Department of Veterans Affairs
VA Handbook 7610 (262)
Washington, DC 20420
June 2006
served is between 1,000 and 2,000. Provide an additional 150 NSF if total number of
employees served is greater than 2,000 and if in Concept of Operations.
H. Disposition Area
This serves as the out-processing area for scheduled and unscheduled outpatient visits,
last before leaving Ambulatory Care. Depending on Concept of Operations of the
medical center, the Disposition Area may be combined with the Reception Area, creating
one centralized reception disposition area servicing all unscheduled and scheduled
outpatients. This centralized concept is most appropriate for a medical center with
ACAP Level S ambulatory care program.
1. Waiting (WRC01).................................................................... 100 NSF (9.3 NSM)
Minimum NSF. If ACAP Level S, multiply the projected number of annual outpatient
visits times 0.0004 to calculate the number of seats. . If ACAP Level M, multiply the
projected number of annual outpatient visits times 0.0004 to calculate the total
number of seats. If ACAP Level L, multiply the projected number of annual outpatient
visits times 0.0002 to calculate the total number of seats. Provide 25 NSF for 20% of
the calculated total number of seats for accessible seating, and 15 NSF for the
remaining 80% for standard seating ; add calculated area to General Waiting.
Area required for Disposition Fundtions are added to 5.A. Reception Areas
Toilet area requirements are provided there, based on the sum of General Waiting
area.
2. MAS: Office, Disposition Supervisor (OFA01) ................... 120 NSF (11.2 NSM)
Provide one per Disposition Supervisor FTE position authorized.
3. MAS: Office, Coding Clerk (OFA01) ................................... 120 NSF (11.2 NSM)
Minimum NSF. Provide an additional 50 NSF per Disposition Coding Clerk FTE
position authorized greater than two.
Coding Clerks are responsible for coding ambulatory surgery diagnoses.
4. MAS: Office, Patient Funds Clerk (OFA01) ........................ 120 NSF (11.2 NSM)
Minimum NSF. Provide an additional 50 NSF per Patient Funds Clerk FTE position
authorized greater than two.
This clerk keeps records on funds and transactions concerning patients' accounts,
determines eligibility for indigent supplies and services, and keeps records of
commitment, guardianship and competency of patients. It should be planned as a
separate office similar in design (cashier window) to Agent Cashier Office.
5. MAS: Office, Clothing Room Clerk (OFA01) .......................... 80 NSF (7.5 NSM)
Provide one if Clothing Room Clerk FTE position is authorized. Provide an additional
0.33 NSF per Hospital Bed excluding Long Term SCI.
Do not duplicate this space in Environmental Management Chapters. The space
provided accommodates a work station for the clerk, storage space for patients'
clothing and small personal effects, and large pieces of luggage or other items.
6. MAS: Office, Billing Clerk (OFA01) ..................................... 120 NSF (11.2 NSM)
Ambulatory Care (Hospital Based) (262):-Page 22 of 31
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