Q519--Digital Behavioral Health Integration

THIS IS A SOURCES SOUGHT NOTICE REPRESENTING A MARKET SURVEY AND IS NOT A REQUEST FOR PROPOSALS, PROPOSAL ABSTRACTS, QUOTATIONS OR INVITATION FOR BIDS The Department of Veterans Affairs is conducting a MARKET RESEARCH SURVEY to obtain information regarding: (1) the availability and capability of qualified small business sources; (2) whether they are Service-Disabled Veteran-Owned, Veteran-Owned, Small Business, HUB Zone 8(a), Women-Owned, or small disadvantaged business concerns; (3) the availability and capability of qualified large business sources and (4) their size classification relative to the North American Industry Classification System (NAICS) code for the proposed acquisition. Your responses to the information requested will assist the Government in determining the appropriate acquisition method, including whether a set-aside is possible. The NAICS code is 511210 DESCRIPTION OF THE REQUIREMENT: The Wilmington VA Medical Center (VAMC) is looking for eligible businesses that are capable of providing a virtual platform allowing providers the ability to interact and provide continuous behavioral health interventions and counseling to Veterans in accordance with the Statement of Need (see attached). POTENTIAL SOURCES SHALL PROVIDE THE FOLLOWING INFORMATION IN THEIR RESPONSE: 1) Company name, address, phone number, primary contact(s), e-mail address, NAICS code(s), business size (i.e., small/large) and DUNS Number. 2) Provide a Statement of Capability that demonstrates the offeror's past performance in providing this type of service. Please include the following: (a) staff expertise including their availability, experience, and formal and other training; (b) current in-house capability and capacity to perform the work; (c) prior completed projects of similar nature; (d) corporate experience and management capability; and (e) examples of prior completed Government contracts, references, and other related information. 3) Submit Capability Statements by 19 November, 2020 to Bruce Jackson at Bruce.Jackson5@va.gov. Responses should be received no later than 9:00 AM EDT. NO CAPABILITY STATEMENTS MAY BE SUBMITTED AFTER 19 November, 2020. AT THIS TIME NO SOLICITATION EXISTS. - (DO NOT REQUEST A COPY OF THE SOLICITATION). A FUTURE NOTICE WILL BE POSTED WHEN THE SOLICITATION WILL BE RELEASED. 4) Disclaimer and Important Notes: This notice does not obligate the Government to award a contract or otherwise pay for the information provided in response. The Government reserves the right to use information provided by respondents for any purpose deemed necessary and legally appropriate. Any organization responding to this notice should ensure that its response is complete and sufficiently detailed to allow the Government to determine the organization's qualifications to perform the work. Respondents are advised that the Government is under no obligation to acknowledge receipt of the information received or provide feedback to respondents with respect to any information submitted. In accordance with FAR 15.201(e), responses to this notice are not offers and cannot be accepted by the Government to form a binding contract. After a review of the responses received, a pre-solicitation synopsis and solicitation may be published in Federal Business Opportunities. However, responses to this notice will not be considered adequate responses to a solicitation. (5) No Proprietary, classified, confidential, or sensitive information should be included in your response. The Government reserves the right to use any non-proprietary technical information in any resultant solicitation(s.) STATEMENT OF NEED GENERAL: Veteran suicides continue to increase over time despite well-intentioned and well-funded efforts and initiatives. In the current COVID-19 crisis, the rates of mental health conditions including depression and anxiety are rapidly increasing due to social isolation, loneliness, and stress caused by financial hardship. At the same time, VA s systems are being pushed to capacity due to increasing demand for behavioral health treatment but not the requisite increase in clinical staff. Even more challenging, VA providers are now required to perform their work fully virtually which limits their ability to reach all the Veterans who need services. Current Department of Veterans Affairs (VA) systems do not allow or enable clinicians to practice measurement-based care remotely through an engaging mobile app experience, stay connected to Veterans in between appointments with self-guided or personalized activities, and do not provide continuous risk stratification to