D.28 Initial Training.docx
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- Attached to
- Q201--Long-Term Southeast San Antonio CBOC
- Solicitation number
- 36C25721R0019
About this file
This document outlines a solicitation for non-VA operated Community Based Outpatient Clinic services. The Department of Veterans Affairs Regional Procurement Office West, Network Contracting Office 17 intends to issue a request for proposal on February 26, 2021 for long-term CBOC services in support of the South Texas VA Healthcare System in San Antonio, Texas. Interested parties must register in the System for Award Management to be eligible for award. A single fixed-price indefinite delivery indefinite quantity contract with a period of performance from September 1, 2021 through August 31, 2031 is contemplated. The solicitation will utilize best value evaluation and have a closing date of April 1, 2021. The anticipated NAICS code is 621498 with a size standard of $22 million. The product service code is Q201.
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STVHCS Six-Week Medical Support Assistants National On-Board Training
Purpose: Each staff member involved in the scheduling of outpatient appointments, use of Electronic Wait List (EWL), and Recall Reminder (RR) and the individual’s supervisor must successfully complete training. Schedulers must complete soft skills training within 120 calendar days of the date they have access to scheduling menu options. Facilities may defer training to a time when they have a minimum of 5 or more staff in attendance.
Course Overview: Through prerequisites, pre-work, and in-class activities, this training will enable participants to complete the following objectives:
1. Identify duties and responsibilities of the MSA at the facility.
a. Interpret & generate scheduling reports, i.e. EARR, OARR to capture workload
b. Demonstrate the release of information (ROI) Process
c. Inform Veterans of Beneficiary Travel benefits and options
d. Monitor secure messages utilizing My Health-E-Vet
2. Apply customer service skills to manage disruptive behavior and enhance Veteran Experience.
a. Apply customer service skills when communicating with Veterans
b. Manage Disruptive behavior
c. Demonstrate telephone etiquette
3. Apply scheduling directive (VHA directive 1230) for outpatient scheduling processes and procedures.
a. Manage patient appointments in VISTA
b. Describe check in/check out process
c. Perform procedures to reconcile and obtain Clinically Indicated Date (CID) //Preferred Date (PD)
d. Manage unscheduled/walk-in appointments
e. Manage cancellations (patient, clinic, reschedule, no-show)
f. Correct scheduling errors
4. Complete pre-registration tasks and update patient demographics.
5. Add and remove patients on Electronic Wait List (EWL) in accordance with local and national policies.
6. Monitor recall in accordance with local and national policies and directives.
7. Manage consults in accordance with national policies.
8. Explain “Veterans choice” options in accordance with national policies
a. Determine patient eligibility for Veterans choice program
b. Compare VCL and EWL
9. Apply eligibility for scheduling VA medical services.
a. Identify actions for patient flags, means test, copays, etc.
10. Update patient profiles with insurance information utilizing respective systems
11. Monitor patient appointment queuing using VetLink.
Target Audience: You will be delivering training to onboard and newly hired Medical Support Assistants (MSA) assigned to multiple service lines that perform scheduling duties.
Training Milestone: The following timeline is based on the planned date for the MSA Trainer to deliver the training to the MSA. The number of weeks represent how many weeks before the training the actions should be completed.
4 or More Weeks
· Complete Train-the-trainer Learning activities
· Attend an orientation session for the training materials
· Reserve a training room
· Send the Training Awareness email to participants 3 Week
· Configure local TMS offering
· Prepare and review material 2 Weeks
· Continue to prepare and review material
· Send the Training Reminder email
· Arrange for material printing per local Standard Operating Procedure (SOP) 1 Week
· Ensure all materials are printed and organized
· Visit the classroom to ensure everything is in good working order
· Finalize any customization of the instructor materials
· Continue to prepare and review material Week of Training
· Complete applicable preparation items from the Preparedness Checklist
· Confirm all registered attendees have completed the pre-test and send the Pre-Test email to those who have not During Training
· Take attendance
· Have student’s complete post-test and survey prior to departure After Training
· Coordinate and discuss ongoing learning opportunities
Classroom Instruction: Utilizing the MSA National Training Slide PowerPoint Presentation, Local Guidelines, and Policies. Once completed the Instructor will have the student do a hands-on portion with the trainer in a controlled environment which will include scenario-based learning and pulling actual workload report in live VISTA/VSE concerning all the National training above. Once considered proficient in each step the student will be taken to a unit for unit observation.
