Attachment C_Delegation of Authority Medical Services Priority List.xlsx
XLSX spreadsheet 24 KB Posted
- Attached to
- 7A20--CRT RFI
- Solicitation number
- 36C10G25Q0072
About this file
Attachment C is a detailed Medical Services Priority List for the Department of Veterans Affairs, categorizing medical services by importance and volume across 37 different medical specialties. The spreadsheet comprehensively ranks services from "Somewhat Important" to "Extremely Important", with each specialty broken down into specific procedures, treatments, and service lines. Key high-priority service categories include Mental Health (with services like Acute Inpatient Psychiatric Care and Substance Use Disorder Treatment), Oncology (Chemotherapy), Cardiology (Cardiac Rhythm Implantable Devices), and Surgical Services (including Bariatric, Cardiothoracic, and Transplant surgeries).
The document correlates with a Request for Information (RFI) for solicitation 36C10G25Q0072, seeking a web-based application for evidence-based clinical review reference materials. The RFI responses are due by April 11, 2025 at 3 PM Eastern, to be emailed to Justin Sink and Jeffrey Fithen from the VA Office of Acquisitions and Logistics. The VA emphasizes that this is an information-gathering exercise, not a solicitation, and respondents will bear all costs associated with their submissions. All responses will be treated as confidential and become government property.
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment A_CRT PWS RFI.pdf | ||
| Attachment B_RFI Information Sought.pdf | ||
| 36C10G25Q0072.docx | DOCX document |
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Text version
Sheet1
| Service Line | Care/Service | Priority | High Volume | High Cost/High Risk | Category | ||
| 1 | Allergy | Outpatient Services | Yes | Important | |||
| 2 | Audiology | Cochlear implants, implantable hearing devices or other hearing devices | Yes | Yes | Very Important | ||
| Other Audiology Services | |||||||
| 3 | Cardiology | Cardiology Testing | Yes | Yes | Very Important | ||
| Cardiac Rhythm Implantable devices, including Ventricular Assist Devices | Yes | Yes | Yes | Extremely Important | |||
| Trans Aortic Valve Replacement (TAVR) | Yes | Yes | Very Important | ||||
| Trans-Esophageal Echocardiogram | Yes | Important | |||||
| 4 | Complementary & Integrative Health | Acupuncture | Yes | Important | |||
| Biofeedback | Somewhat Important | ||||||
| Hypnotherapy | Somewhat Important | ||||||
| Meditation | Somewhat Important | ||||||
| Tai Chi | Somewhat Important | ||||||
| Yoga | Somewhat Important | ||||||
| 5 | Dental | Comprehensive Periodontal, Comprehensive Oral, and Extensive oral Evaluations | Yes | Yes | Very Important | ||
| Direct Restorations | Yes | Yes | Very Important | ||||
| Endodontic Care - Initial Treatment | Yes | Yes | Very Important | ||||
| Extractions | Yes | Yes | Very Important | ||||
| Extraoral and Intraoral Radiographs | Yes | Yes | Very Important | ||||
| 6 | Dermatology | MOHs Surgery | Yes | Yes | Very Important | ||
| Outpatient Services (ex. pre-cancerous lesions, actinic keratosis, psoriasis) | Yes | Yes | Very Important | ||||
| 7 | Emergency/ Urgent | Direct Ordering (ex. radiology, labs, emergency care referred after evaluation at a VAMC or CBOC) | |||||
| *Real-time reviews are not required and can be managed retrospectively (ex. MI) | Somewhat Important | ||||||
| Emergency Psychiatric Care | Yes | Yes | Very Important | ||||
| Stroke Code | Yes | Yes | Very Important | ||||
| Trauma | Yes | Yes | Very Important | ||||
| 8 | Endocrinology | Outpatient/ Inpatient Services | Yes | Important | |||
