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FBO DAILY ISSUE OF AUGUST 12, 2004 FBO #0990
SOLICITATION NOTICE

Q -- Increasing Vaccination Coverage Among Medicare Recipients by Vaccinating During Emergency Department Visits

Notice Date
8/10/2004
 
Notice Type
Solicitation Notice
 
NAICS
541990 — All Other Professional, Scientific, and Technical Services
 
Contracting Office
Department of Health and Human Services, Center for Disease Control and Prevention, Acquisition and Assistance Field Branch (Morgantown), 1095 Willowdale Road, Morgantown, WV, 26505
 
ZIP Code
26505
 
Solicitation Number
2004-Q-01449(REV)
 
Response Due
8/27/2004
 
Archive Date
9/11/2004
 
Point of Contact
Rebecca Mullenax, Purchasing Agent, Phone 304-285-5880, Fax 304-285-6083, - Brenda Goodwin, Contract Specialist, Phone (304)285-5882, Fax (304)285-6083,
 
E-Mail Address
rmullenax@cdc.gov, bcg1@cdc.gov
 
Description
This synopsis, originally posted as a total small business set-aside on June 24, 2004, is being issued unrestricted because no responses were received from small business sources by the July 9, 2004, response date. The Centers for Disease Control and Prevention (CDC,) Health Services Research and Evaluation Branch (HSREB) of the National Immunization Program has a requirement for implementing and evaluating the impact of a community-wide program to vaccinate adults age 65 and order for influenza and pneumococcal vaccine while they are obtaining emergency room care at hospitals in the community. The HSREB seeks to have this implemented in one of the following states (Georgia, Florida or Louisiana) where influenza vaccine coverage is below the national average and in a community with a large proportion of African Americans. The entire scope of work and evaluation considerations are listed below. Statement of Work Title: Increasing vaccination coverage among Medicare recipients by vaccinating during emergency department visits I. Purpose of Contract The Health Services Research and Evaluation Branch (HSREB) of the National Immunization Program seeks assistance in implementing and evaluating the impact of a community-wide program to vaccinate adults age 65 and older for influenza and pneumococcal vaccine while they are obtaining care at hospitals in that community. The HSREB seeks to have this implemented in a state where influenza vaccine coverage is below the national average (as defined below) and in a community with a large proportion of African Americans. II. Background and Need Despite national and state efforts, influenza vaccination coverage among adults age 65 and older has not increased and remains between 60% and 70% . According to the National Health Interview Survey, three states (Georgia, Louisiana, and Florida) ? had coverage below 60%. All these states have large African American populations, and low coverage in these populations contributes to racial disparities. One possible explanation for low vaccination coverage is that previous efforts have not sufficiently targeted older adults whose access to influenza vaccine is limited. Vaccination in of hospital inpatient and patients seen in emergency departments has been shown to be a cost effective approach to immunizing and preventing hospitalization among people who have not been vaccinated in traditional primary care settings. However, emergency department vaccination efforts usually target younger patients and have been primarily conducted in a single medical center in Chicago. The potential impact of more widespread emergency department vaccination on vaccine coverage in a population of Medicare beneficiaries is not known. In a pilot study, we found that 142 (51%) of 281 Medicare beneficiaries age 65 and over seen in an Emergency Department in late December and January had not received influenza vaccine. A similar proportion had not received pneumococcal vaccine, and over the influenza vaccination season, we estimate 50% of these unvaccinated beneficiaries will accept influenza vaccine, pneumococcal vaccine, or both when it is offered free of charge (as it must be to Medicare beneficiaries) by paramedical staff in the ED or hospital. III. Scope of work The scope of this work is to implement a low-cost hospital-based vaccination program for unvaccinated adults age 65 and older. An ideal setting for this study is a contractor that has access to: a large population of adults age 65 and over who do not regularly receive influenza vaccine and have never received previously pneumococcal vaccine a significant proportion of African-American patients (at least 50%) a low cost approach to screen and offer indicated influenza vaccination to all patients age 65 and over cared for in the emergency departments and inpatient units of the hospitals in the community IV. Tasks to be performed The vendor shall: Approach at least 80% (minimum 8)of hospitals in the Standard Metropolitan Area to participate in the influenza and pneumococcal immunization effort. Project the number of Medicare beneficiaries who can be vaccinated during emergency department visits during the four months from October through January Supplement these efforts with vaccination of Medicare eligible inpatients, to total 10% of the Medicare eligible seniors who were not vaccinated in the 2003-2004 season, who have not previously received pneumococcal vaccine, or both. Assure hospitals that agree to participate will order sufficient vaccine to vaccinate 50% of the Medicare patients that they expect to see in their emergency department between October 1, 2004 and January 31, 2005. Screen and hire college undergraduates or equivalent to work with the triage nurse to identify emergency department and hospital patients who are Medicare eligible. Approach each Medicare beneficiary will be approached to determine if and when they last received influenza and pneumococcal (PPV) vaccines and if they have any contraindications. Develop a standing or preprinted order to vaccinate the patients (available at www.immunize.org/catg.d/p3074.pdf) Counsel those reluctant to be vaccinated Measure all costs of implementation V. Contractor provided materials The vendor shall provide all labor and materials necessary to complete order requirements, except that participating hospitals shall purchase and administer vaccine. VI. Government provided materials Draft protocol VII. Period of performance The period of performance shall commence of the date of receipt of the purchase order and shall continue for a period of 1 year. VIII Deliverables The following deliverables must be delivered to the project offices at the times established below: Deliverables Date Dataset with documentation Sept 30, 2005 Cost model Sept 30, 2005 Evaluation Considerations Experience and Qualifications of the Vendor: The contractor will be required to have the following: Access to hospitals in a community with a significant percentage of previously unvaccinated Medicare beneficiaries Ability to screen and vaccinate at least 150 Medicare-eligible patients per day for four months between October 1 and January 31. Pre-professional or medical students, nursing students, medical assistants, or other similar personnel to assist patients in self-assessment and counsel patients regarding vaccines Concordance of the State Health Department ● Obtain funding for aspects of the program not covered by this contract This amended Solicitation 2004-Q-01449(REV) will be issued unrestricted on or about August 25, 2004. Due to CDC?s shortened fiscal year and time constraints, this synopsis contains sufficient information whereby interested parties should be able to meet the shorter deadline being imposed for receipt of proposals. Telephone requests for the RFQ will not be honored. The actual solicitation will only be available at this FedBizOpps location on August 25, 2004, and submission of electronic proposals is the preferred method for responding. Proposals will be due by 3:00 p.m., Friday August 27, 2004. The point of contact for this RFQ is Rebecca Mullenax at the address specified in this announcement. All responsible sources may submit an offer which shall be considered by the agency.
 
Record
SN00640357-W 20040812/040810211811 (fbodaily.com)
 
Source
FedBizOpps.gov Link to This Notice
(may not be valid after Archive Date)

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