1. Department of Veterans Affairs health care productivity improvement (a) In general Subchapter I of chapter 17 of title 38, United States Code, is amended by inserting after section 1705A the following new section: 1705B. Management of health care: productivity (a) Relative value unit tracking The Secretary shall track relative value units for all Department providers. (b) Clinical procedure coding training The Secretary shall require all Department providers to attend training on clinical procedure coding. (c) Performance standards (1) The Secretary shall establish for each Department facility— (A) in accordance with paragraph (2), standardized performance standards based on nationally recognized relative value unit production standards applicable to each specific profession in order to evaluate clinical productivity at the provider and facility level; (B) remediation plans to address low clinical productivity and clinical inefficiency; and (C) an ongoing process to systematically review the content, implementation, and outcome of the plans developed under subparagraph (B). (2) In establishing the performance standards under paragraph (1)(A), the Secretary may— (A) incorporate values-based productivity models