# Evidence-Based Clinical Support

Canonical: https://abierto.us/opportunities/ss24phx024

- Solicitation number: SS-24-PHX-024
- Notice type: Sources sought
- Status: Closed. Deadline was April 3, 2024 at 2:00 PM EDT
- Department: Department of Health and Human Services
- Agency: Indian Health Service
- Contracting office: Phoenix Area Indian Health SVC (75H712)
- NAICS: 541519 Other Computer Related Services
- Product or service code: 7A21 Business Application off-the-shelf software delivered by perpetual license, which also encompasses enterprise level software enabling mission capability and business operational support.
- Set-aside: Indian economic enterprise
- Place of performance: Phoenix, Arizona
- County: Maricopa County (FIPS 04013). https://abierto.us/counties/maricopa-county-az-04013
- City: Phoenix. https://abierto.us/cities/phoenix-az-0455000
- First posted: March 27, 2024
- Last posted: March 27, 2024
- SAM.gov: https://sam.gov/workspace/contract/opp/9a5a199da864403d9e2c0465bf4af660/view

## Description

The Phoenix Indian Medical Center (PIMC), Phoenix Service Unit (PSU), Phoenix, Arizona, is a 127-bed health care facility that operates 24 hours a day, seven days a week. This project is located on the PIMC's campus. PIMC requires the services of a contractor able to provide a Site-Hosted, evidence-based clinical criteria software and license for use in a hospital utilization review process. The software should be easy to use and allow for expedited workflow. The software should allow users to evaluate clinical criteria for the following:

1. Observation services 2. Inpatient admissions 3. Continued inpatient stays 4. Evaluation of discharge planning 5. Evaluate ambulatory surgical services for appropriateness of setting 6. Determine appropriate transition of care to rehabilitation care services, subacute services, and skilled nursing services. 7. Evaluate substance use disorders and appropriate transition of care. 8. Evaluate transition of care needs utilizing CMS Durable Medical Equipment.

9. Retrospective evaluation of risk management and quality care delivery evaluation. The purpose of the evidence-based clinical criteria is to satisfy the Centers for Medicare and Medicaid Services (CMS) Conditions of Participation (CoPs) for a healthcare organization to have a utilization review process in place. The PIMC Case Management staff will use this evidenced-based criteria for making utilization review decisions.

The software is integral to the performance and function of several departments within the PIMC. Case Management’s utilization review function is required by Third Party Billing to complete billing information prior to sending in the claim. Al interested parties please respond to the POC with the IEE Form filled out and your FEDRAMP line card.

## Publications

- March 27, 2024: Sources sought, due April 3, 2024 at 2:00 PM EDT. Notice 9a5a199da864403d9e2c0465bf4af660. https://sam.gov/workspace/contract/opp/9a5a199da864403d9e2c0465bf4af660/view

## Points of contact

- Jeremiah Murrell, jeremiah.murrell@ihs.gov, 6603833878

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Source: SAM.gov Contract Opportunities bulk extract. Confirm deadlines on SAM.gov before responding. Cite https://abierto.us/opportunities/ss24phx024.