| 9 | ENT | Outpatient/ Inpatient Services | Yes | Important | |||
| 10 | Eye Care | Eye Exams and Diagnostics | Yes | Important | |||
| Eye Surgery: Cataract, glaucoma incisional and laser | Yes | Yes | Very Important | ||||
| Eye Surgery: Cornea, anterior segment incisional and laser | Yes | Important | |||||
| Eye Surgery: Intravitreal Injections | Yes | Important | |||||
| Eye Surgery: Plastics, eyelid, orbit, botulinum injections | Yes | Yes | Yes | Extremely Important | |||
| Eye Surgery: Refractive incisional, strabismus, vitreoretinal incisional, photodynamic therapy and laser | Yes | Important | |||||
| Specialty Contact Lens Care | Somewhat Important | ||||||
| Toric Intraocular Lenses (IOLs) | Yes | Yes | Very Important | ||||
| Vision Rehabilitation and Vision Therapy | Somewhat Important | ||||||
| 11 | GI | Colonoscopy, Rectal Ultrasound, EUS | Yes | Yes | Yes | Extremely Important | |
| Endoscopy, Upper-EUS, EGD, ERCP, MRCP and GI Capsule Endoscopy | Yes | Yes | Yes | Extremely Important | |||
| General GI Services | Yes | Yes | Yes | Extremely Important | |||
| 12 | Hematology | All Services | Yes | Important | |||
| 13 | Infectious Disease | All Services | Yes | Important | |||
| 14 | Infertility | Hormonal Therapies | Yes | Yes | Very Important | ||
| Intrauterine Insemination | Yes | Yes | Very Important | ||||
| Genetic Testing/Counseling | Yes | Important | |||||
| IVF/ ART | Yes | Yes | Very Important | ||||
| 15 | Inpatient | Local Admission/ Observation | Yes | Yes | Yes | Extremely Important | |
| 16 | Medical Specialty Services | Blood Transfusions (Outpatient) | Yes | Yes | Very Important | ||
| Experimental/ Investigational Treatment | Somewhat Important | ||||||
| Hormonal Therapy | Yes | Yes | Very Important | ||||
| 17 | Mental Health | Acute Inpatient Psychiatric Care (voluntary and involuntary admissions) | Yes | Yes | Very Important | ||
| Day Hospital/ Partial Hospital (Psychosocial Rehabilitation and Recovery Centers) | Yes | Yes | Very Important | ||||
| Electroconvulsive Therapy | Yes | Yes | Very Important | ||||
| Ketamine Infusion | Somewhat Important | ||||||
| Methadone Clinics, Suboxone Clinic | Yes | Yes | Very Important | ||||
| Neuropsychological Testing | Yes | Yes | Very Important | ||||
| Psychological Testing | Yes | Yes | Very Important | ||||
| Psychotherapy (Outpatient) | Yes | Yes | Very Important | ||||
| Residential Treatment Centers | Yes | Yes | Very Important | ||||
| Substance Use Disorder Treatment (Inpatient and Outpatient) | Yes | Yes | Very Important | ||||
| Transcranial Magnetic Stimulation | Yes | Yes | Very Important | ||||
| 18 | Nephrology | Dialysis (Hemo & Peritoneal) | Yes | Yes | Very Important | ||
| 19 | Neurology | Outpatient Services | Yes | Important | |||
| 20 | NIC/GEC | Community Adult Day Health Care (CADHC) | Somewhat Important | ||||
| Community Nursing Home (CNH) | Yes | Yes | Very Important | ||||
| Home Health Skilled Care (RN, OT, PT) | Yes | Important | |||||
| Home Health Unskilled, Bowel and Bladder | Yes | Yes | Very Important | ||||
| Home Hospice | Yes | Yes | Very Important | ||||
| Home Infusion Therapy | Yes | Yes | Very Important | ||||
| Home Respite | Yes | Yes | Very Important | ||||
| Homemaker/ Home Health Aide (H/HHA) | Yes | Yes | Yes | Extremely Important | |||
| Hospice Facility | Yes | Yes | Very Important | ||||
| Long-Term Acute Care | Yes | Yes | Very Important | ||||
| Program of All- Inclusive Care for the Elderly (PACE) | Somewhat Important | ||||||
| Purchased Skilled Home Care (PSHC) | Yes | Yes | Yes | Extremely Important | |||
