36C25819R0003-017.docx

Workload History/Projections- Example

As of 8/30/2018, enrollment in the current Gila County, Payson Contracted CBOC is 1,005. The following is a listing of estimated numbers of veterans residing in Gila, Coconino, and Navajo County as of 2018 per the following website: https://www1.va.gov/vetdata/veteran_population.asp

Coconino, USA 3,768 Navajo, USA 7,022 All these veterans are not actually “enrolled” at VA or CBOC’s but have or most can be 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 Gila, Coconino or Navajo 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 VHA CBOC Primary Care Provider.

Statistical Information: Gila County Payson Contracted CBOC, currently located in Payson Arizona, has been in operation since September, 2003. The following is the most recent statistical information for services provided for Gila County Payson Contracted CBOC 10/1/2017 through 09/30/2018:

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

Payson

Number of Visits and Uniques by month during the period 10/1/17–9/30/18:

Age and Sex Distribution as of September 30, 2018:

15 Most Frequent ICD Diagnoses during the period 10/1/17-9/30/18 Code Description

DIAGNOSIS

E11.9 Type 2 diabetes mellitus without complications F43.12 Post-traumatic stress disorder, chronic E78.2 Mixed hyperlipidemia Gastro-esophageal reflux disease without esophagitis E11.8 Type 2 diabetes mellitus with unspecified complications J30.1 Allergic rhinitis due to pollen M48.062 Spinal stenosis, lumbar region with neurogenic claudication M17.0 Bilateral primary osteoarthritis of knee G47.33 Obstructive sleep apnea E78.5 Hyperlipidemia, unspecified I25.10 Athscl heart disease of native coronary artery w/o ang pctrs N40.1 Benign prostatic hyperplasia with lower urinary tract symp M48.061 Spinal stenosis, lumbar region without neurogenic claud G47.30 Sleep apnea, unspecified

Laboratory Tests:

The following laboratory tests were collected at our Payson CBOC and performed at the VA during the period during the period 10/1/17-9/30/18:

The following laboratory tests were done as Point of Care Testing (POC) at our Payson CBOC and performed at the VA during the period during the period 10/1/17-9/30/18:

X-Diagnostic Imaging Diagnostic Imaging: The following x-rays listed procedures below include MRI, CT, and other advance imaging modalities imaging procedures were performed at the VA during the period during the period 10/1/17-9/30/18: