Attachment 2 Functionality Checklist VA Audio Response Software as a Service Solution Revised 01.18.xls

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DA10--VA-24-00016627 VA Audio Response Software as a Service (SaaS) Solution
Solicitation number
36C10B24Q0025
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This document contains a functionality checklist and federal contract opportunity notice. The functionality checklist outlines required capabilities for an audio response software as a service solution to support pharmacy operations, scheduling, clinical communications, emergency notifications, financial transactions, surveys, demographics management, customization, calling features, reporting, and technical requirements for the Department of Veterans Affairs. Key capabilities include prescription refill and status inquiries via telephone, appointment scheduling and reminders, secure clinical messaging, emergency notifications, account balances and payments, customization of messages and parameters by site, and integration with VA electronic health records systems. The related federal contract opportunity is a planning notice for a future solicitation seeking proposals for a VA audio response SaaS solution meeting the capabilities in the attached functionality checklist.

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Functionality Checklist Instructions:

Indicate if your commercial solution meets the following REQUIRED functionality by marking an “X” in the “Meets” or “Does Not Meet” column for each respective functionality.

Item No.Requirement DescriptionMeets RequirementDoes Not Meet RequirementLevel of Customization Required (e.g. minimal, moderate, or significant)
1PHARMACY
1.1The VA Audio Response solution shall allow Veterans or a VA approved Caregiver to request a prescription fill/refill and/or renewal via touch tone telephone
1.2The VA Audio Response solution shall provide the ability for the automated process to take the following actions: Inform Veteran or a VA approved Caregiver of pick-up time; Verify Veteran’s mailing address when requesting prescription refill by mail order; send Veteran prescription pick-up reminder(s) via touch tone telephone.
1.3The VA Audio Response solution shall support status inquiries for each fill/refill and/or renewal request and prescription status (e.g., the number of refills remaining, prescription status (including prescriptions that have yet to be dispensed)
1.4The VA Audio Response solution shall allow each site to set a time after which the system will tell Veterans or a VA approved Caregiver when to pick up their prescriptions are ready for pickup (e.g., RxReady).
1.5The VA Audio Response solution shall allow the Veterans or a VA approved Caregiver to be informed of the dispensing location when a medication is ready for pickup.
1.6The VA Audio Response solution shall be able to identify all medications that are available for mail order.
1.7The VA Audio Response solution shall provide the capability for Veterans or a VA approved Caregiver to request prescription fill/refill and/or renewal when the interface with the Pharmacy system is unavailable.
1.8The VA Audio Response solution shall verify the Veteran’s mailing address when requesting a medication fill/refill and/or renewal via mail order.
1.9The VA Audio Response solution shall provide a capability to notify Veteran or a VA approved Caregiver of medication refills.
1.10The VA Audio Response solution shall provide Web Rx Information to include quantity ready, prefills (notification of when prescription is running low), tracking of refills, refills remaining, discontinuation (e.g., alert/inform provider that the previous prescription was discontinued), prescription reminders (e.g., refill reminders, expiring prescription reminders) and medication information consistent with all modalities used.
1.11The VA Audio Response solution shall provide the ability for Call Center staff/VA employee to enter the fill/refill and/or renewal request on behalf of the Veteran or a VA approved Caregiver
1.12When the drug is a Schedule II medication, the VA Audio Response solution shall provide a 0 prompt to advise the caller that their request is being sent to their PACT team and/or the healthcare team that is managing the Schedule II medication(s) (e.g., Mental Health) for review.
1.13The VA Audio Response solution shall notify the Veteran or a VA approved Caregiver about instructions/information specific to their visit to the VA that day including as a minimum “come to Window A upon entering the building; “proceed to drive through prescription pickup”; or “park in lot C” and “when your Release of Information (ROI) document is ready for pickup you will be provided a room number for pickup”; as well as accommodate specific site updates for hours of operation, new area codes or telephone exchanges, and operation procedures or promotions.