surface Veterans with deteriorating conditions to intervene proactively. The Wilmington VA Medical Center needs to purchase a virtual platform to provide the organization with behavioral health data collection, patient engagement, and clinical decision support tools to reduce burden on clinical staff while providing the highest quality care for Veterans. The software offers a feedback loop that consists of a web-based platform for clinicians and hospital staff, as well as web and mobile platforms for patients to utilize. Launching of such a platform as soon as possible will immediately increase the VAMC s capacity and ability to conduct measurement-based mental health care remotely. It will be used by behavioral health therapists, psychiatrists, and primary care teams to better enable behavioral health integration. Leveraging the effort above with the VA would save significant cost, time, and technical risk to deploy the application to our Veterans. The following is an anticipated schedule of items required for a procurement. Item # Description Qty. 1 Implementation: Base annual solutions, test and development software, software customization, and training. 1 2 Service: capacity licenses, encrypted server, on-going training, maintenance and support 1 SPECIFICATIONS: Software platform with the following requirements: FedRAMP Low Impact Cloud Service Offering (CSO) with Critical Decision 1 (CD1) approval by the VA Digital OI&T team HIPAA-compliant digital heath platform with: Secure web platform for care teams Secure Android and iOS mobile platforms for patients Secure web platform for patients Color-blind accessibility Automatic assignment, data collection, scoring, and visualization for validated assessments including: Patient Health Questionnaire (PHQ-2/8/9) General Anxiety Disorder (GAD-2/7) UCLA 3 Question Loneliness Scale (UCLA-3) Alcohol Use Disorders Identification Test-Concise (AUDIT-C) Drug Abuse Screening Test (DAST-10) Opioid Risk Tool - Opioid Use Disorder (ORT-OUD) Patient Drug Use Questionnaire - Patient Version (PDUQp) Oswestry Disability Index PTSD Checklist for DSM-5 (PCL-5) Edinburgh Postnatal Depression Scale World Health Organization- Five Well-Being Index (WHO-5) Yale Brown Obsessive Compulsive Scale (Y-BOCS) Adult ADHD Self-Report Screening Scale for DSM-5 (ASRS-5) Depression, Anxiety and Stress Scale - 21 Items (DASS-21) Difficulties in Emotion Regulation Scale (DERS) Pediatric Quality of Life Enjoyment and Satisfaction Questionnaire (PQ-LES-Q) Additional data collection for: Mood logs Sleep logs Pain scale and logs Pain impact on life scale Activity tracker/steps Medication adherence Treatment plan adherence Educational content and resources including: Pre-loaded videos Custom-loaded videos Pre-loaded audio tracks Custom-loaded audio tracks Written content and guides Crisis resources Patients are provided with real-time crisis resources such as Crisis Text Line, Veterans Crisis Line, and Wilmington VA-specific resources Links to telehealth resources Patient activities and exercises including: Mindfulness / meditation audio and video Journal prompts Guided breathing ABC (Behavior/Emotion Links) worksheet Challenging Beliefs worksheet Medication reminders Other education, training, and exercises in evidence-based treatments including mindfulness, Cognitive Behavioral Therapy, Dialectical Behavior Therapy, and similar psychosocial and behavior change skill sets Patient engagement techniques including: Data visualization Gamification Behavioral economics Push notifications Clinical Decision Support (CDS) including: Patient summary dashboard and exports at the individual level Organization level dashboard and reports detailing aggregate patient engagement and clinical outcomes and trends Identified crisis workflows/interventions: alerts for providers, automatic prompts for patients that score above clinical thresholds on assessments, and custom crisis resources section Positive response to the 9th question on PHQ-9 member is marked urgent, provided prompts to call crisis resources, given disclosure that the platform is not monitored in real-time Customized one-click links (crisis hotline, text support, information for Wilmington VA, etc.) Artificial-intelligence-based Severity Score (proprietary cumulative risk score) to compare patient trends over time to quickly identify patient decompensation or improvements, as well as to compare patients across the population to accurately risk stratify and identify where a given patient falls within the VA population Clinical recommendations based on assessment scores and published treatment guidelines Natural Language Processing: