PARAMETER SUMMARY
Project number:
Host VAMC:
Date created:
Date last updated:
Project type (1=Lease, 0=New Construction)
1
Clinic type (1=Independent, 0=Satellite)
1
Full-time VAMC employees
Total net area of the institution:
Total net usable square feet for the lease:
0 Name of Project Planner:
PROGRAM DATA REQUIRED
Projected Annual Outpatient Visits
STAFFING FOR AMBULATORY CARE
C&P
10-10
MAS AMBULATORY CARE
All Other
Clerks assigned to Cntrl Receptn
Total Outpatient Visits
0
MAS Supervisor (Amb Care)
Health Benefits Advisor (Patient Svcs
Assist) & Tm Ldr
Clerks, Travel
Total Projected Annual Clinic Stops for Area
Clerks, Agent Cashier
Dermatology
Medical Records Administrator
Gastroenterology
Asst. Chief, Medical Information
Section (MIS)
Oncology
Medicine
Lead Clerk (MIS)
Primary
Clerks (MIS)
Preventive
Supervisory Transcriptionist
Geriatric
Transcriptionists
Women's Health/GYN
Supervisory File Clerk
Emergency/Admitting
Clerks, File
Neurology
Rehabilitation
URGENT CARE
Dental
Physicians
Audiology
Head Nurse
Speech Pathology
Adult Day Health Care
CLINIC EXAMINATION/TREATMENT MODULES
Clerks (MAS), assigned to Clinic
Module Reception
Dialysis
Home Dialysis
Physicians
Surgery
Physician Extenders
Orthopedics
Nurses, Telephone Triage
Urology
Other Nurses assigned to Modules
Podiatry
Social Workers
Eye
Health Benefits Advisor
Surgery Support
Clerks, Scheduling
Clerks, C&P
Substance Abuse - Individual
Mental Health - Individual
Resident Physicians
Pharmacist, Clinical (assigned to
clinics)
Substance Abuse - Group
Mental Health - Group
Data Coordinator/Tumor Registry
Day Treatment
Dietitians, Clinical
CLINIC BASED HOME CARE STAFF
Projected Annual Outpatient prescriptions:
Nurse Practitioners
Social Workers
Level of Urgent Care (Basic=1,
Expanded=2)
Physicians
Will Phototherapy be done in
Dermatology (Y=1, N=0)
Clerical Support Staff
Will Chemotherapy Treatment be
provided? (Y or N)
Care Coordination Staff
Will Cast Clinic be sched. on Weekly
Basis?(Y or N)
GERIATRIC EVALUATION UNIT
Is Clinic Based Home Care Approved? (Y
or N)
Nurses
Is Geriatric Evaluation Unit Approved? (Y
or N)
Social Workers
Systems Furniture? (Y or N)
Physicians
Medical Information Section
Clerical Support Staff
Transcription Unit
PATIENT EDUCATION
Will AMIE System be Used? (Y or N)
Clerk, Information Resource Center
Projected Linear Feet of Medical Records
OTHER STAFF
TOTAL STAFF
0
PARAMETER SUMMARY -- 1 of 2
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