1.14For Prefill (notification of when prescription is running low), the VA Audio Response solution shall provide the ability for Veterans or a VA approved Caregiver to request a renewal for a prescription that is out of refills or expired via an automated number.
1.15The VA Audio Response solution shall provide a Veteran or a VA approved Caregiver the ability to be notified of the result of the fill/refill/renewal requests (e.g., “refill request submitted on ‘MM/DD/YYYY’ was processed and is scheduled to arrive on ‘MM/DD/YYYY’ without having to call/message to their pharmacy/provider or login to their automated voice/web/mobile application
1.16The VA Audio Response solution shall provide a Veteran or a VA approved Caregiver the ability to receive updates to prescription statuses without having to call/message to their pharmacy/provider or login to their automated voice/web/mobile application
1.17The VA Audio Response solution shall provide a Veteran or a VA approved Caregiver the ability to receive updates to prescription shipments/shipment delays from the pharmacy automation system (mail order or local VA Pharmacy) without having to call/message to their pharmacy/provider or login to their automated voice/web/mobile application
1.18The VA Audio Response solution shall utilize the phone number on the prescription label
2SCHEDULING
2.1The VA Audio Response solution provide the capability for patient-initiated appointment inquiries, scheduling/rescheduling, and cancellations via touch tone telephone.
2.2The VA Audio Response solution provide a Veteran appointment reminder system via touch tone telephone.
2.3The VA Audio Response solution provide the capability for Veterans or a VA approved Caregiver to cancel their appointments and receive a confirmation of the cancelation via touch tone telephone. WHEN CANCELING, allow the Veteran to indicate if he/she wants to be contacted about rescheduling.
2.4The VA Audio Response solution provide the capability for the Clinic to inform the Veterans or a VA approved Caregiver of an appointment/referral cancellation via touch-tone phone.
2.5The VA Audio Response solution combine all appointments reminders into one call if a Veteran has more than one appointment for a particular day.
2.6The VA Audio Response solution only send one completed call (e.g., person answers phone, reminder sent to voicemail, etc.) to a household per 24-hour period (calling cycle).
2.7The VA Audio Response solution attempt to contact the Veteran or a Veteran approved Caregiver multiple times within each communication configuration (e.g., appointment reminders, referral reminders, etc.) as defined by the site configurations if the telephone call is not completed within the specified time (e.g., no one answers the call, no voice mail, etc.).
2.8The VA Audio Response solution recognize the alternate Address in the Electronic Health Record (HER), using a defined date to determine if it is current, if applicable.
2.9Reminders provided by the VA Audio Response solution shall indicate which divisions within the facility and/or which facilities. The VA Audio Response solution shall provide specific locations within the organization and divisions.
2.10The messages and reminders in the VA Audio Response solution shall meet the current PII/PHI/HIPPA/Privacy policy for voicemail.
2.11The VA Audio Response solution shall have the capability to generate reminder notifications to send to patients to schedule a new appointment.
2.12Auto-populate appropriate fields from patient demographics and appointment data for the notification process.
2.13Automatically use Veteran information when processing notifications.
2.14Ability to remove a patient from automatic reminder calls, for either ALL reminders and/or specific clinics.
2.15Be able to block a single phone number from receiving calls, even if you don’t know which patient it’s coming from.
2.16Provide the ability to Change/Cancel an entire clinic if needed and notify Veterans or a VA approved Caregiver appropriately about their specific clinic.
3CLINICAL
3.1The VA Audio Response solution shall provide the capability for preventive health messages via touch tone phone
3.2The VA Audio Response solution shall provide the capability for clinical screening reminders via touch tone phone
3.3The VA Audio Response solution shall provide secure physician to patient communications, such as lab results, via telephone in accordance with HIPAA.
