Attachment 1.xls

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7030--VA-20-00038271 Automated Communication System
Solicitation number
36C10B20R0034
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RFI Items for sustainment

Item No.Requirement DescriptionMeets RequirementDoes Not Meet RequirementLevel of Customization Required (e.g. minimal, moderate, or significant)
2PHARMACY
2.1The Solution shall allow Veterans to request a prescription renewal via touch tone telephone, text message, and Internet (e.g. website, mobile, etc.).
2.2Provide the ability for the automated process to take the following actions: Inform patient of pick-up time; Verify patient’s mailing address when requesting prescription refill by mail order; send patient prescription pick-up reminder(s) telephone, text message, and Internet (e.g. website, mobile, etc.).
2.3Support status inquiries for each refill request e.g. the number of refills remaining.
2.4Allow each site to set a time after which the system will tell patients when to pick up their refills.
2.5Allow the veterans to designate a dispensing location when requesting a medication refill.
2.6Be able to identify medications that are available for mail order.
2.7Provide the capability for veterans to request prescription refill when the interface with the Pharmacy system is unavailable.
2.8Verify the veteran’s mailing address when requesting a medication refill via mail order.
2.9Provide a capability to notify beneficiaries of medication refills.
2.10Web Rx Information to include # refills remaining, prescription reminders & medication information (instructions, common uses, possible side effects)
2.11Provide the ability for Call Center staff/VA employee to enter the renewal request on behalf of the Veteran
2.12When the drug is a Class 2/narcotic, there shall be a prompt to advise the caller that their request is being sent to their PACT team for review.
2.13Notify the Veteran about items specific to their visit to the VA that day. (e.g., Come to Window A upon entering the building; proceed to drive through prescription pickup; or park in lot C and when your ROI document is ready for pickup you will be provided a room number for pickup; etc.)
2.14Prerfill -Provide the ability for Veterans to request a renewal for a presecription that is out of refills via an automated number.
2.15TM prerefill-Provide the ability for Veterans to request a renewal for a presecription that is out of refills via text message to an automated.
3SCHEDULING
3.1Provide capability for patient initiated appointment inquiries, scheduling/rescheduling and cancellations via touch tone telephone, text message, and Internet (e.g. website, mobile, etc.).
3.2Provide a veteran appointment reminder system via touch tone telephone, text message, and Internet (e.g. website, mobile, etc.).
3.3Provide the capability for veterans to cancel their appointments and receive a confirmation of the cancelation via touch tone telephone, text message, and Internet (e.g. website, mobile, etc.). WHEN CANCELING, allow the veteran to indicate if he/she wants to be contacted about rescheduling.
3.4The Solution shall provide the capability for the Clinic to inform the Veterans of an appointment/referral cancellation via touch-tone phone, Internet, text messaging and email.
3.5Combine all appointments reminders into one call if a veteran has more than one appointment for a particular day.
3.6The Solution shall only send one completed call (e.g., person answers phone, reminder sent to voicemail, etc.) to a household per 24-hour period (calling cycle).
3.7The Solution shall attempt to contact the Veteran multiple times within each communication configuration (i.e. 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.).
3.8Ability to receive appointment reminders via email
3.9Ability to use texting for appointment reminders or cancelations.
3.10The system shall recognize the alternate Address in VistA, using a defined date to determine if it is current, if applicable.
3.11Reminders provided shall indicate which divisions within the facility and/or which facilities. Vendor shall provide specific locations within the organization and divisions.
3.12The messages and reminders need to meet the current PHI/HIPPA/Privacy policy for texts, voicemail and unencrypted email.
3.13Generate reminder notifications to send to patients to schedule a new appointment.
3.14Auto-populate appropriate fields from patient demographics and appointment data for the notification process.
3.15Automatically use Veteran information when processing notifications.
3.16Ability to remove a patient from automatic reminder calls, texts and/or emails for either ALL reminders and/or specific clinics.
3.17Be able to block a single phone number from receiving calls, even if you don’t know which patient it’s coming from.
3.18Provide the ability to Change/Cancel an entire clinic if needed and notify Veterans appropriately about their specific clinic.
4CLINICAL
4.1Provide capability for preventive health messages and customized patient surveys.
4.2Provide secure physician to patient communications, such as lab results, via telephone in accordance with HIPAA.
4.3Ability for patients to obtain clinical information such as lab results, disease management information & medication recalls via Inbound and Outbound Audio Notes
5EMERGENCY PREPAREDNESS
5.1Provide emergency notification to staff via telephone such as biological, chemical, environmental, weather-related or other emergency situations.
5.2Provide notification to all patients being seen at a division on a specific date to notify that the building is closed/open.
6FINANCIAL
6.1Financial: Audio Account Balance, Web Account Balance, make payments, receive payment reminders
7SURVEYS
7.1Ability to develop and implement a script for patient satisfaction surveys, pre-examination questionnaires and immunization and screening reminders.
8DEMOGRAPHICS
8.1Include features to allow veterans to periodically review and update their demographic information.
8.2Provide the capability for veterans to “opt out” of the reminder call service by method of reminder, e.g., text, email, etc. The veterans who “opt out” of the service will no longer receive communications with the exception of patient safety issues (e.g. medication recalls).
9CUSTOMIZATION
9.1Custom Site Parameter Preferences (e.g. pickup times, hours of operations, transferring and locations). Not sure if this includes the ability for the sites to turn on/off by feature, modality, etc.
