Information Architecture including:

MEDKNOWLEDGE FRAMEWORK

COUNSELING MESSAGE MODULE

DOSE RANGE CHECK MONDULE

DRUG ALLERGY MODULE

DRUG DISEASE CONTRAINDICATIONS MODULE

DRUG-FOOD INTERACTION MODULE

DRUG LAB INTERFERENCE MODULE

DRUG-DRUG INTERACTION MODULE

DUPLICATE THERAPY MODULE

INDICATIONS MODULE

MINIMUM/MAXIMUM DAILY DOSE MODULE

PATIENT EDUCATION MODUE (English) PRECAUTION MODULES (Geriatric, Pediatric, Pregnancy, Lactation) PRIOITIZED LABEL WARNING (English)

SIDE EFFECTS MODULE

1 x 12 month enterprise license

Patient Education Module (Spanish) 1 x 12 month enterprise license

Drug-Drug Interaction for Consumers Module 1 x 12 month enterprise license

Custom Monthly Update 1 x 12 month enterprise license

AlertSpace (Drug-Drug Interactions, Dose Range Check, Duplicate Therapy & Precautions Modules)

1 x 12 month enterprise license

Product - Online Drug Reference Module 1 x 12 month enterprise license

Option Periods 1 through 4 (If exercised)

Option Period 1 - 01.31.2023 to 01.30.2024 Option Period 2 - 01.31.2024 to 01.30.2025 Option Period 3 - 01.31.2025 to 01.30.2026 Option Period 4 - 01.31.2026 to 01.30.2027

Description Quantity

MedKnowledge Information Architecture including:

MEDKNOWLEDGE FRAMEWORK

COUNSELING MESSAGE MODULE

DOSE RANGE CHECK MONDULE

DRUG ALLERGY MODULE

DRUG DISEASE CONTRAINDICATIONS MODULE

DRUG-FOOD INTERACTION MODULE

DRUG LAB INTERFERENCE MODULE

DRUG-DRUG INTERACTION MODULE

DUPLICATE THERAPY MODULE

INDICATIONS MODULE

MINIMUM/MAXIMUM DAILY DOSE MODULE

PATIENT EDUCATION MODUE (English) PRECAUTION MODULES (Geriatric, Pediatric, Pregnancy, Lactation) PRIOITIZED LABEL WARNING (English)

SIDE EFFECTS MODULE

1 x 12 month enterprise license

Patient Education Module (Spanish) 1 x 12 month enterprise license

Drug-Drug Interaction for Consumers Module 1 x 12 month enterprise license

Custom Monthly Update 1 x 12 month enterprise license

AlertSpace (Drug-Drug Interactions, Dose Range Check, Duplicate Therapy & Precautions Modules)

1 x 12 month enterprise license

Product - Online Drug Reference Module 1 x 12 month enterprise license

Base Period Optional Tasks (If exercised)

01.31.2022 to 01.30.2023

Each below line item may be exercised individually, or in concert with other Optional Tasks. The PoP for the Optional Tasks shall be up to 12 months from date of Option

Exercise, to run concurrent with the current Period of Performance.

Description Quantity

MedGuide Module – (Enterprise License) 12-months

Hepatic and Renal Dosing Content Bundle (API Implementation)

12-months

Order Knowledge Content, Hepatic & Renal Dosing and Rounding (API Implementation)

Opioid Risk Module 12-months

Enhanced Interoperability Module (Enterprise) 12-months

Framework 3.3 Software Support and Maintenance

Pharmacogenomics Content & API Bundle (Pilot – up to 10 sites)

Pharmacogenomics Content & API Bundle (Enterprise) 12-months

MEDUCATION Patient Engagement Module (Enterprise)

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

Optional Tasks (If exercised) Each below line item may be exercised individually, or in concert with other Optional Tasks. The PoP for the Optional Tasks shall be up to 12 months from date of Option

Exercise, to run concurrent with the current Period of Performance.

Option Period 1 Optional Tasks - 01.31.2023 to 01.30.2024 Option Period 2 Optional Tasks - 01.31.2024 to 01.30.2025 Option Period 3 Optional Tasks - 01.31.2025 to 01.30.2026 Option Period 4 Optional Tasks - 01.31.2026 to 01.30.2027

Description Quantity

MedGuide Module – (Enterprise License) 12-months

Hepatic and Renal Dosing Content Bundle (API Implementation)

Order Knowledge Content, Hepatic & Renal Dosing and Rounding (API Implementation)

Opioid Risk Module 12-months

Enhanced Interoperability Module (Enterprise) 12-months

Pharmacogenomics Content & API Bundle (Pilot – up to 10 sites)

Pharmacogenomics Content & API Bundle (Enterprise) 12-months

MEDUCATION Patient Engagement Module (Enterprise) 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

https://www.access-board.gov/guidelines-and-standards/communications-and-it/about-the-ict-refresh/final-rule/text-of-the-standards-and-guidelines https://www.access-board.gov/guidelines-and-standards/communications-and-it/about-the-ict-refresh/final-rule/text-of-the-standards-and-guidelines https://www.access-board.gov/guidelines-and-standards/communications-and-it/about-the-ict-refresh/final-rule/text-of-the-standards-and-guidelines https://www.access-board.gov/guidelines-and-standards/communications-and-it/about-the-ict-refresh/final-rule https://www.access-board.gov/guidelines-and-standards/communications-and-it/about-the-ict-refresh/final-rule

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.

