24_237_ADD1.pdf

PDF 9 MB Posted Jul 11, 2024

Attached to: 24-237 Wellness Center
Solicitation number: PE-72155-NONST-2024-000000069
Issued by: Richmond County, Atlanta City, Georgia

About this file

Written by GovTribe AI · Aug 23, 2024

This document is an Addendum to Request for Proposal (RFP) Item #24-237 for a Wellness Center for the Augusta, Georgia - Human Resources Department. The RFP opening date has been changed from Wednesday, August 21, 2024 to Thursday, August 29, 2024. The addendum provides responses to various vendor questions, including current staffing model preferences, occupational health service requirements, telemedicine services, and the reasons for the current clinic hours. It also includes utilization data and reports.

The RFP is seeking proposals from qualified vendors to provide on-site medical services and a wellness program for the Augusta-Richmond County Human Resources Department. The current provider's contract has expired, and the city is looking to potentially expand occupational health services and add biometrics to the program. The budget for the health center is $2.6 million, and the expected go-live date is January 1, 2025. The city is open to considering a fixed-fee cost structure in addition to the preferred cost-plus model.

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CERTIFIED MAILED

TO:

FROM:

DATE:

All Vendors Tywanna Scott, Procurement As urance Analyst Anita Rookard, Human Resou es Department

Geri A. Sams ,#u" • ..__- 1.4,4,..,y .. ,,, Procurement Director

August 15, 2024

SUBJ: New RFP Opening Date and Responses to Vendor's Questions

RFP ITEM: RFP Item #24-237 Wellness Center for Augusta, GA - Human Resources Department

NEW RFP OPENING DATE: Thursday, August 29, 2024@ 11 :00 a.m.

ADDENDUM NO. 1

This Addendum shall form a part of the referenced RFP Item #23-278 Wellness Center and any agreement entered in connection therewith equally as if bound into the original document.

Acknowledge receipt of all Addendums on Attachment 11B" within the Specifications package.

The RFP Opening Date for RFP Item #24-237 Wellness Center for the Augusta, GA - Human Resources Department has been changed:

From:

To:

Wednesday, August 21, 2024 @ 11 :00 a.m.

Thursday, August 29, 2024@ 11 :00 a.m.

Responses to Vendor's Questions:

1. Question: Will the City of Augusta consider accepting a bid exclusively focused on occupational health services if the proposed services are more comprehensive and extensive than those of a competing bidder Response: Not at this time, this bid is for an Onsite Clinic with Occupational Health as an option.

2. Question: Do you want a current expansion of your occ health services, if so what would they be?

Response: Currently we don't do OCC health at the clinic with the exception of a few pre screenings.

3. Question: Do you prefer the same staffing model, or prefer a different staffing model?

Response: We prefer the current staffing Model.

4. Question: What is your current staffing budget?

Response: 2.6 million

5. Question: When is the expected go-live date of the clinic.

Response: 1/1/2025

6. Question: Has a decision been made to go with one or two smaller clinics?

Response: No, it has not.

Room 605 - 535 Telfair Street, Augusta Georgia 30901

(706) 821-2422 - Fax (706) 821-281 I ww,,v .august~a.gov Register at www.demandstar.com/supplier for automatic bid notification

Scan this QR code with your smartphone or camera equipped tablet to visit the Augusta, Georgia

Addendum 1 RFP Item #24-237 Wellness Center Paae 1 of 6

7. Question: Please share the utilization data for retirees and dependents, specifying visit types for 2023.

Response: Utilization reports are attached to this Addendum 1.

8. Question: Is the City interested in sharing the wellness center in the future with other government entities?

Response: Not at this time.

9. Question: Does the City currently have telemedicine services?

Response: Yes, through the current medical carrier only.

10. Question: Does the city have a broker/consultant they are working with on this RFP?

Response: Yes, We are working with EPIC.

11 . Question: Why does the clinic no longer dispense medications?

Response: The current provider indicated that in order to continue dispensing, the clinic would need an MD on staff. Currently we do not have an MD on staff.

12. Question: Are you able to provide the scope for the additional occupational health services you are considering adding to the contract and requested as an optional add within the RFP? If so, would you be willing to fill out this form to help understand volume and services requested?

Response:

!service EJ Bo !Annual Qty performed

!Pre-employment physicals ~Dsoo !Urine drug screen ~Dsoo !Breath Alcohol Testing DD IDOT Physicals DD !Public Safety Physicals (Police/Fire/etc.) DD !OSHA hearing surveillance program DOI !Haz Mat or HAZWOPER Physicals □□1 !Respirator Medical Clearance □or !Respirator Mask Fit Test □□1 !Travel Physicals (including vaccinations) DOI !work Related Injury/ Illness Initial Treatment DD

IWork Related Injury/ Illness Follow-up Treatment ID□ !workers' Compensation Case Management l□D

I Other OSHA Surveillance Programs (please clarify) ID□ !Fitness for Duty Evaluations I~□ 50

Return to work Examinations for non-work conditions ID□

13. Question: Can you confirm that Augusta County would be open to a fixed fee cost structure with limited pass through and significantly reduced month to month variability rather than a cost-plus model where the majority of individual cost categories are pass through and total fees can significantly vary month to month?

Response: We will consider but, our preference is a Cost Plus model.

I I I I I I I I I I

Paae 2 of 6

14. Question: Outside of the potential addition of occupational health, are there other services (physical therapy, behavioral health, registered dietician, etc.) that Augusta County has specific interest in that would further help support their member population's health needs?

Response: Biometrics would be an addition.

15. Question: Why is the City going out to RFP?

Response: The current provider contract has expired.

16. Question: Who is the City's employee benefits broker? Will they be a part of the RFP selection process?

Response: EPIC is our current broker and will only serve as technical advisor.

