The Space and Naval Warfare Systems Command (SPAWAR), in support of the Program Executive Office for Defense Healthcare Management Systems (PEO DHMS) Defense Healthcare Management System Modernization (DHMSM) Program Office, intends to issue a sole source modification to add scope to contract N00039-15-D-0044 with Leidos, Inc. of Reston, VA, for operational management services (PSC D318) in support of its Tier 1 Enterprise Hosting Environment, in addition to the Tier 2 through 4 hosting environments already within scope of the contract. The contract action described below may be solicited and awarded without full and open competition pursuant to the authority of 10 USC 2304 (c)(1). N00039-15-D-0044 was awarded on July 29, 2015 to Leidos, Inc. after a full and open competition. The total award ceiling was $4,336,822,777 across a potential 10-year ordering period, if all optional ordering periods are exercised and award terms are earned. The contractor will provide an off-the-shelf (OTS) electronic health record (EHR) system for deployment across the Department of Defense (DoD) enterprise. Leidos, the prime contractor, serves as the service provider-integrator (SPI). The DHMSM EHR consists of inpatient and outpatient solutions from Cerner and a dental solution provided by Henry Schein. The DHMSM EHR will replace functionality of core legacy systems (AHLTA, CHCS, and Essentris, among others), and will be deployed to both fixed medical treatment facilities and operational medicine facilities all over the world. The Leidos Partnership will support the integration, configuration, testing, deployment, training, and sustainment of the DHMSM EHR. The DHMSM EHR will communicate via existing DoD IT Networks (DODIN) as well as Defense Health Agency (DHA) infrastructure to support the solution. The Medical Community of Interest (Med-COI) network provides this infrastructure backbone and supports the legacy EHR capability as well as the new DHMSM EHR. In addition to network infrastructure, the DHMSM EHR solution must have a hosting infrastructure in which to deploy the solution, store data generated by the system, and provide any server-side application processing. The scope being added under this modification will allow for the ordering of operational management services, to include Tier 1 hosting, on the IDIQ contract, rather than the Government providing a separate enterprise hosting solution. The proposed modification will only add scope for these services to the DHMSM contract; the total ordering ceiling for the IDIQ will remain unchanged. The period of performance of contract N00039-15-D-0044 will also remain unchanged. The Government estimates that the average yearly cost for the additional services will not exceed $5M per year. While Leidos solution meets the contract requirements, many of the capabilities of the DHMSM EHR cannot be fully realized unless they are hosted in the Cerner environment. In order to fully enable these functionalities, the DHMSM EHR requires direct access to proprietary Cerner data, which is only available within Cerner-owned and operated data centers. The proprietary data consists of quantitative models and strategies which are the result of extensive Cerner-funded research and development efforts conducted over 15 years. The models are based on analysis of clinical, operational, and financial data associated and incorporate vast amounts of actual longitudinal patient data and information collected through other Cerner applications. Forward deploying the DHMSM EHR into any other hosting solution would prevent access to these models and data. Significant functionality exists within the required system that utilizes machine learning and computational statistics to enable predictive analysis and decision support that directly impact patient outcomes. Therefore, no other contractor can satisfy the requirement. Prior to awarding this performance-based contract, the Government could not have anticipated this solution-specific need, which is why this scope was not included in the original RFP. On September 21, 2015, the DHMSM Program Office issued a Request for Information (RFI) to assist in ascertaining what hosting options were available to potentially meet its EHR hosting requirement. While the evaluation of submissions in response to the RFI revealed that some commercial firms can provide solutions which meet the basic technical requirements of the system, none of the responses indicated that a firm could provide direct access to the proprietary Cerner data necessary to fully enable the capabilities of the DHMSM EHR that require direct access to proprietary Cerner data. Be advised that the aforementioned information is anticipatory in nature and is not binding. This notice is not a request for competitive proposals; however, any firm believing that they can fulfill the requirement of providing these services may be considered by the Agency. Interested parties shall identify their interest and capabilities in response to this synopsis within 15 calendar days of publication, and must clearly demonstrate their ability to successfully fulfill all of the above requirements, including connecting to the proprietary Cerner data. The Government reserves the right not to respond to any expressions of interest received. After 15 calendar days from the date of this publication, any expressions will be regarded as late and will not be considered. Any comments, questions, or concerns regarding this notice must be submitted IN WRITING via e-mail to Matthew Hudson, Contracting Officer at
contact@example.gov. No telephone responses will be accepted. Submissions will NOT be reimbursed by the Government and the entire cost of any submission will be at the sole expense of the source submitting the information. A determination by the Government not to compete this proposed contract action based upon responses to this notice is solely within the discretion of the Government. Information received will be considered solely for the purpose of determining whether to conduct a competitive procurement. This synopsis is for informational purposes only. Any Justification & Approval resulting from a decision to award the proposed sole source action will be posted on this website. All information received in response to this notice that is marked Proprietary will be handled accordingly. The Government shall not be liable for or suffer any consequential damages for any proprietary information not properly identified. Proprietary information will be safeguarded in accordance with the applicable Government regulations. Submissions will not be returned nor will the Government confirm receipt of submissions. In addition, respondents should be aware that the DHMSM Program Office may utilize contractor support personnel from the below listed companies (under existing contracts) to review responses and information submitted. These companies and individual employees are bound contractually by Organizational Conflict of Interest and disclosure clauses with respect to proprietary information, and they will take all reasonable action necessary to preclude unauthorized use or disclosure of a respondents proprietary data. Submissions MUST clearly state whether permission is granted allowing the program office support contractors identified below access to any proprietary information. The MITRE Corporation Booz Allen Hamilton, Inc. Deloitte Consulting SeKON Corporation
