W900KK-17-D-0006_J&A.PDF

Control No. ACC ORL 17-021

JUSTIFICATION AND APPROVAL (J&A)

FOR OTHER THAN FULL AND OPEN COMPETITION

1. Contracting Activity: Army Contracting Command – Orlando.

2. Description of Action: The Product Manager of Medical Simulation (PdM MedSim), in support of the VHA, has a requirement to procure AHA BLS Part 1, BLS Part 2/3, ACLS Part 1, ACLS 2/3, LEARN: Rhythm Adult ECG, and Acute Stroke Online Licenses for the VHA REdI Program.

The Government projects award for JUN 2017 and fiscal year 2017, VHA one-year funds will be used.

An acquisition plan is not required because this does not meet the threshold of Defense Federal Acquisition Regulation Supplement 207.103(d)(i)(B).

This single award commercial contract is to HealthStream, Inc., in accordance with Federal Acquisition Regulation (FAR) Part 6.302-1 – Only One Responsible Source and No Other Supplies or Services Will Satisfy Agency Requirements.

3. Description of Supplies/Services: This justification is for the following commercial products:

This is currently the training curricula for the AHA licenses required by the VHA for AHA certifications for medical professionals. As the AHA training curricula evolve, licenses requirements may vary.

Minimum Base 1 Yr Option 2 Yr Option 3 Yr Option 4 Yr Option Minimum Base 1 Yr Option 2 Yr Option 3 Yr Option 4 Yr Option

01t30000

000YtKR-

HS

BLS Part 1

Licenses

(Online

Software

Licenses) 50,000 150,000 10,000 10,000 10,000 10,000 $18.35 $917,500 $2,752,500 $183,500 $183,500 $183,500 $183,500 $3,486,500

01t30000

001OZ2I-

HS

BLS Part 2 and

3 Licenses

(Online

Software

Licenses) 50,000 150,000 10,000 10,000 10,000 10,000 $12.00 $600,000 $1,800,000 $120,000 $120,000 $120,000 $120,000 $2,280,000

01t30000

000YtW3-

HS

ACLS Part 1

Licenses

(Online

Software

Licenses) 8,000 24,000 1,600 1,600 1,600 1,600 $85.50 $684,000 $2,052,000 $136,800 $136,800 $136,800 $136,800 $2,599,200

01t30000

001OZ2C-

HS

ACLS Part 2 and 3 Licenses

(Online

Software

Licenses) 8,000 24,000 1,600 1,600 1,600 1,600 $9.00 $72,000 $216,000 $14,400 $14,400 $14,400 $14,400 $273,600

01t30000

0001Qfy9-

HS

LEARN:

Rhythm Adult

(1421) ECG

License 1,600 4,800 320 320 320 320 $34.95 $55,920 $167,760 $11,184 $11,184 $11,184 $11,184 $212,496

01t30000

0001Qfy9-

HS

Acute Stroke

(1409) License 3,500 10,500 700 700 700 700 $23.45 $82,075 $246,225 $16,415 $16,415 $16,415 $16,415 $311,885

Total 2,411,495$ 7,234,485$ 482,299$ 482,299$ 482,299$ 482,299$ 9,163,681$

VHA AHA Licenses (Base + 4 Options)

Part # Description Estimated

Price Total

Quantity Cost

4. Authority Cited: This action will be awarded in accordance with 10 U.S.C. 2304(c) (1), as implemented by FAR 6.302-1: Only one responsible source and no other supplies or services will satisfy agency requirements.

5. Reason For Authority Cited:

a) Background: The VHA REdI program has identified a need for licenses that enable access to AHA BLS Part 1, BLS Part 2/3, ACLS Part 1, ACLS 2/3, LEARN: Rhythm Adult ECG, and Acute Stroke Online to enable their medical professionals to meet the mandatory training requirements to maintain AHA certifications to provide critical lifesaving procedures. The VHA also requires the licenses to provide access to AHA educational content online via the VHA’s Talent Management System (TMS) using existing Laerdal Voice Assisted Manikin (VAM) systems. The VHA REdI PM sought assistance, via an Interagency Agreement (IAA) from the Program Executive Office for Simulation, Training, and Instrumentation (PEO STRI) in acquiring the licenses needed to meet the VHA’s requirements. PdM MedSim has a recurring VHA requirement that will continue to exist as a future need to optimize patient safety and treatments. A plan is being developed for a competitive, long-term solution for future acquisitions of the licenses.

b) Justification: The VHA is bound to utilize AHA licenses per VHA Directive 1177 signed by the Under Secretary for Health, dated 06 APR 2017. The Directive 1177 establishes VHA Policy to optimize patient safety within the Department of Veterans Affairs (VA) system and specifically states that “Only the American Heart Association (AHA) and Military Training Network (MTN) are acceptable for BLS and ACLS certification required by this Directive.” for VA medical professionals that actively participate in medical care in any clinical setting including community/home care settings. The only contractor that provides AHA licenses for the courses needed to meet the VHA’s requirements for this procurement is HealthStream, Inc. HealthStream, Inc. offers licenses that provide access to AHA educational content online and via the VHA’s TMS using existing Laerdal VAM. HealthStream, Inc. offers medical professionals the ability to practice and test their skills on the VAM while receiving real time voice feedback on performance through their Learning Management System (LMS). The LMS evaluates and certifies the students CPR skills. The LMS interfaces with the VHA TMS to generate an online e-certification which is tracked by VHA.

c) Impact: VHA medical professionals’ certification expire every three years. Uncertified personnel may not perform procedures trained through AHA BLS Part 1, BLS Part 2/3, ACLS Part 1, ACLS 2/3, LEARN: Rhythm Adult ECG, and Acute Stroke Online on their Veterans’ patients. The lack of certifications will affect approximately 180,000 medical professionals which are practicing in over 1000 VHA medical facilities throughout the world. The impact will potentially affect the medical professionals’ ability to treat millions of veterans and lives will be at risk.

d) Alternatives: At this time, there are no alternative solutions to the VHA AHA certifications requirements as stated in Directive 1177.