17. Question: What are the current pain points with the existing vendor?

Response: RX Dispensing.

18. Question: May we have quarterly and annual utilization reports for the health center please?

Response: Attached to this Addendum 1.

19. Question: Could the City explain the reasons for the current clinic hours? Is the City looking to keep these hours with the new vendor, or is the city open to changing the hours?

Response: Over time we have determined that these hours are most beneficial to our employees.

20. Question: How many HRA's are performed monthly & annually?

Response: 1000 annually.

21. Question: What is included in these HRA's?

Response: Standard Health status questions.

22. Question: Does the City wish to retain the current staff? If so, are there non-competes?

Response: Yes, and Yes.

23. Question: What is the current engagement rate?

Response: See attached utilization data to this Addendum 1.

24. Question: What is the average population age?

Response: 48.

25. Question: What are the Top 5 most common claims?

Response: See attached utilization data to this Addendum 1.

26. Question: What are the Top 5 most expensive claims?

Response: See attached utilization data to this Addendum 1.

27. Question: What is the budget for this health center?

Response: 2.6 million.

28. Question: What is the total medical spend?

Response: See utilization report attached to this Addendum 1.

29. Questions: Do employees, spouses and dependents pay a copay at the time of service, if so, what is the copay amount?

Response: NO.

30. Question: Who owns the equipment?

Response: Augusta-Richmond County.

31 . We see where it says approximately 2300 people have access to the health center, may we have a breakout of this 2300? Employees, spouses & dependents please Response: 3800 have access to the Clinic. See attached utilization data to this Addendum1.

32. Question: What 0cc health services are provided in the clinic, what occ health services are being performed outside the clinic?

Response: Pre-Screening and Fit For Duty Exams.

33. Question: May we have a breakout of all the ace health visits? Example, DOT Physicals, Return to Work Exams, Fit for Work Exams, Drug Screens, Injury Treatment, etc.

Paae 3 of 6

Response: See included charts attached to this Addendum 1.

34. Question: May we have a copy of the clinic floor plan, including # and types of rooms, storage, etc.?

Response: Not available at this time.

35. Question: Are there any additional services you are not offering that you would like to add in the future? If so, would we have the first right to bid for these services?

Response: No, they are not.

36. Question: Do the city employees have access to the current vendors shared sites?

Response: No, they do not

37. Question: What services are performed virtually and what services are performed in the health center?

Response: All Clinic Services are provided on site.

38. Question: What vendor is currently providing telemedicine services?

Response: Anthem, the medical carrier.

39. Question: What is the estimated date for the City's response to vendor questions?

Response: As soon as possible.

40. Question: Please provide the current number and type of plans under BCBS of Georgia? i.e. 2 PPO, 1 HDHP, etc.

Response: Currently there are 2 plans. An HMO and POS.

41. Question: If City of Augusta decides to transition health center vendors, what is the anticipated date of launching new services?

Response: 01/01/2025

42. Question: Please provide the count of plan members for each: Employee, dependent, spouse, retires.

Response: See attached utilization report to this Addendum 1.

43. Question: What are the current successes of the health center?

Response: It has provided greater access for employees and provides additional guidance identifying and managing chronic diseases.

44. Question: What are the top barriers to success?

Response: NA

45. Question: What is the current budget for health center operations?

Response: 2.6 million

46. Question: Does the City of Augusta wish to retain current staff?

Response: We are open to change.

47. Question: Does the current provider have non-competes in place for staff?

Response: No.

48. Question: What is the current return on investment for the health center?

Response: NA

49. Question: For the purposes of ROI calculation, please provide the City of Augusta's total 2022/2023 annual medical and Rx spend and total eligibility for these plans.

Response: See attached utilization to this Addendum 1.

50. Question: Please provide the most recent reporting (annual, quarterly, monthly) for the health center(s).

Response: See attached utilization report to this Addendum 1.

51. Question: Please provide the total number of visits by year for each staff member:

Response: See attached utilization report to this Addendum 1.

52. Question: Who owns the health center equipment? If available, please provide clinic equipment/inventory list.

Response: Augusta-Richmond County.

• Paqe 4 of 6

53. Question: Please provide a floor plan, including # and types of rooms, storage, etc. and measurements for the health center.

Response: This is not available.

54. Question: Please provide the respective current engagement rates for employees, spouses, and dependents.

Response: See attached Utilization report to this Addendum 1.

55. Question: What other languages are spoken by staff at City of Augusta besides English?

Response: None.

56. Question: Does the City of Augusta offer a wellness program?

Response: Yes.

57. Question: If so, who manages the wellness program? Is this run through the health center or another vendor?

Response: It is managed by the HR team however Biometrics are completed at the Clinic.

58. Question: Is the intention for the new vendor to take over management of the wellness program?

Response: No.

59. Question: Please provide the program requirements, incentives, and eligible participant pool (i.e.

employee or employee + spouse).

Response: The Augusta, Georgia Wellness Program in 2024 will provide employees that choose to comply and participate in the program an opportunity for rate savings. The requirements for the Wellness Program are:

• Completion of a Tobacco Affidavit

• Completion of a free Tobacco Cessation program, if the employee confirms tobacco usage

• Completion of a Health Risk Assessment Questionnaire

• Completion of a Biometric Screening at no charge by Augusta, Georgia; or pay $20 to have the screening completed at our Wellness Center; or an employee can choose to visit their own physician for the screening(subject to medical plan copays).

60. Question: Is City of Augusta interested in a wellness portal I cultural engagement platform with challenges, activities, etc. to augment the wellness program?

Response: We are open to seeing any new tools that would benefit the employees.

