36C24218R0169-037.pdf

RFP 36C24218R0169

D.9 WORKLOAD HISTORY

Workload Estimates:

As of 05/31/2018, enrollment at the Chautauqua County/Dunkirk CBOC is approximately 1,579.

The following is a listing of estimated numbers of veterans residing in Chautauqua, Erie and Cattaraugus Counties as of 09/30/2017 according to the following website: http://www1.va.gov/vetdata/Veteran_Population.asp

Type User & Enrollee Chautauqua

County Erie

County Cattaraugus

County Current Users/Enrollees:

2017 P1-6 Users 1,074 4 271 2017 P1-6 Enrollees 1,409 8 369

Projected Enrollees:

2018 P1-6 Enrollees 5,867 30,767 3,761 2019 P1-6 Enrollees 5,730 29,851 3,679 2020 P1-6 Enrollees 5,591 28,981 3,595 2021 P1-6 Enrollees 5,460 28,138 3,510 2022 P1-6 Enrollees 5,335 27,301 3,424

All these veterans are not actually “enrolled” at VA or a CBOC.

There are eight (8) Priority Groups to which veterans may be assigned after processing. All applications for all eight (8) groups are input into VISTA by the CBOC for reporting and accountability purposes, but those veterans in Priority Group 8, who applied after 1/17/03, are ineligible and will not receive services by the Contractor. Veterans are not "assigned" to a CBOC but may choose either to be seen at VAWNYHS or to be enrolled in a CBOC. The VAWNYHS will notify eligible veterans about the availability of the Dunkirk CBOC and the services to be provided there. The Government estimates that each patient will make 2.04 visits per contract year to the CBOC.

The numbers of veterans residing in the counties identified above and estimated numbers of visits per patient per year as stated above are estimates only and are to be used for information purposes only. The VA in no way guarantees the accuracy of the estimates. The Contractor fully understands and agrees that costs for any additional visits above the estimated average visits per unique veteran patient and all primary care services as specified in the Performance Work Statement (PWS) are borne by the contractor and is included in the capitation rates agreed to by the contractor in the Schedule of Services/Price/Costs section.

Patients have the right to receive primary care other than from the VAWNYHS or a VAWNYHS CBOC. The VA, however, encourages patients to have only one primary care provider; and it is the VAWNYHS’s expectation that the patient is seen at the Dunkirk CBOC at least once per twelve (12) month period or as often as deemed clinically appropriate by the veteran’s VHA CBOC primary care provider (for further guidance, please also refer to VHA Directive 2009-038 dated August 25, 2009, which is available at http://vaww1.va.gov/vhapublications/ViewPublication.asp?pub_ID=2058).

Statistical Information:

The Chautauqua County/Dunkirk CBOC has been in operation since January 1998.

The following is the most recent statistical information for services provided for the Chautauqua County/Dunkirk CBOC for the period of 10/01/2016 - 09/30/2017 (FY 17), as well as portions of FY 18 where indicated. Please note, all data provided is for informational purposes only and does not represent any guarantee.

For Reference:

• Unduplicated Encounters: An unduplicated count of clinic stops where duplicates have been removed. A duplicate clinic stop occurs when a patient makes more than one of the same type of PRIMARY clinic stop at the same substation on the same day.

http://www1.va.gov/vetdata/Veteran_Population.asp http://vaww1.va.gov/vhapublications/ViewPublication.asp?pub_ID=2058

• Encounter: An encounter is a professional contact between a patient and a practitioner vested with primary responsibility for diagnosing, evaluating, and/or treating the patient’s condition. Encounters occur in both the outpatient and inpatient setting. Contact can include face-to-face interactions or those accomplished via telemedicine technology).

FY 17 & FY 18 (October 2016 through June 2018) Visits & Encounters per Unique Outpt by VISN

OCT-

FY17

NOV-

FY17

DEC-

FY17

JAN-

FY17

FEB-

FY17

MAR-

FY17

APR-

FY17

MAY-

FY17

JUN-

FY17

JUL-

FY17

AUG-

FY17

SEP-

FY17

Visits 658 601 530 623 527 569 564 628 660 557 570 576 Encounters 703 625 551 660 558 594 593 667 690 595 600 599 Visits Per Unique PT 1.34 1.34 1.35 1.38 1.33 1.47 1.33 1.37 1.34 1.36 1.31 1.32 Encounters Per Unique PT

1.43 1.4 1.4 1.46 1.41 1.54 1.4 1.46 1.4 1.45 1.38 1.38

Unique Patients 491 447 393 452 396 386 425 458 493 411 434 435

FY 17 Age & Sex Distribution (1V02) (528GC) Dunkirk, NY

FY 17 Most Frequent ICD Diagnoses

FY 18 Projected Medication & Immunization Utilization

Item Name Qty Albuterol Sulphate 0.083% inhal 3ml 20 Cyanacobalmin Inj 40 Hepatitis B Vaccine (ENGERIX-B) 20MCG/ML inj 8 Influenza Vaccine Low Dose 115 Influenza Vaccine High Dose 284 Lidocaine Inj 1% 92 Lidocaine 1% w/ Epi 32 Methylprednisolone acetate 40 mg/ml, 1ml 184 Nitroglycerin 0.4 ng SL tab btl 25 1 PNEUMOCOCCAL -23 VIAL Count 84 PREVNAR 13 SYR Count 40 TET/DIPHTH/PERTUSS VACC 0.5ML INJECTION Count 76 Diphth 2UNT/TETNUS TOX 5UNT/0.5 ml inj 20 Tuberculin PPD 5 unit/0.1 ml inj 20 Zoster Vaccine Recombinant Shingrix® (NOTE: This quantity may be artificially low due to vaccine shortages) 44