SOURCES SOUGHT
70--70 -- RFI - Critical Care Unit Clinical Information System & EICU
- Notice Date
- 1/24/2006
- Notice Type
- Sources Sought
- Contracting Office
- Attn: Department of Veterans Affairs Great Lakes Health Care System, Great Lakes Acquisition Center, 5000 West National Avenue, Bldg. No. 5, Milwaukee, Wisconsin 53295-0005
- ZIP Code
- 53295-0005
- Solicitation Number
- 69D-208-06
- Response Due
- 2/22/2006
- Archive Date
- 3/24/2006
- Small Business Set-Aside
- N/A
- Description
- Critical Care Unit Clinical Information System and EICU Request for Information - VISN12 THIS IS A REQUEST FOR INFORMATION (RFI) ONLY and in accordance with FAR 52.215-3 and 15.202(e), responses to this notice are not an offer and cannot be accepted by the Government to form a binding contract. The RFI will be used as a market research tool only, to determine the availability and adequacy of potential sources. The Great Lakes Health Care System (VISN 12) assumes no contractual or other obligations as a result of the issuance of this RFI, the preparation or submission by a respondent. This RFI does not constitute an invitation for bids, a request for proposals, a solicitation, a request for quotes, or an indication the government will contract for the items contained in the RFI. The respondent shall be solely and fully responsible for all costs associated with the development, preparation, transmittal, and submission of any material in response to this RFI. All information received in response to this RFI that is marked, as proprietary will be handled accordingly. Responses and/or materials submitted will not be returned. At this time, questions concerning the composition and requirements for a future RFP, as well as those regarding the nature of the services to be performed under the EICU/CIS initiative will not be entertained. No telephone calls will be accepted. Respondents shall indicate the name of their company; address, telephone number and if the firm currently has a GSA or FSS contract No. Name of the respondent shall be included on each document submitted. Firms also responding to this announcement should indicate their business size, particularly if they are a small business. _Small business_ means small business, veteran-owned small business, service-disabled veteran-owned small business, HUBZone small business, small disadvantaged business, and women-owned small business. NAICS codes for the purpose of this RFI are 541511 or 511210. Small Business Size Standard - $21,000,000. Any questions or requests for clarification as it relates to what is contained in this RFI must be submitted in writing to the Contracting Officer (CO) by e-mail to diane.brazale@.va.gov. no later than 12:00 NOON (CST), February 9 2006. Replies to the above shall be at the VISN 12s sole discretion and nothing in this RFI shall create an obligation by the Government. Respondents are requested to provide additional information as indicated in the attached files. Submission by respondents: Responses to this RFI are due no later than NOON Central Standard Time (CST), on February 22, 2006 and shall be submitted electronically to the above e-mail address along with four (4) hard copies of the information to the following address: VAMC-GLAC, Building 5, ATTN: Diane Brazale, Contracting Officer, 5000 West National Avenue, Milwaukee WI 53295. A. Objectives/Overview: 1. We have been exploring the concept of a decentralized EICU for VISN 12, which is comprised of six major sites, each with several smaller divisions and clinics. The major campuses are located in Chicago, IL, Hines IL, North Chicago IL, Madison, WI, Milwaukee, WI, Tomah, WI and Iron Mt. MI. A comprehensive listing of sites is available at http://www.visn12.med.va.gov/. Concurrently, we have also been exploring and planning for the installation of Critical Care Unit (CCU) Clinical Information Systems (CIS) in every hospital within VISN 12. Our intention is to optimize training, system maintenance, and data exchange throughout the VISN. The requirements for a CIS, and many of those for an EICU have been included in this document. 2. We are utilizing this RFI to notify vendors of our intentions and to identify interested vendors that have Clinical Information and EICU Systems, which meet our needs. 3. We have substantial interface requirements between the CIS and the VHA hospital information system (VistA). Our intent, through this RFI, is to identify those vendors capable of_and interested in_developing such an interface. B. Terminology CIS: the vendor-supplied CCU Electronic Patient Management System CCU: Critical Care Unit (includes ICU, MICU, SICU and Step-down Units) CCOW: Clinical Contacts Objects Workgroup. Refers to the HL7 standard for clinical context management which entails the coordination and synchronization of applications so that they are mutually aware of the set of common things - known as the context - that frame and constrain the user's interactions with applications. EICU: Electronic ICU, a remote location where various patient parameters on multiple patients from multiple locations can be monitored and acted upon through real-time audio/visual communication with on-site staff. VISN12: Great Lakes Health Care System VISN VHA: Veteran_s Healthcare Administration CAC: Clinical Applications Coordinator VistA: VHA hospital information system CPRS: Computerized Patient Record System, a graphical user interface (GUI) to display VistA patient information BCMA: VHA Barcode Medication Administration system, a national VHA program integrated into VistA to accept provider medication orders from CPRS and record the administration of pharmaceuticals, utilizing a GUI C. Background VISN12 currently has several existent CIS. At all ICU sites, a combination of traditional paper charting and VistA is being used to manage the CCU patients. All sites extensively and predominantly utilize CPRS, BCMA, and other radiological and cardiology clinical information systems for all health care documentation. Other software for the care of our patients includes VistA Imaging, Clinical Note Templates, and Health Promotion. Other CPRS-VistA programs are likely to be developed in the future. Our present workstations and hospital networks are Windows 2000 Pro and XP. The new CIS will replace paper flow sheets used in the CCUs. Nursing and other staff will use this system to manage the patient information in the CCU, as CPRS has not been optimized for a CCU patient. The monitored vital sign information will be transferred automatically to