3.1 EPEAT

EPEAT product compliance is not required in this acquisition.

3.2 ENERGY STAR

Energy Star compliance is not required in this acquisition.

3.3 FEMP

FEMP or FEMP low standby power product compliance is not required in this acquisition.

4.0 GENERAL REQUIREMENTS

4.1 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.

4.2 SOCIAL SECURITY NUMBER (SSN) REDUCTION

The Contractor solution shall support the Social Security Number (SSN) Fraud Prevention Act (FPA) of 2017 which prohibits the inclusion of SSNs on any document sent by mail. The Contractor support shall also be performed in accordance with Section 240 of the Consolidated Appropriations Act (CAA) 2018, enacted March 23, 2018, which mandates VA to discontinue using SSNs to identify individuals in all VA information systems as the Primary Identifier. The Contractor shall ensure that any new IT solution discontinues the use of SSN as the Primary Identifier to replace the SSN with the Integrated Control Number (ICN) in all VA information systems for all individuals. The Contractor shall ensure that all Contractor delivered applications and systems integrate with the VA Master Person Index (MPI) for identity traits to include the use of the ICN as the Primary Identifier. The Contractor solution may only use a Social Security Number to identify an individual in an information system if and only if the use of such number is required to obtain information VA requires from an information system that is not under the jurisdiction of VA.

4.3 INTERNET PROTOCOL VERSION 6 (IPV6)

The Contractor solution shall support Internet Protocol Version 6 (IPv6) based upon the memo issued by the Office of Management and Budget (OMB) on November 19, 2020 (https://www.whitehouse.gov/wp-content/uploads/2020/11/M-21-07.pdf). IPv6 technology, in accordance with the USGv6 Program (https://www.nist.gov/programs-projects/usgv6-program/usgv6-revision-1), NIST Special Publication (SP) 500-267B Revision 1 “USGv6 Profile” (https://doi.org/10.6028/NIST.SP.500-267Br1), and NIST SP 800-119 “Guidelines for the Secure Deployment of IPv6” (https://doi.org/10.6028/NIST.SP.800-119), compliance shall be included in all IT infrastructures, application designs, application development, operational systems and sub-systems, and their integration. In addition to the above requirements, all devices shall support native IPv6 and dual stack (IPv6 / IPv4) connectivity without additional memory or other resources being provided by the Government, so that they can function in a mixed environment. All public/external facing servers and services (e.g.

web, email, DNS, ISP services, etc.) shall support native IPv6 and dual stack (IPv6 / IPv4) users and all internal infrastructure and applications shall communicate using native IPv6 and dual stack (IPv6 / IPv4) operations.

INFORMATION SECURITY CONSIDERATIONS:

The C&A requirements do not apply, and a Security Accreditation Package is not required.

https://www.whitehouse.gov/wp-content/uploads/2020/11/M-21-07.pdf file://///R04.med.va.gov/V03/EAS/Users/vhaeasWymbsk/TEMPLATES--NEW%20TAC%20PROCESS/PWS%20TEMPLATE%20(DO%20NOT%20TOUCH)%20-%20In%20Process%20Revisions/DO%20NOT%20TOUCH%20(next%20version/IPv6/(https:/www.nist.gov/programs-projects/usgv6-program/usgv6-revision-1 file://///R04.med.va.gov/V03/EAS/Users/vhaeasWymbsk/TEMPLATES--NEW%20TAC%20PROCESS/PWS%20TEMPLATE%20(DO%20NOT%20TOUCH)%20-%20In%20Process%20Revisions/DO%20NOT%20TOUCH%20(next%20version/IPv6/(https:/www.nist.gov/programs-projects/usgv6-program/usgv6-revision-1 https://doi.org/10.6028/NIST.SP.500-267Br1 https://doi.org/10.6028/NIST.SP.800-119

POINTS OF CONTACT

VA Program Manager:

Name: Amy Norris Colón Address: 810 Vermont Ave NW, Washington, DC 20420 Voice: 561-543-8876 Email: amy.colon@va.gov Contracting Officer’s Representative:

Name: Kreston Eaton Address: 810 Vermont Ave NW, Washington, DC 20420 Voice: 775-247-5317 Email: kreston.eaton@va.gov Contracting Officer:

Name: Heather Utt Address: 23 Christopher Way, Eatontown, NJ 07724 Voice: 848-377-5047 Email: Heather.Utt@va.gov Contract Specialist:

Name: James Cummiskey Address: 23 Christopher Way, Eatontown, NJ 07724 Voice: 848-377-5117 Email: James.Cummiskey@va.gov