CGP Healthcare Forum 5

STRATEGIC ACQUISITION CENTER PROGRAM MANAGEMENT REVIEW May 2, 2017 VA Strategic Acquisition Center 1 VA Next 12 Mont...

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STRATEGIC ACQUISITION CENTER PROGRAM MANAGEMENT REVIEW May 2, 2017

VA

Strategic Acquisition Center 1

VA Next 12 Months Modernization  Shared Services (Procurement-Likely Candidate)  Optimization of Personnel  Systems  Hard Look at the Mission of the VA—all services “CHOICE”  Huge Focus of the VA—Next 12 months  Medical System—Becoming the Choice of Veterans -

VA

Targeting Monumental Change—not incremental

Strategic Acquisition Center 2

MSPV-NG Supports the MyVA Transformation – Putting Veterans and their Families First VA is Transforming into a Veteran Centric Organization

 VA Secretary David Shulkin is sponsoring “CHOICE” transformation initiative across the Department

 CHOICE serves as a catalyst to modernize VA’s culture, processes, and capabilities to put the needs of Veterans and their families first

VA

Supply Chain Transformation is a Priority

 VA leadership identified 5 Priorities for 2017  Supply Chain Transformation as a critical enabler for the “CHOICE”

Strategic Acquisition Center

MSPV-NG Supports Supply Chain Transformation

 VHA is partnering with its acquisition offices to update the existing MPSV program to support these goals  VA will redirect the cost avoidance from this effort to support high priority Veteran programs

MSPV-NG is a National Program for Procuring Medical/Surgical Supplies Across VHA

What is MSPV-NG?  The MSPV Program is a national mandatory program that provides a customized distribution system to meet or exceed facility requirements by providing an efficient, cost-effective, just-in-time distribution catalog ordering process  MSPV Cataloging items to be distributed under the MSPV Program will include medical, surgical, dental, and selected prosthetics and laboratory supplies, to include textiles  Cataloging items utilized to populate the MSPV Catalog will be comprised of acquisitions consisting of IDIQ’s, Blanket Purchase Agreements (BPAs); Basic Ordering Agreements (BOAs); and other National Contracts

VA

Strategic Acquisition Center 4

MSPV-NG Streamlines Ordering Processes Resulting in Benefits to VA and Veterans Provide a streamlined procedure for ordering medical/surgical supplies aimed at:

Improved ease of ordering

Decreased number of purchase card transactions

Reduced number of shipments and invoice processing by facilities

Decreased number of purchase orders

Reduced inventory levels at individual facilities

Increased flexibility for VA Customer and Ordering Officers

VA

Strategic Acquisition Center

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Clinical Involvement and Input is Critical to the Success of MSPV-NG

Item Review via Integrated Product Teams

Clinical Product Review Committees

 MSPV-NG has worked to engage IPTs from all major medical areas

 CPRCs provide insight into highquality supplies for use across VHA

 Clinical experts reviewed items prior to solicitaion for the MSPV-NG Catalog

 The CPRC tool was established so that we can gather information nationally

 National Center for Patient Safety (NCPS) will participate in product reviews  National program offices are engaged to develop the formulary

VA

Strategic Acquisition Center

6

VHA Relies on Your Partnership, as Suppliers and Vendors, to Ensure Program Success

MSPV-NG Formulary includes all items that may be ordered by VHA facilities through MSPV-NG

VA

Prime Vendors stock MSPV-NG supplies and fill orders as they are received by VHA facilities Suppliers provide inventory to VHA’s Medical/Surgical Prime Vendors

Strategic Acquisition Center

VHA facilities manage their inventory and place MSPV-NG orders

VHA Hospitals receive orders and provide supplies to clinicians who deliver high-quality health care to Veterans

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General MSPV Information The MSPV is not intended to include “large hospital equipment”, i.e., 

Ultrasound, PET and CT Scanners, MRI, X-Ray Machines, medical ventilators, heart-lung machines, and dialysis machines



This list is not all inclusive – it is intended to demonstrate the category of medical equipment and machinery that will be procured on other contracting vehicles due to their cost, complexity, features, and characterizations

The MSPV shall not ship any medical/surgical or any other supplies that are not on the Government provided master list of approved medical/surgical supplies All medical/surgical supplies shall be provided to the ordering facilities in accordance with the terms and conditions of the MSPV contract Drop shipments shall be made through product contractors only when approved by the customers in accordance with the customer’s requirement 

