JustificationandApproval.doc

Control # 12-002

JUSTIFICATION AND APPROVAL FOR OTHER THAN FULL

AND OPEN COMPETITION

1. Contracting Activity: This acquisition is for Madigan Army Medical Center (MAMC). The contracting activity is Western Regional Contracting Office.

2. Description of Action: MAMC is requesting approval of a Sole Source contract with a base plus two option years. FY 12 funds have been committed for this requirement, contingent upon Congress enacting appropriations.

3. Description of Supplies/Services: This requirement is for the Accreditation for Graduate Medical Education program annual fee for physicians’ residency and fellowship training at MAMC. This requirement is for one base year ($75,600.00) and two option years ($151,200.00) for a total of $226,800.00.

4. Authority Cited: IAW FAR 6.302-1 Only One Responsible Source and No Other Supplies or Services will satisfy Agency Requirements: 10 U.S.C. 2304 (c)(2)

5. Reason for Authority Cited: Accreditation Council for Graduate Medical Education (ACGME) is the only source that evaluates and provides accreditation to physician residency and fellowship programs in the United States. Without accreditation approval from this organization, we would not be able to train military physicians at MAMC.

6. Efforts to Obtain Competition: Extensive research was conducted to see what other sources were available that provided program accreditation, and it was revealed that ACGME is the only source that evaluates and accredits medical residency programs in the United States which allows physicians to obtain specialty board certifications.

7. Actions to Increase Competition: The annual Accreditation Program is mandated by the Army Surgeon General and is not available for competition.

8. Market Research: Market research was conducted in order to collect and compare information regarding the accreditation program and found that although there are several institutions of higher learning, the Accreditation Council for Graduate Medical Education is the only private, non-profit council that evaluates and accredits medical residency programs in the United States. Madigan Army Medical Center, as designated by the Army 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. The ACGME program improves the quality of health care by ensuring and improving the quality of graduate medical education for physicians in training and also allows the physician to obtain specialty board certification. Without accreditation approval from ACGME, we would be unable to properly train military physicians at MAMC.

9. Interested Sources: The Notice required by FAR 5.201 will be published, and any bids or proposals received shall be considered.

10. Other Facts: The acquisition of the ACGME program accreditation ensures that military physicians are properly trained and board certified.

11. Technical Certification:

I certify that the supporting data under my cognizance, which are included in the justification, are accurate and complete to the best of my knowledge and belief.

Type Name: Penny Preston

Date:

Title: GME Institutional Administrator Signature: __________________________________

12. Requirements Certification:

I certify that the supporting data under my cognizance, which are included in the justification, are accurate and complete to the best of my knowledge and belief.

Type Name: Penny Preston

Date:

Title: GME Institutional Administrator Signature: __________________________________

13. Fair and Reasonable Cost Determination:

I hereby determine that the anticipated cost to the Government for this contract action will be fair and reasonable based on previous history of pricing for similar items and previous ACGME contract (W91YU0-07-P-0346). ACGME offers the best value to the Government based on the sole source documentation Type Name: Linda Calahan Date:

Title: Contracting Officer Signature: __________________________________

14. Contracting Officer Certification:

I certify that this justification is accurate and complete to the best of my knowledge and belief.

Type Name: Linda Calahan Date:

Title: Contracting Officer Signature: __________________________________

15. Legal Officer’s Review I have reviewed this justification, and it is deemed to be legally sufficient.

Type Name: _______________ Date: _______________ Title: ____________________ Signature: __________________________________

SOURCE SELECTION INFORMATION

(See FAR 2.101 and 3.104-4)