A.02.04_Sole_Source_GME_Accreditation_Fee_W91YTZ19Q0075.pdf

Control Number: 19-RHCO-A-141

RFQ/RFP #: W91YTZ19Q0075

Sole Source Justification for Acquisitions under the Simplified Acquisition Threshold

(Simplified Acquisition Threshold is $250K)

1. Contracting Activity:

Regional Health Contracting Office – Atlantic Fort Bragg Health Contracting Cell 6021 5th Street, Building 1467 Fort Belvoir, VA 22060-5505

2. Description of Action: Graduate Medical Education (ACGME) Annual Accreditation and Application

Requirement: New Repeat Pricing: Firm-Fixed Price Time & Materials Cost Funds: OMA Other Funds: _____ Total Dollar Value: $209,200.00

Period of Performance: 29 January 2019 – 28 January 2023

Name of Intended Contractor: Accreditation Council for Graduate Medical Education Street Address: 515 North State Street, Ste 2000 City, State, Zip: Chicago, Illinois 60654-4865

Phone: (312) 755-7413

3. Description of Supplies/Services: To Provide Annual Accreditation and Application Fees for four existing Residency Programs and additional programs as mandated by the Surgeon General.

The Accreditation Council for Graduate Medical Education (ACGME) Annual Accreditation is mandated too train physicians in a variety of specialty programs in support of the Army’s mission. In order to conduct the programs all must meet the accreditation standards and undergo a site review in order to be accredited through the ACGME. This service provides continued accreditation for existing Residency Programs (Family Medicine Residency Program, Obstetrics/Gynecology Residency Program) and two projected Residency Programs, Transition Year Residency Program and Internal Medicine Residency Program) in FY19. This service also provides for continued accreditation of the outyears for four programs in FY20 (Family Medicine Residency Program, Obstetrics/Gynecology Residency Program, Transition Year and Internal Medicine Residency Program) and two projected Residency Programs Orthopedic Residency Program and General Surgery Residency Program in FY21, for a total of six. This service provides for continued accreditation of six programs in FYs 22-

23. Additionally, the application fees for two new programs in FY19 Orthopedic Residency Program and General Surgery Residency Program in FY19. The Residency Program Accreditation Fees and Application Fees have historically been accredited by the Accreditation Council for Graduate Medical Education (ACGME). The contract is for a period of five years (2019-2023) for a total cost of $209,200.00.

4. Authority Cited:

(a) FAR 13.106-1(b)(1)(i): Only one source reasonably available (e.g., urgency, exclusive licensing agreement, brand name or industrial mobilization); OR

(b) FAR 13.106-1(b)(1)(ii): Only one source can provide a portion of the purchase that is a particular brand-name item; OR

(c) FAR 8.405-6(a)(1)(i)(A): An urgent and compelling need exists, and following the procedures would result in unacceptable delays; OR

(d) FAR 8.405-6(a)(1)(i)(B): 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; OR

(e) FAR 8.405-6(a)(1)(i)(C): In the interest of economy and efficiency, the new work is a logical follow-on to an original Federal Supply Schedule order not previously issued under sole-source or limited-sources procedures.

5. Reason for Authority Cited: This is a sole source requirement as the ACGME is the only organization that evaluates and provides accreditation to physician residency and fellowship programs in the United States. Womack Army Medical Center, is designated by the Army of the Surgeon General, is responsible for conducting residency and fellowship programs in order to train physicians in a variety of specialty programs in support of the Army’s mission. In order to conduct a residency or fellowship program, all of the programs must meet the accreditation standards and undergo a site review in order to be accredited through the ACGME. WAMC has existing residents in various program year groups that an accreditation by ACGME has already covered. All Army residency and fellowship programs are accredited by ACGME. Completion of an ACGME residency or fellowship allows the physician to sit for and obtain specialty board certification. The medical center as a whole benefits from continued accreditation because WAMC is able to train military physicians in support of the Army’s mission.

6. Actions to Increase Competition: If in the future other accreditation services become available, research will be performed to consider other products that meet or exceed the current training requirements. All reasonable resources were used to verify and confirm that this is the only sole source for this service. The ACGME is the only organization that evaluates and provides accreditation to physician residency and fellowship programs in the United States.

7. Market Survey: Market research revealed that the Accreditation Council for Graduate Medical Education (ACGME) is the only organization that can provide the services needed. Internet searches for accrediting bodies for allopathic physician residencies (the Accreditation Council for Graduate Medical Education-ACGME) and osteopathic physician residencies (the American Osteopathic Association-AOA) in the United States. The tri-services (Army, Navy, Air Force) only support allopathic physician residencies (ACGME accredited). On 26 February 2014, the ACGME, American Osteopathic Association (AOA), and American Association of Colleges of Osteopathic Medicine (AACOM) announced their agreement to a Memorandum of Understanding (MOU) outlining a single graduate medical education accreditation system in the United States. The single GME accreditation system allows graduates of allopathic and osteopathic medical schools to complete their residency and/or fellowship education in ACGME-accredited programs and demonstrate achievement of common milestones and competencies. In 2015, the AOA merged with the ACGME and now there is only one council that performs this accreditation function for military treatment facilities funded by the military. There are other companies that have equivalent solutions that provide accreditation for programs internationally and in Canada, but do not meet the specific needs of this medical center.

8. Procurement History:

Previous Contract or Purchase Order Number: W91YTZ18P0102, W91YTZ-16-P-0308, W81K00-15- P-0153, and W91YTZ-14-P-0014

a. W91YTZ18P0101 Womack Army Medical Center, Fort Bragg, NC dated 30 January 2018 to Accreditation Council for Graduate Medical Education (ACGME) for the Family Residency and OBGYN programs. Total order: $38,600.00; Sole Source Authority FAR 13.106-1(b)(1)(i), Only one source reasonably available (e.g., urgency, exclusive licensing agreement, brand name or industrial mobilization).

b. W91YTZ-16-P-0308 Womack Army Medical Center, Fort Bragg, NC dated 1 July 2016 to Accreditation Council for Graduate Medical Education (ACGME) for the Family Residency and OBGYN programs with a $5,200.00 annual fee for each program. Total order: $10,400.00; Sole Source Authority 6.302-5(a)(2)(i).

c. W81K00-15-P-0153 HCAA Southern Region, Fort Sam Houston, TX dated 16 Dec 2015 to Accreditation Council for Graduate Education (ACGME) $5,200.00 annual fee per program (6 or more students). Total order: $166,900.00; Sole Source Authority 6.302-5(a)(2)(i)

d. W91YTZ-14-P-0014 Womack Army Medical Center, Fort Bragg, NC dated 02 Jan 2014 Accreditation Council for Graduate Education for Family Residency and OBGYN programs. Total order: $10,400.00 ($5,200 for Family Practice accreditation and $5,200 for OBGYN accreditation (6 or more students in each program)). Sole Source Authority (Only One Source-(FAR 6.302-1 Other)

9. Technical / Requirements Certification: I certify that the support data under my cognizance which are included in this mini-J&A are accurate and complete to the best of my knowledge and belief.

I certify this service is not available using mandatory sources or delivery cannot be made by the required delivery date.

Submitted By: MARTHA L. MALOY, CDFM, DFMCP3 Position Title : Deputy Director, Department of Medical Education

Email address: martha.l.maloy.civ@mail.mil.

10. Contracting Officer Certification and Approval: I certify that this justification is accurate and complete to the best of my knowledge and belief.

Signature:

Typed Name: LONNIE K. ROBINSON Position Title: Contracting Officer

Email address:

Date: