Synopsis

This Sources Sought Notice is a Request for Information (RFI) and for planning purposes only. This is not a pre-solicitation or solicitation announcement and no contract will be awarded from this notice. The Department of State will not answer any questions regarding this market research. No reimbursement will be made for any costs associated with providing information in response to this Notice.

RFI Focus

The Department of State Office of Medical Services (MED) is interested in information, specifically capabilities and functionality descriptions, from businesses that offer a COTS Ambulatory Electronic Health Record (EHR) system. The EHR system will be deployed worldwide.

Background

MED's mission is to safeguard and promote the health and well-being of America's diplomatic community. MED is centrally staffed in Washington, D.C., and has a cadre of physicians, Foreign Service (FS) Health Practitioners, nurses, and medical technologists working in health units at US Embassies and Consulates world-wide, MED provides primary medical care and support to over 50,000 Foreign Service and other US Government personnel, and their families, overseas. In addition to providing primary medical care, MED provides mental health care, coordination of local medical care, medical evacuations, and medical clearance assessments. MED has approximately 185 direct hire clinicians (70 Doctors of Medicine (MDs), 115 Nurse Practitioners (NPs) and Physician Assistants (PAs) on staff.

The overseas Health Units, located in approximately 170 countries, vary in size and capabilities:
 Medevac Centers are typically considered a Large Health Unit and is staffed with a mix of Regional Medical Officers (RMO), Foreign Service Health Practitioners (FSHP), Regional Medical Officers/Psychiatrists (RMO/P), locally hired Registered Nurses (RN), and administrative personnel. Regional Medevac centers coordinate medical evacuations; provide primary healthcare and administrative functions.
 Large Health Units are staffed with a mix of RMOs, RMO/Ps, FSHPs, and locally hired clinical personnel including RNs, possibly MDs, Medical Technologists, and Pharmacists. Large Health Units provide a full range of MED health services including primary care, local hospitalization, and regional administrative support.
 Medium Health Units are staffed by either a RMO or FSHP and a limited number of locally hired clinical and administrative personnel. Medium sized Health Units provide on-site primary care but often medevac hospitalizations or complex cases.
 Small Health Units, often a consulate or embassy in a small country, are generally staffed by a local hire RN and occasionally a local hire MD, both of whom may only be on-site on a part-time basis. Small Health Units generally provide immunizations and first aid care, and have a very low threshold for medevac.

In addition to the overseas Health Units, MED also has small domestic Travel Health and Immunization Clinics staffed by civil service RNs with oversight from a RMO. The Travel Health and Immunization Clinics provide immunizations plus limited occupational health care in Washington, D.C.

Overall, MED's practice environment is relatively low volume and low acuity. MED does not provide in-patient care, have a closed pharmacy formulary, nor bill for its services.

RFI - Instructions for Respondents

1. Responses should be concise and not exceed 10 pages excluding cover page and table of contents.
2. Font should be 12 size font Times New Roman or 10 size font Arial.
3. Sales brochures, videos, and other marketing information materials will not be reviewed.
4. Cost or price information is not solicited and will not be reviewed.
5. No phone calls related to this RFI will be accepted. All correspondence shall be via email.

All responses must include the following information:

a. Company Name
b. Company Address
c. Business Classification

   [ ] a. Small [ ] b. Other Than Small [ ] c. Disadvantage

   [ ] d. Women-Owned [ ] e. HubZone [ ] f. Emerging Small Business

   [ ] g. Service Disabled Veteran [ ] h. 8(a) Small Business

d. Commercial and Government Entity Code (CAGE)
e. Product and Service Code (PSC)
f. Current North American Industry Classification (NAICS) Codes
g. Point-of-Contact name, telephone number, and email address

Capabilities

1. Provide a summary of your company's relevant experience in conducting business with a Federal Agency.
2. Describe your company's approach to implementing an Ambulatory EHR system in MED's global enterprise environment as described above. Please specifically address constraints such as limited bandwidth and high latency network environments.
3. Provide a summary of how your company's system would address documenting non-FDA approved immunizations and/or medications.
4. Discuss your company's experience and/or approach with providing a modular yet scalable solution to your customers.
5. Please discuss any relevant implementation lessons learned and best practices.
6. Discuss how your Ambulatory EHR system allows for protection of data and role based access controls (e.g. Mental Health data is stored separately on its own and accessed only by Mental Health providers).
7. Describe how your Ambulatory EHR system is compliant with FISMA and NIST 800-53 standards.
8. Discuss how your company meets the Meaningful Use criteria and your current and planned Health Information Exchange capabilities. Specifically comment on immunization registry exchange.
9. Describe how your Ambulatory EHR system supports e-prescribing.
10. Discuss how your company would provide training to a globally dispersed user population.

 

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