VA

Only the reduced drop shipment fee shall apply to these orders

Strategic Acquisition Center

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Other General MSPV Information MSPV Delivery Requirements  Conventional/Bulk Delivery (CBD) Method – 3 days per/week  Low Unit of Measure (LUM) – Daily, 5-days per week (excluding weekends)  Emergency Deliveries – within 12 hours after receipt of order

Product Suppliers  The MSPV must establish distribution agreements with new product suppliers within 30 calendar days from notification by the VA. If a distribution agreement cannot be established within the allotted time, the MSPV shall notify the Contracting Officer, in writing

Other Miscellaneous MSPV Topics  Contractor Use of Mandatory Sources of Supply or Services  Contract Phase-In/Contract Phase-Out (Contract Implementation)

VA

Strategic Acquisition Center

9

MSPV Product Service Codes         

 

4240 – Safety & Rescue Equipment 6505 – Drugs, biologicals 6509 – Drugs and Biologicals, Veterinary Use 6510 – Surgical Dressing Materials 6515 – Medical & Surgical Instruments 6520 – Dental Equipment, Instruments, & Supplies 6525 – Imaging equipment and supplies 6530 – Hospital equipment 6532 – Hospital and Surgical Clothing & Related Special Purpose Medical/Surgical Supplies 6540 – Ophthalmic instruments, equipment & supplies 6545 – Replenish-able Field Medical Sets, Kits, and Equipment

VA

   

     

6550 – In Vitro Diagnostic Substances, Reagents, Test Kits and Sets 6630 – Chemical Analysis Instruments & Equipment 6640 – Laboratory Equipment & Supplies 6650 – Optical Instruments, Test Equipment, Component, & Accessories 6670 – Scales and Balances 7910 – Floor Polishers and Vacuum cleaning equipment 7920 – Brooms, Brushes, Mops & Sponges 7930 – Cleaning & Polishing Compounds and Preparations 8305 - Textile Fabrics 8520 – Toilet Soap, Shaving Preparation, & Dentifrices

Strategic Acquisition Center

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Adding New Items to the MSPV Program 1

2

2.1

Customers (Clinicians) see, or buy something via UPC or Purchase Order while visiting another facility, trade show, or other event. Like product and decide to make it part of daily commonly used items

Submit request to MSPV Program Office to have item included under the MSPV Catalog

 PMO conduct study to determine annual usage by other VAMCs and decides item is not a good candidate for MSPV

2.2

 PMO determines that product is a good candidate for inclusion under the MSPV Program — Forward product information, to include supporting requirement documentation to SAC MSPV Program Coordinator requesting the item be added to the MSPV catalog

2.3

 MSPV Coordinator will evaluate request to ensure all MSPV criteria has been met, i.e., competition requirements, etc. — If deemed a good candidate for MSPV Program, item will be added via the proper contractual administrative actions, i.e., BPA Award, Mod, or new contract

VA

Strategic Acquisition Center

11

MSPV Catalog Solicitation Process Solicitation Method

Overview All contract vehicles will generally be competed BPAs, BOAs, or other Contracts resulting in single award

Two Different Methods of Solicitation  Kingdomware Supreme Court Ruling Rule of “two” or more

 Solicitation closing dates will — SDVOSBs/VOSBs generally be a standard 30  VA FSS Schedule 65 and 66 day response time (eBUY)  MSPV Catalog will be populated by completion of  FedBizOpps (Non FSS Requirements) the Product and Pricing Document (PPD) — Cascading Approach

RFQ Each RFQ will provide language advising potential Quoters of the following  Contract Line Items selected for inclusion in each BPA shall meet the (salient) characteristics prescribed by the Program Office

• Set-Asides for Small Business Manufacturers

• Other Socioeconomic Groups • Unrestricted

VA

Strategic Acquisition Center

12

MSPV Solicitation Overview • 33 Solicitations • Rolling 15 day schedule for solicitations and evaluations – Target Start Date ~June 15th – Target End Date ~December 15th

• SDVOSB set a-side/and open market solicitation planned for all products lines, except surgical instruments

VA

Strategic Acquisition Center

13

MSPV Solicitation Overview

Formulary Progress: Phase 2 detailed by Supply Line Level 1

IPT Stand-up

Package Review

Final VOA Upload

SAC Refinement

Actionable Package

Solicitation Issued

Contract Award

Supply Line Level 1 (Program Manager)

