VA RFI: Cancer Registry Modernization

Notice ID:  36C10A24Q0050

The current VA Central Cancer Registry (VACCR) System uses VistA – OncoTraX to provide care to Veterans through all points of VA’s Veterans health care systems.  VACCR receives and stores information compiled by local cancer registry staff from each of the 132 separate Veterans Health Information Systems and Technology Architecture (VistA) instances. The information is obtained from a wide variety of medical record documents at the local medical center pertaining to each veteran cancer patient. Details collected include extensive demographics, cancer identification, extent of disease and staging, first course of treatment, and outcomes. OncoTraX has not been able to keep up with the increasing requirements for complex oncology standards and the Commission on Cancer standard for accredited cancer programs. OncoTraX is not compliant with current technological requirements set by other national cancer registry standards organizations such as the North American Association of Central Cancer Registries, the American College of Surgeons’ Commission on Cancer, and the American Joint Commission on Cancer, among others.

VA, OIT, Software Product Management, Population Health requires provide a Cancer Registry product with integration between the new EHR Cerner product, Millennium EHR, and the Cancer Registry’s vendor applications. The Contractor shall provide a new cancer registry framework maintaining a comprehensive database of the VA Cancer Registry, regardless of Electronic Health Record tool. The Contractor shall comply with current technological requirements and meet the demands of the Commission on Cancer standards for accredited cancer programs. To meet these requirements, the Contractor agrees to provide a new cancer registry framework maintaining a comprehensive database of the VA Cancer Registry, regardless of Electronic Health Record tool.

To facilitate the consolidation of and transfer of Cancer Registry data from each of the 132 VistA sites, VA intends to use the Veterans Data Integration and Federation Enterprise Platform (VDIF-EP). This platform will allow the new Cancer Registry solution to have a single connection to one source, instead of requiring connections to each of the VistA sites for data.

The Contractor shall be responsible for the transfer of data to the Corporate Data Warehouse (CDW) for analytical functionality. This transfer will be done through a phased implementation to resolve any issues before full deployment across the enterprise.

The Contractor shall provide support for both linked and unlinked abstracts; case finding through various mechanisms such as case management view, case finding notes, imported notes, and case find module; custom fields; edits and data validation; activity and audit logs; definitions for user roles; transfer of reports into dashboards, pivots, and aggregated reports; export of data to Excel.

The period of performance (PoP) shall be for one 12-month base period with four 12-month option periods and two optional tasks.  The total period of performance for the task order shall not exceed 60 months.

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