Notice ID: 36C10B24Q0395
The Clinical Assessment, Reporting and Tracking (CART) Program was created to monitor the quality and safety of invasive cardiac procedures within the VA Healthcare System. To do so, the CART Program has led the development of a standalone software application (CART Application Suite [CART-APPS]) that is now fully integrated with the Computerized Patient Record System (CPRS) and Oracle Health. This enables providers to reuse and annotate existing Veterans Health Information Systems and Technology Architecture (VISTA) data including information regarding medical comorbidities and medications.
The application also allows for the input of discrete information for pre-procedural assessments, diagnostic coronary procedures and percutaneous coronary interventions. After operators complete this information within the dedicated software application, a standardized procedural report is then automatically created which can be uploaded into the permanent electronic medical record. The application also stores procedural information in a standard relational database that can be easily deployed and migrated to any Structure Query Language (SQL) database system.
The application can also be configured to connect via the VA internet to a single national database server that serves all cardiac catheterization laboratories or a series of locally deployed servers with automatic rollup to the national server, giving medical centers the flexibility to choose a deployment structure that best meets the available resources. The data retrieved within the application is then monitored by the CART Program to enhance the quality and safety of invasive cardiovascular procedures. CART was mandated to be a national program for use in all 81 catheterization laboratories in the VA system by the Deputy Undersecretary for Health and is a unique collaborative effort involving Patient Care Services, and the Office of Information, Office of Quality and Performance.
The Contractor shall be responsible for the maintenance and support of the existing CART Application Suite, as well as incorporating enhancements to add new functionality to support clinical care of Veterans.
The Contractor shall perform the following:
Project Management. The Contractor shall participate with the CART Program personnel during regular conference calls and face-to-face meetings with the CART Program personnel at least three times per week, as well as biweekly one-on-one meetings with the Program Director regarding progress on deliverables.
Contractor Project Management Plan. The Contractor shall deliver a Contractor Project Management Plan (CPMP) that lays out the Contractor’s approach, timeline, and tools to be used in execution of the contract. The CPMP should take the form of both a narrative and graphic format that displays the schedule, milestones, risks, and resource support. The CPMP shall also include how the Contractor shall coordinate and execute planned, routine, and ad hoc data collection reporting requests as …
Reporting Requirements. The Contractor shall provide the Contracting Officer’s Representative (COR) with a Quarterly Progress and Maintenance Report. The Quarterly Progress and Maintenance Reports shall cover all work completed during the reporting period, work planned for the subsequent reporting period, and note any updates or changes to the initial CPMP. Sections of this report shall include: Clinical/Technical Tradeoff Analysis Report; Clinical/Technical Prioritization Report; Implementation Plan, Regression Testing Plan, Autotest Updates and Autotest Tracking Report, and a Deployment Scheduling and Tracking Report. The report shall also identify …
Maintenance and Support. The Contractor shall provide maintenance for the existing Clinical Assessment Reporting and Tracking Application Suite (CART-APPS), and ensure CART-APPS is operational 99% of the time at all installed sites listed in ADDENDUM C – CART INSTALLATION LOCATIONS. CART-APPS is built on top of an object-relational model-driven infrastructure using dynamic late binding of application specifications to run-time objects. Maintenance shall include updating the CART-APPS interfaces, using the Delphi and SQL Data programming languages, including: VA VistA Remote Procedure Call (RPC) Broker for access to VistA databases, VA Decision Support System (DSS) for workload and costing and the new …
The Period of Performance (PoP) shall be one 12-month base period, with two (2) 12-month Option Periods.
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