3.4The VA Audio Response solution shall provide the ability for Veterans or a VA approved Caregiver to obtain clinical information such as lab results, disease management information & medication recalls via Inbound and Outbound Audio Notes
4EMERGENCY PREPAREDNESS
4.1The VA Audio Response solution shall provide emergency notification to Veterans, VA approved Caregiver and VA staff via touch tone phone (e.g., Robocalls)., such as biological, chemical, environmental, weather-related, or other emergency situations.
4.2The VA Audio Response solution shall provide notification to all patients being seen at a division on a specific date to notify that the building is closed/open.
5FINANCIAL
5.1The VA Audio Response solution shall provide Veteran Account Balance(s), and the ability to make payments, and receive payment reminders
6SURVEYS
6.1The VA Audio Response solution shall provide the ability to configure and implement a script(s) for the Veteran or VA approved Caregiver IVR experience satisfaction surveys
7DEMOGRAPHICS
7.1The VA Audio Response solution shall include features to allow Veterans or a VA approved Caregiver to periodically review and update their demographic information.
7.2The VA Audio Response solution shall provide the capability for Veterans or a VA approved Caregiver or to “opt out” of the reminder call service by method of reminder. The Veterans or a VA approved Caregiver who “opt out” of the service will no longer receive communications with the exception of patient safety issues (e.g., medication recalls).
8CUSTOMIZATION
8.1The VA Audio Response solution shall provide Custom Site Parameter Preferences (e.g., pharmacy pickup times, hours of operations, transferring prescriptions and pharmacy locations) to VHA staff.
8.2VAMCs and CBOCs shall not have the ability to turn on/off by feature, modality, etc.
8.3Customization functionality shall be permission structured for VHA staff
8.4The VA Audio Response solution shall be able to customize messaging using vendor provided professional voice recordings with local override availability as needed to include at a minimum English and Spanish language modules
8.5The VA Audio Response solution shall have the capability to place a current or a new medication order into a “Parked” status, as well as to enable patients to order a fill for a prescription in a “Parked” status, to support the following functional requirements:
8.6The VA Audio Response solution shall ensure the system activities performed for an active prescription are also performed for a parked prescription
8.7The VA Audio Response solution shall provide coding changes for the EHR receipt of requests from the system so that a patient can request/receive the initial (original) fill of a prescription.
8.8The VA Audio Response solution shall provide coding changes for the EHR receipt of requests from the system so that when a patient requests the original fill or refill for a prescription that has been associated with a newer prescription for the same dispensed drug that is in the parked state, the fill is processed as if the newer prescription was requested.
8.9The VA Audio Response solution shall provide the capability to communicate with Veterans or a VA approved Caregivers via touch tone telephone for medication recall, appointment/referral reminders, prescription fill status, and immunization reminders.
8.10The VA Audio Response solution shall provide the ability to capture from the authoritative source the Veteran’s Notification Preference (e.g., e-mail, text, phone (mobile or land line), letter/postcard)
8.11The VA Audio Response solution shall provide VHA staff with the ability to manage, store and access standard telephone notification templates (e.g., voice scripts) used for secure phone communications/messaging.
8.12The VA Audio Response solution shall provide the ability to create patient notification templates.
8.13The VA Audio Response solution shall provide the ability to publish patient notification templates.
8.14The VA Audio Response solution shall provide the ability to share patient notification templates.
8.15The VA Audio Response solution shall provide the ability to modify notification templates according to business rules to accommodate facility and service requirements (i.e., directions, parking instructions, number of days prior to appointment the notification is sent, etc.).
8.16The VA Audio Response solution shall provide the ability to activate notification templates, one at a time a group or based on rules.
8.17The VA Audio Response solution shall provide the ability to deactivate notification templates, one at a time, as a group or based on rules of templates.
8.18The VA Audio Response solution shall provide the ability to set up notifications to be distributed automatically according to specified criteria/business rules, e.g., a configurable schedule
8.19The VA Audio Response solution shall provide the ability to store individual patient notification preferences
8.20Existing and new clinic location demographics (Internal Entry Number (IEN), name, division, etc.) shall automatically pull over into the Solution. The only manual entry to set up the automated reminders on a new clinic should be to disable automated reminders or change the default facility parameters (increase the number of days to auto-remind, for example). The default shall be for the new clinic to automatically send reminders according to the default facilities parameters.
