36C24419R0074-026.pdf

Workload History/Projections

WORKLOAD Estimates:

As of 9/30/2018, enrollment in the current McKean County CBOC is 1,620. The following is a listing of estimated numbers of veterans residing in McKean, Elk, Cameron and nearby Potter County as of 2017 per the following website: https://www.census.gov/quickfacts/fact/map/mckeancountypennsylvania/VET605217 County Veterans McKean 3,451 Elk 2,726 Cameron 506 Potter 1537 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 VA or to be enrolled in a CBOC. VA will notify eligible veterans about the availability of the McKean County CBOC and the services to be provided there. The Government estimates that each patient will make 3.48 visits per contract year to the CBOC.

The numbers of veterans residing in the counties identified above and estimated number of visits per patient per year as stated above are estimates and are to be used for information purposes only. VA in no way guarantees the accuracy of the estimates. 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 Description/Specifications/Work Statement Section are borne by the Contractor, and are included in the capitation rates agreed to by the Contractor in the Schedule of Services and Prices/Costs section.

Patients have the right to receive primary care other than from VA or a CBOC. The VA, however, encourages patients to have only one primary care provider; and it is VA’s expectation that the patient is seen at the VA CBOC at least once per twelve (12) month period, or as often as deemed clinically appropriate by the veteran’s CBOC Primary Care Provider (for further guidance, please also refer to VHA Directive 2009-038)

Statistical Information: McKean County CBOC, currently located in Bradford, PA, has been in operation since November, 1997. The following is the most recent statistical information for services provided for McKean County CBOC for the period 10/1/2017 –9/30/2018:

Number of Uniques, Number of Visits, and Average Number of Visits per Patient:

McKean

Number of Visits 3,953

Uniques 1,135

Visits/Unique 3.48

Number of Visits and Uniques by month during the period 10/1/2017 –9/30/2018:

Month Visits Uniques

Oct-17 381 298

Nov-17 346 249

Dec-17 311 234

Jan-18 355 265

Feb-18 315 237

Mar-18 353 274

Apr-18 353 253

Attachment Y

May-18 365 274

Jun-18 298 227

Jul-18 290 219

Aug-18 331 270

Sep - 18 255 213

Age and Sex Distribution during the period 10/1/2017-9/30/2018:

Age Group FEMALE MALE Grand Total

< 25 0 3 3

25-34 11 48 59

35-44 10 49 59

45-54 7 99 106

55-64 23 150 173

65-74 6 359 365

75-84 0 220 220

85+ 1 119 120

Grand Total 58 1047 1105

15 Most Frequent ICD Diagnoses during the period 10/1/2017-9/30/2018 Code Description

DIAGNOSIS

(I10.) ESSENTIAL (PRIMARY) HYPERTENSION

(E78.5) HYPERLIPIDEMIA, UNSPECIFIED

(E11.9) TYPE 2 DIABETES MELLITUS WITHOUT COMPLICATIONS

(K21.9) GASTRO-ESOPHAGEAL REFLUX DISEASE WITHOUT ESOPHAGITIS

(M54.5) LOW BACK PAIN

(D51.9) VITAMIN B12 DEFICIENCY ANEMIA, UNSPECIFIED

(I25.10) ATHEROSCLEROTIC HEART DISEASE OF NATIVE CORONARY ARTERY WITHOUT ANGINA

PECTORIS

(Z71.9) COUNSELING, UNPECIFIED

(J44.9) CHRONIC OBSTRUCTIVE PULMONARY DISEASE, UNSPECIFIED

(F43.12) POST-TRAUMATIC STREE DISORDER, CHRONIC

(Z71.3) DIETARY COUNSELING AND SURVEILLANCE

(Z23.) ENCOUNTER FOR IMMUNIZATION

(Z13.89) ENCOUNTER FOR SCREENING FOR OTHER DISORDER

(I73.9) PERIPHERAL VASCULAR DISEASE, UNSPECIFIED

(E66.9) OBESITY, UNSPECIFIED

Laboratory Tests:

The following laboratory tests were collected at our McKean County CBOC and performed at the VA during the period 10/1/2017 – 9/30/2018:

Chemistry Panels 1096

CBC 537

Coag (PT,PTT,INR) 50

Micro Cultures 504

Cytology 10

Surgical Pathology 5

Reference Lab 50

Miscellaneous Tests 0

Occult Blood 50

Total 2,302

The following laboratory tests were done as Point of Care Testing (POC) at our McKean County CBOC as part of the requirement described above during the period 10/1/2017-9/30/2018:

McKean CBOC yearly volume

Whole Blood Glucose-finger stick 5

HGBA1C-fingerstick N/A

INR –finger stick N/A

Pregnancy test-urine 5

Occult blood-stool N/A

Urine Dipstick N/A

Breath Alcohol N/A