61. Question: Is City of Augusta interested in health coaching (i.e., a dedicated health coach or Registered Dietitian that would be part of the clinical staff) as a part of the wellness program?

Response: We are open to seeing any new programs that would benefit the employees.

62. Question: To assist in finding potential new location(s), please provide an excel file including zip codes for all current employees, retirees, and their dependents for the purpose of heat mapping.

Response: The clinic has an existing building.

63. Question: Is the City interested in establishing a second location that would be active/go live when the new contract begins? Or is this a goal for a second phase once the first location's capacity is exceeded?

Response: Not at this time.

64. Question: What services is the City of Augusta interested in that are not currently offered in the health center (i.e. physical therapy, behavioral health, wellness programming, care coordination, etc.)?

Response: Pre-screenings and Fit for Duty.

65. Question: What occupational health services is City of Augusta interested in providing at the clinic?

Response: Fit for duty and Pre-screenings.

66. Question: Does the City currently outsource any occupational health or workers' compensation services? If so, which vendor do you utilize?

Response:Yes-vendor:Mednow

67. Question: Are police/fire physicals outsourced? If so, who is the vendor, and would City of Augusta prefer to have these services performed at the clinic?

Paae 5 of 6

Response: Yes. They are not performed at the Clinic.

68. Question: Please describe the primary goals, gaps and/or opportunities that the City would like to address regarding the provision of occupational health to its employees?

Please provide 2022 and 2023 annual utilization for:

Response:

2022 2023

New Hire Physicals 500

Return to Work Exams

Fit for Work Exams

Druq Screens (rapid- or lab-based) 500

Injury Treatment

Police/Fire Physicals

\Police/Fire Drug Screens

Other (i.e., audiograms, labs, ECG, etc. )

69. Can you provide a copy of the City's current formulary?

Response: See attached to this Addendum 1.

Please acknowledge addendum in your submittal

END OF ADDENDUM

ATTACHMENTS: AUGUSTA UTILIZATION REPORT (PAGES 7)

AUGUSTA INSIGHTS (PAGES 12)

AUGUSTA WELLNESS CENTER FORMULARY (PAGES 3)

Pace 6 of 6

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~ ---------------------------------------------------------------------------------------- 1--

Client Utilization Report

Client Name: Augusta Richmond County

Clinic Name: Augusta Health & Wellness Center

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HEALTH

Data as of: 6/11/202411=20=24 AM

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CLIENT UTILIZATION REPORT ➔ Appointment Summary -euer§ide ms1ghts

M (')I N

©V Total Scheduled Appointments

Previous Month

Total Completed Visits

5/1/2024 • 5/31/2024 = Completed Unique Patient Count

318.0

Completed Visits/Patient

1.20

Scheduled Appointments by Status Scheduled Appointments by Weekday & Start Time

400 381

Completed

26 -Cancelled

Pending

55 61 - -No Show Rescheduled

Completed Appointments by Visit Description

Symptom/ Chronic Disease - Established Patient- In Office

MA/Lab-In Office - 31 MA/ Lab/ Immunizations/ Flu Shot- In Office ■ 11

Physical- Established Patient- In Office I 8

Symptom/Chronic Disease- New Patient- In Office I 7

MA/NV - Immunizations 12 MA/ Lab/ Immunizations/ Flu Shot- In Office Billable I 2

Health risk Assessment - In Office 12 Symptom/Chronic Disease- Established Patient- Phone I 1

Physical - New Patient- In Office 11

Sylllpton.i (_~hro'!!_c Disease- EstabH~~~~_P~~~ent_~_':'.'i~eo I 0

Tuesday

Thursday

Completed Appointments by Modality

0.3%

99.7%

E Data as of: 6/11/202411:20:24 AM ~

Same Day/Next Day Appts

40.9%(156)

■ Office ■ Virtual

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CLIENT UTILIZATION REPORT ➔ Appointment Details -euerside ms,ghts

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'II:

©V

Completed

Cancelled

Pending

No Show

Rescheduled

Grand Total

Completed Appointment Details

Grand Total

Symptom/ Chronic Disease• Established Patient - In Office

MA/Lab•ln Office

MA/ lab/ Immunizations/ Flu Shot - In Office

Physical - Established Patient - In Office

Symptom/ Chronic Disease• New Patient• In Office

MA/NV- Immunizations

MA/ lab/ Immunizations/ Flu Shot- In Office Billable

Health risk Assessment- In Office

Symptom/ Chronic Disease - Established Patient - Phone kehvsical~ ewJ?2ti9llt,,,Jr.Jlffu:e

Previous Month

5/1/2024- 5/31/2024 = Scheduled Appointments by Member Type

Data as of: 6/11/202411=20:24 AM j 0..

Appointment Status Dependent Primary Grand Total E

100.00% 82.94%

8.14%

2.89%

2.10%

1.84%

0.52%

0.26% 0_..?,6%

381 ' Completed

26 Cancelled

1 •1 Pending

55 No Show

61 ' Rescheduled

524 Grand Total

318.0 287.0

30.0

11.0

8.0

7.0

2.0

1.0

J,.O_

1.20 1.10

1.03

1.00

1.00 ) _00.