| COURSE |
| TIMELINE |
WEEK 1
| Veteran Eligibility & Enrollment |
| ½ Day Classroom ½ Day Unit Observation in E&E |
| HBA TMS Training |
| 1 Day Classroom |
| Benefit Travel and Lodging |
| ½ Day Classroom ½ Day Unit Observation in BT |
| Release of Information |
| 2 Hour Classroom with HANDS-ON Application |
| Advanced Directive |
| 2 Hour Classroom with HANDS-ON Application TOTAL |
| Message Manager |
| 2 Hour Classroom with HANDS-ON Application 1 |
| My HealtheVET/Secure Messaging |
| 2 Hour Classroom with HANDS-ON Application DAY |
| Soft Skills |
| 1 Day Classroom with simulations/scenarios |
WEEK 2
| Scheduling Directive 1230 |
| 1 Hour Classroom |
| Minimum Scheduling Effort |
| 2 Hour Classroom with HANDS-ON Application TOTAL |
| Navigating CPRS |
| 2 Hour Classroom with HANDS-ON Application 1 |
| MAS Admin Super Note |
| 2 Hour Classroom with HANDS-ON Application DAY |
| Direct Scheduling |
| 1 Hour Classroom |
| Welcome To VISTA |
| 2 Hour Classroom with HANDS-ON Application |
| Pre-Registration |
| 2 Hour Classroom with HANDS-ON Application TOTAL |
| Correcting Scheduling Errors |
| 2 Hour Classroom with HANDS-ON Application 1 |
| Cancelling Appointments |
| 1 Hour Classroom DAY |
| No-Shows |
| 1 Hour Classroom |
| Return to Clinic Orders |
| 2 Hour Classroom with HANDS-ON Application |
| Consult Process and Procedures |
| 2 Hour Classroom with HANDS-ON Application TOTAL |
| Electronic Wait List |
| 1 Hour Classroom 1 |
| Patient Centered Scheduling |
| 2 Hour Classroom with HANDS-ON Application DAY |
| Scheduler Workload Reports |
| 1 Hour Classroom |
| Mission Act/Wait Time Standard/Decision Support Tool |
| 3 Hour Classroom with HANDS-ON Application TOTAL |
| Vetlink |
| 2 Hour Classroom with HANDS-ON Application 1 |
| Insurance Capture Buffer |
| 3 Hour Classroom with HANDS-ON Application DAY |
| VISTA Scheduling Enhancement |
| 1 Day Classroom |
WEEK 3
| VSE Test Account Student Practical’s |
| 1 Day Classroom with HANDS-ON Application |
| Scenario-Based Instructor Demonstration |
| 1 Day Classroom with HANDS-ON Application |
| VSE Instructor and Student One-on-One |
| 1 Day Classroom with HANDS-ON Application |
| VSE Instructor and Student One-on-One Certification |
| 1 Day Classroom with HANDS-ON Application |
| VSE Instructor and Student One-on-One Certification |
| 4 Hour Classroom |
| Recap in Preparation for Knowledge Check |
| 1 Hour Classroom TOTAL |
| Knowledge Check |
| 2 Hour Classroom 1 |
| Review Knowledge Check |
| 1 Hour Classroom DAY |
WEEK 4
| Admission/Discharge/Transfer Inpatient |
| ½ Day Classroom, ½ Day Unit Observation in 2W |
| Continued Adm/Discharge/Transfers and Soft skills |
| ½ Day Unit Observation at 4A/5A/6B, ½ Day Soft Skills training |
| Workload Side by Side Trainer Monitoring |
| 1 Day Classroom completing actual workload |
| Workload Side by Side Trainer Monitoring |
| 1 Day Classroom completing actual workload |
| Workload Side by Side Trainer Monitoring |
| 1 Day Classroom completing actual workload |
| WEEK 5—Position-specific training |
| Outpatient will report to Unit (rotating) for real world work with Instructors/MAs; Inpatient will be released to Inpatient Supervisors; E&E will be released to E&E Supervisor/MA for position-specific training |
| WEEK 6—Position-specific training |
| Outpatient will report to Unit (rotating) for real world work with Instructors/MAs; Inpatient will be released to Inpatient Supervisors; E&E will be released to E&E Supervisor/MA for position-specific training |
Position Specific Training: Will consist of observing unit front desk tasks and activities. The Trainee will have the opportunity to rotate through inpatient, outpatient, and enrollment sections. The student will track and complete workload to include scheduling face-to-face and telephone patient appointments. The Trainee will also have an assigned Trainer monitoring their activities and available to provider further guidance on request.
Inpatient training: This is a review of the Inpatient Training Standard Operating Procedures. This training is variable depending on the Trainee grasp of information as well as the Trainer observation of completed tasks.
