R408--FY27 Lean and High Reliability Organization Transformation Support
Open — responses due 23 Nov 2026 (9 days left) · Unrestricted (full and open) · Department of Veterans Affairs (VA) · Orlando, FL · NAICS 541611 · Solicitation 36C24827Q0138
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Description
SOURCES SOUGHT NOTICE Lean/HRO Transformation Consulting, Training, Coaching, and Implementation Support Orlando VA Healthcare System (OVAHCS) 1. Purpose and Notice Type This Sources Sought Notice is issued solely for market research and acquisition-planning purposes. It is not a solicitation, request for proposal, request for quotation, invitation for bid, or promise to issue a future solicitation. Responses will assist the Department of Veterans Affairs (VA) in identifying qualified sources and determining an appropriate acquisition strategy for Lean transformation and High Reliability Organization (HRO) consulting, training, coaching, and implementation support for the Orlando VA Healthcare System (OVAHCS). The Government is particularly interested in the availability and capability of small business concerns, including certified Service-Disabled Veteran-Owned Small Businesses (SDVOSBs) and Veteran-Owned Small Businesses (VOSBs). A response does not create any contractual obligation, and respondents should not submit proposals or pricing offers at this time. 2. Background OVAHCS is assessing industry capability to support an integrated Lean and HRO transformation. OVAHCS has established strategic priorities and has deployed, or is deploying, a Daily Management System (DMS) designed to help leaders, managers, and frontline employees identify, escalate, and resolve problems at the appropriate organizational level. The contemplated support would strengthen leadership behaviors, workforce capability, visual management, tiered accountability, structured problem solving, process improvement, and sustainment. The objective is to embed repeatable improvement practices that advance access, quality, safety, workforce engagement, and operational performance. 3. Applicable NAICS Code The anticipated North American Industry Classification System (NAICS) code is 541611 Administrative Management and General Management Consulting Services. Respondents should identify whether this code appropriately represents the principal nature of the contemplated work and recommend an alternative code, with rationale, if applicable. The applicable small business size standard will be identified in any resulting solicitation. 4. Anticipated Acquisition Strategy No acquisition strategy, contract type, ordering structure, period of performance, or set-aside decision has been finalized. The Contracting Officer will consider the results of this market research, applicable statutes and regulations, available contract vehicles, anticipated competition, and the Government s requirements before selecting an approach. For market-research purposes, respondents should describe their ability to perform as a prime contractor, support one or multiple OVAHCS locations, provide the required labor categories, and manage any proposed subcontractors or teaming partners. 5. Organizational Priorities and Potential Measures The contemplated effort is intended to support the following organizational priorities: Improve the efficiency and effectiveness of meetings, committees, and governance processes. Strengthen management accountability and timely resolution of escalated issues. Improve access to timely healthcare services and associated operational flow. Support workforce retention, empowerment, engagement, and improvement capability. Advance a culture of safety for patients, visitors, and the workforce. Potential measures may include meeting and action-item effectiveness; leader rounding and tiered-huddle reliability; issue-resolution time; access, wait-time, throughput, or length-of-stay measures; workforce engagement and retention indicators; improvement-event outcomes; safety-culture indicators; and validated cost savings or cost avoidance. These examples are illustrative and are not final performance requirements. Respondents should describe experience establishing baselines, selecting meaningful outcome and process measures, validating benefits, creating visual-management tools or dashboards, and reporting progress to operational and executive leaders. Respondents should also identify a recommended reporting cadence and explain how they would transition measurement ownership to Government personnel. 6. Anticipated Scope of Services The contractor may be required to provide qualified personnel, methods, tools, and materials to assist OVAHCS leadership, Quality Management, Systems Redesign and Improvement, and other designated stakeholders. Anticipated services may include: Assessing organizational readiness, current-state practices, maturity, risks, and opportunities. Developing or refining an integrated Lean/HRO transformation roadmap and implementation plan aligned with OVAHCS priorities. Coaching executives, managers, improvement professionals, and frontline teams in Lean leadership, HRO principles, DMS, visual management, tiered accountability, leader standard work, and structured problem solving. Designing and delivering role-based training through onsite, virtual, or blended methods, including practical application and knowledge transfer. Planning, facilitating, and following up on rapid-improvement, value-stream, or other process-improvement events. Supporting improvements in access, patient flow, quality, safety, workforce engagement, clinical wait times, and other priority areas. Developing reusable curricula, job aids, templates, standard work, dashboards, and sustainment materials. Measuring implementation progress and outcomes, identifying barriers, and briefing operational and executive leaders. Building internal capability so OVAHCS personnel can independently coach, facilitate, manage, and sustain the improvement system. Expanding and sustaining successful practices beyond initial implementation areas. Respondents should identify any assumptions, dependencies, Government-furnished information, facility access, data, technology, or other support needed to perform these services effectively. 7. Anticipated Key Personnel The final staffing model has not been determined. OVAHCS is considering a scalable team that may include the following labor categories: Executive-Level Lean/HRO Sensei or Transformation Advisor. Gemba/Daily Management System Sensei or Coach. Rapid Improvement Event or Value-Stream Facilitation Sensei. HRO/Patient Safety Subject-Matter Expert. Executive Clinical Lean Coach. Lean Six Sigma instructor or trainer, as required. Respondents should recommend a staffing model, identify which functions may be combined without reducing quality, state the number and availability of personnel in each proposed category, describe the anticipated mix of onsite and virtual support, and explain how continuity would be maintained if key personnel become unavailable. 8. Illustrative Personnel Qualifications The following qualifications are presented to obtain industry feedback and do not constitute final solicitation requirements. Executive-Level Lean/HRO Sensei or Transformation Advisor Substantial experience coaching senior leaders and leading enterprise or healthcare Lean transformations. Recent experience applying Lean in a healthcare organization, including an acute-care environment. Demonstrated experience integrating Lean management practices with HRO principles and patient-safety objectives. Experience developing transformation roadmaps, leadership systems, DMS, and sustainment strategies. Recognized advanced Lean or Lean Six Sigma certification, or equivalent demonstrated expertise. Gemba/Daily Management System Sensei or Coach Demonstrated experience implementing Lean management systems, visual management, leader standard work, tiered huddles, and structured problem solving. Recent healthcare or comparably complex operational experience. Experience coaching leaders and frontline teams at the place where work occurs. Experience with strategy deployment, Transformation Plan of Care, or a comparable methodology. Other Proposed Key Personnel Personnel proposed for improvement-event facilitation, HRO/patient safety, executive clinical coaching, or training roles should have relevant professional credentials and demonstrated experience performing the proposed function in healthcare or a comparably complex environment. Respondents should comment on the availability and reasonableness of these qualifications, identify any requirement that could unnecessarily restrict competition, and recommend objective alternatives. Respondents should distinguish between qualifications suitable for key personnel and those more appropriately evaluated at the corporate capability level. 9. Place of Performance and Delivery Approach Services may be required at OVAHCS medical center, clinic, administrative, or other designated locations in the Orlando, Florida, service area. Specific locations, travel expectations, hours, security requirements, and the required balance of onsite and virtual performance will be defined in any resulting solicitation. Respondents should identify…
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