Logical Observation Identifiers Names and Codes (LOINC) for Assessment Data Elements

Project ID: 75FCMC26R0050 FederalOpportunitiesJustification
Overview
AgencyCMS Office of Acquisition and Grants Management
DeadlineNone
Posted06/16/26
Estimated ValueNot Provided
Set AsideNone
NAICS541690 - Other Scientific and Technical Consulting Services
PSCR499 - Support- Professional: Other
LocationIndianapolis, IN 46202 United States
Description
Primary Latest Change

This purpose of this request is for a new Sole Source contract entitled Logical Observation Identifiers Names and Codes (LOINC) for Assessment Data Elements to create and update standardized identifiers in the Data Element Library. Developed by the Regenstrief Institute, LOINC codes enable consistent naming and identification to primarily health measurements, laboratory tests, clinical observations, document types, and assessment data in electronic health records for interoperability. This initiative aligns with Section 1899B of Title XVIII of the Social Security Act and the IMPACT Act of 2014, which mandate standardized, interoperable PAC assessment data elements to facilitate coordinated care and improved outcomes. These codes support the standardization of data elements within electronic health records (EHRs), to support the interoperable exchange of information, including assessment information. Additionally, Section 4125(b)(1) of the Consolidated Appropriations Act, 2023 (CAA, 2023) amended section 1886(s)(4) of the Social Security Act to require Inpatient Psychiatric Facilities (IPFs) participating in the IPF Quality Reporting Program to collect and submit standardized patient assessment data, using a standardized patient assessment instrument. The IPF Patient Assessment Instrument (IPF-PAI) has been developed and intended to be implemented in a way to support interoperable exchange of data. Of additional significance, this project supports the administration of the Quality Improvement Organizations Program (QIO). The Social Security Act, outlined in Part B of Title XI - Section 1862(g), established the Utilization and Quality Control Peer Review Organization Program, now known as the Quality Improvement Organizations Program. The statutory mission of the QIO Program is to enhance the effectiveness, efficiency, economy, and quality of services provided to Medicare beneficiaries. By linking assessment data elements to standardized health IT terminologies and code sets such as LOINC and SNOMED-CT, CMS provides post-acute and other healthcare providers with critical health IT infrastructure components necessary for exchanging, sharing, and reusing assessment content and other health information. Quality Improvement Organizations (QIOs) can leverage this interoperable assessment content to support quality measurement, care coordination, and performance improvement initiatives throughout the healthcare environment.

Summary (Newest Update)

Background The contract titled 'Logical Observation Identifiers Names and Codes (LOINC) for Assessment Data Elements' is initiated to create and update standardized identifiers in the Data Element Library. Developed by the Regenstrief Institute, LOINC codes facilitate consistent naming and identification of health measurements, laboratory tests, clinical observations, document types, and assessment data within electronic health records (EHRs) to enhance interoperability. This initiative is aligned with Section 1899B of Title XVIII of the Social Security Act and the IMPACT Act of 2014, which mandate standardized, interoperable post-acute care assessment data elements to improve coordinated care and outcomes. Additionally, it supports the Quality Improvement Organizations Program established under Part B of Title XI - Section 1862(g) of the Social Security Act, aimed at enhancing service quality for Medicare beneficiaries. Work Details The contract involves creating and updating LOINC codes that link assessment data elements to standardized health IT terminologies such as LOINC and SNOMED-CT. This will provide healthcare providers with essential infrastructure for exchanging and reusing assessment content and other health information. The project also aims to support quality measurement, care coordination, and performance improvement initiatives across the healthcare environment. Period of Performance The geographic location(s) the contract will be performed (if provided) Bidder Requirements The justification indicates that this procurement is subject to legal reviews and approvals based on its value. All Justifications & Approvals (J&As) greater than $68 million require a legal review from the General Law Division prior to submission. Additionally, contracts exceeding $700,000 but not exceeding $13.5 million require OPDIV Competition Advocate approval. The Office of Small & Disadvantaged Business Utilization must review contracts exceeding $68 million at their discretion. Incumbent Analysis (see Incumbents section for more detail) This opportunity appears to have a confirmed incumbent based on prior award 75FCMC21C0032 to the Regenstrief Institute (value $2,548,593; 09/13/21–09/12/26) for “Logical Observation Identifiers Names and Codes (LOINC) for Assessment Data Elements.” The described work—creating and updating LOINC codes that map assessment data elements to standardized health IT terminologies such as LOINC and SNOMED-CT—matches the current effort’s focus on maintaining and expanding interoperable identifiers for post-acute assessment data elements.

Contacts
Contact nameScott Filipovits
Contact emailscott.filipovits@cms.hhs.gov
Contact phone(410) 786-5779
Secondary contact nameTyla Lang
Secondary contact emailtyla.lang@cms.hhs.gov
Secondary contact phone(410) 786-9262
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