VA Sources Sought: Office of Information & Technology Electronic Health Record Modernization Integration Office Clinical Productivity and Experience Pilot

Notice ID: 36C10B24Q0597

Background

The mission of the Department of Veterans Affairs (VA) is to provide benefits and services to Veterans of the United States. In meeting these goals, VA strives to provide high quality, effective, and efficient Information Technology (IT) services to those responsible for providing care to the Veterans at the point-of-care as well as throughout all the points of the Veterans’ health care in an effective, timely and compassionate manner. VA depends on Information Management/Information Technology (IM/IT) systems to meet mission goals.

On May 17, 2018, VA entered into a ten-year indefinite-delivery, indefinite-quantity (ID/IQ) sole-source contract with Cerner Government Services, Inc., now know as Oracle Health, (OH) to acquire the Electronic Health Record (EHR) system being deployed by the Department of Defense (DoD) and related services for deployment and transition across the VA enterprise in a manner that meets VA needs, and which will enable seamless healthcare to Veterans and qualified beneficiaries. Procurement of a single common system across VA and DoD shall achieve VA’s goal of seamless care for Veterans by facilitating the transition of active duty military members to VA and improving their timely access to the highest quality of care.

The OH EHR is now deployed at six VA Medical Centers (VAMC) and their associated outpatient centers. This has highlighted areas for improvement. Currently providers must review patient records in a variety of different application locations within Millenium to make clinical care decisions. The lack of a singular location where providers can review patient information leads to provide cognitive interruption and fatigue.

This action requires to provide a solution to improve clinical productivity and experience and deploy the solution as a pilot.

Solution Requirements Overview

The successful solution will significantly improve provider satisfaction and reduce provider time interacting with the health record.

Key elements of the solution are:

1. Contextual information display: The ability to dynamically filter and present relevant data – both patient specific and non-patient specific – based on the patient’s condition, the clinician’s role, and the current task at hand, minimizing cognitive load and reducing information overload.
2. Personalized dashboards: Customizable user interfaces that present the contextual relevant and frequently used features, patient data (patient’s problems, allergies, vitals, histories, medications, procedures and lab, imaging and pathology results), and system notifications (reminders and alerts) based on the provider preferences.
3. Streamlined navigation: Intuitive menus, search functions, and quick links to reduce the number of clicks needed to access critical information, place orders, or document patient care.
4. Interactive visualizations: Graphical representations of data, such as trend charts, medication timelines, or anatomical diagrams, which help users quickly comprehend and analyze complex clinical information.
5. Mobile compatibility and remote access: Support for mobile devices and secure remote access, empowering clinicians to access patient data, place orders, and document care on-the-go or from remote locations.
6. Support for all specialties include behavior health in both inpatient and ambulatory settings.
7. Closely integrate with Oracle Health Millennium so that application is available from within the EHR without additional authorization.

The anticipated period of performance is a base period of 12-months and (6) six Optional Tasks.

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