74 307

3 23

11 44

9 52 •

97 427

200.3 171.9

7.8

4.2

6.3

6.0

0.5

0.7

1.0

1.0 ..1,0

30.8 32.0

15.0

20.8

47.5

45.0

15.0

20.0 30.0

30.0 .60 .. 0

381 -c

C 26 ; ~

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55 , 61 ·i u

CLIENT UTILIZATION REPORT ➔ Scheduled Appointment Drilldown -euerside 1ns1gl1ts

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<DV Previous Month 5/1/2024 • 5/31/2024 = E Data as of: 6/11/202411,20,211 AM ~

Appointment Total Scheduled Total Completed

Status Appointments Visits

Completed 381.0

Cancelled 26.0

Pending 1.0

No Show 55.0

Rescheduled 61.0

Grand Total 524.0

Scheduled Appointments by Status

■ Completed

5.0'111

Pending

■ Cancelled ■ No Show

■ Rescheduled

I Scheduled Appointment Details by Provider

. . Appointment I Total Scheduled % Total Unique Patient Appointments/ Appointment Avg Duration Appointment Provider status I Appointments Appointments Count Patient Hours (mins)

Grand Total 524.0 100.0% 370.0 1.42 275.3 31.0 Amanda P Mulig, NP Completed 244.0 71.3% 212.0 1.15 127.8 30.7 11

Cancelled 18.0 5.3% 16.0 1.13 7.2 23.9

Pending 1.0 0.3% 1.0 1.00 0.3 20.0

No5how 35.0 10.2% 33.0 1.06 19.0 32.6

Rescheduled 44.0 12.9% 40.0 1.10 23.8 32.5 -------- ----- Kimberly Queen, NP Completed 109.0 77.3% 96.0 1.14 55.3 30.2

Cancelled 5.0 3.5% 5.0 1.00 2.8 34.0

No Show 16.0 11.3% 15.0 1.07 7.2 26.9

Rescheduled 11.0 7.8% 11.0 1.00 6.5 35.5

Margaret Page, APRN Completed 28.0 68.3% 25.0 1.12 17.2 34.3

Cancelled 3.0 7.3% 3.0 1.00 2.5 50.0 - Scheduled Appointment Details by Clinic

. . . Appointment Total Scheduled •• Total Unique Patient Appointments/ Appointment Average Duration Appointment Fac,J,ty status Appointments Appointments Count Patient Hours (Mins)

Grand Total 524.0 100.0% 370.0 1.42 275.3 31.0 - -·-, - --· --

Augusta Health & Completed 381.0 72.7% 318.0 1.20 200.3 30.8

Wellness Center Cancelled 26.0 5.0% 24.0 1.08 12.5 28.8

Pending 1.0 0.2% 1.0 1.00 0.3 20.0

No Show 55.0 10.5% 51.0 1.08 28.0 30.5

Rescheduled 61.0 11.6% 57.0 1.07 34.2 33.6 --- ··- ·-·---- . -----·· -- .. ______ , ----• • ------- ----- ·----- - ------·

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CLIENT UTILIZATION REPORT ➔ Completed Appointment Drilldown -everside lllSlghts

<DV Prev,ou~ Month 5/1/2024 - S/31/2024 Dabt as of- 6fll/2Il24 ll: 20a24 AM ~

Client Name Appointment Facility City State Total Completed % Total Unique Patient Appointments/ Appointment Average Duration Appointments Appointments Count Patient Hours (Mins) ll.

u..

Grand Total

[ f.,i~~~i~~!1,~~~~S<> '.~~9_u~~~ H~al!h !!, W!!lfness Cent!!r AUGUSTA GA

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100.00%

1QQ,j)_0%

318.0

:-!J-8.0

_1._?0

200.3

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30.8 E

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CLIENT UTILIZATION REPORT ➔ Completed Appointment Conditions '€Uer§ide insights

N E 0V Previous Month 5/1/2024 - 5/31/2024 =

I Completed Visit Detail by Condition Category

Distinct Visits Condition

1 Distinct Visits Per

Category Members Member

Completed Appointments by Condition Category

Behavioral Health 22 21

Condition

Chronic Medical 139 134

Condition

Other 222 195

Grand Total 381 318

1.05

1.04

1.14

1.20 o.~'70

5.8%

36.5%

■ Behavioral Health Condition ■ Chronic Medical Condition

Grand Total

Null

CM C: Hypertension

Factors influencing health status and contact with health services

Diseases of the respiratory system

CMC: Diabetes mellitus

Symptoms, signs and abnormal clinical and laboratory findings, not elsewhe ..

CMC: Hypercholesterolemia

BC: Anxiety, dissociative, stress-related, somatoform and other nonpsychoti..

Diseases of the skin and subcutaneous tissue

Diseases of the digestive system

CMC: Endocrine, nutritional and metabolic diseases

CMC: Back pain

Diseases of the ear and mastoid process

Diseases of the musculoskeletal system and connective tissue

■ Other

Data as of: 6/11/2024 lla20a24 AM ~

Top 5 Completed Appointment Visit Conditions All c..

u.. er:

■ %Visits

120% ! -

15%

10%

0%'

Null

■ Distinct Members ■ Distinct Visits ..- E

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CMC: Factors infl Diseases of the CMC: Diabetes

Hypertension uencing .. respiratory sy ..

1.20

1.07

1.00

1.03 1.07

1.07

1.11

1.00 1.07 1.17

1.00 1.00

1.00

1.00 1.00 mellitus

CLIENT UTILIZATION REPORT ➔ Utilization Trend 'eUerside insights

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Completed Appointment & Unique Patient Utilization Trend by Quarter

1,339

OK ··- -·~·····-- -

2023Q2 2023Q3

Completed Appointment & Unique Patient Utilization Trend by Month

■ Completed Unique Patient Count ■ Total Completed Visits

2023Q4 2024Ql 2024Q2 ----

■ Completed Unique Patient Count ■ Total Completed Visits

June2023 July 2023 August 2023 September 2023 October 2023 November 2023 December 2023 January 2024 February 2024 March 2024 April 2024

Completed Appointment & Unique Patient Utilization Trend by Day ■ Completed Unique Patient Count ■ Total Completed Visits

l z 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29

May2024

30 31 ll.