TOPIC
PATIENT CARE SUPPORT/GENERAL INFO
COMMUNICATIONS (VISTA, CPRS, PHONE, CODES, ROSTERS)
STATISTICS (MORNING REPORT, G&L)
HOSPITAL SERVICES
BEGINNING OF SHIFT DUTIES
BMS
ADMITTING A PATIENT/WARD ADMISSION PROCEDURES
PATIENT PRIVACY
CPRS ORDERS/VISTA IMAGING
TRANSFERS
DISCHARGES
NEW PCP CONSULTS/LAB ENTRY
PRINTER SET UP
VISTA/VATAS (PRINT LABELS)
ICB
FORMS
IN-PATIENT ADMISSION PROCESS TRAINING MANUAL
RAPID RESPONDER NET
EMPLOYEE HANDBOOK
Enrollment & Eligibility This training is variable depending on the Trainee grasp of information as well as the Trainer observation of completed tasks. The Eligibility and Enrollments Training will include PowerPoint Presentations and Talent Management System Training Courses.
| Name of Course |
| Course Number |
| Training Time |
| Type of Training |
| Enrollment System |
| VA 4505024 |
| 4.5 HRS |
| Instructor-Led and Online Course |
| HEC Academy with Enrollment System |
| VA 4447825 |
| 24 HRS |
| Instructor-Led and Online Course |
| HEC EED New Employees/ LAS Training |
| VA 4193772 |
| 8 HRS |
| Instructor-Led and Online Course |
| Enrollment & Eligibility Overview Training |
| VA 3866843 |
| 4 HRS |
| Instructor-Led and Online Course |
| HEC Customer Service Telephone Call |
| VA 4486355 |
| 1 HR |
| Instructor-Led and Online Course |
| HEC Future Discharge Date Training |
| VA 4457812 |
| 1 HR |
| Instructor-Led and Online Course |
| HEC Processing 1095B |
| VA 4411569 |
| 1 HR |
| Instructor-Led and Online Course |
| Recent Changes to Mental Health |
| VA 4219759 |
| .05 HR |
| Instructor-Led and Online Course |
| Same Day Mental Health TMS |
| VA 38178 |
| .05 HR |
| ONLINE COURSE |
| CHAMPVA/CITI Billing for Medical Care |
| VA 23718 |
| 1 HR |
| ONLINE COURSE |
| VISTA Registration Enterprise Search |
| VA 4219153 |
| 1 HR |
| Instructor-Led and Online Course |
| Tricare Overview |
| VA 38071 |
| 1 HR |
| ONLINE COURSE |
| Name of Course |
| Course Number |
| Training Time |
| Type of Training |
| HEC EED Supervisor Training |
| VA 4274837 |
| 18 HRS |
| Instructor-Led and Online Course |
| HBA Certificate Course Pretest |
| VA 23255 |
| 1 HR |
| ONLINE COURSE |
| Module 1: Health Benefits Advisor Overview |
| VA 23129 |
| 1 HR |
| ONLINE COURSE |
| Module 2: Serving Our Customers |
| VA 23134 |
| 1 HR |
| ONLINE COURSE |
| Module 3: Veteran Eligibility |
| VA 23153 |
| 1 HR |
| ONLINE COURSE |
| Module 4: Financial Assessments |
| VA 23127 |
| 1 HR |
| ONLINE COURSE |
| Module 5: Income Verification Overview |
| VA 23126 |
| 1 HR |
| ONLINE COURSE |
| Module 6: Veteran Enrollment |
| VA 23131 |
| 1 HR |
| ONLINE COURSE |
| Name of Course |
| Course Number |
| Training Time |
| Type of Training |
| Module 7: Combat Veteran |
| VA 23130 |
| 1 HR |
| ONLINE COURSE |
| Module 8: Environment Exposure |
| VA 23124 |
| 1 HR |
| ONLINE COURSE |
| Module 9: Overview of Special Programs |
| VA 23128 |
| 1 HR |
| ONLINE COURSE |
| Module 10: Entering Veteran Data |
| VA 23132 |
| 1 HR |
| ONLINE COURSE |
| Module 11: Rules and Regulations that Guide Decision Making |
| VA 23125 |
| 1 HR |
| ONLINE COURSE |
| Module 12: Improving the Intake Process |
| VA 23133 |
| 1 HR |
| ONLINE COURSE |
| HBA Certification Course Post-Test |
| VA 23265 |
| 1 HR |
| ONLINE COURSE |
Post-Work: Upon completion of the course, the MSA Trainer should complete the following tasks:
· Review final assignments
· Review evaluation responses and pre-test/post-test results
· Document lessons learned
Appendix A: Medical Support Assistant (MSA) Training Reference Sheet
This document provides links to policies and materials related to MSA activities. Click the links below for more detailed information regarding these MSA Training topics.
