ICDx and NoteCetera licensing, upgrades and support

THIS IS NOT A FORMAL REQUEST FOR PROPOSAL (RFP) AND DOES NOT COMMIT THE NATIONAL INSTITUTE OF HEALTH, CLINICAL CENTER, OFFICE OF PURCHASING AND CONTRACTS, TO AWARD A CONTRACT NOW OR IN THE FUTURE This is a SOURCES SOUGHT NOTICE to determine the availability of small businesses (e.g., 8(a), service-disabled veteran owned small business, HUBZone small business, small disadvantaged business, veteran-owned small business, and women-owned small business) under NAICS code, [423430], that have the capability, experience, and capacity to provide special software that works with CRIS for notes and patient list in support of the Department of Clinical Research Informatics, NIH as described in the Statement of Work. STATEMENT OF WORK: Background The National Institutes of Health Clinical Center (NIH CC) in Bethesda MD is the Federal Government's biomedical research hospital, supporting clinical investigation conducted at many of the intramural programs of the NIH. It provides patient care services for a wide range of people (children, adults, healthy volunteers, etc.) who are participating in research in a variety of settings (inpatient units, ambulatory clinics and day hospitals). The programs of research it supports cover medical conditions, some quite complex, encountered in a wide variety of disciplines, including medical sub-specialties, surgery, pediatrics, neurology, behavioral health, genetics and gynecology, among others. The Department of Clinical Research Informatics (DCRI) develops and maintains the information technology (IT) infrastructure for the CC, including clinical, ancillary care, and business and administrative systems. Most importantly, DCRI has the responsibility for the electronic health record (EHR), called Clinical Research Information System (CRIS), which is used by the healthcare staff and clinical investigator teams to track their patients; to document the patient's problems and medical findings the assessment and plan for care and clinical progress over time; to order medications, diagnostic tests, etc.; to manage patient care-related tasks; to document bedside observations; and to retrieve and display test results. Over time CRIS has become a near complete complete, centralized source of patient information, accessible to all, including the patients themselves. CRIS is built on commercial software (AllscriptsTM Sunrise Clinical ManagerTM, SCM), which contains a full set of standard EHR components. In general, the usability of the software is reasonably good. However, at the CC special circumstances and requirements related to activities both of patient care as well as clinical research operations sometimes pose unique, complex informatics challenges that prove difficult to address with the standard EHR configuration tools. Fortunately, the AllscriptsTM product SCM has a robust software development environment, including its own proprietary computer coding language and an "open" platform. This allows the system to be customized, including the creation of novel functions, as well as the way the standard components are accessed and used. Although CRIS development is an ongoing work-in-progress, the unique capability to customize SCM has proven very beneficial for the CC enterprise and CRIS, enabling DCRI developers to custom-configure it to improve problems of EHR usability and to deliver the desired complex functionality. Purpose The purpose of this work is to enable functionality in CRIS that improves the quality of patient clinical progress notes and other communication, for example reducing, if not eliminating, the documentation errors, including the practice of "copy forward"; facilitates the management of a centralized, encoded, patient problems list that works in an intuitive manner; and gives clinicians the ability to produce problem-oriented medical progress notes and other patient care documents (in a standard Problem-Oriented Medical Record format) that are appropriate and relevant for their discipline and also satisfies institutional record-keeping requirements. Scope of Work The general scope of the work involves installing, customizing, and testing a commercial software product that has two functional components that directly support user functions in CRIS. Following an initial software and business environment analysis, it will follow the typical, standard software deployment method used by DCRI, progressing through a series of environments: Development (DEV), Test (TEST), a copy of the EHR production environment (PRODCOPY) and, finally, Production (PROD). At each step, scripts for functional and systems testing will be developed and run. Following deployment in TEST, training will be conducted for IT, clinical and help desk (support) staff. Specific steps include: Phase 0 (Pre): Environmental Assessment - Analyze the configuration of the NIH CC EHR to identify versions of various software components and define data items and elements that will need custom mapping Phase I: (in Development environment) - Install DLL - Create custom DB objects - Configure SCM - Install MLM's - Configure product - Create templates - Generate institution-specific, relevant functional and system test scripts based on use cases with real patient examples Phase 2: QA (Test environment) - Install DLL - Create custom DB objects - Configure SCM - Install MLM's - Configure Clinical Documentation tool - Create templates - Conduct data validity testing - Conduct performance testing - Conduct testing in Production-equivalent environment - Conduct Template Manager testing Phase 3: Training - Helpdesk staff - IT education staff (training the trainers') Phase 4: Production Deployment - Prepare installation package - Install in Production Telephone inquiries will not be accepted or acknowledged, and no feedback or evaluations will be provided to companies regarding their submissions. Business information: a. DUNS b. Company POC, Phone and Email Address c. Company Address (Company Point of Contact, phone number and email address) e. Type/Size of company, NAICS code, and Social Economic status, as validated at SAMs. f. Current GSA Schedule The synopsis is for information and planning purposes and is not to be construed as a commitment by the Government. This is not a solicitation announcement for proposals and no contract will be awarded from this announcement. No reimbursement will be made for any costs associated with providing information in response to this announcement and any follow-up information requests. Respondents will not be notified of the results of the evaluation. All information submitted in response to this announcement must arrive on or before the closing date. Responses must be submitted to the POC within 10 calendar days from the date of this synopsis (1/18/16) Responses shall be limited to 10 pages. Attn: Lynda Cole NIH CC OPC 6707 Democracy Blvd Bethesda, MD 20892-5480 PH: +1 (555) 000-0000 E-mail: contact@example.gov