(ii) The length of time each such posi-
tion described in clause (i) remained va-
cant or filled by a temporary or acting em-
ployee. 
(iii) A description of any barriers to 
filling the positions described in clause (i). 
(iv) A plan for filling any positions 
that are vacant or filled by a temporary or 
acting employee for more than 180 days. 
(v) A plan for handling emergency cir-
cumstances, such administrative leave or 
sudden medical leave for senior officials. 
(H) The number of health care providers 
who have been removed from their position or 
have retired, by provider type, during the two- 
year period preceding the submittal of the re-
port. 
(I) Of the health care providers specified in 
subparagraph (G) that have been removed from 
their position, the following: 
(i) The number of such health care 
providers who were reassigned to another 
position in the Department. 
(ii) The number of such health care 
providers who left the Department. 
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SEC. 3. CLINIC MANAGEMENT TRAINING PROGRAM OF THE 
DEPARTMENT OF VETERANS AFFAIRS. 
(a) IN GENERAL.—Not later than 180 days after the 
date of the enactment of this Act, the Secretary of Vet-
erans Affairs shall implement a clinic management train-
ing program to provide in-person, standardized education 
on health care management to all managers of, and health 
care providers at, medical facilities of the Department of 
Veterans Affairs. 
(b) ELEMENTS.—The clinic management training 
program required by subsection (a) shall include the fol-
lowing: 
(1) Training on how to manage the schedules of 
health care providers of the Department and train-
ing on customer service and veteran-centered care, 
including proper planning procedures for vacation, 
leave, and graduate medical education training 
schedules. 
(2) Training on the appropriate number of ap-
pointments that a health care provider should con-
duct on a daily basis, based on specialty. 
(3) Training on how to determine whether there 
are enough available appointment slots to manage 
demand for different appointment types and mecha-
nisms for alerting management of insufficient slots. 
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(4) Training on how scheduling systems will be 
monitored and how schedulers will be held account-
able for accurate data. 
(5) Training on how to properly use data to 
meet the demand for health care, including the fol-
lowing: 
(A) Training on determining the next 
available appointment for each health care pro-
vider at the medical facility. 
(B) Training on determining the number 
of health care providers needed to meet demand 
for health care at the medical facility. 
(C) Training on determining the number 
of exam rooms needed to meet demand for such 
health care in an efficient manner. 
(6) Training on how to properly use the ap-
pointment scheduling system of the Department, in-
cluding any new scheduling system implemented by 
the Department. 
(7) Training on how to optimize the use of 
technology, including the following: 
(A) Telemedicine. 
(B) Electronic mail. 
(C) Text messaging. 
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(D) Such other technologies as specified by 
the Secretary. 
(8) Training on how to properly use physical 
plant space at medical facilities of the Department 
to ensure efficient flow and privacy for patients and 
staff. 
Æ 
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