| Topic |
| Item/Description |
| Link |
| Scheduling Directive 1230 |
| Department of Veterans Affairs Scheduling Directive 1230: Outpatient Scheduling Processes and Procedures |
| http://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=3218 |
| Consult Processes and Procedures Directive 1232 |
| Department of Veterans Affairs Directive 1232: Consult Processes and Procedures |
http://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=3230
| Community Care |
| VA Community Care Intranet site – Get the latest Community Care information and updates. |
| http://vaww.va.gov/choice/ |
| VetLink |
| Veterans Point of Service (VPS) SharePoint Site – Provides information, tools, and templates about the VPS Program |
| https://vpssp.hec.med.va.gov/SitePages/Home.aspx |
| Insurance Buffer Capture (ICB) |
| eBusiness Solutions – EDI Resources SharePoint site |
| https://vaww.vha.esp.va.gov/sites/eBusinessSolutions/SitePages/MyProfile.aspx?qproject=eInsurance&qjobrole=Entry |
| Beneficiary Travel |
| · Fact Sheet |
· FAQ
http://vaww.va.gov/CBO/cbo/docs/trvlbrochjul12.asp http://vaww.va.gov/hec/bt/btfaq.asp
| Eligibility and Enrollment |
| VHA Chief Business Office Intranet site with multiple resources regarding Eligibility and Enrollment |
| http://vaww.va.gov/CBO/apps/policyguides/contents.asp?address=VHA_PG_1601A |
| VA Software Document Library |
| A web site has documentation on the various nationally released software applications created and/or used by the VA in its mission to provide the best service to our nation's veterans. Vista Manuals for several Vista menus are available for the items below: |
| · Electronic Wait List |
| http://www.va.gov/vdl/application.asp?appid=131 |
| · Consult Request tracking |
| http://www.va.gov/vdl/application.asp?appid=62 |
| · Scheduling (Appointments), Recall Reminders, Means Test, Registration |
| http://www.va.gov/vdl/application.asp?appid=100 |
Appendix B: Communication Templates
In the following templates, replace the placeholder brackets with the information for your site or the recipient. Refer to the Training Milestone Timeline for guidance on when to send these communications.
As you are able, link the text to the most current versions of the varied materials listed.
Training Awareness Email Dear [insert Participant or Supervisor Name], As an important part of our ongoing effort to improve the efficiency and effectiveness of our Department, I will be hosting MSA Onboarding/Orientation training. I am, [insert your name], your trainer, and I am looking forward to your employee’s participation as we complete the course together.
Our class will be held [insert Weekday, Month, Year] at [insert 00:00 am/pm] in [insert training room location].
To participate, MSAs should have completed the new employee orientation and have access to all pertinent systems:
[List of access required here] I will be reaching out closer to the training date with more information.
Regards, [Insert Instructor’s Signature block] Training Reminder Email Dear [insert Participant or Supervisor Name], I am writing today to remind you about our MSA Onboarding / Orientation training that will take place [insert Weekday, Month, Year] at [insert 00:00am/pm] in [insert training room location].
Please ensure you register for the course in TMS and complete the pre-test.
The course can be accessed in TMS using the Course # [insert course number and deep link].
I look forward to seeing you in class!
Regards, [Insert Instructor’s Signature block] Pre-Test Reminder Email Dear [Participant Name], I am writing today to remind you to complete the pre-test in TMS for our upcoming MSA Onboarding/Orientation training.
The course can be accessed in TMS using the Course # [insert course number and deep link].
I look forward to seeing you in class!
Regards, [Insert Instructor’s Signature block]
Appendix C: Evaluation Tools Survey Part 1: Indicate your level of agreement with the following statements with an (x) in the respective box of your answer.
| Statement |
| Strongly Disagree |
| Disagree |
| Neutral |
| Agree |
| Strongly Agree |
| 1. |
| The course and subject matter were well organized. |
| 2. |
| The instructor communicated effectively. |
| 3. |
| The instructor was enthusiastic about teaching. |
| 4. |
| The instructor seemed knowledgeable about the subject matter. |
| 5. |
| The instructor conveyed a positive attitude toward students. |
| 6. |
| Knowledge Checks were useful to my learning. |
| 7. |
| The instructional approach used was appropriate to the course. |
| 8. |
| I was provided with adequate guidance throughout the course. |
Part 2: Please provide written comments in response to the following.
What was the most effective part of this course?
What are your suggestions, if any, for changes that would improve this course?
Given all that you learned as a result of this course, what do you consider to be most important?
Please note any additional comments or suggestions.
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