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36C25718R0247 D.19 Workload-History-Projections.docx

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D.19 Workload History/Projections 36C25718R0247

WORKLOAD HISTORY/PROJECTIONS

As of 6/5/2018, enrollment in the current Beeville CBOC is 497.

The following is a listing of estimated numbers of veterans residing in Bee County and nearby Karnes and Live Oak Counties as of 9/30/2017 according to the following website: http://www1.va.gov/VETDATA/Demographics/Demographics.asp

County
Veterans
Bee
2,086
Karnes
767
Live Oak
1,051

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 STVHCS Eligibility Section 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 may choose either to receive primary care services at a VA or the contract CBOC. VA will notify eligible veterans about the availability of the Beeville 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 VHA CBOC Primary Care Provider (for further guidance, please also refer to VHA Directive 2009-038 dated August 25, 2009.

Statistical Information: The Beeville CBOC, currently located in Beeville, Texas, has been in operation since September 2003. The following is the most recent statistical information for services provided for the Beeville CBOC for the period 10/1/216 –9/30/2017:

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

Uniques
521
Number of Visits
2,127
Visits/Unique
4.08

Number of Visits and Uniques by month during the period 10/1/2016–9/30/2017:

Month
Visits
Uniques
Oct-16
180
150
Nov-16
180
160
Dec-16
150
130
Jan-17
159
141
Feb-17
160
144
Mar-17
207
171
Apr-17
164
135
May-17
170
136
Jun-17
235
189
Jul-17
158
128
Aug-17
167
141
Sep-17
197
174

Age and Sex Distribution as of 6/5/2018:

Age Group
FEMALE
MALE
Grand Total
< 25
0
0
0
25-34
4
30
34
35-44
12
45
57
45-54
7
47
54
55-64
9
73
82
65-74
0
172
172
75-84
2
65
67
85+
0
31
31
Grand Total
34
463
497

15 Most Frequent ICD Diagnoses during the period 10/1/16-9/30/17:

CodeDescription
(I10.)ESSENTIAL (PRIMARY) HYPERTENSION
(E11.9)TYPE 2 DIABETES MELLITUS WITHOUT COMPLICATIONS
(E78.5)HYPERLIPIDEMIA, UNSPECIFIED
(M54.5)LOW BACK PAIN
(Z23.)ENCOUNTER FOR IMMUNIZATION
(Z00.00)ENCOUNTER FOR GENERAL ADULT MEDICAL EXAMINATION WITHOUT ABNORMAL FINDINGS
(J44.9)CHRONIC OBSTRUCTIVE PULMONARY DISEASE, UNSPECIFIED
(F17.210)NICOTINE DEPENDENCE, CIGARETTES, UNCOMPLICATED
(K21.9)GASTRO-ESOPHAGEAL REFLUX DISEASE WITHOUT ESOPHAGITIS
(E78.9)DISORDER OF LIPOPROTEIN METABOLISM, UNSPECIFIED
(E11.8)TYPE 2 DIABETES MELLITUS WITH UNSPECIFIED COMPLICATIONS
(G60.3)IDIOPATHIC PROGRESSIVE NEUROPATHY
(N40.0)ENLARGED PROSTATE WITHOUT LOWER URINARY TRACT SYMPTOMS
(M13.10)MONOARTHRITIS, NOT ELSEWHERE CLASSIFIED, UNSPECIFIED SITE
(N18.3)CHRONIC KIDNEY DISEASE, STAGE 3 (MODERATE)

Laboratory Tests:

The following laboratory tests were collected at our Beeville CBOC and performed at the VA during the period 10/1/15-9/30/16:

COMPREHENSIVE METABOLIC PNL
241
HEMOGLOBIN A1C
140
CBC
92
BASIC METABOLIC PANEL
10
HEPATIC FUNCTION PANEL
6

Diagnostic Imaging: The following x-rays listed procedures below include MRI, CT, and other advance imaging modalities imaging procedures were ordered by the Beeville CBOC during the period

NM, MYOCARD PERF IMAGING,(S (78452)
48
TC99M MYOVIEW (TETROFOSMIN) (A9502)
10
MRI, LUMBAR SPINE W/O CONTR (72148)
10
DUAL-ENERGY XRAY ABSORPTION (77080)
9
US, ABDOMEN - LIMITED (76705)
6
US, CAROTID DOPPLER, BILAT (93880)
6
MRI, BRAIN W/O & W/CONTRAST (70553)
6
ZSCREENING MAMMO, BILAT W/O (77057)
4
KNEE, RIGHT AP/LAT/SUNRISE/ (73564)
4
KNEE, LEFT AP/LAT/SUNRISE/T (73564)
4
MRI, BRAIN W/O CONT (70551)
4
SPINE CERVICAL AP & LAT (72040)
3
CT ABD & PELVIS W CONTRAST (74177)
3
MRI, CERVICAL SPINE W/O CON (72141)
3
US, ABDOMINAL COMPLETE (76700)
2
MRI, SHOULDER, LEFT, W/O CO (73221)
2
CT CHEST W/O CONTRAST (71250)
2
MRI - CONSULT OF OUTSIDE FI (76140)
2
SCREENING MAMMO, BILAT W/O (77067)
2
MRI, IACS WO & W/CONTRAST (70553)
2
MRI, ANKLE, RIGHT W/O CONTR (73721)
2
US, RETROPERITONEAL LTD (RE (76775)
2
BOTH KNEES, STANDING AP (73565)
2
MRI, KNEE, LEFT W/O CONTRAS (73721)
2
HAND RIGHT 3 VIEWS (73130)
1
TECHNETIUM TC99M MEDRONATE (A9503)
1
SPINE LUMBOSACRAL AP/LAT & (72100)
1
ESOPHAGRAM (74220)
1
MRCP W/O CONTRAST (74181)
1
KNEE, RIGHT AP/LAT/PATELLAR (73562)
1
CTA CAROTID ARTERIES WITH C (70498)
1
MRI, SHOULDER, RIGHT, W/O C (73221)
1
CT LOWER EXTREMITY W/O CONT (73700)
1
MRI, THORACIC SPINE W/O CON (72146)
1
CT NECK SOFT TISSUE W/CONT (70491)
1
NM, BONE/JOINT IMAGING, WHO (78306)
1
CTA ABD&PELV W/O&W/DYE (74174)
1
CT HEAD W/O CONT (70450)
1
US, SCROTUM AND CONTENTS (76870)
1
FOOT, LEFT AP/LAT/OBLIQUE (73630)
1
LDCT LUNG CANCER SCREENING (G0297)
1
MRI, KNEE, RIGHT W/O CONTRA (73721)
1
Total
158

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