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26

Apparel/Textiles Central Supply Sterilization Solutions and Supplies Critical Care Dental Equipment/Dental Supplies Dialysis/Pheresis Emergency Medical Services Supplies and Equipment Endoscopy Suite IV and Irrigation Supplies Laboratory (Rodney Hickson) Medical Documentation Products (TaKia Dunn) Medical Imaging Radiotherapy Nuc Medicine Cath Lab OR - Instruments Surgical OR - Miscellaneous OR - Surgery Supplies Specific Service OR - Sutures Optometry Orthopedics/Prosthetics and Sports Medicine Patient Care Products Patient Exam Room Instruments and Supplies Pharmacy Physiological and Psychological Testing and Monitoring Respiratory Therapy and Anesthesia Safety Devices and Supplies Syringes and Needles Urology Supplies Wound Care KEY:

Phase completed

Phase in progress

Excluded

Tentative Proposed Schedule SDVOSB set-aside BNOE Solicitation June 15:

Solicitation Aug 1:

1. Medical Imaging Radiotherapy

2. Patient Care 3. Patient Exam Room 4. Physiological 5. Respiratory Therapy 6. Critical Care/Dialysis and Pheresis/ Emergency Medical Service/ Medical Documentation/ Optometry/Orthopedics/ Pharmacy/Central Supply Sterilization/Safety Devices

Solicitation June 30:

17. Medical imaging Radiotherapy 18. Patient Care 19. Patient Exam Room 20. Physiological 21. Respiratory Therapy 22. Critical Care/Dialysis and Pheresis/ Emergency Medical Service/ Medical Documentation/ Optometry/Orthopedics/ Pharmacy/Central Supply Sterilization/Safety Devices

Solicitation Aug 15:

7. Operating Room 8. Syringes and Needles 9. Urology Supplies 10. Wound Care 11. Dental Equipment

23. Operating Room 24. Syringes and Needles 25. Urology Supplies 26. Wound Care 27. Dental Equipment

Solicitation July 14:

Solicitation Sept 1:

12. Apparel/Textile/Gloves 13. Endoscopic Suite 14. IV/Solutions 15. Laboratory 16. All BN items SDVOSB set-aside

VA

Open Market BNOE

28. Apparel/Textile/Gloves 29. Endoscopic Suite 30. IV/Solutions 31. Laboratory 32. Surgical Instruments 33. Open market All BN items

Strategic Acquisition Center

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A Data-driven Negotiations Approach Data Source

VA

Data Types

EDI

Item level pricing and volumes from electronic payments

US Bank Purchase Card

Item level pricing and volumes from pc payments (select vendors)

MedPDB

Item level commercial and DoD pricing

External data

Item level commercial pricing and market trends (deflation, inflation)

eCMS / Microstrategy tool

Item level commercial pricing and market trends (deflation, inflation)

Strategic Acquisition Center

Integrated view of VA, DoD, and Commercial pricing

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Dashboard Examples View of all available data on price for this product & implied cost avoidance

LDP based on adjustments within dashboard

Tab allows evaluation of offer against LDP and implied cost avoidance

Single view of impact of quantity on price and most common pricing

View of the change in price over time and any violations of contract pricing Regional and local view of pricing to ID any geographic trends

VA

Strategic Acquisition Center

Antidotal Example On one bandage, VA best price is 44%> than avg. commercial price; avg. price more than double lowest commercial price JonDoe Inc: 1.5“ 5yd Coflex bandage, 48Ct 18.50 Lowest MedPDB commercial price Lowest Defensible Price is 17.77

VA

22.74

32.64

33.46

42.19

Average MedPDB commercial price

MedPDB VA Best price

Lowest PC1 price

Average PC1 price

44% more 128% more

Strategic Acquisition Center 18

Category Spend Review Number of products by percent greater VA's price is than the Lowest Defensible Price # of products

Confirmable

80

Needs checking 73

XX% of products have historical average prices at least 50% greater than the LDP

60

40

72

34 23 19

20

34 23

12

12

12

12

75% to 100%

100% to 125%

0

0% to 25%

25% to 50%

50% to 75%

10 5 5

125% to 150%

9

4 4

150% to 175%

175% to 200%

18

Above 200%

VA Price over LDP (%)

VA

Strategic Acquisition Center 19

MSPV 2.0

Looking to Leapfrog Forward in Medical Supply Chain

VA

Strategic Acquisition Center 20

STRATEGIC ACQUISITION CENTER

VA

Strategic Acquisition Center 21