Monday, May 13, 2024

VA to award contract for Clinical Information System/Anesthesia Record Keeping System Analytics/Decision Support Solution

Updated August 16, 2021

Notice ID: 36C10B21Q0304

“The current acquisition strategy is to award a sole source contract to Bitscopic, Inc. IAW Federal Acquisition Regulation (FAR) 6.302-1 entitled, Only One Responsible Source and No Other Supplies or Services Will Satisfy Agency Requirements for one 6-month base period and one 6-month option period…”

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Posted May 24, 2021

Notice ID: 36C10B21Q0304

In Veterans Integrated Service Network (VISN) 21, Acute and Critical Care data of Intensive Care Unit (ICU), Intermediate Intensive Care Unit (IICU), Operating Room (OR), and Post Anesthesia Care Unit (PACU) data sets is stored in VISN 21 Picis Clinical Information System/Anesthesia Record Keeping System (CIS/ARK) database.  The CIS/ARK system itself is maintained by a combination of Original Equipment Manufacturer (OEM) vendor staff under a software/support maintenance contract and VISN 21 staff. Picis is a vendor that provides the perioperative and critical care software and performs routine maintenance support for VISN 21.

The Contractor is required to provide a CIS/ARK Analytics/Decision Support Solution that is capable of performing extracts, report customization, and analytics services to aid in the improvement of quality of care for surgical and critically ill patients.

The Contractor shall provide a solution that will use multiple VA data sources including Picis, VistA, Corporate Data Warehouse (CDW), Healthcare-Associated Infections and Influenza Surveillance System (HAIISS) Data Warehouse (HDW) and other relational databases. This support solution shall allow multiple user groups including clinicians and clinical and business analysts the ability to create reports, analyze data, and facilitate ongoing quality improvement efforts in addressing:

  1. Morbidity and mortality for surgical and critically ill patients; and
  2. The optimization of efficiency within OR, PACU, IICU and ICU settings.

The Contractor shall also provide analytics/reporting support services to the VISN 21 team and provide training and help desk support services

The VISN 21 facilities covered by the Picis CIS/ARK Systems are as follows:

  • San Francisco VA Medical Center, 4150 Clement Street, San Francisco, CA
  • VA Central California Health Care System, 2615 E. Clinton Avenue, Fresno, CA
  • VA Northern California Health Care System (including Sacramento and Martinez), 10535 Hospital Way, Sacramento, CA
  • VA Palo Alto Health Care System, 3801 Miranda Avenue, Palo Alto, CA
  • VA Sierra Nevada Health Care System, 1000 Locust Street, Reno, NV
  • VA Southern Nevada Healthcare System, 6900 North Pecos Road, North Las Vegas, NV

An overview of current CIS/ARK data sources are provided at Attachment 1 (Picis 8.2 Hardware Diagram – see page 48) and Attachment 2 (Picis 8.6 Hardware Diagram – see page 49).

The CIS/ARK system promotes facility level care and population level surveillance and research within VA. The overarching goal is the ongoing quality improvement of processes, care, and outcomes (both morbidity and mortality) for the surgical and critically ill patients; and the optimization of efficiency within care sites including but not exclusive of the OR, PACU, and ICU. The utilization of standardized, objective data from the CIS/ARK databases and electronic medical records i.e. Veterans Health Information Systems and Technology Architecture (VistA) electronic health record (EHR) have long been a goal of the VHA in establishing itself as a leader in the field of perioperative and critical care.

The goal is to provide a tool that will ultimately use the full capacity from multiple data sources including Picis, VistA, and other relational databases. This platform will allow multiple user groups, including clinicians and clinical and business analysts, the ability to create reports, analyze data, and facilitate ongoing quality improvement efforts addressing a) morbidity and mortality for surgical and critically ill patients and b) the optimization of efficiency within settings including but not exclusive of the OR, PACU, and ICU.

The vendor will be required to extract Picis data from Oracle and SQL server databases and describe the Extract, Transform, and Load (ETL) process with data mapping documents. The Vendor should be a VistA expert vendor (preferred) with the ability to extract VistA data and create a stable ETL process. All stages of ETL processes will be monitored, cleansed, parsed, and validated for data quality. Interested parties are invited to review the attached draft PWS and to submit comments or feedback/suggestions for the draft PWS.

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Jackie Gilbert
Jackie Gilbert
Jackie Gilbert is a Content Analyst for FedHealthIT and Author of 'Anything but COVID-19' on the Daily Take Newsletter for G2Xchange Health and FedCiv.

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