9.2Be able to customize messaging using vendor provided professional voice recordings with local override availability as needed to include foreign language modules.
9.3System will initially use Veteran’s Social Security Number for identification but must be flexible enough to transparently switch over to using the Electronic Data Interchange Personal Identifier (EDIPI) number when it becomes the standard.
9.4System should 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: See 9.4.1, 9.4.2, 9.4.3.
9.4.1Ensure the system activities performed for an active prescription are also performed for a parked prescription
9.4.2Provide coding changes for the VistA receipt of requests from the system so that a patient can request/receive the initial (original) fill of a prescription.
9.4.3Provide coding changes for the VistA 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.
9.5The Solution shall provide the capability to communicate with beneficiaries via touch tone telephone, text message, and Internet for medication recall, appointment/referral reminders, prescription fill status, and immunization reminders.
9.6The System shall provide the ability to capture from the authoritative source the veterans Notification Refence (e-mail, text, phone (mobile or land line), letter/postcard)
9.7The system shall provide VHA with the ability to manage, store and access standard notification templates (forms/letters/voice scripts) used for various patient communications (such as phone, mass mailing, and secure messaging).
9.8Ability to create patient notification templates.
9.9Ability to publish patient notification templates.
9.10Ability to share patient notification templates.
9.11Ability to modify notification templates according to business rules to accommodate facility and service requirements (i.e., directions, parking instructions, number of day prior to appointment the notification is sent, etc.).
9.12Ability to activate notification templates, one at a time a group or based on rules.
9.13Ability to deactivate notification templates, one at a time, as a group or based on rules of templates.
9.14Ability to set up notifications to be distributed automatically according to specified criteria/business rules, e.g., a configurable schedule
9.15Ability to store patient notification preferences (i.e. one person wants email only, another text only).
9.16Existing and new clinic location demographics (IEN, name, division, etc.) should 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 autoremind, for example). The default should be for the new clinic to automatically send reminders according to the default facilities parameters.
10CALLING FEATURES
10.1Provide one completed call to a household per 24-hour period (calling cycle), if appointments for a Veteran are combined.
10.2Be able to leave a message on answering machines and voice mail systems.
10.3Provide optional veteran identification prompts to ensure the person receiving the call is the correct veteran.
10.4The 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.
11REPORTING
11.1Include auditing and reporting systems to ensure the integrity and reliability of the data.
11.2Standardized 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)
11.3Provide an audit log to track patient contact history (to include date, time, and purpose about a contact to the Veteran).
11.4Ability to report on the successful methods of notification, i.e., those that result in a completed encounter.
11.5Need to be able to set up VA email groups for managers to autoreceive 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.).
11.6Need to be able to ask the system for the notification history for a specific patient, phone number or email
12COMPLIANCE
12.1Operate on VA approved operating system platform as defined in the TRM. See http://www.va.gov/TRM/TRMHomePage.asp
12.2System must comply with VA Baselines. See https://vaww.sde.portal.va.gov/svcs/sma/BCM/SitePages/Home.aspx
12.3Compliance with Privacy requirements in accordance with Directive 6508, VA Privacy Impact Assessment at http://www.va.gov/vapubs/viewPublication.asp?Pub_ID=527&FType=2.
12.4Compliance with Health Insurance Portability and Accountability Act (HIPAA),requirements located at http://www.gpo.gov/fdsys/pkg/PLAW-104publ191/pdf/PLAW-104publ191.pdf.
12.5Compliance with 508 requirements as stated in http//www.section508.gov.
13RELIABILITY
13.1Comprehensive software and hardware maintenance with system availability 24 x 7, 99% of the time outside of scheduled maintenance.
14Beneficiary Communication Preferences
14.1The Solution shall also allow the Veteran to re-enable a communication method (e.g. begin receiving telephone messages again).
Technical Requirements
15.1System must run on server based operation systems and support centralized management, maintenance, and reporting mechanisms already in place at VA.
15.2The solution must not transmit unencrypted PII/PHI outside the VA network.
15.3The solution must not store unencrypted PII/PHI on local or network storage devices.
15.4The solution must meet a Recovery Time Objective (RTO) of 24 hours and Recovery Point Objective (RPO) of 24 hours.
15.5If part or all of the solution utilizes servers that reside within VA datacenters, the solution shall be fully supportable in a lights-out datacenter environment; meaning no hands-on support of physical servers will be required except for break/fix scenarios.
15.6If the solution requires the use of Cache to communicate with VistA, resources must be restricted such that the Cache instance only has access to ports and services required by the application.
15.7If the solution requires the use of Cache to communicate with VistA, the version of Cache must match the version of VistA with which the system interacts.
15.8If physical server are used, the system will utilize redundant power supplies, redundant network interface cards, and redundant disks.
15.9The solution must allow VA to retain failed hard disk for destruction.
15.10If Windows based operating systems are used, the solution must allow for Active Directory membership within VA's Active Directory architecture, support VA's Visibility-to-Server (V2S) software, support the application of VA GPO’s, and support remote manageability.
15.11If Windows based operating systems are used, the solution must support VA's anti-virus and firewall architecture.
15.12The system must support VA system naming standards and be agle in the ability to change system names if needed.
15.13Staff/admin interface must be PIV compatible

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