D.28 Initial Training.docx

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Q201--New Braunfels, TX Community Based Outpatient Clinic (CBOC) Services
Solicitation number
36C25721R0043_1
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About this file

This document outlines a six-week training program for new Medical Support Assistants at a Veterans Health Administration medical center. The training covers key duties such as scheduling appointments, using software systems like the Electronic Wait List and Recall Reminder, releasing patient information, managing consults and referrals, and assisting with enrollment and eligibility processes. Trainees will complete classroom instruction, hands-on exercises, and unit observation over six weeks. The first two weeks focus on orientation, policies, and core MSA responsibilities. Weeks three through five include position-specific training in either inpatient, outpatient, or enrollment areas. The final week involves continued skills development and monitoring of workload tasks. Evaluation includes a pre-test, post-test, and survey to assess training effectiveness.

The related federal contract opportunity involves primary care services at two Community Based Outpatient Clinics in New Braunfels and Seguin, Texas. The solicitation is issued by the Department of Veterans Affairs Veterans Health Administration VISN 17 for CBOC services. No further details on required services, pricing, or response deadlines are provided in this document excerpt.

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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

D.28 36C25721R0043 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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