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INSIGHTS ➔ EXECUTIVE SUMMARY 'eUerside __________ __ ms1gtits

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ELIGIBILITY

3,862 Eligible Lives as of May 2024

2,226

(57.6%)

Enrolled

1,636 (42.4%)

Not Enrolled

MEDICATIONS

88.7% Generic Prescribing Rate

Last 12 Months

11.3% (N= 1,611)

Brand

88.7%

(N= 12,702)

Generic

APPOINTMENTS

1,812 2024 YTD Appointments

(2023 YTD: 2,084)

1 2 3 4 5 6 7 8 9 W ll U

CHRON~C CONDl;I~~ Q)

64% of Engaged Patients w/ 1 + CC(s)

Last 12 Months

Hyperlipidemia 32%

Hypertension 30%

Chronic gastritis 19%

PARTICIPATION RATE Q)

30.9% Last 12 Months

6 ~ 8 9 10 11 12 1 2 3 4 5

BIOMETRICS

66%

Screened Patients as High Risk as of May 2024

Blood Pressure 14.4%

BMI 56.3%

Glucose 13.7%

Hemoglobin Ale 1 19.2% -

Nicotine Use 10.7%

Total Cholesterol 7 7.8%

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Data as of: 6/3/2024 2=57=13 PM l3 --- ..5:

·-- ----- - ---· - - ------·---··--- ··-····- ----·- Q)

0 ~

PATIENT SATISFACTION ~

88 ~ Net Promoter® Score

Last 12 Months

54 28 -Detractor Passive Promoter

RISK STRATIFICATION Q)

1.0 Risk Score (BoB: 1.0)

Incurred: All-All

Very High 1 3.4%

High . 8.0%

Moderate

Low 16.1%

Healthy - 18.7%

No Claims • 8.1%

45.8%

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INSIGHTS ➔ ELIGIBILITY --euerside

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CD V &t

Eligibility Trend Last 12 Months

4,542 • 4,553 4,554 4,541 ,__

& 0.2% & 0.0% l' 0.3% 4,400

4,200

4,000

3,800

Jun 23 Jul23 Aug 23

Eligibility by Gender & Relationship Month: May 2024

Sep23

Primary ________ _

Female

Male

Unknown

Grand Total

21.4%

1,413 36.6%

0.0%

2,239 58.0%

• Relationship of Unknown is assigned when it is not provided

4,505 l'0.8%

Oct23

Spouse

4,483 l'0.5%

Nov23

18.3%

4.1%

22.4%

Dec23 Jan 24

Dependent -·~--- -·- , ••

9.9%

9.7%

19-6%

3,880

&1.3%

Feb 24 u <I) <I)

Data as of: 6/3/2024 2=57=13 PM ~

3,850 l'0.8%

Mar 24

Unknown

0.0%

0,1%

3,852 &0.1%

Apr24

_ 3,862

&0.3%

May24

Grand Total

1,914 49_6%

1,947 50.4%

0_0%

3,862 100.0%

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INSIGHTS ➔ ENROLLMENT '€Uerside

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Enrollment Trend Last 12 Months

2,300

2,280

2,260

2,240

2,290 • ,,,-

Jun23

2,289

.A.0.0%

Jul 23

2,299

A0.4%

Aug 23

Eligible by Enrollment Status Month: May 2024

2,226 57.6%

2K lK

Enrolled

2,298

.A0.0%

Sop 23

2,299

.A.0.0%

Oct23

1,636

42.4%

Not Enrolled

• Enrolled: Eligible lives that are currently enrolled with Everside Health

• Not Enrolled: Eligible lives that are not currently enrolled with Everside Health

• Not Enrolled - Care Needed: Not enrolled but have requested an appointment at our clinic

2,300

A0.0%

Nov23 Dec23 Jan 24

'f 1.0%

Feb 24 Mar24

Enrollment by Gender & Relationship Month: May 2024

<I)

Data as of: 6/3/2024 2:57:13 PM !i'.l .E

2,226 -------,. 0.1%

Apr24 May24 r-st

E a..

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E -a C:

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____ Primary________ Spouse Dependent Unknown Grand Total

Female

Male

Grand Total

28.8%

1,070

48.1%

1,711 76.9%

1.2.5%

4.6%

17.2%

3.0%

2.9%

5.9%

• Relationship of Unknown is assigned when it is not provided

0.0%

0.1%

44.3%

1,239 55.7%

2,226 100.0%

INSIGHTS ➔ APPOINTMENTS ~uefS1de

(DY~

1/) 1/)

Data as of: 6/3/2024 2:57:13 PM ~

Appointment Trend Current Year I Prior Year

500 462

Jan Feb Mar

~ < •J82

Apr May

Appointments by Service Type Last 12 Months

Jun

OFFICE VISIT 3,750

MA/NURSE VISIT - 680

VIRTUAL VISIT I 150

HRA/BIOMETRIC VISIT I 138

PHYSICAL- OFFICE I 48

ALL OTHERS I 35

PHYSICAL I 13

0 1,000 2.000 3,000 4,000

• Visit Types included: Office Visit, MA/Nurse Visit, Follow-up, Physical/CPE, Urgent, Virtual Care, Annual Wellness & Lab Visits

• Only Service Types with at least six appointments are displayed

48.8 4,94

Jul Aug Sep Oct Nov

Appointments by Care Center Last 12 Months

Augusta Health & Wellness Center

OK 1K 2K 3K 4K

Dec

4,816

• Only Care Centers with at least six appointments are displayed

Appts by Gender & Relationship Last 12 Months

Female

Male

Grand

Total p

2,031 42.2%

1,976 41.0% s

10.1%

3.7%

4,007 663 83.2% 13.8%

1.9%

1.0%

2.9% u

0.1%

Grand

Total

2,614 54.3%

5 2,204 0.1% 45.7%

8 4,818 0.2% 100.0%

• P = Primary IS= Spouse I D = Dependent I U = Unknown

• Relationship of Unknown is assigned when it is not provided

% of Utilizers by Declared PCP Status Last 12 Months

80.0%

60.0%

40.0%

20.0%

0.0%

(1.3%)

