Notice ID: 36C10B24Q0060
Description
The Department of Veterans Affairs (VA) Veterans Health Administration (VHA) Value-Added Technologies 36C10B24Q0060 This is a Request for Information (RFI) only. Do not submit a proposal. This RFI is for planning purposes only and shall not be considered an Invitation for Bid, Request for Task Execution Plan, Request for Quotation or a Request for Proposal. Additionally, there is no obligation on the part of the Government to acquire any products or services described in this RFI. Your response to this RFI will be treated only as information for the Government to consider. You will not be entitled to payment for direct or indirect costs that you incur in responding to this RFI. This request does not constitute a solicitation for proposals or the authority to enter into negotiations to award a contract. No funds have been authorized, appropriated, or received for this effort. The information provided may be used by the VA in developing its acquisition strategy. Interested parties are responsible for adequately marking proprietary, restricted or competition sensitive information contained in their response. The Government does not intend to pay for the information submitted in response to this RFI.
VA is looking to add value to both to its current Electronic Health Record ( EHR ) system, VistA/CPRS and its future Oracle EHR platform, currently being implemented. For the purposes of this RFI, we are focused on VistA/CPRS and Oracle PowerChart. The government seeks to improve the general user experience (UX) and implement better capabilities for clinical decision support, cognitive decision support and task management. Ideally, the government would implement such capabilities starting now while following a roadmap that incurs minimal technical debt and helps the VA engage with markets for these capabilities into the future. The current thinking of the government with respect to the potential universe of tools and/or functionality that could help the VA achieve its goals includes the following perspectives: We desire to ease transition from VistA to Oracle systems over this decade and to advance a single enterprise standard of care, by implementing the same user-facing, value-added technologies on both platforms.
The VA sees three delivery methods for solutions: integrated into the UX of the EHR, an external container or window, or an integrated UX that seamlessly overlays all or part of the native UX. Data sources should include all health data including but not limited to those in any EHR instance, the enterprise data warehouse, external healthcare organizations and patient generated data. The VA seeks to improve closed-loop task management and care pathway orchestration to improve reliability and responsiveness of the system. For purposes of this RFI, a task is any sort of task including self-assigned tasks, orders, referrals, questions, procedures. Thus, task management involves communication and collaboration between the requester and the owner of the task (see OASIS 1.1 Task schematic [note add hyperlink here]). An actor in task management is the patient. Per Gartner s Hype Cycle for Digital Care Delivery Including Virtual Care, 2022 (Published 9 July 2022) the VA is interested in methods, to synthesize, summarize and elevate relevant clinical data from the EHR and other clinical data sources, creating a contextualized view of the patient record.
Additional functionality that the VA is interested in includes, but is not limited to, the following clinical application solutions. PLEASE NOTE: By listing a product below, the government is not indicating that the government intends to purchase any particular product (on this list or outside if it) at this time. Medical calculators, including risk stratification (e.g., MD Calc) Links to external explanatory knowledge bases (e.g., Infobuttons) Care planning advisors (e.g., UpToDate Advanced) Specialty/departmental workflow support (e.g., TheraDoc) User experience overlays (e.g., WellSheet) Integration of predictive models Data visualizations Problem oriented records Task managers Standards-based integration of external CDS Knowledge-driven organization and display of data It is requested that all companies interested in participating in this effort please note their interest and submit responses to the items listed below. If interested please provide the following: What products do you offer that you believe can help us solve the above problems? What are the key features and differentiators of your solutions? How does your solution assist healthcare providers in streamlining clinical workflows, reducing documentation burden, and improving overall efficiency? Please provide details on its capabilities, performance, and any known limitations. Please list which EHRs (including but not limited to Cerner and CPRS/VistA) that you have integrated/interfaced with and describe that interface/integration. How do your products interface with data and the user experience? Does your solution utilize read and write Fast Healthcare Interoperability Resources (FHIR) and Substitutable Medical Applications, Reusable Technologies (SMART) on FHIR?
Does your solution leverage HL7 interfaces and best practices for resolving issues related to data exchange and interoperability? What is your approach to identifying and resolving potential issues in the existing codebase of EHR systems, specifically related to HL7 interfaces? How does your solution handle interoperability and data sharing between different EHR systems and other healthcare IT platforms within a healthcare network? How do you or your customers adapt your product to meet the needs of different locations, different specialties/departments, new science, etc.? What type of training and support do you offer to ensure a smooth transition and adoption of your solution by healthcare providers? Please describe your product s compliance with US CDI data standards, both currently and your plans for ongoing compliance with future releases. How does your solution promote seamless integration of CDS and task-management products? Can your solution help VA transition to an integrated UX overlay that could eventually replace the UX of the underlying EHR systems?
Does your solution provide modularity that would allow us to turn off portions of functionality or swap in functionality from other sources? For example, if we prefer a different functionality for drug-drug interactions than the one you provide, would we be able to disable your drug-drug interaction functionality and plug in our preferred solution? Instructions for Submitting Questions and the RFI Response: The VA Technology Acquisition Center points of contact for this RFI are Contract Specialist, Lauren Lee and Contracting Officer, Stefanie Applegate. Submit any questions to this RFI directly to Lauren Lee at Lauren.Lee@va.gov and to Brett Schwerin at Stefanie.Applegate@va.gov. RFI responses are to be submitted directly to Lauren Lee by 12:00PM Eastern Standard Time, Wednesday, December 8, 2023. Submissions shall be less than 5MB and shall be no more than 5 pages in length.
