R410--External Peer Review Program (EPRP) (VA-25-00000450)

The Department of Veterans Affairs Technology Acquisition Center is seeking a contractor to operate the External Peer Review Program (EPRP), which involves conducting comprehensive external reviews of medical records to assess the quality of inpatient and outpatient care across VA Healthcare System facilities. The program requires reviewing up to 525,000 medical records annually, developing measure specifications, conducting data collection and validation, and providing monthly and quarterly reports. Key personnel requirements include a Program Director, Quality Improvement Coordinators, Lead Analyst, Regional Managers, and an Information Security Officer, with primary staff being registered nurses, health information administrators, and health information technicians. The solicitation (36C77624R0117) has a proposal due date of January 17, 2025 at 2:00 PM EST, with vendors required to submit comprehensive technical and pricing volumes demonstrating capabilities in medical record abstraction, data analysis, and electronic health record system integration. Contractors must also demonstrate ability to work within VA firewall systems and support the transition to Oracle Health electronic health records.

The contract is an unrestricted procurement with no specific small business set-aside, utilizing NAICS code 813920 for Professional Organizations. The period of performance includes a 2-month onboarding period followed by a 12-month base year and four potential 1-year option periods, with work to be performed remotely across VA facilities nationwide. While no incumbent is explicitly named, the solicitation suggests continuity of existing program operations. The contract will involve reviewing approximately 168,000 records annually across different measure categories, including 22,000 Sepsis and 11,000 Primary Care reviews. Contractors must develop their own data collection, reporting, and reconsideration systems, as existing systems will not transfer. All work will be conducted electronically within VA security parameters, with minimal travel required, estimated at approximately two program-related trips annually. The contract emphasizes strict data privacy and security standards, requiring all personnel to undergo background investigations and obtain appropriate VA security clearances.