| Veteran- Directed HCBS (VD-HCBS) | Somewhat Important | ||||||
| 21 | Oncology | Chemotherapy | Yes | Yes | Yes | Extremely Important | |
| All Other Services | Yes | Yes | Somewhat Important | ||||
| 22 | Pain Management | All Services | Yes | Important | |||
| 23 | Pathology and Laboratory Medicine | Molecular Testing | Yes | Yes | Very Important | ||
| 24 | Pharmacy | Experimental/ Investigational Treatment (non-formulary) | Somewhat Important | ||||
| 25 | Podiatry | Outpatient Services | Yes | Important | |||
| 26 | Primary Care | Outpatient Services | Somewhat Important | ||||
| 27 | Prosthetic and Sensory Aids | Prosthetic Devices | Somewhat Important | ||||
| Sensory Aids | Somewhat Important | ||||||
| 28 | Pulmonary | Outpatient Services | Yes | Important | |||
| 29 | Radiation Oncology | Brachytherapy (seed therapy) , Gamma and Cyber Knife, Intensity-Modulated (IM) Radiation Therapy, Stereotactic Radiation | Yes | Yes | Very Important | ||
| Proton Beam Therapy | Yes | Yes | Very Important | ||||
| Radiation Therapy | Yes | Yes | Very Important | ||||
| 30 | Radiology- Diagnostic Imaging | CT or CTA Scans | Yes | Important | |||
| Digital Breast Tomosynthesis - Breast-Specific Gamma Imaging/ Molecular Breast Imaging- Automated Breast Ultrasound | Yes | Important | |||||
| Interventional Radiology | Yes | Yes | Very Important | ||||
| MRI/MRA | Yes | Yes | Very Important | ||||
| Nuclear Cardiology | Yes | Important | |||||
| PET Scans | Yes | Yes | Very Important | ||||
| Mammogram | Yes | Important | |||||
| Ultrasound | Yes | Important | |||||
| X-ray | Somewhat Important | ||||||
| 31 | Rehabilitation | Acute Rehabilitation (Inpatient) | Yes | Yes | Very Important | ||
| Blind Rehab | Somewhat Important | ||||||
| Cardiac Rehab | Yes | Important | |||||
| Chiropractic | Yes | Yes | Very Important | ||||
| Hyperbaric Oxygen Chamber | Yes | Yes | Very Important | ||||
| Physical, Occupational, Home Health PT or OT | Yes | Yes | Very Important | ||||
| Pulmonary Rehab | Yes | Important | |||||
| Recreation Therapy | Somewhat Important | ||||||
| Speech Therapy: To include all treatments, procedures and therapies (ex. Laryngoscopy, Fiber Optic) | Yes | Important | |||||
| 32 | Rheumatology | Outpatient Services | Yes | Important | |||
| 33 | Sleep Medicine | Outpatient Services | Yes | Yes | Very Important | ||
| 34 | Surgery | Bariatric (Including Endoscopic Intragastric Balloon Placement) | Yes | Yes | Very Important | ||
| Cardiothoracic Surgery | Yes | Yes | Very Important | ||||
| Cardiovascular Surgery | Yes | Yes | Very Important | ||||
| Experimental/ Investigational Treatment | Somewhat Important | ||||||
| Fistula and Port Placement | Yes | Important | |||||
| General Surgery | Yes | Important | |||||
| Implantable Devices (DBS, Gastric Simulation, Phrenic Nerve Simulation) | Yes | Yes | Very Important | ||||
| Inpatient Surgery | Yes | Important | |||||
| Neurosurgery | Yes | Yes | Very Important | ||||
| Orthopedic Surgery | Yes | Yes | Very Important | ||||
| Plastic Surgery | Yes | Yes | Very Important | ||||
| Spinal Surgery | Yes | Important | |||||
| Thoracic Surgery | Yes | Important | |||||
| TMJ | Yes | Important | |||||
| Transplant | Yes | Yes | Very Important | ||||
| Urological Surgery | Yes | Important | |||||
| Vascular Surgery | Yes | Important | |||||
| Wound Care | Yes | Important | |||||
| 35 | Urology | Outpatient Services | Yes | Important | |||
| 36 | Vascular | Outpatient Services | Yes | Important | |||
| 37 | Women's Health | Gynecology | Yes | Important | |||
| Maternity | Yes | Important |
File details come from the government source that posted it. Updated .