Patient journal entries are evaluated for language indicative of risky or suicidal behaviors, this feature allows for another layer of reducing clinical burden and mitigating risk Integration with Google Fit and Apple Health Kit to passively capture activity, wearables, and smart device data Default modules (templates) with educational content and interactive experiences for specific conditions including: Resilience 101 Depression 101 Depression 102 Anxiety 101 Anxiety 102 Alcohol Use 101 Positive Psychology 101 Diet and Activity 101 Sleep 101 Loneliness 101 Urgent 101 Chronic Pain 101 Chronic Pain 102 Chronic Pain 103 Tobacco Cessation 101 Tobacco Cessation 102 Fibromyalgia 101 Substance Use 101 Substance Use 102 Ability to create new custom modules by care team members Mental health specialty templates including: What to Expect: My Treatment Journey (2 weeks) Journaling (1 week) CBT: 01 Introduction CBT: 02 Cost-Benefit CBT: 03 Triggers/Depression CBT: 03 Triggers/Anxiety CBT: 04 Cognitive Distortions CBT: 05 ABC Overview ACT: 01 Introduction ACT 02: Tug-of-War ACT 03: Values and Goals ACT 04: Mindfulness ACT: 05 Life Map CBT: CBT-i / Sleep (6 week) CPT: Session 01 CPT: Session 02 CPT: Session 03 CPT: Session 04 CPT: Session 05 CPT: Session 06 CPT: Session 07 CPT: Session 08 CPT: Session 09 CPT: Session 10 CPT: Session 11 CPT: Session 12 Customizable rule system (triggers) to automate personalized template delivery for cases including: New Client Content delivered to all members that register with platform Alcohol Education Content delivered to members who have a positive AUDIT-C score Anxiety Education Content delivered to members who have an elevated GAD-7 score Anxiety Prevention Content delivered to members who have an unremarkable GAD-2/7 score Depression Education Content delivered to members who have an elevated PHQ-9 score Depression Prevention Content delivered to members who have an unremarkable PHQ-2/9 score Loneliness Content delivered to members who have an elevated UCLA-3 score Template Completion When a template is completed, the following module or next template is automatically delivered Urgent Content delivered to members who have an urgent alert (endorses thoughts of self-harm) Multiple invitation workflows including: Sent via platform to all eligible members with email and/or cell phone data, as determined by the Wilmington VA and in accordance with applicable laws and regulations Monthly Bulk invitations included for up to 6 times during the 12-month period Ability for Wilmington VA to invite their own eligible members through an organization code Service support and maintenance, to include minor upgrades to the product during the performance period; service support should be available at least Monday through Friday, not including Federal Holidays, during routine business hours (generally considered to be 0800 through 1700) Ability to manually copy and paste or upload data into Vista/CPRS DELIVERY: The contractor shall deliver all items to the Wilmington VAMC for installation at 1601 Kirkwood Highway, Wilmington, Delaware 19805. All deliveries shall be made Monday- Friday, 8:00 a.m. 3:30 p.m. 3. PRICING SCHEDULE: VA anticipates award of a contract on a firm fixed unit price basis. 4. PERFORMANCE, DELIVERY, INSPECTION AND ACCEPTANCE: 4.1 Backorders: If there is a backorder on any of the requested items, the contractor must contact the VA no later than 24 hours. The contractor will offer the VA substitute of equal or higher quality. If acceptable to the VA, the substitute may be made part of the contract with a bilateral modification. 4.2 Warranty: The contractor warrants/guarantees all items against defective material and/or workmanship for a minimum of one year from the date of receipt. The contractor agrees to furnish without additional cost to the government, all labor and materials necessary to correct defects that were detected during the guarantee period. The Contractor shall immediately notify all affected VA s and contracting activities in the event of a product recall, removal, required adjustments, or required modification that is suggested or mandated by the contractor, distributor, manufacturer, or any regulatory or official agency. The information that shall be included in this notification include: A complete item description, identification. Administrative identification data including contract number, order numbers, and order date. Reasons for recall, removal, adjustment, or modification. Instructions for appropriate corrective action. 5. EDUCATION/ TRAINING: 5.1 The contractor shall provide any manuals needed to properly operate the equipment.