6. Efforts to Obtain Competition: A synopsis for this procurement was posted to

FedBizOpps on 12 APR 2017, which closed on 27 APR 2017. Pacific Medical Training (PMT) responded to the synopsis by submitting their capabilities statement. PMT’s capabilities were identified as BLS Part 1, ACLS Part 1, and ECG Licenses. PMT’s licenses are not AHA certified licenses and do not meet the VHA’s requirements.

Additionally, PMT does not have the capability to provide all the requirements (BLS Part 1, BLS Part 2/3, ACLS Part 1, ACLS 2/3, LEARN: Rhythm Adult ECG, and Acute Stroke Online licenses). Based on the information provided in paragraph 5 above, competition for this effort is not feasible.

7. Actions to Increase Competition: This AHA HealthStream license award will provide the Government up to 5 years to satisfy the VHA licenses requirements. Once awarded, the Government will continuously survey the market to ascertain if any additional sources of supply have been approved for the sale and distribution of AHA approved licenses.

8. Market Research: Market research revealed the only current contractor that provides AHA approved licenses for the courses needed to meet the VHA licenses requirements for this procurement is HealthStream, Inc.

Even though several companies are able to provide some AHA licenses under this action, the VHA requires BLS Part 1, BLS Part 2/3, ACLS Part 1, ACLS 2/3, LEARN:

Rhythm Adult ECG, and Acute Stroke Online licenses to be able to integrate with the VHA TMS. HealthStream, Inc. is the only company able to meet the full requirements.

9. Interested Sources: PMT was the only company that responded to the synopsis.

However, PMT’s capabilities did not meet all the requirements for this solicitation.

Preliminary technical information submitted by PMT in response to the synopsis has been reviewed by the requiring activity, who have advised that PMT’s capabilities do not meet the requirement in the synopsis, i.e. BLS Part 1, BLS Part 2/3, ACLS Part 1, ACLS 2/3, LEARN: Rhythm Adult ECG, and Acute Stroke Online licenses.

10. Other Facts:

a. Procurement History: The procurement history for the purchase of AHA BLS Part 1, BLS Part 2/3, ACLS Part 1, ACLS 2/3, LEARN: Rhythm Adult ECG, and Acute Stroke Online Licenses are:

W900KK-14-D-0013-0006, HealthStream, Inc.

Description of requirement: Awarded to satisfy the VHA’s need to acquire licenses to access AHA BLS Part 1, BLS Part 2/3, ACLS Part 1, ACLS 2/3, LEARN: Rhythm Adult ECG, and Acute Stroke Online to enable their medical professionals to meet the mandatory training requirements to maintain AHA certifications to provide critical lifesaving procedures.

Method of procurement: Sole Source, Single Award

Contract type: Indefinite Delivery, Indefinite Quantity (ID/IQ) Delivery Order

Period of performance: 02 FEB 2017 – 02 MAR 2017

Total awarded amount: $1,337,598.00

Number of option periods: 0

Number of Offerors: 1

Source Selection Method: Sole Source

Basis for fair and reasonable pricing: Delivery Order against pre-negotiated fixed prices under ID/IQ contract

W900KK-16-C-0063, HealthStream, Inc.

Description of requirement: Awarded to satisfy the VHA’s need to acquire BLS and ACLS and BLS Licenses for the VHA REdI program.

Method of procurement: Sole Source

Contract type: FFP

Period of performance: 23 SEP 2016 – 23 OCT 2016

Total awarded amount: $2,344,975.00

Number of option periods: 0

Number of Offerors: 1

Source Selection Method: Sole Source

Basis for fair and reasonable pricing: Price Analysis (Comparable to prices approved in past Government contracts)

W900KK-16-C-0028, HealthStream, Inc.

Description of requirement: Awarded to satisfy the VHA’s need to acquire licenses to access BLS to enable their medical professionals to meet the mandatory training requirements to maintain AHA certifications to provide critical lifesaving procedures.

Method of procurement: Sole Source

Contract type: FFP

Period of performance: 29 JUL 2016 – 15 AUG 2016

Total awarded amount: $475,000.00

Number of option periods: 0

Number of Offerors: 1

Source Selection Method: Sole Source

W900KK-16-C-0045, HealthStream, Inc.

access Acute Stroke Online to enable their medical professionals to meet the mandatory training requirements to maintain AHA certifications to provide critical lifesaving procedures.

Method of procurement: Sole Source

Contract type: FFP

Period of performance: 30 JUN 2016 – 29 JUL 2016

Total awarded amount: $70,350.00

Number of option periods: 0

Number of Offerors: 1

Source Selection Method: Sole Source

W900KK-16-C-0022, HealthStream, Inc.

access BLS to enable their medical professionals to meet the mandatory training requirements to maintain AHA certifications to provide critical lifesaving procedures.

Method of procurement: Sole Source

Contract type: Firm Fixed Price (FFP)

Period of performance: 08 APR 2016 – 18 APR 2016

Total awarded amount: $458,750.00

Number of option periods: 0

Number of Offerors: 1

Source Selection Method: Sole Source

Basis for fair and reasonable pricing: Price Analysis (Comparable to prices approved in

b. Unusual and compelling urgency. N/A