PCP

(80.3%)

Non-PCP

(18.4%)

Unknown

I M

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INSIGHTS ➔ PARTICIPATION ~uerside ___________ -~--- _______________ _____ ms~ghts _

Q) r/) Q V~ Data as of: 6/3/2024 2=57=13 PM ill .E

Cumulative Unique Participation Rate Last 12 Months

40.0%

Grand Total 20.0%

0.0%

40.0%

Primary 20.0%

0.0%

40.0%

Spouse 20.0%

0.0%

40.0%

Dependent 20.0%

0.0%

May 23 Jul 23 Sep23 Nov23

30.9%

----44.1%

17.7%

6.7%

Jan 24 Mar24 May24

Cumulative Unique Participation Rate Calendar Year- 2024

40.0%

2023: 27.8%

Grand Total 20.0%

0.0%

40.0% ~9:, 024:32.2%

Primary 20.0%

0.0%

40.0%

Spouse 20.0%

2023: 18.0%

___.,:::;i.: 2024'! ~3.8%

0.0%

40.0%

Dependent 20.0%

2023:4.4% 0.0% ~202/fl'li gq. I I e I I

C ------

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

r-...

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INSIGHTS ➔ PATIENT SATISFACTION 'eUeISide

.2!

Ql en <D v in} Data as of: 6/3/2024 2:57:13 PM itl

-- - --~ - -- - - ----------- ---- .E

Net Promoter® Score (NPS)

88 - Excellent Based on 948 Surveys

Over The Last 12 Months

Percent of Positive Response by Question

95% 95% 95% 92%

69%

• Net Promoter Score=[% of Promoters] - [% of Detractors] Improved Organization

Perception

Easy to Schedule Appointment Provider Spent High Quality of Overall Provider Overall Portal/App

Experience

• Promoters respond with a 5core of 9 or 10 Appointment Began On Time Right Amount of Care Experience

• Detractors respond with a score of 6 or less

• Excellent= 70-100 I Great= 30-70 I Good= 0-30 I Needs Improvement= -100-0 • Based on surveys over the last 12 months

Patient Testimonials

NPS Score

Patient Testimonial

All the people that work in our location!

Amanda and the staff does a wonderful job

Amanda and Tim very knowledgeable and nice

Amanda is great and it's so convenient

Amanda was very professional and informative actually listening to my concerns related to my health and provided needed information to better meet my medica ..

Attention they gave to patients

Caring people kind and concerned with my needs, and care

Time

Page

Reportin11 Date Clinic Name

05/2024 Augusta Health & Wellness Center

Provider

Amanda Mulig, FNP

Amanda Mulig, FNP r-

E Q..

"C C:

INSIGHTS ➔ MEDICATIONS 'euerside __ ·- _____ _ m_~ghts

.I!!

C Q) u

CD -v ~ (/)

Data as of: 6/3/2024 2:57:13 PM ~

Brand vs. Generic Prescriptions

Brand

Generic

12,702 (89%)

~-- - •H ••••••• • ••• •• •••••••• ••

Top 10 External Prescriptions

Prescriptions Trend by Location Type

1,220 1,157

Jun Jul Aug Sep

1,425

Oct

External

1,278

1,149

1,036 1,037

1,234

Nov Dec Jan Feb Mar

Top 10 In-House Prescriptions

Dru_g Name Prescription Count _ _ _ _ ___ _______ % of Total Drug Name ___ P_re_~..!:!ptio_n Count

555 FLUTICASONE PROPIONA ..

OMEPRAZOLE

CETIRIZINE HCL

HYDROCHLOROTHIAZIDE

METFORMIN HCL

LOSARTAN POTASSIUM

JARDIANCE

VALSARTAN

AMLODIPINE BESYLATE

ROSUVASTATIN CALCIUM

FLUTICASONE PROPIONA ..

OMEPRAZOLE

CETIRIZINE HCL

HYDROCHLOROTHIAZIDE

METFORMIN HCL

LISINOPRIL

LOSARTAN POTASSIUM

AMLODIPINE BESYLATE

METOPROLOLTARTRATE

VALSARTAN

■ In-House

1,401

1,400

Apr

1,239

May

%ofTotal

3% r- M N 'st E 1!

a..

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E -0 C:

Q) -0

INSIGHTS ➔ CHRONIC CONDITIONS '€Uerside

C Cl)

(D V6t}

Top 6 Conditions by Prevalence

60% 386 (50%)

Primary

Spouse

40%

20%

Dependent

Unknown

Hyperlipidemia

321 (51%)

62 (53%)

3 {14%)

359 {47%)

224 {29%) 183 {24%)

Hypertension Chronic gastritis Anxiety

296 {47%) 188 (30%) 141 {22%)

61 {52%) 30 (25%) 33 {28%)

1 {5%) 6 (29%) 9 {43%)

1 (100%) () ()

Percentage of Patients by Number of Chronic Conditions

Primary

Spouse

40%

30%

20%

10%

Dependent

Unknown

196 (26%)

152 {24%)

30 (25%)

13 (62%)

1 (100%)

176 (23%) 147 {19%)

2 3

149 (24%) 126 (20%)

22 (19%) 19 (16%)

5 (24%) 2 (10%)

160 (21%)

Diabetes mellitus

122 (19%)

38 {32%)

Data as of: 6/3/2024 2=57=13 PM :(!

