R418--CRNA Scope of Practice Research
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The Department of Veterans Affairs (VA) Veterans Health Administration Office of Nursing Services is soliciting WealthIsTime LLC to conduct comprehensive research on the scope of practice statutes, orders, and regulations for Certified Registered Nurse Anesthetists (CRNA) across all 50 states, Puerto Rico, and Washington DC. This research aims to develop national occupation-specific standards of practice that reflect widely accepted best practices across the VA system while accounting for current state-level variations. The project involves creating and administering detailed coding questions covering multiple areas such as patient rights, pre-anesthesia assessments, anesthetic care plans, monitoring, infection control, and quality improvement processes. Deliverables are structured to provide data sets in increments of 10 states, culminating in a final comprehensive report that includes analysis, coding review, and any necessary updates. The contract highlights a sole-source procurement, pursuant to specific federal statutes and VA acquisition regulations, emphasizing the participation of verified veteran-owned small businesses. The contractor is required to submit timely deliverables, with provisions for notifying the VA in advance of any delays. Data submissions must be electronic and will be reviewed by the Office of Nursing Services. The scope includes close collaboration with subject matter experts and funders to finalize research variables and ensure the accuracy and relevance of findings. Responding companies must demonstrate capability and relevant experience, with submissions due by September 8, 2021. This effort supports the VA’s objective to standardize CRNA clinical practice guidelines for enhanced consistency and quality of care across the Veterans Health System.
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