DoD (MTEC) – National Emergency Telecritical Care Network (NETCCN)

April 17, 2020 by dld5dt@virginia.edu

Purpose:

The Medical Technology Enterprise Consortium (MTEC) is excited to post this announcement for a Request for Project Proposals (RPP) to rapidly develop and deploy the National Emergency Telecritical Care Network (NETCCN) – a cloud-based, low-resource, stand-alone health information management system for the creation and coordination of flexible and extendable “virtual critical care wards.” These high acuity, virtual wards would bring high-quality critical care capability to nearly every bedside, be it healthcare facility, field hospital, or gymnasium.

BACKGROUND:

This program is specifically focused on preparation for COVID-19 related critical care capability shortages.  Although the United States has more critical care beds per capita than other developed nations, emerging national and international experience with COVID-19-related critical illness suggests a high level of oncoming system stress on critical care resources and a likely potential for intensive care unit (ICU) beds and care teams to be overwhelmed.

Tele-critical care can be a powerful force-multiplier in the extension of limited critical care resources in both high-census urban centers and rural communities in which access to critical care – facilities, equipment and trained clinicians – is limited even under normal conditions. Many local and regional health systems have invested extensively in telemedicine capabilities, but many of these systems lack sufficient scalability, are limited both in interoperability with other telehealth systems and scope and reach of partner provider-networks and supported tele-clinical services.

The vision for this program is to extend local tele-critical care capability sets to a broader, flexible network – first locally, then step-wise regionally and nationally – that can be leveraged wherever there is need.

SOLUTION REQUIREMENTS:

This RPP focuses on enhanced development of integrated technologies and clinical workflows to establish and rapidly scale virtual wards. The program will support the extension of high-quality intensive care to traditional (e.g. critical access hospitals and clinics) and non-traditional and temporary healthcare facilities (e.g. field hospitals and gymnasiums) which lack adequate critical care expertise and resources necessary for care of COVID-19-related illnesses.  Enhanced white papers should specifically address providing EXISTING technologies available for other use cases that can be rapidly adapted to establishing a National Emergency Tele Critical Care Network (NETCCN).  Existing technologies which should be included are as follows:

  1. Mobile communications capabilities including synchronous audio/video, asynchronous messaging, and access to continuous monitoring
  2. Clinician-facing web portal and/or mobile-based application (goal is availability on every device)
  3. Capability for basic documentation in real-time as well as data collection and reporting
  4. Cloud-based information storage including ability for later offloading via PDF or HL7

Specific requirements for the creation of these “virtual wards” (i.e., cohorts of patients that are managed together and with continuity by the tele critical care [TCC] teams) include the following:

  1. Self-contained health information management system (or system of systems) using elastic cloud computing at a minimum, IoT connections, and anticipated incorporation of future AI to enable:
  2. Patient flow management
  3. Patient level information management
  4. Continuity of care through shift change, provider turnover, and patient transfer using lightweight patient hand-off tools.
  5. Integrated audio-visual communications capability
  6. Information sharing and reporting capabilities:
  7. A governance structure or “network of networks” must be implemented to coordinate this response
  8. Reporting and data visualization tools of both patient and system level data are crucial for information sharing, dissemination of consensus best-practice recommendations, measures of system stress, and rapid reallocation of resources.
  9. Survey capabilities – of patients/caregivers, local clinicians, and remote TCC experts should – should be included.
  10. Patient-level data should be aggregated and stored for later analysis, can eventually be batch loaded into existing EMRs when resources allow
  11. System should allow for alerts, bulletins, and other timely communications to be pushed out to users
  12. Integrated information sharing
  13. Coverage/staffing/care team model(s) for virtual wards to include tiered staffing concepts with local proceduralists (as available) supported by the technology solution developed in this proposal and serviced by tele critical care clinicians.
  14. The system will need to include a method to verify credentials of tele critical care clinicians/teams who participate as service providers.

SCOPE OF WORK:

The goals of this RPP are to provide a first system for deployment within 45 days of award (end of Task 3), a refined system for deployment within 6 months of award (end of Task 4), and a final system for deployment within 18 months of award (end of Task 5). 

POTENTIAL FUNDING:

The U.S. Government (USG) Department of Defense (DoD) currently has available up to $7 Million (M) FY20 funds for Tasks 1, 2, and 3 of this program.  The USG may apply additional dollars for follow-on efforts via post award modification to any resultant awards after the evaluation and acceptance of work and cost plan. Dependent on the results and deliverables, additional time may be added to the period of performance for follow-on tasks.

MTEC expects to make up to six (6) initial awards to qualified teams to accomplish the initial enhanced development effort within the statement of work.  However, at each discrete phase of the project, the number of awardees may be down selected based on evaluation factors.  If proposed projects are unable to sufficiently address the entire scope of work, several Offerors may be asked to work together in a collaborative manner. See the “MTEC Member Teaming” section below for more details. However, if an optimal team is not identified, then MTEC may make multiple, individual awards to Offeror(s) to accomplish subset(s) of the key tasks.

The anticipated Period of Performance (PoP) for Tasks 1, 2, and 3 is up to 45 days. Dependent on the results and deliverables, additional time may be added to the period of performance for follow-on tasks [e.g., up to 18 months for Tasks 1 – 5].

Key Dates:

The MTEC will implement the “Enhanced White Paper” contracting methodology for this RPP, which will be an accelerated approach to award. Because of the nature and urgency of the program’s requirements, this streamlined approach is anticipated to be a better means to highlight company methodologies and skills required to address the technical and transition requirements. The Enhanced White Paper process requires extremely quick turnaround times by Offerors. MTEC anticipates that awards will be issued within 6 weeks of the RPP release date.  For more information regarding the requirements of the Enhanced White Paper process and template, refer to the RPP.

Enhanced White Papers are due no later than April 27 at 12:00pm Eastern Time. Due to the critical and urgent nature of the technical topic area, MTEC membership is NOT required for the submission of an Enhanced White Paper in response to this MTEC RPP. However, membership will be required for Offerors recommended for award. For information on how to join MTEC, please visit http://mtec-sc.org/how-to-join/

URL for more information:

The full RPP is posted to the MTEC website https://www.mtec-sc.org/solicitations/

POINTS OF CONTACT:

For inquiries regarding this RPP, please direct your correspondence to the following contacts:

 

Filed Under: Funding Opportunities