133 (17%)

Insomnia

108 {17%)

24 (20%)

1 (5%)

Total Chronic Count: 28

248 (32%)

200 (32%)

47 (40%)

1 (5%) r- C") l E 0.

u..

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"Cl

INSIGHTS ➔ 1MMUN12Ar10Ns 'eUeIS1de

(I)

G)?1'.ii}

Top Immunizations Last 12 Months

Immunization Trend

Influenza

Current Year I Prior Year Selected Immunization: Influenza

4- 0 el

January

Difference 3

- 2

February

March

April

May

June

July

August

September

U) U)

Data as of: 6/3/2024 2:57:13 PM ~ Qi ·---·-·--- --··--- - s:

r- M

E 0..

11.

D:'.

"O C:

(I) "O

October

November December

0 0

INSIGHTS ➔ BIOMETRICS ~uerside

C a, (/l

(D V fu:t Data as of: 6/3/2024 2:57:13 PM gJ ..5:

Screening Measure Patients Screened % High Risk vs. 12 Months Prior % of Patients by Risk Category I Low Moderate High

Blood Pressure 1,705 14.4% Y 0.1% 61.4%

BMI 1,686 56.3% A 0.8% 32.0%

Glucose 1,731 13.7% A l.8% 22.6%

Hemoglobin Ale 1,165 19.2% .A. 0.6% 31.3%

Nicotine Use 803 10.7% .A. 1.4%

Total Cholesterol I 1,724 7.8% 1,,. 0.2%

Patients by High Risk Measure Count

731 {40.3%)

614(33.8%)

• 1111 313 {17.2%)

117 {6.4%) 37 {2.0%) 2 {0.1%) 2 {0.1%)

0 1 2 3 4 5 6

r-- M l E a..

11.

0::

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INSIGHTS ➔ RISK STRATIFICATION 'everside

0 V ~ Data as of: 6/3/2024 2:57:13 PM -

Resource % of Total Patient Count along Table IP Admissions ED Visits Per Average Average Visits

Utilization Band (Down) %of Cost Cost PMPM

Per 1,000 1,000 Average Age Chronic Per Engaged

Conditions Patient

Very High 1 3.4% (107) 28.4% $3,504 794.4 542.1 58.7 6.3 5.3

High 8.0% (253) 21.0% $1,098 170.0 292.5 52.2 3.7 5.3

Moderate 45.8% {1,444) 42.8% $392 27.0 182.1 46.5 1.7 4.5

Low I 116.1 o/o {507) 5.1% $132 3.9 112.4 35.5 0.4 4.2

Healthy 18.7%(589) 2.8% $63 0.0 20.4 36.7 0.0 3.7

No Claims 8.1%(254) 0.0% $0 0.0 0.0 35.7 0.0 3.1

Concurrent Risk Score Comparison Prospective Risk Score Comparison

1.2 808: 0.9 808: 1.0 -----------"--------~ 1.0

Unscaled Concurrent Risk Score Unscaled Total Cost Predicted Risk Score

• BoB: Book of Business • BoB: Book of Business

(I)

[l ..5

I' N st

0..

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E -0 C:

(I) -0

Brand Name Generic Name Form/Qty

ZOVIRAX ACYCLOVIR 400MG TAB #45

PROAIR HFA ALBUTEROL SULFATE 90MCG HFA 8.5 GM

ZYLOPRIM ALLOPURINOL 300MG TAB #90

AMITRIPTYLINE HCL AMITRIPTYLINE HCL 50MG TAB #100

NORVASC AMLODIPINE BESYLATE 10MGTAB#90

NORVASC AMLODIPINE BESYLATE SMG TAB#90

AMOXIL AMOXICILLIN 875MG TAB #30

AUGMENTIN AMOXICILLIN/POTASSIUM CLAV 875-125MG TAB #20

ST. JOSEPH ASPIRIN ASPIRIN 81MG TAB #120

LIPITOR ATORVASTATIN CALCIUM 20MGTAB#90

LIPITOR ATORVASTATIN CALCIUM 40MGTAB#90

ZITHROMAX AZITHROMYCIN 250MGTAB#6

BACLOFEN BACLOFEN l0MG TAB#30

LOTENSIN BENAZEPRIL HCL 20MGTAB#90

LOTENSIN BENAZEPRIL HCL 40MG TAB#90

TESSALON PERLE BENZONATATE l00MG CAP #30

WELLBUTRIN XL BUPROPION HCL XL lS0MG TAB #90 BUSPIRONE HCL BUSPIRONE HCL l0MG TAB#60 BUSPIRONE HCL BUSPIRONE HCL lSMG TAB#60