the CIS flowsheet and displayed on a timeline correlated with all provided therapies. We anticipate that the new system will assist nursing staff in tracking one-time, as-needed, and periodic patient care tasks. Physicians will be able to use the new CIS to assess the patient, much as they use the CCU paper flowsheet now. Hospitals will use CPRS for the permanent electronic patient record (except the information currently stored in the CCU flowsheet) and BCMA for inpatient medication delivery. It is imperative that the new CIS, and the CPRS, BCMA, and all other systems co-exist as seamlessly as possible on the same workstation. In this RFI we're going to outline the present hospitals processes not only for managing the CCU patient and the future processes, but also for how we want CIS to be part of those processes. An important consideration is the establishment, implementation and continuity of a unified data solution throughout the VISN. In these terms, data definitions, data comparisons, clinical usage is expected to be seamlessly consistent across all VISN sites. The data warehouse solution must first encompass individual identical hospital databases, with concurrent compilation and replication at a central data repository. Hence, changes in the database at one hospital must be automatically uploaded to the central repository as well as at all other hospitals. An additional component of the VISN12 CCU informatics solution is the establishment of a unified, integrated analytical database. VISN12 seeks to establish analytic data stores integrating critical care clinical information system data and clinical data obtained from the VA_s electronic medical record (EMR) VistA. Such a VISN12 Healthcare Analytic Solution would provide direct clinical user access to the data and support of the data stores. CIS data would span the entire ICU stay at each location and include all data available from the CIS database. Physiologic data, such as heart rate, blood pressure, and respiratory rate, would be captured at least once a minute. Database design would specifically allow for the storage and analysis of all very granular data captured by the critical care CIS rather than a sample or summary of the data. A clinician must be available to add new data elements and analyses to the installed database without loss of performance or functionality. The analytic solution would be capable of extracting value from clinical data stores, specifically addressing issues relating to clinical quality; medical errors; healthcare costs; VISN comparisons of costs, practice patterns and outcomes; and differentiating quality; in addition to clinical research endeavors. VISN12 consists of 7 acute care hospitals with a current total of 79 intensive care beds and an indeterminate number of intermediate care beds.* The final number of intermediate care beds may not be part of the CIS. See table below. Hospital Intensive Care: No. beds (monitors) Hines 23 Chicago 10 Milwaukee 18 Madison 12 North Chicago 10 Iron Mountain 6 Tomah 0 *Additionally, the precise number of intermediate (telemetry) beds that could be potentially included in implementation is currently under review and unavailable. D. Design Philosophy The long-term, permanent patient record will reside in VistA. The care provider should not have to be a highly technical PC user to be able to manage the patient information in the vendor and VISN12's software applications. All systems/components shall be user friendly. The vendor's and VISN12's programs should be thoroughly integrated on the CIS workstations. An integral part of this project requires the development of a bi-directional interface between the CIS and VistA. Computer programming resources are limited within VISN12, and the vendor will have to develop the bi-directional interfaces with some expert Mumps technical support from VISN12 (or another VISN) personnel. To provide clinical and administrative exchange of data within VISN12, a common data repository must be developed and populated for all VISN12 hospitals. This repository must consist of an open, non-proprietary design with standard, data-mining tools. E. Instructions The attached documents which will contain Tables (A through P) include all the questions in this RFI. You are requested to enter your responses in the corresponding table cells. Submit a) Four (4) printed copies mailed to the Contracting Officer at the address provided and b) an electronic Microsoft Word copy to the Contracting Officer at diane.brazale@va.gov Note: RFI submissions will not be accepted without an electronic copy. Include non-text information, illustrations, screen shots, etc., as an Exhibit to the table and identify each page with the appropriate table cell label (e.g., 'C11'). If additional pages are required for your written response, please attach additional sheets and identify as an _Exhibit_. Include the Table reference and response number with each additional response. i.e. Exhibit A, Response A-1, Exhibit J, Response J-3, Exhibit M, Response M-4 etc). Note in space provided if your response is attached as an Exhibit. In addition, respondents are requested to include a description of the CIS systems capacity for analytical data analysis. This description should include the proposed solution for managing ad-hoc user queries which encompass both data elements from the vendors CIS and from any VISTA element. Include specifics regarding existent and planned capabilities. Identify which CIS systems are commercially available product as an _off-the-shelf_ product or will require customization. If both of the above apply, estimate what percentage of your CIS system is _off-the-shelf_. Submit and identify the above description as Exhibit Q. Include a specific implementation plan for all of the seven (7) hospitals. This plan should encompass specific elements and a timeline for technical installation, training and go-live implementation. Submit and identify your implementation plan as Exhibit R. If you have any problems with downloading the electronic files or need a new copy of this request for information form, please contact Diane Brazale via email at diane.brazale@va.gov. No phone calls will be accepted. Responses to this RFI are due no later than date and time previously specified on Page 1 of this RFI.
- Place of Performance
- Address: VISN 12
- Zip Code: 60141
- Country: United States
- Zip Code: 60141
- Record
- SN00971980-W 20060126/060124211920 (fbodaily.com)
- Source
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