9CALLING FEATURES
9.1The VA Audio Response solution shall provide one completed call to a household per 24-hour period (calling cycle) if appointments for a Veteran are combined.
9.2The VA Audio Response solution shall provide the capability to handle inbound/outbound calls through a Virtual Assistant option
9.3The VA Audio Response solution shall be able to leave a message on answering machines and voice mail systems (e.g., “Please call VA”).
9.4The VA Audio Response solution shall provide optional Veteran identification prompts to ensure the person receiving the call is the correct Veteran (e.g., multi factor authentication feature)
9.5The VA Audio Response solution shall provide the ability to allow a caller in the self-service system to be connected to a live person within the facility’s call centers (scheduling or pharmacy). For example, a message could prompt the caller to fill another refill, change appointment, or talk to someone from Scheduling or Pharmacy. Caller would be added into the existing call queues for either scheduling or pharmacy or daytime nurse triage. Ability for this feature to be configurable at the facility level.
10REPORTING
10.1The VA Audio Response solution shall include auditing and reporting systems to ensure the integrity and reliability of the data (e.g., system redundancy feature)
10.2The VA Audio Response solution shall include standardized reports via network or local printer, on screen, export to Microsoft excel, or e-mail reports to any specified recipient. (e.g., number of refills processed, outbound calls made, number of reminders sent, phone line utilization)
10.3The VA Audio Response solution shall provide an audit log to track patient contact history (to include date, time, and purpose about a contact to the Veteran).
10.4The VA Audio Response solution shall provide the ability to report on the successful methods of notification, i.e., those that result in a completed encounter.
10.5Need to be able to set up VA email groups for managers to auto receive reports on the bad phone numbers the system found in its attempts to call, the patients the system was unable to reach, and the patient actions that need our attentions (cancellations, etc.).
10.6Need to be able to ask the system for the notification history for a specific Veteran, phone number or email
11COMPLIANCE
11.1The VA Audio Response solution shall be complaint with Privacy requirements in accordance with Directive 6508, VA Privacy Impact Assessment
11.2The VA Audio Response solution shall be complaint with Health Insurance Portability and Accountability Act (HIPAA) requirements
11.3The VA Audio Response solution shall be complaint with 508 requirements
12RELIABILITY
12.1Comprehensive software maintenance with system availability shall be 24 hours per day x 7 days per week, 99.5 % of the time outside of scheduled maintenance.
13Beneficiary Communication Preferences
13.1The VA Audio Response solution shall allow the Veteran or a VA approved Caregiver to re-enable communications (e.g., begin receiving telephone messages again).
14Technical Requirements
14.1The VA Audio Response solution shall not transmit unencrypted PII/PHI outside the VA network.
14.2The VA Audio Response solution shall not store unencrypted PII/PHI on local or network storage devices.
14.3The VA Audio Response solution shall meet a Recovery Time Objective (RTO) of 24 hours and Recovery Point Objective (RPO) of 24 hours.
14.4The VA Audio Response solution shall interface with any Electronic Health Record System in use by the VA ( i.e, VistA, CPRS, and Oracle – Health Millennium).
14.5The VA Audio Response solution shall allow VA to retain failed hard disk for destruction or remediation of failure
14.6If Windows based operating systems are used, the solution shall allow for Active Directory membership within VA's Active Directory architecture, support VA's Visibility-to-Server (V2S) software, support the application of VA Group Policy Object’s (GPO’s), and support remote manageability.
14.7If Windows based operating systems are used, the solution shall support VA's anti-virus and firewall architecture.
14.8The VA Audio Response solution shall support VA system naming standards and be agile in the ability to change system names if needed.
14.9Staff/admin interface shall be Personal Identity Verification (PIV) card compatible

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