About this file

This document is a detailed clinic staffing matrix for a Community Based Outpatient Clinic (CBOC) in Kingston, NY, part of the Albany VA Medical Center in VISN 2. The staffing table comprehensively outlines required personnel, their Full-Time Equivalent (FTE) ratios, and responsible parties across multiple clinical roles. Key staffing positions include Physician Directors, Primary Care Physicians (PCPs), RN Care Managers, Clinical Associates, Administrative Associates, Clinical Pharmacy Specialists, Licensed Clinical Social Workers, Telehealth Clinical Technicians, Podiatrists, and specialized roles like Suicide Prevention Coordinators and Homeless Outreach Specialists.

The staffing requirements specify precise ratios for each position, such as 1,200 active patients per full-time physician, 1.0 FTE RN Care Manager per 1.0 FTE PCP, and 1.0 FTE Telehealth Clinical Technician based on annual synchronous/asynchronous encounter volumes. Responsibility for staffing is split between the Contractor (providing most direct care roles) and the VA (providing specialized services like mental health, pharmacy, and social work). The document is part of RFP 36C24225R0047, which seeks to establish a contract for CBOC services with a base year and four potential option years, covering primary care, telehealth, and podiatry services for veteran patients.

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Other files

File Type Posted
36C24225R0047 0003 VENDOR QA- CLARIFICATION OF ATTACHMENT D.11- VACCINE USAGE.pdf PDF
36C24225R0047 0002 ADDITIONAL VENDOR QA KINGSTON CBOC.pdf PDF
D.1- QUALITY ASSURANCE SURVEILLANCE PLAN- QASP- REVISED.pdf PDF
D.52- PBM GUIDANCE ACCESS TO CLINICAL PHARMACY SERVICES AT CONTRACTED CBOCs.pdf PDF
36C24225R0047 0001 VENDOR QA- REVISE PWS- SCHEDULE OF SERVICES- QASP.pdf PDF
D.51- SIGNAGE DESIGN MANUAL.pdf PDF
D.42- WAIVED TESTING REGULATIONS.pdf PDF
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D.19- SUICIDE RISK IDENTIFICATION- RISK ID.pdf PDF
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D.3- CONTRACTOR CERTIFICATION - IMMIGRATION AND NATIONALITY ACT OF 1952.pdf PDF
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D.5- KEY PERSONNEL LIST.docx DOCX document
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D.29- HOME TELEHEALTH OPERATIONS MANUAL.pdf PDF
D.17- REACH VET ONE PAGE FLYER.pdf PDF
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D.12- US CENSUS DATA- VETERANS LIVING IN ULSTER COUNTY NY.xlsx XLSX spreadsheet
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D.4- ORGANIZATIONAL CONFLICTS OF INTEREST.pdf PDF
RFP 36C24225R0047- KINGSTON CBOC.pdf PDF
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D.14 CLINIC STAFFING RFP 36C24225R0047

Position PWS Reference

Responsible Party

FTE Ratio

Physician Director 2.1 Contractor 0.05 per PACT PACT 1: PCP 2.2 Contractor 1,200 active patients per FT physician; 900 active patients per FT midlevel provider PACT 2: PCP 2.2 Contractor 1,200 active patients per FT physician; 900 active patients per FT midlevel provider PACT 1: RN Care Manager 2.2 Contractor 1.0 FTE per 1.0 FTE PCP PACT 2: RN Care Manager 2.2 Contractor 1.0 FTE per 1.0 FTE PCP PACT 1: Clinical Associate (LPN, LVN, MA, HCT) 2.2 Contractor 1.0 FTE per 1.0 FTE PCP PACT 2: Clinical Associate (LPN, LVN, MA, HCT) 2.2 Contractor 1.0 FTE per 1.0 FTE PCP PACT 1: Administrative Associate (MSA) 2.2 Contractor 1.0 FTE per 1.0 FTE PCP PACT 2: Administrative Associate (MSA) 2.2 Contractor 1.0 FTE per 1.0 FTE PCP RN Administrative Clinic Manager 2.2 Contractor 1.0 FTE per location, RN separate from PACT Clinical Pharmacy Specialist 2.3 VA 1.0 FTE per 3 PACTs (onsite or via Telehealth) Clinical Pharmacy Specialist- Anticoagulation 2.3 VA 1.0 FTE per 5 PACTs (via Telehealth) Licensed Clinical Social Worker 2.3 VA 1.0 FTE per 2 PACTs (via Telehealth) Registered Dietician/Nutritionist 2.3 VA 1.0 FTE per 5 PACTs (via Telehealth) Primary Care Mental Health Integration 2.3 VA 0.67 per PACT (on-site at CBOC) Diagnostic or Therapeutic Radiologic Technologist

5.4 VA Varies—VA may provide or care in the

community referrals may be used

Phlebotomist 2.5 Contractor 1.0 FTE per location Podiatrist 2.4 Contractor 1.0 FTE per an estimated 950 patients requiring podiatry services and clinical support (such as a nail technician).

Nail Technician 2.4 Contractor Per Podiatrist General and Specialty Mental Health Staffing 2.6 VA Varies—VA shall provide via consult Telehealth Clinical Technician (TCT) 2.7 Contractor CBOCs with fewer than 1050 synchronous and/or asynchronous encounters anticipated per year, one Telehealth Clinical Technician (TCT) FTE is required; for CBOCs with 1051-1479

D.14 CLINIC STAFFING RFP 36C24225R0047

annual synchronous and/or asynchronous encounters anticipated, or those with an expansion plan target in this range, 1.5-2.0 TCT FTE are required; for CBOCs with over 1480 annual synchronous and/or asynchronous encounters anticipated, or those with an expansion plan target in this range, greater than

2.0 TCT FTE are required.

Suicide Prevention Coordinator (SPC) 5.5 VA 1.0 FTE per 10,000 patients Homeless Outreach Specialist 5.5 VA 1.0 FTE per 10,000 patients

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