36C24219R0002-004.pdf

D.9 WORKLOAD HISTORY

WORKLOAD Estimates:

As of 09/30/2019, enrollment at the Troy CBOC is approximately 1,443. The following is a listing of estimated numbers of veterans residing in Rensselaer, Albany and Saratoga counties as of 09/30/2019 according to the following website: http://www.va.gov/vetdata/Veteran_Population.asp

County Veterans Rensselaer 9,849 Albany 14,948 Saratoga 17,183 Total 42,819

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

There are eight Priority Groups to which veterans may be assigned after processing. All applications for all eight 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 Albany VA Medical Center or to be enrolled in a CBOC. The Albany VAMC in collaboration with the contractor will notify eligible veterans about the availability of the Troy CBOC and the services to be provided there.

The Government estimates that each patient will make 3.0 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. The Albany VAMC 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 are borne by the contractor and is included in the capitation rates agreed to by the contractor in the Schedule of Services section.

Patients have the right to receive primary care other than from the Albany VAMC or a VACBOC.

However, the Albany VAMC, encourages patients to have only one primary care provider; and it is the Albany VAMC’s expectation that the patient is seen at the Troy CBOC at least once per 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 following is the most recent statistical information for services provided for the Troy CBOC for the period of 10/01/2018 - 09/30/2019.

Number of Unique = 1,175 Number of Visits = 3,547 Average Number of Visits per Patient = 3.0 annually

Unique Patients

Age Group Female Male Total <25 3 3 6

25-34 13 51 64 35-44 9 69 78 45-54 15 95 110 55-64 24 223 247 65-74 13 394 407 75-84 2 213 215 85+ 3 89 92

All Age 79 1,096 1,175

10 Most Frequent CPT Codes

Code Description

99214 OFFICE/OUTPATIENT VISIT, EST

90471 IMMUNIZATION ADMIN

99211 OFFICE/OUTPATIENT VISIT, EST

98966 NONPHYSICIAN TELEPHONE ASSESSM

90750 HZV VACC RECOMBINANT IM

99213 OFFICE/OUTPATIENT VISIT, EST

98967 NONPHYSICIAN TELEPHONE ASSESSM

90653 FLU VACCINE ADJUVANT IM

99397 PREV VISIT, EST, 65 & OVER

S9445 PT EDUCATION NOC INDIVID

Immunizations

Code Description Quantity

90750 HZV VACC RECOMBINANT IM 344

90655 FLU VACCINE ADJUVANT IM 309

90686 FLU VAC NO PRSV 4 VAL 3 YRS+ 199

90732 PNEUMOCOCCAL VACCINE 155

90715 TDAP VACCINE > 7 IM 62

90670 PNEUMOCOCCAL VACC, 13 VAL IM 37

90746 HEP B VACCINE, ADULT, IM 31

90636 HEP A/HEP B VACC, ADULT IM 30

90662 INFLUENZA VACCINE SPLT PRSRV F 21

90714 TYPHOID IMMUNIZATION 17