S02_Attahcment_25_-_Workload_History.docx

ATTACHMENT 25 – 36C24919R0003 - Workload History/Projections-

WORKLOAD Estimates:

As of September 30, 2018, enrollment in the current Marshall County CBOC is 3,477. The following is a listing of estimated numbers of veterans residing in Benton, DeSoto, Lafayette and Marshall County as of 2018 per the following website: https://vssc.med.va.gov/VSSCMainApp/ County Veterans

All these veterans are not actually “enrolled” at VA or CBOC’s but have been seen.

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 ABC, DEF, G County CBOC and the services to be provided there. The Government estimates that each patient will make 2.06 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’ 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 dated August 25, 2009, VHA National Dual Care Policy, www.va.gov/vhapublications/viewpublication.asp

Statistical Information: Marshall County CBOC, currently located in Holly Springs, MS has been in operation since June 2014. The following is the most recent statistical information for services provided for Marshall County CBOC for the period 10/1/2016 –9/30/2018:

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

Number of Visits and Uniques by month during the period 10/1/2017–9/30/18:

Encounter by Age Group 10/1/2017-9/30/18:

15 Most Frequent ICD Diagnoses during the period 10/1/17 thru 9/30/2018 Code Description

Laboratory Tests - 2,154 tests were collected at our Marshall County CBOC and performed at the VA during the period 10/1/2017-9/30/2018.

X-Diagnostic Imaging Diagnostic Imaging: A total of 563 orders were placed at our Marshall County CBOC and performed at the VA during the period 10/1/2017-9/30/2018.