COREG CARVEDILOL 12.SMG TAB #60

COREG CARVEDILOL 25MG TAB #60

COREG CARVEDILOL 6.25MG TAB #60

CEFADROXIL CEFADROXIL 500MG CAP #20

KEFLEX CEPHALEXIN 250MG CAP #28

KEFLEX CEPHALEXIN S00MG CAP #30

ALLER-TEC CETIRIZINE HCL 10MGTAB#90

CIPRO CIPROFLOXACIN HCL S00MG TAB #30

CELEXA CITALOPRAM HYDROBROMIDE 20MG TAB #90

CELEXA CITALOPRAM HYDROBROMIDE 40MGTAB#90

CATAPRES CLONIDINE HCL 0.lMG TAB #30

CATAPRES CLONIDINE HCL 0.2MG TAB #30

PLAVIX CLOPIDOGREL BISULFATE 75MG TAB#90

FLEXERIL CYCLOBENZAPRINE HCL l0MGTAB#lS

DICLOFENAC SODIUM DICLOFENAC SODIUM 75MGTAB#60

DOXYCYCLINE HYCLATE DOXYCYCLINE HYCLATE l00MG TAB #20

DRISDOL ERGOCALCIFEROL (VITAMIN D2) 50000 UNIT CAP #12

LEXAPRO ESCITALOPRAM OXALATE 10MGTAB#90

FERROUS GLUCONATE FERROUS GLUCONATE 324(38)MG TAB #30

DIFLUCAN FLUCONAZOLE 200MGTAB#2

PROZAC FLUOXETINE HCL 20MG CAP#90

PROZAC FLUOXETINE HCL 40MG CAP#90

FLONASE FLUTICASONE PROPIONATE S0MCG SPR 16 GM

LASIX FUROSEMIDE 20MG TAB#30

LASIX FUROSEMIDE 40MGTAB#30

NEURONTIN GABAPENTIN 300MG CAP #90

LOPID GEMFIBROZIL 600MG TAB #60

GARAMYCIN GENTAMICIN SULFATE 0.3 % DROP 5 ML

AMARYL GLIMEPIRIDE 2MG TAB #90

GLUCOTROL GLIPIZIDE l0MG TAB#90

GLUCOTROL GLIPIZIDE SMG TAB #90

GLUCOVANCE GLYBURIDE/METFORMIN HCL 2.5-S00MG TAB #60

HYDROCHLOROTHIAZIDE HYDROCHLOROTH IAZI DE 25MG TAB #100

HYDROCORTISONE HYDROCORTISONE 2.5% CRM 30 GM

VISTARIL HYDROXYZINE PAMOATE S0MG CAP#20

MOTRIN IBUPROFEN 800MG TAB #90

LEVAQUIN LEVOFLOXACIN S00MG TAB #10

SYNTHROID LEVOTHYROXINE SODIUM lO0MCG TAB #90

SYNTHROID LEVOTHYROXINE SODIUM 125MCG TAB #90

SYNTHROID LEVOTHYROXINE SODIUM lS0MCG TAB #90

SYNTHROID LEVOTHYROXINE SODIUM S0MCG TAB #90

SYNTHROID LEVOTHYROXINE SODIUM 75MCG TAB #90

PRINIVIL LISINOPRIL 20MG TAB #90

ZESTRIL LISINOPRIL l0MG TAB#90

ZESTRIL LISINOPRIL 40MG TAB #90

COZAAR LOSARTAN POTASSIUM lO0MG TAB #90

COZAAR LOSARTAN POTASSIUM 25MG TAB#90

COZAAR LOSARTAN POTASSIUM S0MG TAB#90

MOBIC MELOXICAM 7.SMG TAB #60

GLUCOPHAGE METFORMIN HCL lO00MG TAB #90

GLUCOPHAGE METFORMIN HCL S00MG TAB #90

MEDROL METHYLPREDNISOLONE 4MGTAB#21

LOPRESSOR METOPROLOLTARTRATE lO0MG TAB #90

LOPRESSOR METOPROLOL TARTRATE S0MG TAB #90

METOPROLOL TARTRATE METOPROLOL TARTRATE 25MG TAB#90

FLAGYL METRONIDAZOLE S00MG TAB #14

SINGULAIR MONTELUKAST SODIUM lOMG TAB#90

BACTROBAN MUPIROCIN 2% 22GM 2% 22GM OINT 22 GM

NAPROSYN NAPROXEN S00MG TAB #40

CORTISPORIN NEOMYCIN/POLYMYXIN B/HYDROCORT 3.5-l0K-1 SOL 10 ML

SLO-NIACIN NIACIN S00MG TAB #30

MACROBID NITROFURANTOIN MONOHYD/M-CRYST lO0MG CAP #14

NYSTATIN NYSTATIN 100,000 UNIT CRM 30 GM

PRILOSEC OM EPRAZOLE 20MG CAP#90

PAXIL PAROXETINE HCL 20MG TAB#90

PAXIL PAROXETINE HCL 40MG TAB #90

PYRIDIUM PHENAZOPYRIDINE HCL l00MG TAB #10

ACTOS PIOGLITAZONE HCL 30MG TAB#90

KLOR-CON M20 POTASSIUM CHLORIDE 20 MEQ TAB #90

PRAVACHOL PRAVASTATIN SODIUM 20MG TAB#90

PRAVACHOL PRAVASTATIN SODIUM 40MG TAB #90

ZANTAC RANITIDINE HCL lS0MG TAB #90

CRESTOR ROSUVASTATIN CALCIUM l0MG TAB#90

CRESTOR ROSUVASTATIN CALCIUM 20MG TAB#90

CRESTOR ROSUVASTATIN CALCIUM 40MG TAB #90

ZOLOFT SERTRALINE HCL lO0MG TAB #90

ZOLOFT SERTRALINE HCL S0MG TAB #90

ZOCOR SIMVASTATIN 20MG TAB #90

ZOCOR SIMVASTATIN 40MG TAB #90

SEPTRA DS SULFAMETHOXAZOLE/TRIMETHOPRIM 800-160MG TAB #20

FLOMAX TAMSULOSIN HCL 0.4MG CAP #30

LAMISIL TERBINAFINE HCL 250MG TAB #30

TOPAMAX TOPIRAMATE S0MG TAB#G0

TRAZODONE HCL TRAZODONE HCL l00MG TAB #30

TRAZODONE HCL TRAZODONE HCL S0MG TAB#30

TRIDERM TRIAMCINOLONE ACETONIDE 0.1% CRM 80 GM

MAXZIDE-25 MG TRIAMTEREN E/HYDROCHLOROTH IAZID 37.5-25MG TAB #60

DIOVAN VALSARTAN 160MG TAB #90

DIOVAN VALSARTAN 320MG TAB #90

File details come from the government source that posted it. Updated Aug 23, 2024.